Hackley Orthotics and Prosthetic's http://www.hackleyoandp.com/ask_xml.php Ask a Professional en-us Fri, 29 Aug 2008 02:02:50 EDT Fri, 29 Aug 2008 02:02:50 EDT http://www.hackleyoandp.com info@http://www.hackleyoandp.com web@next-it.net How long will I have to wear this device for?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=138Each case varies depending on the diagnosis. Orthotics can be worn on a short or long term basis. Your physician should monitor how well you are progressing after you are fit with prescribed device. Generally if you are being fit for a fracture, wear time is 8 to 12 weeks.Is there a charge for an office visit.http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=139NoHow long does it take to get custom orthotics?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=137As long as no prior authorization is needed, it generally takes 7-10 days.How long before I get my prosthesis?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=136It depends on a number of variables such as healing time, level of activity, etc… For most it takes several weeks after the incision is healed to fit a patient with a preparatory socket.What am I going to be able to do with my prosthectic leg?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=135It depends on your level of function. What you were able to do before you lost your leg. It may be limited for some, others are able to return to their same active level with no limitations.My feet are sore, should I get foot orthotics?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=148Your insurance may cover services fully based on your policy and whether your deductibles have been met, also your policy may have a copayment that would be your responsibility.Why do I have to see someone to receive my item?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=131We need to ensure that you understand how to properly use and care for your item.Do I need an appointment?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=132Appointments are preferred. It is faster for you to prepare your chart and less waiting time for you.Why do I have to fill out all this paperwork?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=133To keep your keep your information updated and current. It is also needed to bill your insurance company.How often am I eligible for prosthetic forms and mastectomy bras?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=134It depends on your insurance coverage. Medicare allows a form every two years and four bras a year. The majority of insurance carriers allow two bras every six months.Do you have a protocol for pt\'s to care for the halo vest, and wash under it?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=140There is a complete wear and care guide that can be downloaded and printed on this website under the section " Orthotic Services". You may click on the Halo care pdf icon under the heading of 'Cervical'. The answer to your question is on pages 4-5.What if my sugar count is 150 - 179 . What is the normal counthttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=143There is not a simple answer to this question. It depends on if the person is fasting or if the person has eaten in the past few hours. It also depends on if you are discussing a person with or without diabetes.So let's try to give you some general numbers. A person who does not have diabetes: fasting: 70-100 mg/dl non-fasting: less than 140 mg/dl A person with diabetes: fasting: 90 - 130 mg/dl non fasting: less than 180 (by American Diabetes Association Standards) The best answer: Call the Hackley Diabetes Program 728-4810What items and which brand(s) do you carry? Will my insurance pay for these items? If so, how many?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=145We are proud to carry a diverse variety of mastectomy items. We carry Amoena, American Breast Care, Tru Life, Jodee, as well as a few other manufacturers. It depends on your insurance carrier, however, most insurance companies follow Medicare standards and we typicall are allowed to bill one silicone form every two years, and two bras every six months. If you have further questions, please feel free to call and talking to our mastectomy fitter or billing specialist at 231.739.2217Do I need an appointment? I heard I need a prescription, is that right? Will I see a woman at my appointment?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=146An appointment is not necessary, however, it is recommended. If you stop in and a mastectomy fitter is available, we will definitely do our best to fit you in. However, sometimes there may be a wait if you do not have an appointment. If you would like us to bill your insurance we will need a prescription. You will definitely see a woman for your fitting. We have two certified post mastectomy fitters on staff that will see you in a private fitting room.My feet are sore, should I get foot orthotics?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=148That is a difficult question to answer. There are many variables to consider. It is recommended that you schedule an appointment and be seen by our certified orthotist. He will be sure to spend time with you and give you his professional opinion. If you do need foot orthotics he will give you that recommendation. If you would like to schedule an appointment, please call 231.739.2217.Could you tell me about how many people you serve? About how many people in the state of Michigan have prosthetics?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=144The overall number of Prosthetic patients in Michigan is approximately less than 1% of the entire population. We presently help patients that require Breast Prosthesis, Trans-humeral, Trans-radial, Trans-femural and Trans-tibial prostheses.I am a diabetic and have Medicare, can I get the special shoes for diabetics?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=147It depends on your insurance coverage, but the Medicare rules are 1 pair OTS depth inlay orthopedic shoes and 3 pairs of soft inserts per calendar year; or 1 pair custom orthopedic shoes and 2 pairs of soft inserts per calendar year. The person treating you for your Diabetes must sign a letter certifying you have Diabetes and a prescription are required to be able to qualify.Does my insurance cover this 100%?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=130Your insurance may cover the charges fully as long as deductibles have been met and no copayments apply. Each insurance policy is different and unique. We would verify your coverage and try to let you know at your appointment what those charges might be.Can you provide me with names of supplemental insurance companies that deal with coverage of prosthetic and orthotic needs? Thank youhttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=149Unfortunately I would not be able to supply such a list, because it depends on how the policy is written, as to wether or not there is Orthotic and Prosthetic coverage. My recommendation would be to call your individual insurance company and see if there is Orthotic and Prosthetic coverage.WHAT IS A CAM WALKER BOOT USED FOR AND WHERE WOULD YOU GET ONE HOW MUCH DO THEY RUN? why do i see so many people use the walking boots instead of castshttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=151A CAM Walker Boot is a device that is used on the foot and extends up the leg to just below the knee. What makes it a CAM Boot is that it has adjustable ankle joints, which allow us to control the angle of the foot/ankle complex. It would be used for many different reasons: severe sprains,fractures or a rupture of the achilles tendon. Any condition that would require the ankle to be in any position other than a neutral or 90`position.After pins, screws, and plates are placed in your feet, what is the best orthotic to wear? My probelm was in the arch and I have had most of the cuboid, and navicular bone removed. Also are there any standard recomendations for how much time is apprpiate for being on your feet, or is it-the less, the better? Thankshttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=150The best foot orthotic to wear post surgically is one that is fabricated from a cast of your foot. This would be a custom foot orthosis. The clinician would assess your daily activities, your present pain level and your activity level to recommend the best combination of materials used in the construction of your orthosis. As to the question of how much time you should be up walking would be a question for your Physician.WHAT IS A CAM WALKER BOOT USED FOR AND WHERE WOULD YOU GET ONE HOW MUCH DO THEY RUN? why do i see so many people use the walking boots instead of castshttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=151The size is determined by the patients shoe size. The billable charge is $295.00. If we are billing insurance an Rx is needed but if cash sale no Rx needed. Is this on someone specific?JUST WONDERING IF THERE ARE ANY NON-PROFIT ORGANIZATIONS THAT HELP INDIVIDUALS PAY FOR THEIR PROSTHETICS?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=154This is a difficult question to answer: You can always try to get assistance from local CHURCHES or companies like 'LOVE INCORPORATED'. There are also organizations that are specific to a disability like the Muscular Dystrophy Association that may help as well (these can be local or national). The other option would be to ask the Prosthetic company if they do any charity work and if so would you qualify.How do you know the right size for a patients, and how much do they cost? Do need a prescription please email?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=153The size is determined by the patient's shoe size. The billable charge is $295.00. If we are billing insurance a prescription is needed, but if cash sale no Rx needed.1. What does the cam walker do for post tibial tendon dysfunction? 2. What does this cam walker look like?http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=155A Cam Walker is not the preferred method of treatment for 'Posterior Tibial Tendon Dysfunction'. However it would be effective in the initial onset of the injury, by immobilizing the foot and ankle complex during ambulation. Thus minimizing the potential for deformity. The Cam Walker looks like a moon boot. It has two bars that extend up the leg to the knee on the inside and outside of the leg. It also has a footplate that is shaped so it rolls forward very easily(rocker sole). Finally there is a cloth boot that goes on the leg/ foot that the frame Velcro's to. This is all held together securely to your foot with 5 Velcro straps.How safe is the Cam Walker if the person is working in a warehouse on his/her feet 7 out of 8 hours per shift and has to move quickly. This person is an order picker and will also go up and down stairshttp://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=156I would first suggest that the patients Physician be contacted to see if the patient can return to work. If Physician releases patient to return to work and he/she is in an appropriate fitting CAM Walker, then he/she should be safe at work. The boot may slow him/her down slightly, but they should be safe.Hello! I have a 45 yo male that has had multiple prosthetics for his AKA that was done as a teenager for Osteosarcoma. Recently he has increased his flares of folliculitis/cellulitis in his groin from friction of the limb. His weight has not changed, he is a janitor, uses his sock religiously on his stump and cleanses his prosthetic every other day. He is leary of having a limb reconstructed for him due to past bad experiences. He has trialed the "post" type prosthetic and does go back to his belt style prosthetic leg. Any insight that you may have would be much appreciated! Thank You.http://www.hackleyoandp.com/ask.php?act=Answer&cid=1&id=157My concern is that the limb has changed in shape or volume and as a result I feel the limb may be pistoning within the socket. In a locking pin system there can be some pistoning if changes have occured and due to his activity level at work this can be a problem. Not to mention the increased load that may be being applied to the limb at his job carrying janitorial supplies. Finally if the socket is ill fitting it can rotate around the limb in a pin system and a belt system will decrease that rotation and give more control. Whatever the reason I recommend the patient go and be evaluated by his Prosthetist, he may be in need of a new socket