Thursday, September 10, 2009
One month
Not so much to report. The insides of my mouth are still getting irritated and really swollen from the braces and bands and it is has caused some noticeable swelling on along my jawline, particularly on the right-hand side. Still numb on the insides of my mouth, my bottom lip and chin and I have been having more frequent pins and needles feelings and warm sensations in my lip.
One thing that did occur in the past week was my orthodontist uploaded my original records to my online account so I have access to how things looked prior to even having braces. This should give people a pretty good idea of why I needed braces and then jaw surgery once the braces had done their job. As you can see from the first picture, I always had a pretty bad overbite so much so that my front teeth completely covered my bottom teeth when I bit down. For those who do not know any better, this should not happen. In addition to that my front teeth were not standing up straight, but instead were slanted back toward my bottom teeth as seen in the second picture. This slant combined with the overbite would have eventually cause erosion of my lower gums. The third picture is post iBraces. As you can see my teeth were straighter but my overbite had been accentuated by the fact that my top teeth no longer slanted back towards my lower teeth. And thus, the jaw surgery was needed to advance my lower jaw and teeth and correct my bite.
Sunday, September 6, 2009
Sores
One thing that is new is sores inside my mouth from the rubbing of my bands and my braces against my lips. I have these sores on my lip and on the inside of my right cheek. It actually doesn't bother me too much because I am still numb in these areas but I do notice that much of my swelling is in the areas where I have these sores.
As I mentioned above, the return to more vigorous exercise has caused me to be constantly hungry. I can open my mouth pretty wide without the bands and can chew a bit too so I have been eating like a pig. I have gained a couple of pounds back and hopefully I can get a few more on in the coming weeks.
Thursday, September 3, 2009
Post-Op Surgeon Visit #4
I still have no feeling in my bottom lip, chin or on the insides of my mouth and gums. A few times in the past week I have accidentally chewed on my lip or the sides of my mouth when I am eating causing them to bleed so I have to be mindful of this when I start really eating again. I have been able to eat more soft foods lately but I can only open my mouth a few centimeters and I have to cut my food up so small to get it in my mouth which it really time consuming. It literally takes me about 4 times as long as normal to eat a meal. I also get very sore if I open my mouth too much and sometimes it is just easier to drink my meals, but I try to get in at least one non-liquid meal a day.
Friday, August 28, 2009
So Gross
Thursday, August 27, 2009
Post Op Surgeon Visit #3 and the Vineyard
As part of our anniversary, Jonathan and I are spending a long weekend in Martha's Vineyard. We got to the island at 7PM last night and decided to go out to dinner to see what kinds of foods I could eat. We ended up driving to Edgartown and eating at an Italian place called Chesca's. I removed my bands and ordered polenta and was able to use a fork in order to put some of it into my mouth. The biggest problem is opening my mouth wide enough to get the fork in which is fairly painful and causes me to get most of my food on my lip (which can't feel and thus do not know is there). So basically I put some food on a fork, try to get it in my mouth and then quickly with my other hand run a napkin over my lip to make sure I do not have food everywhere. It is really time consuming and requires a good deal of effort to get even a little bit of food in my mouth and ensure I don't look like a hot mess.
After the polenta we ordered a chocolate cake with mocha buttercream and ice cream for dessert. It was still difficult to get the food in my mouth but we ended up finishing the whole thing together and I, for the first time in two weeks, felt full, happy and completely satisfied.
Wednesday, August 26, 2009
Anniversary
Tuesday, August 25, 2009
X-rays-Pre and Post Op
Back to work
Monday, August 24, 2009
Post-op surgeon visit #2
At the appointment the surgeon said everything looked great, but that he did not want me taking the bands off just yet. So now I have to wait until Thursday until I will be able to put a spoon in my mouth and try eating soft foods. I am really bummed and disappointed but I guess it is only 3 more days. Looks like on our anniversary I will be eating cake blenderized into a milkshake.
Even more than the food, however, I was looking forward to being able to brush the insides of my teeth and my tongue for the first time in 2 weeks. I can only imagine how good it is going to feel when I can finally open my mouth and put a tooth brush inside and get my mouth and teeth super clean.
Food cravings
Case in point. Last evening after drinking a glass of salsa I decided to blenderize a piece of Italian Marscapone Torte from Pastiche, an awesome bakery and cafe in Providence, with some milk and vanilla ice cream. The result was a shake that tasted amazing, but left me feeling really unsatisfied. There is really something missing when you are drinking a piece of cake. You miss being able to taste cream and then vanilla cake and then espresso as opposed to all of those flavors blended together. Plus, and probably most importantly, you miss the textures. No spongy cake or smooth marscapone, just liquid. That for me is one of the worst things about the liquid diet.
The other terrible thing about having your jaw and teeth banded shut is the inability to use your tongue. One of my favorite things when I am cooking is licking the spoon or my fingers when I get food on them. There really is nothing better than running your finger along the edge of a mixing bowl after you have mixed up a batch of brownies and stealing a taste of the chocolaty batter. Your tongue is also very useful because it allows you to taste the things you are cooking while you are cooking them so that you can adjust the seasonings if need be. Not being able to open your mouth prevents you from engaging in this type of activity. You basically cook, blenderize and then taste and try to make adjustments from there. The most infuriating thing, however, is seeing cream, ice cream or yogurt right in front of your face and just wanting to put your finger in and taste them, but being unable to do so. Such is life, I guess.
Here are a few of the things I have been craving: popcorn, a baguette with butter on it, pizza bagels, a bagel with cream cheese, donuts and hot dogs. Almost all of these things my husband has eaten in front of me in the past week (excluding the hot dogs and donuts) and I have been really jealous when I watch him eat them. I have been trying hard not to watch when he eats so I won't crave those things as much and feel upset that I cannot eat them, but it is not always that easy.
Saturday, August 22, 2009
Post-op orthodontic appointment #1
One thing I did not know is that there is actually more than 1 screw on each side of my jaw. There appear to be three on the right side and I can only imagine a similar number on the left. Someone asked me the other day what the actual surgery was and instead of trying to explain it I have put a picture above. (I had the mandibular saggital split only, not a lefort osteotomy or a genioplasty). They essentially split the lower jaw right near where your wisdom teeth are (or should be), advance the jaw and then fix the bone in the proper position with screws. The only cuts that are made are tiny incisions on the jawline.
Other than that, not much else. The infection seems to be clearing up and the swelling has gone way down. I have an appointment with the surgeon on Monday and am going to ask him if it will be okay for me to go back to work sometime this coming week.
Thursday, August 20, 2009
Infection and a needle to the jaw--Make that 2 needles to the jaw
When I got to the surgeon they took me right in to one of the exam rooms. Since I had my surgery that do not make me wait in the waiting area when I arrive because they said they did not want me to feel uncomfortable about other patients staring at my face, but I also imagine it is to prevent other patients from seeing me, freaking out and thinking poorly of the surgeon. I made a joke to Jonathan that I should go in to the waiting area and when a person stares at me I should point to my face and say 'Botched botox job' because there are many patients there simply to get their botox injections.
Anyway, the surgeon came in to see me and agreed that this looked like an infection. Then he turned to the nurse and said 'You know what, I think we should drain it". I am no doctor but I knew that meant only one thing, needles to the face. Since we all know what a great fan of needles I am (you know, almost passing out from getting my blood drawn and all) I instantly felt sick to my stomach but tried to play it cool and keep a positive attitude. They cleaned my face and the doctor stuck a needle right into my jaw. It was excruciatingly painful but I did not cry or pass out or even make a noise and the surgeon kept asking me if I was in pain and I said a little but not too bad. I was so relieved when he finally took the needle which was filled with pus and blood out (more pus than blood) and congratulated myself on being such a hard-ass. Then he said "I am going to do that one more time" and I thought I was going to pass out right there. The second needle hurt so much more than the first but I took really deep breathes and closed my eyes and was able to stop the tears from coming.
He gave me a prescription of another antibacterial drug and told me to get it filled and begin taking it immediately. I don't know if I mentioned this earlier, but since I am allergic to penicillin, I was taking Cleocin after I had the surgery. Cleocin comes in liquid form, this is the one that smells and tastes like cat litter and that I had gotten so used to chasing with chocolate milkshakes. Apparently outside of cleocin and penicillin, there are not any other antibacterial medications that come in liquid form, so he wrote me a prescription for the drug Avelox and told me to crush the pills and mix them with my food. This sounded reasonable and a nice alternative to drinking that cat litter. Well, its not much better. Instead of cat litter, crushed Avelox, even in a milkshake tastes metallic but the worst part is that the taste stays in your mouth even after you eat and brush. 3 hours after I took the meds I could still taste them in my mouth. Luckily I only need to take it once a day so that is a plus.
The surgeon said to call over the weekend if the swelling got any worse, told me to come back on Monday and sent me on my way.
After I left the office I had pretty bad pain in my face, so bad that I started crying while driving home. I went and got my prescription filled, came home, crushed my pill and mixed it with milkshake, gave in and took some of the pain medication and got into bed. A little sleep (and the pain meds) helped a bit and now when I look in the mirror my face looks a little less swollen, but not much.
I was thinking that since I am now a week out, I would only do pictures on a weekly basis, but I think this warrants a picture so you can see what the swelling and infection look like.
Wednesday, August 19, 2009
I am in heaven
Luckily, this evening I really pigged out and should be regaining those pounds very shortly. I 'ate' cucumber soup, native corn soup and some strawberry lemonade. And the it was time for dessert. Joe sent out the most unreal and delicious liquid dessert. Essentially it looked like a huge milkshake and it had caramel on the bottom, a layer of creme brulee and was topped off by this chocolate milkshake tart concoction (with cream of course!). I think I polished it off in less than a minute. Needless to say I was in heaven. If my pants had fit like they were supposed to I may have had to unbutton my top button to prevent my stomach from hanging out over my pants.
Okay, here are the pics for today. The left hand side of my face is now more swollen than the right, but the bruising is going away. The chin is looking pretty good in the profile.
The pain arrives
Last evening, however, Jonathan and I set out to walk and at only 10 minutes in I began to feel exhausted and my chin and jaw were tingling. Not only that but the sun was giving me a headache and I kept having to close my eyes when we walked so that I wouldn't be in so much pain. When we got home I sat down on the stairs to rest for a bit and then went inside and put the TV on. I don't know if it was the light from the TV or the combination of the light and the sound, but I began to get a shooting headache. I turned the TV and the lights off and lay down on my back on the couch. I tried to lay on my side, but then the sides of my face began to ache and the pain began running up the sides of my face from my jaw line all the way up toward my cheekbones (the left side much more than the right side). I think because the numbness is beginning to subside around my jawline I am finally beginning to feel this pain (still no feeling in my chin or lip, however). I went up to bed and had a very difficult time falling asleep even though my body was utterly exhausted. I woke up at around 3AM with a sharp pain in my left cheek and near my left ear. Jonathan wanted me to take some pain medication but I felt like I could do without. I woke up this morning with not too much pain, but just some dull aching in the sides of my face.
On my walk this morning (3.5 miles), I felt good and swung by the gym to weigh myself. Despite drinking like a pig yesterday I am down another lb. Looks like more ice cream and whipped cream are needed in the diet :).
Tuesday, August 18, 2009
Day 6 Pictures
Fever and bleeding
Monday, August 17, 2009
Post-op visit and weight loss
But then again there is the downside of all these veggies and fruits: the weight loss. They had indicated to me prior to the surgery that I should expect to lose anywhere between 5-8 lbs during my recovery. The surgeon suggested today that I weigh myself to be sure that I was getting enough calories so after I came home Jonathan drove me to the gym to check my weight. We had a little bet going about what my weight was going to be and since I have been winning quite a few bets with him these days (we bet on the PGA yesterday and on the men's 10K at the track and field championships today) I thought I would win this one for sure. Turns out we were both very wrong. He bet a 4 lb weight drop while I was a bit more conservative and bet 2 lbs. The actual loss: 5.5 lbs. That gives me a BMI of 18.6, just borderline underweight. So now I am trying to come up with ways to make milkshakes even more fattening for fear of dropping anymore lbs.
Day 5 Pictures
Bruising
Sunday, August 16, 2009
Day 4 Pictures
Potholes, car crashes and the movies
There was one thing about going to the movies that made me a bit freaked out and it wasn't that I was nervous about people staring at my swollen face, but rather the car ride over there. I was petrified of us hitting a pothole or a bump in the road that would jar my jaw and cause me to be in pain and so I spent the entire car ride gripping the door handle praying for a smooth ride.
I slept well last night and felt great when I woke up this morning so Jonathan and I decided to go out for a longer walk. About a half mile in I could sense my face beginning to swell, I say sense because I am still numb from my lower lip to my chin so I tend to equate the tingling feeling I sometimes have in that area with swelling. It is bizarre to feel tingling or itching in a part of your body that is numb because scratching or itching it does nothing to relieve the feeling. I also can see when I look in the mirror that my lips are chapped, but because they are numb I do not feel the discomfort that comes with having dry, cracked lips. I read an interesting article a while back about the phenomenon of having itching on parts of the body that were numb or had been amputated. The lead in was a story of a woman who scratched through her skull right down to her brain but the theory behind how the brain works and why this happens was very interesting.
Also on the walk I felt the same sort of nervousness I did in the car last evening. I was scared I would twist an ankle on the sidewalk or a car would veer off the road and hit us and it would shatter my jaw. Luckily neither of those things occurred but I am beginning to wonder how long it will take before I feel comfortable driving/riding in cars and walking along the street (not to mention running) without the constant fear that something is going to injure my jaw.
Saturday, August 15, 2009
Day 3 Pictures
Jonathan and I took a short walk this morning so I could stretch my legs and enjoy the beautiful weather. It wasn't too far, perhaps a half mile, but it felt nice to be outside. When I came home I sat in the back yard and read the paper for a little while.
Here are the pics for today. I can now smile a little bit.
Food
Friday, August 14, 2009
Flowers
My set-up
Thursday, August 13, 2009
Mission Accomplished
Jonathan and I went over to the hospital at 7AM so they could check me in. They brought me up to the Pre-OP area and told me that Jonathan had to leave. They brought me to my curtained room, I got dressed into my gown and they started an IV. The anesthesiologist came by as did my surgeon and some nurses came by to check my vital signs. I am not sure what time they wheeled me into the OR, I think it was around 8:30 or so.
When I woke up at 11AM, I was numb and had a bit of pain but it was really nothing unbearable. The worst part of the pain was in my throat, presumably from the breathing tube. Luckily, they had already removed my breathing tube and they had put ice packs on the sides of my face by the time I was awake. I drifted in and out of sleep till around 1:30 when they allowed Jonathan to come and sit with me. The nurses kept coming by and offering me water and morphine but I did not feel much like drinking and I was scared to take the morphine. At around 6PM Jonathan left to go have dinner and run some errands I decided to give in and get the morphine mostly so I could sleep. Jonathan came back around 7:30 or so and we just sat around and read until the nurse told him he would have to leave because they did not think I would get a private room. At around 9:30 they told me I would indeed be moved to a private room and I called Jonathan who came over and spent the night with me. The nurse came in at 11 to give me some antibacterial medicine through my IV and to give me some steroids to help with the swelling. she asked if I wanted pain medication (liquid vicodin) but opted just for some tylenol. I slept pretty well but needed to get up and go the bathroom every couple of hours.
This morning the surgeon came by and said I looked really good and he was shocked because he said not many patients looked that good so quickly after surgery. They discharged me at 9:30 and Jonathan and I headed over to the surgeons office to get some x-rays taken. He said the x-rays looked great and the bite was well aligned.
So now I am home and still feeling good. My bottom lip is enormous and the bottom part of my face is numb but I do not have any pain and have been drinking water and ginger ale. The surgeon said the pain and swelling may get worse as the steroids work their way out of my system in the next few days. Hopefully the pain wont be too bad.
And now for the good part, the pics. The top one is a profile picture taken 2 days before surgery. The bottom one is me now.
Wednesday, August 12, 2009
One hour
Other than that, I feel okay. I slept well even though I am really nervous and now all I need to do is take another shower with the anteseptic they gave me (I had to shower with it last night too before I went to bed) before we head over to the hospital.
Tuesday, August 11, 2009
T minus 1 day
One more day to go. It just so happened that yesterday was the hottest day of the year. Jonathan and I have lived comfortably all summer without putting the air conditioning window units in, but yesterday's heat and humidity forced us to give in. Jonathan put a window unit in the guest bedroom where we have been sleeping (and where I will be staying during my recovery) while the bathroom off our bedroom is being redone. He also set up a nice big flat screen in there so I will be able to watch the Track and Field World Championships on TV when they start on the 12th. Normally I am adamantly opposed to TVs in the bedroom, but I think under these circumstances it is permissible.
Also, while I was out running last night, Jonathan was kind enough to go and pick up my prescriptions and some other things that may help to assist me with my eating/recovery. He got some turkey basters in order to help me squirt all of my meals into my mouth since I will be unable to create suction and therefore unable to use a straw for the first week. He also got me some ice cream, some small dixie cups and some chicken stock.
We also decided on a place for my last meal before surgery. At first I thought I wanted to eat a big steak, but my favorite steak place in Providence (XO) closed and the other place that has great steaks, Mills Tavern, has terrible service so I did not want to spend my last meal being irritated by the dining experience. I also wanted a place that had great desserts. I decided that Al Forno would be a good place to go. Normally I try my best to avoid that place because they do not take reservations and it is always jammed on the weekends and it is not unusual to wait upwards of 2-3 hours for a table, especially in the summertime, but since it is a Tuesday night, I think it should be okay. The food is Northern Italian and they are famous for their grilled pizza, but I am thinking I will skip the grilled pizza in favor of the corn fritters and fresh buffalo mozzarella and then have baked pasta in the pink and either the blueberry tart or the chocolate cake for dessert.
Monday, August 10, 2009
Thursday, August 6, 2009
Lisa Needs Braces 2.0
Nothing much else of note. They took final x-rays and my orthodontists said to anticipate being in the braces for about another 6 months after surgery. That will mean this entire process will have taken 25 months. Is it worth it? I guess we will see.
Wednesday, August 5, 2009
One week
What I am most anxious about it not being able to run for 4 weeks. So far this year my running has been going pretty well. I had a few months where I hit 250 miles and have been consistently running around 45 miles for most of the year. Looking back through my training log there was a stretch of time where I ran everyday for almost 3 months straight. I have only raced once (the Miami Half Marathon in January) but was hoping to race a bunch in the fall and perhaps PR for a 5K and Half Marathon. I am worried about how much of my fitness I will lose taking an entire month off, and how effectively I will be able to train when I get back. I am hoping to run another half either in December (Memphis) or perhaps Miami again in January, but we will see how my recovery goes. My doctor said that after 4 weeks I should be fine to run, but that it may cause the swelling to increase in my jaw area until my body gets used to it. We shall see....But for now I will continue running as if I am training for something. Last night Jonathan and I went over the the East Bay bike path and ran a small workout. 2 mile wu, :30 (:30), 1:00 (1:00), 1:30 (1:30), 2:00 (2:00), 2:00 (2:00), 1:30 (1:30), 1:00 (1:00), :30 (:30), WD for a total of 5 miles. This morning I went 3.25 in 25:39.
Friday, July 31, 2009
Last Surgeon Visit
The only funny thing about the meeting was he was telling me about some of the ridiculous things the hospital makes him do and forms they make him fill out. One form that needs to be filled out prior to them discharging me is one that asks him if I am allowed to have sex, and next to the 'yes' and 'no' boxes are boxes that say 'supervised' or 'unsupervised'.
Wednesday, July 29, 2009
A Bit of History
i-braces pic:
At the beginning of my treatment I was told that in order to correct my bite I was going to need to have lower jaw surgery and so we have been working towards that ever since. In April of this year they switched me over to regular clear porcelain braces in order to get me ready for surgery. As much of a pain as the i-braces were, the regular braces might be worse. Instead of being an adult with a slight lisp, I am now a 27-year old who looks like a 16 year old with braces.
When I first got the braces on I was horribly embarrassed and would try not to smile or laugh or try and talk without showing my teeth which simply resulted in people thinking there was something wrong with me and it probably drew more attention to the fact that I actually had braces in the first place.
So below is a picture of my teeth in April when they switched the braces from back to front. My teeth are pretty much straight but as you can see I have a pretty bad overbite which this surgery will attempt to correct (in addition to giving me the Jay Leno jaw I always wanted). My orthodontist switched her website recently so I do not have any pictures from when I started my treatment, but I will hopefully get some soon and be able to post them so you will be able to see how far I have already come.