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Author Topic: OS in Boston  (Read 1574 times)

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Offline doublea21

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OS in Boston
« on: January 12, 2006, 03:08:42 AM »
I am fairly new to Boston and in search of a new OS.  I have looked at the names on the mainpage but because of problems with my new insurance they will not cover anything with my knees because it is an existing condition and they classify knee surgery as elective and not medically necessary I have to pay for everything myself.  Given that I would like to minimize the number of doctors that I go see if possible and so I was wondering if anyone had visited any of these or any other OS and could give personal recommendations?  In a quick synopsis of my problem if it helps:
-chronic subluxation, failed proximal and distal realignment in my R knee
-chronic patella tendonitis
-some cartilage damage to the back of patella/trochlear groove and medial femoral condyle 

Thanks in advance for any help

Amy
Dec 98 - R and L knee LR and VMO advancement
Dec 00 - L knee TTT
May 02 - R knee TTT and VMO advancement
Dec 04 - R knee screw removal
still too many subluxations and dislocations
July 06 - R knee MPFL Reconstruction

Offline pharmer

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Re: OS in Boston
« Reply #1 on: January 12, 2006, 07:22:09 PM »
The New England Baptist Hospital is the top orthopedic hospital in the area...They are tops for general ortho stuff and "cutting edge" procedures..  They are big enough that they might be able to set up payment plans or sliding scale payments..
The new insurance should cover the knees in a year--altho most now cover everything immediately as long as there was never a gap between insurances..So, if you left one plan and went COBRA (or something similar) to avoid stoppage before the new plan you should be covered (new law thanks to our Sen.Ted Kennedy).... Most above average OSs in the metro area did some time in training at the Baptist--- good luck.               

Offline doublea21

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Re: OS in Boston
« Reply #2 on: January 12, 2006, 07:51:19 PM »
pharmer,

Thanks for the information.  The problem with my insurance is that there is a limited number of specialists that I can go to see, none of which specialize in knees.  The other problem is that even going to these specialists if I trusted them to do any surgery on my knee I was told that my insurance would view it as an elective procedure which is not covered.  I am going to have to try to work out payment plans if I do decide to deal with my knees anytime since as a student I have a limited income.

Amy
Dec 98 - R and L knee LR and VMO advancement
Dec 00 - L knee TTT
May 02 - R knee TTT and VMO advancement
Dec 04 - R knee screw removal
still too many subluxations and dislocations
July 06 - R knee MPFL Reconstruction

Offline blackbeltgirl

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Re: OS in Boston
« Reply #3 on: January 12, 2006, 08:02:56 PM »
Dr. Tom Minas in Boston is one of the most recognized names in knees, and especially cartilage injuries.  He has written many of the research papers used to justify the new cartilage replacement techniques, including the only US study on ACI to the back of the patella.  I'm sure his office is very experienced at arguing with insurance companies about a procedure being medically necessary.  You may have to pay at a higher rate for out-of-network care, but his office may be able to get you insurance coverage.  Genzyme is also starting trials (sometime in 2006) for carticel II, which will be arthroscopic.  Dr. Minas will surely be part of that study, and may be able to treat you in association with that.

Good luck.
Jess
ACI was supposed to be 2/21/06.  On 6/29/06 Insurance co said have another scope, and if it still looks good, they'll ok the ACI.
Microfracture Dec 7, 2004
   3cm x 6cm lesion, LFC; 3cm x 1cm lesion, trochlear groove; lateral tibial plateau lesion
2nd degree black belt, tae kwon do (had to stop)

Offline KarenS

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Re: OS in Boston
« Reply #4 on: January 12, 2006, 10:30:45 PM »
I have seen the chief of orthopedics at New England Baptist (because I, too, was told that it was the place to go for joint problems). He will remain unnamed because I wasn't all that impressed, but that may be because he was very focused on my knees, and my problem involves more than my knees. I am back with an OS on the outskirts of Boston -- Dr. Helene Feiler from Excel Orthopedics in Woburn. I've been pretty happy with her so far. I like the fact that she "specializes in challenging knee cases."

Offline pattyg

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Re: OS in Boston
« Reply #5 on: January 13, 2006, 01:45:24 PM »
My os is Dr. Brian Mckeon out of the Newengland Baptist, great bedside mannor. I am going in for a ACI Jan 27th, I have been counciling with him for year's between my knee, & shoulder his speciality is knee;s & Shoulders.
He fixed my shoulder last december.
I know your interested in keeping cost down he may be your guy he is not so eager to perform surgery until your ready that's what I like about him good luck Patty

Offline pattyg

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Re: OS in Boston
« Reply #6 on: January 13, 2006, 01:48:56 PM »
one more thing, he is on the referral list for workman comp. so he might be on your list of doctors via your insurance company

Offline doublea21

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Re: OS in Boston
« Reply #7 on: January 15, 2006, 04:59:59 PM »
Thank you all for suggestions.  I think that I need to make up my mind and try and schedule an appointment and try and save up the money to be able to go and have any of the tests that they might want to do, which could take a while because on a grad student salary there is not a lot of extra money each month after the bills are paid.

Amy
Dec 98 - R and L knee LR and VMO advancement
Dec 00 - L knee TTT
May 02 - R knee TTT and VMO advancement
Dec 04 - R knee screw removal
still too many subluxations and dislocations
July 06 - R knee MPFL Reconstruction

Offline ferris_1972

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Re: OS in Boston
« Reply #8 on: January 15, 2006, 06:32:32 PM »
I went to Dr. Anthony Webber out of Faulkner Hospital for my ruptured patellar tendon and had no problems at all. The PT department in Dedham is also top notch.
Rupture Patellar Tendon 4/23/05
Repaired 4/29/05
PT Begins 6/1/05
Return to work 9/1/05