The x-rays tell the story, he said to me. Then he injected 10cc of cortisone injected into my knee. I wouldn’t care to repeat that experience.
All in all, I’m very satisfied with my medical visit today. I got a nice blend of high-technology, modern medical treatment, lifestyle advice and warm fuzzies.
The location was an all-in-one osteo Mega Mart of radiology, examination, brace shop, surgical center and physical therapy. Here’s the diagnosis: new on top of old*. The new contributor was the multiple enforced death marches on the marble floors of the Wynn; the old circumstance is an absence of cushioning cartilage due to my oldness.
During the exam he asked me “what I did for myself” (holistic approach). I was stumped for an answer that wasn’t too truthful (blogging and martinis) so I started blabbing about folk-art painting but he stopped me and got specific by asking what I did “for my heart and lungs”. I made some silent fish-lip movements before I thought to croak out something about walking the dog – in truth, I may have made that out to be a bit more than it actually is.
The doctor delivered that verdict and said he could send me for MRIs but he’d be able to predict what they showed beforehand and that wouldn’t change his plan for treatment (conservation of medical resources). He said that we’d be all about cushioning preservation (longterm health maintenance). What he did do was:
- multiple angle xrays (high-tech)
- physical exam (old school)
- cortisone injection (immediate treatment) also, (ow)
- knee brace (trimmed in black fishnet)
- prescription for 6 weeks of anti-inflammatory medication(on-going treatment)
What he recommended was:
- 6 weeks of physical therapy (conventional but expensive to insurance companies)
- defining an on-going plan for movement and exercise after that (pro-active/preventive lifestyle change)
- getting good shoes with impact cushioning, or even Dr Scholl gel insets (common sense)
- going to Sam’s Club to buy cheap Glucosmine/Condroitin ( funky/new age/ hippie therapy)
And then they wiped out any submission to the insurance company about the deductible. So no cash out of pocket at all.
I know a little bit about the health care business and I have to say I was very impressed with the thoroughness of the approach, the considered use of available resources and most of all the lack of overreach on the allowable methods of maximizing insurance revenue. I feel better already.
*That’s what she said.
Sorry. Too much The Office marathoning.
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