I'm not sure who reads our blog these days so if the following rant offends you, I can't say that I'm sorry but I'll warn you that it's a rant about my uterus and insurance companies and greed!
Cooper was born at 34.5 weeks gestation. He was considered a late term preemie but he had respiratory distress as most of you know and spent about 10 days in the NICU. Fortunately, he's grown to be a perfectly healthy little boy with no lingering effects. When I was pregnant with Cooper I paid $0 in prenatal care with the insurance that I had. When he was in the NICU, his total bill came to a whopping $50,000.00. Yes, that says 50k! We didn't have to pay a dime because our insurance covered all of it. Yes, we were lucky in many ways.
Fast forward just 3 short years and its as though it's been 20 years since I had a baby in terms of insurance and coverage. I now have deductibles and coinsurance and much less coverage this time around even though I'm with the same insurance company under the same plan. To get my prenatal care and give birth I can expect to pay around 2k out of pocket. That feels harsh, but doable, and it was an anticipated cost when we were planning for baby #2. We're lucky we can plan for that type of cost!
All of this was acceptable, things change, times are different. But with this pregnancy my doctor wanted me to get a progesterone shot beginning at 16 weeks through my 36th week that would significantly decrease the odds of my having premature labor again. Since there was no known cause for my premature labor and after one preemie you are at an even higher risk for another preemie I was the perfect candidate for this treatment. I started my weekly shot at 16 weeks as scheduled. I've had 11 of these shots to date. Enter KV Pharmaceutical.
A couple of weeks ago I happened on an article on msnbc.com about a premature labor drug spiking from $10 to $1500 per shot. This is my shot, that was covered by my insurance company, with no problem. KV Pharmaceutical won government approval to exclusively sell "Makena", the new name of my progresterone shot. Originally their suit was backed by the March of Dimes and by OB's because it meant the quality would be more consistent and would be easier to get. They did not anticipate the greed, which quite frankly, surprises me. Isn't that what these companies do? Make a crap load of money off of people who need their drugs? To me, not so shocking! Everything was fine for my shots for the last couple of weeks, and then I needed a refill. Now, pre authorizations aren't working, approvals aren't being made and now at 28 weeks I'm skipping a shot. If I'm lucky, I'll get approved in time to get a shot next week. If I'm lucky, I'll get approval period. And if I'm super lucky, my baby will be full term. If I don't get any more shots I'm hoping that I've had enough to keep my levels up so I won't have preterm labor.
Steve and I have talked about the long term vision of our family. Baby #3 seemed like it was unlikely, but isn't that our decision to make? If I can't get those shots then would I want to risk another preterm labor? Why does KV get to call the shots on the state of my uterus? My uterus is none of your business!
Wednesday, March 30, 2011
Tuesday, March 29, 2011
Good News
This post is all about Maddie. For the first time since I hit the 15 week mark I got good, solid good news about my pregnancy. Maddie had always been peachy, me - not so much. But luckily today we were able to see that my placenta had finally moved to the proper position! Yay! An odd thing to celebrate but it saves us a lot of worrying and wondering and possible bed rest for the time being! We also got another pleasant surprise at the ultrasound when they were able to do a 3-D image of her and we got to see her face. The pictures are a little funny, think "floating face in space" but it was neat to see her in a way other than seeing through her! Here is a sneak peak of her room. We just need to finish with curtains and her name on the wall.....
Tuesday, March 22, 2011
Updates and better things....
Pregnancy update: Things are chugging along, starting into the last trimester finally and I am emotionally and physically DONE with being pregnant. I don't like being pregnant, my body doesn't like it at all and I'm pretty sure it's bad for my psyche. I just want to make it to full term and have a healthy little Madison to look at and I know it will be worth it. But in the meantime, people should warn you that pregnancy a second time around is less fun than the first, especially if the first was no fun. Someone should also tell you that if your boobs got all stretched out the first time around they will become completely unmanageable and ridiculous the second time around. I'm tired of food landing down my shirt or on my belly, it is not cute, I look like a slob. Hormone shots do not make things any easier or happier, they just make you cry more, feel like poo and make your rear end itch and swell up. Oh and I have track marks along my back end from all the needles, it's awesome. On the plus side, I'm almost done. Yep, that's all I got for the plus side right now, I'm almost done.
Here is the better part, it was a warm weekend where we could get a lot done and Coop could play outside half naked and fully naked and pick up worms and name them "Wormy". According to Coop, Wormy was such a nice worm. And then he played with Wormy until he broke in half. Rest in peace Wormy. Even better, I have pictures of the Wormy fun. If you don't like worms, don't look at the pictures.
Monday, March 7, 2011
Almost 3
It's hard to believe Coop will be turning 3 in two months. The time has really flown by, especially the last two years. I am constantly in awe of what come out of his mouth and how much he absorbs. These three pictures are within the last week and to me it looks like he is about 10 years old, not 3. I'll take 3 though, he still likes to snuggle with his Momma.
Wednesday, February 23, 2011
Cabin Fever
We're done with winter here. It needs to just be over. I didn't realize how bad Coop may have had cabin fever until last week when we had two warm days and he got out of the car and looked at Steve and said, "Daddy I want to run". And run he did. Up the street, down the street, up the driveway, down the driveway, through the yard. I felt really bad for Steve's legs, but not bad enough to drag my big ol' belly out there with them. Here are snapshots of our activities these days:
How to make a space helmet:
How to build a snow fort in the driveway with a plastic garbage can:
Hallway crawl racing, the good, the bad, and the ugly:
Coop trying to take Daddy out of the game.....
Will he recover......
How to make a space helmet:
How to build a snow fort in the driveway with a plastic garbage can:
Hallway crawl racing, the good, the bad, and the ugly:
Coop trying to take Daddy out of the game.....
Will he recover......
He does recover and manages to try to squeeze Daddy out of the game!!!!
When competing with Coop, there is only one outcome.....COOP WINS!!!Wednesday, February 16, 2011
Change is coming....
I'm currently in my 22nd week and considering Coop came at 34.5 weeks we aren't going to take any chances with not being ready this time. This past weekend we started working on Maddie's room. Coop was really helpful with the painting and I think he is excited to have a little sister.
He has pretty much said from the beginning he was going to have a sister, even before we knew. He's very sweet to his sister already. He likes to say hi to her through my belly button and he likes to poke her through my belly button, he thinks that is mostly hilarious even though it kind of hurts Mommy. I'm looking forward to being home this summer on my maternity leave with him even though I'm sure I'm going to be busy with our little newborn. It's hard to believe in a couple of months he will be 3. There isn't a lot of baby left in him but I think I captured a rare moment of it this weekend when he was napping.
He has pretty much said from the beginning he was going to have a sister, even before we knew. He's very sweet to his sister already. He likes to say hi to her through my belly button and he likes to poke her through my belly button, he thinks that is mostly hilarious even though it kind of hurts Mommy. I'm looking forward to being home this summer on my maternity leave with him even though I'm sure I'm going to be busy with our little newborn. It's hard to believe in a couple of months he will be 3. There isn't a lot of baby left in him but I think I captured a rare moment of it this weekend when he was napping.
Thursday, February 10, 2011
update
Well....the blog has been suffering lately. We have been extremely busy. Things are good in the Bedilion house....we are all itching for warmer weather.
Here is some news that we haven't posted about yet.
Cooper is going to be a big brother.....to a little sister! I think we settled pretty quickly on a name, Madison Jean. Both Steph's and My mom's middle name is Jean, so that was an easy one. We like nicknames...and Cooper gets called Coop more than his full name....so I assume Maddie will be the name that gets used most. Anyways...Maddie is due here in late June, but if she takes after Coop, she will be here several weeks early.
Back to Coop. He had a great Christmas. This was the first Christmas he fully understood that Santa is a guy that brings presents and he rides in a sleigh with reindeer. Christmas morning, he bolted downstairs....ran past the tree and straight to see if Santa ate the cookies. We had to remind him that Santa might have put presents under the tree.
Cooper is finally big enough to get out and do fun things in the snow. We went sled riding on a "real" hill. He even soloed. He made his first snow angel and snowman. We spent atleast an hour trying to find a magic hat for Frosty, but no luck there.
Here is some news that we haven't posted about yet.
Cooper is going to be a big brother.....to a little sister! I think we settled pretty quickly on a name, Madison Jean. Both Steph's and My mom's middle name is Jean, so that was an easy one. We like nicknames...and Cooper gets called Coop more than his full name....so I assume Maddie will be the name that gets used most. Anyways...Maddie is due here in late June, but if she takes after Coop, she will be here several weeks early.
Back to Coop. He had a great Christmas. This was the first Christmas he fully understood that Santa is a guy that brings presents and he rides in a sleigh with reindeer. Christmas morning, he bolted downstairs....ran past the tree and straight to see if Santa ate the cookies. We had to remind him that Santa might have put presents under the tree.
Cooper is finally big enough to get out and do fun things in the snow. We went sled riding on a "real" hill. He even soloed. He made his first snow angel and snowman. We spent atleast an hour trying to find a magic hat for Frosty, but no luck there.
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