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If it ain't broke... - Blather. Rants. Repeat.
A Møøse once bit my sister ...
If it ain't broke...
OK, not quite. The bone in my right foot IS broken. Just not as badly as was first prognosticated.

We'll get there. With pictures, even. First, the getting to the "get there," which is fun as always.

My referral from yesterday was to an outfit called UB Med Ortho Care, which is apparently a practice affiliated with my local alma's medical school.  The doc-in-a-box dude urged me (see what I did there?) to call them first thing. Turns out, though, I didn't have to: they have their own ortho-in-a-box subpractice in the same building around the corner from MASH, and they were open Sunday.  Would've saved a little cash and a lot of worry if I'd known that.

The urgent PA diagnosed it as a Jones fracture, which, as I said yesterday, is in a very tricky place on the fifth metatarsal (below the little toe) bone.  He was concerned enough to put it in a boot (I thought), order me onto crutches, and refer me to the orthopod, stat.  These predictions cost me a good amount of sleep last night as I was picturing falls from the crutches and AWOL time for surgery and PT.

I did call first thing, and got booked for 12:30 in their weekend-open annex, which apparently handles the last-minute appointments during the week. They said to come early for paperwork, so I presented at 12:10 with the Holy Trinity of Healthcare, US-style: insurance card, photo ID, health savings debit card.  I was asked for my birthdate at least twice, plus turned over my license to them. (It's in November; you could look it up.)  They grabbed the CD of my Sunday x-rays from me, took my picture for their file (healthcare impersonation is a Thing here), futzed with the computer, and Intake Lady then said, "$1,218.57?"

Holy deductible! I know I'm responsible for the first two grand all year, but how did they get to THAT?!?

They didn't. Somehow they had aged me almost two years and were trying to confirm my 12/18/57 birthday.  More paperwork, more SMILE! for the file photo, and finally a pile of documents to fill out while waiting.


Which, after all that, wasn't bad- timewise or diagnosiswise.

I got a PA again- very nice, and with one view of the x-rays confirmed that, yes, there was a break, but no, it wasn't a bad break. This is me and my fracture:


And this is what a Jones fracture looks like:


Sorry, just HAD to get a "Doctor Jones" crack in. No, THIS is the real thing I don't got:


See the break, how far it's down? THAT's what gets you pins and pain.

Instead, mine got the boot.


A real one- not a velcro'd Birkenstock like yesterday. This thing looks like a hockey skate sans the skate, will provide much more stability, and for two fitty of payment to the durable medical provider had better not get eaten by the dog.  I can still wear the other one in less stressed places where I'm not walking or am driving, and I can even fiddle with both of them to get back to upper body exercise and some non-impact forms of cardio- bikes and ellipticals, mainly, the latter being what I usually use anyway. No stairmasters or step-ups, duh, and NO MORE FUCKING TREADMILLS ON SHABBOS.

I'm to call back in a couple of weeks to see how the heal is. I should also have most of the EOB's by then, which will tell me just how much all this stupid has cost.

12 comments or Leave a comment
thanatos_kalos From: thanatos_kalos Date: April 28th, 2015 02:21 am (UTC) (Link)
::hugs:: I'm glad it wasn't as bad as 1st thought-- be careful not to overdo things, though! Foot injuries take for ever to heal even without restressing with exercise etc.
captainsblog From: captainsblog Date: April 29th, 2015 01:58 pm (UTC) (Link)
I did Goldilocks with a bunch of cardio machines yesterday, just a few minutes on each:

Recumbent bike- oddly, the most stress despite the movement coming from further up, mainly because the boot doesn't fit under the strap.

Different than usual ellpitical- not bad, but it's more of an up-down motion than I'm used to and the pedals are wider.

My usual elliptical- seemed to be the best.

Treadmills- aw HELL NO.
thanatos_kalos From: thanatos_kalos Date: April 29th, 2015 04:15 pm (UTC) (Link)
Yeah, leave the treadmill for awhile! :)
greenquotebook From: greenquotebook Date: April 28th, 2015 11:43 am (UTC) (Link)
Eh, you were probably going to hit that deductible anyway. Does it matter how or when? $250 for that boot? Rip-off. DME companies are well-known shakedown artists. Be careful.
captainsblog From: captainsblog Date: April 29th, 2015 01:59 pm (UTC) (Link)
I know. I've represented one. The get-that-Medicare-money atmosphere in the place was palpable.
warriorsavant From: warriorsavant Date: April 28th, 2015 06:08 pm (UTC) (Link)
Oooowwwww. Aaaaahhhhh.

Glad you (eventually & expensively) got taken care of. That sort of thing is why I'm happy to be practicing here. Maybe long waits, but at least the first step in treatment isn't a wallet biopsy.
captainsblog From: captainsblog Date: April 29th, 2015 02:03 pm (UTC) (Link)
Worst of it is I won't know for weeks, if not months, how much it all cost. The theory of the current model for HDHP plans (high deductible with a health savings account- RSP for medical in your fair country) is "well, if patients have their own skin in the game, they'll shop around and prices will go down."

Bullshit. Price charts are proprietary and as closely guarded as nuclear codes. (Wait-probably better guarded.) So I get "not a copay but something close" charges paid up front,and everything else, from radiology to DME, is a big ???? until the EOB comes.
nentikobe From: nentikobe Date: April 29th, 2015 01:31 am (UTC) (Link)
eesh. Much healing to you.
captainsblog From: captainsblog Date: April 29th, 2015 02:05 pm (UTC) (Link)
It's coming. But my feet are getting so old and decrepit anyway, it's hard to tell how much pain is from the break. Some mornings, the left one hurts more- no doubt from favoring it.
yesididit From: yesididit Date: April 29th, 2015 01:39 pm (UTC) (Link)
that looks ouchie! how did you manage to break your foot?
captainsblog From: captainsblog Date: April 29th, 2015 02:05 pm (UTC) (Link)
yesididit From: yesididit Date: April 29th, 2015 02:27 pm (UTC) (Link)
oh yeah! jeez sometimes my memory is more like a giant colander than a steel trap.
12 comments or Leave a comment