One for the Money…

Today was the day I faced my fears.

Today I finally saw the statement for the hospital costs for my surgery.

Now, I got the bill from my surgeon’s office a few months ago, and didn’t share it with you all because I was waiting for the other, more frightening shoe to fall. I knew from the beginning that the hospital bill would be the Big One, because hospitals, as we all know, really like to bleed patients dry. (Dear friends and family who are nurses…I love you! I’d feel much better about hospitals being so expensive if I knew that  money was going more toward YOUR paychecks than things like lobby plants and big, shiny statues.)

So, we’ll do this chronologically.

The surgeon fees included things like the surgeon and his assistant, the surgical tools, and the dog-bone shaped pieces of titanium they drilled into my jawbone. It also included all of the pre- and post-op appointments, x-rays and photos.

Overall, the surgeon’s bill came to about $9,000. (Keep in mind my surgeon’s office very kindly honored the prices they’d quoted me at my first consultation in 2009. If I’d been charged the 2011 prices, it would have been in the neighborhood of $15,000.)

The anesthesiologist was a separate charge from the surgeon and the hospital. The cost of taking me to the brink of Eternal Sleep and monitoring my vital functions for two hours to make sure that I didn’t actually take an Eternal Sleep was approximately $4,000. Not a bad paycheck for two hours. (Granted, I didn’t die, so I really am grateful.)

Now, the Big One.

The hospital fees included the use of the operating room for just under 2 hours, the nursing staff, the use of 2 hospital rooms (prep and recovery), and things like the plastic bag they gave me to put my clothes in so they wouldn’t get lost in the shuffle. Fees also covered the cost of paper for ALL of the paperwork I had to fill out, and the awesome hospital gown that could actually be heated or cooled to my preference. (Yes, I actually think that part is pretty awesome.) I was not in the hospital overnight. In fact, I was there for just over 8 hours. So, a normal work day.

The total cost for the hospital was almost $34,000.

Total cost for my surgery was roughly $47,000.

Are you cringing right now? Because I have been cringing for the last four months in anticipation of this bill. With every passing week, the knowledge that this bill was coming sent shivers down my spine. I knew that my hospital was In-Network, and that there was a maximum out-of-pocket expense on my plan, but I was still nervous.

Well, today I learned the amazing reality of my situation.

The hospital fee was paid for by insurance 100%.

Yup. You read that right. Every single penny of the $34,000 dollars was paid in full by my amazing insurance company. (Um, did I just use the word “amazing” and “insurance” in the same sentence? Why yes. Yes I did.)

The anesthesiologist’s bill was also paid for by insurance 100%. (I got a free trip to the edge of eternity! Cool!)

The surgeon’s bill was a different story, though. Sadly, it was not covered 100%.

Nope.

There was a $40 co-pay.

THAT’S RIGHT, PEOPLE. I paid a whopping FORTY BUCKS for the surgery I’d been planning on filing bankruptcy for.

If that doesn’t make you shake your head in wonder, I don’t know what will.

 


17 Weeks: Time for a change

Today marks exactly 17 weeks since my surgery. Since I pretty much don’t even think about the fact that I had surgery anymore, unless I’m feeling the hole in my jaw bone (which is kind of fascinating), I figure it’s time to change things up on my blog a bit.

I will continue to update ya’ll on any jaw-related things that happen. (Don’t worry, those before/after pics are still coming…promise!) But I’m going to start transforming this blog into being more, well, blog-like. My goal is to start posting book reviews, musings, writing, etc. Perhaps people who are looking for something other than surgery tales will be able to enjoy this site someday. :)

I don’t really have too much to add at this point, but more will come!

Oh, and I took a painting class with my mom tonight. (Nothing like paint to celebrate 17 weeks of recovery!) Here’s what I painted tonight. It’s called Whimsy Tree.


8 weeks, and all is well…err, mostly.

Well, it has officially been over 8 weeks since my surgery. I apologize that I left many of you hanging, without a new post for 5 of those 8 weeks. :| There have been no disasters, and I am not buried in a pit of depression or pain or despair. I’ve very simply been…well, busy living life with a new jaw.

I went back to work during week three, and managed to make it through my days relatively well. I would work in the mornings, go home for a nap, and then work from home in the evenings. That lasted about a week, and then I was back full-time (for the most part).

It took about a month for the anesthesia to leave my system, I think. I felt pretty fuzzy and weary for a good four weeks after surgery. But then one morning, exactly a month after surgery, actually, I woke up and just felt better. I didn’t feel as groggy, and I could concentrate better than before. It was a wonderful feeling!

Sadly, my weeks of Anesthesia Brain caused me to forget a LOT of my training at work. I felt like I had to ask all of the questions I’d already gotten answers to before surgery all over again. Thank goodness for my generous and patient co-workers!

About six weeks after surgery, I was able to open my mouth about 30 mm, and was back to eating my normal, pre-surgery soft food diet. However, I started waking up with a lot of pain, feeling like I’d been clenching my teeth all night. My surgeon have me a muscle relaxer, which helped a lot. But I also started experiencing some instability in my joint that is a bit disconcerting. I’m hearing popping, and it will lock occasionally, and generally feels pretty tired and tender all the time. Not the most thrilling reality.

However, my surgeon explained that my back teeth were purposefully left not touching when they set my jaw in the operating room. He said that, if my jaw were to settle differently than expected, then the natural thing would be for it to close down in the back. If my teeth were already touching back there when it closed down, then my bite would open up again…thus negating my surgery completely.

SO, they left my teeth apart in the back. And 7 weeks after surgery, those back molars still weren’t touching–which was a good thing. However, my doctors believe that my joint started freaking out as my muscles healed and became more limber. For the last few years, my brain and jaw has known only that my back teeth touch. Suddenly, my brain and jaw realized those back teeth weren’t touching anymore, and they went into Old School Cope Mode….meaning my jaw has been dislocating again in an attempt to get my back teeth back together.

My orthodontist gave me the option of either stopping my current treatment for a while to get me into a mouthpiece and give my joint time to settle down, OR to continue treatment, risking more pain temporarily, and start wearing rubber bands on my back braces to begin closing my bite in the back.

I chose temporary pain and continuing treatment.

So I have been suffering from more regular pain again lately…popping, locking, headaches and migraines. But I am hopeful that as my bite closes more, the pain will subside. I wear rubber bands on my teeth 24 hours a day now, and have not suffered any popping or locking since I put them on. I take them off to eat, though, and if I forget to put them on right away, I do notice my jaw starting to ache and my bite starting to change.

I’m not sure what all of this means, but I’m trying not to lose hope too much. I always told myself to expect at least a year of continued pain before deciding it is all hopeless and I’ll be in pain forever. So, at two months post-op, I’m not anywhere near that one-year mark yet. I’m trying to be patient, and continuing to take muscle relaxers and ibuprofen as needed.

I promise I will share X-rays and before/after photos soon! I’m saving all of that for when I get my braces off, though…so by “soon,” I mean “in a few months.” :)

In the meantime, here’s what I look like today!


Day 21: 3 Weeks in Pictures

I thought a picture montage of the journey would be a fun way to celebrate 3 weeks of healing! When I was going through these pictures, I felt a quiet sense of thrill at how quickly I’m progressing. Yippee!

 

Day of Surgery, Dec. 28, 2011

My bite, minutes before surgery

My hospital prep room before surgery

Day of surgery. Taken just after we got home from the hospital.

Day 1 of Recovery…

Day 1 of recovery. Me and my jowls.

My banded-shut teeth

Day 2…

Syringe feeding, Day 2.

Day 3…

Day 3: The joy of condiment bottles!!

My valiant attempt to eat a frosty failed. Thankfully, my lovely husband was able to turn the frosty into a tasty, condiment bottle friendly smoothie!

Day 4…

Day 4: Being social isn't easy with an icepack strapped to your face...

Gross white pocket in my gums. Turns out it is just healing tissue. (Also, I apologize for the gross green things in my teeth. This was during my potato soup phase.)

Day 6…

Day 6: No more rubber bands! I can open 12 mm here.

Day 11…

Day 11: Up and about with my godson. Feeling pretty good by now!

Day 13…

Day 13: Really getting the hang of being human again by day 13. :)

Up close and personal with my new bite!

Day 15…

Out to dinner with Noah and friends on Day 15. Not the best shot...but you can tell my swelling is way down, and I'm having fun. :)

Day 20…

No more surgical brackets!

 

Day 20: Still getting used to this new face of mine. My smile looks so different to me!

 

There it is, folks. Three weeks in pictures! I’m going to wait for the big Before and After post until after my braces come off…which is still a few months away. Stay tuned!


Day 20 part 2: A quick video!

We’re always trying new things here at Musings of a Lockjaw. :)