Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Hey Mark Heller, Didn't you have the IDET procedure a few years back? How's the outcome at this point in time? C Simpson Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Usually, patients have been screened, and have had provocative discography and diagnostic/therapeutic epidural injections to help identify the pain generators. In my experience, it has usually been suggested as a last ditch effort.....when it doesn't seem surgical. Of course, that was up until now. Today, had a patient who it was suggested to DURING the second round of injections. Was kind of surpised that the physician didn't wait to see how the second injection was going to work!!!!!! Made me suspicious of it being a "business" thing. I've only had two patients who have had the procedure, and it definitely improved the quality of their lives. For some of them, to have the promise of 12 to 18 months of reduction of pain before the re-growth of the nerve and the peripheral sprouting and reoccurence of pain ....is a blessing. THey both used Dr. Karaseck in Eugene. Locally, Dr. Roy Slack has done the discography. Hey , does Dr. Tiley do discography? Don White, RN, DC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Mike Kurosec here in Eugene does the IDET but I haven't heard anything about the outcomes. Sunny ;'-) Sunny Kierstyn Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Has anyone found a Doc who does these procedures in the Portland or Salem area and had good success with them/would use them again? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 I have had three patients IDETed. One was great, another failed once but was better after the second procedure. She eventually improved significantly after a year........ passage of time? Another had no change. The idea is good but I think patient identification for the procedure is not that great. Just the presence of a fissure in a disc does not mean that it is causing the pain.............. P. Thille, D.C., FACORedmond, Oregon Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again?OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 I sent one patient to Dr. Kurosec about 18 months ago; good reports etc but the procedure was not successful....... :0( so the pt continues w/sciatic pain the heel.........IN SPITE of various chiro care.....and she DOES have an odd disc........ J. Pedersen, DC Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again?OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 This business of spotty results with IDET reminds me that we should all be aware of the variety of chiropractic techniques out there. If your diversified hasn't produced results, send em to Activator before an MD. If SOT hasn't worked, send em to Gonstead, etc. We owe it to our brothers and sisters to seek out the variety that this grand profession has to offer...Ron Johansen DC, SE Portland On Wed, 13 Aug 2003 15:21:12 -0700 "chirodoc" <chirodoc@...> writes: I sent one patient to Dr. Kurosec about 18 months ago; good reports etc but the procedure was not successful....... :0( so the pt continues w/sciatic pain the heel.........IN SPITE of various chiro care.....and she DOES have an odd disc........ J. Pedersen, DC Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again?OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Ron your point is very valid and I support it. The patient who needs this referral is a Work Comp patient. She saw me on a consultative basis but cannot see me for ongoing treatment. Her Ortho Neuro McKenzie exam indicates a disrupted disc with derangement and chemical pain generators (peripheral disc fragmentation). She has been treated for over a year, seen every kind of specialist (after prolonged referral time) under the sun and had every diagnostic test under the sun except discography. She is captive to the Work Comp beast but her attending specialist will consider a discography referral. If the test is positive, then IDET (since she has had epidural) is a logical progression. I agree that if the exam indicates mechanical pain generators (Ortho or Neuro subluxation) and your treatment protocols are insufficient then by all means refer in a timely fashion for alternate therapeutic trial. Our reputations are built on our successes and we are still perceived as successful when we make a timely referral and the patient gets the help they need. Larry Lubcke, DC, DABCO Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salem area and had good success with them/would use them again? OregonDCs rules: 1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated. 2. Always sign your e-mails with your first and last name. 3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Nicely said. Carl Bonofiglio -- Re: Discography and IDET This business of spotty results with IDET reminds me that we should all be aware of the variety of chiropractic techniques out there. If your diversified hasn't produced results, send em to Activator before an MD. If SOT hasn't worked, send em to Gonstead, etc. We owe it to our brothers and sisters to seek out the variety that this grand profession has to offer...Ron Johansen DC, SE Portland On Wed, 13 Aug 2003 15:21:12 -0700 "chirodoc" <chirodoc@...> writes: I sent one patient to Dr. Kurosec about 18 months ago; good reports etc but the procedure was not successful....... :0( so the pt continues w/sciatic pain the heel.........IN SPITE of various chiro care.....and she DOES have an odd disc........ J. Pedersen, DC Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again?OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Larry I use Lloyd Hiebert, MD in Salem, Oregon for provocative discography, I have yet to send a patient on for IDET but he performs this procedure as well. Dr. Hiebert can be reached at the Northbank Surgical Center at 503-371-4647. Vern Saboe, DC Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again? OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 Thanks , I've never used Olson as of yet but if he is associated with you he must be tops! Don't know about the folks were Dr. Hiebert is performing his procedures but Lloyd has been nothing short of tops as well, a strong plaintiff advocate, a damned nice guy, and get this when I asked last election cycle he gave our Chiropracic political action PAC (ICE-PAC) $1000.00 !! Vern Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again? OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 15, 2003 Report Share Posted August 15, 2003 While I definitely applaud Lloyd's support of the profession, it's hard to ignore the fact that the facility that he works at is so openly hostile to chiropractors. D Freeman Mailing address: 1230 Liberty St NE Salem, OR 97303 503 586-0127 fax 503 763-3582 cell 503 871-0715 Re: Discography and IDET Thanks , I've never used Olson as of yet but if he is associated with you he must be tops! Don't know about the folks were Dr. Hiebert is performing his procedures but Lloyd has been nothing short of tops as well, a strong plaintiff advocate, a damned nice guy, and get this when I asked last election cycle he gave our Chiropracic political action PAC (ICE-PAC) $1000.00 !! Vern Discography and IDET Has anyone found a Doc who does these procedures in the Portland or Salemarea and had good success with them/would use them again? OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
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