W Porter McRoberts <portermcroberts@...>
And Max! We've got to meet at sometime. I had no idea there was a bird of similar feather on the forum! Very cool. PM
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@...
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On Mar 7, 2017, at 5:59 AM, Massimo Vecchietti massimovecchietti@... [amelyachtowners] <amelyachtowners@...> 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
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2017-03-05 18:24 GMT+01:00 Alexandre Uster von Baar uster@... <mailto:uster@...> [amelyachtowners] <amelyachtowners@... <mailto:amelyachtowners@...>>:
[Attachment(s) <x-msg://22/#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@... <mailto:portermcroberts@...> [amelyachtowners] <amelyachtowners@... <mailto:amelyachtowners@...>> wrote:
Subject: Re: [Amel Yacht Owners] Back Problems To: amelyachtowners@... <mailto:amelyachtowners@...> 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@... <mailto:uster@...> [amelyachtowners] <amelyachtowners@... <mailto:amelyachtowners@...>> 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@... <mailto:kimberlite@...> [amelyachtowners] <amelyachtowners@... <mailto:amelyachtowners@...>> wrote:
Subject: Re: [Amel Yacht Owners] Back Problems
To: amelyachtowners@... <mailto:amelyachtowners@...>
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@... <mailto:uster@...> [amelyachtowners]"
Date: Friday, March 3, 2017 1:11 pm
Subject: Re: [Amel Yacht Owners] Back
Problems
To:
amelyachtowners@... <mailto:amelyachtowners@...>
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@... <mailto:karkauai@...>
[amelyachtowners] wrote:
Subject: [Amel Yacht Owners] Back Problems
To: amelyachtowners@... <mailto:amelyachtowners@...>
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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