Today I had a surgery denied. The denial letter gave me a # to call for an appeal at @WellcarePlans
I called the number - on hold way too long. Then someone answered, asked all the information, numbers, story, etc. Then told me she couldnβt help me and to call another number
I called the next number. Waited on hold. Told all numbers, story to the second person. She told me I actually had the wrong person and gave me a third number to call.
I called the third number, waited on hold, told her up front it was for an appeal - she said she could help me, then she asked for all the numbers, story, etc . She told me she couldnβt help. She transferred me to a FOURTH number.
A thread π§΅
Very interesting case with a lot of teaching points
Elderly female with moderate hip pain - underwent right IA hip injection at OSH #orthotwitter
2 months later presented with worsening hip pain
X-rays show AVN with collapse -
- do not inject hips in elderly females - high risk of AVN with collapse
Patient went on to get a THA at OSH. Intra-operatively could not get the cup to stick. Bail out was to cement a cementless cup. Chose blade type prosthesis - cracked the calcar, managed with cables
Since our president elect @JoeBiden#stutters I am getting a lot more questions about my stuttering in clinic. Never before has anyone been interested, so this may be progress
Letβs talk #stuttering
A Thread π§΅
(disclaimer- I am not a speech pathologist, just a simple bone MD)
What is Stuttering?
Communication disorder referring to problems in fluency and flow of speech, but can also involve physical tension as they struggle to speak.
I know what I want to say, but cannot say it.
Is is common?
It affects about 1% of the population. Males 3-4X > Females.
Affects children often when language is developing, but most grow out of it with time. Starts around age 3 1/2