Wednesday, May 22, 2013

Willkommen in Deutschland!

    I've been a military spouse for a little over 8 years but with my husband for about 10 years so moving isn't exactly "new" at this point, but it's funny how much you can forget in 3 years. Typically, with the military, we move every 3 years but there have been two occasions when we moved more than once in less than 3 years including 2009 when we moved twice in less than 12 months. The frequency and bullshit tends to depend on the active-duty soldier's timeline, career path, and general military needs.

    It's not that bad, though... a lot of people complain about it but honestly -- most places we've lived, I was ready to LEAVE by the time we were told to move again, so even if moving itself is a hassle, the whole move is usually a good thing for us.

Atom sitting on Nick - Nick is lying on an air mattress.
My Mom and littlest brother came to see us the weekend before we left, so I could hand over my car since we were only bringing one with us. They had never met Atom before and Atom didn't take too kindly to people trying to hold him so when my brother went to pet him Atom climbed on Nick and was like "I'm bigger now..."
His face (and ears) say it all! 

Moving with Dogs
    Arranging for the dogs was, by far, the most stressful of the entire experience. The military makes all flight arrangements when air-travel is required for a PCS (permanent change of station) move, so we were relegated to the use of only a specific airline. Luckily, that airline accommodated pets and the military, BUT the flight were were placed on involved a stop and the first portion of the flight plans could only accommodate ONE of my TWO large kennels. So--- that was a hassle. We eventually got on a direct flight, opting to land in Frankfurt instead of heading straight for Stuttgart, and the larger plane was able to take both large kennels as checked-baggage and accommodate my carrier for Atom as in-cabin pet travel. Problem solved... but my streak of gray hair grew a bit in the process haha


After we prepared the kennels for the bigger dogs and prepared Atom's carrier, Atom climbed on the air mattress and was waiting to go in his carrier, thinking we were leaving right away. 
He fell asleep on the end of the mattress waiting for me to put him in his carrier haha

Packed the rental car, Jake & Zoya in their kennels in the back, Atom in his carrier in my lap.

At the airport, Nick was signing in and organizing the tickets.
I waited with our luggage and the dogs, then helped get the kennels on the scale and over to the TSA guys where Nick took over to help hold Jake & Zoya while their kennels were inspected and prepared for the flight.

They were anxious, but they eventually relaxed until we got them again after the flight haha

  
Atom wasn't really impressed....
This is while we were waiting to board the flight. I gave him water and a handful of food. He first tried to hide the food under his blanket, then ate it. Then tried to tip the dish of water over, then drank it, then put his alligator toy half-way in the bowl with whatever water was left hahaha

   In the past, we were able to sedate Jake and Zoya with medication but I opted not to do it this time. They were obnoxious in the airport while I checked them in, breaking both of their attached food and water dishes, then Zoya knocked the airline-supplied water dishes off her door as well. She's a pain... it's not her fault, but it's not my fault either. I can't get through to her because her anxiety is just too bad. It's been like that since we adopted her in 2004 and she was about 2 years old at the time so in the last 8+ years if I haven't been able to show her everything will always be okay and Mummy & Daddy with always ALWAYS be back... I doubt I'll be able to ever get through to her. So I just deal with it...

   Atom was fine. He's a "world traveler" haha
   But her agrees that First Class is way better than Economy...

WTF - Baggage and Carry-On Confusion
   When we got our tickets and turned over Jake & Zoya along with our 6 checked bags, the airline reps confirmed that it was okay to bring a carry-on, laptop bag, purse and Atom. But when I went through the door to go to check-in for the flight, the random security employee said I could only have two bags not the three. So Nick had to take one bag back and turn it in as checked baggage, which was really just a hassle. Not troubling, I didn't need anything from the bag anyway, but it was a pain in the ass and could have been avoided if the airline reps gave us accurate information.

Long Flights Can Suck, But They Don't Have To
    I don't particularly travel well. I don't enjoy hotels, I don't enjoy trips, I hate driving, and I don't like crowds. I don't have an "issue" with crowds, and I'm far from being Adrian Monk, but I don't care to share germs with dozens or hundreds of people in close quarters. No thanks. I like my own bed, my own shower, my own stuff, and no matter what I do, I doubt I will ever change with regard to that (much to my husband's chagrin)...

   When we got ready to board, I consulted the desk staff and was able to upgrade, but only slightly. There was nothing available in First Class and I couldn't afford the Business Class upgrade even if it was available, but Economy Plus was slightly better than Economy, and it was done for nothing since we were on Military orders so I was grateful and not going to complain at all.

   We boarded the plain and our new seats put us next to a very pleasant young man who, with his very neat beard and amusing personality, reminded me of Chuck (Zachary Levi). I told him this, and apparently I'm not the first to point it out, but he said he more often gets told he looks like Jim Halpert from The Office. I don't watch The Office, I've only seen the UK and US versions once or twice and only parts of episodes so I had to look it up to be sure I was thinking of the right person. I was right in recalling who he was talking about, and with facial hair I can see how people would see that as well because the passenger had lighter hair like John Krasinski but I still think he looked like Chuck... he had not watched it, so I told him he should.

This is hilarious so I figured I'd stick it in here too... I'm not too familiar with the actor since I don't really watch The Office but he's clearly very funny...
(this kind of reminds me of something my sisters and I would do hahaha)

    The passenger's beard was neat , which I appreciate because it's not "distracting" -- I can't stand when guys grow facial hair and don't make it neat. It's like, do you want to look homeless? Ugh... When I talk to someone with messy or unruly facial hair, that they clearly don't take time to maintain, I find it distracting so when they're talking and I'm trying to pay attention I keep thinking "ewww... why don't you just shave it off if you're not going to make yourself presentable?!" Don't judge -- you know you do it too haha

   It was nice though, to sit with someone that was pleasant and funny, and sociable but not obnoxious. I try hard to be sociable and NOT obnoxious, but I don't always succeed.

   I liked that he got my comment when we were about to land and I jokingly said it would be like the end of that movie when Kurt Russell had to land the plane and he missed the runway so he went around and landed (the larger commercial jet) on his own runway (at the small-plane airport where he was taking flying lessons). It wasn't a huge hit but I like action movies, I like Kurt Russell, and Steven Seagal was in it too, though he died like 5 minutes into the film -- but it made me feel good that I mentioned it and he got it.


   I spend a lot of time in my own company, well... me and the dogs... because I've worked from home for a while or I've been too busy to spend much time with friends, or make new ones, and whenever we move my friends get further and further away. So often I find that my comments "miss" their mark when said to others/strangers, and I get a lot of awkward half-smiles or heads shaking and shrugged shoulders.... I used to be really funny, so that sort of sucks for my comfort level hahaha BUT I guess our flight companion was about my age, or close enough, in order for the joke or comments to land right and so I was happy about it.

No Jet Lag for Me, Thanks
   Nick doesn't chat much, he listens and he talks a lot at times when he has something to say, but on flights like that he likes to just sleep. I didn't sleep. The flight was overnight so I knew, with the time difference, I was going to land in the morning of the next day and I'd want to stay up until a proper bedtime to reduce the impact of Jet Lag. I don't play that game. So I stayed awake through the flight, watching Mulan, then Stardust, then Jack Reacher, and an episode of Monk (Mr. Monk Goes to the Carnival, I think). Then I put on Phineas and Ferb because we would be landing and I just wanted something on my screen.



I will fly just about anywhere, no matter how many hours the trip is, if it's first class.
I didn't have a choice this time hahaha - First Class was full 
So we were cramped in Economy Plus but it could have been worse.

    When it was dinner time, all three of us got the same thing and that was cute. The other passenger said he'll be part of our "family" and we'll all eat the same thing, I thought that was funny. Some people are uncomfortable talking with strangers, even if you're stuck together for 8 hours like on a flight. I'm a talker... not too much, although I can talk a LOT... but I try to make people comfortable when we're stuck in the same setting or situation for a bit, so I tried to be a little sociable without probing for info (which can make people very uncomfortable haha) and without offering too much personal info (because I hate when people do that too...)

    Atom slept the whole flight, except for a little bit when he wanted more water. It was dark for most of the flight though, so that helped him sleep.

   Anyway, so here's what I do:  I know that moving ahead 6 hours will screw with my internal clock and I know that traveling and worrying about the dogs will make me even more exhausted than if I just was awake for two days. But sleeping on the plane would have messed with my sleep more because when we landed it was about 8am and the 6-hour difference meant that my body thought it should be 2am. It was a 2-hour drive to the base from Frankfurt, but we were picked up by a military sponsor (an EXCELLENT one, by the way!) so we didn't have to drive. I started to doze off on the trip back but it wasn't real sleep.

   I felt better after we ate some lunch. We couldn't check into the hotel until the afternoon, which is bullshit but I don't make the rules. Eventually we got checked in, got a room, got the bags in the room, and got the dogs all situated. I stayed up as long as I could but eventually, after showering and changing, I decided I just couldn't do it any longer and I went to sleep around 8:30pm (local). When I woke up Tuesday morning, it was 0500 so I had about 8 1/2 hours of sleep, and I felt fine. I got dressed, which made a huge difference since I could feel like I was "me" instead of the traveling me, up for nearly 2 days and covered in airport and travel germs haha. I had breakfast in the hotel and that helped a bit too but I feel much better than I think I would have if I had done things differently. I have never had Jet Lag in the traditional sense, so I'm just going to assume my way force-acclimates my body and mind to the new time zone.

Me... after a ridiculously busy Monday, several hours in the airport dealing with the dogs and luggage, an 8 hour flight with delayed take-off, and then a ridiculous trip through the Frankfurt Airport trying to get the two kennels, all our luggage, find our ride, and get to the car in the garage...

Atom travels well..




It kind of looks like any other city, like any other highway...
Except the speedometer was in KPH and people drive super fast on the Autobahn...

Atom fell asleep....

He makes my heart melt a little hahaha

Jake and Zoya finally able to stretch their legs...

Now What?
    I have two classes that started Monday. It's a long story so I'll save that for later. I have to wait for my lab kits to arrive to my APO address, but they're all on their way. There are some things I can work on in the meantime, though, so while Nick is in-processing, I thought I'd write a little bit of a blog update then get a little work done. Without a car there isn't much I can do -- it's raining and I don't want to leave the dogs in the hotel room all day, at least not until they've adjusted to things.

   This is my first time in a foreign country -- although at first, Hawaii felt like a whole new planet hahaha
I don't speak much German, but I have been studying. I've studied 10 languages, I don't think German is terribly difficult I just never had any need to learn it. Until I leave the base, however, I really don't have a need for it. I won't be staying the full 3 years anyway, assuming I get into school for 2014 (or 2015, if I miss out for next year) so the motivation to really learn German well isn't as high as if I were going to live here for 3 full years. In reality, I'll be here probably 18 months, but that's still long enough to take time to learn some decent German and we plan to travel so it gives me a chance to use other European languages that I thought were a waste of brain space until now haha... I studied them because I liked them, and I'm good with languages but I doubted I'd ever get the chance to use them so I felt this constant negative attitude about them, like they were a waste of time and brain space.

    Anyway, that's about it... I'm not going to put many updates here though. I have a private site I made for family where I'll put other things, but I messed it up while trying to transfer it to my own hosting account too soon so that may take a little fixing before it's ready for family to sign in and check it out.

Friday, March 15, 2013

A Year After Orthognathic Surgery - Updates, Revision, and More!

     I reached my one-year mark in December and then my braces were finally removed at 13 months and 1 day post-surgery, on January 14, 2013. My orthodontist expected my braces to be off within a few months of surgery, but that wasn't the case -- for a number of reasons, but I'll discuss them another time.
The photos above and immediately below are from the first week of my recovery in December 2011 following a 3-piece Le Fort I osteotomy and genioplasty.

The above photos are from January 14, 2013 - 13 months and 1 day after surgery.
It took that long to get my braces ready to come off...
And I got Essix Retainers (below) 

    I noticed, however, after my braces were off, I was still having some issues with things I thought would have subsided by now. So after discussing things with a friend who is also an oral surgeon, and checking to see if I could see one of the surgeons that I worked with before, I made an appointment. 

Aren't these nice?! My friend put them together for me from my scans...
These show the healed surgery sites and the hardware before it was removed.
Maybe it's just me but...
I feel like I'm just as pretty on the inside as I am on the outside, so I enjoy seeing these :-)










You can see how the slightly deviated septum could create the "trap door" effect I kept feeling. 
It was really awful but I rarely talked about it. I thought that if I started to complain about it, everything would get worse... I put most of my energy into trying to just deal with it, hoping it would improve.


    Most patients don't go back, at least not in hospitals like mine, and I believe that's partly because it's a teaching hospital so the follow-up is kept to a minimum (but reasonable) and then long-term follow-ups just aren't really common with things like this because the Residents move on. So when I go back, I feel a little like I'm a sideshow act or something haha -- It's nice, though, to see people again after such a long time, and it's ALWAYS nice to be remembered :-)

Pictures from my hospital visits.

    I explained my symptoms and I half-expected them to tell me it was something I had to live with. It's not fair that I take that instant defeatist attitude but it's something I've come to expect with a lot of healthcare. That's another story for another time, though!

    So... my symptoms... the most problematic were the tightness and pulling in my chin, and the sort of "trap door" effect I was experiencing when breathing out through my nose. It wasn't consistent, but if I attempted to blow my nose or if I exhaled through my nose with even slight force, it would just STOP and it would be quite painful, especially in the back of my throat from the force of the stop. I also had constant dull aching behind my nose and through the middle of my face, pretty much along the previous surgery areas, giving me a sort of chronic face-headache. Most days I could tolerate it, and if it got too noticeable where ignoring it was too difficult, I'd just take some Naproxen and cross my fingers.

    As far as the appointment went, after checking some things and setting up an appointment for a CT scan to check my nose, it was determined that the best course of action would be to remove the hardware from my previous surgery and repair my nose, which would include spreader grafts. I was surprised at how quickly the decisions were made because my only other experience was with jaw surgery and that was a completely different situation - I mean, seriously... I was sent away 3 times before I was finally ready for that and my surgeon had been changed at least 3 times too. So yeah, I was surprised. But I felt good about it. This surgeon had a better opportunity to make fast decisions, because of the different nature of what was being done, so everything seemed super efficient. 

   I gathered that since removing the hardware was associated with the previous surgery, this is sort of a "revision" surgery so that's the story I'm sticking with. The nose procedures included septorhinoplasty and turbinectomy which sounds worse than I'd like to think it is. I mean, I know what they entail but I don't have all the details on MY procedures yet so I'm not 100% certain of what exactly was done, but I know that's what my discharge paperwork said. The nose procedures can take a good 6-12 months before it's 100% so I'm prepared for that.

    The hardware removal is particularly interesting to me though. My surgeon this time, who was involved in my first surgery but different from my previous surgeon, said that the hardware was loose when he went to remove it. I'm very glad that I went back when I did or I may have lost the opportunity to be treated by someone I already knew and trusted. I was exceptionally nervous before my previous surgery, but there were a lot of factors that fueled that nervousness. This time I felt like I had a better appreciation for what I could expect, even though I knew it would be different.

    Anyway, I went in Tuesday morning to have all that done and honestly, I'm more stressed out about moving than I was about going in for surgery. Since I was able to work with a surgeon that I already knew, I felt much more relaxed about the whole thing, which is nice because it made the decision easier for me. When you're stressed about surgery it's not something you can just "ignore for now" when heading into an operating room. I can "ignore for now" the other stuff (e.g. moving stress) because it's not immediately relevant.

Waiting for my turn... in situations like this, when there are a LOT of people moving around and talking to me, it's easy to get overwhelmed and then more nervous. 
I felt a lot better once I saw my surgeon was there. 

   Some of the other people that were involved in my surgery this time were also there last time and that made me very comfortable too. I'm a little disappointed that my thank you letter was never properly handled because, although written while in a fuzzy mental state thanks to post-surgery anemia (last time), I tried to make sure I included everyone that was involved in my care but I know I missed people - so maybe it's good that I have a second opportunity. The nurse, at my request, took time to keep track of everyone for me so I don't have to go track down the names later, like last time. It was also the same nurse I had last time so that was nice. It's funny how something simple, like having the same nurse or getting the names for my thank you letters, can mean so much... to me at least.

   I thought this time would be easier, and I believe I had a realistic expectation of pain because the nerves aren't messed with as much as with the other surgery. What I hadn't accounted for was the difference in care provided after surgery when you're expected to just go home compared to when you're expected to stay overnight. Since I was supposed to leave the same day I was sent to a sort of "discharging section" and it made things a little difficult. The noise was really frustrating while I was still gathering my bearings and it took a long time to get me the nausea medicine (through my IV) because one person put it down on my table and assumed someone else would hook it up for me. They also were a little frustrated with me because they kept trying to give me Percocet and I refused it. Then they offered me morphine and I said "no thanks".... I didn't think it was worth putting that much through my body if I could manage with something like ibuprofen, and then I got irritated with them for not offering me the ibuprofen first. (No one asked me what I wanted when I stayed overnight after jaw surgery, they just gave me what I was supposed to have.) I'm not usually that bad and in my own defense, I did just have surgery and wasn't feeling quite "myself" yet so, hopefully no feelings were too hurt. 

     I ended up feeling very sick and it took me until well after 10pm to "tinkle" so it was good that my surgeon arranged for me to just stay. I was surprised though - not that I didn't expect excellent care, I think I'm just always surprised when the care seems so attentive. -- Ha! I guess that shows I've had some pretty crappy healthcare in the past, huh? Maybe what they do at Walter Reed is the norm and I'm only surprised because it far exceeds my expectations based on past experiences in other healthcare systems. In either case, my surgeon made sure I was okay -- it may not seem like much but things like that, being "checked on," make a big difference to me... that's the stuff I never forget. In fact, it's one of the things I include in my Offensive Coordinators Playbook!

Pictures from surgery day... (12 March 2013)
The bottom-right picture (same as below) is from the trip home.

Look at that! It was a student that put in my IV, Andrew if I recall correctly, and he got it the first try without leaving my hand all bruised and messy. Knowing he's a student, I tried to be more relaxed so he wouldn't tense up, and I tried my best to help so he could get it the first try - success!
I was very proud of him! 

   So I stayed overnight, and it sucked a bit. It could have been worse, but I was glad to go home the next day so I could just care for myself. My compassion and patience have limits, even if it seems the contrary to most who deal with me. I was a little dehydrated when I got home, and still not tinkling enough so I put on my best "hard-charger" attitude (at least as good as I could muster under the circumstances) and started hydrating. I felt a ton better by the time I was ready for bed that night.

  Now it's Friday, so technically the third day. My swelling was worse yesterday so I think it'll start getting better now. I have a lovely matching set of periorbital hematomas (or hematomata, if you know your Greek) -- black eyes, basically. I didn't have them last time because the work was kept lower in my face, but having my nose fixed was certain to be a new experience so at least I wasn't disappointed.

My black eyes... they matched my lunch from yesterday (Thurs. 14 March)

  Like last time, I also have these large triangular bruises extending from the corners of my mouth downward but angled toward my neck and subtle bruising on my cheeks but not too bad. My neck and chest aren't all bruised this time, so that's nice.... Although not in every case, some bruises can slow healing so I'd rather deal with swelling if I have a choice. Not that swelling can't be problematic too, but when I'm caring for myself I'm able to keep it down most of the day and I get up frequently at night the first few days, at least, to keep an eye on things and apply ice if needed. The swelling is really similar to last time, and really not that bad. It's uncomfortable, but my skin is relatively undamaged and I'm having no issues so far, so that's a "plus" in my book. The difference is that this time the swelling extends a lot higher, so much so that the first couple of days I had a lot of issues with my eyes and I couldn't quite tell what it was until it was under control.

Atom giving me kisses to "make it all better" (Wednesday night)
He's very good about being careful with me, otherwise I wouldn't allow him so close to my face...

Thursday morning, the top-left is when I first woke up; the other three are after I started hydrating, which I do from the moment I get up, and after I showered, had something to eat, took my meds, and applied ice for a bit.

These are from today... several of my male friends have insisted I start telling people "You should see the other guy!" when anyone asks what happened. 

It's not very pretty, but it's temporary - bruises disappear, skin recovers, tissues heal, and swelling dissipates... 
but the benefits will last. 
That, to me, is a very small sacrifice of time and patience.

I really had no appetite for most of the day today which is obviously not good. I did manage a good amount of nutrients despite the lack of appetite, but it took forever to consume them so I made use of the time with a little multi-tasking. 

Icing my face... 
(As I said that aloud, I almost cried from pain as my stitches pulled a bit - I had to fight the laugh prompted by the mental image of putting cake-icing on my face haha! Yeah... that wouldn't help much... the ice packs are great though, I have a whole collection... This blue one WAS wrapped when it first came out of the freezer, it's not smart to apply them frozen right to your skin. This one had been out for a while when I took the picture.)

   A major difference between surgery last time and this surgery would have to be the way my nose feels. Last time I had no real congestion except a little trouble on the second night home but I managed. This time I have splints and "stuff" in my nose, in each nostril, plus stitches which are definitely not on my list of "favorite things"... and I have a sort of splint on the outside of my nose to keep everything safe. If I had to describe it, even though I don't feel congested, between the stuff in and on my nose, the swelling, and the bruises, I feel like a cross between having a really bad cold and losing a really dirty fight. It's kind of crappy but, it's not the worst I've ever felt and my mind is clear so that's good.

   I cannot believe the difference I feel so far without the hardware, though! It hurts, don't get me wrong, but I can tell even now that it'll feel a lot more comfortable once things heal. No wonder I was so cranky all the time.... like I said, it felt like a constant headache but in my face, and most people can relate to how a dull nagging headache that persists can make us cranky. I had my doubts about removing everything. I understand it's all healed but I've never had broken bones before so I never had to trust a healed bone and I had trouble fully grasping that concept. I can understand the underlying processes and I can understand what I see in my scans, but the very idea that everything is fine (and nothing will just "fall off") was a tough one to swallow. 

  Unlike last time, I did not keep track of notes for the surgeons for my first follow-up appointment. I just don't think that these guys will receive them with the same enthusiasm as my initial surgeon so I won't bother. That's not really a big deal, everyone is different and I can appreciate the differences in the surgeons I've been able to work with. I have notes for myself and that'll do. Besides, this recovery is relatively easier... or at least, shorter. There's less anxiety that I'll screw something up haha! My surgeon keeps checking on me anyway, which is really thoughtful and he answers my questions fast. So I may not bring a beautifully-typed and printed packet of questions like last time, but I'm getting the answers and support I need to feel good about everything and, in this situation, that's more than enough.

   I have a one-week appointment scheduled for next week. I know the stitches last time didn't fall out, they continued giving me trouble and were eventually removed by one of the Residents at my week-three appointment (or week-four but I'm pretty sure it was week-three). I just hope they don't kick me to the curb after my one-week appointment so I don't have to argue with them. With the previous surgery, once I got to the week-six appointment they were done, and I wasn't aware that would be it so I wasn't prepared. My other surgeon was accommodating though, and saw me in week-10 to help me get the rest of the info and answers I needed.

   Considering what was done, I don't think it's too much to ask to be seen at least a couple of times to make sure things are all fine... and stay fine -- teaching hospital or not -- I'm a relatively good patient, if I do say so myself, so I'd like to think they can at least tolerate me a bit longer and aren't eager to just be rid of me haha... 

   On a separate note -- I am almost done!! I now have 6 individual Playbooks as part of my Jaw Recovery Playbook System, which didn't start out as a system at all. I hadn't planned on taking it to it's own website, but then I did. Then the response was so great, with patient after patient after patient contacting me for support... I couldn't just leave it the way it was. So I revamped the website and wrote the 6 Playbooks which are mostly being edited now and I will publish soon. I wanted them done by surgery but it didn't happen -- they will definitely be done before I move so I can bring them to my surgeons, along with other tools for the new site. After all, if it wasn't for the exceptional care, support, and attention I received throughout the past 2 1/2 to 3 years, the project probably would not have progressed as it did -- so my Jaw Recovery Playbook System is just as much a tribute to my surgeons and others involved in my treatment/care, as it is a comprehensive tool for patients, their support team and families, and also for other surgeons and providers. I even have requests for translations by other surgeons before the books are even published!

The Offense Playbook guides patients through the preparations leading up to surgery, including tips for improving their health inside and out for better potential to have an easier recovery.

The Game Day & Recovery Playbook prepares patients for surgery (their "Game Day") and the hospital stay, whether one night like mine or several nights like other patients I've worked with. Then the Playbook helps guide the recovery process, divided in two parts: weeks 1-6 and weeks 7-12.

The Defense Playbook is meant for the patient's family, spouse/partner, parents, kids, friends, and anyone involved in supporting the patient throughout this process. It resembles the Offense Playbook but offers a unique perspective for the non-patient caregiver/observer.

The first Recipe Playbook had about 90 pages. The NEW Recipe Playbook has more than double that, with a complete section of soft-food recipes for the second half of recovery as patients work their way back to tolerating regular foods. I've added more on nutrition and supplements, including which supplements I use/used and why.

While different from the other Playbooks because it's written for professionals who don't need all the "details" that I give patients... the Offensive Coordinators Playbook is geared toward oral & maxillofacial surgeons, as well as others in dentistry and related fields, but the information is easily applied to any professional field. 
I've included information that's proven to be important, based on my own surgery and recovery experience(s) AND information I've gathered from the 100+ patients I've helped over the past 14 months. In simplest terms - the Offensive Coordinators Playbook is meant to improve communication efforts for greater patient compliance, increase patients' confidence in their providers, and ultimately improve overall patient satisfaction with greater consistency. 
Ultimately, my JRP System helps bridge the gap between patients and their providers, helping surgeons instill confidence in their patients while empowering them with the RIGHT information and the RIGHT guidance for surgery, recovery, and beyond!

The Braces Playbook is shorter than the others and meant to provide tips and guidance for both typical orthodontic patients and those heading toward jaw surgery, in an effort to help them better manage their own care and treatment, 
while keeping them on track to reduce inadvertent obstacles along the way.

     The website is "under construction" at the moment so visitors will see frequent changes as I finish tweaking everything but the site will be up and running with the release of the 6 Playbooks and I have a variety of new content I will add over time to keep things "fresh" and entertaining, while maintaining the efficacy of my Jaw Recovery Playbook System :-) I'm a little proud of it, can you tell?