Tonsillectomy & Nasal Surgery - Advice For Others

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SleepingUgly
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Tonsillectomy & Nasal Surgery - Advice For Others

Post by SleepingUgly » Thu Jul 01, 2010 7:30 pm

Yesterday I had a septoplasty, turbinate reduction, and tonsillectomy with pharyngoplasty (although two weeks post-op, I'm still editing this post to reflect things I've learned). To anyone considering these surgeries, here is some advice:

DIET FOR FIRST FEW DAYS:
  • The colder it is, the better it feels
  • No acidic foods like tomato, orange, lemon (It's OK if it's orange jello or something, because it's not acidic, but you don't want tomato soup or tomato sauces)
  • I'm lactose intolerant so dairy products are missing from my list, unless they contain active cultures. In general, dairy products can create more mucus, so don't overdo them in the first couple of days
  • Gatorade to drink plain or to use in a Gatorade slushie. Recipe for blender:
    2.5 Cups of ice cubes
    2.5 Cups of gatorade
    1 Cups of sugar
    (so far this Gatorade slushie makes my throat feel better than almost anything else, besides obviously the pain medication)
  • Popsicles
  • Ingredients to make smoothies
  • Drinkable yogurts (but I didn't try these in the first few days because of the mucous issue)
  • Boost (high protein drink)--even though nondairy, it does seem to make too much mucous, in the first few days especially, but it's a great source of protein
  • yogurt in tube like Gogurt (freeze it and eat frozen, if you like, or just refrigerated)
  • applesauce or pudding for putting crushed pills in
  • Frozen yogurt, sorbet, or ice cream (again, limit dairy first few days). Chocolate seems to sting more.
  • Jello (no chunks of fruit in it, ideally not red if you're concerned about vomiting as red Jello and blood look the same)
  • Nonacidic juices, such as apple juice (not lemonade, orange juice, etc.). Berry smoothies, even though I thought they would not be acidic, hurt.
  • Soup broth at only lukewarm temperature. Soup that is slightly thicker than broth is OK, if there are no chunks (In the organic section, I found boxes of soup by Imagine, such as creamy potato & leek soup, etc. Despite the title "creamy", they are nondairy. They are more substantive than some of the other things you're eating, but so far at 36 hours post-op, they don't feel as good on my throat as the icy things, but they are tolerable and more filling)
After graduating from a full-liquid diet:
  • Thin mashed potatoes, but not too salty
  • overly-cooked, soft pasta
  • scrambled eggs
  • oatmeal
  • pureed foods
  • Matzah ball soup (not hot)
  • mashed avocado
  • Chicken noodle soup (not hot)
ACCOUNTREMENTS TO HAVE ON HAND:
  • Humidifier--this is imperative
  • good pill crusher (I got one at CVS)
  • a cloth-encased gel icepack to put on your face (the soft ones that are malleable, often made for kids. Ideally 2, so one can be frozen while you're using the other)
  • saline sprays (in squeeze bottle, not aerosal) for septoplasty
  • Have Afrin on hand in case you start bleeding more than the usual drainage, but otherwise the advice I got is not to use it
  • gauze to tape under your nose to catch drips/blood and tape to tape it on
  • Method of measuring liquid medicines like little plastic measuring caps that they can give you at the pharmacy
  • Salt for making salt water rinses for throat
  • Take to the hospital an eye mask like used to block light (see below under advice for why)
  • Good OTC eyedrops and bring it to the hospital too--(see below)
  • If you can't sleep in a noisy environment, bring a noise machine to the hospital
ADVICE:
  • Put all your medicines in a little crate/box with a sheet saying what you are supposed to take when. Whoever is helping you will also need to write down when you took what, as it can get confusing (I'm taking pain medication, liquid Tylenol in addition, steroid pack (pills that have to be crushed), and liquid antibiotics, in addition to meds that I have to keep taking routinely)
  • I asked my doc for all my Rxs ahead of time, and filled them in advance, so my husband wouldn't have to leave to go get them. Lesson learned: Any liquids that have to be mixed at the pharmacy may not keep for a long time. For example, my antibiotic only lasts 10 days after it's mixed, and I need to take it for 7 days, so I couldn't get it as much in advance as I wanted. Ask them at the pharmacy how long it will last.
  • In the hospital, the first nurse didn't tell the night nurse that I need crushed pills in applesauce. So the night nurse put a whole pill in the applesauce. By the time I discovered this in my mouth, I had no choice but to chew the pill. Blech. So make sure every shift knows what you want/need.
  • Bring any medicines you've filled to the hospital. I specifically wanted Nucynta for pain, and not the usual Percoset, which tends to make me nauseous. I almost didn't bring it along because they should have it there, but they didn't have it in their pharmacy.
  • One thing that I found surprising is that they took all of my medicines and brought it all down to the pharmacy to be checked in (or checked out?) there. Well, it took awhile to get it back from the pharmacy, so I was delayed in some of my meds. Still, I'd advise bringing what you need, just in case.
  • They had a mask that could be hooked to a tube providing humidified oxygen. It really felt good to have the humidified air, but it is not a close fitting mask (nor should it be if you had nasal surgery) and my eyes were so dry due to the air blowing in it. I would have loved to have had that eye mask instead of having to wet 4x4 gauze pads over my eyes.
  • Regarding the eye drops: I was putting drops in my eyes constantly due to dry eyes from the oxygen and because the scapolomine patch made my mouth and eyes so dry.
  • The nurse put an oximeter on my index finger, and I tried to encourage her to move the cord off the top of my knuckle, because it hurts me there. She told me she's been doing this 15 years (so obviously she knows more than I do). The RT came in and moved it to my toe and it worked just fine and didn't bug me. I kept it on my toe, but just unplugged it for my hourly trips to the bathroom.
  • Nights and the next morning tend to be the worst pain so far. If you're not at your maximum pain dosage, you may need it during the night, so have it handy.
  • I ground up my medicine that I would need during the night ahead of time, put some applesauce in a container with an icepack, added a spoon, and left all this in my room with ice packs to keep the applesauce chilled so I wouldn't have to stumble around the house at night looking for things and possibly measuring the medication incorrectly.
  • I put the soft ice packs in a insulated lunch bag with ice packs to keep them chilled, and also kept this in my room. I would often grab my "iron man" soft ice pack and put it on my ear/jaw and sleep on it. I actually asked my doctor ahead of time if I needed ice packs for my face, and she said no, it won't help. Incorrect.
  • Do not abandon pain medicine too soon, especially at night.
  • The most important things from the above list for pain control/comfort are: Pain medications (taken round the clock initially), Gatorade Slushie, soft ice packs for the face, humidifier, and salt water gargles.
I'll add more to this as I think of it. BTW, this is not a comprehensive list, as there is lots of information on the internet. But I wanted to mention some of the more esoteric things I encountered.
Last edited by SleepingUgly on Thu Jul 15, 2010 12:41 pm, edited 15 times in total.
Never put your fate entirely in the hands of someone who cares less about it than you do. --Sleeping Ugly

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Jaylee
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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Jaylee » Thu Jul 01, 2010 7:34 pm

I am picturing you with a dry erase board and a laser pointer. That is hot.

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by nosenabook » Thu Jul 01, 2010 7:38 pm

Congrats, you're up and typing - not sure I could do the same in your place.
Good advice, good time to list it.
Thanks.

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DoriC
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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by DoriC » Thu Jul 01, 2010 7:55 pm

Hi, so glad this is over for you and you're back on the other side! Your post should be required reading for anyone undergoing your type of surgery. Every day will be better and better! Keep us updated.

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by timbalionguy » Thu Jul 01, 2010 8:36 pm

Good to hear you are back from your surgery, and well enough to communicate in a clear manner. The worst is over, it can only get better.
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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Slinky » Thu Jul 01, 2010 8:41 pm

Yep. Convinced me to not even consider these surgeries unless I'm dead and dying! What can I say? I'm a wusp! A pansy. Fortunately, so far as I know I only have a slightly deviated septum. (Which I shall keep, thank you!)

Good luck w/your continued recovery, SU! Thank you for sharing and the helpful hints and suggestions!

Yep, I did learn the last time I was hospitalized several years ago. The hospitals don't keep the wide variety of meds in their pharmacy they used to. AND, be careful when released from hospital to make sure that you get ALL of YOUR brought-from-home meds back from them! I didn't get my newly opened and used prescription eye drops back from them and when I got home and realized it and called they had already been thrown away!!!! Fun (NOT) convincing my insurance to let me have another refill only a week after having filled the script!!!!!

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by SleepingUgly » Thu Jul 01, 2010 9:07 pm

Slinky wrote:Yep. Convinced me to not even consider these surgeries unless I'm dead and dying!
How did my list of things to buy and eat convince you not have surgery? BTW, the worst of it is the throat surgery, not the nasal one that you would be hypothetically be having. That part is not so bad. And actually, I was led to believe the tonsillectomy was such horrific pain. So I'm pleasantly surprised that, with pain medication, it is tolerable (OK, night and next morning is a little worse... ).
Last edited by SleepingUgly on Fri Jul 02, 2010 6:44 am, edited 1 time in total.
Never put your fate entirely in the hands of someone who cares less about it than you do. --Sleeping Ugly

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Slinky » Thu Jul 01, 2010 9:36 pm

Relax, SU. I was just pulling your leg.

Just the LIST of the surgeries you had done turned me green. You have to realize what a pansy and wusp I am when it comes to surgery - of any kind! Yeah, I've heard all the tales about how much fun tonsillectomies are for adults. I have NO real idea of what a pharyngoplasty entails, but I do know what and where the pharynx is. I know even less about the turbinates.

So, no, you really didn't say anything that would turn someone off from having these surgeries if they are necessary. And it is encouraging (if you aren't an absolute wusp like me) that you are doing so well so soon!!!

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by rosacer » Thu Jul 01, 2010 9:59 pm

I'm very happy for you SU, I wish you to have a fast recovery and great results from your surgery.

Thanks very much for the detailed information you wrote for us. There is nothing scary at all but I'm like Slinky, I hope I won't need a nasal surgery

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by BlackSpinner » Fri Jul 02, 2010 7:30 am

SU - you need to add "Don't plan you move on the day off the surgery but if they insist make sure the movers move your bed first and make it up"

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Allenhiq » Fri Jul 02, 2010 1:41 pm

SleepingUgly wrote:
Slinky wrote:Yep. Convinced me to not even consider these surgeries unless I'm dead and dying!
How did my list of things to buy and eat convince you not have surgery? BTW, the worst of it is the throat surgery, not the nasal one that you would be hypothetically be having. That part is not so bad. And actually, I was led to believe the tonsillectomy was such horrific pain. So I'm pleasantly surprised that, with pain medication, it is tolerable (OK, night and next morning is a little worse... ).

IN 2006 I also had two back to back surgeries: first one: Turbinate reduction, and Septoplasty (deviated septum) for my nose, they also removed my uvula and other loose parts of back of my throat, but my Dr. did not do surgery on my tonsils because he said they are large but not very large and it is a very painful surgery for adults. I also had somnoplasty (they burn the backside of your tounge with a medical wand and the idea is when the burn heals, the area becomes harder and less likely to collapse).

The second surgery was only somnoplasty.

I have to say the pain was very tolerable and I would do this again without hesitation. These surgeries enabled me to breathe from my nose and my sleep apnea got much better.

Like my Dr. said, it did not cure my sleep apnea, but it reduced the severity.

He recommended 3 somnoplasty surgeries and I did only two. I decided to loose some weight and if the apnea is not gone do the 3rd one after loosing weight. I still have not lost the weight and opted to go on CPAP instead.

I only wish I pushed my Dr. to also do my tonsils.

If you need surgery, no medical device or spray medication can replace it. Plus, I was so high on pain killers I don't even remember having any pain. All I remember is that I had a lot of small ice chips for the first two days after surgery. The coolness of ice took away the discomfort.

I went back to work after a couple of days and I was totally fine. I did not have any bandages or open wounds.

The most painful/irritating part, was a small are behind my right ear were my Dr. stole some cartilage from my ear to fix my nose. That little bugger took a long time to heal and it was painful to touch for a long while.

but to my amazement, the nose and the throat got healed really quick.

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by brazospearl » Fri Jul 02, 2010 1:50 pm

SleepingUgly,
Glad you came through the surgery and are healing. Wishing you a speedy total recovery!

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Ms.Snuffleupagus » Fri Jul 02, 2010 2:01 pm

SU, you are absolutely amazing, keeping us posted the day after surgery! Good for you. Let us know how your cpap therapy goes once you can restart or if you still need it!
By the way I totally understand Slinky and it has nothing to do with what you wrote or how you wrote it. I am also a big wuss. The last time I had surgery, I made sure to say my pain was 10 out of 10 when asked how I was in the recovery room...just in case. Worked, I was put out for several hours after that!
Congrats on your continued recovery!
Last edited by Ms.Snuffleupagus on Fri Jul 02, 2010 6:24 pm, edited 1 time in total.

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by Slinky » Fri Jul 02, 2010 4:59 pm

Ah, Ms.Snuffleupagas, a lady after my own heart!!! Totally spineless when it comes to surgery, right?? Ten, TEN, and ten fingers waving in the air, TEN!!!

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Re: Tonsillectomy & Nasal Surgery - Advice For Others

Post by jdm2857 » Fri Jul 02, 2010 5:03 pm

Am I wrong in thinking that many hospitals will not allow patients to bring their own medications (or xPAPs)?
jeff