Re: Pediatric Case

[Guest guest]

Matt,

Why are you only "considering" probiotics?

UNDA 4 43 243

Dick Thom

Beaverton, OR

cancer, AI

Hello everyone,

I have a case that I am seeking assistance with.  4 month old female suffering from chronic vomiting.  The child has a good routine and is breast fed with the exception of one feeding which is a rice based formula.  Vomiting can occur at any time.  Immediately following a meal or as late as 3 hours after a meal and before the next feeding.  Vomiting does not occur at night.  The quality of the vomit is milk-like.  The mother is using omega-3 and omega-6 fatty acids, as well as a prenatal vit.  Food allergies/sensitivities have been explored and pyloric stenosis has been ruled out.  The child has an excellent temperment, very seldom upset.  Does not appear to be agitated by vomiting and is in the 60th percentile on growth charts.  Her conventional pediatrician has diagnosed her with hyperchlorhydria and the child is currently taking Prilosec with minimal results.  The mother had gestational diabetes during the pregnancy and a cesarean delivery was required due to the baby being 9 lbs. at birth.  This is the mother's first child.  Do you all have any suggestions?  I am considering probiotics and single remedies, but have not come to any decisions.  I would appreciate any input.

Thank you,

Matt Cowan, ND

[Guest guest]

Hi,

I would also take grains out of the diet for a little longer. She can't digest grains that well at 4 months old. Consider food allergens the mother is eating as well. How much is the baby vomitting? If she is still gaining weight and is fine otherwise, my experience is that with treatment (and not Prilosec) she will be fine and get better as she gets older. She really doesn't need to be introducing any foods until 6 months.

Jessie Black

A Family Healing Center, LLC

[Guest guest]

Not having passed through the vaginal canal is definitely a microflora issue for

this baby. Probiotics for sure, also have her do castor oil packs on the baby, I

find they work wonders in peds.

Teri Jaklin ND

MS Chronic Illness GP

>

> From: matt cowan <littledryforkfarm@...>

> Date: 2005/01/11 Tue PM 02:38:32 EST

>

> Subject: Pediatric case

>

> Hello everyone,

> I have a case that I am seeking assistance with. 4 month old female suffering

from chronic vomiting. The child has a good routine and is breast fed with the

exception of one feeding which is a rice based formula. Vomiting can occur at

any time. Immediately following a meal or as late as 3 hours after a meal and

before the next feeding. Vomiting does not occur at night. The quality of the

vomit is milk-like. The mother is using omega-3 and omega-6 fatty acids, as

well as a prenatal vit. Food allergies/sensitivities have been explored and

pyloric stenosis has been ruled out. The child has an excellent temperment,

very seldom upset. Does not appear to be agitated by vomiting and is in the

60th percentile on growth charts. Her conventional pediatrician has diagnosed

her with hyperchlorhydria and the child is currently taking Prilosec with

minimal results. The mother had gestational diabetes during the pregnancy and a

cesarean delivery was required due to the baby being 9 lbs.

> at birth. This is the mother's first child. Do you all have any

suggestions? I am considering probiotics and single remedies, but have not come

to any decisions. I would appreciate any input.

> Thank you,

> Matt Cowan, ND

>

> __________________________________________________

>

[Guest guest]

Any notion of if he falls and then "blacks out" or "blacks out" and falls??

Don White

[Guest guest]

Lily: I am concerned he is having petit mal seizures. Is he a junk food- soda pop heavy sugar eater. I have seen seizures occur with too much sugar. I can't believe the "doctor" blew them off- OK, I can, just kidding. How about an EEG? With the history of repeated infections unless he has rebalanced his gut with probiotics, he may have the beginning of lifetime of problems from that. Aloe vera juice and digestive enzymes would be great. They won't address the brain issues, however. Let us know what happens. Ann Goldeen

pediatric case

Docs,5yo presents with hx of ~6 falls in the past year where he 'blacks out' forup to 1 minute (last week's fall) after falling most often onto his chest(while playing with other kids). This last episode has resulted in frequentheadaches, neck and upper back pain. Mom reports her son's PCP discountedher concern by saying 'he'll grow out of this stage'.The pt also has experienced 3 episodes of strep throat this year (thus 3rounds of amoxicillin). He currently has a cold and fever.A year ago the pt was treated for moderate Rt hip pain which resolved afterchiropractic treatment ( spine, hip and pelvis films, all WNL).I'd appreciate feedback on this case, especially what followup evaluationwould be indicated.Many thanks,Lily Roselyn, DCTillamook

[Guest guest]

Hi Lily,

Maybe you could ask the kid, " How do you black out? " He might tell

you. I remember playing " Aparagus Man " with other kids where we'd hold

breath until we'd passed out. Then we discovered that you could hold

your breath and increase internal pressure and it would happen pretty

fast. Then we discovered that you could hold breath, have someone

squeeze you around the chest and you'd pass out and flop like a fish.

Great kid fun. But stopped doing it when started getting HAs. One of

the kids is a pretty well known psychiatrist now; but I didn't amount

to much. It's not a good idea, but that's how kids learn in some

cases. Better safe than sorry and have him checked out if he won't cop

to doing it himself. My friend Nagmeh Moshtel at OHSU would probably

respond to an email with some suggestions: <moshtel@...> is still

her address, i think.

Sears

(Hey, that's not the whole story...)

PDX

On Apr 27, 2006, at 7:08 PM, LILY ROSELYN wrote:

> Docs,

>

> 5yo presents with hx of ~6 falls in the past year where he 'blacks

> out' for

> up to 1 minute (last week's fall) after falling most often onto his

> chest

> (while playing with other kids).  This last episode has resulted in

> frequent

> headaches, neck and upper back pain.  Mom reports her son's PCP

> discounted

> her concern by saying 'he'll grow out of this stage'.

> The pt also has experienced 3 episodes of strep throat this year

> (thus 3

> rounds of amoxicillin).  He currently has a cold and fever.

>

> A year ago the pt was treated for moderate Rt hip pain which resolved

> after

> chiropractic treatment ( spine, hip and pelvis films, all WNL).

>

> I'd appreciate feedback on this case, especially what followup

> evaluation

> would be indicated.

>

> Many thanks,

> Lily Roselyn, DC

>

> Tillamook

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is

> to foster communication and collegiality. No personal attacks on

> listserve members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print,

> forward, or otherwise distribute correspondence written by another

> member without his or her consent, unless all personal identifiers

> have been removed.

>

>

>

>

[Guest guest]

Being careful not to read too much into these theories:

1. Falling on his chest is directly related, but could be a clue;

2. headaches, neck and upper back pain may or may not be related;

3. strep throat and Abx. Therapy probably unrelated;

4. PCP is probably over his/her head and is unhelpful;

Still the best tool is Dr. Lily's brain. Watch; take more hx.; challenge the

kid. Greg House got NOTHIN' on you, girl (except a team of residents who can

work for a week on one case and meet 5 times per day and are all trained in

dozens of specialties like MRI, angiograms, etc).

Probably nothing to worry about but blackouts!!!?

Just reaching here, but could it be related to some sort of

baroreceptor/vagus n. response like the choke hold which sends a signal to

the brain that b.p. Is too high so it slows heart rate tot he pt. of passing

out. (Unfortunately, kids are doing this for kicks; choking themselves or

each other to pass out; occasionally dying in the process; it happened here

last year; a teen hung himself from a kitchen fixture to scare his brother

and friend; they didn't discover him for 4-5 minutes and he was gone. Life

throws you curveballs, and teenagers. You pray a lot.)

Another reach for your 5 y/o is blood sugar. He may pass out after falling

down or he may fall down after passing out. Check that sugar and other blood

chemistry. Why not; it's easy.

Keep us posted.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

> From: LILY ROSELYN <metta@...>

> Date: Thu, 27 Apr 2006 19:08:39 -0700

> < >

> Subject: pediatric case

>

> Docs,

>

> 5yo presents with hx of ~6 falls in the past year where he 'blacks out' for

> up to 1 minute (last week's fall) after falling most often onto his chest

> (while playing with other kids). This last episode has resulted in frequent

> headaches, neck and upper back pain. Mom reports her son's PCP discounted

> her concern by saying 'he'll grow out of this stage'.

> The pt also has experienced 3 episodes of strep throat this year (thus 3

> rounds of amoxicillin). He currently has a cold and fever.

>

> A year ago the pt was treated for moderate Rt hip pain which resolved after

> chiropractic treatment ( spine, hip and pelvis films, all WNL).

>

> I'd appreciate feedback on this case, especially what followup evaluation

> would be indicated.

>

> Many thanks,

> Lily Roselyn, DC

>

> Tillamook

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to foster

> communication and collegiality. No personal attacks on listserve members will

> be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere. However, it

> is against the rules of the listserve to copy, print, forward, or otherwise

> distribute correspondence written by another member without his or her

> consent, unless all personal identifiers have been removed.

>

[Guest guest]

Have to agree with Ann's take on this Lily. EEG seems to be in order.

First question...is wait and see approach appropriate? Considering possible

risk of brain injury in repetitive, uncontrolled seizures; possible injury

to the child from slip and fall, not to mention the social stigma of the

disorder, that approach seems unwise.

From a Dx standpoint, some clues to whether it is neurogenic or cardiogenic

would be helpful. Do the fits occur with exertion or excited state? Is

there a prodromal state? Does the child know that the fits are about to

occur before they do? Does he exhibit any outwardly apparent symptoms

before the fits?

If EEG indicates seizure disorder and epilepsy, a ketogenic diet has worked

well in kids, and may have lasting benefit after the diet is discontiued.

The problem in that case is compliance with kids (no sweets or simple carbs)

and with parents (no sweets or simple carbs).

Below is an abstract for another item on the differential list that I had

not heard of. This one might be of note to bring to the attention of any

one else you refer out to, since it appears to be unusual, and often missed

when it is present.

Cerebellar Fits in Children with Chiari I Malformation

from Neurosurgical Focus

Aditya Pandey, M.D., Shenandoah , M.D., and Alan R. Cohen, M.D.,

Division of Pediatric Neurological Surgery, Rainbow Babies and Children's

Hospital, Research Institute of University Hospitals of Cleveland, Case

Western Reserve University School of Medicine, Cleveland, Ohio

Abstract and Introduction

Abstract

Object. The authors describe a series of children with Chiari I malformation

who presented with fulminating symptoms of " cerebellar fits " characterized

by drop attacks with or without deterioration of consciousness, opisthotonic

posturing, and varying degrees of respiratory compromise.

Methods. A retrospective analysis was undertaken of the medical records of

47 consecutive patients undergoing surgery for symptomatic Chiari I

malformations at Rainbow Babies and Children's Hospital.

Thirteen (28%) of the 47 patients presented with complaints consistent with

cerebellar fits. Before the correct diagnosis was made, nine (69%) of the 13

children had previously undergone evaluation with electroencephalography

and/or electrocardicography and Holter monitoring because of suspected

cortical epilepsy or cardiogenic syncope. In each of the 13 children

magnetic resonance imaging demonstrated pegged cerebellar tonsils herniated

below the foramen magnum. A deep indentation or blanched discoloration of

the cerebellar tonsils was noted in five (38%) of these 13 patients at the

time of surgery. Of patients with symptomatic Chiari I malformations, the

mean degree of tonsillar herniation was significantly less for those in whom

cerebellar fits occurred than those in whom they were absent (8.8 mm and

13.9 mm, respectively; p = 0.007). In only one of the patients with

cerebellar fits was a syrinx present, and this was a small focal lower

thoracic collection. Spells resolved after surgery in all patients who

presented with cerebellar fits.

Conclusions. Cerebellar fits may mimic other disorders such as cardiogenic

syncope and epileptic seizures. The correct diagnosis may be delayed or the

conditions may be misdiagnosed by those who fail to consider Chiari I

malformation as a cause of drop attacks, abnormal extensor posturing, and

apneic spells in children. The response to decompressive surgery in these

patients is gratifying.

W. Snell, D.C.

Hawthorne Wellness Center

3942 SE Hawthorne Blvd.

Portland, OR 97214

Ph. 503-235-5484

Fax 503-235-3956

drpsnell.chiroweb.com

>From: " anngoldeeen " <anngoldeen@...>

>< >, " LILY ROSELYN " <metta@...>

>Subject: Re: pediatric case

>Date: Thu, 27 Apr 2006 19:46:17 -0700

>

>Lily: I am concerned he is having petit mal seizures. Is he a junk food-

>soda pop heavy sugar eater. I have seen seizures occur with too much

>sugar. I can't believe the " doctor " blew them off- OK, I can, just

>kidding. How about an EEG? With the history of repeated infections unless

>he has rebalanced his gut with probiotics, he may have the beginning of

>lifetime of problems from that. Aloe vera juice and digestive enzymes

>would be great. They won't address the brain issues, however. Let us know

>what happens. Ann Goldeen

> pediatric case

>

>

> Docs,

>

> 5yo presents with hx of ~6 falls in the past year where he 'blacks out'

>for

> up to 1 minute (last week's fall) after falling most often onto his

>chest

> (while playing with other kids). This last episode has resulted in

>frequent

> headaches, neck and upper back pain. Mom reports her son's PCP

>discounted

> her concern by saying 'he'll grow out of this stage'.

> The pt also has experienced 3 episodes of strep throat this year (thus 3

> rounds of amoxicillin). He currently has a cold and fever.

>

> A year ago the pt was treated for moderate Rt hip pain which resolved

>after

> chiropractic treatment ( spine, hip and pelvis films, all WNL).

>

> I'd appreciate feedback on this case, especially what followup

>evaluation

> would be indicated.

>

> Many thanks,

> Lily Roselyn, DC

>

> Tillamook

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

>foster communication and collegiality. No personal attacks on listserve

>members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

>However, it is against the rules of the listserve to copy, print, forward,

>or otherwise distribute correspondence written by another member without

>his or her consent, unless all personal identifiers have been removed.

>

>

>

>

[Guest guest]

I go

You go

Ergo, We go

Sears

PDX

On Apr 28, 2006, at 8:31 AM, Snell wrote:

> Have to agree with Ann's take on this Lily.  EEG seems to be in

> order. 

> First question...is wait and see approach appropriate?  Considering

> possible

> risk of brain injury in repetitive, uncontrolled seizures; possible

> injury

> to the child from slip and fall, not to mention the social stigma of

> the

> disorder, that approach seems unwise.

>

> From a Dx standpoint, some clues to whether it is neurogenic or

> cardiogenic

> would be helpful.  Do the fits occur with exertion or excited state? 

> Is

> there a prodromal state?  Does the child know that the fits are about

> to

> occur before they do?  Does he exhibit any outwardly apparent symptoms

> before the fits?

>

> If EEG indicates seizure disorder and epilepsy, a ketogenic diet has

> worked

> well in kids, and may have lasting benefit after the diet is

> discontiued. 

> The problem in that case is compliance with kids (no sweets or simple

> carbs)

> and with parents (no sweets or simple carbs).

>

> Below is an abstract for another item on the differential list that I

> had

> not heard of.  This one might be of note to bring to the attention of

> any

> one else you refer out to, since it appears to be unusual, and often

> missed

> when it is present.

>

>

> Cerebellar Fits in Children with Chiari I Malformation

>

> from Neurosurgical Focus

>

> Aditya Pandey, M.D., Shenandoah , M.D., and Alan R. Cohen,

> M.D.,

> Division of Pediatric Neurological Surgery, Rainbow Babies and

> Children's

> Hospital, Research Institute of University Hospitals of Cleveland,

> Case

> Western Reserve University School of Medicine, Cleveland, Ohio

>

> Abstract and Introduction

> Abstract

> Object. The authors describe a series of children with Chiari I

> malformation

> who presented with fulminating symptoms of " cerebellar fits "

> characterized

> by drop attacks with or without deterioration of consciousness,

> opisthotonic

> posturing, and varying degrees of respiratory compromise.

>

> Methods. A retrospective analysis was undertaken of the medical

> records of

> 47 consecutive patients undergoing surgery for symptomatic Chiari I

> malformations at Rainbow Babies and Children's Hospital.

>

> Thirteen (28%) of the 47 patients presented with complaints

> consistent with

> cerebellar fits. Before the correct diagnosis was made, nine (69%) of

> the 13

> children had previously undergone evaluation with

> electroencephalography

> and/or electrocardicography and Holter monitoring because of suspected

> cortical epilepsy or cardiogenic syncope. In each of the 13 children

> magnetic resonance imaging demonstrated pegged cerebellar tonsils

> herniated

> below the foramen magnum. A deep indentation or blanched

> discoloration of

> the cerebellar tonsils was noted in five (38%) of these 13 patients

> at the

> time of surgery. Of patients with symptomatic Chiari I malformations,

> the

> mean degree of tonsillar herniation was significantly less for those

> in whom

> cerebellar fits occurred than those in whom they were absent (8.8 mm

> and

> 13.9 mm, respectively; p = 0.007). In only one of the patients with

> cerebellar fits was a syrinx present, and this was a small focal lower

> thoracic collection. Spells resolved after surgery in all patients who

> presented with cerebellar fits.

>

> Conclusions. Cerebellar fits may mimic other disorders such as

> cardiogenic

> syncope and epileptic seizures. The correct diagnosis may be delayed

> or the

> conditions may be misdiagnosed by those who fail to consider Chiari I

> malformation as a cause of drop attacks, abnormal extensor posturing,

> and

> apneic spells in children. The response to decompressive surgery in

> these

> patients is gratifying.

>

> W. Snell, D.C.

> Hawthorne Wellness Center

> 3942 SE Hawthorne Blvd.

> Portland, OR 97214

> Ph. 503-235-5484

> Fax 503-235-3956

> drpsnell.chiroweb.com

>

>

>

>

> >From: " anngoldeeen " <anngoldeen@...>

> >< >, " LILY ROSELYN "

> <metta@...>

> >Subject: Re: pediatric case

> >Date: Thu, 27 Apr 2006 19:46:17 -0700

> >

> >Lily:  I am concerned he is having petit mal seizures.  Is he a junk

> food-

> >soda pop heavy sugar eater.  I have seen seizures occur with too much

> >sugar.  I can't believe the " doctor " blew them off- OK, I can, just

> >kidding. How about an EEG?  With the history of repeated infections

> unless

> >he has rebalanced his gut with probiotics, he may have the beginning

> of

> >lifetime of problems from that.  Aloe vera juice and digestive

> enzymes

> >would be great.  They won't address the brain issues, however.  Let

> us know

> >what happens.  Ann Goldeen

> >   pediatric case

> >

> >

> >   Docs,

> >

> >   5yo presents with hx of ~6 falls in the past year where he

> 'blacks out'

> >for

> >   up to 1 minute (last week's fall) after falling most often onto

> his

> >chest

> >   (while playing with other kids).  This last episode has resulted

> in

> >frequent

> >   headaches, neck and upper back pain.  Mom reports her son's PCP

> >discounted

> >   her concern by saying 'he'll grow out of this stage'.

> >   The pt also has experienced 3 episodes of strep throat this year

> (thus 3

> >   rounds of amoxicillin).  He currently has a cold and fever.

> >

> >   A year ago the pt was treated for moderate Rt hip pain which

> resolved

> >after

> >   chiropractic treatment ( spine, hip and pelvis films, all WNL).

> >

> >   I'd appreciate feedback on this case, especially what followup

> >evaluation

> >   would be indicated.

> >

> >   Many thanks,

> >   Lily Roselyn, DC

> >

> >   Tillamook

> >

> >

> >

> >   OregonDCs rules:

> >   1. Keep correspondence professional; the purpose of the listserve

> is to

> >foster communication and collegiality. No personal attacks on

> listserve

> >members will be tolerated.

> >   2. Always sign your e-mails with your first and last name.

> >   3. The listserve is not secure; your e-mail could end up anywhere.

> >However, it is against the rules of the listserve to copy, print,

> forward,

> >or otherwise distribute correspondence written by another member

> without

> >his or her consent, unless all personal identifiers have been

> removed.

> >

> >

> >

> >  

[Guest guest]

Think VASO VAGAL. Ask some of the kids that were around if he was exhibiting

the characteristic signs of a seizure or was he laying peacefully. That

should give a pretty distinct answer.

Grow out of this stage? Is there something I missed in childhood

developement that would indicate this is a normal part of growing up? Yikes.

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

pediatric case

> Docs,

>

> 5yo presents with hx of ~6 falls in the past year where he 'blacks out'

> for

> up to 1 minute (last week's fall) after falling most often onto his chest

> (while playing with other kids). This last episode has resulted in

> frequent

> headaches, neck and upper back pain. Mom reports her son's PCP discounted

> her concern by saying 'he'll grow out of this stage'.

> The pt also has experienced 3 episodes of strep throat this year (thus 3

> rounds of amoxicillin). He currently has a cold and fever.

>

> A year ago the pt was treated for moderate Rt hip pain which resolved

> after

> chiropractic treatment ( spine, hip and pelvis films, all WNL).

>

> I'd appreciate feedback on this case, especially what followup evaluation

> would be indicated.

>

> Many thanks,

> Lily Roselyn, DC

>

> Tillamook

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

> his or her consent, unless all personal identifiers have been removed.

>

[Guest guest]

First, I'm so sorry. It's a hard thing to process when you first hear.

Surgery is the only treatment, unfortunately. I'm not as knowledgable as some on

here and only know from my sons case. The hearing loss could be the c-toma

blocking. I use index cards to write my questions on before I go back each time.

Keep in mind that most of the posts you see are from the worse end of the

spectrum. The best cases lose interest in posting most of the time. My son had a

" worse case " in my mind but definately not the worst case! We caught it and for

that I am always thankful. Make sure the doctor you get is and ear specialist

and not just an ENT. We were lucky enough to get a neaurotologist. He

specializes in the ear nad nerves in that area.

Best of luck and this group is a god send!

Beth

>

> My 9 yr old daughter was diagnosed with a cholesteatoma in her left ear by our

new pediatrician. The doctor is referring her to the University of Michigan

Hospital to be evaluated. I feel confident that this is a good facility as my 5

yr old receives continuous treatment there for a variety of issues and my 10

month old sees a cardiologist there. As confident as I am in their care, I would

like to be prepared for our first appointment. Our pediatrician said surgery

would be needed but that she thought we caught it early (My daughter's ears were

checked less than a year ago when she was treated for an ear infection by a

doctor who has since retired). Our pediatrician did a hearing test and said my

daughter has some hearing loss already. I did not ask many questions at the

time as I was surprised and all three of my children were in the room. I have

since researched on the internet as much as I can but I still feel at a loss.

Is surgery always necessary? Is there a chance my daughter won't have permanent

hearing loss? What questions are important to ask our specialist? Any help or

knowledge you can share would be greatly appreciated.

>

[Guest guest]

The specialists we will see are listed as " Otolaryngology Neurotology "

specialists. You said that was what your son had so I am relieved that it seems

we have the right doctors lined up. I am particular concerned about how my

daughter will be after the surgery. In reading, I wonder how long the loss of

hearing, numbness, bruising, etc. will last. I am unsure if we can wait but if

we can, I would like to wait until the summer so school isn't a factor. I read

that typically a second surgery is performed 6 month after. Does this surgery

create the same complications or is it less invasive? I am just anxious to see

the specialist so we have more facts and knowledge. My daughter has been

experiencing general ear pain and dizziness so I am hoping our appointment is

soon.

[Guest guest]

With both surgeries, once we took the wrapping off the side, you couldn't tell

he had surgery by looking at him. He does have shaggy long hair (the " in " thing

lol) so his ear was covered by it.

He never had bruising but I believe that is specific to each surgery. Also no

complaints of numbness but he lost taste on that side for a few months.

After the first surgery I had to keep him down after 3 days. This time it was

after 5 days. Dizziness lasted a week at most with occasional spells that least

seconds for another week or so.

He is always sore behind the ear for a month or so, I have a feeling it will be

longer this time due to the amount of bone removed. Usually only complained when

I was washing his hair. I'm a scrubber because he is a boy and gets dirty! I am

looking forward to him being able to wash it himself again. I may be over

cautious but I don't trust him to keep the water out of his ear, not that he

wouldn't try just being 7.

Keep in mind this is just one kid. Each surgery is different and the effects are

going to depend on what they find and how her body decides to react.

The second look 6-9 months later is a gamble IMO. We went in thinking it would

be a simplier through the canal surgery since dr hadn't seen anything to make

him believe it was back. It was but it was hiding in what was left of the

mastoid bone. Make sure you write your questions down or have a way to ask after

the appointment.

>

> The specialists we will see are listed as " Otolaryngology Neurotology "

specialists. You said that was what your son had so I am relieved that it seems

we have the right doctors lined up. I am particular concerned about how my

daughter will be after the surgery. In reading, I wonder how long the loss of

hearing, numbness, bruising, etc. will last. I am unsure if we can wait but if

we can, I would like to wait until the summer so school isn't a factor. I read

that typically a second surgery is performed 6 month after. Does this surgery

create the same complications or is it less invasive? I am just anxious to see

the specialist so we have more facts and knowledge. My daughter has been

experiencing general ear pain and dizziness so I am hoping our appointment is

soon.

>

[Guest guest]

Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. "avoid the grains and dairy." :)Jamey Dyson, DCOn Mar 25, 2011, at 6:58 PM, Alan wrote:Dear Chiropractic Pedantic Docs I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt upon awaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?Alan D.C.

[Guest guest]

Alan,

Ditto on the probiotics. If baby was not breast fed he did not get natural colostrum. Pasteurized milk is the worst possible food to give a human baby! (Just as Sunny!) If mom can get cod liver oil down as well as high vitamin Butter Oil (with vitamin A from Green Pastures), that would be a great help.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Certified Clinician in Whole Food Nutrition

Re: Pediatric case

Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. "avoid the grains and dairy."

Jamey Dyson, DC

On Mar 25, 2011, at 6:58 PM, Alan wrote:

Dear Chiropractic Pedantic Docs I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt upon awaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?Alan D.C.

[Guest guest]

Thanks Colleagues for the great advice. The great news is that the mom will now contact me before schluffing him off to the M.D. at the first sniffle. (She is a young, first time mom. She did breastfeed her boy. A little frustrating that he is picking up every bug that is going around).Alan D.C.alansmithdc@...; drjdyson1@...CC: From: cmathdc@...Date: Mon, 28 Mar 2011 08:39:51 -0800Subject: Re: Pediatric case

Alan,

Ditto on the probiotics. If baby was not breast fed he did not get natural colostrum. Pasteurized milk is the worst possible food to give a human baby! (Just as Sunny!) If mom can get cod liver oil down as well as high vitamin Butter Oil (with vitamin A from Green Pastures), that would be a great help.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Certified Clinician in Whole Food Nutrition

Re: Pediatric case

Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. "avoid the grains and dairy."

Jamey Dyson, DC

On Mar 25, 2011, at 6:58 PM, Alan wrote:

Dear Chiropractic Pedantic Docs I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt upon awaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?Alan D.C.

[Guest guest]

I will check. She is 113 lbs, eats all the wrong things. I'm trying. She likes the Laughing Planet Cafe.Alan SmFrom: skrndc1@...To: alansmithdc@...Subject: RE: Pediatric caseDate: Mon, 28 Mar 2011 11:19:25 -0700

That says mama was not healthy, maybe using dairy....... get her to read whatever info of the www.notmilk.com website that resonates with her .... much to be gained by her learning this info early on.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: alansmithdc@...Date: Mon, 28 Mar 2011 12:13:23 -0600Subject: RE: Pediatric case

Thanks Colleagues for the great advice. The great news is that the mom will now contact me before schluffing him off to the M.D. at the first sniffle. (She is a young, first time mom. She did breastfeed her boy. A little frustrating that he is picking up every bug that is going around).Alan D.C.

alansmithdc@...; drjdyson1@...CC: From: cmathdc@...Date: Mon, 28 Mar 2011 08:39:51 -0800Subject: Re: Pediatric case

Alan,

Ditto on the probiotics. If baby was not breast fed he did not get natural colostrum. Pasteurized milk is the worst possible food to give a human baby! (Just as Sunny!) If mom can get cod liver oil down as well as high vitamin Butter Oil (with vitamin A from Green Pastures), that would be a great help.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Certified Clinician in Whole Food Nutrition

Re: Pediatric case

Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. "avoid the grains and dairy."

Jamey Dyson, DC

On Mar 25, 2011, at 6:58 PM, Alan wrote:

Dear Chiropractic Pedantic Docs I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt upon awaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?Alan D.C.

[Guest guest]

Very Funny )Date: Mon, 28 Mar 2011 12:21:00 -0700Subject: Re: Pediatric caseFrom: drscott@...To: alansmithdc@...

Message body

schluffing ?

Is that the preferred manner of travel to Buffalo?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Alan <alansmithdc@...>

Date: Mon, 28 Mar 2011 12:13:23 -0600

< >

Subject: RE: Pediatric case

Thanks Colleagues for the great advice. The great news is that the mom will now contact me before schluffing him off to the M.D. at the first sniffle. (She is a young, first time mom. She did breastfeed her boy. A little frustrating that he is picking up every bug that is going around).

Alan D.C.

alansmithdc@...; drjdyson1@...

CC:

From: cmathdc@...

Date: Mon, 28 Mar 2011 08:39:51 -0800

Subject: Re: Pediatric case

Alan,

Ditto on the probiotics. If baby was not breast fed he did not get natural colostrum. Pasteurized milk is the worst possible food to give a human baby! (Just as Sunny!) If mom can get cod liver oil down as well as high vitamin Butter Oil (with vitamin A from Green Pastures), that would be a great help.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Certified Clinician in Whole Food Nutrition

Re: Pediatric case

Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. "avoid the grains and dairy."

Jamey Dyson, DC

On Mar 25, 2011, at 6:58 PM, Alan wrote:

Dear Chiropractic Pedantic Docs

I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt upon awaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?

Alan D.C.

[Guest guest]

My folks are in Buffalo. Right now the preferred method of travel is “Shoveling” or snowmobiling! Glenn Sykes, DC Gresham Town Fair Chiropractic ClinicPhone: (503) 667-6744Fax: (503) 661-7896WWW.GRESHAMCHIROPRACTOR.NET From: [mailto: ]On Behalf Of Alan Sent: Monday, March 28, 2011 2:21 PMSubject: RE: Pediatric case Very Funny )Date: Mon, 28 Mar 2011 12:21:00 -0700Subject: Re: Pediatric caseFrom: drscott@...To: alansmithdc@...schluffing ?Is that the preferred manner of travel to Buffalo? E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.comFrom: Alan <alansmithdc@...>Date: Mon, 28 Mar 2011 12:13:23 -0600 < >Subject: RE: Pediatric case Thanks Colleagues for the great advice. The great news is that the mom will now contact me before schluffing him off to the M.D. at the first sniffle. (She is a young, first time mom. She did breastfeed her boy. A little frustrating that he is pickingup every bug that is going around).Alan D.C.alansmithdc@...; drjdyson1@...CC: From: cmathdc@...Date: Mon, 28 Mar 2011 08:39:51 -0800Subject: Re: Pediatric case Alan,Ditto on the probiotics. If baby was not breast fed he did not get natural colostrum. Pasteurized milk is the worst possible food to give a human baby! (Just as Sunny!) If mom can get cod liver oil down as well as high vitamin Butter Oil (with vitamin A fromGreen Pastures), that would be a great help.Christian Mathisen, DC, CCWFN3654 S Pacific HwyMedford, OR 97501cmathdc@...Certified Clinician in Whole Food Nutrition Re: Pediatric case Probiotics!!! These will help fight off whatever bad bugs are in his digestive tract. And of course I have to repeat the Paleolithic Diet Mantra.. " avoid the grains and dairy. " Jamey Dyson, DC On Mar 25, 2011, at 6:58 PM, Alan wrote: Dear Chiropractic Pedantic Docs I have a 30 month year old boy patient. He has had stomach pain since last Thursday, 3-17-11. Fever of 102.8 degrees on Sunday and Monday. No fever since Monday. Diarrhea since last Monday. Complains of pain throughout the day. Mother called M.D. M.D. advised to stay off milk for three day. No spice or citrus food. Mother gave him 1 teaspoon of olive oil, (on advise of her mother in law). First bowel movement was last Monday since last Saturday. Today his complaints were his stomach hurt uponawaking. Half hour later, had a bought of diarrhea. M.D. wants to see him tomorrow. Any thoughts on how to treat non-pharmaceutically?Alan D.C. __________ Information from ESET NOD32 Antivirus, version of virus signature database 5990 (20110327) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com__________ Information from ESET NOD32 Antivirus, version of virus signature database 5990 (20110327) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com