EFTA02592879.pdf

From: jeffrey E. <[email protected]> Sent: Thursday, October 16, 2014 2:10 PM To: Richard Merkin Subject: Re: the claudication when walking after 5 blocks starts.=C2 and I have to bend over to relieve. when i sit im =erfect but... im concerced that if i wait to long . if the nerves get shot=, too late. . they said that that 14 is a bit too forward and to scr=w it to 15 . neuroligist tests all negative. =but when they looked at the stenosis, they said only a matter of tim=, and no medicince to delay? On Thu, Oct 16, 2014 at 10:06 AM, Richard Merkin [email protected] <mailto:[email protected]» wrote: Sorry for the delay. I spoke t= both UCLA and Keck school of medicine. Both, of course would love to see =ou, but I am sure that is not necessary[l could set up neurosurgical consu=ts in Boston or Johns Hopkins just as well]. There is no extrusion and wit= bulging discs there certainly is the opportunity with therapy to co=trol the symptoms. For disc issues with, if you can manage the pain, the r=sults six months later do not show any advantage of surgery. For the steno=is that is a different issue. Unfortunately many surgeons[most] operate by=the MRI and not by the signs and symptoms of the patient. Have you seen a =eurologist? Have you gotten an EMG and a nerve conduction study? These tes=s will help decide if you would or should have surgery today or can delay =s long as possible[maybe forever]. If you do decide to go to the next step=and want me to, I will come and accompany you to your physician. Hope you&=39;re feeling better! =br clear="all"> =AO please note The information contained in this commu=ication is confidential, may be attorney-client privileged, may cons=itute inside information, and is intended only for the use of the addre=see. It is the property of JEE Unauthorized use, disclosure or copyi=g of this communication or any part thereof is strictly prohibited a=d may be unlawful. If you have received this communication in error, pl=ase notify us immediately by return e-mail or by e-mail to [email protected], a=d destroy this communication and all copies thereof, including all a=tachments. copyright -all rights reserved EFTA_R1_01775986 EFTA02592879