Jenscats Road to Recovery Log

[caligirl]

9:00am
1 Trex

9:30am - Physical Therapy
Did the usual today - Leg Extensions, Lower Leg Extensions with knee on a ball, TKEs - but increased the reps....looks like next time we'll up the weight & lower the reps....After my "workout" & manipulation - got -2 hyperextension & 139 degrees flex!!!! Also saw Marty briefly who said once I can begin doing closed-chain exercises, I'll progress further much more rapidly.....

Also have been getting the insurance reports showing them paying for my brace & hospital stay, etc......The brace was just over $1600 and my stay in the hospital was just under $12,000!!!! Thank God for insurance!!


**Got a manicure & pedicure today.....and bought some Super-Cute Flip Flops!! OH and my shoulders are SORE from yesterday.....*Yay!*

**Loooooooooove the Trex (forgot all about you darling!) - Wasn't hungry while I was out and I was alert......

1:35pm
2 Glucorell

1:50pm
1 box Beef & Bean Chili

ha ha ha! insurance is it. I owned and operated a small DME company for a few years, I found a little niche and filled it in my town. Sold it a couple years ago, great money, but I got a little bored with it.
You are lucky if it was fully covered. most plans only cover 50%-80% of DME (your braces) you know, your ROM brace the one that goes from crotch to ankle, that bugger reimburses at $655.10 and only actually wholesale costs $90-120 to your PT or MD!
Your functional brace wholesale cost is between $260-$530 depending the maker ie. Donjoy, Innovation Sports (CTI), Breg, Meuller etc. Customs ($530) if you add paint or decals or custom airbrush will bump it up $100.00, but they reimburse at $1510.00 then you have various add on codes, which again bump up the price that insurance pays.
The MD's. PT's and DME suppliers make a KILLING!! Insurance payouts are crazy, all these prices are dictated by Medicare pay schedules and we all have to pay the co-pays , which usually more than cover the actual wholesale cost of the brace/devices. The rest is gravy.
That foam immobilizer cost from $35-55... depending on the maker, but reimburses at $210.00! a piece a foam, metal stays and velcro.... sheesh.
Glad you have good insurance!

 

[jenscats5]

ha ha ha! insurance is it. I owned and operated a small DME company for a few years, I found a little niche and filled it in my town. Sold it a couple years ago, great money, but I got a little bored with it.
You are lucky if it was fully covered. most plans only cover 50%-80% of DME (your braces) you know, your ROM brace the one that goes from crotch to ankle, that bugger reimburses at $655.10 and only actually wholesale costs $90-120 to your PT or MD!
Your functional brace wholesale cost is between $260-$530 depending the maker ie. Donjoy, Innovation Sports (CTI), Breg, Meuller etc. Customs ($530) if you add paint or decals or custom airbrush will bump it up $100.00, but they reimburse at $1510.00 then you have various add on codes, which again bump up the price that insurance pays.
The MD's. PT's and DME suppliers make a KILLING!! Insurance payouts are crazy, all these prices are dictated by Medicare pay schedules and we all have to pay the co-pays , which usually more than cover the actual wholesale cost of the brace/devices. The rest is gravy.
That foam immobilizer cost from $35-55... depending on the maker, but reimburses at $210.00! a piece a foam, metal stays and velcro.... sheesh.
Glad you have good insurance!

Interesting...... I have to pay $150 for the brace & $332 for the hospital out of pocket......still waiting to see if my "emergency" visit the day after I hurt myself will be covered or not......

 

[caligirl]

Interesting...... I have to pay $150 for the brace & $332 for the hospital out of pocket......still waiting to see if my "emergency" visit the day after I hurt myself will be covered or not......

yay! thats a great co-pay!

 

[iceprincess]

**Got a manicure & pedicure today.....and bought some Super-Cute Flip Flops!! OH and my shoulders are SORE from yesterday.....*Yay!*

AND...It is ALL about the cute flip flops!!

 

[jenscats5]

AND...It is ALL about the cute flip flops!!

Cute Napoleon Dynamite.........

*Heck Yes!*

 

[jenscats5]

Small Announcement.....

Won't be logging Friday - Monday as I'm heading to VT tomorrow.....my ski share is up on the 15th & I have to get the rest of my stuff......Plus, another funny thing is that DE only has a 5 cent deposit on bottles, not cans - but VT has a deposit on cans AND bottles - so I've been saving up all the cans with a VT stamp on them in addition to the micro-brew beer I bring home from up there (liquor stores won't take the bottles back down here as they don't sell that beer). Looks like I have 168 deposit items to return!! LOL

 

[jenscats5]

Wednesday May 10

8:15am
2 Glucorell

8:40am
6 HB egg whites
5.25 oz. pineapple
1/2 cup dry oats + 1 packet Splenda + 20 dried cranberries + pumpkin pie spice

Diet Pepsi

9:00am
1 Trex

9:30am - Physical Therapy
Did the usual today - Leg Extensions, Lower Leg Extensions with knee on a ball, TKEs - but increased the reps....looks like next time we'll up the weight & lower the reps....After my "workout" & manipulation - got -2 hyperextension & 139 degrees flex!!!! Also saw Marty briefly who said once I can begin doing closed-chain exercises, I'll progress further much more rapidly.....

Also have been getting the insurance reports showing them paying for my brace & hospital stay, etc......The brace was just over $1600 and my stay in the hospital was just under $12,000!!!! Thank God for insurance!!


**Got a manicure & pedicure today.....and bought some Super-Cute Flip Flops!! OH and my shoulders are SORE from yesterday.....*Yay!*

**Loooooooooove the Trex (forgot all about you darling!) - Wasn't hungry while I was out and I was alert......

1:35pm
2 Glucorell

1:50pm
1 box Beef & Bean Chili

4:00pm
1/4 cup 1% fat cottage cheese
1 tblsp. ANPB

~ 5:00pm - Fell down that slippery slope.....
2 Cosmos
(premade drinks from a tetra pack - input macros into fitday off the box)

~ 6:00pm
1 glass red wine
5 oz. beef steak
~ 1/2 cup sauteed onion & radicchio with balsamic vinegar
Salad: lettuce, cucumber, radish, bell pepper, 1 tblsp. Honey Mustard

1 Skinny Cow Ice Cream Sammich
1 Special K granola Bar
1 Quaker Choc. Chunk Granola Bar

**Input EVERYTHING into Fitday.....it always amazes me how many calories are in alcoholic beverages......

 

[iceprincess]

Wow - love the pic...where is that VT? It is beautiful!!

 

[sbt2082]

Wow very pretty pic Reminds me of when I go back home (Got family in VA, MA, and PA) Sure do miss it... ANyways, just stoppin by to say hello HOpe you have a good one!!!

 

[jenscats5]

Wow - love the pic...where is that VT? It is beautiful!!

Killington, VT....just north of Rutland.....

I'm hoping to eventually move there to live.....I'll take my camera with me & try & take some pics....

Now here is a picture I took from last March 2005 off the top of Killington Peak:

Here's another one from K Peak:

The building is a restaurant/bar where I usually hang out at noon....that trail there goes pretty much straight down (it's a short trail tho) & I finally skiied it this year!! The equipment stuff is the Gondola....