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IME pending post first artificial implant surgery
#1
I have a work related injury from 1997!
I had a disectomy in 1998, that turned out to be a "failed surgery."
In the following years, I consented to injections, RF, osteopathic treatment, and tons of drugs, patches, TENNS UNIT.
Finally, I could not put ANY wright on my left leg it was so weak and the pain was HORRIBLE.
I told my husband to shoot me.
I got the osteopath to refer me to a neurosurgeon who ordered an MRI in 12/15.
The surgery was approved in 10 day no problems. (3) surgeons as they went in the front.
Vascular surgeon moves everything to the side so the other 2 can gain access to my spine.

He originally told me he has to do two surgeries a year apart.
He failed to write that in his notes, but how could I make this up?
It has been a year and the MRI clearly states, that L-3 from the 12/2015 MRI & the 8/2016 MRI, has a tear and is bulging severely to the left. It also showed the entire surgery with the artificial discs is bulging to the left. Spurring to the highest degree is also noted.
"Hardware artifact" is noted in the surgery area, whatever that means.

I lost the ability to push down on the pedal of a stationary bike with my left leg.
The neurosurgeon directly says it is L-3, needing a "spacer" to fix the weakness.
The nerve is squished by L-3 making the left leg weak and my left foot has drop foot.

I can only walk 10-15 feet with a cane before my left leg feels like it weighs 100 pds. I have to stop and walk and stop and walk....I can not go anywhere where walking is needed.

Anyway, he submitted the paperwork for the 'spacer", and now I have an IME pending.
My husband is taking me and I called and asked if they have a wheel chair as I cannot walk that far.
It is a medical building connected to ST Francis Hospital.
If this biased neurosurgeon says "no" to the second part of a two part surgery, is that it?
(I read some WC cases of HIS online and he has a history of agreeing with surgery, and then retracting his own opinion.) GREAT!
I cannot get an attorney as I am a disability-retired state employee. Due to our budget being in the RED,
the state of CT. is no longer "stipping out" injuries, so nobody will take me on. (I do not care to stip it out, I want the care)
If they cannot get 20% of a stipulated agreement, its of no financial benefit to them.

Where does that leave me if I have to go to a formal hearing?
The MRI's seem to be in my favor.
I also have an abscess at the surgery site, noted by the radiologist, who called the neurosurgeons office to alert him.
He said they "are being too dramatic and it is nothing."
Well "nothing" keeps flaring up, and the swelling is now visible on the outside where the scar is!
It looks like a small bag of fluid sloshing from side to side. NOBODY CARES!!!!!
I iced it constantly and it has gone down, but it puffs back up again when I walk.

How can the AG's office and the CT. WORKERS COMPENSATION COMMISSION, allow someone without counsel to go through all of this alone?
It is beyond mean and unfair. I cannot fake an MRI or an abscess.
He should have just drained it when they alerted him.

If anyone has every had an IME and was still granted the surgery, please let me know.
I want to know that with something as bad as what is wrong with me, has a chance.
I have been on opiates since 2000. I also weaned myself down from 140MGs of oxycodone to (2) 10MGs a day.
None of them would write a script to help with DT's. I suffered for 3 months last summer. It was a nightmare.

I waited 16 years for surgery that came too late, and now I am being jerked around to fix the one last disc, that will allow me to walk.
I think they want me to commit suicide. I said that to the adjuster, and she said nothing.
Sometimes it's what is NOT said that is the most important.

See you on the other side~
[color=#181818][size=small][font=Merriweather, Georgia, serif]The greatness of a man is not in how much wealth he acquires, but in his integrity and his ability to affect those around him positively~[/font][/size][/color]
 
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#2
you can request a postponement of any legal appearance on the grounds that you are searching for legal representation.
contact the state bar for help finding an atty:
http://www.ctbar.org/?page=LookingForAnAttorney
Signature/Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information.........
 
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#3
(01-21-2017, 03:46 PM)1171 Wrote: you can request a postponement of any legal appearance on the grounds that you aresearching for legal representation.
contact the state bar for help finding an atty:
http://www.ctbar.org/?page=LookingForAnAttorney

Several AVVO attorneys told ME to call for the hearing.
They said to bring up that the stalling is causing me to remain on opiates longer then necessary.
The claim adjuster only called for the IME as she HATES the neurosurgeon. His office staff kind of suck and they never pick up the phone or return calls for anyone. Its not just me.

She told me a few months ago that I could change neurosurgeons and she would NOT contest it.
I also want to bring up that I will be needing rehab to get off the last 20mgs of oxycodone AFTER I get my last surgery.
Right now, I need those (2) pills per day, and am proud I weaned off 120 mgs on my own.

Thank you for the link for the legal help.
That was really thoughtful and kind of you, and I could use a little of that right now!
Have a great day.
[color=#181818][size=small][font=Merriweather, Georgia, serif]The greatness of a man is not in how much wealth he acquires, but in his integrity and his ability to affect those around him positively~[/font][/size][/color]
 
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#4
I just wanted to write some comments about your post. Is there a way for you to get a second opinion about your condition and surgery other than the IME? Some of your comments are worrisome. I don't know if your claims adjuster does not want to pay for your surgery, or if she knows something about your surgeon. If you have not done so already I recommend googleing your surgeon and read his reviews and also run his name in the propublica site dollars for doctors.

It is VERY rare for a radiologist to tell a patient ANYTHING. Have you requested a copy of your scans and report from the facility who did them? I also recommend if you have not done so already is request from the hospital where you had your surgery a complete copy of ANY and ALL records including but not limited to operating room report, surgery reports, nurses notes and records, time and time out records, and implant log and biologic log including product  codes and stickers. If you can get a second opinion it would be a good idea to have your surgery records and copy of your MRI's and other scans. You should have the surgery records anyway to review of what happened during your surgery, who was attending, and how long they were attending your surgery and this will be on the time in and time out record or nurses notes.

It is a god idea to know the artificial disc, what was the name and product code with lot number. If you get that and would like me to look it up on the FDA website I can do that or you can. You can check for any adverse events to see if the implant may be causing problems to other patients. It is a good idea to check any implant BEFORE having it placed in you too. I am not sure what surgery your surgeon is requesting, is it a posterior fusion with screws and rods and is it for the same level as your disc or other levels? Do you know the name of the surgery you had and also the surgery he wants to do and if you do not know I suggest asking him? It sounds like you had a anterior one level artificial disc implanted (level I am not sure).

Your surgeon may be excellent and sometimes surgeries go bad. I think it is always good to review your records, know what your surgeon is placing in you and get a second and third opinion before an evasive surgery.

I wish you good luck with everything.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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#5
(01-21-2017, 08:45 PM)California_Help Wrote: I just wanted to write some comments about your post. Is there a way for you to get a second opinion about your condition and surgery other than the IME? Some of your comments are worrisome. I don't know if your claims adjuster does not want to pay for your surgery, or if she knows something about your surgeon. If you have not done so already I recommend googleing your surgeon and read his reviews and also run his name in the propublica site dollars for doctors.

It is VERY rare for a radiologist to tell a patient ANYTHING. Have you requested a copy of your scans and report from the facility who did them? I also recommend if you have not done so already is request from the hospital where you had your surgery a complete copy of ANY and ALL records including but not limited to operating room report, surgery reports, nurses notes and records, time and time out records, and implant log and biologic log including product  codes and stickers. If you can get a second opinion it would be a good idea to have your surgery records and copy of your MRI's and other scans. You should have the surgery records anyway to review of what happened during your surgery, who was attending, and how long they were attending your surgery and this will be on the time in and time out record or nurses notes.

It is a god idea to know the artificial disc, what was the name and product code with lot number. If you get that and would like me to look it up on the FDA website I can do that or you can. You can check for any adverse events to see if the implant may be causing problems to other patients. It is a good idea to check any implant BEFORE having it placed in you too. I am not sure what surgery your surgeon is requesting, is it a posterior fusion with screws and rods and is it for the same level as your disc or other levels? Do you know the name of the surgery you had and also the surgery he wants to do and if you do not know I suggest asking him? It sounds like you had a anterior one level artificial disc implanted (level I am not sure).

Your surgeon may be excellent and sometimes surgeries go bad. I think it is always good to review your records, know what your surgeon is placing in you and get a second and third opinion before an evasive surgery.

I wish you good luck with everything.

I have everything. I have every MRI & CT scan. I do not have the OR reports but I can sign a release form. The whole surgery is now bulging to the left & I have tons of "annular tears" and spurring. 
I just came from his office and he is aware of the pending IME. He told me he knows the neurosurgeon and for me to just tell him this is the second part of a 2 part surgery as L-3 is herniated and that is causing my left leg pain, drop foot, and me stopping all the time, as I cannot walk continuously.
The claim adjuster is angry at his office staff as they do not respond to anything very quickly. She wants me to change doctors altogether, but I tend to think I should stay with the neurosurgeon who is familiar with his own invention.

I felt a very noticeable "clunk" the other day when I went to put on a slipper. It was like one of the discs shifted. Now my back is a huge spasm so he wrote me another prescription.
One MRI says there are disc fragments as the MRI machine must raise hell with the titanium or alloy they make it with. IS that of any concern that these fragments are noted in the MRI throughout the surgery area?
He acts like the radiologist is being "dramatic". Another patient today was getting his drained tomorrow.
Why is his being drained but mine is left to fester and grow?
I will make a call and see if I am allowed to have a second opinion of my own choosing.

THANK YOU VERY MUCH for your feedback.
It is nice to have someone else listen and tell me if I am being unreasonable.
I cannot get any attorney to represent me. I opted for the care as opposed to stipping this out, so none of them feel there is financial gain.
[color=#181818][size=small][font=Merriweather, Georgia, serif]The greatness of a man is not in how much wealth he acquires, but in his integrity and his ability to affect those around him positively~[/font][/size][/color]
 
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#6
Again, I would recommend to get another opinion no matter who the surgeon is. It is always good to get at least one other opinion and especially since you are having some severe complications.Did his surgery at all help you or are you worse since you had it as far as your leg weakness etc? If you are at all worse I recommend getting another opinion. Often times doctors will not state if their surgery went wrong and you also have a medical device he designed...all the more reason for you to get at least one other opinion before moving forward, but this is just my opinion.

How much do you know about the device he implanted in you other than he owns or designed it? Are you involved with a clinical trial device and is your implant FDA approved? He is listed as having 12 patent designs and obtains a lot of money from manufacturers on the pro publica dollars for docs site, over a hundred grand in one year. This does not include monies he may receive from his own devices. If you have the name and product code of the device I can look it up on the FDA website and check for FDA approval and also see if other patients have reported any adverse events similar to your symptoms, if they are being reported. It sounds like at least one other patient of his has something similar to you.

MRI machines do not always do well taking clear pictures if you have metal implanted in you. If things are too blurry usually the doctor will order a CT scan. Have you had a CT scan after your surgery? Did you look at the scans, sometimes things are obvious.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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#7
(01-24-2017, 06:33 PM)California_Help Wrote: Again, I would recommend to  get another opinion no matter who the surgeon is. It is always good to get at least one other opinion and especially since you are having some severe complications.Did his surgery at all help you or are you worse since you had it as far as your leg weakness etc?  If you are at all worse I recommend getting another opinion. Often times doctors will not state if their surgery went wrong and you also have a medical device he designed...all the more reason for you to get at least one other opinion before moving forward, but this is just my opinion.

How much do you know about the device he implanted in you other than he owns or designed it? Are you involved with a clinical trial device and is your implant FDA approved?  He is listed as having 12 patent designs and obtains a lot of money from manufacturers on the pro publica dollars for docs site, over a hundred grand in one year. This does not include monies he may receive from his own devices. If you have the name and product code of the device I can look it up on the FDA website and check for FDA approval and also see if other patients have reported any adverse events similar to your symptoms, if they are being reported. It sounds like at least one other patient of his has something similar to you.

MRI machines do not always do well taking clear pictures if you have metal implanted in you. If things are too blurry usually the doctor will order a CT scan. Have you had a CT scan after your surgery? Did you look at the scans, sometimes things are obvious.  

https://projects.propublica.org/docdolla...pid/150600

Will he think it is odd I want the product # of the artificial disc?I believe he is a good surgeon but his after care with me, was not the same as everyone else in the waiting room. 
He showed me the disc but I have no other information. He and another neurosurgeon/joint specialist Dr. Bash, plus a vascular surgeon were involved. I needed the discs as there was nothing there. L-4-5 disintegrated and they told me my L-5 nerve was frayed and they wrapped it in something to help it grow back. I believe the nerve was damaged from the prior radio frequency WC forced me to do. (I was told I would be refusing medical treatment and they could cut me off) I ended up with spaghetti legs, then the ER the next day, unable to walk for a month! 
My back went south really quickly after that. I also went to a hands on osteopath. He actually cured my bursitis with his hands, not an injection.
Other then that, he was unable to give me any lasting pain relief.

How did you find all those discs he is involved with? Are you allowed to post the link here?
I want to give him the chance to put the spacer in L-3.  He is NOT an IME neurosurgeon and I like that about him. He will not be "paid off" for a specific answer, for a claim adjuster.
I have to figure out a polite way of asking about the disc information.
I am better off, but I really cannot stay this way...I know we have one more hump to get over.
 He said he might have to do this in 2 surgeries, and I want to be able to walk. I cannot pedal a stationary bike with my left leg at all.  He said that is L-3 is herniated and I have foraminal stenosis. I also developed acute scoliosis since the radio frequency in 2012. He ordered the December 2015 MRI and that is when it was noted as being severe. Before that, scoliosis was never in any MRI or CT scan. 

Thanks again for all your input. I really appreciate it.  It might take a bit for me to fing out the info.
[color=#181818][size=small][font=Merriweather, Georgia, serif]The greatness of a man is not in how much wealth he acquires, but in his integrity and his ability to affect those around him positively~[/font][/size][/color]
 
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#8
(01-24-2017, 09:32 PM)RootsGal Wrote:
(01-24-2017, 06:33 PM)California_Help Wrote: Again, I would recommend to  get another opinion no matter who the surgeon is. It is always good to get at least one other opinion and especially since you are having some severe complications.Did his surgery at all help you or are you worse since you had it as far as your leg weakness etc?  If you are at all worse I recommend getting another opinion. Often times doctors will not state if their surgery went wrong and you also have a medical device he designed...all the more reason for you to get at least one other opinion before moving forward, but this is just my opinion.

How much do you know about the device he implanted in you other than he owns or designed it? Are you involved with a clinical trial device and is your implant FDA approved?  He is listed as having 12 patent designs and obtains a lot of money from manufacturers on the pro publica dollars for docs site, over a hundred grand in one year. This does not include monies he may receive from his own devices. If you have the name and product code of the device I can look it up on the FDA website and check for FDA approval and also see if other patients have reported any adverse events similar to your symptoms, if they are being reported. It sounds like at least one other patient of his has something similar to you.

MRI machines do not always do well taking clear pictures if you have metal implanted in you. If things are too blurry usually the doctor will order a CT scan. Have you had a CT scan after your surgery? Did you look at the scans, sometimes things are obvious.  

https://projects.propublica.org/docdolla...pid/150600

Will he think it is odd I want the product # of the artificial disc?I believe he is a good surgeon but his after care with me, was not the same as everyone else in the waiting room. 
He showed me the disc but I have no other information. He and another neurosurgeon/joint specialist Dr. Bash, plus a vascular surgeon were involved. I needed the discs as there was nothing there. L-4-5 disintegrated and they told me my L-5 nerve was frayed and they wrapped it in something to help it grow back. I believe the nerve was damaged from the prior radio frequency WC forced me to do. (I was told I would be refusing medical treatment and they could cut me off) I ended up with spaghetti legs, then the ER the next day, unable to walk for a month! 
My back went south really quickly after that. I also went to a hands on osteopath. He actually cured my bursitis with his hands, not an injection.
Other then that, he was unable to give me any lasting pain relief.

Thanks for the link to his dealings! You rock! 
I want to give him the chance to put the spacer in L-3.  He is NOT an IME neurosurgeon and I like that about him. He will not be "paid off" for a specific answer, for a claim adjuster.
I have to figure out a polite way of asking about the disc information.
I am better off, but I really cannot stay this way...I know we have one more hump to get over.
 He said he might have to do this in 2 surgeries, and I want to be able to walk. I cannot pedal a stationary bike with my left leg at all.  He said that is L-3 is herniated and I have foraminal stenosis. I also developed acute scoliosis since the radio frequency in 2012. He ordered the December 2015 MRI and that is when it was noted as being severe. Before that, scoliosis was never in any MRI or CT scan. 

Thanks again for all your input. I really appreciate it.  It might take a bit for me to fing out the info.
[color=#181818][size=small][font=Merriweather, Georgia, serif]The greatness of a man is not in how much wealth he acquires, but in his integrity and his ability to affect those around him positively~[/font][/size][/color]
 
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#9
I must have misunderstood your post. I though your condition worsened after he did the surgery on you. If it made an improvement in your condition and you are happy with your surgeon there is probably no need to check. You can always get your surgery records from the hospital and requests specifically the implant log with all product codes and stickers directly from hospital. You can also tell the surgeon another back injury patient is curious about his new surgery products and wanted to look up what you had, but please do not request it if you do not want to or feel uncomfortable. I misunderstood your history and thought it caused your leg problems, but again if it helped your condition and you trust him no need. Also, comments about the radiologist being concerned made me concerned.

I have read that patients who are having ANYTHING implanted in them it is a good idea to request the product name and product code before having surgery, knee, hip, back, arm or even bladder sling or hernia type of repair using implantable mesch.With the information you can then look up the device on the FDA website. There you can check for FDA approval, when it was approved, and most importantly read the adverse events. Adverse events are reported by doctors, patients, manufacturers and attorney's and are any problems and/or deaths associated with the implant device. I did some look ups on spinal cord stimulators for example as one was implanted into a friend who was having complications and I found the device had hundreds of adverse events, so many I was shocked it was not removed from the market.  He was having complications from the spinal cord stim and his doctor told him it was not from the device. After he read many other patients were having same issue he had it removed. You can check everything including screws, rods and any biologics they may place inside the disc. Newer implants may not have any adverse events or very few.

I wonder if other patients in the waiting room had something else wrong that got drained. I myself had a blood clot in my spinal cord after my lumbar surgery and it had to be removed by a really big needle.

I sent you a private message with some additional info.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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