Re: Seeking 2nd opinion in the US.
If you have your x-rays you could e-mail them to Dr Pashman in LA and he would do a 2nd opinion for a fee......If you donít, next time you shoot, try to get copies burned to disc. This goes for all diagnostics....MRI and CT scans....If you have a choice, do the MRI 1st and avoid the CT if at all possible due to radiation. CT scans emit a lot of radiation.
Leaving your home state can present problems with your insurance company. This you want to check into as some used to only cover 50% and believe me, its going to be pricey. Deductibles and co-pays these days can give one a heart attack.... I had to foot $1800 for a cervical MRI last year....(You can do a reduced cash offer "up front"....since many diagnostic centers love cash and hate paperwork) Just a few tricks of the trade Iíve learned the hard way.....
You know this doc in Kansas gave you good advice....if your lowest levels are roasted, throwing a fusion mass on top will more than likely require a revision surgery down the road. This is well known. Having herniated lumbar discs under makes it tricky. Can we assume this is at L4-L5, L5-S1 ???
At age 28, fusing to the pelvis will take some thought......and most surgeons out there with some integrity will not do this easily....There are not that many people fused all the way down to the pelvis like me....
I donít think that ďinfluencingĒ a decision is wise.....like insisting on minimally invasive, or reducing levels, or hardware selection. Its best to go in blind and see what a surgeon thinks....ask, but donít insist.
In looking at the map, you also have St Louis (Dr Lenke group) and TCSC Twin Cities Scoliosis center around the same distance.....Both are extremely credible scoliosis centers. My surgeon was trained at TCSC.
Once again, a good surgeon will exhaust all non-invasive measures first....and insurance companies also require this since they donít like paying for expensive surgeries if they donít have to....
55 yr old male
T70 L70 double trouble
A/P T2-Pelvis BMP Jan 2008