PTT Insufficiency: 14 weeks post-op
Update: 14 weeks post-op
I have been out of crutches for two weeks now. It doesn't hurt
when I walk around (I almost stride). There are little pains and
aches, and it is clearly possible to overdo it. I am more concerned
about the little twinges that the long-suffering right foot is
having. It used to be a slightly achy foot at the end of the
day. Now, it is sometimes a slightly achy right PTT.
I spent a full day at work yesterday, and even climbed the stairs
a couple of times to go one floor, instead of taking the elevator.
I did skip lunch: the cafeteria is over a tenth of a mile away.
I desperately need the exercise: I have gained about five pounds,
and walking has always been my preferred form of exercise. Also,
it helps my back, which isn't really enjoying the experience, though
it hasn't acted up.
The lack of crutches is a major improvement in lifestyle. (They are
still in the back of the car, in case something major goes wrong.)
I can carry things, clean up, and generally be a mostly useful
member of the household. The removable cast means that I can bathe
sitting in the shower, which is also a big improvement.
There are many family outings I can't do yet: go to the beach (it would
be hot, and the water pretty much inaccessible), Great Adventure (too
much walking, most of the rides would be fine, though I suspect I might
worry the operators), walk in the woods, NYC theaters.
Today's Doctor's visit
Today was the first doctors visit where they aren't changing
casts or taking x-rays. (Oddly, it appeared to cost $10 more than
the last one.) The foot is doing fine, and I actually stood
on the bare foot for the first time since May. It felt a little
strange, but was fine. Dr. Deland pronounced it progressing nicely,
and I have a prescription for an orthotic.
Some more answers:
Yes, the two bumps that I can feel under the skin of the heal
are the heads of the screws.
The screws are stainless steel, not titanium.
They can be removed if I want, but I don't want. Gives me something
new to do with those electronic stud finders.
Two more months before therapy begins.
I am getting fitted for the orthotic so it will be ready for the
next appointment, in about five weeks.
Orthotics are installed in pairs, i.e. my right foot will have
support matching the left. This is reassuring: I think it
gives the right foot a better chance to stay heathy.
I won't have to wear some clunky shoe like the brown oxfords
I suffered though in junior high school. The New Balance sneakers
I have (any one want a spare left?) offer lots of support,
and are well respected for their removable support.
The doctor wants to know if I am available to put up a web page for
I understand that it can take a year or more to settle the financial
details of a hospital stay. Our carrier (PruNetwork) has showered us
with incompetence since the beginning. First, the denied all claims,
though it had been preapproved. Then they took a mistaken comment on the
abesthesiologist's report to redefine what the operation was. He
had said ``sprained ankle'', and the insurance company instantly decided
that the rest of the treatment was wrong for this. Of course, it
wasn't a sprained ankle.
Then they would kick out various things, like some New York state
surtax. We'd get the notice, call the hospital (who has been very good
about all this), complain to the insurance company, and then get a
call back from the hospital saying that it was all taken care of.
Now we are facing the question of ``reasonable and customary.''
Many of the charges are a bit above R&C, and we have been willing to
pay the difference. But now we find that it appears to be reasonable
and customary to pay $850 (a Medicare rate) for tendon harvesting (a $4500 value).
(``Kmart shoppers, we are having a sale on bilateral orchidectomies
in aisle 4 today!'').
It seems to be customary to deny any claim the instant anything strange
or inconsistent appears, and let the customer reapply if they really
want to. We've chewed out the PruNetwork bureaucrats a couple of
We are going to complain to Lucent's benefits
Four months post-op
Back to my home page.