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jrnyc
01-27-2010, 07:38 PM
greetings from sunny & beautiful CA
saw dr anand this afternoon...

he says that he can do minimal invasive on all patients, including my low lumbar problem...stated that he would "go in on the side of my belly", make "about 3 small incisions", "use tubes to go thru & clean out my destroyed discs" (my bottom discs are destroyed & rotated, per dr anand)...& rebuild the discs with spacers...a few days later, he would go in the back & make one incision "near the butt crack, for want of a better description"...& put in that BMP stuff to fuse the spine...

i was able to obtain the phone numbers of 2 patients who agreed to speak to a possible future patient...i will probably call them when i get back to the east coast...right now i just feel drained & need to sit on the roof top in the restaurant they have up there (in my hotel) and drink a diet coke or something stronger & relax...i was so nervous that i messed up the little tape recorder my husband gave me to use...but i remember everything the doctor said! he also said to look at his web site..which i have but never understood...& the nurse gave me some literature to read before i left...which i will probably look at also when i get back east...

take care all...wishes & prayers for you guys in & coming out of surgery today...
jess

Tall Paul
01-27-2010, 09:05 PM
how many levels will he fuse?

Radiogirl
01-27-2010, 09:07 PM
Wow Jess!...that sounds pretty promising for you. I know you waited a long time to see this doctor, so I am glad you got some positive feedback. Knowledge is power, so now you've gained a bit more to help you with your decision. Best of luck! And enjoy the sunshine there....temps in the 20s here! (Cleveland)
Laura

joyfull
01-27-2010, 10:58 PM
Jess, I was waiting on pins and needles to hear about your experience with Dr. Anand. Did you ask him about long term prognosis for this procedure? Why do so many doctors think that it is too good to be true? Did you have a sense that you might use him? I've pretty much given up on the idea of minimally invasive for my 90 degree thoracic curve. How does he compare to Dr. Lonner? Enjoy the California weather. All the best, Joy

JenniferG
01-27-2010, 11:41 PM
I hope you are relaxing on the rooftop now Jess. It's been a long haul getting to your appt with Dr. Anand. Did you remember all your questions? What did he say about length of recovery compared with regular anterior/posterior fusion? What did you think of him?

It will be interesting to speak to some of his former patients. I wonder if this will be the regular scoli surgery of the future. Thanks for making the trek across country to report on this alternative method of surgery.

Safe travel home, Jess.

loves to skate
01-28-2010, 03:23 PM
greetings from sunny & beautiful CA
saw dr anand this afternoon...

he says that he can do minimal invasive on all patients, including my low lumbar problem...stated that he would "go in on the side of my belly", make "about 3 small incisions", "use tubes to go thru & clean out my destroyed discs" (my bottom discs are destroyed & rotated, per dr anand)...& rebuild the discs with spacers...a few days later, he would go in the back & make one incision "near the butt crack, for want of a better description"...& put in that BMP stuff to fuse the spine...


jess

Hi Jess,

So what will you do now? Isn't this going to complicate your decision since you said that Dr. Anand did not take your insurance? Will you just wait until his method is standard medical practice?

Does he not use any pedicle screws and rods? You didn't mention them, so I was just wondering what will stabilize your spine until the fusion is complete.

Good luck in whatever you decide. I really wish you well.

Sally

ADMoul
01-28-2010, 04:42 PM
Sounds really encouraging for you. 2 separate surgeries are not fun but if it's going to be less invasive and give you the pain relief and correction that you need, that's fantastic. Hope you can get more specific info. from some of the former patients. Good luck with your decision and enjoy that "rooftop" drink!

jrnyc
01-29-2010, 12:57 AM
Hey guys
i just got in from L.A....didnt even look on the forum today...too busy traveling!

he would do the same area...he agreed with the nyc surgeons as to what levels i need...L4-sacrum...difference is, he wouldnt go down to the pelvis...he would stop at the sacrum...also said if i had the traditional fusion, i will have problems with the bottom screw that will go in the pelvis, cause of how thin i am, etc.....

he said he has done 92 patients, no major problems...he seemed to look down on the "old surgery"...feels even 2 years ago is old news! he has no respect for the cages that are used, as he feels that he does a much better job with the discs by cleaning them out & putting in "spacers,"....he said he "rebuilds the back like a ladder, going up".....dr anand said he had a seminar to teach doctors his method a couple of weeks ago (in nyc)...dr boachie was there & so was dr lonner...dr neuwirth was not...so i want to see who jumps on the minimal invasive bandwagon...hope they all do! CAUSE...it saves the muscles, & minimal blood loss! much less cutting...dr anand also says he can put things thru tubes...drops them in..."like dropping in ice cubes"...i guess you have to read his web site...he gave me some literature to read...

i am just in favor of less cutting...the less the better! it is not that i am a complete convert...but i have been waiting for methods to improve! & i will probably wait a little longer, sally...see if nyc goes that direction!

i intend to call the 2 patients whose names i was given (pardon my grammar)....but i am sure they are happy...i wouldnt expect them to give me names of patients who were not happy!

2 surgeries would not bother me, as dr neuwirth was going to do my surgery in 2 stages, 2 different days....i dont think that is any issue....

here is the thing...i think it is a good surgery...i want to know who else is going to start using it... ...

jess

JenniferG
01-29-2010, 02:35 AM
Very interesting Jess. I'd love to ask my surgeon on March 3 at my one year checkup, about it. Not sure that he would want to waste his time telling me what he knows/thinks about it though, when I've already had surgery. He's very "efficient" with his time, if you know what I mean.

I will be following the path this takes in the future. Remember when key-hole surgery came in, and how much faster recovery was after? It was amazing. We may be on the verge of a whole new method of treating scoliosis.

jrnyc
01-29-2010, 04:27 PM
Hey guys
Sally...he would use spacers instead of cages...and then use rods & screws...i am not concerned about my decision..i can wait to see if nyc doctors will catch up to this..if they agree with it...expect to call for an appt in nyc soon...

Jen...i guess each new invention for methods in the future will probably get better &better...i suppose that is just the progress that all areas of medicine hope for & expect...it is amazing what gets invented, though!

the weather in LA was perfect!

jess

naptown78
01-29-2010, 07:05 PM
Jess,
How does Dr Anand get the proper bend to the rods and get them inserted in a minimally invasive way? How long is the posterior incision?

jrnyc
01-29-2010, 07:34 PM
Hey Kristy
dont know...he inserts things thru the incisions...also thru "tubes"...i think there is some scope thing involved....it is explained on his website...he said the back incision is longer...he could do punctures instead of cuts, depends on the individual patient...but i didnt get into it deeper cause i knew i wouldnt be making another appt...since he doesnt take my insurance...

i expect to call nyc for an appt soon.....& see what that surgeon thinks...i dont know how the "spacers" compare to the cages...he seems to think everything before now is very old style...even what was done 2 years ago...

i expect all of medicine to improve & change...i am not having surgery right now, so i can wait, for now, & see what develops in this field...

jess

loves to skate
01-29-2010, 07:38 PM
Hi Jes,

I'm glad that the visit with Dr. Anand was so positive for you. I hope you won't have to wait too long before the Doctors in NYC catch up with his procedures. I don't know how you deal with the pain for so long, even with going to a pain clinic. The lack of physical activity for me along with the pain was the clincher for me, plus advancing age.

Take care, Sally

jrnyc
01-30-2010, 12:59 AM
Hi Sally
thanks for the goood wishes...i developed a fairly high tolerance for pain with lyme disease & all those treatments...& very very slow lyme recovery...years! sometimes it gets to me...but being retired makes it easier! i couldnt still be working two tough jobs in manhattan, that's for sure!

i am just more hopeful that methods with less cutting will become more popular & do-able...even with a wait...we all know that decades bring big changes...i can see it from the cancer treatments...cause of relatives i have who died from that horrible disease years ago...where there are new & better treatments...though no cure... yet...

it could come that i might opt for surgery sooner rather than later, but right now i doubt it...the latest sacroiliac shots helped, i go for botox in thoracic feb 10th, & i am hanging in....some days better than others! the trip to CA was a little rough, but worth it! i needed to hear it for myself

hope you are well, free of that pain that was bothering you earlier...& staying warm in this weather!

jess

Pooka1
01-30-2010, 08:58 AM
Jess,

All that sounds very productive. Glad you got some answers. You are in a better position to watch the technology now.

sharon

titaniumed
01-31-2010, 10:06 PM
Jess

I was re-reading my hospital reports the other day, and noticed that they used "peek"interbody ALIFcages on me that were documented as the "large size".

They have the sizes listed as
Biomechanical large 13mm L5-S1, L4-L5,L3-L4,L2-L3
and 11mm for my L1-L2

Added up thatís a total of 63mm or 2.480 or just a tad under2-1/2 inches thick. I guess that contributed to my 4 inches in growth after my surgeries.

Since there are rapid advancements in spacer and cage design its hard to know what advantages there are,if little time has passed. I do not know what the advantages are on this subject matter.

In going through his site 6 months ago, it sure looked like he was bending or at least executing his final bending through the "portals"
They do have the tooling for this.
Ed

52skeedoo
02-02-2010, 12:29 PM
There are so many innovations. It's wonderful how many advances there have been in recent years.


Do you have any idea how long Dr. Arnand had been using these new techniques? Knowing how long it takes for fusion to be completed (especially in 50+ year olds) I'm interested in knowing what the results of his patients are 2-years post op and how that compares to the more "traditional" approach being used by the other docs.

Sheri

jrnyc
02-02-2010, 12:48 PM
Hi Sheri
4 years...92 patients ...says no problems but one revision...& 2 other people had thigh pain or numbness that went away within months after surgery...those are all of the problems he states there were...

jess

LynetteG
02-04-2010, 10:57 PM
Hi Jess,

I got your personal message and tried to reply to it, but I'm not sure if it got through to you?

Thank you for writing, boy that was an expensive trip to L.A., but very informative for you. That sounds like a fantastic way to have our surgeries, I would love to hear more about it - certainly sounds so much less invasive which has ultimately got to be better for us. I wonder what recovery time is like etc. When you have spoken to the two patients who've had those procedures please let us all know what their experiences were.

You asked where I'm from? Well I live near Clearwater in Florida, and originally I was born and raised in Ireland, then I lived for quite a few years in the UK, and have now been in the U.S. for 13 years.

Take care Jess, and hope your pain goes away.

Lynette.

CHRIS WBS
02-25-2010, 11:43 AM
It appears that minimally invasive surgery did not work too well for this woman.
http://drlloydhey.blogspot.com/2010/02/woman-from-wyoming-fixed-today-who-had.html

jrnyc
02-25-2010, 11:57 AM
hi Chris
i am sorry, but i trust absolutely nothing that dr hey has to say, for many many reasons, some not nice enuf to state on this forum!
i am going to see my nyc surgeon (who has followed my curves for over 5 years) on april 12th (had to change from march 15 appt) to discuss what he thinks about dr anand's method...my doctor attended a training session in nyc that dr anand gave...at least 2 manhattan surgeons were there...

best regards
jess

hdugger
02-25-2010, 12:25 PM
I'd be interested in hearing your take on Dr. Hey (at least, the parts that can be mentioned here :))

Tall Paul
02-25-2010, 05:45 PM
It appears that minimally invasive surgery did not work too well for this woman.
http://drlloydhey.blogspot.com/2010/02/woman-from-wyoming-fixed-today-who-had.html

Hi Chris,

Hope you are doing well...

I'm considering minimally invasive surgery and for this reason I'm always looking for articles on the subject, but I'm not sure this one applies to the minimally invasive surgery the original poster is talking about. First, its not stated in the article whether the person operated on my Dr Hey had scoliosis and secondly, Dr. Hey removed X-stops which are not used in minimally invasive scoliosis surgery (MISS). They are used for spinal stenosis.

I do believe minimally invasive surgery is the future of back surgeries, but you need to be sure you have the correct surgeon. Dr Anand from what I've read is one of the pioneers of this scoliosis surgery and has attended a scoliosis fellowship at the Hospital for Special Surgery in New York. I am talking to Dr Fessler in Chicago about this surgery.

Please keep the articles coming as I want to learn as much as possible about this new approach to scoliosis surgery.

LeansLeft
02-25-2010, 07:03 PM
Not sure that Dr. Hey's referenced surgery is relevant here. But I have seen both Dr. Pashman and Dr. Anand -- they work out of the same office -- and I scheduled my surgery with Dr. Pashman anyway, although Dr. Anand said I was a candidate for his method. Despite, or because of, his self-promotion, Anand was unconvincing. Pashman's arguments were strong that for a person like me who would need correction from T-4 to Sacrum, balance was crucial, and he didn't feel that MISS could reposition the spine sufficiently to achieve thhe desired result. In addition, the number of incisions and punctures I would require to insert screws and rods for so many levels with MISS would not be much less invasive. Anand's method may be more successful for those who do not require significant correction, or where fusion alone is enough.

Andrew

pilar
02-25-2010, 09:05 PM
Hi Andrew,
are you going to have your surgery with dr. Pashman? what degree are your curves?
I was going to have my surgery done last year with him, but unfortunately I can't get health insurance because of my scoliosis pre existing condition, and my insurance from school only covers me 50,000 dollars per year and Dr. pashman didn't agree to do it because he thought that he would not get paid.
He said he would If I paid out of pocket 18,000 dollars to him. Since I am a full-time student and unemployed, obviously I don't have that kind of money. Anyways, as soon as I have a change (maybe if the health care reform passes), I will go and get my surgery with Dr. Pashman. He is great, isn't he?

jrnyc
02-26-2010, 12:53 AM
Hi Andrew
i saw dr anand jan 27 for consult....i had many opinions i could relate to you privately in a P.M.
i am going to see dr lonner in nyc april 12 to see what he thinks of the method...dr lonner has followed my curves for over 5 years, i respect him, & he attended the seminar that dr anand gave in nyc a month or 2 ago. (so did dr boachie)

i think minimally invasive is part of improvements, many of which we will see in the next decade or two, for fusion surgery....i myself am getting kinda' old to wait too much longer for the next miracle treatment! :rolleyes:


best of luck
jess

Tall Paul
02-26-2010, 04:36 PM
i was able to obtain the phone numbers of 2 patients who agreed to speak to a possible future patient...i will probably call them when i get back to the east coast...

Hi Jess,

Just wondering what sort of feedback you received from his patients. Did they have curves similar to yours? How are they doing?

Paul

jrnyc
02-27-2010, 01:51 AM
hi tall paul
i am calling them this wkend..was in no hurry, as i am sure i was given phone numbers of happy patients...with no complaints!

i believe that it was dr anand who taught the seminar in nyc...as least that is what he told me...he mentioned that dr lonner & dr boachie were there, but didnt say who else...dr neuwirth wasnt there...

will write after i talk to dr anand's patients soon

best to you
jess

LeansLeft
03-01-2010, 12:22 PM
Pilar,
I am having surgery with Dr. Pashman on March 29 at Cedars. I think my curves are about 55 lumbar and 50 thoracic. I have a pretty good health insurance plan, and even though Pashman is out of network, I won't have any out-of-pocket expenses. And Cedars is in network for me. It would be nice if you could wait for better health insurance.
Andrew