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Originally Posted by Running11
I am not sure if I am posting in the right forum. So here goes...
I got 4 opinions from orthopedic surgeons that call themselves spine specialists. Two said I had cervical and lumbar stenosis; this was diagnosed with an MRI only.
The third doc ordered a discogram and an EMG study. He confirmed in addition to stenosis I have C 4-5 and C 5-6 herniated . He recommended ADR even though my neck is curving forward.
The fourth doctor said I have Cervical compression with two nerve roots compressed. He recommends bi-level fusion at C 4-5 and C 5-6; ADR won't be stable enough because my neck is curving forward . Fusion is the workhorse. Insurance will pay for it ; ADR can be tricky.
I have just been denied by BC BS on my first appeal for ADR. I don't have the money to go oversees . I am so confused. Any recommendations. I value all your thoughts and opinions having walked in my shoes.
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Who do you have your insurance through? Perhaps HR can assist with the claim? Oh, and whatever you do, do NOT do the Independent Medical Review through the state. It is binding and permanent. One surgeon I went to screwed up and sent me in for the IMR too early. It is now against the law for him to do a hybrid on me. Plus, the people that work for the state are liars and con artists just set up to LOOK like they are helping. The man I talked to flat out told me the process was NOT legally binding that I would have another review if this was denied. I clarified with him five or SIX times. Then, he flat out lied to his boss telling her he had never said any such thing.
Bottom line, leave the state out of it.
OH! Dr. Jeffrey Coe down in Campbell is doing a trial with a brand new diamond disc. You can only have one level done with no adjacent DDD, but perhaps he could do your lumbar?