u/Present-Adeptness847

Ich bin bei der TK versichert und war wegen Slipping Rib Syndrome bei Per Hostrup Nielsen in der AROS-Klinik in Dänemark zur ambulanten Beratung. Rechnung: 2.438 DKK, davon 2.300 DKK Erstkonsultation und 138 DKK Patientenversicherung. TK setzt 29,43 € als deutschen Vergleichsbetrag an und zieht 5 % ab: Erstattung 27,96 €. Eine Aufschlüsselung nach Leistungen/EBM enthält das Schreiben nicht.

Mir ist klar, dass § 13 Abs. 4 SGB V grundsätzlich auf deutsche Kassensätze begrenzt. Wie prüft man, ob dieser Vergleichsbetrag vollständig und richtig berechnet wurde? Welche konkrete Abrechnung sollte ich anfordern?

Außerdem suche ich Erfahrungen mit einer vollständigen Kostenübernahme für eine spezialisierte SRS-Behandlung im EU-Ausland: Welche Nachweise zur fehlenden gleichwertigen Behandlungsmöglichkeit in Deutschland wurden tatsächlich akzeptiert? Hat jemand speziell Nielsen/AROS bewilligt bekommen, ggf. mit vorheriger Genehmigung oder S2, und wurde dabei wirklich die gesamte Privatrechnung übernommen?

Es geht aktuell um die bereits erfolgte Beratung; eine mögliche spätere Operation und deren Genehmigung sind eine getrennte Frage. Über eigene Erfahrungen oder anonymisierte Formulierungen wäre ich froh.

Update: I've added hip/foot movement videos and a fuller description here: https://www.reddit.com/r/hipdysplasia/comments/1wylcqg/

I'm 24 and have had bilateral PAO. The dysplasia-related and labral symptoms resolved after PAO. My earlier mention of a pre-PAO labral tear should not be read as a current unresolved tear. The separate snapping/catching and leg/foot symptoms below predate PAO and remain.

The click feels deep around the left hip, possibly toward the back/inner side. Side-to-side movement, swaying and weight shifts trigger it. Walking produces a click/scrape over the same obstructed spot with every step. It feels impeded; pressure builds, and repeated clicking becomes uncomfortable or painful.

On standing up, the leg feels cramped, as if curling the toes. Discomfort runs down the back of the leg into the plantar arch, with some front/inner-thigh discomfort. Sitting modulates it; loading the left leg often brings it on. I can't reliably link a single click to the arch sensation. Occasionally the whole leg cramps and toes curl for seconds to around half a minute. No clear loss of function.

I have existing hip/lumbar imaging. Prior lumbar imaging described an L4/5 protrusion, but its relevance to this pattern isn't established. A tendon/deep-gluteal nerve mechanism is a possibility, not a confirmed diagnosis.

For people who had something similar: what structure was identified, and did treatment stop the click/catch as well as the leg symptoms? Which specialist helped, especially with remote image/video review before travel?

I'm trying to send CT files electronically to WVU Medicine for Dr Hansen's office. They mentioned PowerShare or Ambra and said to send them to WVU Medicine rather than United Hospital Center.

I've uploaded the DICOM files to my patient accounts, but I'm stuck on getting them to the hospital. The PowerShare connection to WVU is waiting for acceptance. For Ambra, I haven't been able to get a receiving code or upload link.

Has anyone here done this recently from their own patient account? What worked, and which department helped with the receiving end? A public upload page or an official contact would be useful. Thanks!

my hips have become very very wide, has that happened to someone else too? i am not even sure why that is i haven't become heavier or anything maybe its increased local fluid in the tissues due to the healing process

was anyone on isotretinoin/accutane during and after op? any noticeable complications? if you paused, for how long did you pause?

https://preview.redd.it/7aspkaltthhh1.png?width=1200&format=png&auto=webp&s=88759c0a3b031c0ab27f14570e46254920995532

https://preview.redd.it/ybn84eouthhh1.png?width=1200&format=png&auto=webp&s=1d72f5d51627489f92c6dfa50abe724d3d74bd5a

pool in guangzhou that doesnt require swimming cap?

did someone have fasciculations in their lower leg/foot post pao?

i am getting the measurement SOON but my right leg is clearly behind the left if i look down. if you drew a line for the direction of my head, and then drew another line from the tip of my left to the tip of my right foot, the eye line would not be orthogonal to the foot line, but rather have a narrower angle on the left side. is this indicative of LLD?

and my back abdomen is also making weird squeaking sounds. part is probably from the misdigestion but part also seems to not be my gut

my hypothesis would be that its from the constant nerve pain/discomfort extending or sensitizing the whole back, i am wondering if this is related or something else. its hard to exactly pinpoint it just feels like my whole back is in pain

hm i also dont really get the mechanism but my stomach is kind of bulging out it feels like its related (and its also asymmetrically left right just like how my srs is only left side) so i was wondering if someone else experienced this before

the lists from the 2 linked websites differ, one lists Hansen and the other doesn't. publication wise Hansen dominates the cluster, especially around his technique of course, but also this isnt a perfect metric of course

i have had it for so long with no resolution and doctors were like ye nothing we can do, so can it somehow affect the leg and the shoulder on the same side because you are kinda curving in into that side? is this a well known consequence/has someone experienced the same? with the leg its when i want to grip my feet, i.e. hip extend to reach the ground with the foot basically, my foot often involunatirly curls up and it feels like its because my rib is locking up and that "projects" out to my foot. and for the shoulder well its sinking in to that side and also i raise the shoulder weirdly like i am raising it slightly instead of holding it neutral to avoid the constant feeling of something in my rib

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has anyone used tox on tight neck/shoulder back muscles etc. before and has any useful info to share

are there people here that have had tox successfully delivered to china?

i dont know if anyone else is taking acid in here but normally its this dull ache/pulling feeling/constant discomfort, though sometimes it's painful if i have been sitting for a long time, vaguely in the left below the i intercostal margin. but on acid it becomes extremely painful and i can clearly feel like a nerve getting hit. does anyone experience this? is this indicative of something? like either if my muscles start guarding harder or the dull feeling that i have normally means the nerve is basically dead/oversensitized but if the salience is raised with lsd i can feel the pain again which i should normally feel