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The countdown is on…

T minus two (and a half) weeks until bone graft surgery. I feel better now that I’ve discussed things with the surgeon. Joe’s alveolar ridge is in perfect position without palate expansion to move forward with the bone graft. In layman’s terms the two sides of his gum line meet nicely; The ps and orthodontist feel that by doing the bone graft now, they will be able to potentially save some of the permanent teeth.

The surgery will take about two hours. They will harvest bone marrow from his hip and insert it into the alveolar ridge. Most of his pain will be from his hip. Although, he has always been a trooper and has such a high tolerance for pain, I worry that this is the one that’s going to get him. He will have lots of facial swelling; probably similar to when he had lip/nose revision and turbinate reduction.

We’ll be at the hospital (Santa Rosa’s Children’s) at least one night. I actually like that. That way, if his temp goes up, he vomits, etc, the experts will be there. The good news is this gives us our six week restricted diet and activity at home, and we don’t have to worry about what will happen at school.

We go to the orthodontist Monday; I know I’ll know even more then. We will go back to the surgeon two weeks post op, six weeks post op then, back to the ortho for x-rays to make sure the graft took. Monday, I’ll know more about the orthodontists big picture as far as extractions, expansion, orthodontics go. But, one step at a time…

Thanks for your kind words and good thoughts!

Xoxoxoxo k an co

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not what i was planning…

no! it’s not THAT! or THAT! the eldest’s craniofacial doctor and orthodontist had a telephone conference on tuesday. i had expected a phone call from the orthodontist telling me we needed to schedule extractions in order to move forward with palate expansion. instead, i got a call from the cranio office saying the surgeon wanted to schedule an appointment to discuss surgery. i was all like “okay.” later, i was all like, “what?” the orthodontist’s office phone was out all afternoon tuesday. when i spoke with them yesterday, the AWESOME patient doctor liaison said that both doctors agree that the proper course of action for the boy is to do bone grafting first, extractions and expansion later. okay. it’s just that for the last seven and a half years, i’ve been told things would go in this order: lip repair, palate repair, lip/nose revision, palate expansion, bone graft, orthodontics, septum repair/cosmetic touch ups. i know this by heart. now, they’ve gone and thrown a wrench in my mental plan. after tuesday’s appointment, i’ll be able to make a new “plan.” i’ll feel better. i’m a woman who needs a plan. until then, i will google, research and otherwise occupy my brain. my hope is that we can get this done with plenty of time for healing before second grade begins! hope you are all happy, healthy and generally swell! k