Due to the amount of time Dr. Paul spends in the operating room and high demand, Dr. Paul’s appointments are usually coordinated by the DMG spine staff. People who see Dr. Paul for consultation have typically undergone significant non-operative care or have been referred directly by Kevin, Adam, a physiatrist, or a pain doctor.
Before the consultation, an MRI will be performed for evaluation, as these visits are surgical discussions. Referrals to Dr. Paul directly often involve a problem that requires surgery more urgently or may have been offered surgery elsewhere. A referral to Dr. Paul does not mean he will recommend surgery. Only some who see Dr. Paul are offered an operation as Dr. Paul tries to exhaust non-operative options whenever possible.
In order to minimize risk and optimize your outcome Dr. Paul has several requirements prior to surgery. Cardiac, pulmonary and renal function must be maximized for your given situation. Additional criteria are a body mass index of 38 or lower, well controlled diabetes with a HgA1C of less than seven.