u/MoreThereThanHere

So I had robotic hernia surgery at large academic hospital back in Nov 2024. Was never accepted by insurance despite a few appeals by hospital. Surgeon and anesthesiologist were paid within weeks of surgery. Was just this outstanding hospital services bill. After a couple appeals they made, they reduced the amount by $12,988, which also did not work. and finally about 19 months later, they are writing off rest of bill.

The new and final item line added says "Adj - unaccepted Coding Insurance W/O HIM"

Just curious/ Thoughts on what could have gone wrong for them for such a standard operation?

So I had robotic hernia surgery at large academic hospital back in Nov 2024. Was never accepted by insurance despite a few appeals by hospital. Surgeon and anesthesiologist were paid within weeks of surgery. Was just this outstanding hospital services bill. After a couple appeals they made, they reduced the amount by $12,988, which also did not work. and finally about 19 months later, they are writing off rest of bill.

The new and final item line added says "Adj - unaccepted Coding Insurance W/O HIM"

Just curious/ Thoughts on what could have gone wrong for them for such a standard operation?

Only a few weeks into carrying and already out of stock. Glad I picked one up last week! Told a friend who went to order and said they're gone already. Yikes. Would have thought they would have had enough to get thru more of summer

TKR is likely in my future. My right knee has managed fine with 5 mile daily jogging for past 7 yrs post meniscus trim. Though I’m sure the day will come when that amazing ability (per my orthopedic) will come to an end. But my left knee may be up first. Had meniscus root repair and chondroplasty back in Feb. partial re-tear already and getting revision. If this fails, at age 58 with focal Grade IV osteoarthritis (patella cartilage wear spots), next would be TKR.

When I was looking at TKR for right knee 7yrs ago I recall the surgeon not being thrilled but saying at time if that’s my passion and I would not yield, then it would steer him in selecting the actual device and how he would install it to try to maximize durability as long as possible before potentially having to have it replaced.

For those that are dedicated runners / joggers, did you get specific type of material installed? Any tips on surgeon or surgery selection that you found helpful? Other tips?

Starting to do my homework now so I’m not scrambling if to comes to this over the winter. Thanks!

15 wks post-op for lateral, posterior root repair (with chondroplasty and synovectomy).

Had MRI last week and radiologist noted root appeared intact. Saw surgeon today and he said, nope, you have a partial re-tear clearly seen on MRI.

Trimming with a root repair is horrible option as the entire Meniscus in that portion would be lost and I quickly started getting cartridge damage after the first tear. So my options he said were really only to get it repaired again or consider going to full knee replacement. Which we both agreed would be nice to put off a bit longer if possible.

Hard to say when it re-tore some. One thought is I had a slip and fall into my operated leg at 3wks post and that may have started to damage. Less likely but possible is I went on a long family outdoor vacation at 9wks and may have pushed it too hard on incline/decline hikes on some rough terrain. In any event, it is what it is.

Gutted thinking about that miserable long recovery on crutches; which technically is milder with him as his protocol has full crutches for only 4 wks and then partial for 2 wks.

Definitely, learned from first time to buy my own damn crutches and get some that are better defined for load and comfort. Also planning to get bigger rubber ends with more traction to reduce slipping potential next go around.

Lateral, posterior complete mensicus root tear (left knee) repaired back in Feb. also with patella chondroplasty and synovectomy.

Ahead of curve (per sports rehab team) in recovery and PT assesments as of 9 weeks.

Went on 2 week family vacation with a ton of walking; some elevated and a lot over never terrain. 1 week into trip, woke up with some returning stiffness and soreness of entire knee, front and backside. As the days wore on, this slowly worsened until knee was very difficult to bend and I would often drag or shuffle my left leg instead of walking normally.

At 11 weeks went back ti rehab center and their assessment was this was overuse reaction vs damage to the meniscus: too much too soon and muscles not ready to support.

Improved daily until at 13 wks just some minor stiffness every so often when walking; more so if walking fast. Doing leg presses, extensions, etc all with no issues.

Now at 13wks back to see surgeon. For most part eval went well. Could touch and probe anywhere on knee with no pain. Responded fine to all manipulations until last one: when he did deep flexion loading test (my foot on his chest and pushing into my knee to forcefully flex it), this caused some uncomfortable when he went much past 90 degrees, deep pain and stiffness in knee. Also he observed that rear of knee was slightly swollen.

From this. He has concerns that I may have partially re-torn the meniscus - knee should he fully healed at this stage and no pain issues. Also said it is possible that I did “tweak” it somehow and dealing with inflammation and stuff just from that.

Ordered MRI for next week and then back to see him a few days after. Guess I’ll find out in a few days if this is all circling the drain. Ugh.😩