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Re: Lana here again...

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I cannot bend or twist at the waist. You'll learn to

use your hips and legs for that. Buy a reacher. Mine

is used every day. It allows you a lot more freedom

to do things for yourself. Learn the golfers stance

to reach things on the floor. I'm training one of my

dogs as a service dog to help me around the house

too--pick items up and hand them to me, help carry

towels to the washing machine, etc.

=====

Jeanette

__________________________________________________

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Hi Lana...

I'm fused T4 to L3. I was surprised, once I recovered from the surgery,

at how much I could still twist and bend. There are a few things that

are different, but I think you'll find that the small loss of mobility

won't affect your life.

My surgery was almost 10 years ago and was successful. I had a lot of

pain before surgery, and got quite a few years without significant pain.

Who is your surgeon?

Regards,

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Hi Jeanette...

When you say " learn the golfers stance to reach things on the floor " do

you bend over to pick things up? I have always been told never to bend

at the hips when picking something up. (I bend at the knees.)

Regards,

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, I meant to hold onto something with the left

hand, pick up the left leg, lean over from the hip and

pick up the item from the floor. My physical

therapist called this the gofer's stance. Most of the

time, I gently let myself down to my knees, get the

item, pull myself up again. If I canot get a good

grip on a sturdy place, I crawl over to a palce I can

pull on. I have problems bending my knees to reach

the floor because I'm fused so high.

=====

Jeanette

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Silly as it might sound, a lot of us that have 30 years experience in

these things, have learned to pick stuff up with our feet. Cheaper

than a " reacher " and a whole lot handier. I can never find my reacher

when I want it but I usually know where my feet are... however you

have to give up wearing socks. Drives my wife crazy when I am going

around the house picking up doggie bones and other stuff left by the

dog.

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In a message dated 12/28/01 4:06:32 PM Central Standard Time,

legerpj@... writes:

> Silly as it might sound, a lot of us that have 30 years experience in

> these things, have learned to pick stuff up with our feet.

I agree!!!! I rarely wear socks and can use my toes quite well to pick up

objects on the floor.

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Hu!. I just asked you in a post if you could bend at the waist. I

forgot that I'd written two notes... The RNP told me I'd need a

reacher, too. golfter stance... wide apart legs?

Lana

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Lana

You will have 2 discs and one vertebra left below the fusion which could

facilitate movement below the fusion. Your mobility after surgery will also be

determined by how much mobility/flexibility you have at those levels now. This

is usually established by bending x-rays. Keep in mind that two disks to carry

all the weight from the upper body is not a lot and that is why degenerative

disc disease seems common after this kind of surgery. If your doctor told you

you would not be able to twist, I would trust his advice because he knows what

he's dealing with and what he's planning to do.

Sanette

----- Original Message -----

From: " lana_05446 " <jarvis1@...>

> I'll be fused from T-4 to L-4. I was told I would not be able to twist at

the waist,

--

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> My surgeon is Monsey, affiliated with the New England Spine

Inst.

> and Univ. of Vt. He said he averages one spinal surg. a month, and

has

> done over 110.

>

> Lana

I'm a mostly-lurking member of the list, in

Burlington Vermont, and I just noticed that your surgeon is

Monsey of the New England Spine Institute.

I don't want to discourage you if you have confidence in this

surgeon, but I feel it is imnportant that I tell you what

I discovered when looking into scoliosis revision surgeons for myself.

No one-- absolutely no one-- in Vermont meets the standards for being

a scoliosis revision specialist or adult scoliosis specialist, and

only one doctor in Vermont is fully qualified as a *pediatric*

scoliosis surgeon.

A scoliosis specialist might perform about 50 *scoliosis* surgeries a

year. Dr. Monsey performs about that many *spinal* surgeries a year--

most of which are of the usual disc repair/minor fusion sort. Non-

specialists like Dr. Monsey usually have much less success performing

scoliosis surgeries than true scoliosis specialists.

What's more, when I inquired about the qualifications of doctors at

the New England Spine Institute, I was given false information about

the professional affiliations of a physician there. I filed a formal

complain about this with Fletcher-, but the office staff denied

they had misrepresented professional affiliations to the investigator.

--

A. Tisoncik

tisoncik@...

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Oops! I clearly scrambled my math in my reply. You said he performed

1 per month. I read 1 per week and wrote my reply accordingly.

Somewhere here I think all these numbers and my interpretations are

scrambled.

My guess at the right interpretation is that he *does* perform 12

*scoliosis* surgeries a year. That would fit with what I know about

the New England Spine Institute.

Nonetheless, the core of my reply still stands: Dr. Monsey is not a

scoliosis specialist, and rarely performs scoliosis surgery. His

bread-and-butter is herniated discs and other common spine problems.

--

A. Tisoncik

tisoncik@...

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Hi

As I'm also looking at the possibility of revision surgery, I am very interested

to know what the standards are for being a scoliosis revision

specialist....could you expand a bit?

Thanks, Sanette

----- Original Message -----

From: " surumi " <tisoncik@...>

>...... No one-- absolutely no one-- in.........meets the standards for being a

scoliosis revision specialist or adult scoliosis specialist, ........

--

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  • 2 weeks later...

> Hi

> As I'm also looking at the possibility of revision surgery, I am

very interested to know what the standards are for being a scoliosis

revision specialist....could you expand a bit?

> Thanks, Sanette

Sorry for the delayed response: I have been very negligent when it

comes to e-mail in recent months.

What I know I've learned from these mailing lists, websites, and a

long telephone conversation some months ago with someone (name not

remembered) at the National Scoliosis Foundation.

A quick and dirty summary is: a revision specialist is a scoliosis

surgeon who does a *lot* of revisions (50 or more a year) and is up to

date on revision surgery knowledge and technique. Usually (though not

necessarily) in the US they are members of the Scoliosis Research

Society (the professional society for scoli specialists) (The converse

is *not* true: being an SRS member *does not* mean someone has

expertise in revision surgery-- most SRS members are pediatric

scoliosis specialists).

(Kibbitzers should feel free to elaborate upon and/or correct anything

I've written above.)

There are *not* that many true revision specialists, and the names of

those that are out there, at least those who practice in the US, pop

up often on the various internet lists.

Right now I'm trying to pry permission from Medicaid to go

out-of-state to see Dr. Rand, a Boston revision specialist. Of

the known specialists, he's geographically nearest to me. But

additionally what I've learned about him would make him one of my

first choices even if all the specialists were equidistant from me.

Fortunately I now have a primary care physician who is backing me up

on seeing a specialist, and in the interim is doing some good pain

management. I feel like I have at least something of a life again,

thanks to MS Contin and a wheelchair-- before these two things I was

just about a prisoner in my own home, and some mornings a prisoner of

my bed.

I *do not* want to go the otherwise-easy route here and settle for one

of the local spine surgeons, who lack both specialization in scoliosis

and expertise in scoliosis revision surgery. Everything I've learned

indicates there's a big difference in success rates between the

specialists and the sometimes-do-a revision-on-the-side spine

surgeons, a big enough difference to make a fight with insurance worth

it.

--

A. Tisoncik

tisoncik@...

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In a message dated 1/14/02 11:44:06 AM Central Standard Time,

tisoncik@... writes:

> What I know I've learned from these mailing lists, websites, and a

> long telephone conversation some months ago with someone (name not

> remembered) at the National Scoliosis Foundation.

>

>

Do you have information about this organization??

Thanks,

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  • 4 weeks later...

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