In message <[email protected]>, Gary Lamb
>Fellow Subscribers:
>
>I saw a patient today I would like your help with. The patient is a 39 yo
>male, with Spina Bifida. He is on Medicare/Medicaid. He ambulates w/o
>assitive device. He has had triple arthrodeses bilaterally. The right has
>broken down and the ankle rolls into severe varus, he has a tight heel cord
>as well. The fifth ray and toe has been amputated, and severe callous on the
>sole of his cavus foot.
>
>Simple enough… Plastic AFO, solid ankle, with lateral extension and pull
>stap, custom depth inlay for the Left (cavus) foot. Extra depth shoes.
>
>Previous providers have fit him with high top custom molded shoes.
>{Medicare/caid has paid via “creative coding” in the past.} He has no
>additional resources. The only way the shoes could ethically be funded would
>be to attach the AFO to the shoe. I have always considered how this could be
>accomplished, knowing some day a patient would request it for this exact
>reason. I have an idea, but would love to hear from the list.
>
This could only happen in America. Thankfully in the UK She would be
provided with an AFO & shoes at no cost and with no insurance. Why
don’t you make her something and wave the Fee, I’m sure you could afford
it.
The Beauty of “The NHS”
—
Chris Drake “The Moods of The People are
not Dictated by Government”
[email protected] (Richard Benson, 1996)
