It's been one of those months...

I feel like I was thinking that through most of 2020, and 2021 is not showing any signs of let up. In 2020 there were times where days and weeks would seem to run together, but then there were many times that every day was a new reason the world was about to end. 2021 hasn’t been quite that severe, and by most metrics things are looking up, but February would prove to be a tremendously tumultuous month. Yes, I alliterated tumultuous. Gird yourself for more.

The weekend of February 13-14th would see me braving the oncoming winter storm to work on Saturday, but even by then I knew Sunday was going to be sketchy. I was already calling VES support to cancel my clinic for Sunday as I drove in for the Saturday clinic. Ironically, there would be multiple reasons why that was unnecessary because VES would ultimately decide to close down themselves as the severity of the winter storm developed. Even more importantly, I would be taking Aeyong to the emergency room. In a fit of youthful energy for the novelty of snow, she ventured out front, slid down the driveway (about two feet by my recollection); her feet went up and her right wrist came down. Hard.

The result was a displaced, angulated, comminuted, intra-articular fracture of her right radius. Hurts just saying it. We managed to get her into a nearby ER (thanks to USMD for actually being open when most places were closed), got her fracture partially reduced and splinted, and got her enough pain killers to tide her over until she could get seen by orthopedics, which would end up being nine days later. I cancelled my upcoming VES schedule for several weeks so I could tend to her needs while she recovered.

Thank Snowmageddon ‘21 and Texas’ feeble ability to cope for shutting down almost everything for a week. Not that we should complain too vociferously. All of our essential utilities remained functioning and by current accounts the only significant damage we incurred was a sprinkler system pipe and several plants and shrubs. Thanks to a frozen spigot, a neighbor sustained enough water damage that there were still reclamation trucks out in front of her house as of yesterday. I guess she had to hit the reset button on her ground floor.

The rest of February and early March was a challenging period of time. Aeyong underwent surgery on February 24th, and Dr. Niacaris was all we could have hoped for in an orthopedic surgeon. She has some extra hardware in the form of a plate and six screws, and it’s possible she may eventually need to get the plate removed as it was designed for bones larger than her relatively diminutive frame. She had her first post-op last week and things went well. She was gifted a new cast in sexy purple, although she’s been finding it a bit less comfortable than the splint she had before.

She was judged as lacking in her rehab milestones and I got a stern glance from Dr. Niacaris. She only responds so much to encouragement, so I try my best but it’s leading a horse to water doncha know. I went back to work at VES last weekend and things are going alright. I have one more weekend starting tomorrow, and then I’ll get yet another weekend off as they relocate to the new facility a few miles down the road in the Las Colinas area. As the crow flies it should be closer to home, but there are additional surface streets in the route, so based on google map’s prediction, it’s basically a wash in travel time compared to the current location.

Still, TXDot is adding lanes on the G-Dub, so it’s possible I might decide to switch to a weekday schedule in the future. With a slightly shorter drive and more lanes for traffic, it might not make as big a difference working weekends versus weekdays. While things progress with VES, things are finally about to completely shut down with the North Texas VA. I got a few text messages from Dr Hasan asking about my last workday, but when I asked what it was about, all he would say was “we’re trying to determine when fee basis last worked here”. Yeah, I gathered as much. When I got his message notification, I briefly felt optimistic, but clearly there’s no plan on bringing fee basis back at this point. To sort of bookend that interaction, I got an email from the VA remote access manager stating my authorization was about to expire. I wasn’t thinking about it, but I guess my access was approved the same day fee basis was laid off, 3/24/20.

So, it’s essentially been a year since me and my fellow fee basis examiners were laid off. What followed was in some ways a challenging year although we fared so much better than many people. The biggest frustration for us was being out of work and losing about 3/4ths of our income. It would be nine months later before I would return to income producing work with VES in December. After a few months, things seem to have stabilized. The treasury has helped restore our pre-pandemic checking balance thanks to a big refund as well as stimulus payments. I finally had the confidence to shift some more money to our mortgage payment, so we’ve gone from the minimum payment to one that will see the house paid off in three years. I might increase it yet again depending on our ability to continue running budget surpluses each month. This is contingent on a steady supply of exams from VES.

For giggles I checked with my former colleague, Dr C, who is working for QTC, to find out their current payment rates. I’m not sure if he gave me his rates or the PA rates, but they’re even less than VES. If they’re his MD rates, I can only imagine what they’re paying PAs. As I’ve said here before, it’s my strong feeling that VES is lowballing their payments to providers, but this is anecdotal based on what I previously received as a fee basis. There may be truth to their statements that they are having exams combined into one rate as the number of DBQs increases. Dr Brooks is still waiting on his FOIA request. My feeling is that it will reveal nothing or it won’t reveal enough to really discern whether VES is inappropriately paying their examiners.

One other positive development is that I was able to get my first of two COVID-19 vaccinations on Wednesday. I had signed up with Dallas County and I got a text message on Monday offering the shot. I took the first available appointment time on Wednesday and it was held at a joint Grand Prairie/Irving mass vaccination site being run at the Theatre at Grand Prairie. I was impressed with the efficiency and relative painlessness of the operation. The main side effect of the vaccination was pain at the injection site which was worst yesterday, the day after the shot. Today that pain has reduced substantially and I’m not really feeling any additional side effects. We’ve been told the second shot is worse for side effects, so I’ll see. It’s still exponentially better than getting COVID and potentially dying or suffering long term health effects from it.