Prognosis is Good: Dealing with my Knee

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I went to an Urgent Care facility a few miles from my home. Before I was treated though I had to have my medical insurers talk to the receptionist/staff  so I wouldn’t be cheated. They tried to state that I had a $1500 deductible and that my cost for a visit would be $108 and all subsequent visits would be the same until I reached that $1500.

What?

I considered walking right out the door because I know better and in the years we have used these types of facilities we only paid a small co-payment anywhere from $20 to $35. Besides, I pay $400 a month in health insurance and if I had co-payments like that I might as well pay for treatment and keep the rest of my money. Anyway, when I told my insurance company the lady I spoke to said, “Let me speak to her.” I handed the phone over and in less than a minute my co-pay was reduce to $30. A $78 savings. I wondered how many times places like these dupe people out of their money or they refuse treatment for this type of behavior. 

Back to BJJ

The doctor poked and prodded my leg and bent it in all sorts of directions. Of all of the twists and turns she applied I felt pain in 2 of the about 12 techniques she applied. She said she heard a slight clicking sound. She suspected that it might be a ligament tear but was not sure. I had to take an x-ray. Well I am happy to report that she did not see any breaks or tears on the x-ray. The doctor did suggest that there may be soft tissue damage, if I heard her correctly, and that these things usually sort themselves out. I made her repeat her prognosis again just to make sure. 

One of the staff came in and put my leg in a knee brace and the doctor told me to rest my leg. She also gave me a prescription for an anti-inflammatory. She said if I still feel pain after a week I should see my regular doctor.

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7 thoughts on “Prognosis is Good: Dealing with my Knee

    Caleb said:
    April 1, 2009 at 9:22 am

    My understanding from my own unpleasant knee experience is that soft tissue (ligaments) does not show up on x-rays and that they do an x-ray just to make sure that in the trauma you suffered that no bones were broken along the way. To really understand the extent of internal ligament damage, aside from the range of motion techniques I think you are referring to (which include checking for inappropriate motion like I had), I think they request an MRI.

    Well in any case buddy I hope your injury is indeed minor. Take it easy!

    jiujitsu365 said:
    April 1, 2009 at 9:36 am

    Thanks Caleb,

    I wish she would have mentioned that instead of saying that these things usually resolve themselves. Or that I should see my doctor if the pain should continue.

    I appreciate the insight.

    Tree Frog said:
    April 1, 2009 at 9:46 am

    Yep, MRI is the way to go.

    My friend out in Boston just hurt his knee during a takedown. It felt better the next day, but everyone around him encouraged him to go to the docs to get it looked at. He had an MRI done about four days after it occurred.

    Verdict: torn LCL.

    Gareth said:
    April 1, 2009 at 1:34 pm

    Hey,

    Sorry in advance, this may not help your injury headspace 🙂

    I had an almost identical prognosis from an Urgent Care facility, word for word (including the overcharging!), and exactly the same ‘treatment’. After a month of still having some pain I went to a physio who said I should have gone to see him a day or two after the injury. Resting it alone, as the doc suggested didn’t help very much… at all…

    Stationary biking on a very low speed/torque for 30 mins a day about a week after the injury date is the best thing you can do to rehab it. The physio can also do some range of motion improvement stuff which I wish I had started earlier. I still (almost a year later) get niggles from time to time and my butterfly guard had to take a major back seat for almost three months, which meant my escaping and passing got in a bunch of (needed) focus.

    Sorry for the long winded novel, but I have very little respect for Urgent Care docs when it comes to this sort of thing. Best to go to a professional that’s a lot more specialised than an Urgent Care GP.

    Conan said:
    April 1, 2009 at 3:31 pm

    When I had my pectoral tendon ripped out last year, my G.P. prescribed rehab. Of course I didn’t know the tendon was disconnected at the time, so I played along and went to rehab. After almost three weeks, I went to an orthopedic specialist who said I should have come to him right after it happened. He did an MRI and I was in for surgery withing a week. Because I had waited, the tendon had started to scar down and was starting to shrivel up. Needless to say, it would have been best had I seen the specialist right away.

    Patrick said:
    April 1, 2009 at 8:01 pm

    Thanks for the update!

    And gah! Jeez all the medical horror stories! Just as bad as reading about getting an injury.

    Here’s to a quick recovery!

    jiujitsu365 said:
    April 3, 2009 at 12:31 pm

    Hello All,

    Thanks for concern and well-wishes. I definitely need to get a second opinion just to make sure. Your stories have convinced me that I need to be sure.

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