---

need advice on back injury.


need advice on back injury. -- Posted by Flashfyre on 09-20-03 11:40


I'm going to post my whole story and see what people think I should
do.
(dates approx).

April 2002 : Injury. trying to pick up my dirt bike after laying it
down. Not a big deal normally, but there was a lot of sand there and
my feet slipped out from under me and I fell funny with the bike. My
lower back had some shooting pains and I thought "uh-oh". Really sore
for a couple of days, then got a little better.

May 2002 : Aetna HMO Doctor. first visit to dr. regarding back injury
(Aetna HMO provider) as the pain is not improving. He tells me to take
ibuprofen for a few weeks and do some stretches. Ignores comments that
my lower back seems "noisy" now (cartilage type sounds).

July 2002 : Aetna HMO Doctor. verbal altercation with HMO dr. at next
visit. I insist the pains are not improving, and I am uncomfortable
with the noises, and that I want so see a specialist. He says "what do
you expect me to do, operate on you? You sprained your back--you could
have this for the rest of your life". He forwards my request for a
specialist up his management chain. He orders X-rays taken.

August 2002 : Aetna HMO Dr. X-rays are analyzed and show no
abnormality, normal spacing, etc. Management of dr's office rejects
request for specialist.

August 2002 : Family Physician/Chiropractor. I take X-rays to trusted
physician and a chiropractor. Bost see no abnormalities, but
(naturally) the chiropractor says realignments will fix everything.

September 2002 : Family Physician. Long term ibufrofen use begins. I
am pain free for most of the day taking 800 mg. ibuprofen in the
morning. I can walk for a mile or two without any pain the next day,
although I can't run. I can also practice piano again without a lot of
soreness the next day.

February 2003 : Chiropractor claims he can improve back, so I start
treatment (including hanging upside down and adjustments on a weekly
basis).

September 2003 : Family Physician. In for a physical. physician
notices long term ibuprofen use on Questionaire and becomes concerned.
Performs stool sampling and detects blood, although I have no
noticible blood in my stools, and they are of normal coloration, and
no noticable blood in urine. Instructs me to immediately halt
ibuprofen and prescribes acifex for 30 days. Instructs me to
immediately go to HMO for further testing and possible GI specialist
referral.

September 2003 : Aetna HMO Physician. Clearly angry that I am paying a
doctor out-of-pocket to review his decisions. I fire back that his
office is useless for anything but stitches and broken bones. Orders
various blood and stool tests (am working through that now). Instructs
me to call office a few days after stool tests are returned to see if
they come up positive. Concurs with acifex use.

Today: Without ibuprofen the pain has returned in full force. Both
Drs. says I can take Acetiminophen but a web search shows that can
have a lot of nasty side effects in long term use, so I am not doing
that. Clearly the chiropractic has been a waste, so I am terminating
that treatment.

Plans going forward:
--------------------

No one will refer me to a specialist. They all say (paraphrasing)
"That's the cost of making a mistake while lifting something".

My company has open enrollment coming up. My choices are Aetna HMO,
Aetna PPO, Blue Cross or Kaiser Permanente. I'm in California.

Kaiser and Aetna HMO are the same price, but I am having trouble
getting into Kaiser because my community's zip code is not on their
list of serviced communities. Strangely enough, I once had Kaiser
where I live, but it was grandfathered from a previous address ( I
joined Kaiser while at a previous residence, then moved). My company
dropped Kaiser for a short period which is how I ended up with Aetna
HMO. Now we have Kaiser again but they won't let me in due to this zip
code stuff.

The Aetna PPO and Blue Cross are much, much, more expensive than
either Kaiser or the Aetna HMO. Actually I had pretty good luck with
Kaiser...my trick was to just keep going back to Kaiser's urgent care
for whatever my complaint was, and since they rotate their Drs. around
a lot, sooner or later I'd get someone who knew how to deal with the
ailment I described. I'd say my success rate in doing this was about
1/3, three visits to get an odd problem solved. Beats the hell out of
Aetna HMO, where I get the same dolt on every visit, and all their
drs. seem to be from the doltish clan.

So I guess my questions to you are:

1) Would you do anything differently? If so, what? (pls. no jokes
about leaving the bike in the desert!)

2) Is there any sensible path to overriding the Aetna HMO decisions
and forcing them to allow a visit to a specialist? Perhaps some type
of external review process?

3) If I could get to a specialist, what kind of specialist should I
seek?

4) Does the injury I described sound familiar? Cartilage sounds or
"knocks" when I rotate my back in varying directions, painful
sensations that radiate out from the lower rear of my back, sometimes
down through my testicles and upper legs? (most of the time it is just
a dull, centralized pain though). The xrays show acceptable spacing
along the spine, etc, according to all three reviewers.

This incident, 18 months ago, has somewhat soured my quality of life.
No more running or exercise that "shocks" my back (I get terrible
shooting pains if I do that). I have trouble sleeping, since when I am
laying down the pains really radiate out unless I twist into odd
positions. Sitting on the piano bench for extended practice leads to a
lot of soreness.

Thanks for any and all comments,
FF
(Aged 41 male).


Re: need advice on back injury. -- Posted by stldad on 09-23-03 16:36


I am writing you this for your own information. My wife has suffered
from chronic back pain for over 12 years. We have seen MDs, and
Chiroprators. She was depended on pain killers and Advil and muscle
relaxers. She and I were concerned because she was becoming dependent
on the meds. She would be so medicated that she could not do much. I
were opting for surgery when my friend educated us on a natural pain
reliever and therapy. He to had chronic pain and it seemed to help
him. So we investigated and tried it out. We had nothing to lose! The
first order is money back guaranted, so we decided to order it. She
began taking it and within three months the pain became less. And
within 6 months she is 90% better and she is off all meds! The pain
flairs up evry couple of weeks but it is bareable. It is only an ache
and not a crippling pain. The product is a natural fruit juice from
Tahiti called Tahitian Noni. Have you heard about it? I want to be
upfront and tell you that it has helped her so much that we buy the
product every month a pay wholesale. I feel for you and undrstand what
you are going through. I will provide a website below for you to
educate yourself about it. It is the best thing I have seen for pain!
Go to: www.noni.com/markp or www.tni.com/markp for testimonials
from others with back pain and chronic pain go to: www.incc.org
Hope this can help


Flashfyre_2000@yahoo.com (Flashfyre) wrote in message news:<42def1a.0309201040.249234b@posting.google.com>...
> I'm going to post my whole story and see what people think I should
> do.
> (dates approx).
>
> April 2002 : Injury. trying to pick up my dirt bike after laying it
> down. Not a big deal normally, but there was a lot of sand there and
> my feet slipped out from under me and I fell funny with the bike. My
> lower back had some shooting pains and I thought "uh-oh". Really sore
> for a couple of days, then got a little better.
>
> May 2002 : Aetna HMO Doctor. first visit to dr. regarding back injury
> (Aetna HMO provider) as the pain is not improving. He tells me to take
> ibuprofen for a few weeks and do some stretches. Ignores comments that
> my lower back seems "noisy" now (cartilage type sounds).
>
> July 2002 : Aetna HMO Doctor. verbal altercation with HMO dr. at next
> visit. I insist the pains are not improving, and I am uncomfortable
> with the noises, and that I want so see a specialist. He says "what do
> you expect me to do, operate on you? You sprained your back--you could
> have this for the rest of your life". He forwards my request for a
> specialist up his management chain. He orders X-rays taken.
>
> August 2002 : Aetna HMO Dr. X-rays are analyzed and show no
> abnormality, normal spacing, etc. Management of dr's office rejects
> request for specialist.
>
> August 2002 : Family Physician/Chiropractor. I take X-rays to trusted
> physician and a chiropractor. Bost see no abnormalities, but
> (naturally) the chiropractor says realignments will fix everything.
>
> September 2002 : Family Physician. Long term ibufrofen use begins. I
> am pain free for most of the day taking 800 mg. ibuprofen in the
> morning. I can walk for a mile or two without any pain the next day,
> although I can't run. I can also practice piano again without a lot of
> soreness the next day.
>
> February 2003 : Chiropractor claims he can improve back, so I start
> treatment (including hanging upside down and adjustments on a weekly
> basis).
>
> September 2003 : Family Physician. In for a physical. physician
> notices long term ibuprofen use on Questionaire and becomes concerned.
> Performs stool sampling and detects blood, although I have no
> noticible blood in my stools, and they are of normal coloration, and
> no noticable blood in urine. Instructs me to immediately halt
> ibuprofen and prescribes acifex for 30 days. Instructs me to
> immediately go to HMO for further testing and possible GI specialist
> referral.
>
> September 2003 : Aetna HMO Physician. Clearly angry that I am paying a
> doctor out-of-pocket to review his decisions. I fire back that his
> office is useless for anything but stitches and broken bones. Orders
> various blood and stool tests (am working through that now). Instructs
> me to call office a few days after stool tests are returned to see if
> they come up positive. Concurs with acifex use.
>
> Today: Without ibuprofen the pain has returned in full force. Both
> Drs. says I can take Acetiminophen but a web search shows that can
> have a lot of nasty side effects in long term use, so I am not doing
> that. Clearly the chiropractic has been a waste, so I am terminating
> that treatment.
>
> Plans going forward:
> --------------------
>
> No one will refer me to a specialist. They all say (paraphrasing)
> "That's the cost of making a mistake while lifting something".
>
> My company has open enrollment coming up. My choices are Aetna HMO,
> Aetna PPO, Blue Cross or Kaiser Permanente. I'm in California.
>
> Kaiser and Aetna HMO are the same price, but I am having trouble
> getting into Kaiser because my community's zip code is not on their
> list of serviced communities. Strangely enough, I once had Kaiser
> where I live, but it was grandfathered from a previous address ( I
> joined Kaiser while at a previous residence, then moved). My company
> dropped Kaiser for a short period which is how I ended up with Aetna
> HMO. Now we have Kaiser again but they won't let me in due to this zip
> code stuff.
>
> The Aetna PPO and Blue Cross are much, much, more expensive than
> either Kaiser or the Aetna HMO. Actually I had pretty good luck with
> Kaiser...my trick was to just keep going back to Kaiser's urgent care
> for whatever my complaint was, and since they rotate their Drs. around
> a lot, sooner or later I'd get someone who knew how to deal with the
> ailment I described. I'd say my success rate in doing this was about
> 1/3, three visits to get an odd problem solved. Beats the hell out of
> Aetna HMO, where I get the same dolt on every visit, and all their
> drs. seem to be from the doltish clan.
>
> So I guess my questions to you are:
>
> 1) Would you do anything differently? If so, what? (pls. no jokes
> about leaving the bike in the desert!)
>
> 2) Is there any sensible path to overriding the Aetna HMO decisions
> and forcing them to allow a visit to a specialist? Perhaps some type
> of external review process?
>
> 3) If I could get to a specialist, what kind of specialist should I
> seek?
>
> 4) Does the injury I described sound familiar? Cartilage sounds or
> "knocks" when I rotate my back in varying directions, painful
> sensations that radiate out from the lower rear of my back, sometimes
> down through my testicles and upper legs? (most of the time it is just
> a dull, centralized pain though). The xrays show acceptable spacing
> along the spine, etc, according to all three reviewers.
>
> This incident, 18 months ago, has somewhat soured my quality of life.
> No more running or exercise that "shocks" my back (I get terrible
> shooting pains if I do that). I have trouble sleeping, since when I am
> laying down the pains really radiate out unless I twist into odd
> positions. Sitting on the piano bench for extended practice leads to a
> lot of soreness.
>
> Thanks for any and all comments,
> FF
> (Aged 41 male).



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