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Reply With QuoteWhat morons! Be sure to send your latest MRI, with the date, which will show absolutely NO hardware in your spine.
This is a discussion on The incompetency of the Insurance system is astounding.... within the Spine Patient Support: Body, Mind & Spirit forums, part of the Social and Support Forums category; I just have to share....... I got a courier package from the Gov't insurance late yesterday and I opened it ...
The incompetency of the Insurance system is astounding.... I just have to share.......
I got a courier package from the Gov't insurance late yesterday and I opened it while having my coffee this morning, so not to ruin my sleep.It says that since I already had my surgery in NYC on July 13, they are refusing to agree to the request for an expedited hearing I have in to the Appeal Board for that very surgery.
Really, I've had surgery? They've screwed up and confused my consult with another doctor with major surgery in NYC. Wow, I wonder how much that consult cost??!!
I'm going to have my dear husband take a date stamped photo of my naked back and ship it off to the Appeal Board...no scars, no incision, no surgery. Now how about that meeting!?
The only bad thing is that Monday is a holiday up here, so I can't share this news with them until Tuesday.
The more they talk and write and show their incompetence, the better my Appeal case looks
Last edited by Katie; 08-01-2009 at 01:38 PM.
Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things. Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!
What morons! Be sure to send your latest MRI, with the date, which will show absolutely NO hardware in your spine.
31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011, completely pain free still!
Great idea Kathy! I had one done four days after my supposed 'surgery'
But you don't think that a pin-up of my bod would be a good way to start their day?
Hubby is totally angry and frustrated...me, I think it is hilarious! It will make a really good impression on the Appeal Board members...one more screw-up on the part of the Insurance.
Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things
Unbelievable Katie! You have a better attitude than I would be having in that same situation.I think your case is growing stronger every day, thanks to the idiots!
• 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
Katie, it's great to see that they are already digging themselves a nice hole! Talk about shooting yourself in the foot!They really think they are two steps ahead too--that's the really funny part.
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: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: 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.
I know! They obviously have my file tagged for billing or something, but what in heaven's name makes them think that a local follow-up visit for my scope has anything to do with an out of province surgery? Or else they have me mistaken for someone else in the billing department?
No matter, it just goes to show their incompetence, and helps discredit all their lies and half-truths they are trying to use in their case against me. Time to get all the paper work in order for the appeal and slay them good and proper
Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things
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