Common types of dirt include: 1  dust â a general powder of organic or mineral matter. 2  filth â foul matter such as excrement. 3  grime â a black, ingrained dust such as soot. 4  soil â the mix of clay, sand, and humus which lies on top of bedrock.
1 It is also good to get a second opinion if the initial back surgery did not work and another surgery is being proposed. 2  This advice is especially true if it involves fusing further segments of the spine. 3  Often, if the initial fusion surgery does not work, further surgery will not be helpful.he surgeon interview. The best advice for a patient seeking another surgical opinion is to keep an open mind. You need to be as judgmental about the second opinion as for the first, and need to grill the second physician even further than the first. At a minimum, you should cover these topics with the surgeon:
If you consult another doctor,make sure to get your records from the first doctor so that your testsdo not have to be repeated. 5. Many health insurance plans ask patients to get a second opinionbefore they have certain operations that are not for an emergency.Ifyour plan does not require a second opinion, you may still ask tohave one. Check with your insurance company to see if they will payfor a second opinion.f you consult another doctor,make sure to get your records from the first doctor so that your testsdo not have to be repeated. 5. Many health insurance plans ask patients to get a second opinionbefore they have certain operations that are not for an emergency.