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Surgery and Worker's Compensation Approval
09-02-2010, 08:11 AM
Post: #1
Surgery and Worker's Compensation Approval
My doctor recommended an L4-L5 / L5-S1 Laminectomy / Discectomy and Spinal Fusion w/ Intergra Instrumentation. This is a Worker's Compensation case, with a tentative surgery date in late October. The surgery will include a spine specialist and neurologist.

Can anyone who has been through this (especially those of you in Illinois) tell me what I should expect in the coming weeks from the surgeon and WC?

Thanks for your help.
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09-02-2010, 09:04 AM (This post was last modified: 09-02-2010 09:05 AM by Bad Boy Bad Boy.)
Post: #2
RE: Surgery and Worker's Compensation Approval
Are you seeking a question such as what will take place before the surgery?

Or a question to the fact as what will you have to go through after such surgery with your body?

I ask if you have a Neurosurgeon or an Ortho surgeon. For me, and in Illinois, I only allowed a Neurosurgeon to Operate on my Cervical Neck (Spine). Your choice is your choice also.

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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09-02-2010, 11:52 AM
Post: #3
RE: Surgery and Worker's Compensation Approval
I'm wondering a few things:

What is the process worker's compensation goes through to "approve" the surgery?

When I am on leave from work, will TTD provide me with my full salary? Will I also be on FMLA and be using my sick days?

And yes, info on what I will go through during and after the surgery would be helpful.

I will have both a neurosurgeon and ortho surgeon working on me.
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09-02-2010, 06:22 PM
Post: #4
RE: Surgery and Worker's Compensation Approval
FMLA is and should be set-up with you and employer. Company policy rules on if you need to burn sick days and Vacation days up.

TTD is 66 2/3 your gross salary not full pay. But, at 66 2/3 pay it is tax free, so should be close to your gross pay.

Approval for surgery, well you know Work Comp and their Insurance, so I think it's best to find out way in advance if it had been approved, so your not taking days off you didn't need to take. Sometimes when surgery has been recommended the IC might send you to an IME for their Paid Doctor Second Opinion. But, that's about that for process.

Neurosurgeon and Ortho surgeon, that is good.

But why the Ortho may I ask?

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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09-02-2010, 10:21 PM
Post: #5
RE: Surgery and Worker's Compensation Approval
Thanks for all the info.

The Ortho surgeon said he has done the surgery over 3000 times, and always uses a neurosurgeon. He said "she's the designer, and I'm the carpenter." This is going to be one expensive remodel.
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09-02-2010, 10:33 PM
Post: #6
RE: Surgery and Worker's Compensation Approval
My second fusion of 6 levels, I had 2 Neurosurgeon's, so yes, having 2 there the price certainly does go up, I would agree.

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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09-02-2010, 10:33 PM (This post was last modified: 09-02-2010 10:54 PM by AQA.)
Post: #7
RE: Surgery and Worker's Compensation Approval
BBBB, It is not uncommon for an ortho to assist the neuro during a spinal fusion. That is the same thing that happened to me.

In my case, it was the ortho that refered me to the neuro. Two points of view on this. One is, the neuro does need some assistance. The second is. Why shouldn't the ortho get some work out of the situation. Just my oppinion.

8-05, Micro laminectomy/disectomy. 10-05 lumbar fusion L5-S1. 2-07 exploritory surgery. 12-07 medical implant, Spinal Cord Stimulator. now receiving SSDI. Jesus died for our sins. Soilders died for our freedom.
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09-02-2010, 11:11 PM (This post was last modified: 09-02-2010 11:21 PM by AQA.)
Post: #8
RE: Surgery and Worker's Compensation Approval
Chicago, I had the same surgery except mine was just the L5-S1.

The worst part was that they took me off the morphine drip about three to four hours to soon. I was in a great deal of pain, so they gave me some pills to get me over that time period. The neuro surgeon was in the hospital and came by to see what was going on. He decided to order x-rays and took them himself. I spent a total of 3 days in the hospital. I didn't return to work (with restrictions) for about 9 months. It was probably 4 or 5 months after the surgery before I started light pt. It was just streching. About a month after that I started going to regular pt for 4 hours a day 3 days a week and that lasted for 2 months.

While in the hospital, you will be on a liquid diet unless your wife sneaks in real food for you. The reason for the liquid diet is because you will not be able to get up to use the restroom. So, if you wife sneaks in real food. You will need to limit the amount you eat. Your body will have to be able to burn off the amount you eat.

I hope that answeres your question about what to expect from the surgery.

8-05, Micro laminectomy/disectomy. 10-05 lumbar fusion L5-S1. 2-07 exploritory surgery. 12-07 medical implant, Spinal Cord Stimulator. now receiving SSDI. Jesus died for our sins. Soilders died for our freedom.
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09-03-2010, 09:32 AM
Post: #9
RE: Surgery and Worker's Compensation Approval
AQA, when I had my first Cervical Fusion, my OCC Med Doctor / Surgeon was not in the operating room. I had the Neurosurgeon, and what ever assistant he had. My 6 level Fusion 2 Neurosurgeons used do to the complaction factors. For I was only given a 20% chance of living through that surgery. The Odds were not all that good that time. But, I can understand any surgeon, no mater their classafication would need an assistant, the higher their Rank, the high the Bill.... LOL...

AQA Wrote:BBBB, It is not uncommon for an ortho to assist the neuro during a spinal fusion. That is the same thing that happened to me.

In my case, it was the ortho that refered me to the neuro. Two points of view on this. One is, the neuro does need some assistance. The second is. Why shouldn't the ortho get some work out of the situation. Just my oppinion.

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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09-03-2010, 05:06 PM
Post: #10
RE: Surgery and Worker's Compensation Approval
AQA - Thanks for the info. Your recovery took a long time. My doc is telling me that I should be able to go back to work after the late October surgery in January. Maybe he's just being positive? My job requires a lot of movement.

Bad Boy - Do you mind me asking what caused all your back issues? I've read many of your post and it seems you've been through a lot. Also, I remember you're also from Illinois, does this state cover/reimburse medical visit related millage (doc, pt, mt, etc)?
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