I wasn't able to stop the I.V. morphine until Saturday morning. I had discovered that the Norco narcotic I was given for pain was working well, and if when I felt the need for morphine inbetween the Norco doses, getting out of bed and walking a bit would decrease the pain so I could go without the morphine. I saw Dr. Griffiths Saturday morning (he had taken out the two drains from my ear the night before already) and he removed the "cue ball" that I had been carrying around (it was a gravity flow ball to pump the numbing medication directly into the rib area where they harvested the cartiledge. I had been scared about what pulling out that tube would feel like. It didn't hurt at ALL! It was maybe 2 mm in diameter. I was excited that I was finally free of all the wires! They even let me keep the pulse oximeter off at that point!
Unfortunately, shortly after that I did need some morphine because of all the muscle spasms (then they called Dr. Griffiths and he was able to prescribe me Valium to continue at home as well now that I was on less medications). So, since it was up to me what time I left, we decided I would stay until the evening once I could have some hours past when that dose of morphine would have worn off to make sure I would be okay without more. I also had yet to really walk without the walker yet. I did several walks without it, and Dr. Griffiths also made sure the nurses had me try some stairs in the P.T. room since there are some where I'm staying that I can't avoid. They said I did stairs better than flat ground!
Dr. Griffiths had also asked if I'd like to meet a 16 year old girl who he had done a reconstruction about a year ago. She and her Dad were in town. I said to just give them my number, and they stopped by in the late morning. It was nice to meet someone who had been in my shows not long ago and who also wasn't a young child at the time of reconstruction. I got to hear that a lot of my experiences were similar to hers, which helped normalize it all for me. I also got to see her ear, which was lovely! She had met with Dr. Griffiths the day before (her Dad had just randomly texted him to say they were in town and Dr. Griffiths wanted to meet), and he was actually going to do a little revision (she still had a bit of a bump in front of the ear) in the office before they went home to Washington state. It was nice to meet someone else, and also not have Dr. Griffiths around so I knew we could talk as openly as we wanted.
For the last couple hours I was there, they even let me walk to the bathroom without calling staff! The little things...
My friend Heidi came up a few hours before I left to visit, and then took me to fill a script and got me settled back in at the Foote House. I cannot describe how much of a godsend that was! I have to be SO careful to not overdo movements or I know I will wind up in the E.R. to get iv pain killers. So having someone insist on helping and reminding me that unpacking was her job, not mine, was beyond helpful!
I found out that night that I cannot lay flat. Once on my bed, my pain was excruciating, and then my ribs on my right side felt like they were popping in and out everytime I took a breath in or out. I did call Dr. Griffiths around 11:30 when it wasn't getting better after a couple hours and having tried propping myself up, etc. He said to call back if it got worse, but for the moment, just be sure my CPAP mask was on if I was going to sleep. I ended up sleeping sitting on the couch. I set alarms for every 4 hours to wake me up so that I can stay on top of my pain with the pain killers.
The next day I was excited that I got to sleep in a recliner and managed to recline. It was much comfier! However, the next day was bad. I saw Dr. Griffiths Monday morning. Everything is going well. I had asked over the weekend about two little puncture wounds (or at least that's what they looked like to me) on my front near my shoulders. When he saw them he sounded to surprised to confirm that they were in fact very tiny puncture wounds. He thought about it and then realized they were from where they had stapled the surgical paper to me. They sterilize a large area around where they will be working, and then staple a paper at the outsides of that area to prevent uncovering any unsterilized area during surgery. Note that they never hurt me, they were just a little raised and red and bruised.
The only thing that wasn't good was that I hadn't had a bowel movement in a week - before the surgery. I had been trying colace with very little improvement, so he gave me a sorbitol slurry to try. I spent a lot of time on the toilet the rest of the day. I was VERY painful since I had to engage my sore stomach muscles a lot. I was very sore by evening...even my right side and the right part of my lower back hurts bad. I'm okay right now, but hopefully I won't have to do that again...no movements today though, so we'll see.
Last night I was not able to recline because of the pain so I sat upright in the recliner. I was exhausted. At one point I woke up to go to the bathroom. I took off my CPAP mask, which I have to use hair clips to attach since I can't use the strap with my ears healing. When I sat back down to sleep, I got the clips ready to pin on the mask, and my next memory is waking up to my alarm for my next dose of pain killers and wondering why my mask wasn't on! When I went through the last time it was off, I felt for the clips and they were exactly where I had set them before trying to reattach the mask! Apparently I was so tired I conked out in the middle of doing something physical!
Today has been a hard day. I am in a good space mentally and don't think I'm getting depressed, but the last week is catching up to me. I've been really sleeping and kind of irritable. I realized I haven't really just sat down at all without needing to focus on something since I got to Boise. I'm still having a hard time sitting still, but I'm working on it. However, I do notice that when I look in the mirror and see my head with the tan ear mold over my new ear, my face already looks so symmetrical and I feel giddy and smile. I definitely did not think that the new ear would have such an effect on how I liked my appearance. I have always been happy with how I looked and embraced my little ear, so I didn't figure much would change. I was actually a little worried I might dislike changing it, so I'm very pleased that I already like the uniformity of the outline of two big ears on my head!
I still have a lot of pain when I breathe, but I'm learning how to adjust my movement and action to reduce pain. I've also realized that making noise when I'm in pain is ok and actually helps the pain. Yesterday, my friend told me there have been studies that show that making noise due to being in pain can actually increase pain tolerance...
Well, I really need to just sit. But Yay! Finally mainly caught up!
Goodnight.
My Microtia Ear Reconstruction Journey: 1-Stage Rib Graft Reconstruction with Dr. Griffiths in Boise, ID. Surgery was on Nov. 27, 2013 @ 25 years old. I had 1 extra surgery under local for a small hole in the skin graft 3 weeks later. I want to share my experience in detail not only for me to be able to look back on and to keep my family and friends up to date, but also to share my experience with other individuals or families who may have had, or may be considering reconstructive surgery.
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Hey! Thanks for writing. I hope all of this pain you are having is just surgery related. Will it all be gone when you are fully recovered? So happy to hear your spirits are high and that you like your ear!!:)))
ReplyDeleteHi Amanda! I can't wait to get home and catch up with you!! As you may see in the post I wrote today (Thursday, December 5th) - and possibly even in an earlier post...it's hard to keep it all straight what I say/write where - Tuesday my pain was getting better by evening (after I wrote this post), but I was still having a lot of pain in my back and side. I called my Dr. and he had me go to the E.R. to check for a blood clot in the lung. Luckily, no clot, but I did/do have fluid in my lung which is also causing a little bit of a collapse. It is small enough it's not considered pneumonia or a pneumothorax, but it does cause me pain obviously. I just have to use my incentive spirometer more, and it should clear up in a week or two. I was happy to find out that it wasn't all pain from the surgery since it was in a different spot and getting worse. As far as pain after "full recovery"...eventually, most people who have major surgery and/or cartilidge, etc harvested have no pain. The time frame is different for everyone though. It will go away gradually and could even be over a year before I don't have any pain, but I knew that going into this. However, there are also a very small percentage of people who always have slight pain at the harvest site, but I also knew that going into this.
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