Would You Be Upset?

I'm right there with you - I would be upset as well! Maybe she just didn't anticipate how bad of shape she would be in at this point.

Yes, I would be upset. I watch children in my home and when I had knee surgury all the parents were told what was going on. I had the surgury on Thursday and was back at work on Monday with some help from my mother and neighbors and I still wished I had taken more time off!!!!!! Let yur nanny know how you feel. She may be wishing she had taken some time off also.

Cheryl

If I were you I would definitely be upset. Your whole relationship comes down to trust. For her to not even mention something as important as having surgery done no matter how miner. Especially with something as major as this, because this surgery does effect the service she is providing to you and most important your children.

Yes, I would absolutley be upset! She should have told you what she was going to do and even planned on taking some days off until she is healed. It is a care givers responsiblity to consider anything they do that may affect the child.

I don't work in surgery but I do work in the hospital and see enough plastic surgery patients. Face lifts are painful and the drugs given, usually Vicodin, Ambien, Zofran, tylenol #3, can be drugging and impair your senses. Maybe she was scared of getting a reprimand and didn't want to jeapordize her job if she told you. However, I feel strongly that she should have mentioned this. She may have the best interest in your son's care not getting disrupted, but she is not feeling 100% well herself, then how can she care for your certainly active son 100%?
What if she has to run out to the Emergency Dept with your son if somethign happens to him? What if your son accidently swipes her forehead or ear? Can her facial pain/injuries tolerate that? Here are some typical precautions face-lift patients are given:

Medications:
Antibiotic as prescribed.
Pain medication, Vicodin (Hydrocodone) as prescribed if needed. Take with food.
Ativan (Lorazepam) and/or Reglan (Metoclopramide) as directed for nausea.
Vitamins as directed.
CELEBREX twice a day until instructed to stop
Sleeping medication, (Ambien) as prescribed, if needed.

Diet:
Soft diet, Do not open your mouth wide.
Soft diet includes: warm cereal, scrambled eggs, cottage cheese, soft cut-up fruit, a vegetables, yogurt and soups.
No taffy, gum, caramels or large pieces of food.
Cut food into small bites.
Limit excessive chewing.

Activities:
Keep head dressing dry for 48 hours.
Sleep on 2 to 3 pillows to help reduce swelling.
Limit talking and laughing on the phone. Avoid direct contact with phone ear piece resting on ear.

Special Instructions:
Wear scarf and eyeglasses when you go outside.
Bend from knees, not waist, to avoid bleeding.
Avoid over flexing or overextension of neck, but be sure to shrug shoulders and neck to avoid stiffness.
Keep head straight except to do range of motion exercises.
Wash hair twice a day with baby shampoo or unscented shampoo.
Apply (Silvadene) Thermazine twice a day to incisions in front and behind ear. Use clips to keep hair away from ear incision.
Use hair dryer on cool setting, to avoid burning areas of scalp that are temporarily numb.

Activity: Please take it easy! Keep the head of your bed elevated at all times. Do not sleep on your side, as this may increase swelling to one side. Refrain from any bending over. We encourage you to walk around. Please have assistance if you are feeling lightheaded or dizzy. Refrain from any activity that increases your heart rate. Try to limit talking and excessive use of your mouth.

Medication: You should have received at your preoperative visit all medications necessary for your recovery. These include a pain relief medication, an antibiotic and an anti-nausea medication. Please follow instructions on the label. If there are any questions or if you are having any adverse reaction please call the office. Keep in mind that many pain relief medications tend to cause constipation.

Dressing and Wound Care: If you leave the hospital with a head bandage and sometimes a drain, Dr. Burrows will remove them at your first office visit. If the large head dressing has been removed you will see sutures in front and behind your ears. If combined with an endobrow lift expect to feel four sets of skin staples in your scalp. Please be careful when combing your hair. Do not comb near the staples. If combined with a blepharoplasty, you may notice surgical tapes over the incisions as well as sutures Please leave all suture lines and tapes alone. If the surgical tapes become wet simply pat them dry. You may gently wash your hair three (3) days after surgery using baby shampoo. Do not use a hair dryer to dry your hair. Refrain from coloring your hair until four (4) weeks after surgery.

Diet: Please eat only soft foods for the first few days after surgery. it is best for you to limit chewing. Do not drink from a straw. Most importantly DO NOT SMOKE as this will greatly compromise your result.

Bathing: You may shower three (3) days after surgery if you are not lightheaded or dizzy. Please have the water hit the back of your head. Pat your face dry. Do not apply moisturizers anywhere near the incision lines.

What to Expect: Expect some swelling and bruising. Please remember that each side of your face is a separate operation. There may be a difference in the amount of swelling and bruising on each side. You may feel some tightness in your face, that will diminish as healing progresses. During healing the swelling will decrease and bruising will move downward. Do not be surprised if two (2) weeks after surgery you notice bruising in your lower neck. Expect sensory changes all over your face, with some areas feeling numb and others having twinges.

Notify Physician Immediately if you experience:
Extreme pain is not relieved by pain medication.
A sizeable difference in the amount of swelling or bruising to one side of the face.
High fever or chills
Leg pains
Breathing difficulties or any unusual occurrence that causes you concern.

Jen,

I'm jumping on the upset bandwagon. She should have given you the opportunity to make other arrangements. There is no way she is up to 100%...she wouldn't come to work sick, right? She shouldn't come when she can't perform her normal tasks. And at the risk of sounding rather judgemental, if she can afford a facelift, she should be able to afford a week off. If you can swing it, I'd ask her to take the rest of the week off so you don't have to worry about your little guy.

Good Luck!

N.

Yikes! I would have a lot of issues with that. She should have at least told you what was going on and what to expect. I've never been on pain killers before so I don't know if they impair your motor skills. I would ask her to see what medication, if any, she is on so you can research the effects yourself. I hope everything works out okay.

YES! You are so right to be upset! It is her responsibility to be sure that your son is getting the BEST care--that is what you are paying her for. She can't possibly give him that while she is on pain killers and looking like that--what if something more than 25 pounds fell on him or something?!?!? Its obviously unlikely, but is it worth the risk? She is putting your son in a dangerous situation--I would re-think the quality of your childcare completely--how can she not KNOW that this is a raisky situation?!?!?! People are insane sometimes-I'm shocked!!!