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Irina
06-19-2012, 02:13 PM
I am curious how many post-op appointments do people usually have? Is it at 1 month, 3 months, 6 months and a year?

I am trying to figure out if I should even think about getting an opinion from the out of state surgeon (e.g. not within drivable distance). I want the best of the best opinion before I make a decision, but trying to think everything trough before spending money on travel.

JenniferG
06-19-2012, 04:26 PM
Mine were at 6 weeks, 3 months, 6 months and 12 months.

LindaRacine
06-19-2012, 05:03 PM
The standard of care at most institutions is 6 weeks, 3 months, 6 months, and 12 months. It's possible that, after your 6 week follow-up, that you could have your follow-up done close to home.

jrnyc
06-19-2012, 05:38 PM
Lind.... how willing are surgeons to cooperate with the work other surgeons have done...?
are they not reluctant to help out, fearing blame may come their way....?
i've heard doctors say so often..."well, you should see your original doctor for that..."
and versions of that response....

only thing i'd be concerned about would be in case, heaven forbid, of complications...
then, the closer the better, i'd think....
that said, i am waiting to get my cortisol blood results before i call Dr Lonner...
and he is 3 hours away from me by train....
but well worth it, i think....
if i could, i'd probably try to get into Lenke, just to see what he had to say, and he
is waaaay further away for me...i doubt it would be different though....i've had 6 surgeones
all agree on what i need....

where do you live, Irina....?
why need out of state....?

jess...& Sparky

LindaRacine
06-19-2012, 05:51 PM
Lind.... how willing are surgeons to cooperate with the work other surgeons have done...?
are they not reluctant to help out, fearing blame may come their way....?
i've heard doctors say so often..."well, you should see your original doctor for that..."
and versions of that response....

only thing i'd be concerned about would be in case, heaven forbid, of complications...
then, the closer the better, i'd think....
that said, i am waiting to get my cortisol blood results before i call Dr Lonner...
and he is 3 hours away from me by train....
but well worth it, i think....
if i could, i'd probably try to get into Lenke, just to see what he had to say, and he
is waaaay further away for me...i doubt it would be different though....i've had 6 surgeones
all agree on what i need....

where do you live, Irina....?
why need out of state....?

jess...& Sparky

Hi Jess...

I doubt any surgeon would be reluctant to see other surgeon's patients for the reason you mention. However, I don't think you'd get one of the big name surgeons to do standard follow-up care, as they don't have time for that sort of thing. We routinely have patients who stay near home for their follow-up.

--Linda

Irina
06-19-2012, 05:54 PM
I live in northern California, close to San Francisco. Had Lenke in mind for out-of-state consult because everybody talks so highly of him. But if it really comes down to surgery, I don't know if it's doable to have it done in Saint Lous (4 hour flight).

mabeckoff
06-19-2012, 06:04 PM
I live in northern California, close to San Francisco. Had Lenke in mind for out-of-state consult because everybody talks so highly of him. But if it really comes down to surgery, I don't know if it's doable to have it done in Saint Lous (4 hour flight).

There are many excellent doctors near you in SF as well as the rest of CA. I don't think you really have to travel far to get top of the line care

Confusedmom
06-19-2012, 09:45 PM
Linda's right. But if you do go to Lenke, know that I only had to do a 5-week and then straight to 6 months. No 3-month follow up.

mdtaffet
06-19-2012, 10:32 PM
I am curious how many post-op appointments do people usually have? Is it at 1 month, 3 months, 6 months and a year?



My surgery was on January 23rd. My first follow-up was on February 9th (about 2 1/2 weeks later), at which time the dressing was removed and I was given clearance to get my incision wet when bathing. My second follow-up was on April 5th (about 10 1/2 weeks later -- a bit more than 2 months). My third follow-up is scheduled for July 5th (about 23 1/2 weeks later -- a bit more than 5 months). I don't yet know when the next one after that will be, but I'm guessing based on some things I've seen that it will likely be in October sometime.

One thing that I should perhaps mention is that none of the follow-up appointments I've had so far have been with the actual surgeon. All of them so far have been with the "Orthopedic Spine Fellow". So far, it's been a person who was present during my surgery and assisted with the surgery. But I don't know if it will be the same person in July (med school-related fellowships tend to change on July 1st every year). I'll have to admit that I was quite surprised at the first follow-up to not be seeing the surgeon himself. The surgeon spoke to me as if he would be seeing me after the surgery -- so maybe a future follow-up will be with him, but I don't know at what point that might be.

susancook
06-20-2012, 03:16 AM
I am curious how many post-op appointments do people usually have? Is it at 1 month, 3 months, 6 months and a year?

I am trying to figure out if I should even think about getting an opinion from the out of state surgeon (e.g. not within drivable distance). I want the best of the best opinion before I make a decision, but trying to think everything trough before spending money on travel.

I would suggest having surgery close to where you live. UCSF has a great reputation. If you have a problem postop and your surgeon is 4 hours away by plane, what would you do? And what do you do after surgery? I imagine having a 4 hour plane ride might be difficult. How many spine surgeons are at UCSF? I haven't looked into their surgeons other than Dr. Hu, but Linda could tell you. And I am sure that there are other spine centers in California. I suggest that you stay in California if possible. Susan

Doodles
06-20-2012, 10:28 AM
I was 7 hours away driving time from Dr. Lenke. I was in Saint Louis for hospital/rehab for 2 weeks and then went back at 3 months. He had a local doctor who does back surgeries see me for the follow up at 6 months so I didn't have to make another trip. I didn't know it but he had trained with Lenke. The local dr. said if I had seen you first I would have sent you straight to Dr. Lenke. The number of adult scoliosis surgeries they do is so so important. Adolescent surgeries is a whole other thing or I could have gone to Iowa City. I went at 1 yr. and 2 yrs. and not again until 5, I think. Janet

Irina
06-20-2012, 11:19 AM
Linda's right. But if you do go to Lenke, know that I only had to do a 5-week and then straight to 6 months. No 3-month follow up.

This is very helpful, Evelyn. Of course, it is easier and more logical to stay in CA, but I just don't hear much from Californians here. Are they all shy readers? Seems to me to that the majority of happy patients are mostly Lenke's, but may be I'm wrong. May be it's just some strange demographic and I am analyzing too much...

Irina
06-20-2012, 11:47 AM
If you have a problem postop and your surgeon is 4 hours away by plane, what would you do? And what do you do after surgery? I imagine having a 4 hour plane ride might be difficult.

Susan, this is what worries me and that's why I am thinking it all thru now - how to get home, number of follow-ups, what if something goes wrong. I don't want to spend money on travel if I know ahead of time that Lenke is not an option.

mabeckoff
06-20-2012, 03:22 PM
Well, I am a Californian and would recommend my surgeon to you in a minute. But he is in south CA . I know that there is a Dr Hu in SF that is known to be a good surgeon

Irina
06-20-2012, 03:33 PM
Well, I am a Californian and would recommend my surgeon to you in a minute. But he is in south CA . I know that there is a Dr Hu in SF that is known to be a good surgeon

Hi Melissa,

I am trying to get an appt with Dr. Hu - waiting for a call back... Thank you for recommending your doctor. You seem to be very happy with him, right? Do you know anything about Dr. Pashman in LA? I read a few good reviews here about him, as well as a book written by one of his patients.

mabeckoff
06-20-2012, 04:11 PM
Hi Melissa,

I am trying to get an appt with Dr. Hu - waiting for a call back... Thank you for recommending your doctor. You seem to be very happy with him, right? Do you know anything about Dr. Pashman in LA? I read a few good reviews here about him, as well as a book written by one of his patients.

I love my surgeon. He is an excellent surgeon plus he has not given up on me. If you are willing to go that far south to LA, then I think you should have an appt with Dr Bederman

debbei
06-20-2012, 05:39 PM
Mine were at 6 weeks, 3 months, 6 months and 12 months.

The same with me.