So. At about 7:00 today I dislocated my jaw. Yes, Connie, while yawning. You may smack me. I'm usually good! I shall never yawn properly, ever again. Half-yawns with my hand under my chin from now on! Though they ruin the experience...
For those of you who don't known my Temporomandibular Joint (TMJ) experience, its been largely more frightening than painful. Basically, since I was six years old I've had the occasional TMJ "slide". Over time I've learned to deal with it. It happens less if don't open my mouth very wide, so I avoid yawns and big foods and the like. (No corn on the cob! Yeek!) If I notice my jaw has slid, I've learned to relax my jaw muscles then pull it down and back into place. Its very nearly painless. If I don't notice its slid, well,
Connie cover your eyes, it "crunches". I close my mouth anyway, and the result is very painful and equally frightening. I can hear little bits of bone tinkling in my jaw for awhile afterward.
Aaaanyway. That's been the extent of the problem, until now. I've entered Connieville. I had my first, bona-fide dislocation that
I could not fix. And it was a yawn, which makes it very fitting. :P In any case, it was bad. I couldn't move it. My mouth was stuck agape. (Apparentely this is a slightly more rare form of the problem: they're usually stuck shut. I think Connie is like me, though, right?) Patrick, of course, was at the grocery store. I didn't want to interrupt him with a cartful of groceries, so I waited 30 minutes before I finally called him. As soon as he got home, he took the milk and butter and stuff inside (I told him to!) then accidentely set off the alarm, calling the cops. *sigh* We were in such a hurry we couldn't keep up with it. But we managed to call Doyle and get them to call off the cops. I suspect there will be a charge on our next bill, though.
Anywho, we arrived at the ER, but there was no parking. So I went inside to check in while Patrick parked. By now it was about 7:45. So, we waited in the waiting room for about fifteen minutes before being called in for triage. Triage was nice. About three different people asked us the same basic questions: what's the problem, how much pain, what's my age, etc. Y'know, I thought we made the situation pretty clear.
Apparentely not. We were escorted out to a bed in the hall, where I lay and felt miserable for...wait for it... 3 and a half hours before ANYONE who knew what they were doing came by. People were being helped all around us. Some made sense, some not quite. While I pity the man who'd been hiccuping for three days, I'm not sure he belonged in front of me in line. I mean, I had a joint problem, I was in fairly severe pain (it kept getting worse and worse; it wasn't bad when it started), and I was throwing up every fifteen minutes because of all the mucous draining down the back of my throat. I think the mucous was a reaction to my mouth being so dry, but all it did was go to my stomach and make me sick, so I had to carry my basin everywhere.
Finally, an RN showed up. She asked me a few questions, then messed with my jaw, then told us (in so many words) that someone had reeeally screwed up. She was expecting dental pain. DENTAL PAIN!!! Yaaargh! So she runs off for something. A while later, the doctor shows up, tries to move my jaw back into place, but decides I need muscle relaxants. He runs off. About fifteen minutes later, sometime around 11:30, an orderly shows up to wheel me off in a little wheelchair to get some X-rays taken. While I'm waiting there, (some screamy kid was getting x-rays done), the doc shows up with my muscle relaxant and injects it into my arm. Kinda hurt a bit, but not much. Then I get all my X-rays done: One where I'm seated on a chair and the x-ray is aimed at the front or the back of my head, then a panorex. The panorex was funny 'cause its specifically designed for people to bite down on the little plastic piece. Its the same thing they use at the dentist. Anyway, they improvised. :P
So, after that, they wheel me off to the trauma ward, where they had to move some furniture to get around some crazy guy going on about the cops stealing his watch because they had to take it off of him. Why yes, he was strapped down! So, we squeezed past him. They took me to a little, um, cubicle thingy with the curtains and had me lay down, but with the back part sitting up so I was only really reclined. The doctor tried to replace my jaw again, with the muscle relaxants, but they didn't do much, so they decided to go ahead and sedate me. They stuck me with an IV, attached three little, um, sticky thingies, and stuck this little thing on my finger that tracked my pulse. I assume this was all to make sure I wasn't having an allergic reaction, or somethin'. They also stuck a little two-pronged thingy up my nose to make sure I breathed properly under sedation. I wish I had a picture. My first trip to the ER, and it looks like I had a stroke! :P They had me sign a paper for the IV, saying that I know of no allergies, and I don't hold them accountable and all that. Anyway, they stuck this stuff into my IV, and I started feeling a bit loopy and they told me to lay back. And, um, that's all I remember.
The next thing I remember is being awake in my bed, laying down, with MY MOUTH CLOSED!!!! Yayyyy! I missed the worst part! One of the nurses or students or somethin' said something and Patrick came in. I, um, said some things. I wasn't entirely all there yet. I honestly don't remember most of what was said at this point. Patrick says something about the time, so I ask him what time it is.
"About 15 til."
"15 til midnight?"
"Uh, no... 15 til 3."
Eeep! How long was I out? Then the orderlies came back to wheel me back to the X-rays to see how it went, then brought me back to the trauma ward to get all set. A doctor came and told me the obvious (as she put it): Don't yawn! And don't open your mouth very far. Ever. Evvvveeeer. Then she said that the X-rays showed no fractures. (Yay!) Then she gave us some paperwork, took out the IV (oooh! Lookit all the blood that comes out!) and sent us on our way.
That was a miserable experience. Really, just the waiting was miserable. Once I actually got to see a doctor, they seemed to figure things out really quickly, and it was practically blissful. 'Specially since I got to be sedated.
I never, ever, ever, ever, ever want to do this again. Maybe I should make a little chin-cap that doesn't let me open my mouth very far. :P
This, of course, makes me curious what Connie's ER experience was like. Worse? Much worse? Lotta lotta worse? I have trouble imagining it was better, unless the wait time was better. But if you didn't get sedated for the, um, replacement of the mandible. *shudder* That would almost make up for the huge, painful, nauseating wait. (After they put me under, I never felt sick again.)
Anywho. That was my adventure. May it never, ever happen again.
Fun Fact: This was my first ever trip to the ER.