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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here.


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  #11  
Old 07-14-2005, 09:32 AM
Mariaa Mariaa is offline
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My background has been in healthcare for 25 years working as an RN and Nurse Practitioner. Have worked clinically in most medical settings and have worked as an administrator also. Have written policies, procedures, protocols, orientation manuals for depts. Worked with Quality Assurance for several years.. written grants.. done telephone triage Advice nursing..
yadayada... might be helpful and am definately available to try and help out~
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  #12  
Old 07-14-2005, 10:00 PM
chuxk79 chuxk79 is offline
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I forgot to Mention that one of my roomates
girlfriend has been working for a work Comp
company for about 20 years and is very knowledgeable on all the new changes and rules
with Work Comp Claims if I can be of any help.
Chuxk79
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  #13  
Old 07-14-2005, 11:01 PM
Danielle Shawgo Danielle Shawgo is offline
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I have to be honest. I don't know what help I would be to someone else when I can't accomplish it myself but I am willing to help if there is something that I can do. I was a nursing assistant (that's how I hurt my back) and that is all of the medical knowledge that I have other than about myself. I don't have any legal training.
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Danielle M Shawgo
DDD on 5 levels
Annular Tears on 2 levels
Waiting for ADR, Not So Patiently!
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  #14  
Old 07-14-2005, 11:33 PM
Nairek Nairek is offline
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I'm studying to become a paralegal but I don't think I can offer that much help. The legal books at school are very limited but I'll have access to Lexis-Nexis (huge legal database) by the end of August. Not sure if this helps.
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----Karin----
Disc Bulge C4/C5, Disc Degeneration T11/T12, Bi-Lateral tears L5/S1, Diagnosed w/ Lumbar Disc Derangement w/ Radiculopaphy. Treatment: IDET, Percutaneous Discectomy, SI Joint Injection, Facet Block. All failed. Empire BC/BS Denied Coverage for ADR-lost all of my appeals. MVP also denied coverage.

ALIF/PLIF Fusion 1/20/09
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  #15  
Old 07-15-2005, 04:06 PM
gem gem is offline
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I've written quite a few appeal letters and gone through the grievance process a lot with Blue Shield in CA. I'm also in HR.

Gem
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6/29/04 ProDisc L3/4 and L4/5
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  #16  
Old 07-16-2005, 11:20 AM
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Harrison Harrison is offline
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Thank you all very much; I'll be in touch over the coming weeks.

I am exploring the best way to organize this (thoughtful & committed) network. E.g., I wonder if using Linkedin (which I use for my professional contacts) may be the best way to proceed / organize).
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"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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  #17  
Old 07-18-2005, 08:05 AM
BRENDAWY BRENDAWY is offline
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I have been away at fair with my kids, so I just got tjis message. Count me in! I am gathering momentom here in Wyoming. I dont have any legal training, but I am great on the phone and can call anywhere in the country with unlimited minutes. I never hesitate to call people I dont know. I would like to send you a copy of the flyer I am sending to sevsral Drs offices for approval in Wyoming and Colorado. Call me, BrendaWY
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  #18  
Old 07-18-2005, 09:44 AM
Clairem Clairem is offline
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I've just found this post.
I'm based in the UK and am a doctor, A General Practioner (I think I'm called a 'family doctor' in the USA) I have recently undergone an ADR. I''ve not been working for the last 6 months due to my back, but plan to go back when possible. If I can be of any help please let me know.
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Clarem

Jan 2003 L4/5 central prolapse. Severe pain , not helped by physio or epidurals

Jan 2004 Dynesys L4-5. Partial improvement in symptoms
December 2004 Reoccurrence of severe pain
Jan 2005 Prodisc at L4/5. Improving.
MAy 06 dynesys removed.
2009 facet problems, 5 facet injections to date.
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  #19  
Old 07-18-2005, 11:01 AM
annec annec is offline
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Harrison-
I would like the chance to give something back. I'm a licensed social worker and I've been on the provider side of managed care for many years, so I can speak the lingo. Let me know what I can do--phone calls, letters, whatever.
Anne
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DDD, L4-5, L5-S1
Failed endoscopic discectomy 7/04
Now pursuing ADR!
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  #20  
Old 07-20-2005, 09:57 PM
Dale S Dale S is offline
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Harrison,
Though I have neither any legal nor medical knowledge, I'd be happy to offer my assistance. I'm a bookkeeper by trade and am great at organizing and streamlining.

However, it would seem that the best way to refute insurance claims would be with a study because that is what they state as their basis for denial. If studies proved, etc, etc, etc, that adr's provided better relief than fusion or other accepted practices, insurance companies would have no legal standing in denying claims.

I have no idea how one would go about formulating a new study, but it would be the quickest way to get where we need to go. Surely there should be enough data at this time to formulate positive statistics.

Just an idea,
Dale Stuer
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