Docs tell 83-year-old Swede she's 'too old' for treatment
The Local · 24 Jul 2009, 10:23
Published: 24 Jul 2009 10:23 GMT+02:00
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"Without the operation, I might have lived another five years in incredible pain. But what kind of life is that?" Marianne Skogh told the Östgöta Correspondenten newspaper.
Skogh has suffered from pain and numbness in her legs since 2004.
After waiting for more than a year to see a specialist in the public health system, Skogh was finally told that the pain was likely to do problems in her back.
Doctors told her she suffered from spinal stenosis, a disease that involves a narrowing of one or more areas in the back.
The narrowing puts pressure on the spinal cord or on the nerves that branch out from the compressed areas, often causing cramping, pain or numbness.
But despite the lengthy wait for the diagnosis, Skogh was then told that, even though the ailment was treatable, she was too old for the surgery.
In addition to Skogh's age, the fact that she had previously undergone heart surgery also made her ineligible for the operation, doctors explained.
In lieu of the surgery, Skogh was prescribed painkillers, which didn't alleviate her symptoms.
Christer Andersson, head of medicine at Linköping University Hospital, denied that age was the deciding factor in the diagnosis.
He told the Östgöta Correspondenten that county health official don’t prioritize patients based on age, but that age can play a factor if it is deemed the patient is unable to handle a course of treatment.
With her condition failing to improve, however, Skogh eventually became worried about her ability to walk and finally decided to finance the operation herself by seeking treatment at Sophiahemmet, a private hospital in Stockholm.
"I would have been confined to a wheel chair if we hadn't called a private hospital. I immediately got an appointment and the doctor didn't say anything about me being too old," Skogh told the Expressen newspaper.
Skogh ended up paying 130,000 kronor ($17,500) for the surgery needed to relieve the pain caused by the spinal stenosis.
Less than a month after the surgery, she is living pain-free and says the price she paid for private treatment was worth regaining her quality of life.
"There are thousands of people in my situation. With a meager pension, they don't have the ability to do what I did. It's important that they receive assistance in preserving their right to a dignified life," she told Expressen.
Skogh is particular upset that county health officials didn’t inform her about options for seeking a second opinion or about options for private care in the area.
But Anders Olai, a spinal specialist at the department of orthopedics at Linköping University Hospital, said that it is not common practice to refer patients to other doctors.
"We have no policy of directing people to another doctor for a second opinion. If someone is dissatisfied with one doctor's assessment, they can turn to the county in order to try and get another diagnosis," he told Östgöta Correspondenten.
The who episode has left Skogh questioning the value she received from all the money she’s paid in taxes over the years.
"I can understand that the county feels it is expensive to 'fix' us elderly, there more and more of us, but in general, I am healthy," she told Östgöta Correspondenten.
"We end up paying for healthcare for younger people, but we don’t get anything ourselves."



Your comments about this article
sue the state for the cash i say!
Why do people think that private health insurance is more lovingly going to pay for things? They try and weasel out of things for the simplest billing mistakes, wasting untold amounts of money going back and forth to get the invoices just right and then paying them like they should've done in the first place.
Facts are no matter what system there is rationing and mistakes. I think the American people are realizing that government officials just might be able to be held more accountable than their company's HR department and the private insurer that they choose. That's another great myth that Americans have choice, they usually only have the choice as to whether or not to be in the plan their employer has chosen.
I hope she sues for compensation and publicly embarress's the people who made this insane decision.
Pensioners are forced to pay higher taxes and in this we are not found to be 'too old' sooo...sock it to them!
http://www.expressen.se/Nyheter/1.1650209/...nd-av-hog-alder
"Patient selection Deciding on surgical intervention in a patient with LSS [Lumbar Spinal Stenosis] requires a careful consideration of potential risks and benefits. Patients should know that the benefits of surgery decline over time and that repeat operations are performed in 15 to 25 percent [16,17,22,23,30].
Surgical complication rates include mortality in 0.5 to 2.3 percent [24,31]. Other serious complications (eg, infection and deep venous thrombosis) occur in approximately 12 percent of patients. The patient's age and number of comorbidities impact significantly on surgical risk [24,31,32]. Features of the surgical procedure, including the use of fusion and/or instrumentation and the number of levels operated on, may also impact complication rates [25,33-35].
Several studies have identified varying predictors for outcome of surgical treatment of LSS [21,22,36-38]. Predictors of a good clinical outcome after surgery are quite variable between studies. A systematic review identified the following predictors in one or more high quality studies [37]. Negative predictors were:
Depression
Concomitant disorder influencing walking capacity
Cardiovascular comorbidity
Scoliosis
Positive predictors were:
Male gender
Younger age
Better walking ability
Better self-rated health
Less comorbidity
More pronounced canal stenosis"
Source: UpToDate
You need to go through the county in order to be able to get a 2nd opinion?? WOW! In the USA you just go and get a 2nd opinion and your insurance pays for it.
Although, this old lady went fine, she would have had a very hard time with a cardiac or a thrombotic event.
Anyway, all the team involved in her medical procedure deserve to be congratulated, because it is not easy at those ages!
I am a Panamanian medical doctor.
I think the American people are realizing that government officials just might be able to be held more accountable than their company's HR department and the private insurer that they choose.
Wow, and you said that with a straight face, too. The quality service of the Post Office or Bureau of Motor Vehicles or Internal Revenue Service, brought to your medical care! Bravo.
PS: You can't sue a government employee for actions performed in pursuit of their duties.