Almost time to say goodbye to my bling...

Had another appointment, this time with Dr. Klein.

I just realized that all of my doctors have last names that begin with the letter 'K.' What's weird is that I just noticed it after 2 years..... 

My appointment was at 10:50am. It was my day off from work and since the weather was supposed to be semi-crappy (not snow-crappy, just general rain-crappy), I gambled and took my chances on the T. Thankfully, the D line on the green line is fairly reliable so I had no issues. Since I was taking the T, I made sure I left with plenty of time. If I take the train into the city, it normally takes me just under an hour. I grabbed something to eat and then got to my appointment a little early.

Normally, I just drive in because I usually book my appointments to be before my shift at work. I don't really have much time to take the train when I have to be at work right after. And rush hour traffic into Boston, isn't always fun so I normally arrive for my appointment right on time. In the past, when I've gone to the office in Boston, I usually have to wait 10-15 minutes after when my appointment is supposed to start.

This appointment was so different! I walked in about 10 minutes early and was taken into the office IMMEDIATELY. This has never happened to me before! Anyway, I walked in and had a great appointment. Dr, Klein looked at my teeth and told me that my teeth are almost ready to be free from the braces! Like, within 2-3 appointments ready. It's so strange trying to imagine what things will be like without them on. They are part of who I am at this point.

There are a few tweeks that she'd like me to do before she'll take them off and so I'm back into wearing elastics all the time again. These elastics aren't as tight as the ones before, thank god. They are a lot more manageable. She also placed power chains on the upper teeth and double power chains on my lower teeth. When I went home that night, my teeth were so sore, I could barely eat anything. I'm glad I took ibuprofen cause I was very uncomfortable. When I woke up the next day though, almost all of the spaces in between my teeth were gone. They were gone in under 24 hours which is totally amazing! The top teeth aren't as bad but the bottom teeth had large gaps. I went back to a normal diet on Friday, so I was only uncomfortable for a few days.

We talked about my teeth a little bit. I'll need to get a deep cleaning done after the braces come off. One tooth is sorta funky and she's said that she wants to shape it so that it's a little more natural. I chipped my front tooth when I was a kid on my aunt's pool. When they fixed it, they built it up a little bit because my other tooth hadn't grown in all the way and they weren't sure how big it was going to be. Thankfully, since it's not real, they just have to file it down a bit to make it even. Dr. Klein said that I've invested so much time and money into my smile that I deserve to have a "smokin' smile." I laughed and gave her permission to go full perfectionist with my teeth.


I did tell Dr. Klein about the deviated septum thing and after really considering my options, I've just decided to get it over with sooner rather than later. My husband and I talked about the pros and cons and we both agreed that getting it done now would save us headaches down the road. Since this winter has been fairly mild, I haven't gotten sick which is such a blessing. However, I'm not sure I'm comfortable hoping that I won't get sick between now and when I decide to have the surgery. Knowing my luck, I'd get sick and then have to suffer with a cold until I scheduled the surgery.

I've tentatively scheduled my surgery for April 21st. Dr. Kieff only performs surgery on the 2nd and 4th Thursdays of the month. However, he occassionally does surgery on his off weeks if Mass Eye and Ear has the operating room space for him. I'll see Dr. Kieff tomorrow for a hearing test and a follow-up and hopefully he'll tell me about my chances for getting that 3rd Thursday. If not, my surgery will be scheduled for April 28th. At my follow-up, he'll give me more details regarding dos and don'ts for surgery (although, at this point, I'm pretty sure I know what they are) and what I need to have done beforehand. I'm actually excited and interested for the hearing test appointment since I've always had issues with my ears.

My next appointment with Dr. Klein is in 3 weeks so I'll go back and see her at the Danvers office. I forgot to ask her about surgery since it's a possibility that I'll get my braces off before my surgery. Not sure how my retainer will work with surgery but I have a feeling I won't be able to wear it when I'm under general anesthesia. I'll have to ask her about that when I go back for my next appointment.

I'll post an update tomorrow after my appointments with Dr. Kieff. Hopefully, he'll be able to shed some light onto my ENT issues!

And it goes on....

I finally had another post-op appointment with Dr. Keith on Tuesday. The appointment was pretty standard, we talked for a bit, he measured my range of motion and took a peak inside my mouth to look at my teeth and jaws. He was very happy with my progress and said that my range of motion is back to normal levels! He laughed when I told him I ate steak for the first time at my mother's birthday dinner at the end of January.

I did point out that my nose was still bothering me. Since my surgery, I can really only breath out of one side and my sense of smell is pretty bad. If you look at me straight on, my nose looks normal. But if you look at me from an angle, it's very obvious that one nostril is larger than the other. Dr Keith said that he wanted me to see an ENT specialist since he's an oral surgeon, not a nose guy, haha. He gave me a reference for an ENT specialist affiliated at Newton-Wellesley hospital and I called him and made an appointment. I might have a slight complex because this doctor has almost the exact same name as my oral surgeon. Oral Surgeon - Dr. David A. Keith. ENT Doctor - Dr. David A. Kieff. Too funny and only a little bit confusing, hahahaha.

I had my appointment with Dr. Kieff yesterday because they had a cancellation and were able to fit me in. I was honestly expecting to have to wait for awhile so getting such a quick appointment was a nice surprise. Dr Kieff was really nice and easy to talk to. I went in and had to have a full ENT appointment so I'm not sure what that's going to cost me. They examined my ears and cleaned them out since I had a lot of wax build up. It felt very strange but after it was done, I felt like a new person. He put lidocaine up my nose and then put a camera down there. The news? I have a deviated septum on my right side. What's interesting is that it looks so natural. You would think that it would look messed up since it's technically due to the jaw surgery I had in October but he said it's because Dr. Keith did such a great job that it looks as good as it does. It's weird saying that a deviated septum looks good but I guess what he meant was that if Dr. Keith didn't do such a good job, it would be a lot worse.

Now, here's the thing that really bummed me out. The only fix for a deviated septum is another surgery. I'm totally sick and tired and having to put my life on hold because I need to have surgery. This would put me at 4 surgeries due to my jaw. Luckily for me, this is actually a seriously minor procedure. The surgery is only about an hour long and recovery is about a week. I would have to be put under anesthesia but I would go home the same day and (hopefully) be back at work a week later.

I guess I have a decision to make. The office books out for surgery about 6 weeks in advance. If I were to go in today and make the earliest appointment, that would put me at the first week of April. Unfortunately, my hospital is getting a new computer system on April 2nd. Because the system is so different than our previous system, my department has doubled up on coverage for those weeks. Basically, it means that no one can take any time off because there's no one to cover. I'm going to be working a ton of over time during those first couple weeks as well. So, April is definitely a no-go for me, surgery-wise. So, the earliest I'm looking at for surgery would be May.

We have things that we had planned to do (begin renovating our house, for one). We are also going on vacation at the end of March which will use up a fair amount of my vacation time. Since this isn't an emergency and it doesn't bother me too much, I could wait until I'm ready. There is a certain appeal with getting it over and done with quickly but at the same time, I really just want some down time not having to prep for surgery. Plus, it'll allow me to build up some more vacation time through work if I wait. I definitely have a lot of thinking to do, that's for sure. I have a follow-up appointment on March 1st so I have about 10 days to really decide what I want to do.

I also have another appointment with Dr. Klein on Wednesday so I'll have another post next week after that appointment.