'Supdates
After a tumultuous week in the aftermath of Aeyong’s injury, we finally got into to see her pcm and had the referral submitted right then. The office visit with the orthopedic surgeon was approved by the time we got in our car, and we went and saw him yesterday. We had to go to Harris Hospital in Ft Worth, where I had my right knee surgery back in ‘81ish. I’m not sure how old Harris is, but it’s pretty long in the tooth. As we tried to find our destination, we engaged in some of our age old raving and drooling as we negotiated the turns and twists that every hospital complex seems to build into its infrastructure.
The actual entrance to the Ben Hogan facility (I think it’s mostly sports medicine/ortho) was in a loading dock, I think selected for COVID flow control. We were checked in quickly and everyone rolled pretty smoothly. They shot new x-rays and gave her a new fiberglass splint that’s going to have a shelf life of less than 36 hours methinks. Her surgery was put on the schedule for the next day (today) and we’re heading over to check in at 0630.
Dr. Niacaris seemed nice and professional. He is planning on using a plate to stabilize her fracture and thinks it’s possible she’ll need the plate removed in four to six months, since it’s a little large for her wrist size. He’s not sure, but stated the possibility was higher given that her frame is small. All the medical treatment parts of this process have been pretty good. The USMD ER visit went about as well as it could - they got her in quick, managed her pain, got her sedated and partially reduced, and then got it adequately stabilized for her to get through the week until seen by ortho.
The ortho clinic itself went well - we didn’t wait long to get in and there was no part of the process where we were kept waiting very long for them to complete all their tasks. Interestingly, there was no real pre-op other than the x-rays. I think it’s a function of COVID now that she is getting all her pre-op labs done the morning of the procedure. I assume they want to minimize the number of hospital visits.
It’s a same-day surgery, so hopefully everything will go well and we’ll be back home this afternoon. I assume her pain will be worse for a few days, but hopefully she can start healing properly and I also hope she won’t need an additional surgery a few months down the line.
Progress never waits and I had my first IMO (independent medical opinion) from VES this morning. It’s a case from last month that I had seen, and I was surprised they presented it this way because it means they actually have to pay me for it. When I checked into my VES portal, I also saw they had added a patient for March 13th. I hadn’t told them to resume my schedule, but I think I must have mentioned that weekend as my likely return. That actually works with what I’ve been thinking, so I told them to resume scheduling. This will give us a few more free weekends to get her through the initial recovery stage.
Regardless, I’m only out of the house for about 8 hours on two days, so she should be able to attend to whatever she needs while I’m out. We’ve been engaging in a bit of nail biting and hair pulling while sweating out our Tricare approvals, but so far they’ve gone through okay. We paid our co-pay for the surgery and the lady in billing stated we had $54 left in our deductible. I’m still not sure what that means, because I can’t seen anything in our Tricare self-service portal that reflects that amount.
Outpatient surgeries are supposed to have a $63 deductible, so it’s not immediately clear to me why it’s slightly reduced. We have a catastrophic cap and point of service limit, but our information indicates there’s still plenty of room within those. All that said, the estimated cost of the surgery is $63,000 and we’re paying $54 so far, so it’s completely acceptable. I think that’s just an estimate for typical procedures like hers, we’ll know the actual costs after the fact. We’re very thankful to have good health insurance, we know there are many underinsured or non-insured people who would be financially devastated by an event like this.