Friday, March 11, 2016

Pre/Post- Op

March 10, 2016

Today is the big day! Today I am having a bilateral disc repair with a possible fat graft on the right side but he is trying to avoid that to the best of his abilities. I am also having 6 wisdom removed. I have full faith in Dr. Piper and his teams abilities. We went to the hospital at 530 am since my surgery was at 730. I went into pre-op and they put me in a gown with compression tights. The nurse also put my IV in and gave me some nasal spray. I was then rolled back to another pre-op room where I met some of my nurses and the anesthesiologist. I will not lie I was terrified and crying. But the nurses were amazing at calming me down and making me as comfortable as possible. The last think I remember is giving my mom a hug goodbye. Then I was out like a light...


Post -Op

I woke up in the PACU (recovery) I thought I had just dozed off before going into the operating room. I had no idea I just had my surgery and I tried moving my mouth and I was like HOLY CANNOLI!  I DID IT!!!!!!!!!!!!! I had ice packs on my face along with nasal air tubes and a humidifier mask is what I think it was. It made my day to get my phone and see all the text messages I got from people. The way the surgery went it he could repair BOTH discs! No fat graft for me.. YAY! We chilled in the recovery room for about 2 hours. Then I got to go to my room and meet my fantastic nurse! *Side note: the entire staff was amazing I don't think I would done as well without them, they were truly amazing!
I got to my room around 330 pm and I had to start walking at 4. The first walk was the hardest my legs were very wobbly and I was dizzy. I did begin to throw up a little before and after the walk. It was fine .  *side note: even if you are not feeling like you're going to throw up get the medication on board right away, I felt fine when she asked the first time then I felt sick to my stomach. But if you do throw up don't worry it wont bother the repairs, it will just feel a little weird. Plus your nurse will be on stand by with suction to help get it our of your mouth. I then made sure I walked every 30 minutes I promise you it makes all the difference in the world! In between walk I did keep falling asleep. I was 100% out of it. Before every walk my nurse and my mom had to yell and shake at me every time!  Even the friend I made had the surgery the same day and we got rooms next to each other, which was nice we just threw thumbs at each other to see how we were doing. I had to keep walking until 11pm and then I was done.. As soon as I sat down I passed out.
Me enjoying the messages everyone sent :)
Now the journey of recovery begins...

Wednesday, March 9, 2016

Pre-op appointments

March 3, 2016

Today I got my surgical braces on by Dr. Liz. I did not use Dr. Jackson since there was a dentist near I lived that worked with Dr. Piper. I was not too excited about having braces again, but what are you going to do? While I was there I met a girl who was 9 months post-op and we exchanged numbers and told about a blog and a group on facebook that were really helpful to her. I just got added to the group and everyone on there is extremely helpful. That same day we were off to St. Pete for my exciting journey.
The horrid photos begin......

March 4, 2016

Today was my first pre-op appointment at the Piper Clinic. Today they just took more molds for my splint and his PA did exams, we re-read over some of my history and added some new things. We also went over the outline of what to expect for surgery and what they expect from YOU. He told me he is really going to harp on me with my breathing exercises since I had pneumonia this past November. They expect you to be up and walking within an hour once you get to your room and also to start drinking. They do not care if you feel nausea YOU WILL WALK!! They will measure your fluid output to make sure you are drinking enough and not too dehydrated.
After we were done my mom and I went to South St. Pete Beach and had some lunch. It was a little restaurant on the water. Their food was delicious and the water was gorgeous!
 
 

March 5 , 2016

Today is a Saturday, which is also the day I decided to make this blog! :)
My mom and I just went to the store to my some food that I may want to eat. I'll link some down below. A majority of my recipes have either potatoes, broccoli, cheese and/or cauliflower. But do whatever you may think will work best for you.
 
 
 
Panera’s Creamy Potato Soup- I make this all the time and it is only a few ingredients. One of the best potato soups I have ever had. Chicken Stock-potatoes- cream cheese-seasoning-bacon.:
 
 
Smoothies and milkshakes are good too. Just be careful if you are having teeth extracted- do not use a straw for at least a week or two. Also be careful with seeds as they make get stuck in the sockets.
 

March 6, 2016

Today my mom and I went to the International shopping plaza in downtown Tampa. It has almost every store imaginable! We went to get some stuff that will be comfortable and soft in case I get a fat graft, since the incision will be very low on my stomach, jeans and other things will probably not feel to well.
Make most of your trip here. Do some fun things to help keep your mind off the up-coming surgery, especially if you're an anxious person like I am. If you are a "foreigner" to the area, google some places you may want to go, especially after your surgery since you have to go do stuff and walk around. *don't do anything too massive as you will still be on a lot of medicine.

March 7, 2016

Today is my visit with Dr. Piper (8 am). Today he just fit me for my splint and made any adjustments that needed to be made. Don also showed me how to take my front rubber bands off in case I needed to take them off for any reason. I also met a lady who was 9 months pre op and gave me and another girl *she is having surgery the same day as me* I met some tips and how she was doing.Afterwards my mom and I went the Art district of St. Pete and ate at The Dome ( their food is delicious!) Then I went on my first college tour of USFSP.

March 8, 2016

Today is my visit with the Chiropractor, which I am most excited about.  I am hoping he will be able to help with my neck pain. Because of my jaw being funky my neck is straighter than it should be, it is not as curved, so I have a lot pain. Dr. Hobbs was great. We did some exercises with my neck on the table he has in his office. I will  not lie it hurt quite a bit. Afterwards we went to lay on another table which had a heating pad on it and a neck pillow. He applied some patched on my back which sent electric pulses down my back and I lied down on the table, he turned on the patches and they feel pretty weird and then magic happened.. there is a roller underneath the table and rolled out my back it felt amazing! We picked up my prescriptions afterwards...*there are a lot... Tomorrow I get my labs done at talk to the PACU nurse. Then we pack are bags and off to the hotel.

 

March 9, 2016 

HAPPY SURGERY EVE!! Today I am getting my pre-op labs done and making sure everything is set and ready to go! Tonight we are staying at a hotel near the hospital since I have to be there at 5:30 am *My surgery is at 7:30 am. I am getting super anxious and nervous, but excited at the same time. I know Dr. Piper will take good care of me. So off to bed for me :)

 
 
 
 
 
 
 
 
 
 


Saturday, March 5, 2016

Packing List

 

Items you will need for your surgery:

  • nutribullet or something similar
  • waterpik
  • Boogie Board ( I had this suggested to me by a women I met who had previously had the surgery and Its really cool!) This will come in handy since you won't be doing much talking.

  • microwaveable containers
  • baby spoons
  • baby toothbrush
  • sensitivity toothpaste
  • the PA highly suggests Listerine mouth wash ( if you are getting teeth extracted like I am DO NOT buy fluoride mouth wash!)
  • gentle body wash
  • LIP BALM- your lips will be very dry!
  • Lots of Kleenex you might drool a little.
  • Pill crusher
  • Pill organizer ( you will be on a variety of pills)
  • Liquid Tylenol
  • Prilosec
  • Afrin
  • Stool softener
  • Benefiber
  • Self-standing mirror
  • Thermaphore Petite heating pad- This will be at the Prescription Store in St. Pete.

Clothing

  • Loose shirts with a wide neck
  • yoga pants or leggings
  • Fuzzy socks! If you are anything like me my feet are always cold.
  • Slide on shoes with grips for when you do your walking after surgery
  • PJs
  • I have heard the hair twist towels hurt your ears less than just twisting a regular towel after a shower. I have personally not tried it yet.
* Bring enough for at least 2 weeks

LIQUIDS!!!!

  • The first 4-5 days you will be drinking through a syringe and they have a certain percentage of fluids you should be taking in.
  • Water
  • Any nutritional drink ( i.e. boost, ensure etc..)
  • Gatorade
  • Apple juice
  • Soft drink of your choosing


 

Meeting the infamous Dr.Piper!!

Meet Dr. Piper


Dr. Mark Allan Piper was raised on a farm in rural Ohio where he graduated as Valedictorian of Ashtabula Edgewood Senior High School. He was admitted as a Harvard National Scholar to Harvard College, and he majored in chemistry. He received his Bachelor of Arts cum laude, in 1974. He continued his studies as a Harvard Graduate National Scholar, and in 1978, he earned his DMD magna cum laude, from the Harvard School of Dental Medicine. He was the Harvard Gold Medal Award recipient of his graduating dental school class and was inducted into the Harvard Chapter of Omicron Kappa Upsilon.
Dr. Piper then enrolled in Vanderbilt Medical School and completed his MD degree in 1980. While at Vanderbilt University Medical Center he was awarded certificates for completing a one year Internship in Oral and Maxillofacial Surgery, a two year Basic Residency in General Surgery, and a one year Chief Residency in Oral and Maxillofacial Surgery. He was an emergency room physician in Tennessee before moving to Florida to establish his private practice as an oral and maxillofacial surgeon. He is licensed and boarded in both dentistry and medicine, and he is Board Certified by the American Board of Oral and Maxillofacial Surgery.
Dr. Piper is a member of numerous local, state, national, and international dental and medical organizations and associations. Among these he is a Fellow of the American College of Oral and Maxillofacial Surgeons, Fellow of the American Society of Maxillofacial Surgeons, and member of the American Society of Plastic and Reconstructive Surgeons. He is a member of the American Dental Association and the American Medical Association. In 1984, he was one of twelve founding fathers of the American Society of TMJ Surgeons. He has served that organization as Member of the Charter Committee, Chairman of the Research Committee, and Chairman of the Adjudication Committee. Dr. Piper has been on staff at six hospitals in the greater Saint Petersburg area, and he has been a member of numerous hospital committees. He is a past Trustee of Edward White Hospital and Board Member of the Pinellas County Medical Society.
Dr. Piper has an extensive research and teaching background. As a dental student he authored a legislative bill creating the Office of Dental Forensic Examiner for the Commonwealth of Massachusetts. He defended his Harvard School of Dental Medicine thesis on the study of myoepithelial cell migration. He was honored by the International Association of Dental Research as the Hatton Research Award First Place Winner for his original research presentation and defense on wound healing and on mechanisms of fetal palatal shelf elevation.
In private practice his clinical research interests have included the diagnosis and management of Complex Regional Pain Syndrome, osteochondral growth deficiency of human mandibular condyles, and TMJ degenerative conditions. He is credited with a number of major advancements in the field of TMD including classification of TMJ disorders, development of TMJ Doppler Auscultation, TMJ microsurgery, stealth-assisted skull base surgery, and autologous adipose reconstructive grafting of damaged joints. He has special expertise in tracking occlusal disturbances in patients with TMD, and he has been instrumental in developing methods of occlusal correction through temporomandibular reconstruction.
His current work is focused on the surgical repair of TMJ internal derangements to reverse childhood osteochondral growth defects and subsequent malocclusion. Dr. Piper has lectured extensively throughout the world to both dental and medical audiences. He has been a frequent guest lecturer at the Pankey Institute and at the Dawson Center for Advanced Dental Study. His peer reviewed publications focus on TMJ microsurgery, avascular necrosis of the mandibular condyle, MR diagnosis of TMJ internal derangements, and the relationship of malocclusion to damaged TMJ’s. He is a former section editor for the Journal of Craniomandibular Practice and former reviewer for the Journal of OrofacialPain.
Dr. Piper currently maintains a private practice at the Piper Clinic in St. Petersburg, Florida. He devotes his skills exclusively to debilitated pain and TMJ patients, including adults with failed surgery and children with joint injuries. He is the founder and full time director of the Piper Education and Research Center, an institution dedicated to the advancement of TMJ education through lectures, hands on experiences, clinical fellowships, and research study groups. He serves as medical advisor to Anomalous Medical, LLC, in the development of graphical computer modeling of normal and pathological anatomy in the head and neck region. February 8, 2016 was the big day, I get to meet the infamous Dr. Piper.

 The Piper Motto

Seeking: opens the mind to the limitless accumulation of knowledge. Only by seeking can professions find the truth.
Learning: is an accumulation of the truth in the minds of thinking individuals. Professions advance by learning the truth.
Healing: results from the application of truth for the betterment of mankind. Professions find their purpose by practicing the truth.
Teaching: disseminates the truth to those who inquire. Professions generously educate others to use the truth.
Leading: challenges the will to accumulate and to apply the truth in the most judicious manner. Professions are lead by those who continually refocus the truth.
.

I would highly recommend Dr. Piper to anyone who is looking for a fix with their haw. You will receive his full and undivided attention. When you are in the room with him you are his only priority. Not to mention his entire staff is amazing! They try to make this journey has easy as possible for you.
.
 

This is a VERY long day. You will get there around 7 am, my mother and I did not leave until about 10 pm. I would suggest bringing things to do as you will be doing a lot of waiting. When you get there you will check in and they will go over the paper work real quick to make sure you filled everything out correctly, then you will go take your seat. You will soon get called back (by yourself) to a room were you will get molds and meet Dr. Piper. You will then go back to your seat and.... wait. During your wait times take advantages of talking to some of the other people there. I met a girl who had just had her surgery about 4-5 days ago. We got to talk to her mother when she went back and she gave some tips on how it went. I then went back for MORE molds. I hate molds. Afterwards I met with the PA who did a LOT of exams. Definitely take some advil before you go, you will need it! Then Dr. Piper came in and looked over my MRI and the PA told him what he took in his notes. Dr. Piper then did some more exams on my jaw. He wanted another MRI since my first one was not good enough to make proper diagnostics. It was about 1:00 pm when we left for some lunch before going to my MRI. There are a bunch of little restaurants and cafes to choose from. Afterwards we went to my MRI which took about a hour. We went back to Dr. Piper's office and the sat us in a conference room with a TV. We watched a video about the MRI and how it would be read and that sort of stuff. At this point I was really tired and one of his nurses gave me a very fuzzy blanket. My mom and I hung out in the conference room for about 3-4 hours as he was finishing up with a patient and their final evaluation. I was super hungry, I had not eaten for about 7 hours by now. So be sure to bring multiple snacks with you. It was somewhere around 7 pm when we went to see Dr. Piper for my final evaluation. He noticed I was hungry and asked one of the nurses to bring me a Boost drink. When you go to the final evaluation there are 3 big computer screens. 1 has your MRI pictures on it the 2nd one has a model of your mouth ( hence the reason for so many molds) the 3rd was Dr. Pipers screen where he controlled everything.

Final Evaluation

When you go back for your final evaluation you will be looking at the MRI together this will be the first time everybody sees it including Dr. Piper. He goes through it very slowly and detailed to make sure you understand what he is saying. After every segment of the MRI he will ask if you have any questions. According to Dr. Piper my condyles were half the size the should be. Normal is usually around 160 cm, mine were 92 cm which made it easier for my disks to slip. He also saw arthritic changes in my right condyle. My right side is much worse than my left. My ligaments are also loose which made it easier for my disks to slip. In the middle screen which has the model of your mouth, he will show you what happens to your disks when you talk and chew. Its generated to your specific case. On my right side my disk covers none of my bone and that why I am beginning to get arthritis because I have had bone-on-bone interaction for a long period of time. He classified it as a 4B. Which means its in pretty bad shape. He also mentioned that this side will be more difficult to fix than the left side because he has to get towards the inside of the bone. He classified my left side as a 4AB and said it was close to a 4B. After all of this is said and done he will go over every option with you, to least invasive to worse case scenario. He does not try to persuade you one way or another, he just lays it out and gives you the pros and cons of each treatment option.
After receiving all of the our options my mother and I made the decision to go through with the surgery.

and so the fun begins....


Introducing Me

Hey guys! So this will pretty much be an introduction post to me and my situation.





My name is Olivia Fulton and I am 17 years old



 

Where it all began.....

I have always had some sort of jaw pain ever since I was younger. Around 8 is when my jaw would start locking. It only happened about twice a year and I never thought much of it and neither did my parents. This continued until I was about 14 and got braces. Once I received my braces, my jaw pain just got so much worse. It began to lock more and more frequently. My sophomore year of high school is when it started to lock a lot. I kept telling my parents my jaw was locking. We still did not think much of it. Over the summer of 2015 is when I got really bad. My jaw would start locking for hours. This is when we began to think there was something wrong. We went to see my local dentist and they referred me to an orthodontist. Before I had a chance to visit with Dr. Peden (the orthodontist) I got pneumonia, which for some reason cause my jaw to lock for 2 solid weeks- which was the entire time I was sick. By late November 2015 I went to see Dr. Peden.

Dr.Peden

is when I a pano and did an evaluation. He felt the side of my face and could feel the clicking and popping in my jaws. He told me I had a TMJ problem. He sat us down and told us what that had meant and how it worked. So basically the disk that cushions the jaw when you talk or eat was displaced. His treatment option was braces ( new brand of braces) they exerted less force on the teeth and it would widen my palette, which would hopefully help everything settled into place. In the mean time, he gave me a splint to wear to keep my from clenching my teeth and exerting any stress on my jaw. Dr. Peden and his team were absolutely AMAZING!!!! When I got my splint they made sure it was overnighted so I could have it the next day since I was in so much pain. He personally came in - ON HIS DAY OFF WITH FAMILY AT HIS HOUSE- and made sure it fit properly. How amazing is that! He also gave me a prescription for valium to help relax my jaw muscles.

My grandmother also had TMJ problems and told me about a doctor she saw in Jacksonville- if we want to get a 2nd opinion (so glad I did).

Dr. Dennis 

In about January 2016 I went to see Dr. Dennis, who also happened to previously worked for Dr. Piper. When we went to see here she looked at my range of motion ( how far I could open and move my jaw from side-to-side. She then held her fingers against my joints to feel the popping and clicking. She then felt around my shoulders, neck and head to see if I had any pain. She also felt around my cheeks for any pain. I had very mad pain in a tendon on the right side. She said I had tendonitis in that ligament. She then used a dobbler ( same machine to listen to a baby's heartbeat). With this she could hear my blood vessels and the clicking of my joints. She then took us back to her office to go over my MRI *She ordered it before I came to here office.*  Side note:  For MRI's I would highly suggest taking some sort of anti-inflammatory before hand because for part of the MRI you have to have your mouth open and can be quite painful.
She went over my MRI with my mom and I and she said my condyles were about half the size they need to be. She went into full detail about my disks. I couldn't really follow what she was saying because I focusing on the fact that she was going to tell me I would have to have surgery, which she said when she was finished with the MRI. She then told us she is going to refer me to Dr.Piper. We got in touch with his office and they had an appointment for NEXT month! We were quite surprised since it took my grandmother 3 months to get in. So at this point I began to mentally prepare myself for a major journey.



*I have been blessed with amazing teachers who are helping me through this process. I have missed a lot of school due to being in so much pain and being on different medications. Be sure to let your teachers know what is going on, they will understand I promise. I cannot stress how important it is to stay in contact with them.