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Arthroplasty Central Discuss Found Out Today Surgery Scheduled! in the General Discussion forums; Hey Everyone Got the news from Dr Bitans office today my insurance came through and I am going to have ...

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  #1  
Old 06-02-2006, 06:41 PM
Kim Kim is offline
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Hey Everyone
Got the news from Dr Bitans office today my insurance came through and I am going to have surgery June 26th! I just have to get my travel arrangements and hotel etc then call Annie back and finalize the date.
I just checked the hotel rates and apartment rates up there and boy did I get sticker shock!
But if thats what we have to do thats what we have to do!
So everyone say a prayer and keep thinking good thougths this has been a long road and hopefully its coming to a new beginning in my journey soon!
Kim
__________________
Kim
Herniated disc L5/S1 2000 Discectomy 10/2003 Rhizotomy 8/2004 and 3/2005Discogram 11/04 grade 7 tear L5/S1
L4/L5 Grade 5 tear with herniation and stenosis
Evaluated by Dr Blumenthal at TBI
2/2005 ADR 2 level recommended
2 level lumbar fusion
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  #2  
Old 06-03-2006, 04:14 AM
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congrads kims
super that things are begining to work out
chuck
__________________
ddd 1990
2003 mri,xrays,shots,emg
2004 discogram ouch pos l4 l5
facet block neg
lost all appeals BCBS 5 months of that
3 surgeons later
surgery with dr. bertagnoli aug 2nd 2006 in Bogen Germany Successfully ProDisc-L L-4 L-5
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  #3  
Old 06-03-2006, 08:47 AM
LBP LBP is offline
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Kim,

sorry if I missed this somewhere but are you having 2 levels of charite by Dr Bitan? whose your insurance? Are you in an HMO or PPO, or through a self insured company? And how many, if any, appeals did you go through?
__________________
Injured 9/01
Annular tears L4/5 & L5/S1
denied adr by insurance for 2 level charite as well as hybrid fusion at L5/S1 with Charite at L4/5.

New ins paid for 2 level lumbar prodisc surgery on 4/7/08 (at age 39) with Dr. Westerlund, at Core Orthop
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  #4  
Old 06-03-2006, 10:44 AM
Kim Kim is offline
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I am having a fusion at L5/S1 and one level Charite at L4/L5. We are insured by UHC through my husbands employer. We went through the gammet last year trying to get them to approve 2 levels to no avail.
Dr Bitans office had no problems at all getting them to approve this combination surgery. We will have to pay for the disc itself and our copays and travel but that is much less than the costs of going to Europe.
__________________
Kim
Herniated disc L5/S1 2000 Discectomy 10/2003 Rhizotomy 8/2004 and 3/2005Discogram 11/04 grade 7 tear L5/S1
L4/L5 Grade 5 tear with herniation and stenosis
Evaluated by Dr Blumenthal at TBI
2/2005 ADR 2 level recommended
2 level lumbar fusion
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  #5  
Old 06-03-2006, 12:54 PM
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Congratualtions!

I guess you "win" our "competition" (I am jealous!)

David
__________________
39 years old
Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.)
L4-S1: Prodisc
5 years and feeling GREAT!
My website
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  #6  
Old 06-03-2006, 02:29 PM
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at least your not fighting with yourseft about buying the biz class airline tickets now while there cheaper. nothings easy
and them being non refundable
best wishes
chuck
__________________
ddd 1990
2003 mri,xrays,shots,emg
2004 discogram ouch pos l4 l5
facet block neg
lost all appeals BCBS 5 months of that
3 surgeons later
surgery with dr. bertagnoli aug 2nd 2006 in Bogen Germany Successfully ProDisc-L L-4 L-5
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  #7  
Old 06-03-2006, 03:19 PM
LBP LBP is offline
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hmm not even an appeal for a combo??? UHC recently purchased my ins co and they are now about to drop me...wonder if I could squeeze in a hybrid like yourself.
__________________
Injured 9/01
Annular tears L4/5 & L5/S1
denied adr by insurance for 2 level charite as well as hybrid fusion at L5/S1 with Charite at L4/5.

New ins paid for 2 level lumbar prodisc surgery on 4/7/08 (at age 39) with Dr. Westerlund, at Core Orthop
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  #8  
Old 06-03-2006, 10:40 PM
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Hi Kim,

You have done your homework and looked into all your options. I am so proud of you for coming to a decision and finding your way through all the red tape, obstacles and insurance battles you have been through your journey has been a difficult one.

I look forward to your recovery you will do great and I’m with you all the way.
__________________
Paulette
ProDisc L5-S1 W/Dr Delamarter Aug 23, 2005
L5-S1 DDD Diagnosis 12/04
T-12 Compression Fracture 10/04
C-7 Spines Process Fracture 5/99
http://prodisc2.blogspot.com/
You are my Rock God in you I can do anything
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  #9  
Old 06-03-2006, 10:55 PM
Kim Kim is offline
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Join Date: Apr 2005
Posts: 267
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Thanks everyone!
David I hope to feel like a winner when all this is said and done. Its not been an easy decision to make as you know and we have discussed all the pros cons etc. I just dont think I have the time left to wait on the Prodisc any longer and I feel this is the best opportunity available at this time.
Sometimes you have to take a leap of faith and I feel like I have jumped off the cliff! I do have a lot of faith in Dr Bitan and his crew! They have been wonderful, nothing but professional and caring!
They also can get things done and do them well! I hope and pray for all of you to have your surgery soon and that we can all be on the other side of this looking back at our posts and saying those were the days!
Chuck I am agonizing over NYC hotels lol that is worse than your Biz class tickets I swear it is! I almost had heart failure when I saw the rates up there for a single night let alone 12 which is what we will be there.
But I am done with that! We have decided to stay in the apartment that the Drs office recommended. It is not inexpensive but it does offer the comforts of home and will be much more comfy for us both before and after surgery plus its within walking distance of the hospital.
I am looking at flights as well. The ones I saw today I can get direct going up which is not the big problem but I can get a direct flight coming back sigh when I will need it most. I will have to look at this putere again tomorrow and do this one more time!
I got a royal headache doing this today! We all need to get together and have a big drink when this is done!
LOL
__________________
Kim
Herniated disc L5/S1 2000 Discectomy 10/2003 Rhizotomy 8/2004 and 3/2005Discogram 11/04 grade 7 tear L5/S1
L4/L5 Grade 5 tear with herniation and stenosis
Evaluated by Dr Blumenthal at TBI
2/2005 ADR 2 level recommended
2 level lumbar fusion
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  #10  
Old 06-04-2006, 04:46 AM
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Posts: 623
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kim
you are doing great.as my wife always says things have a way of working out.my thoughs and prayers are with for a safe travel and a successfull surgery as you know.
may force be with you
chuck
__________________
ddd 1990
2003 mri,xrays,shots,emg
2004 discogram ouch pos l4 l5
facet block neg
lost all appeals BCBS 5 months of that
3 surgeons later
surgery with dr. bertagnoli aug 2nd 2006 in Bogen Germany Successfully ProDisc-L L-4 L-5
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