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	<title>The Ivey League &#187; tonsillectomy</title>
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		<title>Coblation Tonsillectomy Post-Op Information</title>
		<link>http://theiveyleague.com/2010/03/03/coblation-tonsillectomy/</link>
		<comments>http://theiveyleague.com/2010/03/03/coblation-tonsillectomy/#comments</comments>
		<pubDate>Thu, 04 Mar 2010 02:35:10 +0000</pubDate>
		<dc:creator>Bridget</dc:creator>
				<category><![CDATA[Bridget Blogs]]></category>
		<category><![CDATA[tonsillectomy]]></category>

		<guid isPermaLink="false">http://theiveyleague.com/?p=2734</guid>
		<description><![CDATA[(Not really written so much for my regular readers, but for folks looking on post-op information.  Before my surgery, I searched high and low for something like this and found nothing.  So here&#8217;s hoping that I can help someone else!) So most of you know that I had a tonsillectomy last Wednesday.  I had heard [...]]]></description>
			<content:encoded><![CDATA[<p><em>(Not really written so much for my regular readers, but for folks looking on post-op information.  Before my surgery, I searched high and low for something like this and found nothing.  So here&#8217;s hoping that I can help someone else!)</em></p>
<p>So most of you know that <a href="http://theiveyleague.com/2010/02/22/i-probably-wont-die-but-just-in-case/">I had a tonsillectomy</a> last Wednesday.  I had heard many, many horror stories and had been putting it off for years because of all the hullabaloo(yes, I just used the word hullabaloo&#8230;face it, it&#8217;s a fun word to say!).</p>
<p>Luckily during the time between when I <em>should</em> have gotten it done and when I <em>actually</em> got it done, a new procedure had been developed and perfected.  Also luckily, one of our friends from medical school completed her ENT residency and was more than happy to take me on as a patient.  (Thanks, Melanie!)</p>
<p>So my <a title="That's Melanie!  (But that isn't me with her!)" href="http://www.eurekalert.org/multimedia/pub/17580.php?from=146983">wicked-smaht friend</a> suggested that we use the new technology and do a <a href="http://en.wikipedia.org/wiki/Coblation_tonsillectomy">coblation tonsillectomy</a> instead of the traditional method.    She warned me that it was really going to hurt, and made me promise that I wouldn&#8217;t hold it against her.</p>
<p>And after all the crazy-wild &#8220;you&#8217;re not gonna die, but wish you were dead&#8221; stories that I got from most people, and after Melanie&#8217;s warning&#8230;I was plain out scared.  Well, not so much scared as <em>petrified; <span style="font-style: normal;">co</span></em>mpletely mortified that the pain was going to be so bad that I couldn&#8217;t tolerate it.  As a matter of fact, I was planning on just making sure I was drugged up enough that I slept through most of the pain.</p>
<p>But, only 12 hours after my surgery, I&#8217;m feeling great!  It hurts, of course, but nothing like <a href="http://theiveyleague.com/2010/01/08/playing-catch-up/">that round of strep in January that tried to kill me</a>.  I&#8217;m taking my antibiotics(liquid) and keeping a low-dose of (liquid) pain meds in my system.  (Why tempt fate by letting that run out unnecessarily?)  But since I&#8217;ve gotten out of the hospital, I haven&#8217;t thrown up or taken any anti-nausea medications.  (For me, that&#8217;s an amazing feat!)</p>
<p>I have also heard that somewhere around Day 3 to 5, it really hits you.  Here&#8217;s to hoping &#8220;they&#8221; are wrong, just like &#8220;they&#8221; were wrong about how intense the initial pain would be.  Also, most of the info I got was from people who&#8217;d had the traditional cut&#8217;em out surgery.  Even after looking online for more info on post-op pain, I found very few personal accounts.  (There are plenty of stats out there but stats, after all, are really just numbers.)</p>
<p>So&#8230;here&#8217;s my running diary of my <a href="http://www.youtube.com/watch?v=KizSZuqkyBc">coblation tonsillectomy</a>.<br />
Each day you&#8217;ll see a pain rating.  It is based on <a href="http://images.chron.com/blogs/houstonpolitics/pain-scale.gif">this scale</a>.</p>
<p>Surgery Day(Wed):<br />
Pain Rating: 5</p>
<ul>
<li>Reported to hospital around 5:45AM, hungry and cold.<br />
(I&#8217;m not a morning person.  I&#8217;m even less of a morning person if I can&#8217;t eat.)</li>
<li>Got all the paperwork completed and changed into a gown.</li>
<li>In the OR &#8220;holding tank&#8221; by around 7.</li>
<li>Happy meds&#8230;.lalala&#8230;remember nothing.</li>
<li>Vaguely remember Melanie coming to me in post-op and telling me that it was a good thing I got them out.</li>
<li>The good Dr. Seybt goes in to talk to Marshall and my parents.  Tell them that my tonsils were absolutely disgusting and she doesn&#8217;t often see tonsils with that much scar tissue on them.</li>
<li>A bumpy ride from the recovery room to my room leaves me a bit motion sick and I throw up.<br />
It hurts, but I still have a good bit of anesthesia helping me out, so it doesn&#8217;t hurt <em>too</em> much.</li>
<li>The anti-nausea medication makes me sleepy, and doesn&#8217;t help my nausea all that much.</li>
<li>After throwing up a few more times, I ended up trying to sleep it off.</li>
<li>I finally brave getting dressed and leave the hospital.</li>
<li>I sleep most of the day until around 6pm.</li>
<li>By now I&#8217;ve had a couple of popcicles, a pudding cup and some ice cream.</li>
<li>Marshall and <a href="http://degreeinenglish.blogspot.com/">Jesse</a> eat Chick-fil-A, which is just mean, and I sneak one piece.<br />
It goes down fairly easily, but I know better than to push my luck too much.</li>
<li>I&#8217;m not talking too much, but trying to drink.  Hydrate, hydrate, hydrate.<br />
(I don&#8217;t think I&#8217;ve ever peed so much in my life!)</li>
<li>Still not much pain, just wondering when the other shoe&#8217;s gonna fall, since all I&#8217;ve ever heard were horror stories.</li>
<li>Can&#8217;t seem to sleep now because I slept so much today.</li>
</ul>
<p>Day 1 Post-Op(Thurs):<br />
Pain Rating: 3 for throat, 6 for body</p>
<ul>
<li>Woke up feeling like I&#8217;d been hit by a mack truck.  Not my throat, mind you, but my oh-so-stiff body.<br />
I feel like the surgical staff must have made me do some crazy yoga during my surgery.<br />
There&#8217;s no other way to explain this soreness.</li>
<li>Realize that the soreness is actually from when I threw up.  I threw up <em>hard </em>and used every muscle in my body.</li>
<li>Throat doesn&#8217;t hurt all that much, but keeping the pain meds going steadily.</li>
</ul>
<p>Day 2 Post-Op(Fri):<br />
Pain Rating: 3 for throat, 4 for body</p>
<ul>
<li>Kept pain meds going fairly steadily.</li>
<li>Even when pain meds ran out, I didn&#8217;t feel horrible.</li>
<li>Felt good enough to go to the store and buy a notebook.</li>
<li>Kept liquids and popsicles going non-stop.</li>
<li>Foods for today: scrambled eggs, soft part of hashbrown casserole, grits, jello, pudding</li>
</ul>
<p>Day 3 Post-Op(Sat):<br />
Pain Rating: 3</p>
<ul>
<li>Mostly same as Friday.</li>
<li>Tried to do too much on Saturday morning and ended up getting nauseous.</li>
<li>Hydrate, hydrate, hydrate!!!!</li>
<li>Food for today: oatmeal, chicken and stars soup</li>
</ul>
<p>Day 4 Post-op(Sun):<br />
Pain Rating:  3</p>
<ul>
<li>Had problems with nausea on and off all day long.</li>
<li>Slept a lot today.</li>
<li>Pain not so bad, but nausea was overwhelming at times.</li>
<li>Inner ear pain is worse than throat pain, but even it isn&#8217;t so bad.</li>
<li>Could ear pain possibly contributing to nausea?</li>
<li>Ear pain is, I think, coming from the fact that the scab came off the right side.</li>
<li>I think I have have had some throat bleeding that went down into my stomach, causing the nausea.</li>
<li>Food for today: oatmeal, pasta with cheese sauce</li>
</ul>
<p>Day 5 Post-op(Mon):<br />
Pain Rating: 5, 6-7 when pain meds wear off</p>
<ul>
<li> Even with pain meds, I don&#8217;t feel like talking today.</li>
<li>I haven&#8217;t been drinking like I should so that&#8217;s probably contributing to the problem.</li>
<li>I&#8217;m starving, but nothing tastes good.</li>
<li>If it tastes good, I probably can&#8217;t eat it.</li>
<li>Tried to eat vegetable soup, but the tomato base was too acidic.</li>
<li>On the up side, I&#8217;ve lost 7 pounds since Wednesday.</li>
<li>Food for today: grits, fresh fruit popcicles, ice</li>
</ul>
<p>Day 6 Post-op(Tues):<br />
Pain Rating: 6-7</p>
<ul>
<li>Coughed a good bit last night, so my throat is raw.</li>
<li>Throat feels more swollen today than before.</li>
<li>Scabs on on left side fell off sometime last night.</li>
<li>Felt good enough to go get my hair done, but by the time I got back home I was exhausted.  From sitting in a chair.  Ridiculous.</li>
<li>So yeah&#8230;BIG DEAL.  Sitting in my bed doing nothing.  Realize that I think my nose is bleeding.  Actually, no&#8230;it&#8217;s <em>my throat</em> and there&#8217;s A LOT of blood in my mouth.  And by a lot, I mean about 200 cc&#8217;s(which is, ya know, about the size of one of those little milk cartons you used to get at school).</li>
<li>Called my husband, who rushed home.  He called my doc. We all three discussed it.</li>
<li>Conventional wisdom says rush back to the OR and re-cauterize the bleeder.  But there are a lot of docs who say if it&#8217;s just one bleeder, see if you can stop it before going back under anesthesia.</li>
<li>Got it stopped relatively quickly and was super-cognizant about whether I was bleeding at all.</li>
<li>Even more insistent on staying hydrated.</li>
<li>No more bleeding and SO very thankful I didn&#8217;t have to go back to the OR!</li>
</ul>
<p>Day 7 Post-Op(Wed):<br />
Pain Rating: 4, even without pain meds</p>
<p><span style="font-family: Georgia,'Times New Roman','Bitstream Charter',Times,serif; font-size: 13px; line-height: 19px;"> </span></p>
<ul>
<li>Went with my dad to the kid&#8217;s school for a little while, and it<span> </span><em>wore me slap out!</em></li>
<li>Took a long, long nap and forgot to take my antibiotic.  :-(</li>
<li>Swallowing easier, throat feels much better but<span> </span><em>any</em><span> </span>activity leaves me<span> </span><em>exhausted.</em></li>
<li>Although I&#8217;ve lost 10 pounds in a week, I don&#8217;t suggest this diet.  I&#8217;m starving.</li>
<li>I am sick sick sick of jello, pudding, soup and other &#8220;smooth&#8221; foods&#8230;but I&#8217;m afraid that I have at least 3 more days of  a &#8220;smooth&#8221; diet.</li>
</ul>
<p>So my big words of wisdom:<br />
Just take your pain meds on a schedule.  Don&#8217;t do it <a href="http://www.medterms.com/script/main/art.asp?articlekey=8309">p.r.n.</a></p>
<p>And <strong>BUY PLASTIC SPOONS!</strong> Sure, you&#8217;ll look at your silverware drawer and think, &#8220;I have tons of spoons!&#8221;  But when you use nothing but spoons for days on end, you run out faster than you think.</p>
<p>I&#8217;ve been told that I can resume picking up my children  after 2 weeks, and that I can try to sing after 4 weeks.</p>
<p>I&#8217;ll try to remember to come and update on this post after that (so that all the info will be in one place)!</p>
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