Sunday, June 29, 2008

Michelle and her jaw


Here is Michelle about to leave the hospital. She looks pretty beat up but in good spirits.






Here is a photograph of Michelle's X ray. Notice the screws and wires holding her together - if it were not for them, her jaw would be literally be hitting the floor.

Starting to Feel Better

I'm starting to feel better, at least a little bit normal now. I have been doped up on so many medications that I could not think straight. But now my body is getting used to all these drugs - oh dear.

There are so many people I have to thank while I was at the hospital - all of the doctors and nurses were so good to me. They gave me the best treatment I could have ever asked for. Crystal was probably my favorite nurse because she took care of me immediately following the surgery. She was so sweet to me. I also remember this other person who was not in charge of taking care of me, but we recognized each other from going to Fiddler's, which is my favorite restaurant. He held my hand and said "God bless you" many times and told Crystal that I was so sweet. I told Crystal that he sang at Fiddler's and anytime he sang, he captured everybody's attention because he has so much soul. It was so nice to hold his hand when I was in the recovery room.

I also remember Crystal asking another nurse about whether she should call my doctor at that time. Before she got her response, the phone rang. It was my doctor, Dr. Asdell. She told me how rare that was for the doctor to call the nurse about how the patient is doing. That was good, I thought. Dr. Asdell also gave me a bouquet of flowers. So nice!

And there was a team of nurses that were excellent when I was sent to the regular patient room. I remember Jessica, Claudine, Trudy, Yvonne, Dee, and Kate, although there were more nurses that took care of me. Jessica was meticulous about giving me my medications and water, and she was so kind. Claudine helped by removing my catheter and the hose that was in my nose (sorry, I don't know what that thing was called). Yvonne was gentle and patient with me when I had to walk to the bathroom for the very first time. I walked like an old lady, about 100 years old. And I held on to Yvonne while we shuffled to the bathroom. And when I could walk better, Dee held my arm for that walk down the hall. I always made sure to say "thank you" to my nurses.

Dr. Wong also came to see me at the hospital. And he surprised me with two presents: a hand blender and mouthwash. Perfect! He really is a great person, not just a great orthodontist. I told him that he and Dr. Asdell make a good team. He agreed.

Ok, well I think I will ask Sean to put a picture of me on the blog. But he is walking the dogs right now, so that will have to wait. I will ask him not to put a picture that is too scary!!!

Thursday, June 26, 2008

Day after surgery

Sean again. I just came back from the hospital this morning, where I spoke with Michelle. She seems to be doing remarkably well. She reports being relatively low in pain (a 3 on a scale of 1 - 10). They removed the stomach tube from her nose. She is wearing some kind of head contraption containing ice to keep down swelling, but her lips are still quite swollen. But she was in a good spirits, was laughing and smiling (at least her eyes were smiling - she still can't move her lips much), and was able to get up and walk herself to the bathroom. I read to her a bit, and left when she got sleepy again. Her sister will visit her this afternoon, and I will again later in the evening. Tomorrow she is set to go home, and she will most likely begin reporting herself then. Till then, she says hi to everyone.

Wednesday, June 25, 2008

Michelle is okay!

This is Sean, here.

I'd like to write a funny or clever post, but it's been a long and stressful day. This morning, at 7:30, Michelle's surgery began. It is now 8:00 PM, and I just came back from the hospital, where I spent a few hours with Michelle and her sister Erica. So the big news is that Dr. Asdell informed us that the surgery was a complete success! No jaw wired shut or other complications! Michelle is cogent and in great spirits, apart from the fact that just a few hours ago, she had both her upper and lower jaws broken and put back together.

I took some pictures of her but I will let her decide whether she wants to post them, because she looks like someone just elbowed her in the lips in a pickup basketball game. Apart from the fat lip, she is not very swollen, no bruising, and she is looking great.

But enough from me. Michelle has a message for you. I am sure she will have much more to blog about in the coming days, but for now I just would like to say that Michelle is okay and that everything went according to plan. Thanks to both Dr. Wong and Dr. Asdell for their extraordinary treatment of Michelle, both today and over the past year. And thanks to the good people at Memorial Hospital for making Michelle's stay so positive. If you gotta get your jaw broken, you might as well do it at Memorial.

Here's Michelle's message in her own words. (Click to enlarge)

Out of Commission

This will be my last post for the next few days. We're all up getting ready to go to Memorial Hospital (or the Spa, as I like to call it). I need to check-in by 5:30am. The surgery begins at 7:30am sharp.

Not only have I been nervous about the very near future, the last two days I've had a runny nose, sneezes, and a sore throat. For the love, this is the last thing I need right now. Dr. Wong called Dr. Asdell about this yesterday and relayed the message to drink plenty of fluids while I could (but not after midnight). So I did. My throat is still a bit scratchy, but methinks this will be the least of my worries.

So it's almost time to go. Hopefully, Sean and Erica will be able to blog about how I'm doing later today.

Tuesday, June 24, 2008

Tomorrow I Will Have a New Bite








This beautiful metal heart was sticking out of my mouth this morning. That's right, I got the surgical hooks and ties put on my wires today. It was a huge event for the staff members because they rarely see this procedure happen. Dr. Wong warned me of their excitement. "So I'm the freak show for today," I said. But I was just being silly. I figured I might as well have some fun with this process, which took over an hour to complete.

Hence, the metal heart. There were a dozen or so of these wires sticking straight out of my mouth. Why not make some art out of this mess? So after they were finished, I crafted this heart. The girls loved it - they called for Dr. Wong's attention. "Michelle ♥s Dr. Wong!," they chimed in unison. It was pretty funny, though maybe you had to be there to enjoy it. They also took a picture of the heart while it was still sticking out of my mouth. I haven't seen it yet, but if the tech person emails it to me, I'll post it on the blog.

So how do the ties and hooks feel and look like? Fine. They don't hurt, which is a real blessing. It just looks like a bunch of metal stuck in between my teeth. No big deal, though I'm not really going to go out of my way for any glamour-shot pictures at the moment!

Monday, June 23, 2008

Michelle Makes Spectacular Shakes!


Hi, this is Sean. In preparation for Michelle's Wednesday surgery, I helped her clean house and went food shopping today. Armed with a book humorously titled "Dinner through a Straw" we bought everything required for a healthy and hearty liquid diet. This includes frozen fruit and vegetables, protein powder, ginger ale, and so on.

When we had put everything away, we decided to test our mixocological skillz by trying to blend a liquid recipe. We quickly realized that we had forgotten to get so many things that we couldn't even do a complete recipe from the recipe book. So we decided to improvise. We came up with a tasty beverage that we call "Michelle's Malty Maxillacious Mocha" (Note: The Maxillary is the technical word for the upper jaw.)

"Michelle's Malty Maxillacious Mocha"
About a cup and a half of 2 percent milk
Half a dozen ice cubes
1 packet of Jello Singles instant vanilla pudding
Heaping tablespoon or two of Ovaltine Chocolate Malt
1 scoop of 100% Whey Protein (vanilla or chocolate - whatever you have laying around)

Blend on high for a minute and BAM! You have a hell of a good chocolate shake. Perfect for sipping through a straw while recovering from orthognathic surgery. You could probably throw in a few bananas or strawberries to fruiten it up a bit, or a dash of instant coffee for that cappuccino flavor, but start with the basic - I promise it won't disappoint!

Michelle makes a major faux paus by choosing a red over a white wine glass. Don't quit your day job to become a Sommelier, Michelle!



It's Down to the Wire

I feel the sands of time closing in on me as Sean and I are getting prepared for Wednesday. We're currently working on our shopping list, which is still in progress as I write. We also cleaned the house this morning in anticipation of my sister's arrival. She was able to catch a flight to CHI this morning on standby, thank goodness.

Gosh, this deadline is quickly approaching. I was able to distract myself this weekend by hanging out with friends, going to Eco Fest on Saturday, and going on a garden tour yesterday in my neighborhood. All of this has been really great to take my mind off the surgery. But the irony is that when I'm distracted and having fun with friends, time really flies. So I've sped my way through the weekend and here I am, shaking my head that it's Monday.

Ok, so the shopping list continues. Unlike Kam, I've not put a Nintendo on my wish list! Maybe it'll be a good time to catch up on some reading. If I'm lucky, I may be able to continue writing academic papers. On second thought, maybe I should put that Nintendo on my wish list!! ;0P

Friday, June 20, 2008

Prediction: Dreaming about Jaw Surgery

I was reading Kam's blog today and I think she planted a thought into my head: dreaming about jaw surgery! Her dream wasn't exactly pleasant, but hopefully the jawbone dream catcher she made will filter out any bad dreams for me. Just to play it safe, though, I've had a beer and one passion-fruit margarita, so I should be covered! :0)

The anxiety I've felt recently has manifested itself in strange ways. Sometimes it hits me like a Mac truck, suddenly and with great impact. And just as it strikes, the anxiety quickly dissipates. I'm having a tough time with this. When I feel that anxiety, it's because I imagine how I will feel after the surgery. And when the anxiety flutters away, it's because I've mentally removed myself from the picture (it's as though I were imagining someone else having the surgery, not me). The mind sure knows how to play tricks with stress.

And now, a toast to Kam's jawbone dream catcher. Cheers!

Thursday, June 19, 2008

I'm Not Alone

These last few days have been really good for me in terms of preparing for the surgery. I joined the Orthognathic Support Group yesterday and I've already met two people who are having surgery on June 25th.

One of those people is a woman who's blogging about her jaw-surgery experience, too. I'm hoping that we'll be able to support each other through this process. This reminds me that I'm not so unique after all - there's someone else having surgery on the same day as me who's also blogging. Sweet!!

Despite the fact I'm not unique (and that's okay!), my friend Heather did make me feel special yesterday. We met for dinner last night at Fiddler's, which is my favorite local restaurant in South Bend. Heather surprised me by presenting me a cute bag filled with goodies for my post-op recovery. I have several crossword and sodoku puzzles, straws, two bottles of ensure (one vanilla, the other chocolate), foot spa treatment (for Sean to rub my feet - ha!), and several dog-walking/errand/housecleaning coupons that I can redeem from her until I'm able to eat solid food again. Amazing! I am really touched by this - I certainly wasn't expecting anything from anyone, and Heather was so thoughtful and kind. Aww, I do feel special!

And Sean is taking a train from Philadelphia en route to South Bend today. That's a 17-hour train ride, so it's not for the faint-hearted. My sister Erica will also be coming up to South Bend from Atlanta on Sunday. She's flying stand-by so hopefully she'll be able to easily catch a flight.

It's so awesome to have these friends and family in my life. I do feel lucky and supported by them. This helps keep my spirits up and I think it will help my recovery. A toast to them and to the power of positive thinking!

Wednesday, June 18, 2008

Other Reasons Why People Get Jaw Surgery

I called the nurse this afternoon to ask about the AqueCool Device that's supposed to reduce swelling. She said that they'll be using that in conjunction with ice, gauze, and corticosteroids, and that I won't need it after I'm discharged from the hospital.

The nurse also told me that another person had surgery today, using similar procedures as my surgery will be next week. And that person is recovering just fine, thank goodness. I asked her about another fellow who had surgery last week because he got his jaw busted in a bar fight. He's apparently doing fine, too.

And then she told me about this other guy who had surgery this week because his own son broke his jaw on Father's Day. Now that takes the biscuit. There are many reasons why people get jaw surgery, but the one thing they all have in common is that noone died from it. Yeah! But a couple of those guys could benefit from taking anger-management classes or seeking family therapy. Good grief!

Surface Features vs. Deeper Issues

When I see the photo of myself on the sidebar, I think to myself that on the surface, everything looks fine. I don't need braces, and I certainly don't need jaw surgery. (Well, that's what I wanted to believe.) But just because something looks okay doesn't mean there's not an underlying, deeper issue lurking beneath the surface.

That realization can be a rude awakening, at least it was for me.

Two years ago, I had my wisdom teeth extracted. It wasn't exactly a pleasant experience because I was getting local anesthesia for the first time and that scared the bejeezus out of me. In fact, my last words before going under was, "I'm so scared." I know, I'm a chicken!

Of course, the procedure went without a hitch, but in replacement of my wisdom teeth was paranoia. I was sure my teeth were going to move now that the wisdom teeth were gone. So I figured an orthodontist would put my fears to rest. I scheduled an appointment with Dr. Wong two weeks after my wisdom teeth were removed.

Before divulging The Revelation, I have to say that Dr. Wong is a cool guy. He has a positive and informal demeanor that can put anyone at ease. And he's very clear at explaining information, which is important to me. He's also from Hawaii - that may sound like a non sequitur, but it was relevant to me because he was open about explaining the role of genetics and heredity in Hispanics, Asians, and other non-Caucasian populations - all of those factors correspond to the structure of the teeth, lips, and mouth, which in turn, affect alignment.

So, The Revelation.

As I was laying on the examination table with my mouth wide open, Dr. Wong told me that I didn't need to worry about my teeth shifting due to the wisdom-teeth extraction. I had a much larger problem on my hands, he said. I had suffered some kind of trauma in my childhood that affected my jaw development. That is, my jaws never developed properly, which created a host of problems I was already aware of, but would only get worse with age if untreated.

When he said those words, a memory immediately came to mind. It wasn't the first time I conjured up that memory, but it freaked me out nonetheless. Now, as a cognitive psychologist, I know full well how fallible memory is, so naturally I hedged when I told Dr. Wong about this memory. But I do believe this memory offers an auspicious clue to my current situation.

When I was three-years old, my parents and brother lived on a military base in Texas. One evening, my parents were having an argument in the kitchen. I was in the kitchen, too, and I wanted to go to the living room, which meant I had to sneak in between them to get there. It was bad timing: My father accidentally hit me on the back of my head (I think he was using his hands in a gesture; I don't think he meant to hit me deliberately). I fell to the ground face first. Next thing I remember is a white cloth being put into my mouth; a cup of milk with my teeth in it; and the last thing I remember is sitting in the back of the car being whisked away to the hospital. That's it - that's the end of my memory.

Crazy, right? Well, the memory really is irrelevant because it doesn't solve the current problem. Dr. Wong presented me with three options: 1) do nothing and in another 10-15 years get my teeth replaced because they're too worn down; 2) wear a splint to maintain the status quo; or 3) have jaw surgery to fix the problem. He elaborated on each point, but when I heard the word "surgery," I lost the ability to process language. I felt like he just delivered the biggest sucker-punch to my gut. I felt nauseous and faint because I realized that getting my wisdom teeth removed was basically a walk in the park in comparison to the jaw surgery he was talking about. And I had been so scared. Good grief!

I told Dr. Wong I had to think about it, and I stumbled out of his office. I was stupefied; I immediately called my brother and told him what happened. He was shocked. When I told him about my memory, he said, "Michelle, I don't remember that happening to you." Well, my brother was two-years old at the time, so that might explain it! :0)

I did call my father that night and asked him about it - true to form, he said he didn't remember that ever happening to me. It took another year before I was able to ask my mother. When I saw her last summer in Puerto Rico, I took the opportunity to ask her. In shock and amazement, she confirmed that memory. "Yes, Michelle, that did happen to you," she said. And she provided me with a few more details about the event - that I fell so quickly I didn't have time to use my hands to break my fall, hence me hitting the floor face first. She also told me I lost all four of my upper teeth, which I presume the doctors somehow put back into my mouth.

Anyway, that's the back story. You already know that I choose Option 3. I  hope I've made the right decision because there's no going back now!

Tuesday, June 17, 2008

Physical Exam: After

The doctor's appointment went well this morning, although I did feel like a lab rat. The warm-up procedure began by checking my vitals (blood pressure, heart rate, breathing). Then I had to wear a gown for the EKG test. Ugh, I thought. I don't like wearing those gowns. But it's important to keep a positive attitude, so I tried to dismiss that initial negative thought. The doctor was vague about the EKG results, only to say that they're "fine." I'm happy with that. Then there was blood work to be done.

The technician asked me if I had a cough. I said I didn't and she asked me again. "Well, I did cough this morning," I said suspiciously. "Then that's good enough," she replied. Oh, that's right - health insurance. Apparently, health insurance won't cover X-rays and blood work without a reason (i.e., cough). As if having surgery next week is not a good excuse for these people!

Once again, I had to wear a robe for the X-rays. I better get used to feeling like a lab rat, I told myself. It is a strange feeling to wear a gown that's barely put together. But this is merely a preview for next week's performance. Better get used to it!

Physical Exam: Before

As I walked the pups this morning, it dawned on me that I should start blogging about my upcoming jaw surgery, which is scheduled for next week (June 25th). Why? Because when I'm not thinking about the environment or my job, I'm thinking about this surgery. So as opposed to ignoring this reality, I'll instead chronicle this experience using Blogger as my medium.

I have an appointment at 9am this morning for a physical examination, so the back story is forthcoming. But hopefully, blogging about this experience will be a therapeutic exercise for me, and who knows, maybe it'll be helpful for someone else who's also going through a similar dental experience. But that's okay if only the former is true and not the latter.