Re: [Amel Yacht Owners] Back Problems


W Porter McRoberts <portermcroberts@...>
 

Completely agree.
Alexandre did you get my voice mail?

Thanks
Porter

W. Porter McRoberts MD FAAPMR ABPMR ABA/Pain
Director Interventional Spine, Pain Medicine, Neurosurgery
Holy Cross Hospital
Fort Lauderdale, FL
Assistant Professor, University of Miami School of Medicine
www.internationalhouseofpain.com
portermcroberts@gmail.com

On Mar 7, 2017, at 5:59 AM, Massimo Vecchietti massimovecchietti@gmail.com [amelyachtowners] <amelyachtowners@yahoogroups.com> wrote:


.....I am an anesthesiology and pain therapist....It seems to me that you have a root compression....I have seen that you have dad 4 surgical approach.
I think thah the therapy is unbalancet only towards pain an not for the "origin " of pain.
Pain is coming from radicular edema caused by a compression.
If you find an anestesiologist the main tharpy is to injecy in peridural space ( epidural injection) a cortisonic drug.
Max

<https://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail> Mail priva di virus. www.avast.com <https://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail> <x-msg://21/#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2>

2017-03-05 18:24 GMT+01:00 Alexandre Uster von Baar uster@rocketmail.com <mailto:uster@rocketmail.com> [amelyachtowners] <amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>>:

[Attachment(s) <x-msg://21/#m_-859003613213994532_TopText> from Alexandre Uster von Baar included below]
Good afternoon Porter,

Thanks for your message.

Here is the copy of the MRI report.
Therefore, like everything else in the Caribbean, how to be sure that the “local” person (in Tortola) did an accurate reading…

The pain medication is definitely too mild, the pain wakes me up at night then can not sleep.
-1 x Diclofenac Sodium 75 mg every 12 hours
-1 x Baclofen 10 mg every 8 hours
-1 x Tramadol hydrocholide 50 mg every 6 hours
-2 x Paracetamol 500 mg every 6 hours

A friend send me information from a medical web site called “up to date” and it seems all the treatments say “evidence of effectiveness are lacking” or “quality of evidence considered low”…

“local” doctors say it will resolved itself within 2 weeks (somehow I doubt)…
Would love to hear your feedback.

Sincerely, Alexandre

--------------------------------------------
On Sun, 3/5/17, Porter McRoberts portermcroberts@gmail.com <mailto:portermcroberts@gmail.com> [amelyachtowners] <amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>> wrote:

Subject: Re: [Amel Yacht Owners] Back Problems
To: amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>
Date: Sunday, March 5, 2017, 7:07 AM












Alexandre,I'd be happy to
talk to you. Anytime. This is what I do. Up until May
25th! Let
me know if you'd like to chat. Porter
McRoberts
Www.internationalhouseofpain.com <http://www.internationalhouseofpain.com/>

Sent from my iPad
On Mar 5,
2017, at 7:53 AM, Alexandre Uster von Baar uster@rocketmail.com <mailto:uster@rocketmail.com>
[amelyachtowners] <amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>>
wrote:























Good morning Eric,



Thanks so much for your message.

I actually posted by mistake this on the forum...



I am quite upset with the local doctor, that prescribe too
mild medication, the pain constantly wakes me up at night…


Anyway, I don’t know when I will arrive in St Martin,
being solo and in pain, I have to be more cautious than
usual.

It is possible that I leave on the 11 and arrive on the 12,
but not sure as I could wait for better weather too…



As always thanks so much…

Sincerely, Alexandre



--------------------------------------------

On Sat, 3/4/17, kimberlite@optonline.net <mailto:kimberlite@optonline.net>
[amelyachtowners] <amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>>
wrote:



Subject: Re: [Amel Yacht Owners] Back Problems

To: amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>

Date: Saturday, March 4, 2017, 7:29 PM

























Hi Alexandre,

If you get to SXM before the 13th.

I have some stuff in my kit that will help.

I am also VERY friendly with a local pharmacist who

knows everyone on the Dutch side.

Good Luck,

Eric



Eric



----- Original

Message -----

From: "Alexandre

Uster von

Baar uster@rocketmail.com <mailto:uster@rocketmail.com> [amelyachtowners]"


Date: Friday, March 3, 2017 1:11 pm

Subject: Re: [Amel Yacht Owners] Back

Problems

To:

amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>



Good morning Kent,
I
had a friend who had 3 surgeries and still back pain…

Well Saturday night, had back pain again,
this time it was

intolerable and my
left leg was numb.

In the morning went
to a clinique, the doctor gave an injection

of Voltaren, no effect. Later she gave an
injection of

steroids, no effect.
She sent me to the emergency room who gave
me another injection:

no effect, then
an injection of Morphine, still no effect.

Neither they or I could believe it… They
said they couldn’t

inject anything
else in fear I would overdose.

I saw a
doctor (who was smelling booze 1/2 meter away) who said

he did not want me on medication to see
the full effect in the

morning, then
to have an MRI… so couldn’t sleep all night.

In the morning surprisingly they gave me
medication, the doctor

did not come…
just as I was going to sleep, my neighbor put his

TV loud and was singing rap music…
Administration came and said it was $1170
per day plus

medication, X Ray, etc. I
said this is crazy.

I was supposed to
have the MRI in the afternoon, somehow did not

happened, I was getting pretty upset, my
blood pressure reach

160/100 in the
evening.

Received medication, slept
ok, again delay for the MRI, I told a

nice doctor, I will leave today, as I can’t keep
paying

$1170

per day for waiting, he said I
misunderstood the price, that

this was
for everything, he called administration who came and

said, since I am not a “local”, this
is the price for “Visitors”

(tourist). The doctor was stunned.

Had
MRI, the tech person (unofficially) show me a disc
pointing



out which causes the numb leg and the
pain.

The Hospital wanted me to stay
one more day for the doctor MRI’s

reading, I said NO, we argue for 2 hours, then I was able
to



discharged myself against medical
advice. The nice doctor

prescribe me
medication.

Was presented a bill of
over $4000. I refused to pay the day I

was waiting for the MRI.

On the bill
they even charge $0.50 for the little cup in which

they bring the medication ?!? crazy.
I told them if they had told me the price,
I would have decline

and take a plane
for St martin.

We settle, I left in
pain as the medication was wearing off.

I have a bag of medication that should
help me up to 2 weeks.

I am looking at
the first weather opportunity to go to St

Martin.
Since I am hanging myself (upside down)
from the mast hoping

this will
elongate the spine and easy the problem…

I started to stretch last week (before the
pain in the leg) will

resume as soon
as I feel better.

How is everything
else? Any chance for your eye? How about the

family problems?
Alexandre

--------------------------------------------

On Fri, 3/3/17, Kent Robertson
karkauai@yahoo.com <mailto:karkauai@yahoo.com>


[amelyachtowners]
wrote:

Subject:
[Amel Yacht Owners] Back Problems

To:
amelyachtowners@yahoogroups.com <mailto:amelyachtowners@yahoogroups.com>

Date:
Friday, March 3, 2017, 10:14 AM

Hi Alex. Sorry to
hear about your back

issues. I've
had 4 spine surgeries over the last 40

years. After the last one, I started doing "back

yoga", just gentle stretching and
core strengthening,

no pretzel stuff.
It's been like a miracle for

me.Best of

luck!
KentKristy SM243


























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