Monday 23 January 2017

Septoplasty Post-op Diary -- Day 8-10

Previous post: Day 7

Days 8-10

The good news is that apart from my nose still leaking occasionally, I otherwise feel back to normal. The headache is gone, I have stopped crying inadvertent tears, and my throat has stopped hurting.

Still douching three times a day (need to continue this until the 2 week mark, apparently) which is bringing out some gunk but not a lot.

The congestion in my nose is reducing -- it's still not clear, but it's clear enough that I can now breathe through it most of the time.

Back to work tomorrow, and if all goes well this will be my final entry for a while!

Thursday 19 January 2017

Septoplasty Post-op Diary -- Day 7

Previous post: Day 6

Day 7

"Hmm, it's not normally that far up the nose". 
"I can't actually see it, could you tilt your head back further?"

Today is splint removal day, and upon arriving at my appointment with the nurse, my confidence in my recovery was somewhat dampened when she uttered those remarks. 

Before that, I'd been sprayed with a nasal aneasthetic to numb the nose, and then left for 10 minutes for it to take effect. It ends up dripping down your throat and tastes disgusting, but I decided to man up and make an unnecessarily big fuss about it.

When the nurse finally did manage to find the splints and pull them out, the process was not painful but was a strange sensation. Well, there was a little bit of pain when the central part of the splint came out of the nostril. The splints are basically two surprisingly large pieces of plastic, which have been holding your newly straightened septum in place since the operation was done. If you've been douching correctly they should be fairly clean... mine were clean-ish but still somewhat covered in dried blood and mucus.

The result had me somewhat underwhelmed. Online you read stories from people who've gone through a rebirth when the splints come out, and say they never realised life could smell so good. For me, nothing really changed.

That's probably because my nose is still so congested (presumably with mucus and bruising) that I'm still breathing through my mouth -- and therefore haven't noticed any difference. I guess time will tell over the next few days whether that improves.

Next: Days 8-10

Wednesday 18 January 2017

Septoplasty Post-op Diary -- Day 6

Previous post: Day 5

Day 6

Little has changed today. Other than being rudely awoken at 7am by an over-enthusiastic neighbour doing some early morning DIY, today feels the same as yesterday. I still have a bit of a headache, my nose is still running to some extent, and I'm still flushing out occasional pieces of gunk with my saline wash.

It seemed like it was time to head out for another walk to clear the head, but it turned out to be 35°C today which ended up making me light-headed instead. So, the walk terminated after 15 minutes with a return to the air-conditioning of home.

Do's and Don'ts

Today I got thinking about all the rules of what you can't do post-septoplasty. When you look at the instructions given by your doctor, and read the instructions other people have been given on the internet, there is some common ground but also quite a few differences in timescales. I guess some doctors are more conservative than others!

Anyway, based on what I've read so far, the situation seems to be:

  • Days 1-7: try not to do anything more than watch TV and read books. You'll need lots of rest, and it's vital to avoid blowing your nose, touching your nose, picking your nose, sniffing, sneezing, or basically doing anything at all within a mile's radius of your nose. Do not go to work, or even go outside at all, in case you pick up an infection or accidentally get smacked in the nose.
  • Days 8-14: this second week is a bit more liberal. You're allowed to go to work again and resume sedentary daily activities, but still don't do anything like travel, exercise, sex or anything which might raise your blood pressure or get your heart racing. And still avoid all the nose-related activities for this second week too.
  • Days 15-60: hallelujah! Now you can start to live life again! As of the two week point, if all is going well you should be able to return to normal life. The only things that remain banned at this point are activities that are likely to put pressure on your nose -- so diving, contact sports, water parks, and doing cocaine are all still off the agenda.
  • Day 61+: in theory at this point you're almost back to normal. They say that those more rigorous activities can be resumed after "at least two months", so are you willing to risk a dive on day 61 just because you're allowed? There's no more guidance from this point, so if not now then when?!
Next: Day 7

Tuesday 17 January 2017

Septoplasty Post-op Diary -- Day 5

Previous post: Day 4

Day 5

Waking up today felt remarkably like waking up yesterday. I'd managed a full 7 hours sleep, and woke up feeling congested like a bad cold.

My headache seems to be improving, and my eyes are watering much less now. I'm definitely starting to feel more normal.

What's still continuing, though, is the fairly regular discharge from my nose. The good news is that this has progressed from a fairly bloody discharge on the first day, to a point now where it's more like the snotty runny nose you have when you've got a cold. But blowing your nose and sniffing are both big no-no's for the first two weeks, so in lieu of these solutions I just have to keep dabbing with the paper towel.

My main enemy now, it seems, is myself. I'd never realised before just how often you knock your nose as you go about your daily business. For example, whenever I bring my hand up to my face (eg. to wipe away tears, scratch an itch on my forehead, or whatever) I've now discovered that I usually whack my nose on the way past. Normally this wouldn't matter of course, but at the moment my nose is still very tender and brushing my hand past it feels like being punched in the face. What's more, whack it too hard and it could dislodge the newly straightened bone, putting me right back to square one! So my task for today is to self-learn that my nose is tender and touching it must be avoided at all costs.

Venture out?

Outside it's a gorgeous summer day today, and it seems criminal to be indoors yet again. The recommendation is that you should stay indoors for the first week -- this is apparently because you're more susceptible to picking up an infection, and your nose is not protected by any clothes that you might wear.

However, that comes at the cost of going slowly insane from cabin fever, so I decide that by this point it's fine to go for a short walk. Walking down the street was a surreal experience, realising that I'm the only one who knows how fragile my nose is. I feel a bit like I'm carrying an unexploded bomb but that everybody else is blissfully unaware. 

I walk slowly and deliberately, avoiding blind corners and shop doors to make sure that nobody accidentally walks out into me and damages my prize possession. I make it to the shops, stock up on essentials and then head back. It's a windy day, and I can feel the wind on my nose, it's sensitive but not painful.

Conclusion

Today is the first time that I've started to feel somewhat normal again. I've only spent an hour dozing during the daytime, I'm able to focus for longer and my nose is dripping less frequently. 

I'm still feeling no benefits from the surgery -- my nose is still blocked or swollen -- but I'm told that this is to be expected until the splints are removed, which should be happening in two days time.


Next: Day 6

Monday 16 January 2017

Septoplasty Post-op Diary -- Day 4

Previous post: Day 3

Day 4

Last night when I went to bed, I could feel the 12-hour-old bloody tampon pressing up against my moustache, the fibers slowly fraying. I started thinking, perhaps the nurse was right... that perhaps I should stop using these now, that perhaps I was just clinging onto them as a security blanket.

So I decided to take a leap of faith, and remove it. Instead, I placed a stack of paper towels by the bed (as I figured these were less likely than tissues to get stuck on blood), and laid back to sleep. Unfortunately, sleep has been in short supply lately, not helped by the instruction to elevate the head on at least two pillows -- which makes it very difficult to get comfortable enough to nod off. So I decided to cheat, and remove one of the pillows.

My un-elevated head allowed me to sleep almost the entire night, except for an intermission of around 20 minutes at 3:30am. Upon finally awakening at 8am, I realise that I feel very congested -- like in the midst of a bad cold, when your nose is completely blocked. I also still have a mild headache that's making it hard to focus. But, the good news is that my eyes seem to be watering less.

Facing the day

So far since the operation, all I've done is lounge around the house in my underwear. I figure that even if I don't make it outside today, I am at least going to have a shower and get dressed! So, after doing my morning douche in the shower cubicle, I take the opportunity to actually have a shower as well. The recommendation is to start with lukewarm showers, as if the water's too hot it could trigger a nasal hemorrhage ... and while I don't know what one of those is, it definitely doesn't sound good.

The shower passes off uneventfully, and for the first time in 3 days I'm now dressed! Seizing on the moment, I decide to take out the rubbish. Bearing in mind that no heavy lifting is allowed (nothing that would raise your blood pressure, or get your heart racing, is allowed for 2 weeks after surgery), I'm lucky that we haven't thrown away heavy stuff this week, and am able to easily complete this task. But then my nose starts running again and I dash back inside to mop it up with the paper towel.

Return to work?

When I was doing some pre-op googling of this operation, I found various advice on how long you should book off work, varying from 2 days to 2 weeks. I was advised to take a week off by my doctor, and I'm glad I did. Today is Monday but I'm in no fit state to be returning to the office. 

Yes, I'm capable of doing some work -- I'm capable of sitting at my computer and typing this blog, so that must be true -- but, there would be a few major issues with returning to work at this point:

  • I have to do a nasal douche three times per day. I could do it once before work and once after work, but the mid-day douche? It's pretty gross, nobody in the office wants to see you doing that in your lunch break, nor do they want your blood spattering over the office sink and/or shower!
  • My nose is still leaking quite a bit. Although I'm no longer using the tampon, in its place I'm needing to dab my nose with paper towels quite regularly. Again, this is not a professional look in the office!
  • The headache is making it hard to concentrate. I can focus on typing this blog for maybe 15 minutes at a time, but then I need to have a rest. Again, doesn't really work in the office environment.
  • Finally and most importantly, one of the key drivers of healing from surgery is keeping your blood pressure down. High blood pressure could re-open the wound and set you back significantly, which is why you're not allowed to do any exercise for the first two weeks. And unless you're extremely lucky, it's reasonable to assume that being at work is going to cause you some level of stress. Even if your boss is a nice guy and you have a relaxed workplace, there are always targets to hit some deadline or another -- and those cause your blood pressure to rise. Avoid it, relax, and sit back on the sofa while your body does the rest.

Dryness of the throat

When I've read about other people's septoplasty experiences, a common complaint seems to be a very dry throat for the first week after the operation.

And it's true, my throat is dry, and it hurts a bit to swallow. But, my throat was dry before -- it's one of the reasons why I decided to have the surgery; years of having a deviated septum have lead me to breathe through my mouth a lot anyway. Is the dryness any worse now? Maybe a little bit yes, since at the moment my nose is almost completely blocked. But for me at least, it's not the most significant of post-surgery symptoms.

Next: Day 5

Sunday 15 January 2017

Septoplasty Post-op Diary -- Day 3

Previous post: Day 2

Day 3

So, I woke up at 6am this morning. Normally I'd be outraged that I'd missed my Sunday lie-in, but today it is good news, because waking up means that I actually slept. Only for about 4-5 hours, mind -- but still, a big improvement on the previous night. However, I still feel completely zonked... all I want to do is go back to sleep, but I don't seem to be able to.

So let's do a stock-take and see where we are. Well, I changed the mustache tampon before bed, and having woken up now it's bloody again, which means that the nose is still bleeding. My upper lip and the roof of my mouth are sore -- presumably they were manhandled during the surgery and are a bit swollen now. It still hurts a bit to swallow, and I still have a dry throat. 

On the plus side, my packet of prescription painkillers remains unopened, and I'm now 30% of the way through my course of antibiotics. Fantastic.

Last night, I did the nasal douche (that's the thing where you shoot water up one nostril and it comes out the other) for the first time. After doing it, it made me sneeze. A lot. And sneezing is one of the things listed on the discharge instructions as "avoid". All you can do is keep your mouth open and hope for the best! 

Still, we're supposed to be doing this 3 times a day now, so I boil some water and prepare for round 2. This time is better, less gunk comes out and it causes fewer sneezes. In fact, it actually makes the nose feel a little bit clearer. It works in both nostrils as well today, whereas last night I could only make it work one way round!

Oh no! I go to change my tache tampon and realise that I've used up all the ones that the hospital gave me. Give them a quick call, they say that by 48 hours after surgery (which is now) we shouldn't need the tampon any more, just use some gauze or paper towel to mop up the discharge. But I'm still having quite a lot of it, so this doesn't seem practical ... so back on goes the dirty tampon.

Today I have developed a mild headache, and my eyes are still streaming on and off. And having your nose slowly dripping all day long is annoying and wears you down. But it's now been two full days since the surgery and things could be worse!

Next: Day 4

Saturday 14 January 2017

Septoplasty Post-op Diary -- Day 2

Previous article: Day 1

Day 2

To be honest, I'm not really sure where Day 1 ended and Day 2 began. Attempting to sleep didn't really work -- you have to keep your head elevated which means using multiple pillows, which means it's not comfortable. 

More importantly, your nose is completely blocked from the surgery which means that whenever you do actually fall asleep, your body decides that it can't breathe and wakes you up again with a start. And this happens multiple times throughout the night.

The good news is, though, that this morning all the numbness has gone and I can finally eat without needing a mirror. I expected the numbness to be replaced by pain but there isn't any. Sure, my nose stings from time to time and I can often feel blood trickling down from the nostrils into the tampon -- a strange sensation where you have to desperately resist the urge to blow your nose or wipe it away.

I changed the tampon before bed last night, and it has got fairly bloody overnight, but no blood has ended up on the bedsheets, so I figure that's a win. Morning time is probably a good time to change it again, but the hospital only gave me four of them to take home, so I've got to think sparingly and not use them up too quickly. Let's live a little and start the day with a fresh one, why not!

Annoyingly, something has happened to my tear ducts as I seem to be slowly crying all day. Having to wipe away tears from my eyes brings back great memories of watching Titanic, but gets tiresome after a while. There's only so much emotion a man can take!

Evening time

It's now 7pm and if I could summarise the day so far, I'd use two words -- tired, and boring. You're supposed to stay at home for the first 48 hours for good reason, but there's only so much Netflix you can watch, especially while feeling tired and with running eyes. But at least there's a good excuse for crying when some soppy rom-com is on!

But, there's one final thing I need to do today. One of the most important post-op steps is to regularly clean out your nose, and you need to start doing that 24 hours after surgery.

I've been given a squeezy water bottle, into which you pour some lukewarm boiled water and add a saline solution. You then place it in each nostril in turn and squeeze, such that the water flows up into your sinuses and back out of the other nostril. Sounds great, but I had some fear about this -- surely it's going to push all the blood into the sinuses and it'll get stuck up there? But apparently the scientists have worked all this out and it's fine.

I'd read online that this bit can get messy, and you're best off standing in the shower rather than over a wash-basin. So, bottle in hand, I head to the shower and squeeze. What comes out are some rather large boogers, half snot and half blood. Lovely. In the mix, also a couple of large blood scabs fall out too. I guess that's probably what's supposed to happen, but who knows? You need to do this twice a day apparently so I guess I'll find out whether the same thing happens tomorrow!

Next: Day 3