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Hey ,

Your guess is as good as mine. I just feel fortunate to have found

enough info. from the internet support groups and from the published

studies and journal articles, etc. to know what questions to ask to

try to determine if the docs seem up enough on things and experienced

enough to suit me.

Take care,

loriann

It would be very

> interesting to me, to hear, directly from one of these specialists,

> why they are not responding to their patient's symptoms. The

> information is definitely available to them. Could it be that they

> know that they're not experienced in performing revision surgery

> and don't want to admit that to their patients, and send them to

> someone who does have the experience? It's hard to believe

> that they don't know about the surgeons who do these surgeries.

>

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  • 3 weeks later...
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I hope that, by now, someone else has corrected the misinformation

below. I am still catching up with posts.

" Defamation " is an intentional, false communication (either published

or publicly spoken) which injures another person's reputation or good

name.

I would be interested to know how anyone could sue for defamation

after being identified simply as Mr. Star Surgeon of Houston, or as a

Harrington trainee.

Who is the potential plaintiff for this hypothetical lawsuit, and

what damages would you expect him or her to claim?

What part of the relevant communication is false?

How would the plaintiff demonstrate the defendant's intent?

And how would it help to name the " culprit " more specifically?

Eliana

> > up help. My surgeon in Houston, Texas (Mr. Star surgeon

> trained by

> > Dr. Harrington) made it clear he does not deal with post-op

> pain. I

> > visited his office once and called several times as pain

> progressed

> > only to be told " Fusions Fine! " .

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This was a LOW BLOW INDEED! Pow, right in my fragile and sizable ego!

Aren't you lucky, , that I am WAY too busy and cool to sue you

for defamation. Or even for medical malpractice online.

(Yuck, yuck, yuck, snicker.)

Regarding prognosis for disks and its effect on one's decisions with

respect to having surgery, let me skip the longer, more intricate

answer to this question and provide the succinct abstract only:

No clue.

Telling someone what's going to happen to his disks seems pretty

hypothetical and futuristic. Does anyone really know? How would a

surgeon or other specialist factor in all the many variables in a

given case, and somehow arrive at a reasonably accurate prediction

with respect to the future of someone's hypothetical remaining disks

following one or more hypothetical future fusions?

Hmm, maybe my brain is getting tired at this point in the evening

(and after processing the President's speech along with some posts

here at the group). Maybe you meant this as a pure hypothetical. IF

we knew we were sacrificing our disks in the process, would we have

the fusion that could help our more immediate condition?

I guess that I would, but that's just me. I had my last two fusions,

the two-part revision procedure, knowing the disks below my second

fusion were shot. And I had that fusion knowing the disks below my

first fusion were shot. Each time, I didn't seem to have much

choice. I think I chose right, at least the last two times. I don't

imagine this answer is especially enlightening for anyone else,

though, and I certainly don't mean it to be prescriptive. I wish we

knew more about everything in this area.

Eliana

> At the time, I was really miffed that nobody else

> cared about my question, one of such significance that just in the

> asking, I would gain fame, fortune, write-ups in several prominent

> medical journals as the guy who asked " The Question " , and my

picture

> on the cover of the Rolling Stone. (Is Eliana rubbing off on me?)

>

> On a serious note, I still think that this is an important

> question to have answered. Conjecture here - IF you were almost

sure

> to have discs go on you, this would just about guarentee a second

> operation, either disc replacement or another fusion. Would that

> knowledge affect your treatment decisions, both present and

future?

>

> If a vast minority of fusion patients have disc degeneration

(I'm

> just one of the unlucky), then that might be an argument that the

> procedure really *is* the way to go.

>

> Of course, there could be many reasons for the lack of replies.

>

> o Sincere lack of interest

> o Like you said, no available stats so nobody replied (most

> probable)

> o State of denial by a lot of people

> o If a huge majority of people develop disc degeneration, there

> would be either fewer fusions out of fear (even though they are

> really needed)

> o (insert evil laugh) Lawsuits. The old " you doctors knew that

> I'd develop this problem so why didn't you disclose " type of

argument

> that juries see.

>

> Maybe some combination of the above...

>

>

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