Revision Questions

[Guest guest]

Yes , I have had one and the hard part is drinking that stuff. After

that it is all downhill. Excuse the pun. Their are so many new ways of

doing things I would not worry until I get there and then you want have time

to worry. Saves a lot of stress. As for the revision. If Dr. Rutledge were

taking insurance would your insurance pay? Did they pay before or were you

self pay? Will it cost the same as the original?

I was sure distressed to hear you had gained 20 pounds back. I am still

huvering at the 100 pound loss mark and the under 200 mark. One day I am

just at the 100 pounds gone mark and the next day I am I/2 pound over that.

I respect you guys who are seeking revisions., I think it is neat you know

what you have to go thru and still want to do it. This in itself should be

good advertisement for Dr. Rutledge. Keep me posted. Phyllis

[Guest guest]

Hi Phyliss,

BCBS paid for my first MGB, but I doubt if they will pay the second one, when

they are not paying for any right now that I know of. But Dr. R. said I should

still pursue BCBS for reimbursement etc, so I'll try it, doesn't hurt to try for

reimbursement. Wish me luck, I'll need it!

The costs are probably in the 15k range, so I'm saving all my pennies and trying

to think of ways I can come up with the dough!!!! Any suggestions?

wrote:

> Yes , I have had one and the hard part is drinking that stuff. After

that it is all downhill. Excuse the pun. Their are so many new ways of

doing things I would not worry until I get there and then you want have time

to worry. Saves a lot of stress. As for the revision. If Dr. Rutledge were

taking insurance would your insurance pay? Did they pay before or were you

self pay? Will it cost the same as the original?

I was sure distressed to hear you had gained 20 pounds back. I am still

huvering at the 100 pound loss mark and the under 200 mark. One day I am

just at the 100 pounds gone mark and the next day I am I/2 pound over that.

I respect you guys who are seeking revisions., I think it is neat you know

what you have to go thru and still want to do it. This in itself should be

good advertisement for Dr. Rutledge. Keep me posted. Phyllis

[Guest guest]

Hope this helps:

Address your insurance request by starting at the desired outcome, which is

maintaining your health. Approach it from their Return on Investment (ROI).

If you want more info....let me know.

Debra

[Guest guest]

Hi Jackie, I'm responding to your request for info about doctors, and you

mentioned Dr. LaGrone in Amarillo. I had revision surgery with him in 99 (fusion

T6 to S1 in 94 w/a dr in Austin who thankfully is no longer practicing). Dr.

LaGrone seemed to be a caring doctor in that he accepted my case and provided

feedback to me long distance (to Round Rock, TX). And I did like the days in

rehab so that we didn't make the 9 hour drive right away.

The only drawback in the experience was the office manager, but I don't know

if she is still there. I tend to think doctors should be responsible for their

staff and know what they are doing, and this particular person was rude,

demanding, and downright cruel. She wanted payment for things that my insurance

covered but was slow in paying (the very familiar story, I'm sure). It doesn't

make for a very peaceful recovery. If I had known how she was going to act, I

would have planned ahead and made sure all the t's were crossed and the i's

dotted to cut her off at the pass. It does help to have an advocate intervene

for

you because your recovery should be spent focusing on recovery not on dealing

w/office managers and insurance companies.

Dr. LaGrone came to see me frequently in the hospital. I was up and out of

bed much faster than after the first surgery even though he had opened the whole

incision and taken out the hardware (rods) and put in new, less invasive

hardware around L4 and L5. I still have a lot of pain in the muscles so for me

it

hasn't solved all my problems, but it did stop the degeneration of my spine as

nothing else would be able to do.

I had three good years in which the pain level was at a 2 or 3 and although

my pain level had gone up again and I have had to start taking Oxycontin which

makes me too sleepy, I think I picked the right doctor at the time. I would

have fired his office manager given the chance though!

Hope this was helpful...Jennie in Texas (an early Fiesty - still here after

all this time....)

[Guest guest]

Jennie,

Many thanks for this post. As you know, I ran afoul of the same office manager,

to the point where I nearly did not get my much-needed revision surgery at all.

She and/or her employer totally disrupted my plans and turned my immediate

future (as a person with severe flatback) into a gigantic question mark. I had

been counting on going to Amarillo for the procedure and was left completely in

the lurch, so it was really something of a nightmare . . . but you know the

whole tale, which I have also recently recounted here at " Feisty " in some

detail.

While I personally do not expect to have any further dealings with Dr. Lagrone,

I will add this time that I hope no one who loves him will take offense (as may

have happened the last time I kvetched about his practice). I am glad for others

who have had good experiences with him and have found him to be a very caring

and highly competent surgeon. I know you respected and appreciated his skill and

his reputation and felt he was helpful to you, and I was glad for that. I just

could not believe how that woman bugged you in your bed, in the immediate

post-op period, for Pete's sake, demanding out of pocket payment! And I agree

with you completely that a doctor must be held responsible for an office manager

who causes that kind of distress for any patient, let alone someone in an acute

inpatient situation. I had it drummed into me, as did everyone else fulfilling

the legal ethics requirement for Bar admission, that WE were responsible for the

work product of, for instance, any paralegal who assisted us on a matter -- that

we must never get too lazy to check in with her or review his efforts

personally. (Also, if a senior partner at a law firm asks an associate to do

something ethically questionable and the associate complies, both are liable for

the consequences.)

Again, I deeply appreciate your frankness in posting this information about your

own experience with one particular medical practice. We need to share

information about surgeons, pro and con, as openly and freely as possible in

forums such as this one. It is wonderful to see that people are opening up more

in this respect, enabling all of us to have a clearer and more balanced view of

our options.

I hope you get a better solution to your pain situation. I am in so much pain

myself and can empathize completely. I answered your last letter and cc'd

Elissa (re technical email matters) but have actually not been able to sit at

the PC long enough to see whether any follow-up correspondence ensued.

I went in for my lidocaine trigger-point injections under fluoroscopy last week

-- one shot at the site of each bolt -- and they killed the pain in those two

small, delimited areas for about four hours. The anesthesiologists at

Northwestern, who were very personable and a pleasure to deal with (one

full-fledged subspecialist, one fellow) seemed to feel that my pain relief was

an important finding and would be interesting to Dr. Ondra as well. A good deal

of pain persisted in the larger area outside the two " points, " whether from

inflammation or what I do not know . . . .

Nurse Lydia called me back yesterday to firm up some more details re surgery

(which I am still hoping to avoid but scheduled tentatively for Feb. 12) and

other matters. She also gave me the phone number of another multiply operated

woman who is willing to share her experiences with me re Dr. Ondra.

Best,

Re: revision questions

Hi Jackie, I'm responding to your request for info about doctors, and you

mentioned Dr. LaGrone in Amarillo. I had revision surgery with him in 99

(fusion

T6 to S1 in 94 w/a dr in Austin who thankfully is no longer practicing). Dr.

LaGrone seemed to be a caring doctor in that he accepted my case and provided

feedback to me long distance (to Round Rock, TX). And I did like the days in

rehab so that we didn't make the 9 hour drive right away.

The only drawback in the experience was the office manager, but I don't know

if she is still there. I tend to think doctors should be responsible for their

staff and know what they are doing, and this particular person was rude,

demanding, and downright cruel. She wanted payment for things that my

insurance

covered but was slow in paying (the very familiar story, I'm sure). It doesn't

make for a very peaceful recovery. If I had known how she was going to act, I

would have planned ahead and made sure all the t's were crossed and the i's

dotted to cut her off at the pass. It does help to have an advocate intervene

for

you because your recovery should be spent focusing on recovery not on dealing

w/office managers and insurance companies.

Dr. LaGrone came to see me frequently in the hospital. I was up and out of

bed much faster than after the first surgery even though he had opened the

whole

incision and taken out the hardware (rods) and put in new, less invasive

hardware around L4 and L5. I still have a lot of pain in the muscles so for me

it

hasn't solved all my problems, but it did stop the degeneration of my spine as

nothing else would be able to do.

I had three good years in which the pain level was at a 2 or 3 and although

my pain level had gone up again and I have had to start taking Oxycontin which

makes me too sleepy, I think I picked the right doctor at the time. I would

have fired his office manager given the chance though!

Hope this was helpful...Jennie in Texas (an early Fiesty - still here after

all this time....)

[Guest guest]

On Friday I was listening to a client tell another client that her

doctor has said her second knee needed revising.

She had the first revised a few months after I had my hip revised. I

remember at the time thinking she was doing so much better than me and

thought she managed ok. I used to feel guilty that this old lady had

coped much better than I had.

Can you imagine how surprised I was to hear her say that she was not

going to have it revised because she had such a rotten time with the

other knee when it was revised.

So for those with revisions I have some questions:

Are revisions always tougher than primary ops?

Have you had a really tough revision to be followed by another

revision that was not so tough?

Has anyone needing a revision made the decision not to have it? If so

what were the consequences of doing that?

Aussie Margaret

LTHR 1990 revised 2004

[Guest guest]

greetiungs....sounds like a bad doctor and a bad fitting of a bad replacement of parts.... seek out another doctor to get better info,,,,blessed be,,,,bobMargaret <zztinau@...> wrote: On Friday I was listening to a client tell another client that herdoctor has said her second knee needed revising.She had the first revised a few months after I had my hip revised. Iremember at the time thinking she was doing so much better than me andthought she managed ok. I used to feel guilty that this old lady hadcoped much better

than I had.Can you imagine how surprised I was to hear her say that she was notgoing to have it revised because she had such a rotten time with theother knee when it was revised.So for those with revisions I have some questions:Are revisions always tougher than primary ops?Have you had a really tough revision to be followed by anotherrevision that was not so tough?Has anyone needing a revision made the decision not to have it? If sowhat were the consequences of doing that?Aussie MargaretLTHR 1990 revised 2004

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[Guest guest]

Sent from my iPadOn 18 Jul 2012, at 22:24, "Mokaamr@..." <mokaamr@...> wrote:

Pls try to give reference .ThanksThe layer of intermingled collagen and resin

located beneath a restoration is called the

smear layer.

hybrid layer.

Weil layer.

decalcification layer.

Ans hybrid layer( not sure)

Sutures can be

1.

2.

3.

4.

A.

B.

C.

D.

used to hold soft tissues into position.

used to stretch soft tissues into position.

used to control bleeding.

resorbable or non-resorbable.

(1) (2) (4)

(2) (3) (4)

(1) (3) (4)

All of the above. Ans 1,3 ,4

An endomorph is characterized as a person

who

A. is short and fat.

B. is tall and thin.

C. is muscular.

D. matures early.

E. matures late.

Ans-A

Mandibular overdentures are used to

A. increase the strength of the denture.

B. maintain the alveolar ridge morphology.

C. improve periodontal health of abutment

teeth.

D. decrease costs.

Ans;B( not sure)

Function(s) of the dental pulp include(s)

1. defensive.

2. sensory.

3. circulatory.

4. dentin repair.

A. (1) (2) (3)

B. (1) and (3)

C. (2) and (4)

D. (4) only

E. All of the above.

Ans:E

An overjet of 8mm is usually associated with

Class I cuspid relationship.

Class II cuspid relationship.

Class III cuspid relationship.

Class I molar relationship. Laboratory examination of the blood of a

patient with an acute bacterial infection would

show

lymphocytosis.

leukocytosis.

monocytosis.

leukopenia.

eosinophilia.

Ans:b( not sure)

The success of replantation of an avulsed tooth

is dependent upon

length of time between avulsion and

replantation.

completion of endodontic therapy before

replantation.

immersing the tooth in fluoride solution

before replantation.

using calcium hydroxide as a treatment

root canal filling.

Ans:a( not sure)

A bite wing radiograph of tooth 1.4 reveals

caries penetrating two thirds into the mesial

enamel. The correct management of tooth 1.4

is to

place an amalgam restoration.

place a porcelain inlay.

place a direct composite restoration.

apply topical fluoride and monitor.

Ans:C

For a patient with cardiovascular disease, local

anesthesia

affects blood pressure more than general

anesthesia.

affects blood pressure less than general

anesthesia.

is responsible for bacteremia.

None of the above.

Cephalosporin antibiotics

1. may be cross-allergenic with penicillin.

2. have a narrower spectrum than penicillin.

3. have a mechanism of action similar to

that of penicillin.

4. may cause cholestatic hepatitis.

A. (1) (2) (3)

B. (1) and (3)

C. (2) and (4)

D. (4) only

E. All of the above.

Ans:B

Pulpotomy is the treatment of choice in pulp

exposures of asymptomatic vital teeth with

incompletely formed apices. Pulp capping is

the recommended procedure for carious

exposures on primary teeth.

A. The first statement is true, the second

false.

B. The first statement is false, the second

true.

C. Both statements are true.

D. Both statements are false.

Ans:A

Dental plaque is composed of

A. desquamated epithelial cells.

B. components from oral secretions.

C. bacteria and their products.

D. cuticle or pellicle.

E. All of the above.

Ans:E

The yield strength of an orthodontic wire is

A. the same as the proportional limit.

B. decreased by work hardening.

C. the same as the stress at fracture.

D. higher than the proportional limit.