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iSpine Discuss New Here, need some answers guys in the Main forums forums; Thanks to everyone for all the answers. I went well-prepared w/clipboard and my list of questions ! Almost a ...

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Old 01-23-2009, 05:19 PM
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Location: Port Clinton, Ohio
Posts: 75
Angry REPORT: Appointment w/Doctor

Thanks to everyone for all the answers. I went well-prepared w/clipboard and my list of questions !

Almost a total waste! The doctor (head of the spine department at Cleveland Clinic which is rated #3 in the U.S.) said - "I told you so!" (not his exact words, but almost) and he "wouldn't touch me with a 10 foot pole!"

He felt that any doctor who performs a multiple disc replacement (3 or 4) was being irresponsible and he would never submit his patients to unproven, experimental surgeries, something that the German doctors do regularly. Remember I saw him in January prior to my surgery. At the time he said, no fusion. I reminded him of this and ask if No fusion, No ADR, then What? (didn't ask this last Jan) His answer, "cope with it, find a way to manage it, work around it, etc., etc."

I ask for a diagnostic test to see if there was anything that might be causing the new numbness and more pain. His answer was no, he wouldn't ever recommend more surgery, I'd had enough surgery. (my anxiety level was rising even though I had taken an ativan.) He did follow up by testing my movement and strength and said these were excellent and said there were no mechanical problems with the devices. He said that Dr. Bertagnoli reported that my pain was much better when I was released. I agreed, but said that I was on oxicontin and after the initial pain from surgery I felt pretty good considering my age and 5 hours in surgery. But I thought that after 9 months I had hit a plateau and maybe there was something else causing the pain. Again, his answer was "I told you so." (I know, exaggerating, but he might as well have said it.)

He continued with no surgeons in the U.S. are doing multiples and (you'll love this) and they stopping lumbar ADR's. I replied with, "your own personal doctor, Dr. Delamarter who you highly recommended, has done 3 cervical levels" and I just talked to a gal who had a 3 level with Dr. Chapman in Seattle. His answer! "Well he's a German."

Our last exchange was (I was trying not to @# him off), "you really are a very, conservative surgeon." His reply, "yes, I am and very proud of it." Didn't want to end with his combative reply, so I quickly asked about his Mobi-C trial. He said, "I've completed two, one 1-level and one 2-level which ended well. I am very strict in picking my candidates. I believe for the good of my patients, I let others make the initial mistakes." Whoppee !! so much for trying to leave on a pleasant note.

(Sounds like, Dr. Bill Dillin, that Mark mentioned. Also understand this is probably the reason Cleveland Clinic gets the high national ratings - learn from others, make fewer mistakes. I thought teaching hospitals were supposed to help in researching new problems?)

As he was walking out the door we were both still asking questions, followed him down the hall asking about other non-invasive measures, he finally offered to recommend me to other departments for some follow-up studies, call him when I was ready to start. Guess I accomplished something.

Why are some doctors such *&#%@#??

Well, we are heading south next week. Hopefully with some warm weather, the company of good friends, water exercises, maybe a little golf, I'll return feeling much better. As I've said before, I'm stubborn and I will not accept that I have to suffer from pain. But I'll try to be realistic and take my meds if needed and seek a good PM doctor.

Thank you everyone for your support. It makes a huge difference.

Sandy ** p.s. I'm very fortunate to have a spouse who has gone thru chronic pain and understands it. Unfortunately, I was not as kind to him during that time. I've learned my lesson.
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**Accidents, active life-style, always some back/neck pain controlled w/ibuphrofen
2004 excessive pain, x-ray, PT, MRI diagnosis cervical DDD
**PM recommended, meds, PT, massage therapy, chiropractor, injections
**Dec. 2007 numbness and weakness in left arm/thumb, x-rays, MRI, discs at C4-7 pushing on spinal cord, fusion or ADR out of country
**April 7, 2008, discogram at C3-4, surgery 4 levels, Prodisc-C, Dr. Bertagnoli, Germany
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Old 01-23-2009, 05:33 PM
dshobbies's Avatar
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SOB - self righteous, egotistical, pompous ass, arrogent SOB. Somewhere along the line he lost his humanity and became GOD!

Deal with it? Tell him he missed a class in medical school - How to dislodge one's head from their hind quarter
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Old 01-23-2009, 05:53 PM
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Location: Port Clinton, Ohio
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Default Thank you

I never know whether I'm over reacting, I do take things too personal many times. I like your definition of the doctor, makes me feel good (my mother would say turn the other cheek!) Sandy
__________________
**Accidents, active life-style, always some back/neck pain controlled w/ibuphrofen
2004 excessive pain, x-ray, PT, MRI diagnosis cervical DDD
**PM recommended, meds, PT, massage therapy, chiropractor, injections
**Dec. 2007 numbness and weakness in left arm/thumb, x-rays, MRI, discs at C4-7 pushing on spinal cord, fusion or ADR out of country
**April 7, 2008, discogram at C3-4, surgery 4 levels, Prodisc-C, Dr. Bertagnoli, Germany
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Old 01-23-2009, 06:03 PM
mmglobal's Avatar
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What's the difference between God and a Neurosurgeon?

.
.
.
.
.

God doesn't think he's a neurosurgeon!
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2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
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Old 01-23-2009, 08:09 PM
Gil Denis's Avatar
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Location: jackson Wyoming
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Talking Thanks for the laugh

Hi Dale

you took the words wright out of my mouth.

I needed a good laugh today ''

Thank You

Gil
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L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1DDDDD
L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
9 injections Depo. P.T. 13 months 5 dose packs,
Nerve Block Injections.4 ESI S1
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L4-L5 Microdiscectomy 09 Reherniate 4-2010
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Old 01-23-2009, 09:05 PM
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Location: Harbor Springs, Michigan
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Sandy:

I am so sorry about this jerkoff's answers to you. I went to one that was this way prior to me going to Germany. I was so thankful I stayed out of Michigan for any kind of care. It would have ended up like any attempt I have made doing a high end purchase here. I usually spend my hard earned money out of state. I bought my last four vehicles in Minnesota, I bought all of my Rolex watches out of State, cameras, stereo equipment, etc., have been elsewhere. The attitude is amazing when the economy is so poor and the most that will save many of these places is to provide good customer service. Yet poor customer service has become customary in the state so, when these places close their doors for the final time, I have no empathy. I would hope that doctors like this lose patients right and left so people speak with their pocketbooks. You deserve better.

I would recommend that you find another one and, tell the new one about the old one. It might cause him a good laugh and he'll know that you want to be treated compassionately.

Hang in there.

Terry Newton
__________________
1980 ruptured L4-L5
1988 ruptured SI-L5
1990 ruptured C5-C6
1994 ruptured C6-C7
1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic
Bicycle Accident 2004
MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
Stenum Hospital Surgery November 4, 2006
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Old 01-23-2009, 09:48 PM
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Sandy,

Sorry for your appointment--too bad you can't ask for a refund. Someone have an ego??? Stories like this (sorry it happened to you) motivate me more to be everything opposite of this doc.

I agree with Terry: find a compassionate physician. Make sure you mention how awful your experience was with the old physician and the reason for seeing the new physician--it will be dictated in your new letter. The old physician should receive a copy of it.
__________________
-Justin
1994 Football Injury
1997 Snow Skiing Injury
Laminotomy L4/L5 (3.7.97--17 years old)
1999 & 2003 MVA (not at fault both times)
Grade V Tears L4/L5 & L5/L6
2-Level ProDisc® L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old)
Dr. Rudolf Bertagnoli -- dr-bertagnoli.com
Pain-free for the last 4.5 yrs.
5.14.09 DSS with Dr. B.
I'm here to help. Only checking PMs currently.
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