An update for those who didn't get the email...
Well- apparently my little jaw problem causes "real" doctors, even chiefs of surgery with years of experience, to shake their heads a whole, whole lot. The doctor in Dallas (Dr. Triplett) was really great though and he was able to give us the direction we needed and we ended up getting two opinions because he took my MRIs and went and showed them to his "buddies" and brought another surgeon in to check out my jaw to verify if what the MRI was saying was really true...so that was good. Both of these surgeons agree that I should definitely NOT have Arthroplasty (that's where they either replace or remove my displaced jaw discs) but rather should have at least the upper jaw surgery and maybe a combination upper and lower jaw surgery (this is called orthognathic surgery) so that my jaw bones and basically my maxillofacial structure can be reorganized surgically so that my jaws and teeth fit together again. This would, hopefully take the force off my back teeth and thereby off my jaw joints which would, hopefully, relieve a) my jaw pain and b) the pretty horrible muscular strain it takes to close my mouth each time. so- even though this surgery option is in itself scarier and a bigger deal- at least this means that 3 surgeons agree strongly that i should follow this route- leaving only one surgeon- namely Dr. Bolding- who messed up my first surgery- out in the cold as the only surgeon recommending the arthroplasty. so as far as WHAT surgery to have- I think it's fairly clear that I should have the upper jaw surgery (aka orthognathic). this means I need to get an orthodontist and oral surgeon that work together and also get my insurance to pay for it. no easy task indeed. my first step is to contact insurance and get on that. it could take a while. meanwhile I am applying for a job in special collections here in my library. if i get that job i will almost certainly stay in arkansas, try to get the surgery done in a year- and start grad school in aug 2006. this would be my ideal situation. if this worked out i would have dr. anderson in LR do the surgery and just commute and use my vacation days for the surgeon and orthodontist appointments which would be hard but ok. if i don't get the special collections job- I will just keep applying for texas jobs and move if i get one. the doctors in dallas said that finding a really good surgeon and orthodontist in san antonio would take about 2 seconds- so that option is still definitely in the works. i have about 15 applications out right now- and assuming i don't get this special collections job- i am certainly still very interested in moving to san antonio- but i haven't gotten call backs from any of the applications yet. i mean it's early in the running for many of them- but it's a little disheartening nonetheless.So i'm really thankful for the direction we got and now I just need to figure out insurance and my job and I think i'll be able to move forward successfully.i start my class in jewish philosophy today which ROCKS. oh and we did go see the exhibit on the emperor of china and it was really good. and the rest of the dallas museum of art was also quite good. i recommend it if you get the chance.ok- thanks for everything. much love,felicia
