Marc's Public Blog - OSA, Obstructive Sleep Apnea and MMA Surgery

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This page has a few of my blog posts about my issues with OSA, Obstructive Sleep Apnea, which basically means not being able to breathe at night and having restless nights, night after night.
Because my sleep apnea scored low but somehow the impact on me was fairly high, it took a while to diagnose, and I tried several things before eventually getting Maxillomandibular Advancement Surgery (MMA) to fix my airway for good.

I made this summary page after the fact, so it starts with a few sleep studies I likely did 5 years later than I should have.

Table of Content for osa:

More pages: December 2011 May 2011 March 2011 December 2010 August 2010 July 2010 January 2010 December 2009 July 2006 April 2006 November 2005 March 2004

2010/08/22 Hospital Prices
π 2010-08-22 01:01 in Osa, Public
After a totally ludicrous $4000 bill the one time I was stupid enough to go to the ER for 4 stitches, a shot, and a few bandaids, I was not optimistic on the hospital bill for my recent surgery.
At hand was: a 5H surgery with related staff and supplies, 1 night in the ICU (which I'm not quite sure I needed since I never was in a critical state, but I suppose better be safe than sorry if money is no issue), and one night in a regular hospital room (all in all I stayed a bit less than 48H).

So, what was the bill? Indeed, it was over $93,000 for just the hospital (my surgeon bills separately, and I may also get a separate anesthesiologist bill and potential lab fees).
While I realize that world class surgeons should get paid for their skill, and hospitals don't run just on good wishes and fresh water, they still cost over 5 times what I'd pay in France for similar service (minus maybe things that would be considered unnecessary).

Now the "fun" part is where the insurance has pre negotiated prices and decides that things are really worth less than what the bill says. From there it goes from $93k to $16k!
Now, $16k is not cheap, but feels not as unreasonable as the first bill. What's disheartening though is that it's likely people without insurance who get billed full price and maybe get a measly 25% discount in the end.
I don't work in a hospital, but I really do wonder how they get to quote such outlandish prices and what happens to people who don't have insurance that will refuse to pay their rate and negotiates the prices way down.

Oh, if you add "supplies", it adds up to $26k billed. I really want to see what supplies I got for $26K worth.
Even over $1650's worth of drugs is steep, but of course that starts with drug companies charging pretty ridiculous prices (which Cigna mostly fully paid).

Anyway, there is a lot of things to fix in the medical industry, but I suppose that's no news to everyone :-(

In the meantime, I can thank Cigna PPO for making this experience mostly a non event financially for me.

2010/08/19 MMA surgery, 7 weeks later
π 2010-08-19 01:01 in Osa
Ok, this update is going to be boring, but I'm considering myself fully recovered. I can pretty much eat anything at this point, and except for my chin still being somewhat numb (it takes months for it to come back fully apparently), I'm pretty much back to normal.

All that is left is to move the teeth back to a location that makes sense for my new bite. Unfortunately that will likely take a year or so, but oh well...

Ah, yes, my sleep. It's definitely better than before, no question about that, although it'll likely take another month or two before I get official scores from a sleep study.

More pages: December 2011 May 2011 March 2011 December 2010 August 2010 July 2010 January 2010 December 2009 July 2006 April 2006 November 2005 March 2004

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