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Medicate vs Operate

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Is there a consensus out there on medicate vs operate? I need to make up my mind

on whether or not to have decompression surgery in the next month. I have 6-8mm

herniation with no Syrinx. There seem to be two camps out there. One is

conservative and says medicate, don't operate. The other camp is a little more

aggressive and recommends surgery to alleviate and hopefully stop the

progression. Do some people believe the sooner you operate the better off you

are?

The NSGs that I have seen in San Francisco have been on the conservative

medicating side. In my gut I didn't feel completely comfortable with this

approach. I feel that I am slowly getting worse and that it might make more

sense to alleviate the pressure to get some relief from all these symptoms.

Right now I can't work and I take a lot of medications and my understanding is

that I will just continue to get worse. In this case when to you get to the

point when it is time to have surgery?

I flew to LA to see Dr. Batzdorf and he feels that I would benefit from surgery

and recommended it, but he didn't day " you have to have it. " He understandably

is very conservative on saying what surgery would fix or improve. He gave me a

better then 50% chance for getting my headaches to improve. No guarantees on the

neuropathy, choking, voice hoarseness, etc. What symptoms have improved or gone

away with people that have had the decompression surgery ?

I will see Dr. Peacock at UCSF, a former colleague of Dr. Batzdorf, for a final

opinion on June 14th. If Dr. Peacock agrees with Dr. Batzdorf I will probably

have the surgery with Dr. Peacock. I usually trust my gut feeling and my gut

feeling is that I need the surgery. But saying yes is going to be a hard thing

to do.

Sorry for the long rambling letter, but I think I need to hear that I am on the

right track.

Thanks!

Crow

crow99@...

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