From:      bounce-scoliosis
To:        scoliosis-digest@ai.mit.edu
Subject:   scoliosis V1 #1064
Reply-To:  
Errors-To: bounce-scoliosis
Precedence: bulk


scoliosis                 Tuesday, 5 January 1999      Volume 01 : Number 1064

Today's subjects for scoliosis, scoliosis-medical, scoliosis-child
and scoliosis-teens:
  RE: holidays!                            [Karen Pilmer <Karen@snavely.com>]
  RE: skin problems with the brace         [Karen Pilmer <Karen@snavely.com>]
  Charleston Bending Brace                [Karen Houston <houstonk@home.com>]
  Re: holidays!       ["Chris and Amy Nylander" <nylanders@worldnet.att.net>]
  Article                              [Kathleen McCrea <kwmccrea@feist.com>]
  Article                              [Kathleen McCrea <kwmccrea@feist.com>]
  Re: Iron                                                [RBerk1382@aol.com]
  Re: Iron                                                [RBerk1382@aol.com]
  Re: holidays!                 [Joel M Smith <Joel.M.Smith@Rose-Hulman.Edu>]
  finding a doctor               ["Allison A. Hicks" <aah0502@earthlink.net>]
  Re: pillows to school                                   [richa@softcom.net]
  Re: Spray & Diapering a casted boy.  ["Mary Kirkpatrick" <mkirkpatrick@rod]
  Re: HELLO EVERYONE            ["Rachel Freedenberg" <rachelaf@hotmail.com>]
  [Fwd: Charleston Brace]  ["Elizabeth E. Harris" <harrise@algonquinc.on.ca>]
  Re: Charleston Bending Brace                           [LavenderHW@aol.com]
  Re: Iron                             [Jo MacAleese <jomarz@compassnet.com>]
  Re: Iron                             [Jo MacAleese <jomarz@compassnet.com>]
  Traveling with a Cast                               [pbuxton1@pineland.net]
  Re: Iron                             [Jo MacAleese <jomarz@compassnet.com>]
  HarringtonRods and after effects  [Christina Mykituk <cmykitui@intergate.b]
  Iron again                            ["Molly Peters" <mollyp@calwest.net>]
  Re: Charleston Bending Brace                           [Pegclay123@aol.com]
  Re: Iron                                                [larwajj@iland.net]
  Re: [Fwd: Charleston Brace]                             [larwajj@iland.net]
  Re: holidays!                                          [Pegclay123@aol.com]
  Anterior surgery                          [DianePinewood@webtv.net (diane)]
  Stephanie                               ["Paul Pesanka" <pnuclear@fyi.net>]
  Re: Iron                       ["Georgina Van Horn" <georgevh@hotmail.com>]
  Re: Iron                                                   [RSMVMD@aol.com]
  Re: Anterior surgery             [Linda Racine <lindaracine@earthlink.net>]
  Recovery of body & spirit                   ["wigham" <kulina@eclipse.net>]
  muscle spasms and nerve sensations          ["wigham" <kulina@eclipse.net>]

----------------------------------------------------------------------

From: Karen Pilmer <Karen@snavely.com>
Date: Mon, 4 Jan 99 07:23:30 -0500
Subject: RE: holidays!

===== Original Message from Chris and Amy Nylander <scoliosis@ai.mit.edu> at 
1/01/99 3:40 pm
>Hi ,
>
>I just subscribed a couple of days ago.  My thirteen year old son was at
> ...
===== Comments by Karen@snavely.com (Karen Pilmer) at 1/04/99 7:13 am
Hi Amy

My daughter is 11 and was diagnosed in June with a 27 Thoracic and a 35 
degree Lumbar curve.  We were told to wait and see also.  By November she 
progressed to 30 degrees in the Thoracic and was braced.  Unfortunately her 
scoliosis is rapidly progressing and she is now 36 degrees!  We had her 
brace adjusted last Thursday and return to the Dr. in April.  Everything I 
have read agrees with the wait and see attitude.  Bracing is a line of 
treatment that you don't want to jump into.  It is hard enough to be a teen 
without adding a brace to everything else.  Your Dr. will advise periodic 
x-rays to monitor the progression.  9 degrees is a very livable curve.


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From: Karen Pilmer <Karen@snavely.com>
Date: Mon, 4 Jan 99 07:42:33 -0500
Subject: RE: skin problems with the brace

===== Original Message from Horváth István <scoliosis@ai.mit.edu> at 
10/22/99 4:30 pm
>This is the first day I received the digest of this scoliosis mailing list, and first of all I 
wish good health and a happy new year to everybody. I am the father of a 10 
year old girl with scoliosis, a newcomer and learner in this field. Of the 
many problems overwhelming
>us, now I need your help in one: what kind of skin and muscle problems will come from the 
contact with the brace, and how those of you wearing a brace have avoided 
them. I think her brace is Boston type, made of one piece of plastic. At one 
site I red rubbing alcohol after bathing would
>help, but that somehow does not sound well to me.
>István
>hi@mail.matav.hu
===== Comments by Karen@snavely.com (Karen Pilmer) at 1/04/99 7:36 am
I am also a newcomer to this field.  My 11 year old daughter began wearing 
her brace in November.  She was advised to use the alcohol and corn starch 
skin treatment method.  She has had no problems so far.  She has the same 
kind of brace your daughter has.  We found that mens "A" shirts work very 
well under the brace and believe it or not, they are a fraction of the price 
of womens "T" shirts.  As far a muscle problems go, the only thing we have 
seen so far is a decrease in the muscle tone in her upper chest area.  We 
needed to have her brace cut down an inch or so.  She has been given 
exercises to do to avoid the loss of muscle, but she hardly ever does them.  
Good luck to you.  

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From: Karen Houston <houstonk@home.com>
Date: Mon, 04 Jan 1999 09:00:22 -0800
Subject: Charleston Bending Brace

My daughter has been wearing the Charleston Bending Brace for 9 months now.
 She has a 29 deg. lumbar curve and so far it hasn't progressed.  She goes
for another check-up and x-ray in April.  I hope the curve hasn't
progressed.  She has grown a couple inches since wearing the brace, but so
far the curve hasn't progressed.  We are keeping our fingers crossed.  
Would the doctor not recommend a Milwaukee or Boston brace before doing
surgery?  We were told that if the curve progressed, she may have to wear a
brace all day long and see if it helped, before opting for surgery.
Good luck at her upcoming appointment.

Karen Houston

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From: "Chris and Amy Nylander" <nylanders@worldnet.att.net>
Date: Mon, 4 Jan 1999 11:59:19 -0600
Subject: Re: holidays!

Hi Karen,

Thanks for your response.  How often would you recommend getting x-rays?  I
couldn't agree with you more about adding a brace to all the other teenage
traumas.  It seems the key here is just sticking at 9 degrees.  Have you
read anything about the need to carry a backpack on both shoulders?  I've
been nagging him forever, but I'd love to know that there's a direct
correlation of some sort.

Thanks again for taking the time.

Happy New Year!

~Amy in MN

- ----------
> From: Karen Pilmer <Karen@snavely.com>
> To: Chris and Amy Nylander <scoliosis@ai.mit.edu>
> Subject: RE: holidays!
> ...
at 
> 1/01/99 3:40 pm
> >Hi ,
> >
> ...
the
> >right.  The MD ordered back x-rays.  I got a verbal report from the
> >radiologist via the nurse on Thursday that the curve was nine degrees. 
She
> >said they "don't do anything until it's 20 degrees."  So 9 degrees, I
> >think, is good news.
> >
> ...
guys,
> >the real experts, is what should I be sure to ask the MD when  we talk?
> >What is a reasonable course of action from here?
> >
> ...

> progressed to 30 degrees in the Thoracic and was braced.  Unfortunately
her 
> scoliosis is rapidly progressing and she is now 36 degrees!  We had her 
> brace adjusted last Thursday and return to the Dr. in April.  Everything
I 
> have read agrees with the wait and see attitude.  Bracing is a line of 
> treatment that you don't want to jump into.  It is hard enough to be a
teen 
> without adding a brace to everything else.  Your Dr. will advise periodic

> x-rays to monitor the progression.  9 degrees is a very livable curve.
> 
> 
> ...

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From: Kathleen McCrea <kwmccrea@feist.com>
Date: Mon, 04 Jan 1999 12:11:44 -0600
Subject: Article

There is an interesting article on the Medscape site regarding the
relationship between Scoliosis and Osteoporous.
Kay

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From: Kathleen McCrea <kwmccrea@feist.com>
Date: Mon, 04 Jan 1999 12:13:05 -0600
Subject: Article

There is an interesting article on the Medscape site regarding the
relationship between Scoliosis and Osteoporosis..
Kay

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From: RBerk1382@aol.com
Date: Mon, 4 Jan 1999 13:32:10 EST
Subject: Re: Iron

Jo--

Allison mentioned something I think called Procrit that would increase the
production of red blood cells.  Take heart, and forget about the liver and
apricots.  When I was donating I was unable to do so for a few weeks.  Then my
hemoglobin came back up.  It can really go down from 1) donating, and 2)
menstruating.  You will not increase your hemoglobin from diet, it will just
make you fat.  Keep up the supplements, and see about the meds that Allison
takes.

Good luck.

Roberta



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From: RBerk1382@aol.com
Date: Mon, 4 Jan 1999 13:38:10 EST
Subject: Re: Iron

Jo:

Janet recommended iron skillet, etc.  Forget it.  I have worked in the
Endocrinology Department of a major NY Hospital and was assured by the docs
who care for children that they never bother with diet because the amounts you
can get are too minimal to count.  

Roberta



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From: Joel M Smith <Joel.M.Smith@Rose-Hulman.Edu>
Date: Mon, 04 Jan 1999 15:30:53 -0500
Subject: Re: holidays!

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I have worn my backpack on both shoulders for several years now, and did not
develop scoliosis until 11 months ago.  I can't speak for everyone, but I know
that it has not had any effect on me!

Chris and Amy Nylander wrote:

> Hi Karen,
>
> Thanks for your response.  How often would you recommend getting x-rays?  I
> ...



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From: "Allison A. Hicks" <aah0502@earthlink.net>
Date: Mon, 4 Jan 1999 15:55:05 -0600
Subject: finding a doctor

Hello all,
I am new to this list and would like some input on your experiences with
physicians who specialize in (pediatric) scoliosis, particularly of an
neuropathic origin (cerebral palsy). I live in Wichita, Kansas, but am
willing to travel to the surrounding states to find the best doctors. Has
anyone had any experiences (good or bad) with docs in Kansas, Oklahoma,
Missouri, or even the Dallas/Ft. Worth area?
My 9 year old daughter, Marcelle, (who has spastic quad cerebral palsy) was
recently diagnosed with a 45 degree (lumbar) curve. She had orthopedic
surgery (lower extremities) this summer at Gillette Hospital (St. Paul, MN)
(Dr. Tom Novacheck), but with the scoliosis, I am sort of afraid for her to
have a potential surgery so far away from home in case there are
complications afterward. Does anyone have feelings or insight on this
subject? The orthopedic surgery didn't seem as life-threatening as scoliosis
surgery.
I would greatly appreciate any input. Thanks in advance.
Allison Hicks

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From: richa@softcom.net
Date: Mon, 04 Jan 1999 13:35:53 -0800
Subject: Re: pillows to school

Bethany,
     Hi!  My name is Sharece.  In never did have surgery, but when I first
got my brace I carried a pillow around with my from class to class. I
stopped after about 2 weeks.  It got kinda embarassing and hard to carry
around with all of my books.
Sharece A.

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From: "Mary Kirkpatrick" <mkirkpatrick@roddanpaolucci.com>
Date: Mon, 4 Jan 1999 13:52:12 -0800
Subject: Re: Spray & Diapering a casted boy.

Hi everyone and Happy New Year

 I called Sunshine Products and they are sending me some 'In Between. 
Their number is 314-965-6006.

It is $2.03 for 8 ozs bottle.

I'll let you know how it works.  Thanks Margie.

Mary (Ben's mom, 18 months, congenital scoliosis)

- ----------
> 



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From: "Rachel Freedenberg" <rachelaf@hotmail.com>
Date: Mon, 04 Jan 1999 15:00:39 PST
Subject: Re: HELLO EVERYONE

Good luck, Auna! I will be thinking of you! I am having surgery, too, 
probably this spring, and I'd like to hear from you what it's like (when 
you're feeling up to it). Everything will be fine, and good luck!!!

- -Rachel-

______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com



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From: "Elizabeth E. Harris" <harrise@algonquinc.on.ca>
Date: Mon, 04 Jan 1999 18:10:08 -0500
Subject: [Fwd: Charleston Brace]

Message-ID: <36914406.33B8@algonquinc.on.ca>
Date: Mon, 04 Jan 1999 17:43:18 -0500
From: "Elizabeth E. Harris" <harrise@algonquinc.on.ca>
Organization: Algonquin College
X-Mailer: Mozilla 3.04Gold (Win95; I)
MIME-Version: 1.0
To: scoliosis-teens@ai.mit.edu
Subject: Charleston Brace
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

I am looking for some discussion on the Charleston Brace. My 15 year old
daughter has started wearing it to stop a curve progression that is at
30 degrees presently. She has not yet been back for a recheck since she
began with the brace. I am wondering about the success rate for these
with respect to stopping advancement of the curve and preventing
surgery. I do not feel optimistic about the brace and am wondering if we
are putting her through wearing it with the inevitable still happening.
We need to give it a try but in my heart I am not feeling good about it.
I have read pros and cons and have discussed these with her Doctor who
has been involved in a research study with these braces and agrees with
their use for certain types of curves. He of course, cannot give any
guarantees. My daughter is a competitive swimmer so to have spinal
fusion and instrumentation would be devasting with respect to her
swimming hopes, plans, and dreams for the future.
Any comments would be appreciated.




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From: LavenderHW@aol.com
Date: Mon, 4 Jan 1999 19:05:19 EST
Subject: Re: Charleston Bending Brace

Karen-
         Thank you. Please e-mail me in April to see how her appointment went.
I hope all goes well!  And thanks again!
               Holly Worrell

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From: Jo MacAleese <jomarz@compassnet.com>
Date: Mon, 04 Jan 1999 17:47:21 -0600
Subject: Re: Iron

Roberta -
Procrit is not for me - sad to say.  We are now working with directed
donations to see if we can get the amount needed from the stable (we
know their background) friends we have.  I'm going to try again on
Friday --- if not able to donate then, I quit.  Ugggg.  I never thought
this would turn into such a fiasco!
Thanks for all the advice and suggestions.  Your help and concern means
a lot to me.
Jo

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From: Jo MacAleese <jomarz@compassnet.com>
Date: Mon, 04 Jan 1999 18:39:35 -0600
Subject: Re: Iron

Dear Courtney -
Thanks for the multiple suggestions about the iron problem I'm having.
I was doing one of the things wrong, and have made corrections!
Regards,
Jo

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From: pbuxton1@pineland.net
Date: Mon, 04 Jan 1999 19:44:22 -0500
Subject: Traveling with a Cast

My son Aaron is looking at spinal fusion surgery for two different
hemivertebrae/congenital scoliosis this coming spring.  The doctor wants
to put him in a cast from the neck down to about mid-thigh to discourage
him from walking.  I'm interested in any experience some of you have had
with these types of casts as far as the child getting around (*will* he
be completely unable to walk for 4 months?) and how you're supposed to
get him in a car seat!  Does this mean we won't be able to leave the
house for 4 months?!

Penny



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From: Jo MacAleese <jomarz@compassnet.com>
Date: Mon, 04 Jan 1999 18:37:20 -0600
Subject: Re: Iron

Janet -
Thanks for the suggestion!
Regards,
Jo

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From: Christina Mykituk <cmykitui@intergate.bc.ca>
Date: Mon, 04 Jan 1999 17:05:16 -0800
Subject: HarringtonRods and after effects

Hi Linda...welcome to the list!  I've been recieving it for a while, and
find it really helpful!  I had CD rod surgery 9 years ago, and a
revision 7 years ago, as well as I've been involved in a car accident.
I now have really bad neck aches and pains, as well as sharp pains and
aches in the shoulder and scapula region, aside from chronic pain
throughtout the back.  I've been back to specialists several times, and
the best thing for it is light exercise and stretching... I also love
going to massage therapy!  I've experienced a lot of different forms of
treatment - physio, antidepressants for chronic pain, and I find that
the massage, light stretches that were given to me by a exercise
specialist, and antiinflamatories when it's really bad works best.
They've thought of rod removal or extension at one point, but it is
uncertain if it would create any benefit, if not make things worse.  I
have chronic pain, and I found that the best relief ever was when I was
following a special exercise program - it didn't relieve the pain, but
did make a world of difference!  I think it's important to realize that
each case of scoliosis is different with different effects, and you may
find something completely different that works for you!
Take care of yourself !
Christina

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From: "Molly Peters" <mollyp@calwest.net>
Date: Mon, 4 Jan 1999 17:54:23 -0000
Subject: Iron again

Dear Jo,
So sorry about the trouble with your donating blood.  I totally understand
your anxiety about it- it was a huge stressor for me as well.    If you have
good friends who are a match, then go for the directed.  You certainly don't
need any added stress now.
However, I must disagree with the notion that your diet has little impact on
your Hct, so I wouldn't totally give up.  I drastically changed my dietary
habits to donate, and took the iron supplement 3 times a day.  As a result,
I was able to give 8 units in 2 months, with a (low) starting Hct of only
37.  The blood bank nurses said no patient there had ever been able to give
more than 3 autologous units, and believed my diet had a lot to do with it.
Maybe I was just lucky... and I guess we all believe in what works for us!
Best of luck Friday!
molly

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From: Pegclay123@aol.com
Date: Mon, 4 Jan 1999 21:11:15 EST
Subject: Re: Charleston Bending Brace

How old is she?  I would think that before trying surgery they would look to
an 18 to 23 hour brace.

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From: larwajj@iland.net
Date: Tue, 5 Jan 99 02:13:16 +0000
Subject: Re: Iron

Jo,
I am not sure what you are talking about but I suspect 
that you are trying to donate for your own blood. If 
so my son did donate 4 units of his own blood and we 
had three others donate. He had to take 900MG of iron 
a day and ate brussell sprouts and brocckli galore. 
Knowing that Iron tends to constipate we gave him 
colace once per week as it was really stong for him. 
It really helped. Plus we ate alot of steak (not 
hamburger). I don't know if this will help you or not 
or if this was the subject at all. Hopefully it was 
correct.
Wanda

	





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From: larwajj@iland.net
Date: Tue, 5 Jan 99 02:23:09 +0000
Subject: Re: [Fwd: Charleston Brace]

Elizabeth:
I do not have information on the charleston brace but 
my son at age 15 wore the boston brace. His curve was 
30 and it held for about 4 months. He thought the 
brace was suppose to straighten his back and when it 
did not improve the curve gave up. Our information on 
the bracing method for scoliosis was not made too 
clear and we were kind of confused. Now I do know that 
the brace is worth it of any nature. Anything you can 
try is always beneficial. Our son's back curved from 
30 last december to 45 this december and ultimately 
now he wears rods. Our Dr. said one of the best 
excersies is swimming and walking. So don't get too 
discouraged about the brace even if it fails. We tried 
too and sometime you  can't control. If she complys 
100% then it may work and may not work. The ultimate 
goal is to get the child to skeleton maturity in hopes 
the brace then holds the curve to that degree. The 
body at maturity will take over and hold it there. 
That's what we have learned after the fact.

My son's surgery was December 15th and his back is 
wonderful. He feels wonderful just like everyone said. 
I can't imagine letting him go thru life curved like 
he was and the hump on his back. His posture looks 
wonderful and you can't hardly tell that he has had 
surery. The only thing I can tell you is the scar is 
and will be minimal. Just have to be careful with the 
sun at first. Our Dr. is wonderful and very 
knowledgable on this sort of thing. The object was to 
do the surgery before the student got too much farther 
progressed and got too old. He is a sophomore and it 
was ideal to do the surgery now because it left the 
junior and senior years open for healthy and enjoying.

Well, Hope this helped and if you want, e-mail me 
personalbly if you want.
Wanda




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From: Pegclay123@aol.com
Date: Mon, 4 Jan 1999 22:16:23 EST
Subject: Re: holidays!

I agree that 9 degrees is a curve that if it doesn't progress should not cause
any serious problems.  

Rather than just wait and see however, maybe ask for excercises that
strengthen the back muscles?  This is a positive step that in any case cannot
hurt, can likely help support the spine and maybe help avoid further
progression.  Also watch your sons nutrition and see that he is getting
balanced meals of whole foods.  Have him reduce soda pop and other overly
processed foods that are so popular with kids and that rob the muscles, bones
and energy from them.

Watching nutrition and excercise at least you will know that you are doing
what you can to avoid further problems and your son can only benefit.

If he is already good about nutrition and exercise than you are already doing
everything you probably need to do with a curve of only 9 degrees.

Unless you want to check with a good chiropractor to see if there is a simple
problem that adjustment may help.



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From: DianePinewood@webtv.net (diane)
Date: Mon, 4 Jan 1999 23:01:37 -0500 (EST)
Subject: Anterior surgery

Thanks for recent informative posts, from shoes to iron .

I have questions regarding the types of surgery for scoliosis fusion.  
I recall  reading comments on the list  about doctors' recommendations
for surgery.  It seems each new doctor's consult  may bring a different
recommendation-- posterior, anterior, or both.  Advice  has been given
that your choice of surgeon is paramount, and you follow his
recommendation.

I first had a recommendation for posterior, and possibly  a/p, after
further testing.  The next doctor recommended
a/p initially.  I feel that the less surgery one must have, and  the
shorter the fusion, the better. My doctor reviewed my records and
decided I would do well with a selective lumbar anterior fusion.
Because of my flexibility, the  compensatory thoracic  curve should
self-correct about 50%.  I also have good bone density for my age (55).

I would be interested in hearing any comments anyone has  regarding the
types of surgery, especially if you have had anterior only surgery.  If
you had to have a/p surgery, what were the reasons that necessitated a/p
instead of a single surgery?  Does anyone else feel that the surgery
decision making for scoliosis is very "patient-heavy"?  So many other
procedures seem more cut and dried in terms of having surgery.  Or do
other surgery candidates also question whether they REALLY need it?
Thanks for your input.

Sending wishes for a HAPPY HEALTHY NEW YEAR!  Diane




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From: "Paul Pesanka" <pnuclear@fyi.net>
Date: Mon, 4 Jan 1999 22:59:37 -0500
Subject: Stephanie

Our daughter, Stephanie, has worn a Boston Brace for the last 2 years.  She
has progressed from a 24 degree curve to a 48 degree curve. (29 to 48 in one
year due to a growth spurt!)  As we plan for surgery, has anyone had
experience with Dr. W. Timothy Ward at Children's Hospital in Pittsburgh,
PA?  We have been told by our PCP that he is tops in our area.  He seems to
know his stuff.  Any info would be appreciated.

Thanks.
Marilyn




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From: "Georgina Van Horn" <georgevh@hotmail.com>
Date: Mon, 04 Jan 1999 20:09:02 PST
Subject: Re: Iron

Jo,

  Thanks for replying so quickly.  So glad you are on your way to a much 
better life.  Your Dr. sounds great and with the confidence you have in 
him it will all go smoothly.  So sorry about all the trouble you're 
having with giving blood.  I had to give 6 units last time and in 
addition needed 3 more.  You're doing all you can and having family and 
friends give is super.  These days there is so much screening that 
having to take from an unknown donor is not too risky.
Still knowing where it comes from helps.  I understand your being real 
busy right now.  A month goes by quickly and then you will be on your 
way to recovery.  I'll be thinking of you and keeping in touch.

                  Georgina

        

______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com



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From: RSMVMD@aol.com
Date: Mon, 4 Jan 1999 23:16:13 EST
Subject: Re: Iron

Jo,
    Have you contacted the Red Cross in regard to foods that are high in iron?
If not, give them a call.  Maybe they can fax you the list.  I got an
extensive list from them during the time that I was donating blood for my
surgery.  I don't have the list currently available; however, I do remember
Cream of Wheat and Pistachios being very high in iron.  Hope this helps, and
good luck with your surgery!!

                                                            Richard S. 
   
                                     



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From: Linda Racine <lindaracine@earthlink.net>
Date: Mon, 04 Jan 1999 20:58:29 -0800
Subject: Re: Anterior surgery

Hi Diane...

My belief is that it's almost impossible for an untrained patient to judge
which type of surgery is best for themself.  First, each case is very unique. 
Secondly, scoliosis specialists have the experience of lots of cases, with
both good and bad outcomes.  I would not want to encourage a doctor to perform
one type of surgery if they felt that another type would be a better
alternative.  

I understand why one would think that the less done, the better.  I've talked
to other people who felt like you do.  Personally, I would not want to go into
surgery with the knowledge that there would be a good likelihood that
additional surgery would have to be done in the future.  I had the option you
discussed.  My surgeon thought that my thoracic curve might self correct if he
fused the lumbar curve.  He assured me that if it didn't, however, I would be
have to go back for more surgery.  I was actually unhappy that he gave me
options.  I felt there was no way I could educate myself enough to ever feel I
made the right decision.)  I agree with your assesment that recovery seems to
be quite a bit easier for people with shorter fusions.  I think we just differ
on which is the lesser of two evils. :-)

I've said this before, but I believe in it strongly.  Your best bet is to find
a surgeon whom you can trust, then let him/her do what they feel is best.  

Regards,
Linda



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From: "wigham" <kulina@eclipse.net>
Date: Tue, 5 Jan 1999 00:28:44 -0500
Subject: Recovery of body & spirit

Dear All fellow seekers;
   Thanks you so much for your replies it gets depressing if no one out
there connects to your problems it makes you feel alone. I am now 11 weeks
post op and I do have some pain but it more or less sneaks up on me if I
don't take my meds regularly. I take some narcotics which I am weaning
myself off from over the next two weeks. The good med for neuro pain is
"Neurontin" it really does block most of the nerve pain which I suspect is
now most of my pain in my left hip/back and leg. The drug makes you flaky
for the first week after that you are normal again since your body becomes
use to it. I suggest everyone on these list suffering pain try this for a
month the doses can be as low as 100mg/ 3x a day or 300mg/ 3x day which is
what I am doing to keep the owies and the aches of my left leg in check.
It's interesting how I have much more neuro pain in my left leg than before
surgery. Well we shall see what is said when I go for 2nd follow up Jan 21
with Dr.. Kostuik at Johns Hopkins in Maryland. I feel they have the best
ortho dept.. I start walking on my treadmill tomorrow as ordered by my doc.
but of course ins. wouldn't pay so it was a very expensive Xmas gift to
myself and my hubby. Walking for the back surgery is sooooo important in
terms of moving along and recovery. There are days that if I go out shopping
with the aid of a friend for 3-6 hours I am physically crashed for the next
day and lay in bed and rest. I let my body dictate my life right now. My 5
and 3 yr. old are at daycare until end of Jan. when I hope to be able to
keep awake all day to be with them. I am a stay at home mommy. I  realize I
am fixed for life I hope and my mind is racing with possibilities and things
I want to do. I am going to start writing them down. I think a journal right
now is what I should do. I pray every day for God to have mercy upon me and
to heal me physically and spiritually. I am an Orthodox( Russian/Greek type)
Christian.  I pray that "we all" accept His will and we get better so that
we are better brothers and sisters to each other in His name. Even just a
smile can change the world for some person. I thank you again for your
caring. I just started replying and reading everything since the Oct.
surgery I've had double blurry vision to deal with as well since I awoke
from surgery. But thankfully it seems to be getting better. Blessings for a
fruitful and healthy new year and life. Feel free to contact me personally
at my e-mail too.
My deepest regards Kathleen KW.

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From: "wigham" <kulina@eclipse.net>
Date: Tue, 5 Jan 1999 00:44:22 -0500
Subject: muscle spasms and nerve sensations

What has worked for me is  valium to stop my legs and/arms from "jumping"
and Neurontin taken regularly. When the leg spasms were so severe that my
legs were jumping wildly off the bed even the nurse couldn't hold my legs
still, I took 10 mg valium and 30 mg roxicodone (narcotic) took 20 min utes
to work but did the trick. I  say to keep 5 mg tabs on valium on hand for
those nights your musles prefer to play then rest. That dose is so low I
don't think you would become addicted to it but it just makes those muscles
relax a bit or ask your doc for muscle realxers to keep on hand for those
rough days/nights. I feel better knowing I have something in the medicine
cabinet for backup just in case. Even though I still have painful moments
those hours are far better then the daily excruciating pain I experienced
pre-op.
Be blessed by Him and well wishes for a joyful life.
Kathleen KW

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