Home stretch! Almost there!

So guys, I'm sorry. I'm such a slacker and a bit of a liar. After my last post, I promised to update everyone with my orthodontist visit (which was a month ago, btw). I'm the worst. But seriously, I've just been super busy. My hubby and I went on a road trip together (From Massachusetts to Florida and back) and we had a blast. Then, when I came back, I immediately went into crazy work mode since my hospital transitioned to a new patient care/electric record system. I had a lot of overtime last week and this week is just as much, if not more. At this point I'm so overtired that I can't sleep (the thought of this conundrum makes me laugh hysterically) so I thought I'd finally get to updating everyone with all the things that have happened recently.

My last orthodontist appointment was good. I can't remember much about it cause it was so long ago. I do remember one thing though, Dr. Klein told me that it's time for my braces to come off!!!!!!!! I know this day has been coming for a long time and I'm super excited but it definitely feels surreal. She originally told me that I could take them off at my next appointment but I told her that I didn't feel comfortable taking them off before my final surgery. My next (and hopefully this time, final) surgery is officially Thursday April 28th at Mass Eye & Ear in Boston.

Since this surgery is dealing with my nasal cavity and my nose, I'll be forced to have a tube down my throat when I go in for this surgery. This is not a big deal until you factor in that you can't have anything loose in your mouth when they do this. When I get my braces off, I'll still need to wear a retainer 24/7. Since retainers are not permanent, they can potentially get dislodged during surgery and cause a patient to asphyxiate. That's not good which is why they don't allow it.

Dr. Klein was not comfortable with me not being able to wear my retainer for upwards of 4+ hours weeks after getting my braces taken off. I've worked too hard and invested too much time and money into my smile to compromise it now. So after a quick discussion, we ultimately decided that waiting a few extra weeks with braces was worth it.

Friday, May 20th is my debanding day and I can't wait!

My next appointment is tomorrow. It is also my last appointment before the braces come off! WHAA?! This is so crazy, I can't wrap my head around the concept.

I'm so exhausted from work these past couple weeks that I make no promises regarding an update for tomorrow. I may get to one on saturday so look for something (maybe) then!

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.

An update! And some grumbling...

Yesterday was my 7 week check up with Dr. Keith. It doesn't feel like 7 weeks have past by! Everything seemed to just happen with lightning speed. My original back to work date is coming up on Monday which is exciting. I've already been back to work for 3 weeks so it'll be nice to really get back into the groove of things.

As I said, yesterday was the 7 week check up which went very well. Everyone at the office knows who I am so when they see me they always ask me how i'm doing and tell me how great I look. Dr. Keith had a resident with him when he saw me and he was taking notes so I'm assuming he's newly out of school or doing a rotation in maxillofacial surgery. He was very quiet. They asked me to take out my elastics since they wanted to accurately measure my open bite range. Dr. Keith and the resident were very impressed with how fast I took the elastics out! He said that it's amazing how good some people get at it so I must be one of those people.

We chatted for a few minutes, nothing crazy. I wasn't in too much pain, just generally sore. These elastics make me sore more often than not. It's nothing that tylenol or advil won't cure. It usually happens after eating. Dr. Keith recommended heat, he said it would soothe the joint area and help to promote healing. He gave me the go ahead to eat normally again, which means that I can officially come off a soft food diet! Yay! VERY exciting! I'm not sure if my jaw could handle really hard food just yet but he said the more I use it, the easier it'll become. Since I'll be eating harder foods, I'm going to start using the heat after meals. He didn't want to recommend heat until now because my swelling is finally starting to settle down. I can also use a straw again full time and was completely taken off of nasal precautions. WAHOO.

However, I did get a small amount of bad news. I complained to Dr. Keith about my right nostril. It's difficult to blow my nose on that side and I still have a hard time breathing fully through that side. It's also sensitive enough that it's started to bother me a bit. I showed Dr. Keith and he said that the right nostril opening is smaller than the left side. He said that it looks like the cartilage must have slipped either during surgery or sometime after. Either way, he said that it would need to be addressed. There is a chance that I may need to have another surgery in order to fix this issue. (-_-) To be honest, it made me extremely depressed. Here I am thinking that I'm completely finished with this whole surgery business and then he tells me that I'm maybe/probably going to need another one to fix this new issue. Luckily, since it happened because of the last surgery, it would be covered as a continuation of care. And the recovery time this time around is a lot shorter, around 1 week. And it would be a quick day surgery procedure. I still have a small amount of swelling on my right side so he wants to wait until that goes away before he makes any recommendations. I just hope I don't get sick or anything cause that would make this whole nose breathing thing even worse, hahaha.

Since I'm finished with the oral portion of my surgery, I've updated the tabs at the top to include before and after photos. I received my before photos from Dr. Keith yesterday and was able to easily upload them here for people to view. I haven't taken any professional after photos yet because Dr. Klein is waiting to take those for when I am closer to finishing. I will post them as soon as I receive them. Feel free to check out the before and after tab above. There are x-ray images up there so please check them out if you are interested.

Work Up! Physical! Pre-op Admissions! 26 days to go!

I had my first HUGE pre-op appointment on Monday. The appointment went from 8am-around 1:30ish. It was a super long day and I'm glad it's over and done with.

I took the train in, which wasn't too bad. I grabbed the T at the green-line Woodland stop and took it all the way to Charles/MGH. It took about an hour and wasn't a bad ride at all. I got off the train at MGH and thought to myself, "I could maybe do this everyday... This wouldn't be so bad if I had to work in the city..." As I exited the station, the stench of fresh piss hit my nostrils and all I could think of was "NOPE NOPE NOPE NOPE." Haha, thinking back on it now it was too funny how quickly my mind changed in that instance. Also, I have a terrible poker face and I'm sure my disgust was plain to see. LOL!

The worst part of the day was the first appointment which was the work-up portion of the appointment. I had to do 12 impressions (6 uppers, 6 lowers), 4 bite impressions, x-rays, and photos. My jaw was a little sore after but not too bad. We discovered that my face isn't symmetrical. I mean, I know that no one's face is perfect but looking at pictures with me straight ahead it was so obvious. One of my eyes is way funky. And not like, lazy funky. Like, one of my eyes is physically lower than the other one. It took awhile for the tech and surgical resident to map out my face correctly. Jeez! Way to give a girl a complex.

After that, I had a pre-op physical which was pretty routine. They did it right in the same office as the work up so I didn't have to go anywhere which was nice. The appointment was super easy, just had to answer a bunch of questions. The nurse practitioner who did the appointment with me was kind of ditzy but we got through it together, haha. She did give me a packet with information about a blender-based diet (yaaaaaaay. can you hear the excitement?!). There are a few no-brainer recipes on there but a few I hadn't thought about. I bought peanut protein powder from amazon to go into shakes and stuff. Hopefully that'll help. They also recommended to give baby food a go (bleh) but maybe I can find some interesting recipes on pinterest.

After the physical, I had a meeting with a member of the anesthesia staff. She was a CRNA and super nice. Once she realized that I worked in a hospital OR, the appointment went by in a breeze. She was so fun and easy to talk to. It's obvious why she's a nurse cause she was very personable. If you have to go to pre-op admissions and get to talk to "Christina", she's the best. Super nice and very helpful! She answered a bunch of questions I had and even gave me some answers to things I hadn't thought of. I'll definitely be updating the Questions part of the blog soon (if not tonight).

Other than that, I'm good until my final pre-op with doctor keith in 3 weeks. WOW. Time sure does fly.

Winter Storm Juno ruined my dental plans!

For those who follow this blog who aren't in New England, we had a blizzard this week! I'm not sure about the official totals for my specific town but I think we got around 26 inches. Some places nearby got 3 feet of snow though! I did end up making it into the hospital like a winter warrior. I was supposed to work in the OR but they closed due to the weather. I ended up coming into work early and working up in the main pharmacy. When I left work at the end of my shift, the storm was still in full swing. Thankfully, my hubby and brother in law drove me in and picked me up. My little ford focus wouldn't have made it, that's for sure! I definitely would have gotten stuck somewhere.
On Monday, I got a phone call from my orthodontist but couldn't answer right away. They left me a message about confirming my appointment and to call them back. So I did. Thank goodness I called them back! I called and they informed me that the office on Wednesday wouldn't be opening until 10am (in order to allow the parking lots to be plowed and such). They were wondering if I would be able to push my appointment back until 11:30am. I told them that I'd be working at that time so I was unable to switch my appointment. I schedule 8:30am appointments for a reason and it's difficult for me to switch my appointments should an issue come up.
I told them that I was supposed to see Dr. Klein every 6 weeks and due to my schedule, I'm actually coming up on week 7 without a check up. I told this to the secretary and she told me that Dr. Klein definitely needs to see me. She told me that she could fit me in on Friday at 1pm. Again, I would be working but I have some flexibility that day. I spoke to my boss and she said I could leave early for my appointment.
I'm just glad I called because I normally don't. I usually confirm my appointments online but they called me after I had already confirmed online so I thought that maybe something was up with my appointment. If I hadn't called, I would have gone into Boston this morning for no reason and probably would have waited around and missed a lot of work.
Not looking forward to this appointment because I think I will have spacers installed on my top back molars. And with the super bowl on Sunday, I will probably only be able to eat mushy junk instead of good junk (like chips and popcorn). ;_; Oh well, might be the perfect time to make some home-made mac and cheese.

EDIT: So, I just realized in my last post, I said I would post a new progress photo every time I posted something new. Well, I had an epic-fail moment cause I totally forgot that I had committed to that challenge. And my photographer (aka my husband) is at a soccer game right now sooooo.... guess I'm off the hook for now! I will TRY to post a progress photo on Friday after my appointment. WHOOPSIE! :D

A very merry dental halloween

I had my long awaited orthodontist appointment yesterday. The tech who I worked with was a lot of fun. He kept trying to convince me to get Halloween colored bands put on my braces. And when I said no to orange and black, he spent the rest of the appointment convincing me to get brown because brown is the color of thanksgiving. Haha! I ended up getting red.

Since my orthodontist is out on maternity leave I had to see a different orthodontist (Who I can't remember the name of unfortunately). She was very nice though! She looked at my teeth and saw that one of them wasn't moving the way it should have. She had to tie wire around it to stabilize it a bit more and to direct it to move where it's supposed to.

It didn't hurt when it was happening but I always take some ibuprofen before all my appointments. I sometimes walk into an appointment not realizing that I have to have a lot of work done. Later that day, my left side (where they had worked) really started to hurt. It started to bother me in the afternoon and has persisted all day today. I haven't had much of any dental work done since the end of July so yesterday was a little bit of a wake-up call. I had almost forgotten about my braces and PEA (I said ALMOST, not completely haha!)

The nice part is that my next appointment is in another 6 weeks which is December 10th. There was something in my file about "bracket" work to be done at my next appointment which means that I might (MIGHT) be able to say goodbye to PEA. !!!!! Very exciting. I'm going to try to not get my hopes up but it's very difficult! The appointment is only 30 minutes long though so I don't know if that's a long enough appointment for bracket installation and PEA removal. I am so ready to get rid of this thing though! I just can't wait!

So many dates!

Now, I'm not upset because I have a 2nd surgery date. But within 2 days, I now have 3 appointments in less than a week.

Here's my calendar so far (note: this is far from complete BTW):

Tuesday May 13th @ 3pm - Doctor Appointment

Friday May 16th @ 1pm - 5 week Orthodontist Check up

Monday May 19th @ 4pm - Regular Dentist appointment (check up/cleaning)

Wednesday May 21st @ 8:30am - Ortho Appointment to replace spacer
Wednesday May 21st @ 1pm - Cavity filling with dentist
Wednesday May 21st @ 2pm - Pre-Op Appointment with PCP
Wednesday June 4th @ 2:40pm - 3 Week Orthodontist Check up (Appliance Installed)

Thursday June 19th @ 11:30am - Surgery @ MGH
Tuesday June 24th @ 10:30am - Post-Op Appointment with Oral Surgeon
Wednesday June 25th @ 9am - Occupational Health Evaluation to Return to Work

I'm probably going to need at least 2-3 more Ortho appointments after the initial 5 week ortho check up too. 

My calendar is soon going to be too full to have much of a life.