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  • What happens when you lose confidence in your Doctor??

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    Old 09-22-2007, 03:53 PM   #1
    Ronn9
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    What happens when you lose confidence in your Doctor??

    I am at my wits end with him. After two unsuccessful surgeries, he is just sending me thru his usual routine of well, xrays this week , mri next week, then if he doesnt see anything thru that he will send me for another ctscan, then it will be a spectscan, then MAYBE he will have some sorta answer as to why I`m STILL in pain, all that to get all these tests done we are talking another 6 months to a year..... Would it be unusual to ask my Doctor to a referal to another facility? Or should I consult another doctor on my own. And that raises another question, Once you have a ACDF and Posterior plating aswell, will another doctor be willing to even touch me with all I have in my neck?????
    HELP ........QUESTIONS.......NEED ANSWERS...... FEEL ... LIKE I`M DROWNING ......thanks

     
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    Old 09-22-2007, 05:34 PM   #2
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    Re: What happends when you lose confidence in your Doctor??

    Hi, Ron,
    I am sorry you are in such pain. I would definitely go get a 2nd opinion with a neurosurgeon.

    Take care,
    Lisa

     
    Old 09-22-2007, 05:49 PM   #3
    Ronn9
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    Re: What happends when you lose confidence in your Doctor??

    neurosurgeon??? i am seeing an ortho surgeon now...wuts the difference?

     
    Old 09-22-2007, 07:49 PM   #4
    julyg
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    Re: What happends when you lose confidence in your Doctor??

    Ron
    If you are on a PPO like I am, you most likely do not need a referral from your surgeon to see another Dr. If you have had a pain mgmnt doc he/she may be able to make some good suggestions for another opinion

    Perhaps a large university hospital like Yale has a spine center and you can tell them you want to see the best in the field for a 2nd opinion and not try to personalize it to your current DR.

    Most likely not a good idea to criticize current doc to next doc, but explain you felt he had exhausted his expertise in your case and you cannot go on any longer and choose not to rely on drugs for the rest of your life.

    Didn't you just have your last (posterior) surgery? I know most of us who wore collars in post-surgery recovery were in spasm hell for a couple of 3months and then it eased up.


    Just do not push yourself too hard in recovery.

    July

     
    Old 09-22-2007, 07:59 PM   #5
    Ronn9
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    Re: What happends when you lose confidence in your Doctor??

    Yes, maybe Im jumpin the gun alittle, i just feel like my doc is done with me, he`s inserted all the metal he can fit in that area and now its like,,,hmmmm oh well!!!thanks for the advice tho

     
    Old 09-23-2007, 09:07 AM   #6
    feelbad
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    Re: What happends when you lose confidence in your Doctor??

    so,you never consulted at all with an actual neurosurgeon before this surgery was performed?what does your pre op MRI report state in the summary as significant findings?what did this ortho actually do for you?how long ago was your surgery done(first and second)?what exactly does 'unsuccessful' mean in this instance?still just having pain or other neuro issues?it wouldn't hurt you at all to seek out the opinion of a totally different type of specialist for your problem.a neurosurgeon just(in my personal experience and opinion)has a much better overall understanding and knowledge of the innerworkings of the nerves up in the very heavily innervated area of the c spine,with some of them allowed to actually work within the spinal canal and spinal cord areas.they just have to know more.very very few orthos ever go on to enough actual schoolong to be able to go into these highly innervated delicate areas.there are alot of things that are inside the cord itself that will affect pain and some types of conditions,not all orthos or even certain neurosurgeons(as i found out the hard way)even really know what the cord and the many tracts are really all about,or what will or can be affected by certain types of conditions.scarey but true.

    what you want in any surgeon is the one who has the best overall experience and knowledge of the area of your particular issues.this can vary greatly depending on what your issues are and the experience and knowledge of the surgeon.believe me,even surgeons that are all neuros or all orthos don't even have that same level of knowledge experience and training.they tend to specialize in particular areas.i had an amazing neurosurgeon who actually did my spinal cord surgery back in 03(he also,two years later,Dxed a brain aneurysm i had based on a very seemingly small symptom and sent me for an MRA that actually found it,didn't have a clue it was even there),but he has since retired.he had over 30 years of experience as head of neurosurgery at the U of MN,and i cannot find another who even appears to come close to what i had in my other NS.i have seen three others at the U of MN since,and they all seem to just pale in comparrison to the one i had and his real working knowledge and understanding of all of my pre and post SCI crap.it really does suck now.i was darn lucky to have who i had to actually go into my spinal cord when i needed that surgery.i really miss him now.

    if i were you,i really would speak with your primary doc about at least obtaining a consult with a good neurosurgeon just to get his or her overall impression of your situation.if you should be lucky enough to live near a good university type teaching hospital,this is really where i would go.i can tell you right now,having already had two surgeries done on the area you need attention on,it will be difficult to really get into see another surgeon.believe me i have been thru this.that is why i went back to the U.they are used to seeing patients at these types of facilitys who really are not doing well after undergoing other surgeries.i just think,just going thru what i did and have heard others deal with that a university or some level of the mayo would really be your best bet at this point.unless of course your primary can get you in to see a neurosurgeon.since you have not ever seen one your chances of actually getting in would be much much better than someone like me.i do wish you luck with this and hope you can find someone to take this on.please keep us posted in how you are doing,K?marcia
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    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 09-23-2007, 09:19 AM   #7
    Ronn9
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    Re: What happends when you lose confidence in your Doctor??

    WOW, feelbad, THANKS ,
    I really appreciate your time and concern.
    My ortho is supposed to be one of the bestin the area, Im just not having any luck gettin relief from the pain.....
    I am going to contact my GP and get a referral from him. thanks again,i really do appreciate it

     
    Old 09-24-2007, 05:30 AM   #8
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    Re: What happends when you lose confidence in your Doctor??

    Hello Ron,

    I am sorry that you are having so much pain and difficulty!

    Please listen to the folks that have posted replies to you. I feel that they are right! Seek another opinion with a different doc. A neurosurgeon. Feelbad is right when she talks about how specifc things are in the c-spine and how a nuero is very well trained in how this area of the body and spine works with the many nerves coming out of the spine. The c-spine is more complicated than the rest of the spine as far as all the nerves go.

    Please hang in there and get that second opinion!!!

    Chrissy

     
    Old 09-24-2007, 06:02 AM   #9
    Ronn9
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    Re: What happends when you lose confidence in your Doctor??

    hey chrissy,
    i know im gonna, thanks!!!

     
    Old 09-24-2007, 08:30 AM   #10
    feelbad
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    Re: What happends when you lose confidence in your Doctor??

    good luck with this ron.i do hope it isn't a huge issue in getting the second opinion from a neurosurgeon.just be forewarned you may have to get a bit pushy here just to get your needs met.despite what surgeons offices actually TELL you about we don't DO second opinions(i got this one while trying to get answers on my cavernoma?)you DO have a right to have one done.your ins co would tend to back you up on this too.mine went to bat for me when i was told i couldn't get into see the only other NS option in my ins plan.ooo they did get nasty.i rather enjoyed that since i got my a&& reemed by their office manager over the phone when they found out i had dared to obtain that first opinion and they were my next one.sometimes you really DO have to just advocate for yourself and involve your primarys referral person and the ins co if you have to.you just really honestly DO need to see an experienced neurosurgeon.please keep us all posted on how things are going for you.good luck Ron.just keep pushin.Marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 09-25-2007, 01:43 PM   #11
    Ronn9
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    Re: What happends when you lose confidence in your Doctor??

    New issue, feelbad, Thhis is a WC case and I am not sure I can switch surgeons without this one rating me, which he hasnt and i cant see him doing it anytime soon concidering Im a hurting unit still,,,,any advice there?

     
    Old 09-26-2007, 07:49 AM   #12
    skych
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    Re: What happens when you lose confidence in your Doctor??

    Hi Ron,

    I know that every state is different as far as WC is concerned, but I just closed my WC case for my arm and they really did not make a big deal when I wanted a second opinion. In fact they supported it and I think in Nevada where I live it is your right to have it.
    There was a number in the phone book here under attorney's for nevada injured workers and that place was helpful because they would answer my questions and inform me of my leagal rights as an injured worker. Maybe they have something similar in your state. Anyway hang in ther hope that helps....Chrissy

     
    Old 09-26-2007, 08:30 AM   #13
    feelbad
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    Re: What happens when you lose confidence in your Doctor??

    here in the fine state of MN,when i was injured with a ligament blow out in my middle finger and the idiot ortho i was actually sent to,first misDxed the actual injury and made things ten times worse by casting my entire hand that was not supposed to be casted,i called my WC case worker and was told that i WAS allowed,under WC rules to obtain an opinion with one other doc.thank god i was able to see one of the best hand surgeons in our state.HE fixed(as much as was fixable at that point) the absolute mess the ortho had left in my finger and hand.you should be allowed at least one more opinion under most WC rules.call your WC case worker and explain your problems.it is always worth trying.good luck and please let us know how things go.since you should have been sent to a neurosurgeon to begin with,this may not be as big of an issue as you may think.i would really push that particular angle with WC.just becasue you DO really need to be evaled by a good knowledgable NS.Marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
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