Things I wish I’d known about Orbital Decompression Surgery.

18 09 2008

There is a list of things to think about as you prepare for ODS…they are things I wish I’d been warned about

**I wish I had discussed in detail with my doctor during the pre-op appointment about what kind of pain medication I would be on, and the appropriate dosage. In a perfect world, I would’ve had that prescription filled BEFORE the operation, but the Casey Eye Institute doesn’t allow narcotics to be dispensed until AFTER the surgery, because they’ve had problems with people canceling surgeries and keeping the drugs. In my case, the underling doctor under my surgeon prescribed a dose that was ridiculously low, and I suffered through the first day and night because of it. Drugs are your friend for the first 48-72 hours…..don’t even TRY to be brave about it.

**With my second surgery a week later, I wish my doctor had told me that there was a chance that the would choose NOT to remove the stitches from the operated eye. This would’ve given me a chance to make some rudimentary adjustments to my home to make it more friendly to the vision impaired. It wasn’t the end of the world, because my mom moved in for the month and really helped out, but a little forewarning is better than a last minute surprise, IMHO.

**I wish I’d realized for just how TIRED I would feel for the first 6 weeks. My doctor did tell me this, but I just didn’t believe him. I historically bounce back from major surgeries: I insisted on walking around the hospital ward just hours after a both c-sections (much to the nurse’s surprise) and I was at a neighborhood BBQ just 48 hours after my hysterectomy. The ODS was different. We’re talking about napping all day and sleeping all night. I never made it by the pool with the kids, and I barely made it into the dining room for meals. One of my favorite memories is my friend Jan visiting me and crawling into bed with me! I am just now feeling like I can go the day without a nap, and hope to resume aerobic exercise this weekend.

**I wish I’d thought the timing of the surgery through….I should’ve put it off until the fall/winter, when Oregon is overcast and cold, instead of during August, Oregon’s sunniest and hottest month. We have windows that face the west, so even with the air conditioning on, the bright sun in my bedroom became unbearable. We did the ultimate white trash thing and taped up tin foil on the windows….it was real perty. I missed out on some of the last fun days of summer with my kids, and my son’s last few weeks at home. I’ll never get that back. But, I DID dodge the back to school shopping bullet, as my mom stepped in and spoiled her grandkids.

**I wish I’d known that they were going to put me on 2 courses of Prednisone. I know there isn’t much I could’ve done about it, but knowing ahead of time would’ve prepared my poor husband for the evil that was about to ensue.

** I wish my doctor had given me a realistic idea of just how much facial numbness could result from surgery. Eating a sandwich is tricky, as my upper lip  doesn’t want to  lift, and drinking red wine in public is out of the question, because I end up with what looks like a kool-aid stain!

THINGS TO DO BEFORE YOUR ODS:

*If you have kids, make arrangements to have someone care for them (and you) for at least the first 72 hours. You will be tired and drugged and you need only focus on healing yourself. If my mom hadn’t come down, I don’t know how I’d handle it.

*Make sure that your household is prepared for at least 2 weeks without you. Pay your bills, cancel appointments, and make sure your house is uncluttered and ready for you to stumble around with limited vision.

*Realize that you won’t be driving any time soon. I’m lucky enough to live in a city with grocery stores that deliver. I took advantage of that service, and the one that brings any local restaurant’s menu to your door. Let neighbors pick up groceries at the store (if they offer, lol) and just be prepared to be a little helpless for awhile.

*Don’t expect miracles from the surgery. I’m still working on this one. I’m disappointed that, although my eyes look better and are not nearly as protruded as they were, my eyes are not as symmetrical as they used to be.  I used to have symmetry to my face, even with my eyes bulging out. Now my left lower eyelid seems less tight than my right, which makes the whole eye seem larger. But, I have to keep reminding myself that it’s better than it was…it’s just not the way I looked pre-Grave’s disease.





On the Road again…..

17 09 2008

I’m cleared to drive again. Its amazing how simple life becomes when driving comes off the table. I need to post some photos, but I got a new camera and I’m lazy!! My eyes look pretty good….the left eye is still slightly larger than the right, which is driving me crazy, but I have to remind myself that it was operated on last, and it may take longer to settle in.

I feel as if I’ve had a head transplant. I am still numb from my lips to my eyebrows, and my temples still ache when I brush my hair. My cheeks and nose remain swollen, but the under eye swelling has receded a bit. With my facial muscles numbed out, I find that my relaxed face is a frown, and smiling feels really odd, and looks even more odd. DH keeps teasing me about looking, uh, fugly (how nice!) But, it’s the truth……

He keeps asking me where my glasses are. That’s code for “Baby, your eyes are fugly, do something to hide ‘em”…..Somewhere in the confusion of the operations, the percocet, and the visitors who meant well, but hid all my kitchen items, I’ve lost my everyday glasses. So, this past weekend I bit the bullet and bought a new pair. I didn’t bother with an eye exam, and opted for the same prescription I’ve had for the past several years…..hope that wasn’t a mistake.

I just couldn’t wait for another month, and I wanted something to hide the big red scars on the side of my eyes. I’m not one to wear make-up on a daily basis, and people think I’m stoned when I walk through the grocery store with shades on. So, I look forward to picking up my frames sometime in the next week, and venturing out into the world again, beyond these four walls and the children’s school.





Latest Update

3 09 2008

Well, just got back from my Doctor’s check-up two days ago and things are going swimmingly. They still can’t get over the fact that I have no area bruising to speak of, and the eyes themselves are doing fine. I opted out of having him remove the stitches in my left eye, because I just was tired of people monkeying around with my eyes….that proved to be a mistake, because when the dissolvable stitch broke yesterday, it left behind a half inch of stitch that floated around in my eye for a day until I finally got up the courage to poke around my upper eyelid and pull it out.

My right eye’s stitches are totally dissolved, and the scar tissue is looking pretty good. The left eye still has visible stitches, and I imagine that will be the case for another week.

I’ve now been in bed for almost three weeks, and it’s getting old….but what should’ve been a fun Sunday drive turned into a miserable afternoon, because I get queasy when my eyes have too much to focus on….we went to my favorite breakfast spot, and I know people thought I was weird wearing dark shades on a rainy day!