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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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  #1  
Old 07-12-2019, 06:58 PM
funcrew funcrew is offline
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Default How to obtain exam request for DEXA?

Dr. Desai in Germany wants me to get a DEXA exam. I called our local cash-pay imaging lab, and they need a doctor exam request from a doctor with a USA registration number. I don't have a primary doctor, and in any case my crappy new insurance has a high deductible, which means I pay $250 list price to have a 5 minute conversation and score a DEXA request. Do any of you know a hack to obtain a DEXA request for any kind of reasonable fee? God Bless America.
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Age 56
Severe neck and back pain, 10 years+ on opiate pain meds every 4 hours, numbness and weakness in both arms and legs.
Evaluated by Dr Bertagnoli for ProDisc at L3L4, L4L5, L5S1, C5C6 and C6C7

Sept 4th, 2019: Completed 3 level CP-ESP at C4 thru C7 with Dr. Biren Desai in Cologne, Germany
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  #2  
Old 07-13-2019, 01:47 AM
JackBauer JackBauer is offline
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Do you have a local spine pain management physician? My local guy is GREAT. He did all the imaging I asked for.

You'll need someone to work with for the long-term anyway... As after you get the ADR's, you'll need occasional X-rays to check they are still well positioned. (Like yearly at first?)
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L4-L5 Broad Diffuse Bulge, mildly contacting left L5 nerve root
L5-S1 Broad Central Disc Protrusion mildly impinging left S1 nerve root
"Mild scoliosis of lumbar spine". Does not feel mild to me.


C5-C6, C6-C7 bulging, bone spurs. Imaging not looking good.


Surgery scheduled with Dr. Desai in mid-late October.
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  #3  
Old 07-13-2019, 11:46 AM
annapurna annapurna is offline
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I don't have a US hack but there are clinics in Europe who'd do it for you just at your request. I, Jim, had been diagnosed with osteopenia in my thirties and got DEXA scans from a Munich imaging lab every couple of years, during my trips to support Laura's knee&back visits, until it became clear that my situation wasn't degenerating and my bone mass was stable.
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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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  #4  
Old 07-13-2019, 08:45 PM
funcrew funcrew is offline
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I'm on cash pay, so it's $150 to see my pain doc for a meds refill, imaging, or anything else. I guess I'll drop $60 on an online referral.
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Age 56
Severe neck and back pain, 10 years+ on opiate pain meds every 4 hours, numbness and weakness in both arms and legs.
Evaluated by Dr Bertagnoli for ProDisc at L3L4, L4L5, L5S1, C5C6 and C6C7

Sept 4th, 2019: Completed 3 level CP-ESP at C4 thru C7 with Dr. Biren Desai in Cologne, Germany
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  #5  
Old 07-14-2019, 04:06 AM
beaverc beaverc is offline
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Join Date: Jul 2010
Posts: 105
Default Dexa scan

annapurna; "I don't have a US hack" but there are clinics in Europe who'd do it for you just at your request.
Hello , what is a "US hack" ? Thanks.................
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  #6  
Old 07-14-2019, 11:24 PM
funcrew funcrew is offline
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Join Date: Jul 2019
Posts: 41
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Quote:
Originally Posted by beaverc View Post
annapurna; "I don't have a US hack" but there are clinics in Europe who'd do it for you just at your request.
Hello , what is a "US hack" ? Thanks.................
I believe Annapurna means a low-cost shortcut to satisfy the lab's ridiculous policy that they can't just DEXA me for cash and hand me the report. Extending the theme, medical lobbyists in the USA make sure that you need a doctor for stuff that everyone else in the world can just get from their pharmacist, like antibiotics or Viagra. It's very common here to pay a doctor $150 to get a $7 prescription. The rest of the world just chats with their pharmacist and gets the meds for $2.50 total.
__________________
Age 56
Severe neck and back pain, 10 years+ on opiate pain meds every 4 hours, numbness and weakness in both arms and legs.
Evaluated by Dr Bertagnoli for ProDisc at L3L4, L4L5, L5S1, C5C6 and C6C7

Sept 4th, 2019: Completed 3 level CP-ESP at C4 thru C7 with Dr. Biren Desai in Cologne, Germany
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  #7  
Old 07-15-2019, 05:27 PM
annapurna annapurna is offline
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Join Date: Dec 2004
Posts: 1,562
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Quote:
Originally Posted by funcrew View Post
I believe Annapurna means a low-cost shortcut to satisfy the lab's ridiculous policy that they can't just DEXA me for cash and hand me the report.

Yes. Funcrew wanted a way to get examined in the US. Haven't got a way to do that. On the other hand, a few years back, it was nothing to call the lab in Munich, tell them I'd be in town on these days with my wife, and ask for an appointment for a DEXA scan. No prior approval, no messing with other doctors' offices. It should be said, though, all I got was the exam and lab report. I was on my own for figuring out what I needed to do if the results weren't what I wanted.
__________________
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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