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iSpine Discuss Another hold up ... in the Main forums forums; Hi Maria this is the second time I've heard of this BS with doctors being able to refuse to ...

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Old 11-08-2006, 12:32 AM
bek bek is offline
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Hi Maria

this is the second time I've heard of this BS with doctors being able to refuse to do a second opinion or to see a patient because their colleague has already done so.

I have recently learnt that my back surgery is a screw-up and I am having trouble getting any other surgeon to either see me, or give an honest opinion about what has been done to me if they do. I cannot get anyone so far to offer surgery - no one wants to touch someone else's mistake.

I am continually dumbfounded at the level of self-interest doctors now exert. They are getting close to omnipotent and medicine as you say has become all about the $$$$ for so many of the people who entered a profession that is supposed to be about patient care. It must frustrate you terribly having worked in the field yourself.

Please keep us posted on what you decide to do and/or what options open up to you.

Rebekah
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34 yo
2005: almost complete degeneration of L5/S1 severe DDD, L4/L5 dessicated, and annular tear, positive pain generator on discogram
July 2005: L5/S1 fusion, ADR scheduled for March 2006 at L4/L5
ADR cancelled. Bone graft from the fusion has spread up the back of my spine to L3 rendering me inoperable according to several surgeons.
PLIF has dramatically decreased pain at L5/S1, but the solid, unintended, bone mass I now have up to L3 has created significant pain.
Neurontin and oxycodone
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Old 11-08-2006, 02:53 AM
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I think that's one of the reasons, aside from expertise, that Dr. B & Z are so popular with their respective patients. Dr. Z even told a British patient that he would come to her to do her revision if necessary because she couldn't afford to come to him.

While in the hotel in Straubing, Dr. B's team from Bogan made a 'house call'. These doctors do not bring their ego's into their practices. I understand that affording Germany is not possible for all but as someone who would not have gone if at all possible, I'm a convert and wouldn't hesitate for a second to recommend the care, compassion, and most of all, the knowledge and proficiency of these doctors.

I woke up from surgery with my left leg completely numb. I am positive this damage was unavoidable... yet I blame my American doctor for not recommending the proper care and possibly causing this damage to become permanant. He simply didn't care. My best to you Maria. I understand your frustration level and can only sympathize. To some doctors, you're nothing more than a notch in their belt and pocketbook.

Dale

If any American doctors are reading this, this is the reputation most of you have earned. Your patients care should be first and foremost but you've turned the Hippocratic oath into the hypocritic oath. I apologize to those doctors to which this statement does not apply and thank you for your caring and concern.
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3 level Prodisc adr S1-L3, Oct 12, 2005
Dr. B in Bogen, Germany
Severe nerve damage in left leg, still working on it

Last edited by dshobbies; 11-08-2006 at 03:01 AM.
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Old 11-08-2006, 03:32 AM
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Maria:
Is it at all possible to do an end-run around the staff and speak to the surgeon you prefer directly (or have a patient advocate speak for you?).
Unfortunately, this is a policy of many group practices but as you know sometimes the staff can be inflexible when the docs themselves might be willing to bend the rules.
I sincerely hope you can work this out to your satisfaction--enough is enough!
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Old 11-10-2006, 11:59 PM
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Thumbs up update

Thank you all for your thoughtful replies. I thought I'd wait for an update before responding~ here is what I have to report:

WC is miffed at the idea that Dr.X's office states a policy that won't allow change of physicians (prior to any surgical intervention) when WC is referring to a specific surgeon. The plan is to get the referring surgeon to make a call and/or write in my behalf.

As a second option (tho actually my continuing first plug/desire) I brought up surgery in Germany with Dr.B (have brought this up quite a few times) and this time was advised to get all the pertinent info sent to Nurse Case Manager and she will forward it to the Claims Adjustor who at this point cannot turn anything down re surgery so it will forwarded to the CA. WCAB and maybe just maybe the difference in $$$$ would be an eye opener (!!!) but mostly I have to show that I would have someone to follow me up here after surgery in case anything happened later on and need to have some stats/info on Dr.B ~

Something should move along one way or the other ~ since at least the fight for authorization is over, thankfully~

I'm enduring a major flare up right now and have to be travel ready (Florida next friday/3 seats coach/Air Tran w/change of planes in Indiana going and Atlanta upon return... need to be well enough to take my father for some testing that he needs to have~

Oh yes, the flare up by in large was brought on by an evening "run on the beach" with my dog and playing ball w/her. I must have been crazy but I actually was so amazed at myself that I felt I "could" run and was loving it...I play I pay...

I have been so bogged down by this flare up that I left a message for my NCN to see if I might get an "emergency ESI" squeezed in before my trip ... I know rest is what I "have to" do but ESIs are like magic for me~

Maybe some Cadillac Margaritas would slow me down
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Old 11-11-2006, 09:39 PM
ans ans is offline
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Running!! Wow..

M: My fingers are crossed that insurance would pay for Dr. B. as this would be cost-effective for them. Keep it up and have a safe trip.

ans
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