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Doctors reconstructing face of stricken woman

BRUCE SCHREINER
Associated Press

LOUISVILLE, Ky. (AP) — A woman left disfigured by radiation treatments for a cancer she never had underwent reconstructive surgery Monday in Kentucky, hoping to restore the life she once thought was over after losing her husband, business and home in a former Soviet republic.

Lessya Kotelevskaya could be in surgery for as long as 24 hours at University of Louisville Hospital, said Tiffany Meredith, a spokeswoman for the surgical team.

“She has waited for this day for many, many years,” said her older cousin, Oleg Sennik, who brought Kotelevskaya and her young son to live with him in Louisville last year. “She just wants to be a normal person.”

The procedure includes removing a leg bone to be conformed into a new jawbone, with the skin becoming the new inside covering of her mouth. Dr. Jarrod Little, a plastic and reconstructive surgeon with UofL Physicians, was donating his time and leading the team on the $1 million-plus surgery, said Meredith, a spokeswoman for UofL Physicians.

UofL Hospital President Ken Marshall said the hospital was doing its part, too.

“We will make sure Lessya does not incur any personal hospital charges from her surgery,” he said.

A few hours into the procedure, Little indicated the surgery was proceeding as planned, according to a Twitter post by UofL Physicians.

Kotelevskaya, now 30, spent years hiding in the shadows of society in Kazakhstan, where the Ukrainian native had lived since childhood.

She was diagnosed with jaw cancer at age 19 after she was accidentally elbowed in the face at a basketball game and her jaw became swollen.

The radiation treatments caused a gaping hole in her right cheek, making it difficult to eat and talk. At the time, she and her husband ran a clothing boutique. It took years to find out the diagnosis was wrong. By then, her husband had left her and their business went under.

She scraped by for years, cleaning a gym or carrying sand to people’s doorways so they wouldn’t slip on the ice. She worked at night so people wouldn’t see her. At one point, she lived in the utility room of a car wash. All the time, she cared for her young son, according to Meredith.

Sennik said he spent years trying to find Kotelevskaya until finally reconnecting online. She was a mere 79 pounds when they reunited, Sennik said. He took her cousin to Ukraine for treatment, and doctors determined she did not have cancer.

Kotelevskaya now weighs 122 pounds. She drinks protein shakes and takes vitamins to supplement the small amounts of solid food she eats.

Since arriving in Kentucky, Kotelevskaya has started English lessons and got a driver’s license, Sennik said. Her son, now 7, is adjusting well, he said.

“She says she wants to get her 11 years that she lost back,” Sennik said in a phone interview Monday.

Kotelevskaya is in this country on a green card but hopes to become an American citizen, her cousin said. Inspired by the medical care she’s received, she hopes to someday become a nurse, he said.

Sennik said there is no way his family could have afforded the surgery.

“My mind is just totally blown away,” he said. “It probably could happen only in this country, that people are so kind and supportive.”

Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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