Monday, December 15, 2008

Healing - the week in pictures

Sorry to be so long between posts. I was getting concerned because Eliana's right nostril looked like it was closing up a bit and didn't look as rounded any more. I emailed some pictures to her surgeon this morning and he says it looks like there is a scab up in the top of that nostril that is pinching it shut a bit. I am supposed to work on getting that scab out with a swab dipped in peroxide. I gave her a warm bath and then gave it a try this morning and again tonight. I think I released it a bit, but I have more work to do. As you can imagine, this is not Eliana's idea of a good time (or mine).

Despite the pinched nostril issue, I am happy with the progress over the past week. Eliana does not seem to have any pain and we have stopped giving her even plain Tylenol (we used the Tylenol with codeine at night the first few nights). At this point, the swelling is WAY down but not completely gone, she still has sutures visible in her lip and nose (they will be absorbed), dermabond glue spread over her lip and around the bottom of her nostrils, and steri-strips in place on her lip. There is a little bruising still visible at the base of her nostrils. After a week of cup feeding, the steri-strips are quite stained and yucky looking, despite washing them with soap and water in the tub and using a cotton ball dipped in peroxide. The adhesive is also a schmutz magnet.

Here are lots of photos. (Warning, if you are super sensitive, you may not enjoy some of the pict ures immediately post-op, closer to the bottom of this post).

EDIT: It will be at least 2 more weeks before the swelling is completely gone and we will have a better idea of the results of the surgery (aesthetically speaking). What has surprised me the most is the differences we are hearing in her speech already. I was expecting this more with the palate surgery in May and was a little disappointed when we didn't hear much difference. I wasn't expecting much change in her speech with this surgery, but the change has been significant. She sounds quite nasally right now, but that may be due to some of the swelling in her nose, which isn't as visible now, but is still there. She sounds a little like Rudolph the Red Nose Reindeer when he puts on his false nose. :o) But, we are definitely hearing more definite consonants, which I don't think can be attributed to the swelling. I have not seen her upper lip move much yet, but the tape is still on there and she will need some help from her speech therapist to learn how to use and control those newly attached muscles. Exciting developments!

Before surgery:
Close-up photos of Eliana in the pre-op waiting area (she is just napping, not on medicine yet):



Part 1 - This morning after bath, just shy of one week post-op:

You can see the red spot where I was messing with the top of the right nostril, hard to see the 'pinching' in this pic:


Happy, clean girl! You can see sort of a line on her right nostril where it is pinching in from the scab.



Views from below to see height of nose & lengthening of the columella. She had a severe case of the giggles after morning bath - I guess the swabbing didn't traumatize her for long!





First photo I have been able to capture of her repaired palette - beautiful!

Some profile pics:

That's my girl!



Sunday, 6 days post-op:

Practicing pouting: "Egg drop soup AGAIN?"

It's only yummy when mommy lets me drink from the cup by myself without no-no's.

Ice cream!

This is the pic I emailed Dr. Murthy - see the difference in the right nostril and the scabby area?

Saturday, 5 days post-op:

A little morning jam session in the PJs


Hello! This is my my fort.

Grumpy face (we have a Signing Time video on Feelings checked out from the Library)

Surprised face

Scared face

'Stop taking pictures' face

Pretend sleeping face

Playing with balloons to avoid bedtime

Friday, 4 days post-op:

This was the first day I noticed we may have a problem with the right nostril, so I took pics
Shabbat shalom!


Thursday, 48-72 hours post-op:
Hmmm..no pics on Thursday- the camera was dead and I guess I was too tired by this point to charge it!

Wednesday, 24-48 hours post-op:


A little spontaneous aerobics workout?



Taking my naked dolly for a ride on my cool motorcycle

Helping Mama and Grandma make some matzoh ball soup for dinner


I like to cook (or just pour water from one cup to another)

Tuesday, the first 24 hours post-op:
I didn't take my camera into the Recovery room. This was in her hospital room (that is her "Hop on Pop").
Home with Daddy and the kitty that my Aunt Lisa, Uncle Mike & Cousin Drew sent me.

We named the kitty "Yo Yo Mao". Mao is Chinese for cat.

Monday/Tuesday early morning, immediately post-op:

The narcotics made me flush in both Recovery and in my room. Mama had to apply cold compresses to my face in Recovery.



The metal "Logan's Bow' is to protect my lip from being bumped.

I have tiny straws wrapped in gauze in each nostril to maintain my airways.

My upper lip got really, really big, then it turned purple. This was not the biggest.

Watching Finding Nemo with Grandma Bonnie in my hospital room.


It has been a long week! I am so thankful to my mother for coming from Florida to help this past week. Also for my friends and my bloggy buddies who have been so supportive. Eliana's preschool sent a lovely care package with fun activities to keep her busy and a quart of ice cream - yum! Everyone has been so kind to check in on us and offer help. My friends Laurie and Ronni have both carpooled Ben around and Laurie was so sweet to make Ben his very favorite for dinner last Monday when we were running behind schedule (tacos)! Sweet gifts and balloons have arrived to brighten Eliana's day. Shelli's girls, Rou Rou & Hui Hui sent a fun dress yourself doll and stickers with a very sweet homemade card. Friends have called to check on my mental health and my spirits, and to lend an ear and some support. I can not thank you all enough for your love and kindness. And of course, Adam has been there beside me through it all and has been ready to lend a hand or a shoulder to cry on - he even made margaritas for my mother and I Saturday night!

So, cheers to you all. Eliana joined my mother and I for a margarita (hers was non-alcoholic, of course - but I assure you that mine was not)! To your health!

Clink!
L'chaim!
Love, Laura Beth