Torn ACL

[Horace]

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

[George K]

@horace said in Torn ACL:

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops..... So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week.

I'm surprised that the ortho's office didn't advise you to bring any imaging that you'd already had.

It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

It would be even more wonderful if the ortho's office could access the MRI images remotely without you having to chase down the CD (what, wait...CD?) to hand to him.

This kind of BS is one of the reasons why Mrs. George and I have consolidated all of our care to one facility, where everything would be immediately available to every doc.

[Horace]

@george-k said in Torn ACL:

@horace said in Torn ACL:

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops..... So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week.

I'm surprised that the ortho's office didn't advise you to bring any imaging that you'd already had.

when I was referred to the ortho by my primary physician, who diagnosed the ACL based on the images, I figured the images were available. But apparently unless the ortho and the primary are in the same building or network or what have you, the ortho could not care less what the primary physician might think. But it's mostly a matter of ridiculous process. Injured people should not be conscripted as couriers, but here we are.

[Mik]

@copper said in Torn ACL:

This will cheer him up

This date in 1984

I used one.

[kluurs]

That's aggravating - on every level. It's easy enough to slip this time of year and torque things in ways that weren't meant to be. A friend who works out 3 hours every day managed to rip quad tendons from both knees while going down some steps. Hopefully, your next visit with the doc is a bit more productive. It is terrible that they didn't specify requirements before the visit.

[Jolly]

@horace said in Torn ACL:

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

HIPAA and no common platform.

[brenda]

@mik said in Torn ACL:

Yikes! And add an OUCH! to that.

Hope it's as good a news as possible. You've been missed here.

+1

That's awful, Horace. I'm so sorry to hear this. I hope your doc has a good plan for you. You're way too young to have such a problem hamper your life.

[brenda]

@horace said in Torn ACL:

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

For crying out loud. A phone call to request a transfer of a file should be possible in today's world. The patient is right there to authorize permission, and the technology can't make it possible to send it? I would be so furious. It's ridiculous.

[jon-nyc]

I’ve personally retrieved image CDs here and Fedexed them to Duke.

At least Colombia and Duke now can share my records on epic. 6 years ago they couldn’t.

[Mik]

True, Jon, but your case is pretty unusual.

[Mik]

@brenda said in Torn ACL:

@horace said in Torn ACL:

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

For crying out loud. A phone call to request a transfer of a file should be possible in today's world. The patient is right there to authorize permission, and the technology can't make it possible to send it? I would be so furious. It's ridiculous.

Especially in the Bay area.

[Jolly]

@brenda said in Torn ACL:

@horace said in Torn ACL:

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

For crying out loud. A phone call to request a transfer of a file should be possible in today's world. The patient is right there to authorize permission, and the technology can't make it possible to send it? I would be so furious. It's ridiculous.

[Ax] Well...If you don't like the technology...[/Ax]

[jon-nyc]

Yeah and it helps to have two large academic centers using the same EMR.

If I go to Westchester radiology, the most convenient place, I still have to FedEx a cd.

[Horace]

@brenda said in Torn ACL:

@horace said in Torn ACL:

Thanks Ax and all.

Today I had my ortho appointment. Unfortunately there was a prerequisite nobody informed me of, which is that I needed the MRI image disk in hand in order to be seen. Oops. It consistently amazes me the degree to which one needs to direct one's own care in the American health system. So I went to the MRI center to get my copy of my record, so I can hand deliver it to the ortho on the next scheduled appointment, in about a week. It would be wonderful if this stuff was automated, but due to some unholy combination of lawyers, money, and people's abject terror of dying, the health care system in this country has approximately 50 year old technology.

For crying out loud. A phone call to request a transfer of a file should be possible in today's world. The patient is right there to authorize permission, and the technology can't make it possible to send it? I would be so furious. It's ridiculous.

Thank you Brenda.

[Horace]

On the visit to the ortho and then the visit to the MRI center I apparently picked up a virus and I have never been floored by a virus but I was by this one. Standing up, well, the combination of needing to do it with a torn ACL, and also needing to do it because I have to walk down the stairs to get from my bedroom to the one bathroom in the house with enough room for me to sit down on the commode with an extended leg, made me slightly familiar with what it is to be incapacitated. This particular virus has intestinal symptoms, you see. My wife has been a huge help but coincidentally she was in China at the time. She enlisted the help of friends and they cooked and cleaned for me. And most importantly took the dogs out for me. People have been so kind, it's been a revelation for me. I lost my glasses at some point and called my optometrist and the receptionist delivered new glasses to my door. A friend from work volunteered to deliver to me a home covid test, and I accepted. We hadn't seen each other in years, due to covid. I appreciated it. I think my fevered mind was able to run the test adequately and I think it was negative.

[Mik]

You are clearly very loved. This is a good thing.

[Horace]

@mik said in Torn ACL:

You are clearly very loved. This is a good thing.

Well I think everybody would be, when they are in need. People can sense when you are in need, and then they really want to help.

Which is not to minimize the individuals who do help, and who try harder than others to help.

[Jolly]

@horace said in Torn ACL:

On the visit to the ortho and then the visit to the MRI center I apparently picked up a virus and I have never been floored by a virus but I was by this one. Standing up, well, the combination of needing to do it with a torn ACL, and also needing to do it because I have to walk down the stairs to get from my bedroom to the one bathroom in the house with enough room for me to sit down on the commode with an extended leg, made me slightly familiar with what it is to be incapacitated. This particular virus has intestinal symptoms, you see. My wife has been a huge help but coincidentally she was in China at the time. She enlisted the help of friends and they cooked and cleaned for me. And most importantly took the dogs out for me. People have been so kind, it's been a revelation for me. I lost my glasses at some point and called my optometrist and the receptionist delivered new glasses to my door. A friend from work volunteered to deliver to me a home covid test, and I accepted. We hadn't seen each other in years, due to covid. I appreciated it. I think my fevered mind was able to run the test adequately and I think it was negative.

Really nasty intestinal bug making the rounds down here. Wouldn't surprise me if you had something similar.

I hope and pray you feel better soon.

[brenda]

@horace said in Torn ACL:

@mik said in Torn ACL:

You are clearly very loved. This is a good thing.

Well I think everybody would be, when they are in need. People can sense when you are in need, and then they really want to help.

Which is not to minimize the individuals who do help, and who try harder than others to help.

And you are loved.

You have the blessing of friends, which is a great thing. I hope you recover soon and have your ACL treated as soon as possible. Hugs to you, Horace.

[kluurs]

It is heartening when we receive such support. I'm glad you've got good people in your world. Be gentle with that ACL tear. My spouse is contending with a severe tear and feels pretty fragile. Slip sliding around on snow and ice makes life challenging.