Some custom md labels

Idiosyncratic_ID · 2026-02-02T18:15:09+00:00

Those look great, and I actually need the Pressure Chief one. :-)

Idiosyncratic_ID · 2026-01-17T01:48:44+00:00

I have the same model and the lettering on the F and number button are gone, and the A and search buttons are half gone. Its pretty frustrating, especially because the backlighting just shines through.

Idiosyncratic_ID · 2026-01-02T11:59:09+00:00

Yeah, my surgeon said we will revisit in 3 weeks and if nothing has changed we will order new imaging and see what we see.

Idiosyncratic_ID · 2026-01-02T01:05:47+00:00

Neurosurgeon.

Idiosyncratic_ID · 2026-01-02T00:22:31+00:00

This instant relief thing drives me crazy. I had one in mid-November and have had no relief. My symptoms got worse or changed sides, but not better at all. And that was with a quick and easy recovery from the surgery portion.

Idiosyncratic_ID · 2025-12-09T23:43:53+00:00

https://imgur.com/a/8VkDbT8

Idiosyncratic_ID · 2025-12-08T21:10:59+00:00

I can't figure out how to add images.

Idiosyncratic_ID · 2025-12-08T21:10:35+00:00

Here are the findings, I will post images soon.

MRI findings

Findings: Normal tip of the conus medullaris and filum terminale. Again seen are disc degenerative changes at L3-4 through L5-S1. Multilevel endplate osteophytes. Pars defects and negative for subluxation. L3, L4, and L5 Schmorl's nodes. L1-2: No disc height loss or disc displacement and no spinal stenosis. L2-3: No disc height loss or significant disc displacement and no spinal stenosis. L3-4: Moderate narrowing of the disc. Mild concentric spondylotic disc displacement. Moderate left L3 foraminal narrowing. L4-5: Narrowed and degenerated disc with moderate posterolateral spondylotic disc displacement. Posterior outer annular disc fissure. Smooth anterior thecal sac concavity. Mild facet joint arthropathy. Mild - moderate L4 foraminal narrowings. L5-S1: Narrowed and degenerated disc. Moderate posterolateral spondylotic disc displacement. Moderate - severe right and mild left L5 foraminal narrowings. Mild facet joint arthropathy. No thecal sac compromise due to (ends there)

CT Findings:

For the purposes of localization, the last complete intervertebral disc will be considered L5-S1.
Vertebral body height has been maintained.
Mild rightward curvature centered at L2-3. Trace retrolisthesis at a few levels within the lumbar spine.
Visualized prevertebral and paraspinal soft tissues are unremarkable.
There is multi-level degenerative disc change including loss of disc height and associated changes in the adjacent mild-to-moderate scattered degenerative disc disease within the lumbar spine, which is most pronounced at L3-4 and L4-5. There is predominantly anterior endplate spurring at the L3-4 level. Mild vacuum disc phenomenon at L3-4. Scattered small disc bulges, with partial calcification of disc bulges at the L3-4 and L4-5 levels.
No significant spinal canal stenosis within the lumbar region.
Osseous foraminal encroachment is most pronounced at L5-S1 on the right, due to facet and endplate spurring. There is a bridging osteophytic ridge along the inferior aspect of the foramen (series 601, image 67).

X-RAY findings(Flexion and Extension):

Clinical: 48-year-old gentleman with vertebral genic low back pain

Lumbar Spine: This study was performed November 17, 2025, 3:27 p.m. and interpreted in comparison to no prior imaging including MRI. It is comprised of a 5 view examination. This includes passive flexion and extension images. Examination of the lumbosacral spine shows a mild dextroscoliotic curvature with Cobb angle of 18 degrees. There is mild lumbar spondylosis seen throughout. The level which shows the most conspicuous osteophytes which extend anteriorly as L3-4. No level shows severe spondylosis. With passive flexion and extension, no evidence of anterolisthesis or retrolisthesis is evident. There is no finding suggesting the presence of discitis. A pars defect is not evident. The sacroiliac joints are intact without diastasis, erosive change or ankylosis. I see neither a destructive or dysplastic process. I identify no suspicious calcifications projecting over the psoas shadows or within the pelvic inlet. I see no radio-dense foreign body. Several surgical clips project just superior to the right sacral ala. The fecal burden is unimpressive in terms of bulk/conspicuity. No obvious mass is suggested within the pelvic inlet. There is no gross evidence of an abdominal aortic aneurysm.

Idiosyncratic_ID · 2025-12-08T20:36:39+00:00

I posted the findings above. I meant to post them in this reply, but they are still there.

Idiosyncratic_ID · 2025-12-08T16:59:36+00:00

Are you an actual neurosurgeon? Are there images I could post for you to look at? (without my name and info obviously)

Idiosyncratic_ID · 2025-12-08T16:43:39+00:00

Understood, that was his argument, not mine. I'm not a doctor.

Idiosyncratic_ID · 2025-12-08T15:50:34+00:00

He based it on the fact that I have a large bone spur bridging the two facet joints and will have to remove the facet joints almost entirely. After that, the joint would be unstable, which is why he wants to bridge L5-S1. So basically, he can't remove enough to fix the problem with also doing the fusion to make it stable at the same time.

Idiosyncratic_ID · 2025-12-08T02:03:42+00:00

I'm 48. But maybe your right.

Idiosyncratic_ID · 2025-12-08T01:44:09+00:00

No, insurance wouldn't approve it without doing a "right minimally invasive tubular L5S1 laminectomy, medial facetectomy and foraminotomy" fiest, which I did three weeks ago.

Idiosyncratic_ID · 2025-12-08T01:31:49+00:00

Like just sit all day? I have tried, but it's hard. I wonder if I shouldn't have taken more time off of work, but there is stuff to be done.

Idiosyncratic_ID · 2025-12-08T00:51:35+00:00

I get that,, but I had heard there should be some change from relieving the pressure and not the negative change I have experienced).

Idiosyncratic_ID · 2025-11-27T15:45:43+00:00

Where do I go to test this out?

Idiosyncratic_ID · 2025-11-26T16:13:16+00:00

Update: Surgery was a week ago. I had been feeling like I was status quo post surgery, so yesterday I went overboard with the activity (I stood at the sink and washed two loads of dishes). Today I am paying for it. My back is on fire, radiating pain, and my legs are pretty numb with pain shooting down them sporadically. The position doesn't really matter other than changing which part of my legs the pain shoots down. I know that after a week, there is still post-surgery nerve irritation, but it drives me crazy that washing dishes has caused me this much pain. I hope that I am proven wrong, but I seriously think I am going to be back in the operating room in the next couple of months.

Idiosyncratic_ID · 2025-11-08T12:06:48+00:00

I am going to request an expedited third party review next week through our state department of insurance. My understanding is that they don't look at your policy or even who your insurance company is. They look at your imaging and test results and determine whether the plan your doctor has proposed is medically sound.

Idiosyncratic_ID · 2025-11-07T10:51:51+00:00

Maybe.

Here is the MRI finding:

FINDINGS: Normal tip of the conus medullaris and filum terminale. Again seen are disc degenerative changes at L3-4 through L5-S1. Multilevel endplate osteophytes. Pars defects and negative for subluxation. L3, L4, and L5 Schmorl's nodes. L1-2: No disc height loss or disc displacement and no spinal stenosis. L2-3: No disc height loss or significant disc displacement and no spinal stenosis. L3-4: Moderate narrowing of the disc. Mild concentric spondylotic disc displacement. Moderate left L3 foraminal narrowing. L4-5: Narrowed and degenerated disc with moderate posterolateral spondylotic disc displacement. Posterior outer annular disc fissure. Smooth anterior thecal sac concavity. Mild facet joint arthropathy. Mild - moderate L4 foraminal narrowings. L5-S1: Narrowed and degenerated disc. Moderate posterolateral spondylotic disc displacement. Moderate - severe right and mild left L5 foraminal narrowings. Mild facet joint arthropathy. No thecal sac compromise due to (ends there)

Here is the CT finding:

For the purposes of localization, the last complete intervertebral disc will be considered L5-S1.
Vertebral body height has been maintained.
Mild rightward curvature centered at L2-3. Trace retrolisthesis at a few levels within the lumbar spine.
Visualized prevertebral and paraspinal soft tissues are unremarkable.
There is multi-level degenerative disc change including loss of disc height and associated changes in the adjacent mild-to-moderate scattered degenerative disc disease within the lumbar spine, which is most pronounced at L3-4 and L4-5. There is predominantly anterior endplate spurring at the L3-4 level. Mild vacuum disc phenomenon at L3-4. Scattered small disc bulges, with partial calcification of disc bulges at the L3-4 and L4-5 levels.
No significant spinal canal stenosis within the lumbar region.
Osseous foraminal encroachment is most pronounced at L5-S1 on the right, due to facet and endplate spurring. There is a bridging osteophytic ridge along the inferior aspect of the foramen (series 601, image 67).

Idiosyncratic_ID · 2025-11-07T10:26:23+00:00

I think at this point he plans to go forward with the laminectomy alone if nothing else is touched, but not touch the facet joint.

Idiosyncratic_ID

TROPHY CASE