From: Helen Dynda (
Thu Mar 8 10:28:06 2001


I thought you might be interested in knowing some background information regarding how I came to choose one of the following surgeons to perform my adhesiolysis procedure. My choices were: Dr. Harry Reich, Dr. Jay Redan, and Dr. Matthias Korell...the three BEST adhesions specialists in the world!!

I had high hopes that I would be able to have my adhesiolysis procedure done by Dr. Harry Reich and Dr. Jay Redan at the Community Memorial Center ( CMC ) at Scranton, PA. As Bev suggested, I sent my surgical and pathological reports ( I am so thankful that I only had 3 surgeries in 30+ years! ) and the video from my August 01, 1997 diagnostic laparoscopy to her; and then she reviewed them before sending the reports and video to Drs. Reich and Redan.

Then Dr. Redan reviewed my surgical and pathological reports and viewed the video. He then notified me by email that he felt that my adhesiolysis procedure would be fairly easy for he and Dr. Reich to comparison to other adhesiolysis procedures, which they have done. So, I had passed that hurdle.

My next step was to arrange for an appointment. It was at that point where a problem presented itself!!!! When I tried to arrange for an appointment, I learned that -- because I was a Medicare patient -- I COULD NOT have my surgery done at Scranton!!!!

I learned that Dr. Reich and Dr. Redan refuse to accept Medicare's method of payment for adhesiolysis procedures ... and rightly so!! Adhesiolysis procedures are reimbursed by Medicare to surgeons at one standard fee...without any consideration given to the length of time an adhesiolysis procedure can take -- nor any consideration given to the skill and experience of the surgeons!

I offered to self-pay to have Dr. Reich and Dr. Redan as my surgeons...but I was told I COULDN'T do that either!!!! If the hospital would allow Drs Reich and Redan to perform my surgery -- and if I were allowed to self-pay -- the hospital would be fined!!!

I was offered an alternative: I could have Drs. Reich and Redan could perform my surgery at St. Vincent's Hospital in New York City!

Dr. Redan told me that he had to wait until the middle of August before he would know if his hospital privileges at St. Vincent's had been accepted. Dr. Reich was already performing surgeries at St. Vincent's.

I learned that, if I had my surgery at St. Vincents's in New York, Medicare and my supplemental insurance would pay something ( I have no idea how much ) toward the hospital and the anesthesiologist bills; but I would have to self-pay to have Drs. Reich and Redan as my surgeons!!

What I, as a Medicare patient, cannot do in Pennsylvania...I can do in New York? This doesn't make too much sense, does it? I then learned that everything is MUCH more expensive in New York City...with rooms renting from $225 -$300 a day!!! No doubt having surgery in New York City would be MUCH more expensive too. It was then that I decided that I COULD NOT afford to have surgery in New York City!!

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