Here is a copy (with some edits) of my post to "Prayers for Spineys Forum.
I thought some of you might be interested in what I have learned the last few days about my planned surgery:
MicroSpine - From phone conversation: They have a 4 day program. Day 1 is evaluation. Day 2 is diagnostic testing, ie., injections and tests to make sure that the area they operate on is the area causing pain. Day 3 is surgery. Day 4 is post-op and possibly an epidural if needed. Dr. Mork was one of the Bonati doctors and claims to have patents on some of his instruments. MicroSpine seems to be more thorough on diagnosing your problem (day 2 diagnostics) than LSI or Bonati. I think they do the same thing as LSI/Bonati, but from their web site, I surmised that may have a different/better procedure for dealing with bone removal. They also honor BC/BS insurance allowances.
Tampa Laser Spine Institute. I had my first meeting yesterday. My appointment was for 11:00 and I waited for 2 hours and 15 minutes before being called in. The were ready to start my "med clearance", including MRI, EKG, bloodwork (all this is billable). I said "Wait a minute, you are putting the cart before the horse. The Dr. has not even seen my MRI and I don't even know what he plans to do." Carrie then left the room and when she came back, she said they would just do the medical evaluation that day and when I come back on Friday I would see the Dr. - afterwhich, if I decide to go ahead, they would do the "medical clearance." So far, I was not impressed by the wait time, and I was not impressed with them pushing me right through to surgery before the DR. had seen my MRI or talked to me. (For the record, I had sent them the MRI "report" in advance, but that's all.) We shall see what happens on Friday.
Today, I saw Dr. Tolli (Orthopedic) in St. Petersburg. Apparently, he operates on a lot of professional athletes and has their pictures all over the office. He does 3-5 back surgeries per week for 11 years and you don't feel like you are in the production line of a factory, like I felt at LSI. He does about a 1" -1.25" incision, uses a laser for soft tissue and a grinder for bone, working with a microscope. No muscles or ligaments are cut. Two days in hospital, followed by 3 weeks of taking it easy, then physical therapy. Before doing surgery, he will order a myelogram followed by CTscan because it shows more than an MRI and he wants to make sure he gets all the areas that are problematic. He will operate on more than one level at a time if indicated. He is in the BC/BS network, which is a big plus expensewise. He also seems to be more thorough than LSI in making sure he is operating on the correct problems. Sounds slightly more invasive than LSI, but certainly not "open back."
Well, back to LSI on Friday to see what they say.
Has anyone had the type of surgery performed by Dr. Tolli and if so, how would you say it compares with what LSI claims?
Guy