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What do my lab test reports indicate?

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Posted on Wed, 27 Jul 2016
Question: I have severe rapid progressing osteoarthritis throughout my entire body I been trying to get a surgeon to accept my case for knee replacement for two years below you will find the attached report from 2 years ago since then all compartments in the entire name has advanced to a stage for 50% of the orthopedic surgeons will not take my case based on the 46 year old age that I am at currently the other 50% do not want to take the case due to my compounding factors and or risk involved I'm going to sign any waivers however nobody will take the case any suggestions unbearable pain
doctor
Answered by Dr. Ralph Chambers (1 hour later)
Brief Answer:
Hello. I can appreciate your concern about all of this

Detailed Answer:
I understand the risk of a total knee replacement in your case, since with the surgery and the overall condition of the knee and the femur and tibia, there is a risk of the prosthesis not fitting well and instability resulting from that.

My suggestion for you is to contact the chairman of the Orthopedic Surgery Department at a major academic hospital like Johns XXXXXXX XXXXXXX Massachusetts General, or Northwestern and ask for a surgeon in that department to review your case. In the top centers there are surgeons that should accept your case and perform the surgery
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Ralph Chambers (3 hours later)
Unfortunately I live in XXXXXXX Arizona dr. XXXXXXX Chow who invented the Superpath technique has a year-and-a-half waiting list just for a consultation even though he is in the same practice with my spinal surgeon. My insurance has denied any out-of-network request since November 1st 2015 I have been to every in-network doctor have a pill that many times peer-to-peer immediate reconsideration Etc it does not meet the monetary requirements to take it to an administrative law judge how can I fight the insurance company
doctor
Answered by Dr. Ralph Chambers (8 hours later)
Brief Answer:
Hi again

Detailed Answer:
Two suggestions then--

Consult a disability lawyer about the insurance problem--that consultation is free.

Call the heads of the Orthopedic Departments at the major academic centers--many times they can get around the insurance hassle
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Follow up: Dr. Ralph Chambers (6 hours later)
I've contacted XXXXXXX Peak in Institute they cannot help me with the insurance company. I belong to a Managed Care HMO Network and have lost all hope of ever having needs replaced. I have tried to supartz injections for years of physical therapy one Ortho scopic procedure which the surgical report I have attached and they have progressed since then besides going back and begging the same doctors to take the case twice I am at a loss being it is a Managed Care Network Medicare can do an investigation however no one else can get involved I have been told I have to deal with the managed-care directly the director denies everything that has my name going across his desk this to me appears to be an illegal unfair Act to someone who has a desperate need for medical treatment and procedures anything else you can think of
doctor
Answered by Dr. Ralph Chambers (3 minutes later)
Brief Answer:
Hi again

Detailed Answer:
I've reviewed your reports..

I think you meant Hyaluronic acid injections which being natural substance, are quite good for providing pain relief..

Have your doctor talk directly to the insurance company. Just because you're initially denied doesn't mean the company won't allow coverage for the surgery if your doctor can give cogent reasons why you qualify for the procedure..

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Ralph Chambers (46 minutes later)
my surgeon is the chief of staff and director of Neuro & spine surgery as a specialty clinic here in Arizona he has already done to peer-to-peer those were denied he wrote a letter with backup documentation also denied PCP requested immediate reconsideration denied I also placed a family appeal denied
doctor
Answered by Dr. Ralph Chambers (3 minutes later)
Brief Answer:
OK

Detailed Answer:
I still think it would be a good idea for you to speak to a disability lawyer
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Ralph Chambers (10 minutes later)
Due to the severity of any issues I do not have time to consult a lawyer or wait for any outcome in a legal battle I'm trying to obtain surgical help being 46 years old nobody wants to do it or too many compounding factors and the surgeons fear factor contributed to their decisions.I guess I am looking for any other options that you may have that a sports medicine physician orthopedic surgeon can provide me besides supartz cortisone by mouth or and injection which are worthless and just make my knee swell up to a bowling ball sized appendage
doctor
Answered by Dr. Ralph Chambers (6 minutes later)
Brief Answer:
OK

Detailed Answer:
There's also hyaluronic acid injections into the knee joint which can replenish the synovial fluid and increase the range of motion. A physiatrist can give you those
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ralph Chambers (32 minutes later)
I have already had those they're called supartz I had a series of 5 I believe I stated that in several of my above questions
doctor
Answered by Dr. Ralph Chambers (6 minutes later)
Brief Answer:
OK

Detailed Answer:
Sorry but I didn't recognize the name of your injections.

But at this point, what more can I tell you?

I honestly don't think enough has been done to address the insurance company problem and while I know you don't have much time to look into it, at least you could have one consultation with an attorney for free
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Ralph Chambers

General & Family Physician

Practicing since :1976

Answered : 2130 Questions

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What do my lab test reports indicate?

Brief Answer: Hello. I can appreciate your concern about all of this Detailed Answer: I understand the risk of a total knee replacement in your case, since with the surgery and the overall condition of the knee and the femur and tibia, there is a risk of the prosthesis not fitting well and instability resulting from that. My suggestion for you is to contact the chairman of the Orthopedic Surgery Department at a major academic hospital like Johns XXXXXXX XXXXXXX Massachusetts General, or Northwestern and ask for a surgeon in that department to review your case. In the top centers there are surgeons that should accept your case and perform the surgery