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DivingForGoldlast Saturday at 5:55 PM5 repliesview on HN

Male scheduled for my 3rd epidural with steroids next week for on-going spinal stenosis, relieves pain for a few days, then back to pain.

Will go for minimally invasive micro laminectomy next, tired of treating symptoms and not the root cause.

In that procedure surgeon will remove parts of lower vertebrae that is pinching the nerve bundle, nerves that progress down each leg.

Success rates of better than 70%, it's a gamble. But willing to accept that rather than end up on addictive pain pills for life.

3 to 6 months recovery period before active lifestyle again, cannot risk disturbing the "fix". Giving up flip turns in lap swimming for quite a while. Supplemental covers the other 20% that medicare won't pay.

Cash paying patients suffer $35k to $45 K for the procedure.

Medicare pony's up only about $6,500, which the surgeon must accept, no extra cash changes hands.

Supplemental covers the 20% that medicare will not pay.


Replies

complianceowlltoday at 2:08 PM

I understand everyone has different beliefs, and personally, I fall extremely short of what I should be, but I just took some time to pray for you and your procedure. I really hope the root cause is fully resolved.

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brooksidetoday at 12:59 PM

(While it's clear you've done a ton of your own research for your own case.)

Steve Kerr's advice after his own back surgery complications (albeit microdiscectomy, not a laminectomy) make me hesitant:

"If you're listening out there, if you have a back problem, stay away from surgery... Rehab, rehab, rehab. Don't let anybody get in there."

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rythmshiftertoday at 2:13 PM

My mother had this surgery and advised me to never have it done due to complications

thelastgallontoday at 2:16 PM

Go for surgery if you have neurological symptoms (loss of sensation, motor function, etc). If its pain, try your best to avoid surgery and find the right physiotherapist to help you be pain free. Spine surgery is risky and there is a risk of cascading failures.

Don't completely trust any anesthesiologist (pain management) or neurosurgeon (for surgery) or chiropractor or random folks advice to do yoga/stretch. Spend quite a bit of time understanding the anatomy, read up on everything and maybe you will find the right set of exercises to help relieve pain. Troubleshooting disk/spine/nerve issues is very hard and most doctors don't have any time to investigate it deeply. They just look at MRI. There are lots of people with the same problems showing up on MRI, but they are pain free.

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WarmWashtoday at 1:45 PM

Honestly surgeons should be paid hourly like technicians. $800/hr or something like that. For a 2 hour procedure, $1600. Another $5k for facility and support staff. Looks like medicare is on point...

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