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Dr. question help

This is a discussion on Dr. question help within the Spinal Fusion (Including Discectomy & Laminectomy Procedures) forums, part of the Spine Surgery Support category; Hi all, Can anyone tell me if there is a list of good questions to ask your surgeon during the ...

  1. #1
    Senior Member Catherine's Avatar
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    Default Dr. question help

    Hi all,

    Can anyone tell me if there is a list of good questions to ask your surgeon during the consult? I found the list of things needed to survive after surgery, but I want to make sure my fogged up brain asks all the right questions when I see Dr. Carragee.

    Catherine
    ACDF C6-7 1993 - no more pain!
    Auto accident 2/08
    Three MRI's
    Find bilateral pars defect L5-S1 5/08
    Pain increases until unable to work 9/09
    Find grade 1 Spondylolisthesis 3/10 with left L5 nerve root compression
    Left L5 & bilateral pars SNRB 5/11- no effect
    7/11 EMG and Nerve conduction test
    New MRI, finally! 9mm slip, bilateral pars fractures, facet hypertrophy and mild disc bulging at L4-L5 and L5-S1
    Anterior/Posterior fusion w instrumentation 11/8/11

  2. #2
    Senior Member
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    Default Re: Dr. question help

    Catherine,

    I found this website, which might be helpful. You might need to copy and paste the link, if it won't let you click on it.

    Specific Questions to Ask Your Spine Surgeon

    Hope this helps.

    Linda
    1976 - Fell from tree. The beginning!
    1985 - Car accident - pull back muscle.
    1985 - Spring 2010 -Flare ups off and on. Meds manage - Life goes on.
    9/2010 -Pain returns, Diag DDD of the L4/5 & L5/S1 space with arthritis. .
    10/ 2010 - Referral to PM Doctor & PT. PT not helpful. MRI confirms DDD, bulging disc of L4/5space. Pneumonia. Pain off charts!
    11/2010 - 3/ 2011 2 RSNB/2 ESI. Relief short lived . Referred to surgeon.
    6/29/11 -TLIF Fusion of L4/5 space.

  3. #3
    Senior Member KanRunMo's Avatar
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    Default Re: Dr. question help

    Thank you for that iinformation. It was a little hard to follow in that they had lots of infomercial information inbetween actual information. Also, they never mentioned ADR surgery in their list of surgery types. I don't know if that indicates it is old information or that the M.D. is very conservative.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

  4. #4
    Senior Member
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    Default Re: Dr. question help

    I'm not sure. I just did a search on questions to ask a surgeon. This was the only site that came up that had to do with spine surgery. The other options were for other types of surgery. When I looked it over (beyond the all the extraneous links) I thought it was a good place to start with general questions that could be asked of all surgeons, whether for fusion or ADR. You are right, they didn't mention ADR, although there was a link on the left hand side with an article on artificial disc replacement. and yes... there were TONS of infomercial links. This was one of the sites I used prior to my surgery as I was gathering information, in addition to this site.
    Last edited by Pbchoclovr; 09-10-2011 at 11:28 PM.
    1976 - Fell from tree. The beginning!
    1985 - Car accident - pull back muscle.
    1985 - Spring 2010 -Flare ups off and on. Meds manage - Life goes on.
    9/2010 -Pain returns, Diag DDD of the L4/5 & L5/S1 space with arthritis. .
    10/ 2010 - Referral to PM Doctor & PT. PT not helpful. MRI confirms DDD, bulging disc of L4/5space. Pneumonia. Pain off charts!
    11/2010 - 3/ 2011 2 RSNB/2 ESI. Relief short lived . Referred to surgeon.
    6/29/11 -TLIF Fusion of L4/5 space.

  5. #5
    Senior Member Catherine's Avatar
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    May 2011
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    Riverton, WY
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    Default Re: Dr. question help

    Thank you Linda, for finding that link! I hadn't seen that site, I had pretty much just started here thinking there might be a great list like the one with ncessary items for after surgery. I do appreciate the help and I was able to glean a few questions to add to my list.

    Catherine
    ACDF C6-7 1993 - no more pain!
    Auto accident 2/08
    Three MRI's
    Find bilateral pars defect L5-S1 5/08
    Pain increases until unable to work 9/09
    Find grade 1 Spondylolisthesis 3/10 with left L5 nerve root compression
    Left L5 & bilateral pars SNRB 5/11- no effect
    7/11 EMG and Nerve conduction test
    New MRI, finally! 9mm slip, bilateral pars fractures, facet hypertrophy and mild disc bulging at L4-L5 and L5-S1
    Anterior/Posterior fusion w instrumentation 11/8/11

  6. #6
    Senior Member
    Join Date
    Jul 2011
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    157

    Default Re: Dr. question help

    Catherine, you are very welcome. I hope you have a very successful consult with the surgeon! Let us know how it goes.

    Linda
    1976 - Fell from tree. The beginning!
    1985 - Car accident - pull back muscle.
    1985 - Spring 2010 -Flare ups off and on. Meds manage - Life goes on.
    9/2010 -Pain returns, Diag DDD of the L4/5 & L5/S1 space with arthritis. .
    10/ 2010 - Referral to PM Doctor & PT. PT not helpful. MRI confirms DDD, bulging disc of L4/5space. Pneumonia. Pain off charts!
    11/2010 - 3/ 2011 2 RSNB/2 ESI. Relief short lived . Referred to surgeon.
    6/29/11 -TLIF Fusion of L4/5 space.

  7. #7
    Senior Member Gilbert P's Avatar
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    May 2009
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    Jackson Hole WY
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    Default Re: Dr. question help

    HI Catherin

    My favorite question for a surgeon. if it was his spine, MRI, would he have the operation he or she is advising for you. I seem to never qet a real answer? Money motavited? The classic one was I would do this to my Mother> Nice Kid

    Ask and continue your research

    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


  8. #8
    Senior Member KanRunMo's Avatar
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    Apr 2010
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    USA Near Kansas City
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    Default Re: Dr. question help

    I had one say that he recommended this surgery to his mother-in-law - Hmmm.
    KBear likes this.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

  9. #9
    Senior Member Kimberly's Avatar
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    Apr 2011
    Location
    Bay Area, California
    Posts
    176

    Default Re: Dr. question help

    Catherine,

    Your trip to Stanford is getting closer isn't it? When is your appointment again?

    I also ask the "if it was your spine..." question. (or, "if it was your sister's or wife's spine, what would you recommend.) I had this conversation with my surgeon about the relative merits of using "infuse" (bone morphogenic protein - BMP) or cadaver bone and he said just those words..."if it was me needing this surgery, or my wife, I would DEFINITELY go with the BMP. No question." I'm paraphrasing, but it was clear what he would do and that did bring me some reassurance.

    Good luck!

    Kimberly
    43 yr. old female with 11 and 13 year old kids.
    10+ years of chronic back pain (Severe R/L leg pain for past year)
    DDD at L3L4, L4L5, L5S1
    Herniations, foraminal stenosis and facet hypertrophy at all 3 levels
    Type II modic changes at L5S1
    Conservative measures not helpful (medication, NSAIDs, injections, PT, massage, chiro, lifestyle and ergonomic modifications)
    Microdiscectomy/Laminotomy (L5S1) 12/10 - Reherniated 6 weeks later.
    2-level fusion (ALIF) (L4-L5, L5-S1) 6/29/11

  10. #10
    Senior Member Catherine's Avatar
    Join Date
    May 2011
    Location
    Riverton, WY
    Posts
    143

    Default Re: Dr. question help

    My favorite question for a surgeon. if it was his spine, MRI, would he have the operation he or she is advising for you. I seem to never qet a real answer? Money motavited? The classic one was I would do this to my Mother> Nice Kid
    Thanks Gil, that's a question I never thought to ask!! I'm hoping I have done enough research to have picked the best Dr and place. How are you feeling, have the steroids helped you any?




    Your trip to Stanford is getting closer isn't it? When is your appointment again?
    Hi Kimberly,

    Yes, it's getting closer. It's on the 26th and I'm so anxious for the time to pass and get there! I feel that it's the right path and I just want to get on with it. I'm surely going to add that question to my list and see what he says. How are you feeling? Hopefully the withdrawals are better.

    Catherine
    ACDF C6-7 1993 - no more pain!
    Auto accident 2/08
    Three MRI's
    Find bilateral pars defect L5-S1 5/08
    Pain increases until unable to work 9/09
    Find grade 1 Spondylolisthesis 3/10 with left L5 nerve root compression
    Left L5 & bilateral pars SNRB 5/11- no effect
    7/11 EMG and Nerve conduction test
    New MRI, finally! 9mm slip, bilateral pars fractures, facet hypertrophy and mild disc bulging at L4-L5 and L5-S1
    Anterior/Posterior fusion w instrumentation 11/8/11

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