So, it is a week since I underwent my arthroplasty. In some ways it feels like it really, has only been a week. In other ways it feels like an eternity!
Thursday, May 27, 2010
Day 8 (One Week Post Op)
So, it is a week since I underwent my arthroplasty. In some ways it feels like it really, has only been a week. In other ways it feels like an eternity!
Day 7
Ahhh, the bruising continues! As you can tell, the left ear area is really looking pretty ugly. My pain today was pretty bad due to the bruised sensation. Every nerve throughout my head; side, forehead, top, back, etc...it all hurts at the slightest touch. I was awake all night due to this, even to the point of seeing the sun rise. I refused to look at the clock which is what I think helped me make it through today!
Tuesday, May 25, 2010
Day 6
Today just call me Bruiser! The bruising is getting nice and colory. The pictures do not do it justice, as they are much brighter in person. While i'm thankful the swelling is going down, I now feel like my head is stuck in a vice. It has not been a pleasant day pain-wise and nothing seems to keep it at bay.
The good news is I can still open about 30mm today with the therabite. I'm so grateful that my opening is so good so early in my recovery. As i'm sure i've mentioned, the goal is 35-40mm with no pain. Looking at where i'm at, I think this will not be too difficult to meet once the surgical recovery is complete.
One of the more embarrassing side effects from this surgery that i'll only share for the benefit of others who may go through this, is drooling. Yes, it's gross but is very much a part of my life at the moment! Because of what I would assume is the weakness in my facial nerves and muscles, the drooling is out of control when sleeping (and sometimes accidently when awake!). Please, if you go through this surgery, before going to sleep grab a towel and cover your pillow. You will not regret it!
Today I got out with my dog for mini walks around the block. I'm able to get out a bit further than previous days which I am happy about (as is Caroline). I do get pretty dizzy though so I have to pace myself. My ears are still pretty plugged, with the left ear being the worst, so the vertigo sets in easily.
Other than that, I have been catching up on the show Six Feet Under. I'm almost done with season 1 and cannot wait to start season 2. I also have several movies now to watch thanks to my Aunt and Netflix. It is nice to take it easy and enjoy some good shows.
Which is exactly what i'm going to do now! Until tomorrow...
Monday, May 24, 2010
Days 4 and 5
Day four started out a little rough as you can tell by the pictures. The swelling in my eyes became a bit crazy and I had a hard time seeing throughout the day. I'm still having some double vision due to the swelling but it is getting better. My left eye tends to get a bit lazy which is part of the problem. Once I have better control over the muscles and nerves I have a feeling my vision will be much more clear!
Day four was one I found had the most progress. As the day went on, my energy began returning. I have found with previous surgeries this tends to be both a good and a bad thing. While it was good I wanted to get up, walk around, and such, the body just isn't always as ready as you think. I insisted on doing a lot of things, such as the dishes, cooking for myself, and getting up for anything I wanted. My dog also decided she had had enough of vacation and wanted to return home, so she insisted that I be the one to take her out for potty breaks.
What ended up happening is my body crashed. By the end of the day I just couldn't move anymore. I'm thankful though for the progress that was made. My swelling went down further and I began having little "pops" in my left ear, signs that my hearing should be returning.
Day 5 has been tougher than day 4. My friend had to go home today so it is the first one on my own. I'm so grateful for all her help and for the time to catch up (she is still in seminary). We had a nice time and it was a gift to have someone on hand to help with wound care, dishes, driving, and even laundry (thanks Andrea!).
Physical therapy really took it out of me. It is an hour drive each way to get there so PT is always a long day. Because the incision sites are still so new, my PT did not want to do any tens or ultrasound as it poses a risk for infection. So, we stuck with ice and range of motion. The good news is I was able to open 28mm, a good 10mm more than before surgery! Normal at minimum is 35-40mm, so i'm on my way.
I was already in a great deal of pain before arriving, and by the time I left I was done! My PT's are so happy though with my progress and had a great time calling me "chipmunk face" and other such terms of endearment. They even commented on how swollen my ears are, to the point they are flattening against my head. While this is true, they should have seen me a few days ago!!
After PT we had to run to the store to pick up prescriptions. This extra trip was another step in my road to exhaustion. I ran into a parishioner which was nice, though i'm sure he was wondering what I was doing out. We then went home and on the way picked up flowers my mother had ordered for me. They are so beautiful! I also got a package from my Aunt with a bunch of movies which I cannot wait to watch. Such a nice day full of surprises!
Once I got home, I took my pain meds/antibiotics, did wound care, took the dog out, and got some ice. I then laid down and took a nap for the next few hours. The pain today has been deep muscle and bone pain, the kind you would generally expect with this type of surgery. I think all the talking and exercise is what caused my problems. While it is good and expected of me to do these things, I believe I need to take it a bit more easy the next few days.
So, that is it for now. Progress is being made and everyday is a little better. I will try to update again tomorrow depending on how i'm feeling. Oh, and sorry for the low quality side pictures from today, I just couldn't get my camera to cooperate!
Sunday, May 23, 2010
An Hour After My Last Post
Saturday, May 22, 2010
The First Three Days
When I awoke from surgery, the first thing I remember is a lot of pain. It felt like hot knives being driven through my face. I cannot remember another surgery where I felt this way. Thankfully the nurse was on hand with dilaudid and continued to pump it into my system. They were not supposed to give me high doses at a time due to the fact I was still coming out of anesthesia. However, because the pain was not able to be controlled she eventually called the anesthesiologist who gave consent for a higher dose. Once that hit I was fine. Unfortunately, I wasn't able to keep my sats up without oxygen so I stayed on it throughout the night. In the morning I was able to come off though. This was good because it was beginning to look like another night in the hospital may be on the table!
The night in the hospital was pretty rough. I wasn't able to sleep hardly at all. My pain would go down for a short period of time, allowing me to pass out, only to be woken up again by a full bladder, pain, or a nurse. I just couldn't get comfortable with the air pumps on my legs, tubes, ice packs leaking, and of course the pain. I was grateful when morning arrived!
A side view (I was a bit drugged and couldn't get the other side!)
Thankfully, I was then able to order some food and opted for applesauce and yogurt. I was able to eat the applesauce but could barely get a couple spoonfuls of yogurt. My stomach was just not ready.
Day Three
As you can see by the pictures, my smile is a bit crooked. The swelling is much greater on the left than the right. Also, today I have developed bruising under my eyes. Surprisingly you can't really see this in the picture but it is very noticeable in person. Actually, everything looks calmer in pictures! :)
Today I woke up and every muscle and bone hurt in my body. It feels like i've been through a triathalon. If I didn't know better, I would have thought I spent the last week doing a thousand sit ups a day! Thankfully, meds help with this but it is very, very hard to get comfortable.
I have found today I am much hungrier than the last two days. I think my body is calling out for some happy calories and protein to build me back up again. Already i've lost 5 pounds, probably due to all the fluid i've lost. My diet is consisting of applesauce, baby food, and pure liquid soups. Oh yeah, and I had a popsicle tonight, which was the perfect end to the evening!
I've been using my therabite since last night. My doctor had me set it at 20mm and, while it hurts, i'm doing very well on it. I was scared to have such a high setting already, but i'm able to work it perfectly. Before surgery, my average opening was around 15mm, though on good days I could get to 23 ish. Normal minimum opening is 35-40, which is our goal. So far this is a great start.
My ears are also getting better in terms of the blood (I know, gross topic) and the stitches are very clean thanks to my friend helping with that. I still can't see them so it is hard to clean myself.
The big problem is i'm having trouble seeing a bit due to the swelling around my eyes. My left eye feels a bit droopy but this evening i've had some little tremors in it. I think this is a good sign that some of the nerve function is coming back. I just don't feel like I can shut tightly and the left eye waters a lot. I look forward to the swelling going down. I hate the feeling of my ear being swollen shut and not being able to work the eyes well.
So, that is about all I can handle posting for now. I'm doing well, just sore, tired, dizzy, and loopy. I have a ways to go before I will be back to full functioning but it is a good start. Thank you again for all the prayers. I hope by my journaling someone else will benefit. I know how desperately I wanted a blog that detailed this kind of information before my surgery. If there are any questions out there, please don't hesitate to ask!
Friday, May 21, 2010
Surgery is Over!
I got home from Baltimore around 8pm tonight. Everything went well; I have a few complications but the surgery itself couldn't have gone better. It was supposed to be about 3 hours but lasted 4 1/2. That extra time must have been important; i'm just grateful they were able to save the discs and I should have a great descrease in pain.
I'm really out of sorts right now; tired, dizzy, and hurting a bit. I will do my best to post a real blog with pictures tomorrow, so be on the lookout.
Thank you so very much for your thoughts and prayers. They have helped tremendously and I look forward to sharing a detailed account of my journey with you.
Blessings,
Laura
Wednesday, May 19, 2010
It's Time!
I feel quite ready. I know it is time to get this fixed so i'm not too nervous at all. The bummer is I ended up with what looks like Sciatica this weekend. I actually spent Sunday night to Monday morning in the ER because the pain was so bad. They thought it was kidney stones but thankfully it wasn't. The pain started in my right side and back but now is going down my leg. So, this adds on a fun dynamic to the week! Thankfully though i'll be in bed quite a bit the next two weeks which I hear should help the problem.
I will keep you posted as I recover. I plan to post pictures to help those who may be facing this in the future. I know how desperately I wanted to find detailed testimonials to this surgery so will do my best to provide a resource for others.
Thank you for following my journey and praying for me. It is much appreciated! I should be home by Friday afternoon to early evening so keep a look out. If I can, i'll post from the hospital if there is internet and my brain is in tact enough...ha ha!
Thursday, May 13, 2010
Yay Preop!
I've been jumping back and forth the last few weeks about my decision. I think a lot of it has to do with the controversy surrounding TMJ surgery. There are a great number of people out there who believe oral surgeons are not specialists for TMJ and the only treatment one should have is conservative, particularly with neuromuscular dentists.
While I believe NM dentists work for some, they do not solve the problems caused by structural damage. I asked a world renowned oral surgeon from the UK about this, and he affirmed what I believe. The only way to solve the problems I have, especially since they are related to trauma, is surgery.
I'm starting to feel better and better about my decision. I know my surgeon is very skilled and would only recommend this if it there was a good chance of dealing with the problem. I still have some anxiety related to the possible side effects, such as facial paralysis (normally temporary), and the possibilities of more surgery. But at the same time, when asked by my doctor this morning if the risks were worth it, I replied "absolutely". I cannot live like this anymore.
So, as long as my bloodwork comes back within normal range, i'll be moving ahead with surgery next Thursday at 1pm. The friend who is helping and I will head to Baltimore Wednesday. This will save us from having to deal with crazy traffic plus a lack of sleep. I have to be at the hospital by 11am so it is better to not drive that long distance the same day.
Right now i'm working on more nesting and filling my netflix queue with good movies and television series. I almost got rid of my Direct TV back in January and i'm so glad I didn't! I know i'll be watching it a lot over the coming weeks and months.
If you have any suggestions, i'm trying to think about what my "last meal" will be the night before surgery. I will be on a liquid diet for 1-2 weeks, then a "no chew" diet for anywhere from weeks to months. After that it is soft food and then normal food. I could be without normal food from anywhere from 4-6 months, maybe longer (hopefully not!). What would you eat if you knew it was your last real meal?
Monday, May 10, 2010
Ten Days and Counting
I am ten days away from surgery and the reality of it is beginning to hit. I have been busy nesting away, trying to get the house under control. Hopefully it will be neat and tidy before surgery so i'm able to relax and not worry about keeping it up.
My pain fluctuates from day to day. I have had a few good days recently which has been a blessing. It really is a rollercoaster ride and I just try to take it as it comes.
Work has been a bit tough to keep up with. I'm thankful that while I feel a bit behind, things are still getting accomplished. My goal over the next week is to get everything ready for my recovery. This includes writing a number of sermons and making sure all my homebound parishioners are visited. I think it can get done!
I'll be taking two weeks off and I pray this is enough. I know the recovery will be much longer, but I really cannot afford more than that. I pray i'm able to keep up over the summer. My concern heightens for my June schedule as i'll be at camp with my youth for a week at the end of the month and there is synod assembly only 2 1/2 weeks after surgery. Again, this will include pacing myself and taking breaks when needed.
So, that is it for now. Nothing too excited, just a lot of preparing and waiting. Thank you so much for stopping in. It means so much to know people are praying.
Sunday, May 2, 2010
How Many More Days??
Earlier this week, my PT got me worried and a bit neurotic again. He said he thinks i'm putting a lot of stock into the surgery. I asked him if he didn't think this was going to work. He replied that he doesn't really know, but he does think that going in and messing with things doesn't usually help. I think he was just having an off day, because really, surgery does help many, many people. Like all the knees he sees in his practice; without joint replacement and such, those people wouldn't be able to walk like they do. I did get concerned though, because as we all know, there are so many forums out there that are radically against TMJ surgery. You read those horror stories and worry it will become you.
I believe i'm making the right decision for the most part, but there is still that side of me that worries. I don't want to damage myself anymore than I am. I also know however, that to live like this the rest of my life would not bring about a quality life. I will be turning 30 in July and to think i'll be in pain like this forever is a terrible, awful thought. I cannot spend my life on muscle relaxants, pain killers, nerve pain meds, etc. I need the chance to live joyfully. To be in this much pain after playing laser tag and going out to eat is ridiculous. I barely made it out the door let along through the four hours I spent with my youth. That is no way to live.
On a side note, my sister is no longer able to come out to help with surgery. However, a wonderful former classmate of mine from seminary is able to help. She has faced many health concerns herself, so will be a great person to be with throughout recovery. I'm so thankful for the many awesome people in my life who give so selflessly.