Thursday, February 08, 2007

Food Cravings

Daniel (a fellow blogger from the Yahoo Support Group) asked me what I craved when I was at the hospital, enjoying the fine cuisine of clear broths and juices. The truth is - nothing. My throat hurt each time I swallowed. Because of all the meds and the breathing difficulties, food was the last thing on my mind. In fact, I still don't have muh of an appetite. Ate a can of Campbell's chicken noodle soup for lunch (pureed), and found it WAY too salty. Warmed up some French vanilla ice cream and mixed it with whole milk (I know, it sounds disgusting) - but my appetite disappeared while I waited for it to cool off. Then late in the afternoon I blended an apple with some cranberry juice - and just ended up dumping it.

If you went through the surgery as well, what did YOU crave during your recovery? Got any interesting recipes to share? I'd love to hear from you and get some ideas. :)

Wanted: Pain Killers!

I've been weaning myself off of the prescription pain killer Dr. Li gave me. It's hycet, 10 to 15 ml every four hours. As soon as I checked out of the hospital and came home on Saturday, I decided to take it only as needed. Doug bought some liquid extra strength Tylenol for me as a substitute. For the past two or three days I've only taken Tylenol once during the day and hycet right before bed time. So far it's been working fine, except the little moments in the late afternoons where I got these dull, heavy headaches/jaw aches, and I just have to calm down with some hycet. But by then it's almost time for bed anyway. :)

Ha, "Chunky" No More!




Before, and after, of the pureed Campbell's Classic Chicken Noodle Soup. Mmmmmmmmm!

Soup Galore


I bought a bunch of canned soups this morning. Enough of the clear broths and juices. I w a n t m e a t !

Feeling Much Better


Still looking chubby, with lots of light green colored bruises in my cheeks, but I feel so much better today, folks! :)

Swelling Be Gone

Someone from the Yahoo support group shared this tip with me - Bromelain can help with the swelling. I'll let you guys know how well it works. Someone else told me yesterday that after the first few days, warm packs work better than ice packs - and she is right! Applied warm packs to my cheeks overnight, and I do look less puffy this morning. Thanks for the info!

Brace Face!

I love this Paul Frank brace face t-shirt so much I have it in both pink and red. Funny thing is, I bought the pink one two years before I even had braces. Pure coincidence.

Google "Paul Frank brace face t-shirt" if you want to get one, too. Heck, why not? I wore mine to my first ortho appointment to get the braces on. That added some chuckles to an otherwise humorless day. ;)

Wednesday, February 07, 2007

One Week AND One Year

A week post op. Doug took this photo tonight with my BlackBerry Pearl while we were in the living room downstairs (yep we have our matching Pearls, haha). I'd decided to get out of the bathrobe and dress somewhat normally. I'm sick of being a patient! Two nights ago I woke up crying at 3 am. It also happened to be time to take the pain killers again - so there I was, tears streaming down my face, with a giant syringe in hand, squeezing the medication into the back of my mouth. Pretty pathetic.... felt like a big baby. Poor Doug. He had no idea how to console me. The crying wasn't from the pain, really. I think I was really emotionally exhausted, and had to just let it out. It's not cancer, of course, and I'm very grateful for that. But it's been just emotionally and physically draining. The bright side is - it's getting better everyday, slowly, but surely.

Spent some time tonight looking over the profile photos and paperwork my ortho gave me right when the braces started. That's when I realized that the braces went on exactly one year ago, on February 7, 2006. In fact, I got the upper half done on the 7th and had to go back for the lower half on the 14th, Valentine's Day, because I was late for my first appointment and they ran out of time. So, newly crowned Miss Metal Mouth, on the night of Valentine's Day 2006, I went out for drinks with two girlfriends to commemorate the event (see the photo to the right). Gosh I was so bummed out thinking the braces would effectively end my dating life - and that couldn't be good for any single woman, let alone a single woman of age 29 (I'm 30 now, and heck, 30 feels great!). But, as it turned out, that wasn't the case. ;)

A Week Ago Right Now

.... I was on the operating table under the knife.  YIKES!  NOW I'm freaked out.  Thank God it's over.

Chin Chin Chin :P


See how my chin stood out in this picture (dated July 2006 in Hawaii)? It made my neck disappear. Sigh.

11 Days Before Surgery


Doug sent me this yesterday, which was taken on the 20th of January, 2007, just 11 days before my surgery. He said, your nose and chin look so different now. Hmm. We shall see.

Tuesday, February 06, 2007

Daniel's Blog

Daniel had facial osteotomy on January 25th. He's one of the people I've been talking with from the Yahoo Support Group for orthognathic surgery patients. He started a new blog at metoposcopist.blogspot.com. High 5 Daniel! :)

Good Luck on the 8th, Kim!

Hey Kim, thanks for the comment. I wanted to write you back but I don't have your e-mail address. So here it goes:
  1. Yes I do have a splint. I have a plastic piece between my upper and lower teeth.... my surgeon says he'll remove it on Monday.
  2. No I'm not driving yet. Mostly because I've been on pain killers. I don't plan to drive in the next couple weeks... just to be on the safe side. If I had to, I defnitely could, though.
  3. Yes in the past week I slept quite a lot. Dozed off a lot at the hospital. Since I've been home I sleep about 7, 8 hours at night, and maybe two more hours during the day. That's a lot for me - since I usually need only about 6 or 7 hours on average.
  4. I felt reasonably well on the outing yesterday (stopped by a pho noodle house on the way home from my follow-up appointment, and had clear broth). It was a total of four hours, from the time we left the house (a friend drove me) to the time we came back. I felt exhausted, though, and fell asleep in the car. After we got home, I had to take another nap to recover from all the excitement.

What time is your surgery on the 8th? Get plenty of rest the night before and think positive thoughts. Relax your mind. Other tips:

  1. Ask your husband to get a dry-erase board or notepads ready for when you wake up.
  2. Drink as much fluids as you can post-op. I'm sure your nurse would tell you the same thing.
  3. Do what your body tells you. If you're tired, get some rest. Don't push it. I think our bodies are pretty smart... so just listen to them. ;)
  4. Have a good mindset. When people asked me if I felt nervous in the days leading up to my surgery, I always replied - "No. Why should I be nervous? My surgeon should be the one nervous. Hahaha." All you need to do is relax, let the meds kick in, and let your doctor and the anesthesiologist do their thing. Just another episode in the adventure that we call life. :)

I'm sure all will go well on Thursday! Take care Kim.

New Kid on the Block


Introducing the newest member of the Cabbage Patch Kids - yours truly. ;) The swelling has gone down quite a bit... and the bruises are shining through. I've had friends asking me if that's some kind of yellow healing creme on my face! Hahahaha. Um, no. Just old fashioned bruises.

Why I Did It - Medical, Not Cosmetic

As more friends of mine read my blog, I'm starting to get questions and comments such as "wow you made yourself look different". Yes, that is true. But I do want to clarify that while an improved physical appearance is certainly one of the benefits, it was not the primary reason why I decided to get orthognathic surgery.


In my medical chart, they'd stated that I had "...significant skeletal deformity. Class III.". What does that mean? In laymen's terms, it means that my upper jaw had a retrusion and my lower jaw had a protrusion (see photos of my natural bite above), which negatively impacted speech as well as chewing functionalities. I had a serious malocclusion, and excessive wear and tear on my teeth because the contact surfaces were abnormal. Over the years I'd noticed my lower teeth slowly advancing forward, to the point that it formed a gap between my upper and lower front teeth.

I'd asked my orthodontist and surgeon what would happen if I chose NOT to proceed with any treatment at all. They said my bite would continue to worsen, and my chewing less effective. Clear speech would become more of a struggle. Also, my jaw joint pains would likely become more frequent and severe (I used to get jaw joint pains whenever I felt tired).

So folks, these were the MEDICAL reasons why I chose surgery, and why they'd labeled me a Skeletal Deformity Class III. I'm glad these problems would go away now that surgery has been completed. And if I happen to look different as a result - icing on the cake! :)

God, all I can think about now is FOOD. :)

Progress

Slept through most of the night, woke up only twice. Breathing has become easier - not 100% there yet, but it didn't bother me enough to wake me up. :) Also, my nose isn't bloody anymore. Big improvement, considering how it's been bloody evern since the surgery. Also, the pain no longer becomes all-consuming as soon as the pain killer wears off after four hours. I tell myself not to take it unless I really NEED it. No point getting psychologically dependent on that stuff.

Monday, February 05, 2007

8 mm

6 mm off across my upper jaw. The lower jaw has been tilted differently so there goes another 2 or 3 mm. Net - Dr. Li says my face is now 8 to 9 mm shorter. That's about 1/3 of an inch! W h o a. Funny how our hands have memories. When I touch my face I could tell - without looking into the mirror - that there's less of a chin now and the slope of my nose has changed.

Over the Hump

The few minutes Dr. Li spent suctioning my nose felt like Nirvana. I hadn't been able to breathe that completely in almost a week. He cut off the super-strong rubber bands "wiring" my upper and lower jaws together, and replaced them with four little vertical ones, two on each side, leaving my front teeth exposed and free. He gave me some replacement rubber bands to take home, in case I needed them, and they were, very fittingly, named "bummers" on the envelope.

Dr. Li noted once again how he'd never seen anyone swelling up as much as I did throughout his entire practice. Hmm. I wonder if there's an award for that? ;) In any case, he said the swelling in my face, as well as in my sinuses, would gradually go down in another 10 days or so. I am now officially "over the hump". As far as the "before & after" picture I so eagerly showed him, he dismissed it with a smile - said it was too early to tell the exact differences. I got the sense that I should prepare to see the precise, and final results after the swelling disappeared. Come what may.


On the way home, Elaine treated me to two big bowls of beef broth at a pho noodle house. I triumphed with the giant syringe in hand, until, in a moment of over-enthusiasm, I over-extended the pipe, so the broth came dripping down on one end; and as I shoved it back into the tube instinctively, it quickly sprayed out the other end. It was like a one-two punch. You'd have to be there to appreciate the not-so-subtle humor of the situation. In any case, Elaine and I had quite a laugh about it.... and I'm sure this one will go down in history in its full glory. ;)

Grateful

Did a lot of research on orthognathic surgeries on Google this morning. One website caught my eye when they said that when you first find out from your orthodontist that 1. yes, something IS wrong with your jaws and 2. yes, there IS something you can do to fix it - it is an overwhelming feeling. Yet, we should thank God because lots of people live their entire lives knowing they have a problem, but can't articulate it, or find a solution for it. In that sense, I am very fortunate, indeed.

My dentists have always said I have "beautiful teeth". Ironic, isn't it, that I'd never felt proud of them? Not that I'd purse my lips in photos, but boy, I always knew, if there's one thing I could change about my physical appearance, my face would be it - the profile, especially. Wouldn't you say that's a pretty big deal? My FACE. Not my ankles, or my tummy, or my breasts. But, my face. Our faces are our IDs in this world. I am, yes, grateful, that things turned out the way they did and I was given the opportunity to make an improvement and boost my self-esteem. Thank you, God.

Support Group

I'd completely forgotten I'd joined this Yahoo Group for Orthognathic surgery patients and their families. It's very much alive, active, and informative. Check it out at http://health.groups.yahoo.com/group/orthognathicsurgerysupport/.

Miracle Formulas for Clearing Your Nasal Congestions

Serious nasal congestions would have to be my biggest complaint in all this misery. If you plan to undergo orthognathic surgery as well, OR if you catch a nasty cold next time, keep these things handy just in case:

  • Vick's VaporRub - This stuff ROCKS! Dab a little under your nose, or better yet, mix a smear of Vick's with a glass of hot water and steam your face with it. It does WONDERS.
  • Vapor Inhaler, nasal decongestant. It's levmetamfetamine. You can literally feel this stream of fresh air piercing through each of your nostrils. Much, much needed in times like this!
  • Hot showers - the tried and true. Honestly, I had my doubts. And honestly, even though it does help, in my opinion it doesn't work as great/fast as the two above.

Day 6

Showered. I've been taking showers almost daily since the surgery. While in the beginning it made me dizzy to remain standing for more than minutes at a time, hot showers definitely do wonders in clearing up my nasal congestions. I feel alive again.

Elaine's picking me up in two hours go to see Dr. Li for a follow-up appointment. These are going to be weekly until mid-March.

Breathing Through A Wet Sponge

This has been such a long, long night. I'd fall asleep from absolute exhaustion, only to wake up from my ever-diminishing breathing capacities. Jaw "wired" (rubber-banded), with a serious nasal congestion. It's one of the worst feelings I've ever experienced. It's as if your world is closing in.... and you're trapped in the middle with less and less oxygen.... and the light just dims. I feel this cloud of congestion hoovering right up in my sinus, between my eyebrows. It's like - breathing through a wet sponge.

The nurses had suggested to sleep with my head elevated to help reduce the swelling in my face. I've "slept" all night sitting up in my bed, with lots of pillows propped up behind my back. It's not exactly pleasant, and while it didn't promote the swelling, it didn't reduce it much, either. Off I go to get more ice packs from the fridge.

Sunday, February 04, 2007

A Walk in the Park


Literally. Doug and I took a slow walk in the park this afternoon to get some exercise. Laughing hurts at this point.... it pulls the gums in my upper jaw with such a strong force. I'll stick to drama for now. ;) If you click on the photo to enlarge it, you might be able to see the bruises forming on my lower jaw.

Turtle-Necks and Pony-Tails

The swelling isn't completely gone yet. But, I don't have anything on my dance card. I can wait.

In the meantime, I decided not to look like a patient anymore. Got out of the cozy bath robe, put on a long-sleeve t-shirt, jeans, and a puffy down vest to keep warm and match my puffy face. ;) Put my hair up in a pony-tail - which I used to hate, 'cause it highlighted my less-than-perfect profile. Now I love it! Plus, I just realized minutes ago that hey, now I can wear turtle-necks, too, without worrying about how they'd emphasize my prominent, over-sized chin. All these little details and constraints that I'd learned to accept and get used to.... no more!

Saturday, February 03, 2007

1st Before & After


Click on the photo above to enlarge it. Before.... (before the braces even started, about a year ago), and after (this morning, as we left the hospital). My cheeks are still very puffy, but you can probably trace the new profile already. Bonus point? I lost 8 lbs in 4 days!

On the Other Side

After much jitter, and anxiety that the surgery might be postponed due to the cold I happened to catch just three days before, now on this day I proudly and safely stand on the other side. It's done! And might I add - fabulously done! Great job Dr. Li! Thank you so much.

The surgery proceeded as planned on January 31st. My friend Mark and I stayed at a hotel in Palo Alto the night before so that we didn't have to rush in the morning. At 8:15 am we reported to the Stanford Ambulatory Surgery Center 15 minutes early. Miraculously, my cold symptoms had lessened sufficiently. Even Mark, who'd spent 10 years as a medic in the US Navy, and worked as a nurse, was convinced that I should be ready to proceed. We did all the paperwork (one of the questions on the form was, in so many words - "in case of a medical emergency, would you choose to die gently, or be kept alive as a vegetable?". What a question for that early in the morning, huh?). Then I changed into a hospital gown and we waited in the pre-op area for almost two hours until Dr. Li and my anesthesiologist each came to check on me. The anesthesiologist I could barely remember. He'd called me the night before. That morning he showed up, listened to my lungs, checked my pulse, and said - ah, when it pounds that hard, you must be nervous! I'll give you something that will calm you down. Well, calm me down it did, alright! After he injected whatever it was into my veins, I barely stayed awake during the short trip from the waiting area to the operating room. The last thing I remember was Dr. Li asking me to scoot over to the operating table. I did, lied down, and blacked out promptly - after thinking "wow the operating room looked pretty crammed!", and "not as dark as I'd seen on TV!"

When I came to I was coughing/choking just a little. The first thing I sensed was Dr. Li calling my name and wiping my face, saying - "Kristen! You did very well! It went perfectly." Huh? What? That was it? How long ago was it? My thoughts had no lucidity. I felt extremely groggy and wanted to figure out how much time had lapsed before I regained conciousness. Four hours - it turned out that I'd been in surgery for four hours. They wheeled me to the ICU and kept me there for about an hour or so to make sure I remained stable. Then they wheeled me off to my private room where I stayed for three nights.

As they wheeled me to my room I heard Mark's voice nearby in the hallway and felt immediate relief. It helped so much to have a friend close by! I felt oddly energetic and stayed awake so we chatted for a while. Well, correction - he talked, and I motioned and listened. My jaws have been "wired" shut with rubber bands so I couldn't talk and risk moving my jaws prematurely. Mark bought me a notepad and a pen, AND a cute teddy bear with roses. :) At 8 pm he left when my friend Elaine arrived. She brought me tabloid magazines to help pass time and ease the pain. Elaine spent the night with me and slept in a chair - very uncomfortable! Plus, she woke up every time the nurse came in at night to give me pain killers and antibiotics. Poor thing!

In the morning Elaine left for work and I braved the day alone until Doug came at 5:30. Elaine had told me how "swollen" I'd looked before she took off, but I didn't appreciate the intensity until Dr. Li paid me a visit at 2 pm. As much of a veteran surgeon as he is, even HE chuckled when he saw my face. And after commenting on how I appeared to be more swollen than most people he'd treated, he broke into a polite, but hard-to-surpress laugh. Um, thanks! Oh well. I never fault a comical situation.... even if it's at my own expense. ;) On the flip side, Dr. Li reassured me that the surgery went just perfectly, and he was very happy with the results. That provided some great relief.... even though somehow I never doubted it would be a success.

The day shift wasn't exactly up to par, however. For instance, I'd press the nurse call button, they'd ask via the intercom - "What do you need?", and of course with my jaws wired I couldn't say anything except make noises - so they'd simply hang up on me, perhaps thinking it was a fluke. Argh! And all this happened even though I'd asked the nurse from the night before to make a note that I couldn't talk. It's funny in retrospect, sure, but at the time, it was infuriating. The only thing that brightened the day was the flower arrangement that Jackie sent me. She's such a sweet girl!

When Doug came that evening everything got easier. :) He was just such a great, caring friend! Well, a little groggy himself, perhaps. Because for some unfathomable reason, he'd thought he was taking me home that night! No way. I wasn't due for a discharge until Friday morning - and even that was delayed a day because of my condition. Silly Doug!!

However, he was a real trooper and stayed almost three full days through thick and thin - er, or maybe through gross (me, with a serious nasal congestion) and smelly (him, through three days of no showering). My friend Isabelle visited Thursday night and the three of us chatted for quite a while. She's the one that had recommended this surgery to me in the first place (she went through it herself about five or six years ago). We had a great time "partying" in my hospital room. As soon as she left, though, I felt the wind taken out of me and just crashed.

It was too much to see poor 6'4" Doug cram himself into two chairs and suffer through the long night. Luckily neither of us is overweight, so I invited him to share the tiny hospital bed with me. We managed not to crush it! Thursday night came and went without much ado.

Friday was a different story. After the quick shower in the morning, I felt dizzy and sick in the stomach, and had to lie down immediately after coming back to my room to let it pass. Dr. Li came to check on me again, and suctioned my nose because I began to have trouble breathing through it (and my jaws were "wired" shut!). Unfortunately that problem came back with a vengence at around 7 pm. Breathing became so unbelievably difficult, because my nose was terribly congested and my jaws wired shut, that I experienced my very first panic attack, and thought I was going to die. To be perfectly fair, the two nurses there were not very helpful. The student intern was alright. But the other one was patronizing, telling me that my oxygen intake was at 97% so there was no serious concern. How dare she!! Could she not see how much struggle I was going through just to get some air? I held Doug's hand and before I knew it, tears came running down my very puffy cheeks. Long story short, after about an hour of fear and struggle, my breathing became easier. But, I suspect it'd be a long time before I forget about this particular night.

At 2:30, or 3:30 in the morning neither Doug nor I could sleep so we took a stroll in the hospital instead. It was of course very quiet.... and even serene in a way. We looked through all the paintings on the walls.... and walked through the different corridors. I knew I was getting stronger because standing for an extended period of time didn't make me sick and dizzy anymore.

So this morning we packed and left for home! I had no idea how good it would feel to be home again. But it was definitely relaxing... and helped ease my breathing. How ironic that even though I had JAW surgery, my nosal congestion and breathing became the #1 issue and concern in the immediate recovery period.

I took some snapshots of my face. It is still very swollen.... but the swelling has gone down quite a bit. Spent some time doing before and after comparisons.... which you'll see very shortly!

Heading Home!


I am going home! Finally checking out after three nights at the hospital.

Friday, February 02, 2007

Posing with the Monkey


Face deflating just a bit. The skin didn't feel as tight and stretched as the night before. I could spare some to squeeze out a smile now. ;)

Comfort


Jackie sent the flowers, Mark gave me the teddy bear, and Doug brought the monkey. Thank God for friends!

Bunny Ears!


Ice ice baby! I looked and FELT tired and resigned.

Thursday, February 01, 2007

Hand in Hand



Doug took this photo while I was under the influence of pain killers. He has been such a caring man and an extremely patient and thoughtful friend to me throughout this entire ordeal. Thanks Doug!

Beauty & the Beast


My friend Isabelle came to visit. She's the one that told me about orthognathic surgeries in the first place. She laughed upon the sight of my very swollen face. Oh well. What can you do? ;)

Self-Rising Dough


Look at my puff-pastry cheeks! I was surprised to see how swollen I'd become.

No Glamour Shot


See the tiny incision on the side of my cheek? There's one on the other side, too.

The Rise of the Chipmunk


I scared myself looking at this photo. Apparently I'd turned into a chipmunk overnight. But wait, it gets better!

Wednesday, January 31, 2007

1st Picture of My New Profile!



I HAD to see it. How do I look sideways?

1st Night


I felt oddly lucid, considering all the pain killers they were pumping through the IV.

Fresh Out of Surgery


Viola! Mark waited for me as I underwent surgery. He gave me this cute teddy bear as the nurses wheeled me into my room after it was all done. Those were ice packs against my cheeks.

Giddy and Ready to Go!


OK, I made it to the pre-op waiting area. Scared silly, yes, but I was ready to go!

Surgery Day! Waiting....


8:41 am, PST. Waiting at the Stanford Ambulatory Surgery Center for the nurse to call me into the pre-op area. Uh oh. This is for REAL.

Saturday, January 27, 2007

The Plan


This is essentially what the surgery's aiming to accomplish.

A Pleasing Profile


Is this what to expect?

http://www.drbonine.com/large_lower_jaw.html
http://www.craniofacialcenter.com/book/Orthog/Orthog_1.htm
http://craniofacial.stanford.edu/OrthognathicPAGE.html
http://www.universityoralsurgery.com/proc/proc_ortho.html
http://www.aaoms.org/corrective_jaw.php (good photos)

Wow. Now I want cheekbone implants. :P

Aetna, Rock Star!

Just read my last post in 2006, where I complained about Blue Shield. Thankfully, things have taken a turn for the better since then. The company I worked for got acquired, and the new company is bigger and has much better benefits. As a result, I now have Aeta, whose "reasonable and customary" fee for this type of surgery closely approximates my surgeon's quote. Net, my out-of-pocket has dropped to about $8,500, instead of the whopping $21,000 I'd have to pay if I stayed with Blue Shield.

Aetna is the way to go, if you can't have Kaiser.

Tick, Tock

My surgery is coming up in 5 days.

It's scheduled for Wednesday, January 31st.

Friends and colleagues ask me if I feel nervous. I don't. My surgeon is the one that should feel nervous! :)

All jokes aside, I trust Dr. Li. He's obviously very experienced, and more importantly, very thorough. I like doctors that don't take chances!

For those of you out there going through the same thing, here's what to expect:
  • NO painkillers for 10 days before the surgery, except Tylenol. You don't want to thin out your blood.
  • NO food or drinks for 12 hours leading up to the surgery. Nothing in your stomach, nothing to throw up.
  • Ice ice baby. ICE your face as you recover. It helps keep the swelling down.
  • No, they don't wire your jaw shut anymore. Instead, they just put rubber bands between your upper and lower teeth to help "cradle" your jaw.
  • The recovery period is 4 to 6 weeks, with weekly visits to your surgeon.
  • Buy lots of straws! Liquid diet, doctor's orders. ; )
  • Up your Netflix subscription. Heck, when else are you going to have this much time to watch movies?

Wednesday, November 08, 2006

8:00 AM Conversation with Blue Shield

Luckily, the representative that I talked to on the phone seemed knowledgeable. 
 
Even more luckily, Stanford Hospital is in network, which means for my hospital stay my co-pay is only 10%, and there's no daily maximum.  If it were out of network, it'd be 30%, with the daily allowable amount of total charges capping out at $600.
 
Not so lucky?  These numbers:
 
Procedure                          Surgeon's Quote          Blue Shield's Allowable Amount (they pay 70% of these)
Maxillary Osteotomy           $16,800                       $1,636 (not even 10%!)
Mandibular Osteotomy         $16,800                      $1,784
 
Blue Shield says I'm responsible for the difference, because my surgeon is out of network.  Whoa.
 
Why don't they just go by their initials - BS.

Insurance

Oh no.  Received a letter from my surgeon's office that said my insurance would only cover 15% to 30% of what's considered usual and customary charges.  Considering my doctor is out of network, that would be a HEFTY bill.  I have to call Blue Shield tomorrow to see if my copay maximum applies in this case.

Tuesday, October 24, 2006

Plak Smacker

A friend of mine (who had braces last year) gave me some disposable toothbrushes yesterday. They're pre-pasted and individually wrapped, so I can just stuff it in my purse and viola, I'm ready to go. No more hauling around a heavy battery-operated toothbrush and a whole tube of toothpaste. What a great idea! Thanks Cindy!

Just bought a whole pack of them at PlakSmacker.com.

Pre-Authorization

Spoke with my surgeon's office this morning. They've just sent the paperwork for pre-authorization to my insurance company yesterday. So it'll take another three to four weeks to find out whether or not the surgery will be covered. I checked my benefits online last night, and on the website it said - " You are covered for orthognathic surgery (surgery to reposition the upper and/or lower jaw) when it is medically necessary to correct skeletal deformity. Certain services, such as implants and orthodontia are not covered. " Sounds hopeful!

Monday, October 23, 2006

Fingers Crossed!

Had an x-ray at my surgeon's office about a month ago, in preparation for the surgery. Today I received a letter from my insurance company, Blue Shield of California, declining payment for the x-ray, citing that it is "specifically excluded" from my coverage. Uh oh. Does this mean they'll refuse to cover my jaw surgery as well??

Calling my surgeon's office first thing in the morning to find out if they have received pre-authorization. I know they've been working on it this month.

Wish me good luck!!

Friday, August 25, 2006

Surgery Date!

At my last ortho appointment, they said I could call my surgeon and schedule a surgery date.  Yay!  It's been set for January 9th (so I can still enjoy the holidays). 

Thursday, June 15, 2006

Groovy!

At my last appointment about 10 days ago, my ortho told me that instead of wearing braces for another year post surgery, I might be able to get away with only 6 months. Coolio!

Sunday, May 07, 2006

Three Month Mark!

.... In a blink of an eye. : )

Tuesday, April 11, 2006

Argh!

So yesterday I went in for new wires and also for brackets on my molars.  Let's just say I fell asleep AND woke up with pain.  It HURTS!!  I can tell my teeth are moving because the gaps between the upper and lower look different now.  But other than that, it's been pretty subtle.

Saturday, April 01, 2006

Update....

I haven't posted anything in a month because it's been uneventful. Thank goodness for that! :) Occasionally a tooth or two would hurt, for a day, or two, or three. But nothing major. I've gotten used to the braces by now, and I no longer feel horribly self-conscious about them. Hey I've gotta live with them for two years, so I might as well get comfortable!

My bite has become a little crooked, though. They're aligning the bite so it'll be in optimal position immediately post-surgery. But I'll check/confirm with them at my next appointment on Monday.

Wednesday, March 01, 2006

individual tooth

This one tooth really started hurting yesterday.  I guess the braces are working after all!

Wednesday, February 15, 2006

My Bite Before the Braces


Right before I went to my orthodontist, before the braces came on. February 7, 2006. Posted by Picasa

Close Up of My Natural Bite


Typical edge-on-edge, with an open bite tendency (meaning my teeth don't touch). This was my natural alignment when I bit down. Nothing natural about it! February 7, 2006. Posted by Picasa

Initial Contact

Believe it or not, my front teeth (the upper and lower incisors) never touched even when I'd bite down. Hence the terms "edge-on-edge" and "open bite". Then yesterday, Valentine's Day 2006, I had the lower half of my braces put on in the morning, and in the afternoon - what is THIS? The incisors on the left started making contact with each other. I can FEEL them now. Success (in small steps)!!

Saturday, February 11, 2006

Kiss n' Tell


.... I will not. ; ) All I will say is that I got a HUGE ego booster at 330 Ritch tonight. ; ) Posted by Picasa

Thursday, February 09, 2006

Headache Central

The other shoe finally dropped.  Now I have such a splitting headache it feels as though my HEAD was wearing braces... not my teeth.  ARGH!

Wednesday, February 08, 2006

Clam Chowder

First meal since the braces - clam chowder.  Turns out I could only mash a few chunks of potatos and drink the creamy soup.  Everything had to be left in the cup.  I realized, to my dismay, that I really couldn't apply pressure using my teeth, and therefore couldn't chew.  Bummer!  On the brighter side, teeth aren't hurting as much as they warned me they would.  Haven't taken any pain killers yet, today.

Closing Gap

10 am. No pain... just this dull tightness around my upper teeth (I don't have braces on the bottom yet). But I can't bite down without causing pain, so chewing is out of the question. Milk (and diamonds) are a girl's best friends!

By the way, my orthodontist said yesterday that the tiny gap between my two upper front teeth would be closed by this weekend. Guess again - the gap's already gone! : ) Perhaps my teeth are more mobile than average. Hmm.

Tuesday, February 07, 2006

Good Night, and Good Luck

No, I'm not referring to George Clooney's movie here. ; )

Day 1. And... WHAT a day! Aside from all this braces business -
  • A girlfriend of mine got a promotion, AND a raise, after only six months at her new job
  • Another girlfriend of mine got engaged!

Meanwhile, Miss Dorky Teen USA (Yours Truly) is battling braces... or rather, as George Carlin would say - battling a bite problem WITH braces. Tiny tear in my eye.... : )

Two glasses of organic whole milk (Write me if you drink whole milk and are older than 16. It seems all adults have opted for fat-free or 2%.) and a fat Motrin pill later, I'm ready to call it a day. So good night, and good luck.

Waiting for the other shoe to drop....

So, due to scheduling confusions, they only had time to put on the top braces for me. I'll go back next Tuesday for the bottom half. Bummer!

They warned me it would hurt tonight and the pain would peak tomorrow. Now it's just sore and tired from all the pressure. It's 5 now but I still haven't eaten anything... and I'm not even hungry!

In My Office

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Practicing smiling (as) naturally (as possible). The funny thing I noticed right away is that while it's perfectly OK to smile wide, as I always do, it is a little tricky to relax my lips when I'm done laughing and close my mouth. The braces ARE a bit abrasive, so instinctively I'm careful about not getting my lips scratched!

Getting used to it....



Oh my God I have braces. Posted by Picasa

DORKY

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Here I proudly display equal parts of gum, teeth, and braces. : )

Ta da!


Wearing the matching t-shirt I bought two years ago. : ) Posted by Picasa

The Morning Of


Heading out to the appointment! Posted by Picasa

Visits to My Dentist

To ensure I'm completely ready for the braces, I went for my regular cleaning at my dentist's last week.  They said my gums were bleeding more than usual so they gave me the deep scaling treatment.  Well, it definitely wasn't a "treat".  They numbed me on both sides of my cheeks - but at times it STILL felt like hell.  The entire process took four hours, split into two two-hour sessions.  Yipee!  NOT.  Afterwards, I bought the Sonicare Elite 7300 electronic toothbrush.  Very happy with the results.  Now I feel ready.  Bring it on!

Don't Laugh

OK, laugh all you want.  But since this was my last day before the braces go on, I decided to eat whatever the hell I wanted.  (By the way, I should mention that I ate a TON of desserts in the past two weeks and a HUGE tablespoon of chunky peanut butter last night.)  So for lunch, I had a giant burger.  Dinner was a rib eye steak, a slice of thick, sinfully rich chocolate cake and a scoop of Creme BrulĂ©e gelato.  YUM.  Hey, the weight can come off later - I hope.  ; )

Monday, February 06, 2006

My Smile on Sunday, 02/05/2006


Hmm. This could serve as one of the "before" pictures. Posted by Picasa

Questions For Dr. Stacey Quo

This is it! I'm going in tomorrow to get my spankin' new braces on. So of course, I've been fretting over the whole ordeal.... and I have composed a list of TWENTY-FOUR questions for my orthodontist to hopefully cover all my bases.
  1. Will my upper teeth be tipped in as in slanting inward?
  2. How much would my upper teeth be OVER my lower teeth?
  3. How much "shorter" would my face be?
  4. Is there a possibility I would be ready for surgery before the full 12-months?
  5. Can we set a surgery date now?
  6. Will I need to wear rubber bands?
  7. What did you mean when you said my teeth/bite would look worse right before surgery?
  8. Will I need headgear?
  9. Will any teeth need to be removed?
  10. Will the gaps between my lower teeth disappear?
  11. Will the treatment change my facial profile in any way besides a smaller jaw?
  12. Will the braces straighten my teeth besides improving my bite? Will the two teeth on the bottom that are turned sideways get straightened as a result?
  13. How often will I need to come to your office for adjustments? Once a month?
  14. What is the total cost? How is the cost broken down? What's the payment plan?
  15. How much pain and discomfort will I be in?
  16. Before we begin, would you review my treatment plan with me?
  17. I have very sensitive gums right now. What precautions should I take? Any suggestions?
  18. How will the braces affect my speech?
  19. How frequently and when will Dr. Li get involved?
  20. Will the popping/clicking of my jaw joints go away?
  21. Is there anyway to preview my new profile?
  22. Will red wine stain my braces?
  23. Will I have extra skin hanging off my jaw??
  24. How long will I need to wear the retainer for?