Alright...surgery day!
We had the same routine as last time. Went down to Milwaukee and stayed at my Aunt's house. The night before surgery I had different tests done...MRI, blood work, all the pre-surgery stuff. I had to do my normal shower with the same soap scrub as I had used the time before. This time though, there was no hair to wash! I went to bed in my clean sheets and pajamas. In the morning I showered again and then I put on some clean clothes. Off to the hospital we went.
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Our before surgery pic |
I went though the same check in. Weight, blood pressure, pregnancy test, scrub down with the wipes and put a gown on. She asked all the same crazy questions. I was hooked up to an IV again. This time, I told them we have a hard time getting the IV's in. By now I've figured out that the IV's used for surgeries are bigger and that's why they have a hard time getting them in my veins. I get an IV for dye injections during MRIs and we never have a problem getting those in. I also have my chemo port too. That is used for my IV's sometimes and it makes things easier because then my arms aren't full of IVs. The lady from the neurology team came and hooked up the wires to my arms, legs and chest again.
Then it was time to wait for the operating team to come and get me.
The nurses were the same ones I had the surgery before! All so nice. Usually, I get wheeled up to a waiting room just outside the OR as they do the final prep in the room before they are ready for me. It usually doesn't take too long and they give me some sort of med to start relaxing me.
In I go- to the operating room again, and now that I know the drill, it makes things a lot easier. I hop from the bed I'm on, onto the operating table. Untie the back of my gown. Put my head in the little cradle. This time, the anesthesiologist gave me the calming med, but I stayed alert a bit longer. I was chatting with all the nurses for a while. One nurse, I found out, vacations in the same town as I in Florida! I had a gas mask on, too. This is when I took a few deep breaths and out I went...
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The ICU |
...I woke and was back in my room. The neuro-ICU was a nice big room and one wall was made of glass and it had big curtains to cover it if I wanted.
I was groggy, of course. Could barely open my eyes. But my throat felt much better this time after surgery. I didn't have such a dry mouth and my stomach was feeling okay. My incision was covered with gauze. I had two tubes coming out of it and at the end of the tubes there were little bulbs. The bulbs were squeezed and it would suck out excess fluid. It didn't hurt at all, but I could feel pressure and hear fluid moving around as it happened.
I also had a 5 inch fat graft on my stomach. The fat was used to fill in areas of my brain. I had a muscle in my head flipped around to fill in areas where the tumor was, too. My mouth had a hard time opening. I didn't know going into it, but my jaw was taken apart to remove the tumor and put back together with titanium. The area around my eye was also put back together with titanium. They had to remove tumor from my jaw area, near my eye and nasal cavity. All was removed except for a little bit on my carotid artery. They couldn't risk getting any closer to the artery. My eye and right side of my face was getting more and more swollen by the minute. The eye was also turning black and blue. A few hours after surgery I couldn't see out of that eye, it was completely swollen shut. I looked horrible!
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After surgery, before the
swelling kicked in |
When it came time for me to eat, I struggled. The entire right side in my mouth was numb. I couldn't feel food in there and my teeth did not line up right in my mouth anymore. My jaw was a lot looser then it used to be. I started eating only on the left side. I had to chew very slow. And the food needed to be soft because my jaw wasn't strong enough to bite down and my mouth only opened a little bit. It was a whole new learning process for me.
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After surgery |
That night, as I was trying to sleep (only on my back and on an incline) the right side of my face was going crazy. The feelings were so intense I thought it was hurting. The nurse was giving me pain meds for it, but that wasn't doing anything to help it. The next day when my NP came in I explained it to her. The only way I could explain it was that my face was going crazy. It felt like it was moving on that side. She said "kind of like spiders crawling on it?" Yes! That's exactly it. It feels like the tingles when your foot falls asleep and spiders were crawling all over it. The reason for all of this is my trigeminal nerve was cut. The trigeminal nerve branches off from near your ear through the entire side of your face. Since it was cut, the nerves are trying to heal and that's why I had the crazy feelings and it takes time for that to go away. I was put on a med that were going to help my nerves calm down, but it was going to take a few days to start working. That was probably the hardest thing to deal with in the beginning. It was so intense that at times I could do nothing, but lay there and close my eyes. Or try to sleep to pass the time until the pills kicked in.
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After it started opening |
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The black and blue eye along with the drain tubes |
I was also very worried about my eye. It was SO big and swollen, I didn't see how it was ever going to go back to normal. It was completely shut for a few days and then it slowly started opening. Each day it opened a drop more but it was still big and swollen along with that side of my face. The doctors and NP's knew I was so worried about it so they sent in an eye doctor to take a look at it. He also believed that over time it would get better. I sure hoped so! The black and blue started to leave and my eye was turning pink. It was opening more around day 4 or 5 but the lid was still huge and dry. Eyelids are such delicate skin that I couldn't see how being so stretched and dry was any good for it.
How could it possibly look normal again someday?
I had double vision when I tried to see out of it so it was much easier to keep it closed for now. I was so homely looking!! There was nothing cute about my face. LOL!
People wanted to be coming to visit me but unless I was close to them I really didn't feel comfortable having them in there. I know I looked scary and the world didn't need to see me like that!
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Fat graft on my stomach |
After a day, the gauze was taken off so that the incision on my head could get air. The gauze was held down with little staples. The top was no problem getting the staples out, my head is numb so I can't feel it. The side near my ear ,I could feel, and the staples weren't fun coming out!
I also had gauze on the fat graft on my stomach. So the staples had to come out of there too! I wish the gauze had tape on it and not staples. The nurses did a great job, but one was stuck on my stomach. The nurses kept working on it and no one could get it out. It was hurting, too! My NP came in shortly after to check on me and she got it out in no time.
I had little scabs all over my head. I was told, once they open you up, the scalp is pulled forward and pinned to your forehead to keep it out of the way as they work. The skull bone removed is called a bone flap. They then put it back in place with some screws after the surgery is over.
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A few days after surgery |
The drain tubes came out after a few days. I was really nervous about them being pulled out. I asked for a mirror so I could watch as they pulled them out. I liked watching as things happened so I could be prepared. When the first one came out, I didn't even feel it! The next one, as they pulled it out, was getting stuck on a stitch. Since my head was numb, it didn't hurt. I could just tell it was stuck. After a little bit of working on it, they got it out. Now the two holes where the tubes were need to be stapled shut. I had two staples put in each hole. I was nervous for this part again and a nurse asked me to hold her hand while another put the staples in.
I could hear the staples crunching as they went into my skull but no pain at all! The joys of a numb head!!
The first morning after surgery, I was asked to get out of bed. They wanted me to get up and try to walk. The ICU is a big circle. All of the rooms were along the outside with glass windows. The center of the room was the nurses station. I walked a little ways down the room. In the other rooms I saw patients that were completely out with tubes down their throat. I didn't see anyone else in there alert like me. I had a hard time seeing, though, because of my swollen eye, so I didn't go far.
But at least I was up and at it.
My nurse had told me that if I felt like people were staring at me (which I did, but I figured it was because I looked like shit) it's because it's not common to see a patient walking in the neuro-ICU. So, the fact that I was up walking around was amazing to them. I had asked what most people were in there for. She said a lot had brain injuries. Some from strokes, tumors or accidents. It was really sad to see them. Some were young and others old. The younger people were definitely the hardest to see.
The day of surgery I had the catheter in. After that, there was a toilet in my room that swung out from under the sink. But I wasn't allowed to leave my bed without a nurse being there. My bed had an alarm on it. So, to use the toilet I needed to call the nurse and she had to stay in the room with me.
It was hard for me to accept not having my privacy. The only other option I had was going to the bathroom on the other side of the ICU.
So that is where I went!
I called my nurse, we unhooked all the machines, she walked with me to the bathroom and then stood on the outside of the door while I used it. I was not allowed to lock the door, though. One nurse I had, she would not let me go in there by myself. She insisted that she had to be with me.
That was in the morning and it put her on my bad list for the rest of the day! I could not wait until shift change.
I had so many nurses and almost all were great. A few I became really close with and many of them I had numerous times while I was there. It was always a nice surprise when they would walk in and I saw I would be spending another day with them.
I never was able to shower in the ICU. They don't have any in there. I had cleansing wipes that I'd use. I had a lot of the yellowish orange antibacterial scrub all over me still. Dried blood, too. It felt great to get that off. I also put a bit of mascara on my good eye and chapstick on. It helped me feel a little more like myself.
Having no hair, a huge incision across my head and a swollen face...I definitely felt I looked nothing like my normal self.
After five days in the hospital, I was cleared by the physical therapist, occupational therapist and speech therapist. My eye swelling was getting better and all of my scans were looking good. They told me I was able to leave later that day.
It was exciting, but it felt so crazy knowing I was able to get out of the hospital already! I had to stay in Milwaukee for about a week. I had more appointments to be there for and needed to be near the hospital just in case we had a problem. So, about 5 o'clock that day, I put my clothes on for the first time in five days, wrapped a scarf loosely around my head and away we went!
I couldn't wait to get back to Bes' house and take a shower!
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My brother took this photo. I covered my bad eye, but you could tell things were looking up! Leaving in a day! |