DD had a frenuloplasty this morning for tongue-tie.
At her 2 month check up I asked the ped to look at her tongue as it was dented up in the middle and didn't cup or lift well and I thought she might be tied. It looked just like DD #2's tongue (she was tied but able to figure latching out after a week or so). She was still having issues latching, was clicking when my milk letdown, not efficient at sucking once the flow of milk slowed down, failed to grow adequately after three weeks when milk supply became supply and demand, basically every sign of tongue-tie except that her frenulum was not attached at the front. The ped says no her tongue is great, look how it comes past the gumline. I left the office feeling dumb. I was SURE I was right.
I consulted an LC who told me that peds don't always know about the diff types of tongue-tie and gave me referrals of ENTs. I took LO to an ENT and sure enough, she had type 4 tongue-tie way in the back with limited movement when she lifted. It required a frenuloplasty under general anesthesia with a suture, not just a simple clip. He wasn't super clear with me on the procedure being more than just a simple clip.
So this morning we take her. Not impressed with the way that this went. We asked about pain relief and we were told that she would have a Tylenol suppository and she should be good to go when she wakes up. I thought they would do the suppository and wait for it to take effect because they said the procedure would be 20 minutes total (only a couple to clip though). They whisk her away and come back five minutes later and tell us that she is done and awake. When we get back there she is screaming so pitifully. Come to find out, they didn't give her ANY pain meds. They didn't even numb her tongue with benzocaine so that when she woke up it would be completely numb underneath. I have to wonder if they even put her under, you know? It was heartwrenching. I can't imagine the pain she was in.
She screamed even after getting Tylenol until she passed out. I was able to get her to nurse while sleeping and she didn't click when my milk let down. At least it seems that the surgery was a success in that regard. When she woke up she started screaming again and we are staggering Tylenol and ibuprofen and using a benzocaine gel. She calmed down once her mouth was numb and the IB took effect. She is finally taking another nap.
I feel like I let her down by not being prepared or being a good advocate. I mean DD #2 had surgery over the summer at UCLA Medical Center and it was seamless; her pain was managed as well as possible and that was a more complex procedure. I thought I had the bases covered here but I feel horrible that I didn't insist on a numbing agent for her tongue. You just always hear how easy it is to remedy tongue-tie and I guess I didn't appreciate that her procedure was more than a simple clip. Poor baby.