Jack's Surgery, Part 2

I apologize for not posting another update yesterday, but once your child comes out of surgery there are more important things than blogging. The repair went well, but it was more complicated than the doctor thought it was going to be.  The repaired cleft in his lip was unilateral, so the assumption was that the palate was too.  We were also hoping that since his gumline is mostly intact that he would not require a bone graft when he is 7 or 8.  We were wrong on both counts.  Apparently the palate was more of a bilateral cleft, which means there is a cleft on both sides of the mouth.  I knew it looked bilateral to me, but I had never had a doctor tell me it was, so I just assumed that my uneducated eye didn't know what it was looking at. 

Also, the clefts extend into the bone of the gum line.  So even though it looks like his gum line isn't affected much, he is missing bone on both sides and will need a bilateral graft later on.  This is disappointing news for Jack, but will be manageable, of course.  Bone grafts are just considered to be very painful surgeries - I know from experience with my leg that the bone doesn't really numb.  The skin and tissue around it might be numb, but when you mess with that bone it hurts like the devil.

Ear tube placement also went well, although we haven't actually talked to Dr. V.  She had another appointment to get to, but it apparently was a standard tube insertion.  His ears don't seem to be bothering him.

His mouth on the other hand, hurts a lot.  He spent most of yesterday curled up on top of me, either sleeping or moaning, or moaning in his sleep.  He didn't sleep very well, and any rest he did get was thanks to some good drugs.  Today he is feeling much better, but still  not himself.  There is still some drainage and it hurts for him to swallow.  We are having to force feed him liquids, pudding, and applesauce with a syringe so the doctor will let us go home. 

We did venture out of the room today.  We went and found the playroom, where we played trains for awhile.  He also spent most of the morning awake, playing trucks and reading.

The plan from here is to go home this afternoon/evening.  He will then be on a liquid/baby food diet for two weeks, so don't expect to see us much in any place where they might serve food. My boy loves to eat, so this will be hard for him.

Posts (so far) about Jack's cleft/developmental/IA issues:

• Let the Appointments Begin!
• Appointments, Part 2: Audiology
• Appointments, Part 3: Plastic Surgeons
• Appointments, Part 4: The Dentist  
• Appointments, Part 5: Early Intervention 
• Appointments, Part 6: Speech 
• Appoingments, Part 7: ENTs (and Plastic Surgery Revisited)
• Jack's Surgery (Part 1)