When I first started writing this blog, I would write it after I got home from being with Robb in the hospital. I would be exhausted, and generally would have only the vaguest idea of what I was going to say. I would purge the experiences of the day, and then go to bed.
Then later, I had more time to reflect on what I was going to say. Some entries were the product of a lot of reflection. Some were more off the cuff.
Today, I'm at a bit of a loss for what to write.
It turns out that Highland Hospital, where Robb spent the first week, and where he visits his neurosurgeon, has not sent any of the records of Robb's follow-up care to the insurance company. Nothing from a doctor's visit, none of the xrays. (They have, however, continued to send bills to my HMO, and I get no fewer than three letters about that every week.)
So, because the insurance company is missing documentation of this aspect of Robb progress, they sent us to another physician for a second opinion. In this case, Robb was seen by a orthopedic surgeon in San Francisco. The insurance company needs some information from a doctor, regarding where Robb is in his recovery, and what an expected outcome might be.
We had a fairly long interview with the physician's assistant, and then the doctor met with us. Unlike most of the medical professionals we've met with so far, this doctor gave a pretty dire prognosis. He told Robb that, given the severity of his injury, Robb had better figure out what he was going to do with the rest of his life, because it was likely that he would be permanently disabled. He told Robb that he would have to "get over" his fatigue, and find the energy to create a new life. He also said that Robb would be under the care of a urologist for the rest of his life.
When he left the room, I looked at Robb and Linda our nurse case manager and said, "Well! That was blunt and harsh."
Robb and I both agree that we will accept whatever we end up with, but we both steadfastly believe that there can be a good outcome to all of this.
We have to believe that things will turn out well, and keep working toward that goal.