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Post by hikingtiger on Nov 30, 2015 10:23:43 GMT -8
Glad to hear this.
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davesenesac
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Our precious life is short within eternity, don't waste it!
Posts: 1,710
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Post by davesenesac on Nov 30, 2015 10:50:43 GMT -8
Good to hear as you no doubt had to worry about that. Amazing what modern medical can do with our joints in this era. Best of luck but take it easy for awhile.
Last Wednesday at work slightly tweaked my left shoulder rotator cuff complex. Skied my second day this season Friday with lots of pole planting as per my style and felt fine . Then Saturday afternoon back at home for no reason cuff suddenly flares up so a murky cloud now hanging over my early season skiing though hoping it will quickly self heal if I avoid moving it. If injury is static may go in to my doctor and maybe an MRI this week. We with old bodies break easily haha.
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amaruq
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Call me Little Spoon
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Post by amaruq on Nov 30, 2015 13:17:18 GMT -8
Remarkable what you can get for $32,000.00. How much of that was parts? And how much labour?
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Post by hikerjer on Nov 30, 2015 13:53:36 GMT -8
How much of that was parts? And how much labour? Shoot, didn't even thing to ask. Maybe I should have? Aren't you Canadian? I wonder what the cost would be in the Great White North" with your national health insurance. The cost varies tremendously here in the States from state to state and of course, a lot depends on your insurance coverage. My insurance is pretty good and where I live has some of the best and cheapest medical costs in the country. But it still ain't cheap.
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RedDoug
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Post by RedDoug on Dec 1, 2015 19:04:43 GMT -8
You almost make me wish I could get a new knee, too.......
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amaruq
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Call me Little Spoon
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Post by amaruq on Dec 2, 2015 5:23:59 GMT -8
How much of that was parts? And how much labour? Shoot, didn't even thing to ask. Maybe I should have? Aren't you Canadian? I wonder what the cost would be in the Great White North" with your national health insurance. The cost varies tremendously here in the States from state to state and of course, a lot depends on your insurance coverage. My insurance is pretty good and where I live has some of the best and cheapest medical costs in the country. But it still ain't cheap. I'm not sure. I found a report on Total Knee Replacements (TKR) in Ontario and the figures were as follows: Average prosthesis cost ranges from $2000 to $3000 CDN based on the type. Average total Hospital cost is around $10,375 CDN. "(This is a weighted average of the costs at academic and community hospitals.) This includes professional fees (for surgeons, anesthesiologists, nurses, and hospital administration staff), the costs of the device, imaging costs, in-hospital medications, laboratory services, and in-hospital physiotherapy and occupational therapy." In 2003/2004, 12,933 TKR surgeries were performed in Ontario. The median wait time is 33 weeks. There is a five-day hospital stay associated with TKR operations. I'm not sure how much of that bill is passed on to the individual, but I would think very little of it, if any, is. Edit: here's a news article. A TKR in Ontario for a tax-paying Ontario resident would cost said resident $0.
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RumiDude
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Post by RumiDude on Dec 5, 2015 18:30:06 GMT -8
That's good to know. Strange how the more I hike, the better my knees and hips are. I haven't had any serious knee pain in two years.
Keep getting stronger, Jer.
Rumi
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BigLoad
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Post by BigLoad on Dec 6, 2015 21:00:58 GMT -8
Congratulations! However, I must say that reading about it made my knee hurt.
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Westy
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Post by Westy on Dec 7, 2015 8:00:16 GMT -8
The median wait time is 33 weeks. There is a five-day hospital stay associated with TKR operations.
The down side is the wait time. Social medicine wait times are significantly longer. The prosthesis cost is higher in the US, however there are a two significant hidden cost drivers in the US.
- Surgical Instruments
In the late 80's, to increase sales, DePuy (Ortho OEM Giant) offered to provide instrumentation to users of their hip and knee systems at no charge. This relieved hospitals and surgeons from the cost of instrument sets, which are required to perform the surgery. The industry followed suit.
Each hospital or surgeon requires multiple sets as typically surgeries are performed back-to-back-to-back. An instrument set for a TKA may consist of 7-9 trays with a total associated cost of $100k to $150k (revision kit) @. The OEM must manage the physical location of the sets and incur associated costs which include capital investment up front and 5-year depreciation plus rework, replacement and upgrades of individual instruments as required for the life of the kit in the field.
- Distribution
The other cost driver in the US which is equally substantial is the distribution system. Typically it's a combination of independent manufacturers reps, distributer and direct sales. A company representative is present at each surgery and picks up 15% to 20% commission on the OEM price. Major Ortho OEM's are trending towards a direct model to enhance operating margins. Direct sales people do not get a commission. There are pro's and con's to each distribution channel, compounded by the choice the surgeon makes for product to be used for the surgeon's patient.
There are plenty of challenges to go around, but one thing is certain, the product will become more of a commodity, particularly with older, proven implant designs.
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speacock
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I'm here for the food...
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Post by speacock on Dec 7, 2015 10:40:34 GMT -8
What continues to surprise me is how quickly they kick you out the door, how quickly they put you on physical therapy, and how quickly you recover and what you can do in just two weeks from the surgery. This is not counting that within 6 months there is only a scar to remind you what in any text book 30 years ago would have been traumatic surgery with less than happy hopes of full recovery. I'm holding on to my parts for another 20 years just in case all I need is to take a regimen of pills. (Being the total wimp I am).
Good on ya to, in the near future, get to the place you can fully check out the handiwork and parts.
Good stuff Westy!
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