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  #41  
Old 09-22-2011, 05:06 PM
christinlal christinlal is offline
Senior Member
 
Join Date: Nov 2010
Posts: 103
Default Blue Cross

Now refuses to even approve a fusion with an roi-a cage, oh man this is too much.
__________________
12/2008 early am gym class-something very wrong
2/2009 DDD 4 herniated cervical discs
3/3009-8/2009 8 spinal epidurals, pt
09/2009 C6/7 Prodisc C ADR
11/2010 facet joint inj 12/2010 Rhizotomy TBI Dr. Cottingham months of relief
05/2011 facet Joint Inj 06/2011 Rhizotomy
7/2011 Dr. Zigler TBI, facet block and Discogram
11/18 surgery with Dr/Mr. Boeree..Thank God.
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  #42  
Old 09-22-2011, 09:46 PM
MeggieLynn's Avatar
MeggieLynn MeggieLynn is offline
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Join Date: Mar 2011
Posts: 114
Default

Christine,

I'm very sorry for the situation you're in. At least you now have health care attorney in place to help with the appeal process-that must take some of the stress off. And I'm sure you're racking you're brain trying to come up with a Plan B in case you're denied again. This is just a suggestion and I don't know if it will even be feasible/workable. I know you had your heart set on going to Germany but what about Mr/Dr Boeree in the UK. I thought I remember another poster on this forum mentioned that he offers no interest financing. Total cost would be cheaper than going to Germany. Just something to consider if you have you're heart set on ADR revision vs settling for insurance-approved fusion here in the US.

ML
__________________
*C4-5 and C5-6 Mild & moderate posterior broad-based disc bulges w/small posterior end plate osteophytes, mild spinal canal stenosis.
*C6-7 Broad-based posterior disc bulge w/small focal posterior central protrusion mildly indenting the anterior thecal sac, no canal or neural foraminal stenosis.
*SI Joint issues, Fibromyalgia, Chronic Myofascial Pain, Neurogenic Thoracic Outlet Syndrome
*Tx's-PT, 2 ESI's Interlaminar & transforaminal, 2 SI Joint steroid injections, Failed LBB for SI Joint
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  #43  
Old 09-22-2011, 10:48 PM
christinlal christinlal is offline
Senior Member
 
Join Date: Nov 2010
Posts: 103
Default MeggieLynn

Thank you. I will contact Dr. Boeree and keep trying, I don't know if I can get my neck to hold up long enough to pay, and this might just be the answer I desperately need. Thank you so much for emailing and trying to help.
__________________
12/2008 early am gym class-something very wrong
2/2009 DDD 4 herniated cervical discs
3/3009-8/2009 8 spinal epidurals, pt
09/2009 C6/7 Prodisc C ADR
11/2010 facet joint inj 12/2010 Rhizotomy TBI Dr. Cottingham months of relief
05/2011 facet Joint Inj 06/2011 Rhizotomy
7/2011 Dr. Zigler TBI, facet block and Discogram
11/18 surgery with Dr/Mr. Boeree..Thank God.
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  #44  
Old 09-22-2011, 11:27 PM
laid up doc's Avatar
laid up doc laid up doc is offline
Senior Member
 
Join Date: Sep 2010
Posts: 775
Default

Boeree is out of town until next week, fwiw. Vicki in FL says he's kinda booked b/c of having gone on vacation and whatnot.

Clavel does a lot of cervical M6's as well - and Spain is cheaper than the UK for lodging/food/misc.
__________________
US non-spine MD - laid up no more!!!
had recurrent annular tear L5/S1, failed everything
M6L done 10/19/11 w/ Dr Clavel getting back to my old self more and more every week!
laidupdoc@gmail.com if my PM box is full

The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician.
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  #45  
Old 09-22-2011, 11:46 PM
Lizard Lizard is offline
Junior Member
 
Join Date: Jul 2011
Posts: 19
Default

Hi Christine,

I am so sorry to hear this! I hope you can hold on and find a solution that you are happy with. Why would ins refuse the fusion???? I went to Boeree, I am exactly 3 wks post-op, and doing well. I had a great experience with Mr. Boeree and all the staff of Nuffield Hosp Wessex. I do know he does offer financing, but I didn't go that route. I will tell you what I did if you PM me. And, even if Mr. Boeree is out of town, Jo Hadley can start working on your stuff and possibly set up a tenative time for him to call you to consult.

If you want to talk to me, please change your setting on this site to accept PMs, as I haven't been able to respond to the emails you sent me. I will give you my ph# if you want any info on my experience that I have yet to type in detail on Surgical Outcomes, but will in the next week.

I am so sorry you are going through this. You are right, all of us on this site has been there to some degree. I think financially, my situation caused me a lot of stress during the worst time in my life. It is not only shear hell knowing you have to have ANY type of spinal surgery (scary!), but making life-altering decisions when you are stressed out, emotional, in pain, financially unsure how to pay for it, etc., just purely sucks.

Hang in there, rest, cry when you want to, and take care of yourself and don't lose hope. I am here if you need me!
__________________
"Lizard"
Love hiking, biking, anything outdoors. 2005 dx with cervical DDD and radiculopathy, given PT, NSAIDs. Back to regular lifestyle with very few problems until March 2011, hyper extension of neck created the "straw that broke camel's back". C5-6 and C6-7 herniation with compression of the spinal cord. Pain between shoulder blades and mild numbness down L>R arm. No conservative options-only surgery per NS x 3. S/P 2-level ADR surgery with Mr. Nick Boeree in England Aug 31, 2011.
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  #46  
Old 09-23-2011, 10:44 AM
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Jstuckey Jstuckey is offline
Senior Member
 
Join Date: Nov 2010
Posts: 305
Default

So sorry as well that the rug was pulled out from underneath you. Good luck with the attorney route.
I too am willing to help with any info on Mr Boeree. I leave tomorrow for England, but will be checking in pretty regularly. I did not take advantage of the no interest opportunity, but it was an option that I noticed in the information they sent when agreeing to the services, and thought it would be useful to others to know that existed. I can't recall how long the period extended, etc. but I'm sure they could send you some info ahead of agreeing to anything, if you are just interested in your options.
You will get it figured out. Take care of yourself during the long process.
__________________
Joey Sue - 50 years old
9/28/2011: Hybrid STALIF TT interbody fusion at L5-S1 and M6-L ADR L4-5 with Nick Boeree, UK - forever grateful to you Nick! Still doing great.
Prior to the fix: Severe DDD L4-5 and L5-S1 with moderate facet degen at L5-S1, but only mild facet degeneration at L4-5.
http://healthyback2011.blogspot.com/
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  #47  
Old 09-23-2011, 02:38 PM
Harrison's Avatar
Harrison Harrison is offline
Administrator
 
Join Date: Oct 2004
Posts: 7,018
Default

Christine, I fixed your private message problem and sent you a PM. Pls PM me back or email me...let me know.

Thanks.
__________________
"Harrison" - info (at) adrsupport.org
Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
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  #48  
Old 10-02-2011, 06:36 PM
christinlal christinlal is offline
Senior Member
 
Join Date: Nov 2010
Posts: 103
Default I owe

for Dr. Zeegers having to cancel my surgery, I owe for the plane tickets that had to be cancelled. I want to go back to work, I want to have my neck fixed and the prodisc either taken out or fixed as well as the c5 so I am not in pain every single day and up every single night.
I feel absolutely alone, afraid, abandoned and in an endless nightmare.
__________________
12/2008 early am gym class-something very wrong
2/2009 DDD 4 herniated cervical discs
3/3009-8/2009 8 spinal epidurals, pt
09/2009 C6/7 Prodisc C ADR
11/2010 facet joint inj 12/2010 Rhizotomy TBI Dr. Cottingham months of relief
05/2011 facet Joint Inj 06/2011 Rhizotomy
7/2011 Dr. Zigler TBI, facet block and Discogram
11/18 surgery with Dr/Mr. Boeree..Thank God.
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  #49  
Old 10-02-2011, 09:50 PM
Harrison's Avatar
Harrison Harrison is offline
Administrator
 
Join Date: Oct 2004
Posts: 7,018
Default

Christina, I am so sorry. Are your tickets refundable? Can you get a credit? Why did he cancel? We are here for you, I hope we can help.
__________________
"Harrison" - info (at) adrsupport.org
Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
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  #50  
Old 10-02-2011, 10:25 PM
christinlal christinlal is offline
Senior Member
 
Join Date: Nov 2010
Posts: 103
Default Hey

Richard,
Blue Cross worldwide denied the surgery at the last possible minute. Dr. Zeegers even spoke with my case manager to try to work with them, but they would not reverse their denial and then even denied the fusion due to the hardware....
__________________
12/2008 early am gym class-something very wrong
2/2009 DDD 4 herniated cervical discs
3/3009-8/2009 8 spinal epidurals, pt
09/2009 C6/7 Prodisc C ADR
11/2010 facet joint inj 12/2010 Rhizotomy TBI Dr. Cottingham months of relief
05/2011 facet Joint Inj 06/2011 Rhizotomy
7/2011 Dr. Zigler TBI, facet block and Discogram
11/18 surgery with Dr/Mr. Boeree..Thank God.
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artificial disc replacement complications, cervical ddd, cervical degeneration, lumbar arthroplasty, synthes prodisc

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