Translate

Tuesday, February 25, 2014

Long Over-Due Update

WOW, my life has exploded with medical problems...and thus I have been running around like crazy and stressed, so I have had to post-pone an update until now.  Don't worry...I didn't just go back to life and forget about my blog...I thought about it a lot actually, but was unable to get it together and update.  I felt badly that some people that have been following my posts might have thought I just moved on, but rest assured, that was not the case, and is still not the case.  In fact, since I am moving forward with jaw surgery for my hemifacial microsomia (which is related to Microtia and Atresia), I plan to just transition into posting about that experience as well as it moves along.

So, tomorrow marks 12 weeks post-op!  I am going to transition to taking my photos on Sundays, since that's also the day I have to take them when I send them to Dr. Griffiths once a month.  But for this week, I had already made up some collages from last Wednesday as well.  But first, here's what has gone on since I last posted:

1) I have decided I will move forward with jaw surgery to lengthen the right side of my lower jaw bone because it is becoming increasingly painful and is really starting to limit my food choices.  I have done more research and talked to some people that have had it done, and I think having it done will be best.  I had molds and x-rays taken yesterday, and have a CT scan this Friday.  After that, we will know if I need braces, and if so, for how long.  Then the fun part of getting prior authorization for it all...I just got approved for Medicaid, but luckily the hospital I see most of my doctors through knows how to work well with Medicaid and will do all that for me.

2) I received notice that my SSI (Supplemental Security Income - need-based disability income) was approved.  I applied in July 2013, so thankfully I did not have a long wait.  I feel extremely lucky, but it's bittersweet, since that means the government really felt I actually am too disabled to work due to my mental issues.  Basically, I look and act normal most of the time - at least outwardly - but it takes me all my concentration to keep my brain and thoughts and behaviors coming out that way.  If I try to do too much, then all hell breaks lose because I can't work/do too much AND keep my mental illnesses in check.  Luckily, I can at least do one of those...so I can not be a crazy lunatic all the time and enjoy life still :)  I know I have not really mentioned this piece of my medical problems on this blog before, and I don't plan on divulging much in terms of specifics unless I am asked privately, but it is an important, and very LARGE piece of my life, so I feel it deserves mention since it's having a big influence on my whole being right now.

3) I figured out what was causing my stomach pain, and thank GOODNESS, besides the hematoma (which is now gone), it is NOT directly related to surgery.  It has delayed my healing some, but that is not related to anything Dr. Griffiths or I did following surgery...except maybe my coughing fit, but no one could have predicted that, and they got it under control ASAP.  Basically, I have been on antidepressants since 5th grade (and here's where it might be helpful that I shared number 2 on this list).  Since then, I have had quite a few traumatic events happen, both emotional and physical.  I had a lot of emotional stress last spring and through the summer, and then in August starting having 5-7 day bouts of what we called a 'stomach flu'.  I would be so tired I didn't want to move any muscles, my whole body hurt, and I was nauseous.  I never threw up, had a fever, runny nose, etc.  Well, after surgery, these bouts got worse and closer together.  Since the summer I have been having other weird things happen (I can't remember common words, my hands are really cold, etc...things that are not typical for me, but alone didn't really cause any red flags).  So, in January, when we started Metformin for my insulin resistance and I suddenly had more energy and felt better overall, we were ecstatic.  We decreased some of my psych meds.  That is where we went wrong. Those medications take about 1-2 weeks to get out of your system.  About 1 and a half weeks after the decrease is when I noticed my stomach pain was coming back and getting really bad.  By 2 weeks, I needed prescription pain killers to help the pain, the pain was spreading all over my body, and was moving around.  Yes, the rib area on the right was the worst, but everywhere hurt.  Then, I got extremely fatigued again and nauseous.  During that time, I had mentioned to my physician that maybe my 'stomach flu' was something like fibromyalgia.  We had decided to just keep an eye on it since it had barely been 6 months since I had started having those episodes and since I was coming out of a rough mental patch, it could just be that.  When my rib x-ray came back normal, and then my ultrasound and bloodwork did as well.  I called off the search (unless my Doctor's could think of a reason post-op complications would still be a concern for wide-spread pain, etc.).  The pain increased because the psych med we decreased is also used to treat fibromyalgia pain!  We reinstated it last Sunday, and I have already seen a little improvement in my pain...I still need a lot of pain medication, but a lot less than a week ago!  I have an appointment with my physician next Monday to discuss other treatments for my fibromyalgia symptoms.  So, not only have I been in a lot of pain, but I have been so darn exhausted, there is no way I could keep up with anything that wasn't 100% necessary...thus my lack of updates on this blog.

4) Starting at the beginning of February, I have started regaining feeling in my new ear!!!  One evening I noticed I could feel that a cream I had just dabbed on that earlobe was cold, but I still couldn't feel touch.  By morning I had feeling back in the whole earlobe!  The rest of the ear is still pretty much numb...but very very slowly, I am getting feeling back around the edges of the skin graft.  I figure that since this skin was grafted, unlike the earlobe which was just re-positioned, it will take longer to get back feeling.

5) My large scar on my right thigh crease gets dry, painful and itch A LOT!  I really rely on my silicone scar gel to keep the area from drying out so that it doesn't hurt or itch.  As long as I keep it moist, I don't feel a thing.  The other scars get this occasionally, but not as often or as badly.

6) The back of my left ear is looking really good FINALLY!!!  The skin graft has thinned out, and doesn't look so gross anymore.  It's still not all the same color/thickness, but at least it's not so thick and shiny.  BIG improvement.  It does itch though...and again that scar gel comes in handy...

7) I don't always wear something behind the new ear to bed at night because I found that no matter what I used, it created problems like increased swelling and/or irritated the earlobe portion of the ear. However, I might have caused a different problem, or it may just have happened on its own.  The upper rim was two pieces stitched together.  That stitch broke before the cartilage healed together (or maybe it never bonds...I'm fuzzy on those kinds of details...I have an email into Dr. Griffiths), and the upper piece isn't held down anymore, so it pushes out and up into the skin a little.  This causes the curve to be a little rugged there, and sometimes if I touch that area it's a bit tender.  I can also push on the end of the cartilage there and it moves back into place...so I'm not sure if there's some way to fix it or not...we'll see.

8)  I LOVE my ear.  Even despite some bumps, I would do it again.  I didn't expect a perfect procedure, recovery, ear, healing, etc. as that's just not possible.  Nothing is 100% perfect.  However, my ear continues to blow me away everyday!  The more the swelling subsides, the more I see how awesome it is.  I'm in love!  I am used to having it there and I like that.

That's plenty for one update!  Here's the photos:












Saturday, February 1, 2014

Week 9 was my 26th birthday!

So this past week has been crazy.  Monday I found out I should have jaw surgery to correct my hemifacial microsomia (x-ray showed that my right - small - jaw is about 1 cm too short to reach where it's supposed to sit...it's just been floating, and so now my left jaw joint has also moved out of place.  This is all causing me a lot of pain and creating problems eating.), Wednesday marked 9 weeks post-op and was my 26th Birthday, and Today, Saturday, I found black hairs growing from the outer edge of my new ear.

I knew that I would have some hair growth in some areas, but there's no real sure way to know exactly where or how much.  So far, it's very very fine, but black.  The only reason I noticed it was because that's also where there is still a lot of brown patches on the skin (something that will fade with time) and I zoomed in on the area because it looked a little greener than normal.  They are too fine to really pluck, so I'm hoping I can use a hair removal cream on them eventually.  However, I have never had luck with hair removal creams dissolving my hair, so that might be tricky.  But, luckily, at least so far, it doesn't appear to cover a large area on the ear.  I would guess it will stay that way since there wasn't much black hair behind my left ear, and that's where the majority of that skin came from...but I guess there's no way to know but to just wait and see.

All-in-all, I still love my ear though!  It's getting more normal feeling...less like something attached to my head, and more like part of my body.  I can tell it's healing more from the inside now as well.  I can move the ear around a lot now, and a couple weeks ago, I couldn't.  I don't mean that the cartilage bends - because it doesn't - but I can grab the ear as a whole and wiggle it up, down, and side to side.  If I push the outside rim gently towards my head, I can feel with my fingers the lower edge of the cartilage framework stick out and push against my skin inside my head.  Odd, but not painful at all.

I still have no feeling in the ear, however, my earlobe seems to be able to tell temperatures now...although I still really can't feel it when I touch it.

The color has also gotten a lot less red lately, and in general, I get less of an impression of swelling when I look at my ear.  It's still really swollen (as is that side of my head in general), but there is a marked difference lately.  However, I've changed up my sleeping gear again, and it swells again overnight...but I am so much more comfortable, I'm hoping it will go away with a few more weeks.  Basically, I bought a kit of silicone mold putty at the local hobby store (I used a 40% off coupon so it cost under $15 for enough for many many ear molds as the swelling continues to decrease).  The mold, once set (takes 20 minutes), is food-grade, so I don't have to worry about chemicals leaching into my head.  The mold is flexible enough it won't damage the ear and is comfortable to lay on, but firm enough to support my ear when I lay on it.  Basically, I shaped it to support the back of my ear and around the top and bottom areas as well.  I sloped it gradually down in the back to reach my head, making sure to do it gradually enough that I could use my BAHA post as an anchor to help hold it in place at night.  NO MORE TAPE!!!!  It stays will just the light pressure from my CPAP mask strap!

I'm still a bit frustrated with my abdominal pain, but at least I know most of it is from a hematoma.  I have noticed that jeans are out at the moment...I wore a pair yesterday and had a lot more pain this morning.  I wore sweat pants all day, and it hurts very little now.  I just have to be careful.  In general, as long as I'm careful, it doesn't hurt much...but if I make it hurt...then it can throb to the point of causing me to wince.  Other than that, healing is going well.

So, of course, the main point of my weekly updates for many of you...the photos!