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Originally Posted by Jim M2 on November 08, 2003
SURGERY DATE: 22-Aug-2003
AGE AT SURGERY DATE: 49
SURGEON: Zeegers
SURGERY LOCATION/CLINIC: Alpha Klinik, Munich, DE
DEVICE(s), LEVEL(s): Charite, L5S1
COST = 18,131 EURO, 20,425 USD
AMOUNT BILLED: 18,131 EURO
INSURANCE ALLOWED: After appeal insurance reimbursed 88% of $20,425
OUT OF POCKET: $26,425
TRAVEL: $6,000
EXPLANATIONS?
ONSET OF LUMBAR PROBLEMS, DATE OF INJURY, CAUSE, ETC...: Onset of chronic pain in May 2002.
PRIOR SPINE SURGERIES AND PROCEDURES (IDET, ESI, etc...): Hemilamenectomy, 50% disc removal at L5S1, 1981
PRE-OP MEDICATIONS: feldene
PRE-OP DIAGNOSTICS (discogram, nerve root blocks, etc...): X-ray, MRI, ESI (only 1), CAT-Myelo, discogram
PRE-OP NEUROPATHIES (what, where, & degree of pain, numbness, tingling, sexual/bladder/bowel symptoms, etc.): LBP 3-7, right hip-leg-foot 2-4, left 0-3.
PRE-OP CONDITION (Please include %leg pain/% back pain, pain levels, type of pain, ability to work and function, disability status, etc.... be direct, but be as verbose as you need to): Initially LBP 5-7 and leg pain/numbness 2-4 when attempting to work desk job. After feldene returned to work with pain 2-6. Excersize, frequent bed rest, very restricted life, habits (Constant use of arms and unusual posture to unload weight, very slow walking...).
TIME POST-OP AT ORIGINAL POST HERE: 11 weeks
DESCRIBE YOUR SURGICAL EXPERIENCE: As good as could be had for surgery.
RATE FUNCTIONALITY / SATISFACTION AT INTERVALS BELOW:
FUNCTIONALITY:
1. Very poor: much worse... disabled after surgery.
2. Poor: worse after surgery.
3. Neutral: No improvement, or improvements offset by new problems.
4. Fair, some improvment, limitations are still serious.
5. Good, substantial improvement, some limitations.
6. Excellent: no limitations.
SATISFACTION:
1. Very sorry I had the surgery.
2. Somewhat sorry I had the surgery.
3. Too soon to tell, or I'm ambivalent about the surgery.
4. I'm somewhat glad I did my surgery.
5. I'm very glad I did my surgery.
FUNCTIONALITY: _3_ SATISFACTION: _3_ [6 WEEKS POST-OP]
FUNCTIONALITY: _3_ SATISFACTION: _3_ [3 MONTHS POST-OP]
FUNCTIONALITY: _3_ SATISFACTION: _3_ [6 MONTHS POST-OP]
FUNCTIONALITY: ___ SATISFACTION: ___ [1 YEAR POST-OP]
FUNCTIONALITY: ___ SATISFACTION: ___ [2 YEARS POST-OP]
6 WEEKS POST-OP - DESCRIBE LIFESTYLE / PAIN / MEDICATIONS / NEUROPATHIES / ECT... (discuss surgery induced symptoms [leg pain?]): Not working, more restriction than before surgery/ Pain 4-6 (70%) or 2-3 (30%)/ daily 50mg vioxx; also take ultracet and skelaxin as needed/ Dull achy LBP plus sharp pain in lower back and hip on right side.
3 MONTHS POST-OP - DESCRIBE LIFESTYLE / PAIN / MEDICATIONS / NEUROPATHIES / ETC... (discuss surgery induced symptoms [leg pain?]): Not working, more restriction than before surgery/ Pain 4-6 (70%) or 2-3 (30%)/ facet injection; daily feldene; occasional ultracet,tylenol3, skelaxin/ Dull achy LBP, gnawing LBP, occasional pain in extremities.
6 MONTHS POST-OP - DESCRIBE LIFESTYLE / PAIN / MEDICATIONS / NEUROPATHIES / ETC... (discuss surgery induced symptoms [leg pain?]): Working, restriction similar to pre-surgery/ Pain 4-6 (30%) or 1-3 (70%)/ another facet injection; daily feldene; occasional ultracet,tylenol3/ Dull achy LBP, gnawing LBP, occasional pain in extremities.
1 YEAR POST-OP - DESCRIBE LIFESTYLE / PAIN / MEDICATIONS / NEUROPATHIES / ETC... (discuss surgery induced symptoms [leg pain?]):
2 YEARS POST-OP - DESCRIBE LIFESTYLE / PAIN / MEDICATIONS / NEUROPATHIES / ETC... (discuss surgery induced symptoms [leg pain?]):
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