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Old 12-05-2011, 12:00 AM   #1
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Anybody have this happen? Consulting Dr tells you one thing but your Surgeon another?

I've been around this board for awhile but have not posted in quite awhile...
Basically, my situation is the same that it was back in the spring. Status quo... I'm no better. Still in the same pain....
Here's my dilemma...
I've seen additional Dr's now. Each time I see a new Dr or go for a new test I ask for a copy of the Dr's letter to my "now managing neurosurgeon" or a copy of the test results.
Well, here's my problem....I went for a consultation with a neuro radiologist at the request of my now managing neurosurgeon. And the NR told me a bunch of stuff in the consultation but then turned around and contradicted himself in writing to the NS!! So basically, he told me one thing and then told the other Dr. something else. This is a highly highly regarded Dr and I'm not really sure how to handle this. He (neuro radiologist) told me I should not let the NS fuse me, it's not in my best interest. and if it was him (in a situation such as mine), he would not have a fusion done. He also told me he would tell them this in writing. Yeah, right... but then he turns around and says that if his procedure is unsuccessful, it is quite likely that I will require an open discectomy and interbody fusion (which he advised against).

So here's my question.... Have you ever had a Dr. tell you one thing and then put something else in writing. and if so, did you bring it up to the Dr? How? This Dr is VERY VERY difficult to get in to see. I had to wait a long time to get this consultation appointment. He normally doesn't consult, he just performs the procedures. They really wanted to schedule me to meet with him just prior to the procedure and I said, "I don't think so." I'm not sure which procedure if any I'm going to have done. And the scheduling person said something to the effect of well he can decide when he talks to you just before the procedure. Ummm, thanks but I think we'll discuss this ahead of time! So getting to talk to him a second time is NOT going to be easy! Sigh....

 
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Old 12-05-2011, 11:34 AM   #2
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Re: Anybody have this happen? Consulting Dr tells you one thing but your Surgeon anot

I don't recall a situation such as you are deciding, but what I have found is the docs with the big reputations are not necessarily the ones I want to work with because there are so many layers to get through to get a moment of their time. Specialists develop reputations for different reasons. It is possible to find a great specialist that is easy to reach, and those are the ones I prefer.

If a patient needs a procedure that is risky or unusual, then it may be necessary to find one of these guys, but for most things, I prefer a more low-key doctor.

What procedures is he recommending or considering for you?

Oh, I got side-tracked. I would get the appointment with the specialist, and then simply retrace what he said to you, what he wrote to your doctor, and ask him why the discrepency...and tell him you are really confused and don't know which way to proceed.

Keep in mind that with almost all lumbar issues, you have plenty of time to make a decision. They are almost never medical emergencies, so don't make a decision before you are ready.

 
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