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Forum: New Member Introductions 07-10-2017, 11:06 AM
Replies: 7
Views: 6,296
Posted By Optimistic
Groin/Hip Resolution

______________________________________________________________
Here is an update on my groin pain. After the ultrasound and CT scan, I had an x-ray of the hip and a lumbar MRI. I was examined by...
Forum: New Member Introductions 06-03-2017, 11:59 AM
Replies: 7
Views: 6,296
Posted By Optimistic
Groin pain

Hi Jerry,
I have a new groin pain. It is in the crease of my left leg. It is sometimes higher just below the hip & sometimes lower towards my testes. I had an ultrasound which eliminated an inguenal...
Forum: The Big File 11-03-2015, 05:31 PM
Replies: 10
Views: 6,643
Posted By Optimistic
I started diving ~6 months after surgery, after I...

I started diving ~6 months after surgery, after I obtained clearance from my surgeon. I now dive almost every week and have had no issues. The rule of thumb is that if something is uncomfortable, you...
Forum: New Member Introductions 01-05-2015, 03:03 PM
Replies: 34
Views: 17,385
Posted By Optimistic
WBC, You are connected with a forum that has...

WBC, You are connected with a forum that has many, many members who have used surgeons from most continents (exception of Antarctic), many different medical device products and different operating...
Forum: New Member Introductions 11-24-2014, 07:12 PM
Replies: 51
Views: 24,221
Posted By Optimistic
Antifragile, It seems like you also did your...

Antifragile,
It seems like you also did your research, like me. I had been to 8 neurosurgeons in the U.S. and 9 in Europe. The opinions varied a great deal more as I was dealing with 3 levels. I...
Forum: New Member Introductions 10-16-2014, 03:50 PM
Replies: 22
Views: 8,820
Posted By Optimistic
Hi CB, You have done your research, worked...

Hi CB,
You have done your research, worked through insurance, know the options and made a great decision. This is a big part of the process. The surgery & consequent recovery will be behind you...
Forum: New Member Introductions 09-25-2014, 09:55 AM
Replies: 24
Views: 13,200
Posted By Optimistic
Mimi, congratulations. You have joined the ranks...

Mimi, congratulations. You have joined the ranks of those who are on the other side of ADR surgery. For most, they are so happy that they decided to proceed. They are doing well and tend to improve...
Forum: International Assistance 09-12-2014, 03:24 PM
Replies: 7
Views: 4,730
Posted By Optimistic
Good luck to the surgical patients Mimi and...

Good luck to the surgical patients Mimi and Dave's wife. I fully understand from personal experience that spouses or significant others can make a difference in the outcomes as well. My wife went...
Forum: Insurance Hell 09-11-2014, 03:45 PM
Replies: 13
Views: 5,365
Posted By Optimistic
Hi Kelly, I just posted in another thread some...

Hi Kelly,
I just posted in another thread some of the appeal variables that may come into play when looking at outcomes. These include insurance carrier, type of procedure, number of disc levels...
Forum: Insurance Hell 09-11-2014, 03:35 PM
Replies: 19
Views: 4,590
Posted By Optimistic
Hi Henry, Any progress on your appeal letter?...

Hi Henry,
Any progress on your appeal letter? I am preparing for an appeal as well and "putting all the ducks in a row". I have some good references provided by Colorado Babe as well as my own...
Forum: New Member Introductions 09-11-2014, 02:58 PM
Replies: 24
Views: 13,200
Posted By Optimistic
Hi Mimi, I know your surgery is coming up next...

Hi Mimi,
I know your surgery is coming up next week and wish you success & speedy recovery. Like Jeff (jss), I also had two M6 discs implanted in me. Whereas Jeff had cervical M6's, I had lumbar...
Forum: New Member Introductions 09-10-2014, 01:20 PM
Replies: 13
Views: 7,789
Posted By Optimistic
Colorado Babe, Thank you for taking the time &...

Colorado Babe,
Thank you for taking the time & effort to list the articles and share your letter. I was denied pre-approval (from Cigna, not Tricare) for a 3-level hybrid lumbar procedure (2-level...
Forum: New Member Introductions 08-27-2014, 11:48 AM
Replies: 13
Views: 7,789
Posted By Optimistic
Colorado Babe - you refer to evidence-based...

Colorado Babe - you refer to evidence-based practices & studies showing ADR is better and cheaper than fusion. Can you share this information? As many people are going through insurance like you are,...
Forum: Insurance Hell 08-22-2014, 02:49 PM
Replies: 19
Views: 4,590
Posted By Optimistic
Henry....sorry to hear that you were denied,...

Henry....sorry to hear that you were denied, though this is only Round 1. It appears that not only did BCWW disagree with the "medical necessity", which your Doctor clearly wrote in his letter, but...
Forum: New Member Introductions 08-21-2014, 11:38 AM
Replies: 13
Views: 7,789
Posted By Optimistic
Successful Appeal on Multi-Level ADR

Colorado Babe - I am very happy that you won your appeal for ADR surgery. I am also a bit surprised that you were successful if you are obtaining multi-level surgery for the cervical & lumbar areas....
Forum: International Assistance 07-24-2014, 10:37 AM
Replies: 46
Views: 20,357
Posted By Optimistic
Drew, As you well know, there will be great...

Drew,
As you well know, there will be great days, good days and some bad days, the latter will hopefully be fewer for you. I think you'll find new areas of the body that feel different to you -...
Forum: ADR Frequently Asked Questions 07-15-2014, 10:33 AM
Replies: 47
Views: 77,725
Posted By Optimistic
While I explored the options with surgeons &...

While I explored the options with surgeons & procedures, I did deal with a Florida group who specializes in Minimally Invasive surgery & cervical ADR. It is called Center for Artificial Disc...
Forum: Insurance Hell 07-11-2014, 12:21 PM
Replies: 3
Views: 1,238
Posted By Optimistic
Thanks Kelly, I did receive it. I will be working...

Thanks Kelly, I did receive it. I will be working on an appeal. I am still looking to see if a lawyer and/or advocacy group will either support me or undertake the preparation of the case. As you...
Forum: New Member Introductions 07-11-2014, 12:18 PM
Replies: 3
Views: 4,030
Posted By Optimistic
ONZ Group

Scoop,
I also had experience with both Doctors Bierstedt & Illerhaus. As mine was quite a complex case with many different opinions from various European doctors, I had both doctors Bierstedt &...
Forum: Insurance Hell 07-08-2014, 12:11 PM
Replies: 3
Views: 1,238
Posted By Optimistic
Cigna - Class Action Suit?

While I have read of some insurance claims that have been successful, I also read of many that were unsuccessful....after multiple denials & appeals. Harrison posted a file with many successful...
Forum: Insurance Hell 07-08-2014, 11:46 AM
Replies: 8
Views: 1,957
Posted By Optimistic
Appeal Documentation I returned from my...

Appeal Documentation
I returned from my European surgery and also received my Cigna denial. I am now preparing my appeal. I wonder if there are any attorneys that do this work on behalf of...
Forum: International Assistance 07-08-2014, 10:47 AM
Replies: 46
Views: 20,357
Posted By Optimistic
Hi Drew, You must be in the hospital prepping...

Hi Drew,
You must be in the hospital prepping for tomorrow's surgery. There are many of us rooting for you. I am absolutely confident that Dr. Clavel will do right by you and perform a surgery like...
Forum: ADR Frequently Asked Questions 07-07-2014, 10:33 AM
Replies: 47
Views: 77,725
Posted By Optimistic
While Doogie posted an interesting alternative to...

While Doogie posted an interesting alternative to the European solutions, I suspect that most members who choose ADR select their surgeon very carefully. It is not simply the M6 product or the...
Forum: International Assistance 06-18-2014, 09:40 AM
Replies: 46
Views: 20,357
Posted By Optimistic
Hi Drew, Congrats on making the decision. You...

Hi Drew,
Congrats on making the decision. You completed your due diligence, asked many questions and did a lot of analysis. While this phase often takes a significant amount of time, don't...
Forum: New Member Introductions 05-06-2014, 09:46 AM
Replies: 10
Views: 7,522
Posted By Optimistic
Congratulations Grows. It seems like you...

Congratulations Grows. It seems like you experienced immediate improvement following surgery and continue to progress. While the procedure did not involve ADR or multi-level intervention, surgery is...
Showing results 1 to 25 of 34

 

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