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,

Were you ever offerred a Neurosurgeon? (I am having a hard time

imagining myself telling my ortho he (or she)needs to have one

standing by....Anyone know the protocol on that one?

I think 's surgeon was a Neuro, not an Ortho....hhhmmmmm. Cam

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> ,

> Were you ever offerred a Neurosurgeon? (I am having a hard time

> imagining myself telling my ortho he (or she)needs to have one

> standing by....Anyone know the protocol on that one?

>

> I think 's surgeon was a Neuro, not an Ortho....hhhmmmmm.

Cam

Hiya Cam....no I WASN " T offered a neurosurgeon. It was only AFTER

the fact that I discovered that most neurosurgeons feel they are

beter qualified to do surgery in this area than are orthopods. So

go figure. Ahhhhhh....isn't hindsite wonderful??

~~

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Re ortho vs neuro:

It is common for docs in specialties that overlap to feel that their particular

specialty is the only one that should be doing a certain procedure. Working in

medical-legal matters, I see a lot of turf wars like this. Can a neurologist

read (and charge for!) his own CTs or must they be read by a radiologist?

Thoracic surgeon or cardiologist for certain complicated procedures that take

place near heart?

I PERSONALLY don't view a revision as the sole domain of either a neurosurgeon

or an orthopedic surgeon. I have always used the latter; apparently others have

successfully used the former. As in all decisions re surgery, I think it comes

down to who you feel most confortable with and who has the most experience doing

the particular type of procedure you need.

>

So I have no doubt that a neuro would say he was more qualified, esp after the

fact. It may be true in that case, but ultimately that is the decision for the

patient to make.

Just my thoughts, etc etc etc

> From: " " <Bomarbassets@...>

> Date: 2004/07/27 Tue PM 10:52:49 EDT

>

> Subject: Re: Neurosurgeon

>

>

> > ,

> > Were you ever offerred a Neurosurgeon? (I am having a hard time

> > imagining myself telling my ortho he (or she)needs to have one

> > standing by....Anyone know the protocol on that one?

> >

> > I think 's surgeon was a Neuro, not an Ortho....hhhmmmmm.

> Cam

>

> Hiya Cam....no I WASN " T offered a neurosurgeon. It was only AFTER

> the fact that I discovered that most neurosurgeons feel they are

> beter qualified to do surgery in this area than are orthopods. So

> go figure. Ahhhhhh....isn't hindsite wonderful??

> ~~

>

>

>

>

>

> Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

, I guess my question was really, is it possible for both

surgeons to do the surgury together? Or is a one or the other kinda

thing...maybe it's different at different hospitals? Cam

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I think 2 could do it together as long as they agreed who was

responsible for what in advance. At first I was going to do artificial

disc at same time as revision, and in that scenario the disc doc would

have done his thing 1st from anterior approach while Dr F would then do

revision from posterior. But that is a little different than having 2

ppl working at the same time. I am not quite sure what you envision so

I would ask many Q's up front.

cammaltby wrote:

>, I guess my question was really, is it possible for both

>surgeons to do the surgury together? Or is a one or the other kinda

>thing...maybe it's different at different hospitals? Cam

>

>

>

>

>

>Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

, I am sorry, can you remind me who/where your doctor was?..

Was your doctor a part of the arti-disc study and encouraging you to

apply for the waiver?....

I am wondering because I have a second opinion scheduled with

Broachie in Sept. down in NYC. I have also corresponded with a

Dr.Fabian Bitan in NYC who suggests " possibilities " for us fusion

types re: arti-disc and wanted me to schedule to see him in Sept.

I am only ( yeah, right, only!)fused to L-4, but no doubt some work

needs to be done below...

Cam

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Cam,

This is what the neurosurgeon told me today... " It takes a very confident ortho

surgeon to solicit the services of a neurosurgeon. Some surgeons are not so open

to having another surgeon present during the operation. " I'm sure it helps if

the neuro and the ortho have a good relationship and are compatable, as my 2

are. The neuro will bill separately but won't charge nearly as much as the

ortho.

I just thought this was interesting conversation from the neuro I saw today.

Hope this helps a bit.

xoxo's

In a message dated 7/28/2004 5:07:14 PM Eastern Daylight Time, " cammaltby "

<cammaltby@...> writes:

>, I guess my question was really, is it possible for both

>surgeons to do the surgury together? Or is a one or the other kinda

>thing...maybe it's different at different hospitals? Cam

>

>

>

>

>

>Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

Cam,

Here is my unsolicited .02 cents worth. Dr. Errico is involved in the

artificial disc replacement. My doc in southwestern CT is too. That's only 60

miles from NYC. According to him artificial disc replacement is being or has

been approved by the FDA and will become common practice in 2005.

I'll ask him again when I see him next week, just to be 100% certain.

Also, my doc was trained by Dr. Farcy in NYC. I don't know if he does ADR but I

do know he's an incredible doc. If only my health insurance would cover me

seeing him. BUT!!!! I really found a gem of a doc here in CT. :)

xoxo's

In a message dated 7/30/2004 9:50:24 AM Eastern Daylight Time, " cammaltby "

<cammaltby@...> writes:

>, I am sorry, can you remind me who/where your doctor was?..

>

>Was your doctor a part of the arti-disc study and encouraging you to

>apply for the waiver?....

>

>I am wondering because I have a second opinion scheduled with

>Broachie in Sept. down in NYC.  I have also corresponded with a

>Dr.Fabian Bitan in NYC who suggests " possibilities " for us fusion

>types re: arti-disc and wanted me to schedule  to see him in Sept.

>

>I am only ( yeah, right, only!)fused to L-4, but no doubt some work

>needs to be done below...

>

>Cam

>

>

>

>

>

>

>Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

,

Thanks for the names, they are all on my short list for opinions. I

feel like Rand is close by and since it seemed like Broachie has had

great support on this forum, but seemed to give a little

more attention, I figured he might offer the best support/contrast to

what I already know. I feel like I could squeeze another appointment

in down in NYC...but I have an epidural sched thru Rand late August

and pending the outcome of that, may see him again shortly thereafter.

It is all so confusing because Rand seems to indicate that he thinks

the problem is in the spine, but, my lumbar area generally feels

okay....but I am in AGONY in my buttock...and my sense is it is my

sciatic nerve on fire from some probelem in the sacro-illiac joint.

It seems crazy to me to do the whole L-4 to sacrum fusion right now

if I can buy time by addressing this problem and let the technology

re: arti-disc unfold. Like many of us, I keep thinking buying time

makes sense...but sometimes the difficulty of living a " life " in pain

takes alot of effort!

I have had good luck lately with a brace/belt very snug over the hips

and continual icy cold ice packs tucked in there. And toardol twice a

day. But it is no long term solution...it just takes the edge off.

Thanks again, Cam

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Guest guest

I was with Dr farcy in NYC. I saw Dr Jeffery Spivak in NYC (reffered by

Farcy) re the disc.

Both docs seemed to think the papers would come thru but did not know

when. i was hurting a lot and decided to go ahead with part 1.

cammaltby wrote:

>, I am sorry, can you remind me who/where your doctor was?..

>

>Was your doctor a part of the arti-disc study and encouraging you to

>apply for the waiver?....

>

>I am wondering because I have a second opinion scheduled with

>Broachie in Sept. down in NYC. I have also corresponded with a

>Dr.Fabian Bitan in NYC who suggests " possibilities " for us fusion

>types re: arti-disc and wanted me to schedule to see him in Sept.

>

>I am only ( yeah, right, only!)fused to L-4, but no doubt some work

>needs to be done below...

>

>Cam

>

>

>

>

>

>

>Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

If needed, YES!

cammaltby wrote:

>,

>So the plan is you will still be a candidate for ADR in the future,

>right? Cam

>

>

>

>

>

>Support for scoliosis-surgery veterans with Harrington Rod Malalignment

Syndrome. Not medical advice. Group does not control ads or endorse any

advertised products.

>

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Guest guest

Cam,

I wish you all the best with Rand. He truly is a skilled surgeon.

My doc here says the pain in my rear...LOL...stems from the bottom of my

fusion. The discogram I had reproduced the pain in the rear as well as right hip

pain. It was absolutely wild. The neurosurgeon said he has seen that lots,

discograms recreating buttock pain and hip pain. I'm just glad some of my pain

is now explainable. Disc degeneration.

Regarding ADR, my doc is knee deep in it. But I figure I'm just going to go

ahead with the surgery now since I need that lumbar curve ASAP! WOW! Day after

tomorrow I'm going to be with a lumbar curve and cages. YIKES!

Good luck to you. I had those injections before too. They do help for a few

weeks. It's nice.

xoxo's

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Guest guest

....As I read this a few days late...I realize you are already

past your surgery....Hooray for you!

I figure we will start testing this fall....hopefully the epidural

will give me enough time to make good decisions...

I see Broachie the 16Sept.

Good luck with recovery and please post when you feel up to it. Cam

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On the subject of Neurosurgeons...my Ortho surgeon didn't tell me ahead of time

that he would be having a Neurosurgeon on stand-by (I was nervous enough without

THAT bit of info!), I'm sure glad he did!! Accidently " nicking " the dura of my

spinal cord was the LAST complication I ever imagined or expected...but it

happened!! While trying to remove the original upper Harrington hook, my dura

was accidently nicked. The Neurosurgeon on stand-by rushed in to fix the nick

and stop any more spinal fluid from leaking out. As it was, I had to have a

monitor placed somewhere in my incision post-op (I say " somewhere " because I was

so gorked that I don't remember much about those first 24 hrs. post-op!) to make

sure I didn't leak out too much fluid. So I say TAHNK GOD for Neurosurgeons

being in the O.R. or at the least, on stand-by!

All the best,

Beth

-------------- Original message --------------

> ,

> Were you ever offerred a Neurosurgeon? (I am having a hard time

> imagining myself telling my ortho he (or she)needs to have one

> standing by....Anyone know the protocol on that one?

>

> I think 's surgeon was a Neuro, not an Ortho....hhhmmmmm. Cam

>

>

>

>

>

> Support for scoliosis-surgery veterans with Harrington Rod Malalignment

> Syndrome. Not medical advice. Group does not control ads or endorse any

> advertised products.

>

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  • 1 year later...

Yes, I've referred to him several times and patients were pleased with good outcomes. Was always pleasant on the phone, etc. The thing I like about him is that he is conservative and won't rush to surgery. If it is the same guy, he's had some issues with his own back, and knowing what he knows about surgery, chose a conservative route with good results.

Don White, RN, DC

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  • 2 years later...

Dr. Kent Grewe NS Emanuel Hosp.

503-288-5151

s. fuchs dc

From: [mailto: ] On Behalf Of thoensbSent: Friday, September 05, 2008 3:05 PM Subject: Neurosurgeon

I have a patient that needs a large extruded disc fragment removed from her cervical area. Need a referral for a neurosurgeon who would you recommend?Dr ThoensMountain Park Chiropractic11030 SW Capitol HwyPortland OR 97219

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Jordi Kellog,

I will look up his number once I am back in the office but he is grea and will even let you scrub in and watch the surgeries from time to time. I know a lot of the other chiros like him as wellRespectfully, Dr. Franchesca HarperFunctional Pain Solutions6956 SW Hampton StTigard, OR 97223p. 503-443-6100f. 503-443-1280

From: sharronf@...Date: Fri, 5 Sep 2008 16:32:10 -0700Subject: RE: Neurosurgeon

Dr. Kent Grewe NS Emanuel Hosp.

503-288-5151

s. fuchs dc

From: [mailto: ] On Behalf Of thoensbSent: Friday, September 05, 2008 3:05 PM Subject: Neurosurgeon

I have a patient that needs a large extruded disc fragment removed from her cervical area. Need a referral for a neurosurgeon who would you recommend?Dr ThoensMountain Park Chiropractic11030 SW Capitol HwyPortland OR 97219

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  • 9 months later...
Guest guest

I have not had surgery but a neurosurgeon is the one that is ready to do it if it has to be done. I'm glad to hear that you are pleased with the outcome. Joan

Has anyone else had a neurosurgeon do their surgery? I have been very pleased with my outcome, six months out. I had conservative surgery, but am mostly pain free.

Haven't read much discussion about PT being very important for a full recovery and that core strengthening exercises will need to be done for life. That's from my PT, Atilla the Hun.

Now I am looking for information about cervical stenosis. Is there any opinion about what's best for that. I have problems in C-3 through T-1, but I doubt they will do more than the worst ones, C-5-7.

By the way, they sedate, but don't anesthetize, here for epidurals. Must say that the cervical are more terrifying and painful.

Thank you all for your information and opinions.

Margaret

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If anyone else in the group also has fibromyalgia, I had a good experience with a neurologist injecting my neck and shoulders with botox. I have cervical stenosis and have had no relief from epidurals. In case you're out there in stenosisland with fibro., you know what it's like. Very hard to find doctors who understand the fallout when you have both. At the very least, I should have the smoothest 62 year old neck around! Just kidding.

M.

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