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  #11  
Old 10-16-2020, 06:08 AM
beaverc beaverc is offline
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Join Date: Jul 2010
Posts: 119
Default Spain / Germany

Cheryl0331

Hello Cheryl thanks for the reply, sounds like everything went great with Dr. Schmitz ! Probably a dumb question but in regards to being denied entry to Spain , did you actually make the flight there before you were denied only fly home then turn around and come back to Germany ? If so WOW , what a hassel and expence. Take care !
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  #12  
Old 10-16-2020, 09:44 AM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 828
Default Gosh no!

Quote:
Originally Posted by beaverc View Post
Cheryl0331

Hello Cheryl thanks for the reply, sounds like everything went great with Dr. Schmitz ! Probably a dumb question but in regards to being denied entry to Spain , did you actually make the flight there before you were denied only fly home then turn around and come back to Germany ? If so WOW , what a hassel and expence. Take care !
Spanish border police made it very clear if you flew there; you could be held in detention until you could get a return flight back to the US on the same airline!
I could not afford to loose the airfare or time.
Their government told me out right; entry denied!
__________________
53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prothesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a cp-ESP prothesis by Dr. Schmitz Dusseldorf Germany
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  #13  
Old 10-16-2020, 12:42 PM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 828
Default Do not go with....

Do not go with the premise that it's better to ask forgiveness than permission either!
You do not want to be in detention around a bunch of people and be dealing with your spine issues.
__________________
53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prothesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a cp-ESP prothesis by Dr. Schmitz Dusseldorf Germany

Last edited by Cheryl0331; 10-16-2020 at 12:43 PM. Reason: Ttpo
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  #14  
Old 10-28-2020, 06:45 PM
GDB GDB is offline
Junior Member
 
Join Date: Sep 2020
Posts: 7
Default Limitations of a Teleconsult

Hi folks,

I just recieved the response below for Dr. Berhard Meyer, who is well regarded by the German medical establishment. Notice that he suggests that a tele-consult is not viable (for him anyway) and goes against German rules. That seems at odds with other clinics and info?

Also, this is the first I've heard that 2-level lumbar ADR is no longer a common prescription? Any thoughts? Looking for some clarity.
__________________________________________________ __________

"1. in case of a degenerative spine problem a remote diagnosis and coupling is not possible and not recommended by the guidelines in my country
2. in principle i do perform 2 level TDR but as a very very rare indication nowadays (opposed to 10 years ago)
3. yes we do treat many foreign patients; however due to local travel restrictions some problems may occur

best wishes

BM

Univ.-Prof. Dr. Bernhard Meyer"
__________________
G D Beckett, Utah

Multi-level (ML) lumbar spondylo - Grade I
ML lumbar DDD: S1/L5 auto-fused, L4/5, L3/4
ML lumbar facet hypertrophy & arthritis
ML spinal ligament hypertrophy
ML lumbar stenosis, both stem and main nerves
Other medical words that I can't pronounce or spell (Baastrups??)
Pain, lots of pain and then some more for good measure!
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  #15  
Old 10-29-2020, 01:18 PM
annapurna annapurna is offline
Senior Member
 
Join Date: Dec 2004
Posts: 1,595
Default

I can't say but Laura and I've found many US doctors of various types who hide behind guidelines and "rules" to avoid tasks they do not wish to do. The telediagnosis you're seeking isn't 100% possible but it would be possible for a surgeon to write something like "Presentation of symptoms and imaging indicate that an in-person evaluation is necessary in an expeditious fashion in case further intervention is necessary to address condition before symptoms intensify."


Offering something like that to get you to their clinic might be something they'd buy into. On the other hand, COVID lockdowns have intensified in Germany in the past few days so it's unlikely you'd have an easy time getting in regardless of what was written by a surgeon
__________________
Laura - L5S1 Charitee
C5/6 and 6/7 Prodisc C
Facet problems L4-S1
Knee, Shoulder, Toe, Finger, Elbow Problems

Jim - no spine problem but lots of other fun medical challenges

"There are many Annapurnas in the lives of men" Maurice Herzog
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  #16  
Old 10-29-2020, 02:58 PM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 828
Default More common now

Because of the pandemic, many doctors around the world have been doing telamedicine. My PCP and my GYN both for example.
If one had to fly all the way to other counties to be evaluates first; this would be an expensive process. Okay, so this doctor is a German doctor.
Well, I would reach out to others; because it's being done all over Europe.
__________________
53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prothesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a cp-ESP prothesis by Dr. Schmitz Dusseldorf Germany
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  #17  
Old 10-29-2020, 11:58 PM
phillyjoe phillyjoe is offline
Senior Member
 
Join Date: Jan 2013
Posts: 249
Default

I will add my two cents for whatever it is worth. It looks like Dr Meyer is a well regarded nuero in Munich who teaches at the Uni Med Ctr. Many, if not most, of the European docs we see on this forum may have much more control or influence on the institutions where they do surgery. The German docs also seem to be from Northern Germany. Even some are in private hospitals. That may be a difference that causes Dr Meyer to raise hurdles. Or simply, like AP says, he doesn't really want to get involved.
__________________
Pre Surgery:
C3-C4:Mild disc osteophytes. Mild-moderate right facet arthrosis. Mild right foraminal stenosis.
C4-C5:Midline central disc protrusion, significant. Mild canal stenosis.
C5-C6:Moderate disc osteophytes. Mild-moderate canal stenosis. Moderate-severe bilateral foraminal stenosis.
C6-C-7:Mild-moderate disc osteophytes. Mild canal stenosis. Moderate left and moderate-severe right foraminal stenosis.
June 29,2016-3 level M6 (C4-C7) Dr. Clavel Barcelona
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  #18  
Old 11-21-2020, 06:36 AM
Sham246 Sham246 is offline
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Join Date: Jan 2020
Posts: 1
Default Invoice

HI Cheryl

A quick question. Did the clinic supply a detailed quote prior to surgery so you knew what to expect and detailed invoice after surgery?

Thankyou
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