Saturday, January 5, 2013

What would you do in this situation?

Q. I was in a car accident in back in April. I was a passenger in my buddies car. He ran in the back of someone. He was not injured. I was, I had my orbit bone in my left eye fractured. It causes me to have double vision. I went to a lawyer who sent me to a doctor. I had surgery which repaired the bone but I still have double vision. The doctor said it has something to do with the muscle holding the eyeball in place. I went to see another specialist. He referred to me to the world renowned John Hopkins, because he was uncomfortable performing the surgery. The John Hopkins doctor said it was no problem and he could do it, but John Hopkins policy is to have all money up front in these type of cases. Which comes to about 12k. It was 5 people involved in the accident. The driver of my car was not hurt. 4 people along with me are suing. The auto insurance (nationwide) has a limit of a 100k total and 50k for each person. Now, I can't go to John Hopkins, and don't know what I or my lawyer can do. Any suggestions? (The 1st surgery cost 12k)--Can I sue my 1st doctor for not fixing it? Also would you settle and just pay for your surgery(s) this way? (With the settlement money)--Just need advice, not sure which way to go. Thanks in advance.

A. Ignore the first poster. The insurance limit is the insurance limit. Nothing you can do to change that. And you can't accept money from the insurance company and still sue the driver. You're legally barred from that once you sign a release for the liability coverage money. If you wnat to reserve the right to sue the driver, then all you can take from nationwide is med-pay/PIP money (usually 5-10K - for medical bills and/or wages only)

The only way to get your hands on any money from nationwide is to settle. No insurance company pays a dime of liability money without a release. If the other 4 people settle out for 20k each all that's left of the 100k is 20k for you - regardless of the 50k per person limit, so you need to know how much is left or if the others settled.

Did your lawyer check on med-pay/PIP? What about underinsured motorist coverage? Some states you can get covered for both of those things under the coverage on your own or family's car, in addition to the drivers car.


Is there a surgery like replacement of retina which could regain my vision lost 25 years back?
Q. Dear Doctor,

In !986 I have undergone a massive eye treatment at sankara Netralaya, Chennai, and then at Aditya Jyot When at Dadar, Mumbai, that includes, Angiography and LASER treatmentaaand by the grace of god could save vision of at least my right eye with the effort of Dr. Badrinath and Dr, Natarajan.

I am 53 Yr. old, Bank officer with High Blood pressure. The Present condition of my vision is that I can see with my left eye with band formed by blood clots in my vitreous fluid, it may be called a filtered vision, and my right eye has no vision due to total retinal detachment,With my existing vision I can continue to work in my office although with obstructed vision due to vitreous band.

Now a days I hear about retinal replacement surgery, Is it possible in my case Which is more than 25 five yealr old
Kindly enlighten me.

A. The Wiler Eye Institute of Johns Hopkins Hospital in Baltimore is the premier eye care facility in the world. Send your question and case history to them at
wilmerinfo@jhmi.edu

If any body can answer your question, they can. Good luck!


I have been sent a form (rather a bunch of forms) to fill out for disability. I have already been declaired?
Q. disabled, however that was in 2004, and I guess they are reviewing things. Is this normal? They ask questions like are you able to dress yourself etc. Mine in a brain injury and to the eye there does not appear to be anything wrong with me, however cognitively, I am a mess. I fall all of the time, can't wake up (narcolepsy), it's difficult to use my arms b/c they cause muscle spasms, which never go away to be exaserbated. Any helpful hints from anyone who has been through a review like this. I am nervous that I am going to write the wrong thing.
Just a little background...I had brain surgery for an Arnold Chiari Malformation in 2002 at Johns Hopkins, they did a laminectomy and a craniotomy. (they had to take off most of the back of my skull and shaved off most of C1 and part of C2. I was doing so much better, was even working again, when I fell down nine concrete stairs at work, (because as everyone says I have to be to nice and say hello to everyone, and that is what happened, I got to the landing, heard someone come in behind me, ((I have the tape)) and turned around with my hand on the rail to say hello, when I turned back around somehow I fell.))
When I did I missed every single step and landing right on the top of my head, in the fetal position, (my Dr. says watching it reminds him of that football player who's leg was bent forward and broken several years ago, his name escapes me, sorry). Anyway, I was unconscious for about 5 mins and came to when I heard someone say roll her over and said NO! Please do not touch me, you will break my neck if it is not already broken. Since this happened at work, they denied me medical benefits for 8 months and after a traumatic brain injury if you do not get treatment, there is no way to fix it. So, I suffer with chronic pain and have tried everything I can think of.
OOPS sorry to run on.
Can anyone help me with any insight into filling out this form?
It would be much appreciated.
Happy Thanksgiving and may you be blessed.
Ok, it says I have 4 misspelled words but it won't tell me which one's so please forgive the spelling.

A. They do that here in australia too, take it to your doctors with you and he will help you, once you become a certain age they stop making you fill out those silly forms every 5 years, especially when there is no chance of recovery, my partner went on disability in 1992 and we haven't filled out those forms for years now. Although he did do a spinal outreach team survey every year for five years (I filled out his forms) and they said that his condition has worsened over the total of the five year span, so we are often at the doctors as he had severe nerve damage too, goodluck with it all :)


How common is recurring pyloric stenosis?
Q. My son is now 5 months old. He's had pyloric stenosis twice....I know....weird. But, now we are in round three of his recurring problems. He has his first surgery at 25 days old and then next at 87 days old. He was born 7.14 lbs, went up to 8.6 and dropped down to 6.2 lbs in two days. He was placed on a different formula and started on antacids. He was admitted to Shady Grove Adventist for dehydration, weight loss and possibly pyloric stenosis. They did the studies, and they came inconclusive so they did an exploratory surgery laparocscopic, and showed positive for pyloric stenosis. They operated and he showed excellent improvement. He went from 6 lbs to 9.11 lbs in two weeks....and it all started again. Shady Grove refused an upper GI scan b/c the ultra sound came back negative. So I took him to Johns Hopkins University Hospital...he got everyone's attention b/c of his obvious symptoms and projectile vomiting and the fact of a second stenosis. They operated again and did various biopsies, biopsies show only a slight sensitivity to lactose. But nothing else was found in surgery. It was discouraging and heart breaking b/c they have no idea what's wrong with him. They switched him to Neocate formula (freakishly expensive I might add!), and placed on Prevacid. We go home and Will went from 8.7 lbs to 14.2 lbs in 8 weeks. GREAT! But...he's lost a pound and a half in 4 days....They upped his Prevacid and performed another upper GI scan.

He's been on 9 different formula's and 6 different antacids. He's a wonderful baby who doesn't cry and is always happy. The doctors are very confused as this is very uncommon to happen.

We are trying to stay strong but it's harder and harder every day to see him shrink away...We have a very supportive family and it hurts us all to watch him go through this. I did not get upset or cry the whole time until they looked down at the floor fighting tears in their eyes and told me "There was 100 yrs of experience in his operating room and we couldn't find anything." He has excellent doctors, they have been more than helpful....but I need some help here...

Does anyone have any experience with this situation or shed any light on it??

(sorry for the long post...it's just been a long and stressful experience)

A. Wow, I've been consulted on several similar cases, although I must say, your baby's case seems much more difficult than others. I'm assuming that one of those operations was a nissen fundoplication?

Anyway, I don't like making this recommendation, but in your case it seems indicated. I'd suggest learning how to gavage feed (ng tube) at home. It will ensure that he at least he gets enough nutrition to avoid the weight loss, and avoid any issues with feeding aversions in the future. You would still continue to nipple, only the oral feedings would be a smaller amount that would hopefully not aggravate the stenosis response. Let me clarify the possible oral aversion, I find that many babies who suffer from GERD, or other GE problems such as your baby, learn to associate food and eating with discomfort. Once that happens, it's really hard to convince your child that eating is a good thing.





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Title Post: What would you do in this situation?
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