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  #11  
Old 01-16-2015, 08:22 PM
colorado babe's Avatar
colorado babe colorado babe is offline
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Join Date: Aug 2014
Posts: 345
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Quote:
Originally Posted by stoked64 View Post
Just made an appointment to see Dr Coric. Have to wait until mid April and it's a 5.5 hour trip. I'll keep the board posted. Thanks for the feedback.
Please keep us updated. Is Dr. Coric so busy that he couldn't get you in sooner? It seems like a very long time to wait for a consultation.
__________________
1998- Injured neck and back in USAF
2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica.
Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection
Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA )
July 2014 - Stem Cell Procedure performed
Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy

Last edited by colorado babe; 01-19-2015 at 10:09 AM.
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  #12  
Old 01-18-2015, 01:03 PM
stoked64 stoked64 is offline
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Join Date: Dec 2014
Posts: 14
Default Update Dr. Coric Appointment Charlotte NC

Good news, I received a call from Dr. Coric's office that he's able to see me on 6 February as opposed to mid April.

My wife and I will be making the 5.5 hour ride to Charlotte NC (USA) and will let the board know what he says about my lumbar condition.
__________________
Male Age 50
Location: North East North Carolina
Early 1990's L4/5 acute herniated disc: Lumbar Micro discectomy surgery.
Early 2000's L3/4 lumbar spinal stenosis/bulging disc: Lumbar laminectomy surgery.
2014 July 08 L3/4 L4/5 spinal stenosis: Decompression surgery.
2015 Continued to have leg pain in both legs: Receiving pain Management Treatment.
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  #13  
Old 01-19-2015, 10:10 AM
colorado babe's Avatar
colorado babe colorado babe is offline
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Join Date: Aug 2014
Posts: 345
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Quote:
Originally Posted by stoked64 View Post
Good news, I received a call from Dr. Coric's office that he's able to see me on 6 February as opposed to mid April.

My wife and I will be making the 5.5 hour ride to Charlotte NC (USA) and will let the board know what he says about my lumbar condition.
Congratulations. This is great news. Your appointment will be here before you know it.
__________________
1998- Injured neck and back in USAF
2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica.
Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection
Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA )
July 2014 - Stem Cell Procedure performed
Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy
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  #14  
Old 01-19-2015, 08:30 PM
Jerry5 Jerry5 is offline
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Join Date: May 2013
Posts: 363
Default Been there done that...,

Sorry for the phrase, but this is a HUGE commitment and investment.

I had my first surgery here in the USA, a very fine doctor, but you will find, that the USA is under the control of the FDA, they have a lot of people that influence them.
My Take.
After 2 or 3 opinions, I went to Germany, there are several in Europe, that are very experienced.

Although I get a little weak and sore, at the L51 fusion level, (will get some therapy in the near future-to help understand this change) but I am reversed.

The pain is gone and I have not taken any pain meds after about 9 days from surgery.

It is a HARD decision, but if you do it, and be done with it, it will change your life.

PM if you want some more information.
__________________
Jerry, Somewhere Ohio

L2-3 herniation, two days before Thanksgiving, 2012, Discectomy/Laminectomy, 3/13 Numbness in the right leg, lateral femoral, gone, July 10, 2014 L45 M6 ADR, July 15 PLIF L5-S1, Not able to access L51 Anterior.
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  #15  
Old 01-20-2015, 08:44 PM
stoked64 stoked64 is offline
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Join Date: Dec 2014
Posts: 14
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Quote:
Originally Posted by Jerry5 View Post
Sorry for the phrase, but this is a HUGE commitment and investment.

I had my first surgery here in the USA, a very fine doctor, but you will find, that the USA is under the control of the FDA, they have a lot of people that influence them.
My Take.
After 2 or 3 opinions, I went to Germany, there are several in Europe, that are very experienced.

Although I get a little weak and sore, at the L51 fusion level, (will get some therapy in the near future-to help understand this change) but I am reversed.

The pain is gone and I have not taken any pain meds after about 9 days from surgery.

It is a HARD decision, but if you do it, and be done with it, it will change your life.

PM if you want some more information.
Jerry5, I definitely get your point and I'm starting to understand and learn this myself. It appears my health care provider (United Healthcare) wont cover lumbar ADR surgery (from what I have read online). If anyone can confirm this please do. If this is the case it will probably be fusion unless I pick up the bill and I doubt I can afford this.
__________________
Male Age 50
Location: North East North Carolina
Early 1990's L4/5 acute herniated disc: Lumbar Micro discectomy surgery.
Early 2000's L3/4 lumbar spinal stenosis/bulging disc: Lumbar laminectomy surgery.
2014 July 08 L3/4 L4/5 spinal stenosis: Decompression surgery.
2015 Continued to have leg pain in both legs: Receiving pain Management Treatment.
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  #16  
Old 01-20-2015, 08:57 PM
NJ Gene NJ Gene is offline
Senior Member
 
Join Date: Feb 2013
Posts: 376
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For whatever it's worth, I had a fusion at L3/L5 (two levels in one surgery). My lower back has been better since the minute I woke up from surgery (it's been 4 years already). It's my neck where I continue to have issues (I've had 4 surgeries on my neck on one on my lower back).

My fusion was done in a minimally invasive way with very small incisions. If fusion is your only option, make sure to get the opinions of a few surgeons. If you find out that you are covered for ADR, you obviously want to get several opinions as well.

You might want to contact Texas Back Institute (TBI). They perform ADR and I've been told by some that they help you through the insurance process. To be completely honest, I've seen others on these boards saying the exact opposite. There is only one way to find out, contact them. Here is their link: Total Disc Replacement | Artificial Disc Replacement | Texas Back Institute

Gene
__________________
Car Accident 2002 - Small Herniated Disc C3/C4
1998 Larger Herniation and Cervical Fusion C3/C4
2005 Herniation C4/C5 - 40 epidural steroid injections from Oct 2005, - Oct, 2007
2008 - Foraminotomy at C6/C7 on left side
Feb, 2010 - Cervical Fusion C4/C5
Dec, 2010 - Lumbar Fusion L3/L5
2013 - Bulge on C5/C6; herniation C6/C7 right side
Mar 26, 2013 - Foraminotomy at C6/C7 on right side
May 5, 2015 - ADR with Dr Blumenthal of TBI for C5/C6 using Mobi-C
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  #17  
Old 01-20-2015, 10:37 PM
Kelly4ADR's Avatar
Kelly4ADR Kelly4ADR is offline
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Join Date: Jan 2014
Posts: 259
Default

It appears United Healthcare doesn't cover lumbar ADR. Here is the link.

https://www.unitedhealthcareonline.c...the_Spine.pdf/

You can always request, and appeal if denied. This can be a long and frustrating process, but I feel the more we push as patients, the more chance we have of getting the policies changed.

I fought Aetna for a year for a two level cervical ADR and I lost. My surgeons office gave me a huge discount for paying upfront, and they were also willing to take payments if I needed to. A lot of people do well with fusion, that decision has to be yours. But don't rule out ADR because of the cost before doing research on the price.

Hope this helps.
__________________
2004 MRI -cervical bone spur causing pain
2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks.
2014 MRI -progressive compression C5-7.
MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable
8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR
2 level ADR w/ mobi-c C5-7 Jan 7, 2015
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  #18  
Old 01-21-2015, 12:40 PM
colorado babe's Avatar
colorado babe colorado babe is offline
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Join Date: Aug 2014
Posts: 345
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I was denied by Tricare (United Healthcare) for Lumbar ADR in the summer of 2014. I appealed three times and finally won but as we got closer to the surgery date, I decided with the help and advice of my surgeon to not use the Pro-Disc and got a fusion instead. I am glad I went with the fusion. I wouldn't change anything if I had the chance to do it again.

Insurance companies want you to give up. They want you to do whatever it is they will pay for. I say, be an advocate for yourself and don't take no for an answer and fight for what you feel is best for you and your body.
__________________
1998- Injured neck and back in USAF
2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica.
Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection
Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA )
July 2014 - Stem Cell Procedure performed
Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy
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  #19  
Old 01-23-2015, 04:12 PM
Karger Karger is offline
Member
 
Join Date: May 2014
Posts: 44
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I would recommend Dr Zeegers in Germany. May cost a bit, but he has been doing it the longest with the highest success rate. Other dr i saw just looked at my MRI and wanted to slap in the M6 disc. Dr zeegers did a full review and the M6 would have failed in a year or so because it was not built to hold the stress of the l5/s1 due to my spine pathology. He used the Activ-L which I am very happy with.

Sure it cost a bunch, but I wasn't going to let any doc fiddle with my back and be bound to FDA approved disc which are generation behind. Dr Zeegers has been doing it since 89 and is the pioneer. Canada and US has only been doing it since 2008. So I didn't want to be a test subject. So many people I see go with dr's just because insurance covers it or they are cheaper. It' s your back for Christ sake, splurge for once and go with the best! You only get one back.

I figured if any should go wrong, at least I went with the best.

Just my 2 cents.
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  #20  
Old 01-23-2015, 06:48 PM
Throttlejockey Throttlejockey is offline
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Join Date: Jun 2014
Posts: 52
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This is the rest of your life! Don't let some guy in a cheap suit who works in some cubicle somewhere, who thinks of you as some paper to be pushed make the decisions for you! F*** them!

If you are willing to get a loan to buy a car, why would you not consider doing the same for your health and well being? After all you have only one chance to get it right, and this decision is for the rest of your life!

Don't think about the money. Find the best doctor, with the most experience, that uses the best device, for your unique needs and circumstance.

Don't give up!
__________________
- Wife has been diagnosed with Severe Spinal Stenosis Right and Left Sides, Degenerative Disk Disease at C5/6 and C6/7, Large Osteophyte Complexes at a both levels, with C6/7 on R/H Side, and C5/6 both R/H and L/H Sides. Also Reverse Lordosis.
- Performed 2-Level ADR with M6-C by Dr. Clavel, Barcelona Spine Center on 10/15/14.
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