Today was our scheduled consultation with Emma's plastic surgeon - so of course the forecast called for 6-12" of snow! Schools were closed, but the hospital was open and we confirmed we were still coming. About 10am they called and asked us to come in as early as possible to avoid the worst of the snow, which started about 9:30am.
As I pulled out of the driveway there was a light covering of fluffy snow. The roads to the highway were pretty clear, but the highway was a little thicker and traffic was moving slow. I had to pick up Scott from work, and head downtown.
The roads were horrible, and the windshield wipers kept accumulating ice, but we made it there about 11:45am. Our appointment was scheduled for 1:30pm, but we went right in!
Emma was very good, waiting patiently for the doctor...
I asked her how she felt about being there (having explained the night before we were "just going to see if they can help her get the smile she wants"). She was excited and explained that she wants her smile to look like everyone else. I told her that might not be possible, but at least it might go up instead of down.
A few weeks ago she was asking her friend if her smile was any different, better. She clearly thinks about this more than we know, and we want to respect her decision. It is hard for any kid to comprehend the implications of surgery, recovery and therapy - but then if someone told you they could help change something you "really don't like" about yourself, maybe there is limited downside.
The surgeon came in and referenced the emails we exchanged before. There are two main options:
"Smile Surgery" is traditionally the transplant of a nerve from the leg into a re-directed muscle that aids with jaw movement. (there are two jaw muscles, so they can move one to connect to the mouth.)
This is a two part procedure - one on each side, 6+ hours each. Success relies on the nerve growing in to the muscle and functioning. One side may work differently.
The Labbe Technique, (as done in Norway a few months ago - remember that post?) moves the temporalis (temple) muscle on each side down, and moves the jaw muscle to the mouth. It is a one-time procedure for 6+ hours, and will leave scars where "laughter lines" would usually be. It also has an ear to ear scar over the top of the head (whereas the other method leaves scars by the jawline.)
You can view an interview with someone who had this done here:
http://video.uk.msn.com/watch/video/the-woman-who-cant-smile/2uxdvrpks
Emma seems very keen to go ahead, asking why they hadn't done it when we were leaving! I could push the danger of surgery and potential pain after with her, but I am not actually concerned since she has always recovered well. But don't get me wrong, the idea of any surgery scares me silly, even "routine" procedures carry huge risks.
If it was left up to me, I would not get it done. I think she is beautiful and I see her smile clearly. I don't want to risk her life for something so elective. However, it is not just my decision, it's not my face. And I can understand how this would become a big thing for her. People with big noses, sticky-out ears etc all can suffer huge emotional stress and they are able to communicate non-verbally.
And so we pray, for wisdom, for guidance and direction.
Meanwhile, on the way home...
Fancy cars aren't good in the snow!!
It took us 2 hours to get home, approximately 12 miles!! The roads were snowy and every person was trying to get out of the city! We were all hungry, having neglected to eat lunch amid the change of plans. Scott had his lunch cooler, in which we found an apple (to be shared by me and the kids - primarily me since they both wolfed down a bag of popcorn before we left the parking lot) and celery, which Toby was hungry enough to try (until the apple came out!)
Who knows what tomorrow will bring, but we had to drive through 5 inches of snow to get on the driveway!!!