From:      bounce-scoliosis
To:        scoliosis-digest@ai.mit.edu
Subject:   scoliosis V1 #941
Reply-To:  
Errors-To: bounce-scoliosis
Precedence: bulk


scoliosis                Saturday, 5 September 1998     Volume 01 : Number 941

Today's subjects for scoliosis, scoliosis-medical, scoliosis-child
and scoliosis-teens:
  Re: Charleston Brace               ["Sherri Linsenbach" <sherril@abac.com>]
  Re: Update on Hayley's second opinion  ["Margie Stelzer" <mstelzer@mail.co]
  Re: Planning for pre-op and post-op surgery                [Bogima@aol.com]
  FROZEN SHOULDERS                            [Cathy Lutz <cwlutz@erols.com>]
  Re: guinea pig surgery                [Margaret  Arth <ma247@columbia.edu>]
  Re: Bike riding                         ["A & S  G." <giant17@pacbell.net>]
  Re: recovery time                                       [RBerk1382@aol.com]
  Re: FROZEN SHOULDERS              ["Kjellman, John V" <johnk@victorex.com>]
  UPDATE                                            [R.N.A.@worldnet.att.net]
  Re: Planning for pre-op and post-op surgery  ["Georgina Van Horn" <georgev]
  Re: Second time around???                              [KBrad98536@aol.com]
  alive and well                              [Holly Ingram <hollyi@iop.com>]
  alive and well                              [Holly Ingram <hollyi@iop.com>]
  Holly                            [Linda Racine <lindaracine@earthlink.net>]

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

From: "Sherri Linsenbach" <sherril@abac.com>
Date: Fri, 4 Sep 1998 07:48:01 -0400
Subject: Re: Charleston Brace

Michelle,

My son, 19, has been in the Copes brace for about 10 months, and it has done
a tremendous amount of good for him.  He had a 50 degree thoracic curve and
43 degree lumbar.  Both were reduced by about 15 degrees by the 6-month
point.  His rib cage is now moving back into better alignment as the spine
continues to straighten.  Since your son's curves aren't that advanced, I
would definitely recommend the Copes brace and program to correct his
curves.

In conjunction with the total Copes program, the Copes brace straightens the
curve and rib cage, and helps the entire body become healthy once again.  In
addition, it strengthens and trains the body to hold the corrections.

Before the Copes brace, at age 17, my son's curve suddenly went from 40
degrees to 50 degrees in just 10 months, so be sure to have your son's curve
monitored closely as he goes through "growth spurts".  Information on the
Copes brace and program is available at http://www.scoliosis.com.   They
have a toll-free number you can call to receive their information.

Sherri L.
sherril@abac.com





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From: "Margie Stelzer" <mstelzer@mail.coin.missouri.edu>
Date: Fri, 4 Sep 1998 08:22:11 -0500
Subject: Re: Update on Hayley's second opinion

Allison:

Last August, Spencer, then 20 months,  had a 30 degree curve that
progressed to 34 degrees by December. He was diagnosed w/ congenital
scoliosis with a hemi-vertibrae between L-2 and L-3. The spine was also
starting to rotate and second curve was beginning below the curve.  The
first ped. ortho scoliosis specialist we went to said he wanted to wait
until Spencer was school-aged (at least 9 or 10) before he decided on
surgery. After the curve progressed, he said maybe when he was 4 or 5 years
old. The second opinion said he doesn't like to recommend surgery on a
first visit because it may be interpreted as being "knife-happy" but he
thought surgery would be needed sometime in the next year to prevent the
spine from rotating more, a condition that cannot be easily corrected with
surgery and to stop the secondary curve below the hemi-vertibrae. If we
waited and the curves progressed, a longer fusion would be needed. Then I
found out I was pregnant and we thought we had better get the surgery done
before the baby is born and I before I became to big. So, we scheduled
surgery for this past March. Spencer, now 2 and 1/2  has only a one level
fusion and his curve was corrected to 10 degrees. We're hoping this holds
on it's own but are probably looking at periodic bracing through his growth
years. I'd much rather have Spencer braced than go through another surgery.
Much of the spine's flexibility and shock absorption is in the lumbar area
so the more that can be preserved there, the better the long term quality
of life. 

Deciding on surgery was very difficult because Spencer's curve was not
threatening severe deformity, disability or illness, yet. But, the sooner
we did it, the better chance of a nearly complete correction with little
loss to his height and discs. We are hoping that we have saved him from a
future life of back pain, illness and/or disability. 

Margie





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From: Bogima@aol.com
Date: Fri, 4 Sep 1998 09:52:51 EDT
Subject: Re: Planning for pre-op and post-op surgery

Hi Sheila,

I had scoliosis surgery nine months ago at the age of 56.  My surgery is
different from yours, but from what I've seen, recovery is similar.  In
addition to everything that's been said to you here so far, you will need some
assistive devices after surgery.  These are wonderful devices that make life a
lot easier.   First of all, talk to your doctor about getting a hospital bed
at home for the first couple of months.  I had one in the living room which
gave me much more contact with people than being stuck in my bedroom.
Besides, as much as I love my husband, the idea of being in bed with him at
the beginning of my recovery period was just unimaginable.  I could not have
withstood any movement in bed and the idea of his touching my back by mistake
while asleep - well, it was a lot easier just to be in a different bed.  My
insurance company paid for the bed. You'll also need a shower seat, preferably
without a back, a long handled shower nozzle, a couple of long grabbers to
pick things up off the floor and a shorter one as well - it helps in getting
stuff out of the refrig, a long handled shoe horn, a gizmo to help put socks
on, and a a raised toilet seat with arms.  You can get this stuff through a
medical supplly store.  There are also several catalogues you can use.  The
ones I like best are Adaptability, 800-288-9941 and Smith and Nephew,
800-558-8633.  I also got the foam wedge that goes under you knees when you
sleep on your back.  I find it stays in place a lot better than a pillow.
Satin pajamas are a wonderful idea - it makes turning in bed so much easier.  

I spent a lot of time before surgery stocking my freezer with cooked food. It
kept me busy before surgery and  made things a lot easier for my husband
afterwards.

These a tough times for you, but you seem to have a very good, positive
attitude, which helps a great deal.  This surgery is, to put it mildly, a
bummer, but I am so glad I did it.  I am not back to old my old self at nine
months post-op, but I am a heck of a  lot better than I was before surgery and
I still improve daily.  Good luck to you.  Keep in touch and do post any
questions you have.  Who are your surgeons?

Bonnie  




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

From: Cathy Lutz <cwlutz@erols.com>
Date: Fri, 04 Sep 1998 09:58:12 -0700
Subject: FROZEN SHOULDERS

Roberta,

You mentioned having "frozen shoulders" after surgery.  That pretty much 
describes my shoulders 4-months post-op--frozen in a forward position.  
They refuse to move, unless I concentrate on making them move.  When I 
move them, they seem to tug at the upper hardware where hooks and a 
crossbar are located.

Formal PT is now finished so I'm on my own to get things back in 
shape--which means daily exercising, including shoulder rolls.  Do you 
have any suggestions to unfreeze the shoulders?

BTW, with a mostly lumbar curve, I hadn't expected to have any problems 
in the upper back since it was pretty much "normal" prior to surgery.  It 
was a surprise to find out the fusion extended up to T6--higher than 
expected...

Cathy
[cwlutz@erols.com]



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From: Margaret  Arth <ma247@columbia.edu>
Date: Fri, 4 Sep 1998 11:36:56 -0400 (EDT)
Subject: Re: guinea pig surgery

I was also at a teaching hospital as well.  The week before my surgery I
had an appt w/my surgeon for about 2 hrs to ask all my questions.  When I
met with him, one of his residents was tagging along.  This got me kind of
nervous.  So I asked him if my surgeon was performing the op or his
resident...or if they "share" the op time.  He definitely understood my
concerns and Dr. W. asked the resident "who is performing the operation?"
Res. "You are."
Dr. W.  "who is performing the operation?"
Res.  "You are."
Dr. W. "III can't heeere you"
Res.  "You are Dr. W."
Dr. W. "And will you in any way shape or form do any part of the
operation?"
Res.  "Absolutely NOT, sir."
Sooo, as you can see, he made this very clear that he was going to be the
only one.  The agreement that I signed also stated this.  It sure put me
at ease, as I certainly didn't want anyone else touching me.  (though of
course I know there are other people who do, but it's a different
function).
- --Megan

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From: "A & S  G." <giant17@pacbell.net>
Date: Fri, 04 Sep 1998 09:16:07 -0700
Subject: Re: Bike riding

What great advise!!!   I would have done it-----and been sorry I am sure.
I did not know one needed to be fitted for these bikes.     Thank you for
your knowledge Carol.

susan

t 09:16 AM 9/3/98 EDT, you wrote:
>
>Do not buy a bike on the Internet!  


>C.P.   
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From: RBerk1382@aol.com
Date: Fri, 4 Sep 1998 12:52:54 EDT
Subject: Re: recovery time

Hi Patty:

My need for the walker was a total surprise to me.  I was expecting to be able
to return to work within three or four months.  I think the walker was just
because of general weakness.  My surgery lasted 12 hours and I lost a lot of
blood.  I also contracted the common urinary tract infection from the
catheter, and pleurisy from the deflated lung.  I was up out of bed for my
meals after five or so days.  It's all kind of in a haze to me.  So, no, I did
not have specific restrictions, I just didn't have the capability.  I did not
have a brace.  This was determined during the surgery.  I had been expecting
one, but Dr. Boachie decided that it was not necessary.

Hope this helps.  Ask more if I didn't answer your questions.

Roberta 



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From: "Kjellman, John V" <johnk@victorex.com>
Date: Fri, 04 Sep 1998 16:12:22 -0400
Subject: Re: FROZEN SHOULDERS

Dear Cathy Lutz:

 I don't have scoliosis, my daughter does, but I have had two frozen
shoulders, first one, then the other.  Worked it out starting with
physical therapy, but found swimming (crawl/freestyle stroke mostly,
but some backstroke) was just as effective as the PT, more convenient,
and less expensive.  I have no idea if your frozen shoulder is from same
cause as mine, but if you can you might consider swimming as way to
loosen your shoulders.

Regards,
  John Kjellman
  johnk@victorex.com




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From: R.N.A.@worldnet.att.net
Date: Fri, 04 Sep 1998 19:29:04 +0100
Subject: UPDATE

Just an update to let some of you know about my return to work.
I returned to work this week--exactly 3 months after surgery.  All in 
all I feel better than I thought I would but definitely not like my 
"normal" self.  I'm a 44 yr old high school science teacher (in answer 
to a previously asked question).  Normally there is a lot of bending, 
twisting and lifting.  However I do none of that at the moment.  The 
people in my department have been great in helping unpack and store my 
supplies, and helping me prep the labs.  The custodians are also aware 
of my situation and deliver items to me.  The principal and 
vice-principals are very understanding.  

I have adjusted my teaching style to my present condition so as I don't 
tire too easily.  I also pace my activities during the day.  I informed 
my students that I had spinal surgery and asked for their cooperation in 
class.  I avoid student contact--not in the halls the same time as the 
students, etc.  If I'm tired I go to the clinic and rest (as I did 
yesterday since that burning sensation in the shoulder returned).

I'm at work from 7 AM to 3 PM.  Park in a handicapped space for easy 
access to the building.  My home routine is also adjusted.  I need to 
nap for about an hour or so when I get home and afterwards I don't do 
anything strenuous.  I find that it's important to really slow down when 
I get home.  

I do find that my shoulder muscles and some back muscles tighten by the 
end of the day, I feel some pinching throughout the back and ribs hurt 
from where the graft was taken.  I do find myself getting tired.  
However my back doesn't hurt--it's more muscle discomfort and fatigue.  
My hips start to hurt a bit if I'm standing too long-so I alternate 
between standing and sitting.  I'm really glad that I had all that PT 
prior to surgery--it really helped not only with the recovery but also 
back at work.

There is only one drawback--too many people said I look great, in fact 
some didn't know I had such extensive surgery. Unfortunately this is 
taken as an indication that I feel just as good--I wish!  There are so 
few people who really understand what this type of surgery is all about, 
the physical and emotional sides of the recovery, and length of 
recovery.  Those that do also find it amazing.  Education and exposure 
are definitely needed.

Lynne



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From: "Georgina Van Horn" <georgevh@hotmail.com>
Date: Fri, 04 Sep 1998 18:44:25 PDT
Subject: Re: Planning for pre-op and post-op surgery

  Bonnie, 
   
       Just read your email to Sheila.  You are right on with all the 
devices you recommend.  I was fortunate and had 5 days of rehab before 
coming home and they gave me most of them and arranged for me to rent 
and buy more. I also had a hospital bed that we put in the dining room 
because of our stairs.  I had my surgery at 55 exactly one year ago.  I 
had the full spine fused from neck to sacrum.  My screws in the sacrum 
are coming out so I'm looking at more surgery in the near future.  How 
extensive was your surgery??  I've started back to work and it's OK but 
I pitch forward because of the loose screws and it's tiring to walk. The 
best to you.

                            GEorgina
 

______________________________________________________
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From: KBrad98536@aol.com
Date: Fri, 4 Sep 1998 23:24:59 EDT
Subject: Re: Second time around???

Good luck with your surgery.  I understand Dr. Hu is a wonderful surgeon.  The
draw back is being in a hospital over Christmas with this type of surgery.
Not many doctors are usually available over the holiday.  I was transferred
from UCSF to Mt. Zion/UCSF rehab the 20th of Dec. last year where I stayed
until 1/10/98.  My surgeries were 12/3 & 12/8/97.  It was extremelly difficult
to be in the hospital over Christmas because of a lack of staff...I suggest
you ask before surgery to understand what will be available to you if needed.
Your in good hands with Dr. Hu.
Kay

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From: Holly Ingram <hollyi@iop.com>
Date: Fri, 04 Sep 1998 23:53:11 -0400
Subject: alive and well

Hi all,

I know there are many who are not  big on details. I am home and home
5-6 days sooner then expected. I had a wonderful orthopedic episode to
my surgery in the 25th but 5 hours into it i started to bleed with great
zeal all my body functions became extremely critical and just by the
grace of god i am still here. Boy were they shaken up.
I entered up with some pretty massive treatments that resulted in other
problems it took them 3 days to correct. But by friday i was happy and
chatting and in very little pain.
Sleeping on my tummy. LOL my favorite place. Surgery this week monday
was kind of a hold your breath and see procedure but all went well .
After the anterior surgery on monday i was sleepimg on my swollen tummy
by wednesday night.  Dr Kostuik just could not get over that fact and i
must say my tattoos were a major hit with the docs.
Off all heavy pain meds by wednesday i figured i might as well get home
to my family.
I must say today was a bit scary buts its midnight, i got in at 4pm and
have been computing since about 6pm except for dinner. I  am hot and
sore and now tired but i really feel well. They have decided since bone
wise all went to well i will not have to be flat in bed for three months
but will be able to sit in a wheelchair as soon as i feel up to it
i think after the weekend. I am taking darvon for pain and doing great.
Talk to you all soon and any privates for details are ok with me. I am
so glad this part is finally over.
Hollyi




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From: Holly Ingram <hollyi@iop.com>
Date: Fri, 04 Sep 1998 23:53:11 -0400
Subject: alive and well

Hi all,

I know there are many who are not  big on details. I am home and home
5-6 days sooner then expected. I had a wonderful orthopedic episode to
my surgery in the 25th but 5 hours into it i started to bleed with great
zeal all my body functions became extremely critical and just by the
grace of god i am still here. Boy were they shaken up.
I entered up with some pretty massive treatments that resulted in other
problems it took them 3 days to correct. But by friday i was happy and
chatting and in very little pain.
Sleeping on my tummy. LOL my favorite place. Surgery this week monday
was kind of a hold your breath and see procedure but all went well .
After the anterior surgery on monday i was sleepimg on my swollen tummy
by wednesday night.  Dr Kostuik just could not get over that fact and i
must say my tattoos were a major hit with the docs.
Off all heavy pain meds by wednesday i figured i might as well get home
to my family.
I must say today was a bit scary buts its midnight, i got in at 4pm and
have been computing since about 6pm except for dinner. I  am hot and
sore and now tired but i really feel well. They have decided since bone
wise all went to well i will not have to be flat in bed for three months
but will be able to sit in a wheelchair as soon as i feel up to it
i think after the weekend. I am taking darvon for pain and doing great.
Talk to you all soon and any privates for details are ok with me. I am
so glad this part is finally over.
Hollyi




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From: Linda Racine <lindaracine@earthlink.net>
Date: Fri, 04 Sep 1998 22:50:05 -0800
Subject: Holly

Holly...

I have to tell you... I read your letter with my mouth hanging open.  REALLY. 
I can't believe how quickly you're back with the living.  Congratulations on
your quick recovery.  Hope it continues to go as well as it's started!

Regards,
Linda



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End of scoliosis V1 #941
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