Hey all, I am new but have lurked around for some time.... very helpful site, thank you all!
I am hoping someone might be able to shed some light on my situation. I am 46, love to excercise and Ive had two successful spine procedures:
2006, C5-C6 Anterior Cerv Fusion at EDITEDUniversity Med Center. All symptoms relieved.
2009, L4-L5 decompressed at EDITED Med Center. Huge relief of abdomen pain.
April 6 2011 I was scheduled for L4-S1 fusion at EDITED my "most excellent" doc. 30hrs pre surgery insurance cancels authorization due to third party review assessing "not medically necessary". "Peer to peer" review revealed the physician who reviewed my case is NOT a spine specialist, does not have a practice, is retired and living in Florida. The report demands the following tests be done for authorization:
PT - (51 PT appts done from 5-17-07 through 1-19-2010 at EDITED in Fresno, 2 PT appts at EDITED Medical Center then returned to CA)
CT myelography w/contrast - (MRI with contrast done 1-4-11, positive nerve root compression L4-S1)
EMG - (2-18-11, 3-11-11.. nerve root injections at UCSF, confirmed w/limited positive response L4-S1 right side(1 1/2wks), left side(36hrs)
BLOOD WORK - (done 3-28-11)
PSYCH EVAL - (??????)
HOME EXCERCISE - (I swam 2000yds the day before C5-C6 fusion at EDITED Med Center... I walked 3-5 miles per day post cerv surg)
Dr EDITED, due to ethical compliance cannot order unecessary, dangerous tests. But Allegience can?
Numbness from nerve compression at L4-L5, L5-S1 is
creeping from my feet through calves to hamstrings. Sept 2010 symtoms no longer relieved by bed rest, traction still works. Feb 2011 traction working less. Today, feet and calves are staying numb, traction no longer works. And I continue to decline.
Any insight would be greatly appreciated.
Post edited to remove names of medical professional and facilities by Moderator haglandc