FAQ'S

Frequently Asked Questions

Below is a list of some frequently asked questions, but please feel free to call our office if you need additional information.

Question: How do we start the referral process? What information do you need?

Answer: You may refer a patient by phone or fax.

You can call 405-455-3393 to speak directly with our office scheduler
or

You may fax a referral letter or most recent office notes concerning the reason for consultation with a copy of the patients demographic and Insurance information with the recent MRI/CT Myelogram report to our office at: 405-455-7162.

The patient will need to bring the following:

  • Plain X-rays, of involved area, within six months: A/P and Lateral
  • Closed MRI, of involved area, within six months. May have CT Myelogram if patient has a pacemaker or is otherwise unable to have MRI. (An open MRI is generally not optimal for surgical decision making)
  • Patients may bring additional records or studies done pertaining to the affected area, including old films.

Patients are to bring all related to the affected body part films within the last 12 with them to their appointment. We accept studies on CD/DVD, however be aware that we are not always able to load the films due to differences in various applications. Some patients may be inconvenienced by this beyond our control. If you have questions, or are unable to provide the requested information, please call us at 405-455-7162.

Question: How long will the evaluation take?

Answer: Each evaluation is different depending on the diagnostic needs of the referring provider and patient. If we have a good quality imaging study, we can frequently make a diagnosis or presumed diagnosis and start the process to healing at the first visit.

Question: How do you determine which other testing, specialist consultation or program is needed for the patient?

Answer: We use the detailed medical information from the referral form, the history and physical exam findings during our evaluation, and our review of the imaging to develop a diagnosis or presumed diagnosis. Based on the diagnosis or diagnostic list to rule out, we recommend additional testing or evaluations with our colleagues to finalize our diagnosis and develop our treatment recommendations. Our staff will then schedule various appointments accordingly.

Question: What medical records do you need for my patient?

Answer: The last office note detailing the complaints and reason for referral is very helpful in performing the consultation.

Question: How quickly can my patient be evaluated?

Answer: We always offer the first available appointment. While most patients can be evaluated within 7-10 days, we are able to do urgent evaluations sooner on a case by case basis.

Question: Do you do pain management or manage narcotic prescriptions for chronic pain?

Answer: We are not pain management physicians and do not manage chronic pain. If your patient needs these evaluations, we would be happy to make recommendations for referral.

Question: Do you do telephone consultations?

Answer: Due to the complexity of neurosurgical issues, and our desire to tailor the care of your patient to their needs, we do not believe telephone or curbside consults are appropriate.  We would be happy to discuss our thoughts about current treatment options and strategies, but that should not be construed as a management recommendation.

Question: Do you have allied health providers? What role do they play in the care of my patient?

Answer: We are privileged to have an experienced, caring and knowledgeable certified Physician Assistant (PA-C) helping to provide care for your patient. He routinely assists in the evaluation process, answering patient questions, refilling prescriptions, assists in routine post-operative care, and in surgery among a host of other vital tasks to ensure your patient gets the most expedient, compassionate care.

Question: Do you perform emergency consultations?

Answer: We routinely do emergency evaluations in conjunction with an Emergency Room Physician. If you believe your patient is having a crisis, please call 911 or have them go to the nearest Emergency Room.

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Revision Surgery
Revision surgeries are performed
in certain patients to correct problems
caused by earlier spinal surgeries.
This can be caused by broken hardware,
scar tissue developing around the incision
site or spinal stenosis. If a patient
experiences any of these a revision surgery may need to be performed or the patient
may continue to experience chronic pain.
Failed Back Syndrome
Failed Back Syndrome is a term often
used to describe the condition of
patients who continue to experience
chronic pain after an attempted
spinal surgery. This can bring forth the
need for a revision surgery to repair
hardware that was implanted. It’s also
possible that the cause needs to be reidentified with a new diagnosis.

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Revision surgeries are performed in certain patients to correct problems caused by broken hardware, scar tissue developing around the incision site or spinal tenosis. If a patient experiences any of these, a revision surgery may need to be performed or the patient may continue to experience chronic pain.

Failed Back Syndrome is a term often used to describe the condition of patients who continue to experience chronic pain after an attempted spinal surgery. This can bring forth the need for a revision surgery to repair hardware that was implanted. It’s also possible that the cause needs to be reidentified with a new diagnosis.

Schedule Your Consultation

Schedule Your
Consultation