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hospital refused to do discogram



  • I just wondered because there is a certain hierarchy in medicine with certain specialists feeling what they do requires more intelligence, better technique, etc. than other specialties. I don't believe it was the PM doc's position to refuse to do the test...and that he would call up your family doc to make his displeasure known just made me wonder if he would have done that if she were a he!

    I fully understand why the PM doc did what he did. I just really question whether he had the right to do that.

    I don't think the issue is whether you have a right to get multiple opinions. I don't think anyone would argue that. But you would not normally have two orthos treating you at the same time. One would not know what the other is doing and their purposes could be counter-productive. I can understand why the PM guy objected to that.

    Like we talked about yesterday, just explain what occurred and that you are frustrated by the lack of progress in getting to the bottom of your pain, etc. You will do fine.

    Incidentally, I do have one question. Did you and your ortho talk about you having a discogram? I just wondered why you didn't ask him to write the order rather than asking your family doc? I gather you are still under his care....

  • if scarring is suspected, be sure that the surgeons are reading the films and not the reports...i have had multiple mri's done by the same facility that constanly says no major change to my scans...pre and post op!!!!
    has not noted scar tissue that new orthopod says is so involved as to make removal of current hernations too risky!
    (must basically have CES to operate)
    stand up for the tests and care you feel you need...i didn't.
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  • Gwennie,
    I kind-of asked the ortho to have one done. What I mean is... first he asked if I wanted to have an EMG. I told him no because of the bad experience I had a long time ago, and the pain. I told him I'd rather have a discogram. He didn't respond at all to that. Then he said something about getting a psychological pain eval. done. The red flags went up for me. "Does he think I'm exaggerating? Does he not believe me? Does he think I'm up to no good or something?" I attempted to get the psychological exam done, but my insurance doesn't cover it and it's $800. I said no to that. Then he told me he was going to a conference coming up in 3 weeks, and did I mind if he ran my case across some other doctors for some other opinions. I said, "Yes, that would be great." After being home a day, I decided I would take the chance and have the EMG. So, I called the ortho back and told him (his nurse). The EMG is set for Tuesday. The whole reason I went ahead with the discogram idea from my family doctor is because the ortho was starting to also look for other opinions from other doctors. I figured he was stumped and it wouldn't hurt to, then, go ahead with the whole discogram idea. (I waited at least a month before asking my family doc. to do the discogram. I wanted to visit my ortho one more time first after having a nerve block.) Like I said, the only reason I went ahead with the disc. idea was because my ortho seemed to not be sure of what was going on.

    Oh yes, and the doctors have been reading the films, not so much the reports. They put them right up on the screen for me to see.

    Sorry so long. Trying to explain the sequence of things. :)

    Any other suggestions on my upcoming appointment would be great. The more suggestions, the better. :)

  • Well, if you just explain things just like you did in the above post, I think he will understand.

    And I would push him about the scar tissue and whether than could be the source of at least some of the pain.

    And ask about having a new MRI since perhaps an adjoining level has herniated...or?
  • Yes, that's the plan. I am going to tell him what I told you above. I will definitely ask about the scar tissue. And I was planning on asking about a new MRI. If he refuses, I will ask why I can't get one. Insurance is not an issue, therefore, there should be no issue.

    I just got done talking to one of my daycare parents who stopped by this morning. She told me she used to go to the same office as I am now (Dr. R's office). She said that she left that office because all's they did was send her from one test to another (in their office, not at the hospital, of course)and never did anything about anything. (Sounds like they're trying to make a little money, doesn't it?) She went to another office because of that and had surgery, and is doing great now. She gave me the name of her new doctor who did her surgery. I will see Dr. R one more time and see what he has to say. If nothing, I'm going to have to move on I guess. I don't like jumping from one to another, but it's been 7 months, and I'm tired of waiting 2 months just to have another test. It's exhausting and never ending. It really does sounds like they just want to have you keep coming back if they don't think they can do anything. I don't want to keep spending $70 every 2 months or so just to keep them in business. That's not fair to patients.

    Well, enough said. Thank you for spending so much time talking to me about this. Your support means a lot to me!

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