This is a discussion on Texas Back Institute within the Domestic Travel for Spine Treatment forums, part of the Domestic and International Travel for Spine Treatment category; Good news....
Good news.
Dave
Diagnosed with DDD in Nov, 2007. MRI, EMG
C3/4 C4/5 C5/6 C6/7
Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
C4/5 deterioration progressing quickly
MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.
Justin Averna
Founder & President, Spine Patient Society
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997, 17 years old: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003, 23 years old: 2-Level ProDiscฎ L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Here, here!!I will put in a plug for Mayo too, living up here in Minnesota. But you already know of it's reputation. My best to you.
January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
April 2006 right hip, labral tear and repair
April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
July 2, 2008 ALIF & Laminectomy @ L6/S1
July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
March 10, 2009 Right SI Joint Fusion
April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
September 30, 2010 lumbar facet rhizotomy
December 9, 2010 12 bilateral lumbar trigger point and steroid injections
December 23, 2010 12 more bilateral trigger point injections w/o steroid
February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
July 18, 2011
Has anyone had problems with TBI's "customer service"? My wife is a two level ADR candidate which as everyone knows is not covered by insurance. We saw Dr. Blumenthal in Feb and he suggested we could do a hybrid ADR/Fusion with the ADR at L4-L5. That way the insurance would pay for the fusion, the surgery, the hospital, etc....he thought that it would be about $20K out of pocket for the ADR device and his fees for inserting it.
So then we call multiple times in the weeks immediately after trying to get an official estimate of the cost. Admins tell my wife - "most people just do the surgery and then figure out the cost later". We didn't want to do that...we wanted to basically know what we needed to pay within a thousand or two. We got passed around to multiple people who said that they didn't know or it wasn't their job - and every time we called back we had to repeat the same information again. Finally, one month later we talked to someone who appearently was able to run the insurance and they came back with - not the 20K that Blumenthal had mentioned verbally - but with $30K. Remember this is for a single level with insurance paying for the fusion.
Now we don't know what to do - we are really disappointed and frustrated with the apparent disorganization of TBI's admin folks, and are actually considering going overseas for the procedure now....what have been other people's experience with TBI's admin staff - did we do something wrong by asking for how much we would be responsible for?
Thanks,
Tom
Congrats WPKat!
One blessing since my accident has been my dealings and communication with TBI to this point and hoping you have the same experience. I'm very thankful technology is moving forward and there's seemingly increasingly less need to leave the country for care. Best of luck, WPKat and let us know how it goes!
Spine Noob
April 2007 - Injured one cervical C6/C7 and one lumber L5/S1 in same accident
No major treatments so far aside from exercising and core strengthening best I can.
Never, ever, ever, give up.
How cool! I was born in St. Paul, Minnesota. My father's dream was to live in the last frontier and we left for Alaska when I was nine, but I still have about a thousand relatives living in Minnesota - just a small exaggeration and may actually be true if you count Aunts, Uncles, cousins, second cousins, third cousins, etc.![]()
Diagnosis
L3/L4 M6-L ADR; severe bilateral facet joint arthropathy - sclerotic; moderate foraminal stenosis (r)
L4/L5 M6-L ADR; severe bilateral facet joint arthropathy - sclerotic; posterior decompression
L5/S1 bilateral hemisacralized
Procedures or Diagnostics
3/09 L3/L4 - L4/L5 Laminectomy; L4/L5 w Disectomy
7/09 Facet Joint Inj, Radiofrequency Thermocoagulation: 4Left
4/10 Discogram
6/10 L3/L4 - L4/L5 M6-L ADR
8/11 L5 Epidural Steriod Inj: 1Left
10/11 CT Myleogram
Tom,
I hate to say it, but I doubt you would get an accurate estimate from any U.S. hospital or surgical center. I have never seen one yet that even tries to give you an estimate. I have always received a bill, after the fact, from anyone and everyone that takes care of, looks at or touches me or my medical information - even if I never laid eyes on them.
I'm with you and feel we should have the right to know how much any medical procedure will cost us out-of-pocket. But for whatever reason, medical cost estimates are not standard practice in the U.S. You would think they would want to let us know what is not covered by insurance since they expect us to pay the bill afterwards.
I'm not surprised that it would cost $30 thousand either, our medical costs are also pretty steep.
K
Diagnosis
L3/L4 M6-L ADR; severe bilateral facet joint arthropathy - sclerotic; moderate foraminal stenosis (r)
L4/L5 M6-L ADR; severe bilateral facet joint arthropathy - sclerotic; posterior decompression
L5/S1 bilateral hemisacralized
Procedures or Diagnostics
3/09 L3/L4 - L4/L5 Laminectomy; L4/L5 w Disectomy
7/09 Facet Joint Inj, Radiofrequency Thermocoagulation: 4Left
4/10 Discogram
6/10 L3/L4 - L4/L5 M6-L ADR
8/11 L5 Epidural Steriod Inj: 1Left
10/11 CT Myleogram
Hi All
I thank you for the information about the TBI .
I am in the process to go their soon Having another MRI next week this will be my twenty first,not all spine related.
All The Best to all
Gil![]()
L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
L2-L3 Right-sided neural foraminal narrowing
L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
15 injections Depo. P.T. 18 months 9 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 Foraminotomy 09
L4-L5 Microdiscectomy 09 ReHerniation 4-2010
Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants
What are you having done at TBI Gil, if you don't mind my asking?
January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
April 2006 right hip, labral tear and repair
April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
July 2, 2008 ALIF & Laminectomy @ L6/S1
July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
March 10, 2009 Right SI Joint Fusion
April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
September 30, 2010 lumbar facet rhizotomy
December 9, 2010 12 bilateral lumbar trigger point and steroid injections
December 23, 2010 12 more bilateral trigger point injections w/o steroid
February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
July 18, 2011
Hi CL
I am trying to get to the bottom of my spine issues and hoping for some better treatment,also seeing Doctors in MN.
We live in a small community and only two spine surgens one wants to do a three level fusion and the other says it just inflammation ?
Thanks
Gil![]()
L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
L2-L3 Right-sided neural foraminal narrowing
L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
15 injections Depo. P.T. 18 months 9 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 Foraminotomy 09
L4-L5 Microdiscectomy 09 ReHerniation 4-2010
Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants
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