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:
Most people don't dare to ask that of their spine surgeon. After the doctor recommends surgery to help relieve back or neck pain, patients may want to ask if they can get a second opinion, but few actually do.t's that there are various ways to handle your pain, and it's important that you take an active role in figuring out the best option for you. After getting a second opinion, you can talk to your first surgeon about what you learned. Discuss the pros and cons of the different options. Ask more questions if you need to.