Best wishes for this next surgery, Larry... for an improved and hopefully as good as new left femur. Your daughter seems wise to delay her ankle fusion surgery, and is obviously bright and ambitious to be managing all of this while still performing well at Duke. Not an easy way to go to college, but it is what it is and she's soldiered on. Can't imagine anything ever stopping that girl from pursuing her dreams if this hasn't! You must be enormously proud of her, and it's good to know that there is some insurance money to pay for her college costs and set her up reasonably for law school. The ongoing medical costs are so hard to predict, so quite wise of you to be planning as best you can for that as well. In the meantime, all the best with the day by day.