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Velo Vol 10-25-21 06:13 PM


Originally Posted by DougRNS (Post 22283423)
life's a journey, enjoy the ride.

You OK?

DougRNS 10-25-21 06:20 PM


Originally Posted by Velo Vol (Post 22283455)
You OK?

awesome as usual.

MoAlpha 10-25-21 06:21 PM


Originally Posted by DougRNS (Post 22283390)
discogram or diagnostic nerve block? That is the latest issue. Neurosurgeon suggested discogram, the guy who I went to see suggested nerve block but didn't want to step on any toes. He called the discogram old school. Thoughts?

As if my conundrum couldn't get worse, my insurance company and the hospital group that has an effective monopoly in the county are in a contract dispute. I can't see any of my doctors unless I pay out of network rates. The contract expired October 3rd and no solution. SMH

As a neurologist, a patient with serious cervical and lumbar disease, and a consumer of neurosurgery, my strong belief about interventions for lower spine pain issues is that the anatomy really has to map onto the symptoms before taking any action. In fairness to your surgeon, he has held off and is looking for proof before intervening, so that’s good.

I have no experience with discograms, but it makes theoretical sense and certainly goes right to the disc issue, the idea being to reproduce the pain, along with providing some additional imaging. The nerve block is less of a deal and also makes sense, but is somewhat less specific, since multiple things other than disc pathology will feel better after a successful block. When I had my disc blowout, there was never any question about what was causing my leg to feel like it was having a ******g baby, but the transforaminal injections I got helped immediately and specifically. Bottom line, either or both would probably be helpful and both are pretty safe.

I really hope there’s an answer soon, but a as miserable as this all is, it’s better than adding to your troubles with unnecessary surgery, which has a non-zero chance of causing new problems even in the best of hands. The neurosurgeon who did such a heroic job on my neck and saved my spinal cord talked me out of lumbar surgery, even though he had a clear target, and got me through with injections. That was in 2013 and my left quad is still visibly atrophied.

That also sucks unbelievably about the third party contract dispute.

MoAlpha 10-25-21 06:22 PM


Originally Posted by genejockey (Post 22283435)
"Stale pale ale, for the pale, stale male."

Coach Joe was a fine, manly, man.

DougRNS 10-25-21 06:27 PM


Originally Posted by MoAlpha (Post 22283471)
As a neurologist, a patient with serious cervical and lumbar disease, and a consumer of neurosurgery, my strong belief about interventions for lower spine pain issues is that the anatomy really has to map onto the symptoms before taking any action. In fairness to your surgeon, he has held off and is looking for proof before intervening, so that’s good.

I have no experience with discograms, but it makes theoretical sense and certainly goes right to the disc issue, the idea being to reproduce the pain, along with providing some additional imaging. The nerve block is less of a deal and also makes sense, but is somewhat less specific, since multiple things other than disc pathology will feel better after a successful block. When I had my disc blowout, there was never any question about what was causing my leg to feel like it was having a ******g baby, but the transforaminal injections I got helped immediately and specifically. Bottom line, either or both would probably be helpful and both are pretty safe.

I really hope there’s an answer soon, but a as miserable as this all is, it’s better than adding to your troubles with unnecessary surgery, which has a non-zero chance of causing new problems even in the best of hands. The neurosurgeon who did such a heroic job on my neck and saved my spinal cord talked me out of lumbar surgery, even though he had a clear target, and got me through with injections. That was in 2013 and my left quad is still visibly atrophied.

That also sucks unbelievably about the third party contract dispute.

Thank you.:thumb:

Velo Vol 10-25-21 06:33 PM


Originally Posted by DougRNS (Post 22283466)
awesome as usual.


Originally Posted by DougRNS (Post 22283390)
As if my conundrum couldn't get worse, my insurance company and the hospital group that has an effective monopoly in the county are in a contract dispute. I can't see any of my doctors unless I pay out of network rates. The contract expired October 3rd and no solution. SMH

It doesn't sound like Cobb County is so great after all.

DougRNS 10-25-21 06:37 PM


Originally Posted by Velo Vol (Post 22283480)
It doesn't sound like Cobb County is so great after all.

yet I can still find Joy in the Datlas painting and the song I suggested to you.

BillyD 10-25-21 06:50 PM


Originally Posted by Mojo31 (Post 22283089)
I've been told that every home must have a nude of some sort, whether that be a painting, artful photo, sculpture, etc.


Everyone except mine, that is.

Does porn count? Asking for a friend, of course.

Mojo31 10-25-21 06:52 PM


Originally Posted by BillyD (Post 22283496)
Does porn count? Asking for a friend, of course.

Art is in the eye of the beholder. Who am I to judge?

BillyD 10-25-21 06:54 PM


Originally Posted by Trsnrtr (Post 22283166)
White Rock Lake? I’ve seen that mentioned many times over the years.

I remember that lake. Damn, that's a lot of years.

LesterOfPuppets 10-25-21 07:18 PM

Map of the day. Sherman hill and environs, courtesy of trains magazine.

https://www.trains.com/wp-content/up...manhillone.png

Velo Vol 10-25-21 07:22 PM


Originally Posted by LesterOfPuppets (Post 22283522)
courtesy of trains magazine.

Are you a subscriber?

LesterOfPuppets 10-25-21 07:24 PM


Originally Posted by Velo Vol (Post 22283528)
Are you a subscriber?

Not currently.

LesterOfPuppets 10-25-21 07:27 PM

No time for magazines.

Which reminds me of a little ditty...


LesterOfPuppets 10-25-21 07:29 PM

Also this, which funnily enough the little lady currently has playing in the kitchen as she prepares my dinner.



Velo Vol 10-25-21 07:30 PM


Originally Posted by LesterOfPuppets (Post 22283536)
No time for magazines.

You watch baseball.

LesterOfPuppets 10-25-21 07:35 PM


Originally Posted by Velo Vol (Post 22283542)
You watch baseball.

I don't want any magazines cutting into my baseball time.

#priorities

LesterOfPuppets 10-25-21 07:37 PM

I'm missing the Seahawks game because it's on cable TV.

Cord cutters lament once again.

I keep hoping NFL will put MNF back on ABC like it was meant to be.

LesterOfPuppets 10-25-21 07:44 PM

OMG! I rode my bike down this road in 2015.


Velo Vol 10-25-21 08:08 PM


Originally Posted by LesterOfPuppets (Post 22283552)
I'm missing the Seahawks game because it's on cable TV.

Cord cutters lament once again.

I have a cord and I'm not watching it.

big john 10-25-21 08:13 PM


Originally Posted by LesterOfPuppets (Post 22283552)
I'm missing the Seahawks game because it's on cable TV.

Cord cutters lament once again.

I keep hoping NFL will put MNF back on ABC like it was meant to be.

I think ABC owns ESPN. I've been looking in on it and neither team looks very good. At least not their offense.

Now they have Eli and Payton Manning along with Sue Bird chatting and commenting from their homes. Strange.

genejockey 10-25-21 08:33 PM


Originally Posted by LesterOfPuppets (Post 22283539)
Also this, which funnily enough the little lady currently has playing in the kitchen as she prepares my dinner.

https://youtu.be/wo1OwRTRKRk

Or, what with the new Dune movie just out - B-B-B-B-B-Bene and the Gesserit.

WhyFi 10-25-21 08:47 PM

Ouch. Humbug just posted on Strava - he broke his hip.

WhyFi 10-25-21 08:49 PM


Originally Posted by LesterOfPuppets (Post 22283536)
No time for magazines.

Which reminds me of a little ditty...

https://m.youtube.com/watch?v=j8oxXkUjYHg

Hey now - don't forget the NSFW tag! This is the song responsible for parental advisory labels, after all!

rjones28 10-25-21 09:39 PM


Originally Posted by WhyFi (Post 22283625)
Ouch. Humbug just posted on Strava - he broke his hip.

Not good.


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