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I donned a swimsuit and joined my daughter. I wanted her

concentrating on the skills we were learning, not the differences in

our bodies. She cannot wash her hair well, because it is long, but

she always comes out " sparkly clean " as she says. Pictures are a

great way to go...if you have a camera, you can make your own. I'm

including a websight to inspire you, though pictures other than the

samples come for a 20.00 membership fee. But, this might be worth

it for you, if you've never used it or used it with success when he

was younger.

http://www.joeschedule.com/

Here is an American sign language website, that includes clip video

of how to do the signs. If your son is proficient at computer,

learns well visually, this may give him a unique opportunity to

learn to communicate through sign. I used sign when my child was

first diagnosed...she still remembers the ones we use. Just

learning a few like " stop " , " eat " , " shower " , " wait " (which is hard to

make a picture of) can make life easier for everyone. I encourage

you to check this out...communication is key.

http://commtechlab.msu.edu/sites/aslweb/browser.htm

What types of communications devices have been offered to him by the

school? I'm so afraid you'll tell me none...and they really need to

help you on this. But you can do it....i'm sure you've done it all

for your son, and you can do this too. But you are right, you want

to do it now:0). You actually inspired me last night...sometimes we

get so caught up in just getting it done, that we do so much of it,

regardless of our kids abilities(slapping my own hand for that one,

lol)...so at bath time last night, i added something we've not

achieved....the drying of ones own body and putting on

clothing...oh, of course she can do it, but i am obviously her

personal assistant...i think she sees herself a diva:0). I showed

her in a comedic way, to keep her attention, exactly what to do

after getting out of the tub....and by georgie, she did it!!! So,

thank you for making me step it up a notch! I can only hope that

one of the links i gave you will help you as much!!!

hugs,

scarlett

>

> Hello,

>

> I have a question please? My son just turned 12 last week. He is

for the most part non-verbal and we still haven't hit on the best

way to communicate with him.

>

> How do I go about getting him to wash his own hair and bathe?

How do I get him to start wiping himself after toileting? How do I

get him to understand that he needs to start doing some things for

himself? How do I get him to start dressing himself? {He can already

undress himself with no problem.}

>

> Any and all advice is welcome...I really don't want to be doing

some of these things on a teenager, then he will soon be a man.

Thanks!

>

> Thanks,

> Theree

> Mom to Tanner, 17, ADHD and Tucker, 12, Autism.

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  • 2 weeks later...

HI Pat,

Good to hear from you again.

My son Calvin was dxed as neutropenic prior to getting his dx of XLA. For 1 and

1/2 years we lived the " neutropenic " lifestyle. Here is my understanding:

If your son is neutropenic, then every time he runs a fever of over 100.5F(I

think that is 38C), he needs to be seen for a blood count, including a manual

differential( particularly, the Absolute Neutrophil Count-ANC), and blood

culture, to see if he is neutropenic and has a bacterial infection. This

includes taking him to the ER if necessary.

If he is neutropenic and has a bacterial infection, his illness will appear

viral. Many visible symptoms of bacterial infection are related to the

neutrophilic action against the infection. Because he has no neutrophils, then

you will not see these symptoms. That is why it is so important to have him seen

at the sign of fever, even if he does not look like he has a bacterial

infection.

If he has neutropenia and a bacterial infection, he is at a high risk for sepsis

or other major infections. It is important to act quickly since a neutropenic

child does not have the needed defense to keep the infection from overwhelming

the system. If he is neutropenic and febrile, they will likely give him a strong

antibiotic as a preventative. If the culture returns positive later on, then

they will continue on appropriate abx.

There are drugs to help stimulate the production of Neutrophils.

G-CSF(Granulocyte-Colony Stimulating Factor), otherwise known as Neupogen, can

in some cases help to raise the neutrophil count in the blood. You would need to

contact the " Severe Chronic Neutropenia International Registry " (SCNIR) for more

information. A hematologist can help you decide what treatment is right.

Neutropenia is a separate type immune disorder, which is not really under the

scope of this discussion group. Many PID kids, like my son, do have

neutropenia issues in addition to their Primary Immune Disorder. has a

neutropenia discussion forum, and a simple search could tell you how to enroll.

My son Calvin, prior to IVIG, would not run fevers easily at all. He would look

sick for a long time before his temp would rise above the threshhold. Since

IVIG, he seems to mount a more aggressive response to illness and will actually

run a fever. Since IVIG his white blood cell numbers have stabilised

somewhat----his neutropenia was cyclic in nature. We have managed to lose the

neutropenia dx. Since IG treatment, Calvin has never gone " clinical " again in

his neutrophil counts, though I suspect that he is not totally stable, either.

I hope that helps. I would check out the neutopenia group. YOu get a lot

more info there.

Fisher

mom of Calvin, 4yo(!!!), XLA

mipatj <mipatj@...> wrote:

Hi

To all sorry but been away from the board for a long time but we have

been buying a house+decorating etc who has CVID has been in

hospital alot has now got a port fitted as his vains have given up

and now has developed epilepsy and now it look's like he's

neutropenic as well.

Now for the questions

1)What if anything should be done about him being neutropenic ie-

should we be more carefull of infection should he be takeing even

more med's etc anything anyone can tell or advise would be great also

is it tied with the CVID or is it not related.

Also can someone tell me what this sentance mean's it was in his

notes that abtained a copy off but i just get shrugged shoulders when

i ask or they are just not listening to me

" It was intresting reading that his HLA-DR CD3 positive cells were

lessthan 1% "

I back now and hope to contribute more to the board when i can give

help/advise etc to others.

Thaks for reading Pat

This forum is open to parents and caregivers of children diagnosed with a

Primary Immune Deficiency. Opinions or medical advice stated here are the sole

responsibility of the poster and should not be taken as professional advice.

To unsubscribe -unsubscribegroups (DOT)

To search group archives go to: /messages

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Hi lisa

Thankyou it did help quite abit we live in the UK neutrophils

have been baorder line to nearly zero since July last yeast he had

alot of infections last year that needed IV antibiotics so alot of

time was spent in the hospital,he just does not seem able to fight

the infections so well this last year for some reason and it was not

untill i got his med notes for the year that this neutrophil was

appearing every time that they had took blood's.On the last set taken

they have stayed low and at the moment they have stayed low ,here we

have a influenza outbreak and has very little protecion against

it even with the IVIG,so am being very carefull.

To give you an idea the last time he was ill the first day they

took bloods in the hospital his CRP was 30 should be up 0-8 for

normall then the next day it was 156,so he was quite sick to me this

would go what you are saying about the infection taking over his body

and the bit you said about it appearing viral this is what the doc

told me it was and he did not need antibiotics(but i knew he did)the

antibiotics they gave him there was two of them was really very

strong i think and one of them so strong they can only give it for

three day's the rate of the infection took hold even the doc's where

serprised.

Thanks for the info and if you can shed anymore that would be great

also,i am going to print this off and show it to his pead doc because

he does what he can but at the end of the day this is not his field

and will do with in reason what ask because he listens to me and

takes real good care of more so than the immuno doc and he also

treat's the infections more agressivley then the immuno.

Pat

>

> Hi

> To all sorry but been away from the board for a long time but we

have

> been buying a house+decorating etc who has CVID has been in

> hospital alot has now got a port fitted as his vains have given up

> and now has developed epilepsy and now it look's like he's

> neutropenic as well.

>

> Now for the questions

> 1)What if anything should be done about him being neutropenic ie-

> should we be more carefull of infection should he be takeing even

> more med's etc anything anyone can tell or advise would be great

also

> is it tied with the CVID or is it not related.

>

> Also can someone tell me what this sentance mean's it was in his

> notes that abtained a copy off but i just get shrugged shoulders

when

> i ask or they are just not listening to me

>

> " It was intresting reading that his HLA-DR CD3 positive cells were

> lessthan 1% "

>

> I back now and hope to contribute more to the board when i can give

> help/advise etc to others.

>

> Thaks for reading Pat

>

>

>

>

>

> This forum is open to parents and caregivers of children diagnosed

with a Primary Immune Deficiency. Opinions or medical advice stated

here are the sole responsibility of the poster and should not be

taken as professional advice.

>

> To unsubscribe -unsubscribegroups (DOT)

> To search group archives go to:

/messages

>

>

>

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Jumping up and down!!! Yeah. I really do need to make time to go and check

out this site. I read a lot of referrals to its great information. Thanks

so much !!! I still have to do my LBWO in about an hours so I will

major kick butt and love it!! I recently changed my routine and have only

done 1 LBWO with the new exercises and I did not think that I could move the

next day. The most sore I have been, ever. When HIIT came around the next

day I did not think I could do it but I did it! I never realized how much

it would impact me to change things up that much. Boy am I learning a lot.

I love, love, love this group and could not have found the will power to

carry me like this group has. Now, I believe I am changing my way of

thinking and hence way of life. It is a good thing and a good feeling.

BTW, wasn't it you that recommended the Natures Best Choc. PP to me??? It

is delicious!!

Thanks for all-

-- Re: Question

-

totally normal!! Read Hussman's site about working hard, then fat

turning loose.. That's a GOOD SIGN!! It means you are going to be

losing it soon, real soon!!

EXCERPT FROM HUSSMAN:

Lastly, if you've been sedentary for a long time, your fat probably

hasn't seen an ounce of circulation since high school. This causes

your fat to turn thick and hard, or " blubbery " (yes, Scrabble fans,

that is a word). Marine animals have this sort of fat deposit,

called a " blubber lay " . When you start working out consistently,

some of you may find that your fat or cellulite becomes more like

Jell-O initially. In whales (forgive me - this is not personal),

increased activity also forces a change in circulation strategy so

that there is increased blood flow near the body's surface. I

suspect that this occurs in humans as well, so you may be a

little " pink " for even hours after a good workout.

http://www.hussman.org/fitness/#inside

CONGRATS!

> HI: I am in week #6 of C1. Feel good, eating good (not perfect)

but trying

> and learning everyday. I ABSOLUTELY can feel the muscle building

below this

> thick fat layer that I still have. I checked some measurements

this morning

> not my weight because I don't own a scale and really don't care

what it

> says. However, I did have it checked by the nutritionist who also

did my

> BF% prior to the challenge and it was 140 lbs.

>

> Okay, my thighs are up 1 inch (no problem, I read the posts about

getting

> bigger first), my stomach was down 1.5 inch (great, but that

really wasn't

> even a concern for me, maybe because I am so used to sucking it in

*grin*),

> and buttocks down 3/4 inch. With that said, when I was looking at

myself in

> the mirror this morning I noticed some dimpling areas in/on my

bottom. I

> had not seen this before unless I scrunched my butt muscles, know

what I

> mean, and then Yuck!! Why do you think I am just seeing them

now? Is is

> something to do with the way the fat is getting used up or maybe I

am

> putting on weight there? I highly doubt the latter because I do

notice a

> small change in the way my jeans fit in the bottom part of my

butt. Like

> the cheeks are moving up :0)

>

> Does that make sense? Anyone have any ideas on why this is

happening now?

>

> Thanks

>

>

>

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Hi ,

I am glad you liked the NB Chocolate Protein Powder. I just had a

chocolate " milk " myself!

Take the time to go to Hussman's site. it's GREAT!!

> > HI: I am in week #6 of C1. Feel good, eating good (not

perfect)

> but trying

> > and learning everyday. I ABSOLUTELY can feel the muscle

building

> below this

> > thick fat layer that I still have. I checked some measurements

> this morning

> > not my weight because I don't own a scale and really don't care

> what it

> > says. However, I did have it checked by the nutritionist who

also

> did my

> > BF% prior to the challenge and it was 140 lbs.

> >

> > Okay, my thighs are up 1 inch (no problem, I read the posts

about

> getting

> > bigger first), my stomach was down 1.5 inch (great, but that

> really wasn't

> > even a concern for me, maybe because I am so used to sucking it

in

> *grin*),

> > and buttocks down 3/4 inch. With that said, when I was looking

at

> myself in

> > the mirror this morning I noticed some dimpling areas in/on my

> bottom. I

> > had not seen this before unless I scrunched my butt muscles,

know

> what I

> > mean, and then Yuck!! Why do you think I am just seeing them

> now? Is is

> > something to do with the way the fat is getting used up or maybe

I

> am

> > putting on weight there? I highly doubt the latter because I do

> notice a

> > small change in the way my jeans fit in the bottom part of my

> butt. Like

> > the cheeks are moving up :0)

> >

> > Does that make sense? Anyone have any ideas on why this is

> happening now?

> >

> > Thanks

> >

> >

> >

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  • 3 weeks later...
Guest guest

What works well with my son is the

now and then picture board. Having a picture of doing one task and

have the word NOW next to it and having a picture of doing the next

activity with the word THEN next to it.

Having as many pictures as you can possibly create with a variety of

descriptives, eating, play time, work time, math time, spelling,

handwriting, coloring etc.. and then having pictures of having free

time, walking, playing with putty, play dough, TV, computer, etc..

Having a now and then schedule helps to have a clear picture of what

he is doing (sometimes having a timer or a clear description of 5 minutes,

15 minutes etc of when he can look forward to the then activity.

My son does really well with structure and having a schedule to keep him

feeling safe and secure in his environment. Having the Now and Then

schedule has been helpful with introducing new activities, as well as

helping him calm himself on days that he is having a harder time organizing

and focusing with his daily schedule. Sometimes it can be environmental

factors, someone new in the environment,change in the routine, or on any

given day when he is feeling overhwhelmed, frustrated, and unable to

communicate.

Hope that helps.

Theresa ('s mom)

question

>

>

> We are having a problem with Tyler at school and I was wondering if

> anyone had any suggestions or if you have had the same problem. We

> are trying to get him to understand the concept of " First you _____,

> then you can ___ " . He is very insistent on what he wants and just

> usually doesn't get either one done. Like if he wants to ride

> his " cicle bike " as he calls his big wheel, but we are trying to get

> him to eat his supper first. We thought a picture schedule would

> help. They use one at school but still have this problem there, too.

> Any suggestions?

>

>

>

>

>

>

>

>

>

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Guest guest

That was very helpful. Thank you. I will try this with him.

H.

If you think my hands are full, you should see my heart!

-- Re: question

What works well with my son is thenow and then picture board. Having a picture of doing one task and have the word NOW next to it and having a picture of doing the next activity with the word THEN next to it.Having as many pictures as you can possibly create with a variety of descriptives, eating, play time, work time, math time, spelling, handwriting, coloring etc.. and then having pictures of having free time, walking, playing with putty, play dough, TV, computer, etc..Having a now and then schedule helps to have a clear picture of what he is doing (sometimes having a timer or a clear description of 5 minutes, 15 minutes etc of when he can look forward to the then activity.My son does really well with structure and having a schedule to keep him feeling safe and secure in his environment. Having the Now and Then schedule has been helpful with introducing new activities, as well as helping him calm himself on days that he is having a harder time organizing and focusing with his daily schedule. Sometimes it can be environmental factors, someone new in the environment,change in the routine, or on any given day when he is feeling overhwhelmed, frustrated, and unable to communicate.Hope that helps.Theresa ('s mom) question>>> We are having a problem with Tyler at school and I was wondering if> anyone had any suggestions or if you have had the same problem. We> are trying to get him to understand the concept of "First you _____,> then you can ___". He is very insistent on what he wants and just> usually doesn't get either one done. Like if he wants to ride> his "cicle bike" as he calls his big wheel, but we are trying to get> him to eat his supper first. We thought a picture schedule would> help. They use one at school but still have this problem there, too.> Any suggestions?>>>>>>>>>

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  • 1 month later...
Guest guest

Gail,

I believe that you can get adhesive remover...Not sure where, maybe a pharmacy?

HRH

question

anyone have any tried and true (gentle) ways to remove tape residue from the skin? On me, I usually use alcohol, but doesn't like it. I just want to clean her up a bit.

Gail************************************************"A Creative Mess is Better Than Tidy Idleness" (author unknown) - "I must be the most creative person on earth!" - Gail Kimball

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Guest guest

Hmmm, wonder if my scrapbook adhesive remover would work? LOL

Gail

question

anyone have any tried and true (gentle) ways to remove tape residue from the skin? On me, I usually use alcohol, but doesn't like it. I just want to clean her up a bit.

Gail************************************************"A Creative Mess is Better Than Tidy Idleness" (author unknown) - "I must be the most creative person on earth!" - Gail Kimball

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Guest guest

Fingernail polish remover?

:0) Shellie"Gail M. Kimball" <gmkimball@...> wrote:

anyone have any tried and true (gentle) ways to remove tape residue from the skin? On me, I usually use alcohol, but doesn't like it. I just want to clean her up a bit.

Gail************************************************"A Creative Mess is Better Than Tidy Idleness" (author unknown) - "I must be the most creative person on earth!" - Gail Kimball__________________________________________________

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Guest guest

> anyone have any tried and true (gentle) ways to remove tape residue

from the skin? On me, I usually use alcohol, but doesn't like it.

I just want to clean her up a bit.

> Gail

> ************************************************

> " A Creative Mess is Better Than Tidy Idleness " (author unknown) -

> " I must be the most creative person on earth! " - Gail Kimball

Hello Gail,

There is a product that you local pharmacist either has on self or can

order it for you. Tell him what you need it for (its mostly used for

surgical tape removal in hospitals) I have forgotten the name it may be

uni-solve or something like that. I used it on my daughter a few years

back to remove surgical tape from her leg and it worked so easily. I

too tried alcohol but this worked so much better. My cousin is a

pharmacist and recommended it.

good luck,

Flanders

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Guest guest

Hi, I have recently started reading this message board and it helps

so much to know that we are not the only ones dealing with this

disorder. My son is 16, diagnosed with OCD over 5 years ago, he was

recently hospitalized for 8 days and he medication was changed at

that time. His main OCD obsession is with germs, however he has had

other issues throughout the years, (words stuck in his head, the need

to even things, checking, hoarding, etc), he can get stuck place

by " germ trails " , anyway . . . . my question . . . at times when he

has a bad situation that brings on OCD " rages " as I call them, he

seems to lose control emotionally, crying, raging etc and it can take

us quite awhile to calm him. Usually we have to hold him if possible

as he crys yells at us about how he hates this and wants it all to

end, etc. eventually he calms down and ends up taking a shower

(after we know that he is ok to be alone in the shower) and

afterwards he seems almost happy, like this releases some of the

tension for him. As you can imagine this is very frightening for the

rest of us and difficult to handle as he is 16 and getting quite

large. Does anyone else have this situation and do you have any

suggestions on what workds for you? He is in therapy and on

medication for OCD (Luvox and Anafranil)

Thanks

Lorrie

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Guest guest

Hi Lorrie,

At one time would have his meltdowns (crying, hopelessness,

saying he'd NEVER get thru this - as in finish his OCD episode -

might hit himself in the head a few times, sometimes hit the bed or

whatever...) and this could take hours. Is your son like that or

does he also get physical in his rage?

I handled it pretty much like you, comforting if I could, trying to

support him thru it, etc. I would grab his arm when he hit himself,

telling him that wasn't allowed. Oh, and he'd sometimes look as if

he'd be pinching himself, I would calmly stop that too.

I can't say he was relieved when past all that, but very tired/worn

out. I'm sure he WAS relieved though.

I'm sure you all have talked about it - if he'll let you, that is -

but I would keep talking about what is/is not acceptable when he's

having a meltdown, perhaps brainstorming to find an acceptable

alternative if he needs to get a bit physical/strike out at

something. And of course be understanding that he's going through

this, supportive, etc. No overnight changes but hopefully with

reinforcing this through several " chats " he'll at some point begin

putting it (the alternatives) to practice.

I hope the med change works well and helps with this! Keep us

updated on how he & family are doing.

, 16, with OCD, dysgraphia and Aspergers

>

> Hi, I have recently started reading this message board and it helps

> so much to know that we are not the only ones dealing with this

> disorder. My son is 16, diagnosed with OCD over 5 years ago, he

was

> recently hospitalized for 8 days and he medication was changed at

> that time. His main OCD obsession is with germs, however he has

had

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Guest guest

Lorrie:

Is this similar to what you experience?:

Last night my son (14) was flipping out over his sister who was resting her foot

on the stool as she did her homework. I'm sure he was thinking that her foot was

dirty. It was a clean sock and I had no problem with it. I told her to ignore

him, her foot was fine. He got progressively distraught to the point where he

was punching the coach, screaming into it etc. I kept telling him to forget it

and get on with his homework - then he'd have waves of upset over the foot, like

it was sheer agony. he ended up in his room tearing things apart. This lasted

about 20 minutes. At 10 p.m he asked me to read to him to help him calm down

enough to sleep.

Is this the sort of thing you experience?

We are stymied by this sort of thing. No idea how to handle it. Tried to talk

with him after the fact but he denies he's caused the problem; insists it was

sister's foot that was to blame.

What does your pdoc say?

kimz

re: question

Hi, I have recently started reading this message board and it helps

so much to know that we are not the only ones dealing with this

disorder. My son is 16, diagnosed with OCD over 5 years ago, he was

recently hospitalized for 8 days and he medication was changed at

that time. His main OCD obsession is with germs, however he has had

other issues throughout the years, (words stuck in his head, the need

to even things, checking, hoarding, etc), he can get stuck place

by " germ trails " , anyway . . . . my question . . . at times when he

has a bad situation that brings on OCD " rages " as I call them, he

seems to lose control emotionally, crying, raging etc and it can take

us quite awhile to calm him. Usually we have to hold him if possible

as he crys yells at us about how he hates this and wants it all to

end, etc. eventually he calms down and ends up taking a shower

(after we know that he is ok to be alone in the shower) and

afterwards he seems almost happy, like this releases some of the

tension for him. As you can imagine this is very frightening for the

rest of us and difficult to handle as he is 16 and getting quite

large. Does anyone else have this situation and do you have any

suggestions on what workds for you? He is in therapy and on

medication for OCD (Luvox and Anafranil)

Thanks

Lorrie

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Castle, Fowler, Kathy Hammes, Joye, Kathy Mac, Gail

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Guest guest

>

> Hi Lorrie,

> At one time would have his meltdowns (crying, hopelessness,

> saying he'd NEVER get thru this - as in finish his OCD episode -

> might hit himself in the head a few times, sometimes hit the bed or

> whatever...) and this could take hours. Is your son like that or

> does he also get physical in his rage?

>

>

Hi, thanks for sharing your experience with me. . . . Adam also has

had episodes like this where he hits his head against the wall, tears

up paper etc. . mainly when he was younger but he seems more angered

this last year. The night he went into the hospital was the first

and only time that it got physical, he hit his dad while we were

trying to comfort him. He felt so bad afterwards and took

responsibility for it. But I think we all worry that it will happen

again. We had had quite alot of major events going on the weeks

before he was in the hospital and the the OCD got worse. That night

after hitting his dad, he broke down and told us all of the new ocd

rituals that he was doing. We found out then that he had started

spraying Lysol up his nose to kill the germs. . . .we needless to

say, we went to the hospital right away.

Thanks again,

Lorrie

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Guest guest

> Lorrie:

> Is this similar to what you experience?:

> Last night my son (14) was flipping out over his sister who was

resting her foot on the stool as she did her homework. I'm sure he

was thinking that her foot was dirty. It was a clean sock and I had

no problem with it. I told her to ignore him, her foot was fine. He

got progressively distraught to the point where he was punching the

coach, screaming into it etc. I kept telling him to forget it and get

on with his homework - then he'd have waves of upset over the foot,

like it was sheer agony. he ended up in his room tearing things

apart. This lasted about 20 minutes. At 10 p.m he asked me to read to

him to help him calm down enough to sleep.

> Is this the sort of thing you experience?

> We are stymied by this sort of thing. No idea how to handle it.

Tried to talk with him after the fact but he denies he's caused the

problem; insists it was sister's foot that was to blame.

> What does your pdoc say?

> kimz

Wow, I have had so many simular episodes as what you describe, over

the last year or so, Adam has come to the point though where he now

sees that it is the OCD and he does take the blame for these issues,

which in some ways is an improvement as he is seeing it for what it

really is . . . it also seems to make the rages stronger as he blames

himself for everyone's unhappiness. We all try to be supportive, but

he sees that when this happens he has caused us all to be upset or

the events of the day stop so I can deal with him.

thanks,

Lorrie

> re: question

>

>

>

> Hi, I have recently started reading this message board and it

helps

> so much to know that we are not the only ones dealing with this

> disorder. My son is 16, diagnosed with OCD over 5 years ago, he

was

> recently hospitalized for 8 days and he medication was changed at

> that time. His main OCD obsession is with germs, however he has

had

> other issues throughout the years, (words stuck in his head, the

need

> to even things, checking, hoarding, etc), he can get stuck place

> by " germ trails " , anyway . . . . my question . . . at times when

he

> has a bad situation that brings on OCD " rages " as I call them, he

> seems to lose control emotionally, crying, raging etc and it can

take

> us quite awhile to calm him. Usually we have to hold him if

possible

> as he crys yells at us about how he hates this and wants it all

to

> end, etc. eventually he calms down and ends up taking a shower

> (after we know that he is ok to be alone in the shower) and

> afterwards he seems almost happy, like this releases some of the

> tension for him. As you can imagine this is very frightening for

the

> rest of us and difficult to handle as he is 16 and getting quite

> large. Does anyone else have this situation and do you have any

> suggestions on what workds for you? He is in therapy and on

> medication for OCD (Luvox and Anafranil)

>

> Thanks

>

> Lorrie

>

>

>

>

>

> Our list archives, bookmarks, files, and chat feature may be

accessed at: / .

> Our list advisors are Gail B. , Ed.D., Tamar Chansky, Ph.D.(

http://www.worrywisekids.org ), Dan Geller, M.D.,Aureen Pinto Wagner,

Ph.D., ( http://www.lighthouse-press.com ). Our list moderators are

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Kathy Mac, Gail Pesses, and Kathy . Subscription

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>

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Aww, I can easily see that happening, striking out when OCD is just

driving you " mad " and you're fed up, " stuck " or whatever. At least

he took responsibility and felt bad, some would say it was " our "

fault for interfering or for touching them when they don't want us

to, etc.

Sometimes used to yell at me I was making it worse. Guess

those were the times I wasn't in the most comforting moods myself,

what with being tired of OCD.

This isn't an OCD experience, but my older son used to hit at the

wall when he'd be upset. Just a whack/punch, not repeatedly. I'd

fuss, telling him one day he'd put a hole in it. Of course, since he

hadn't yet, he wouldn't listen. Finally he hit the wall one day and,

behold!, a hole! Needless to say he was grounded, but the good news

is that he actually felt bad and no longer hits the walls. (OK, the

elbow in the wall and the crack it made doesn't count, he had his

back turned!) Anyway, perhaps the same will hold true with your son,

despite the fact that OCD is involved in his " rages. "

Poor guy, with the Lysol!! We haven't dealt with any

germ/contamination issues, thankfully. (((hugs))) to you all, OCD

can totally cause bizarre and desperate behaviors, can't it? My son

had sooo many bizarre, not-in-the-book compulsions.

>>

> Hi, thanks for sharing your experience with me. . . . Adam also has

> had episodes like this where he hits his head against the wall,

tears

> up paper etc. . mainly when he was younger but he seems more

angered

> this last year. The night he went into the hospital was the first

> and only time that it got physical, he hit his dad while we were

> trying to comfort him. He felt so bad afterwards and took

> responsibility for it. But I think we all worry that it will

happen

> again. We had had quite alot of major events going on the weeks

> before he was in the hospital and the the OCD got worse. That

night

> after hitting his dad, he broke down and told us all of the new ocd

> rituals that he was doing. We found out then that he had started

> spraying Lysol up his nose to kill the germs. . . .we needless to

> say, we went to the hospital right away.

>

> Thanks again,

> Lorrie

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HI Judy,

How is Harlee going with the TLSO in the hot weather? TLSO stands for thoraco lumbar sacral orthotic.

Is he adjusting OK and sleeping well?

Did they suggest doing an xray in the brace to see what sort of correction they are getting. Nola's Bronwen has had success with this sort of brace and would be a good source of knowledge.

Good luck

Bert and Bridget

judy scherrenberg <beach_comber@...> wrote:

Hi Carmel,

Excuse my ignorance but what is ISOLA and VEPTR. My 5 year old son is in a TLSO brace and I'm not even sure wht that stands for!!

Judy

RE: question

Welcome Esther and Zoe!Good luck with everything. I hope Zoe has a goodexperience. Can you give us a general background ofZoe's medical issues? We'd love to hear how thingsare going and why you are chosing the ISOLA growingrods. When is the surgery scheduled for?My son, Braydon, is now 9yrs old. He is a VEPTRpatient and is doing great. I'd be happy to sharesome of our experiences with you. There are a coupleof other VEPTR kids on this list (Mo and , atleast).Take care!Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9, VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01), thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery 5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney, ureterocele

(excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc. http://carmellb-ivil.tripod.com/myfamily/ __________________________________ Do you ? Plan great trips with Travel: Now over 17,000 guides!http://travel./p-travelguide__________________________________________________

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Hi Bert and Bridget,

Thanks for your email. Harlee is doing well in the brace. He is such a brave little man. I am so proud of him. He has been in the brace 2 weeks tomorrow and is virtually in it 23 hours a day. He seems to be able to handle most things well and sleeping in the brace doesn't seem to bother him too much. He does get very hot in the brace but luckily for him the weather is cooling down considerably from summer (although it is still up to 30 degrees celcius in the day!!). My main problem is that it does seemto wiggle its way down during the day so i will ahve to go back and see what can be down about that. I'm a bit fearful they will say it will have to be on tighter as he struggles enough breathing with it on as it is.

Harlee didn't have an xray taken in the brace, although that was what LeBrom had instructed but to be honest I didn't make a big deal about it as I know they will be seeing him again 12th May and I'm already alarmed by the amount of xray exposure he has had.

So, is Nola Bronwen from this listserv or where do I get to make contact with her? Is she is Australia?

Thanks for the explanation on TLSO, too!!

Judy

RE: question

Welcome Esther and Zoe!Good luck with everything. I hope Zoe has a goodexperience. Can you give us a general background ofZoe's medical issues? We'd love to hear how thingsare going and why you are chosing the ISOLA growingrods. When is the surgery scheduled for?My son, Braydon, is now 9yrs old. He is a VEPTRpatient and is doing great. I'd be happy to sharesome of our experiences with you. There are a coupleof other VEPTR kids on this list (Mo and , atleast).Take care!Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9, VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01), thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery 5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney, ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc. http://carmellb-ivil.tripod.com/myfamily/ __________________________________ Do you ? Plan great trips with Travel: Now over 17,000 guides!http://travel./p-travelguide

__________________________________________________

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Hi Judy,

<<Excuse my ignorance but what is ISOLA and VEPTR.>>

I think several people have shared the answer to this

question, but just in case you still wanted to know...

ISOLA (not sure the what the accronym stands for,

still trying to find that) is a posterior fixation

device that is placed with screws and hooks into the

vertebrae. Its a very invasive technique.

The VEPTR is the Vertical Expandable Prosthetic

Titanium Rib designed by Drs. and in

San TX. The design is unique to any other

spine implant in existance. The attachment technique

is much less invasive than the traditional spine

implants, including the ISOLA rods. No one spine

implant is right for all scoliosis patients, including

the VEPTR device. You must meet certain criteria to

be included as a patient.

My son is a VEPTR patient. He had already had

anterior/posterior fusion only surgery (no

instrumentation used) at 11 months old. He needed a

procedure that was going to benefit him for the rest

of his growing years (he was 6 at the time of the

VEPTR surgery) and NOT be so invasive that his spine

would not continue to grow (i.e., no more fusion or

any invasion of the disk space in the spine). He is

doing fabulous. If you saw him on the street, you

would have no idea what his little body has been

through. He has no physical limitations (except sky

diving and trampolines - LOL).

Good luck!

Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9,

VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01),

thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery

5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic

constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney,

ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic

bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion,

clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single

umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc.

http://carmellb-ivil.tripod.com/myfamily/

__________________________________________________

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Hi Carmell

So are the ISOLA rods, the 'growing rods' (or " growth rods " ) that

are usually referred too?

Our ex Ortho here in Vancouver, that is now doing VEPTR (yahee!),

was saying that they weren't being used as much these days -

something to do with " complications " .

Thanks for the info - as always!

Jacki

> Hi Judy,

>

> <<Excuse my ignorance but what is ISOLA and VEPTR.>>

>

> I think several people have shared the answer to this

> question, but just in case you still wanted to know...

>

> ISOLA (not sure the what the accronym stands for,

> still trying to find that) is a posterior fixation

> device that is placed with screws and hooks into the

> vertebrae. Its a very invasive technique.

>

> The VEPTR is the Vertical Expandable Prosthetic

> Titanium Rib designed by Drs. and in

> San TX. The design is unique to any other

> spine implant in existance. The attachment technique

> is much less invasive than the traditional spine

> implants, including the ISOLA rods. No one spine

> implant is right for all scoliosis patients, including

> the VEPTR device. You must meet certain criteria to

> be included as a patient.

>

> My son is a VEPTR patient. He had already had

> anterior/posterior fusion only surgery (no

> instrumentation used) at 11 months old. He needed a

> procedure that was going to benefit him for the rest

> of his growing years (he was 6 at the time of the

> VEPTR surgery) and NOT be so invasive that his spine

> would not continue to grow (i.e., no more fusion or

> any invasion of the disk space in the spine). He is

> doing fabulous. If you saw him on the street, you

> would have no idea what his little body has been

> through. He has no physical limitations (except sky

> diving and trampolines - LOL).

>

> Good luck!

>

> Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and

Braydon 9, VACTERL, GERD, DGE, Titanium Rib Project patient #137

(dbl implant 8/01), thoracic insufficiency, rib anomalies,

congenital scoliosis (fusion surgery 5/96), missing coccyx, fatty

filum/TC (released 4/99), anal stenosis, chronic constipation,

horseshoe (cross-fused) kidney, dbl ureter in left kidney,

ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97),

neurogenic bladder, bilateral hip dysplasia, right leg/foot

dyplasia, tibial torsion, clubfoot with 8 toes (reconstructed 2/96,

3/96, 1/97, 3/04), pes cavus, single umblilical artery, tonsil-

adnoidectomy and ear tubes (3/98), etc. http://carmellb-

ivil.tripod.com/myfamily/

>

> __________________________________________________

>

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As you guys talk about the rods my Dr said if Adan had to have surgery he would prefer the rods over the VEPTR

I asked him why and he said if the shape of the chest wall of normal they prefer the rods over the VEPTR

Does that sound like anything you have heard of??

Thanks

jabostock <jabostock@...> wrote:

Hi CarmellSo are the ISOLA rods, the 'growing rods' (or "growth rods") that are usually referred too?Our ex Ortho here in Vancouver, that is now doing VEPTR (yahee!), was saying that they weren't being used as much these days -something to do with "complications".Thanks for the info - as always!Jacki> Hi Judy,> > <<Excuse my ignorance but what is ISOLA and VEPTR.>>> > I think several people have shared the answer to this> question, but just in case you still wanted to know...> > ISOLA (not sure the what the accronym stands for,> still trying to find that) is a posterior fixation> device that is placed with screws and hooks into the> vertebrae. Its

a very invasive technique.> > The VEPTR is the Vertical Expandable Prosthetic> Titanium Rib designed by Drs. and in> San TX. The design is unique to any other> spine implant in existance. The attachment technique> is much less invasive than the traditional spine> implants, including the ISOLA rods. No one spine> implant is right for all scoliosis patients, including> the VEPTR device. You must meet certain criteria to> be included as a patient.> > My son is a VEPTR patient. He had already had> anterior/posterior fusion only surgery (no> instrumentation used) at 11 months old. He needed a> procedure that was going to benefit him for the rest> of his growing years (he was 6 at the time of the> VEPTR surgery) and NOT be so invasive that his spine> would not continue to grow (i.e., no more fusion

or> any invasion of the disk space in the spine). He is> doing fabulous. If you saw him on the street, you> would have no idea what his little body has been> through. He has no physical limitations (except sky> diving and trampolines - LOL).> > Good luck!> > Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9, VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01), thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery 5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney, ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single umblilical

artery, tonsil-adnoidectomy and ear tubes (3/98), etc. http://carmellb-ivil.tripod.com/myfamily/> > __________________________________________________>

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Thanks Carmel, I appreciate your reply. Your little man has been through alot. THope all is going well for you now.

Judy

Re: question

Hi Judy,<<Excuse my ignorance but what is ISOLA and VEPTR.>>I think several people have shared the answer to thisquestion, but just in case you still wanted to know...ISOLA (not sure the what the accronym stands for,still trying to find that) is a posterior fixationdevice that is placed with screws and hooks into thevertebrae. Its a very invasive technique.The VEPTR is the Vertical Expandable ProstheticTitanium Rib designed by Drs. and inSan TX. The design is unique to any otherspine implant in existance. The attachment techniqueis much less invasive than the traditional spineimplants, including the ISOLA rods. No one spineimplant is right for all scoliosis patients, includingthe VEPTR device. You must meet certain criteria tobe included as a patient.My son is a VEPTR patient. He had already hadanterior/posterior fusion only surgery (noinstrumentation used) at 11 months old. He needed aprocedure that was going to benefit him for the restof his growing years (he was 6 at the time of theVEPTR surgery) and NOT be so invasive that his spinewould not continue to grow (i.e., no more fusion orany invasion of the disk space in the spine). He isdoing fabulous. If you saw him on the street, youwould have no idea what his little body has beenthrough. He has no physical limitations (except skydiving and trampolines - LOL).Good luck!Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9, VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01), thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery 5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney, ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc. http://carmellb-ivil.tripod.com/myfamily/__________________________________________________

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Hi Jacki,

<<So are the ISOLA rods, the 'growing rods' (or

" growth rods " ) that are usually referred too?>>

No, the ISOLA rods are a permanent fixation device

that is placed posteriorly (in the back) of the spine

to support fusion surgery. The growing rods are very

different.

<<Our ex Ortho here in Vancouver, that is now doing

VEPTR (yahee!), was saying that they weren't being

used as much these days - something to do with

" complications " .>>

This is my own opinion, based on hearing several

orthopedists talk about the growing rod -vs- the VEPTR

procedure. This is not documented fact...

I've heard discussion that many Growing Rod patients

have successful expansions for the first year or so

after rod placement. Then, for some reason, their

spines stop growing. The growth plates and things

that give your spine the vertical growth doesn't like

having the adjustments done, and therefore they have

some patients who develop non-growth complications.

This defeats the purpose of helping give the spine

stability to grow. Another complication is that the

top and bottom part of the rods (two, placed along the

sides of the spine) are fused into place, and anchored

with screws. Sometimes the fusion doesn't become

solid and the end of the device comes loose, which

potentially can poke through the bone structure of the

spine. Not good. They can also poke through the skin

(skin sloughing) which can be dangerous due to

infection.

The growth rod has its time and place, and for many

years, it was a procedure that gave many young

children a chance at having a taller spine and a

healthier body. With the VEPTR procedure, the entire

design of the device is so different from the

traditional growth rods that they can't be compared

side by side. This is the biggest reason the FDA

waited so long to approve the VEPTR device - there was

no other device available to do a controlled study

with.

Remember, this is just my observation and opinion

about the subject. I am not a medical professional -

only a parent.

An aside - I know the Vancouver hospital's first

patient. He had a longer-than-usual recovery, but

he's doing FABULOUS now!

Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9,

VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01),

thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery

5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic

constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney,

ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic

bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion,

clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single

umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc.

http://carmellb-ivil.tripod.com/myfamily/

__________________________________________________

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Guest guest

Hi Jacki,

<<So are the ISOLA rods, the 'growing rods' (or

" growth rods " ) that are usually referred too?>>

No, the ISOLA rods are a permanent fixation device

that is placed posteriorly (in the back) of the spine

to support fusion surgery. The growing rods are very

different.

<<Our ex Ortho here in Vancouver, that is now doing

VEPTR (yahee!), was saying that they weren't being

used as much these days - something to do with

" complications " .>>

This is my own opinion, based on hearing several

orthopedists talk about the growing rod -vs- the VEPTR

procedure. This is not documented fact...

I've heard discussion that many Growing Rod patients

have successful expansions for the first year or so

after rod placement. Then, for some reason, their

spines stop growing. The growth plates and things

that give your spine the vertical growth doesn't like

having the adjustments done, and therefore they have

some patients who develop non-growth complications.

This defeats the purpose of helping give the spine

stability to grow. Another complication is that the

top and bottom part of the rods (two, placed along the

sides of the spine) are fused into place, and anchored

with screws. Sometimes the fusion doesn't become

solid and the end of the device comes loose, which

potentially can poke through the bone structure of the

spine. Not good. They can also poke through the skin

(skin sloughing) which can be dangerous due to

infection.

The growth rod has its time and place, and for many

years, it was a procedure that gave many young

children a chance at having a taller spine and a

healthier body. With the VEPTR procedure, the entire

design of the device is so different from the

traditional growth rods that they can't be compared

side by side. This is the biggest reason the FDA

waited so long to approve the VEPTR device - there was

no other device available to do a controlled study

with.

Remember, this is just my observation and opinion

about the subject. I am not a medical professional -

only a parent.

An aside - I know the Vancouver hospital's first

patient. He had a longer-than-usual recovery, but

he's doing FABULOUS now!

Carmellmom to Kara 18, idiopathic scoliosis, Blake 13, GERD and Braydon 9,

VACTERL, GERD, DGE, Titanium Rib Project patient #137 (dbl implant 8/01),

thoracic insufficiency, rib anomalies, congenital scoliosis (fusion surgery

5/96), missing coccyx, fatty filum/TC (released 4/99), anal stenosis, chronic

constipation, horseshoe (cross-fused) kidney, dbl ureter in left kidney,

ureterocele (excized 6/95), kidney reflux (reimplant surgery 1/97), neurogenic

bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion,

clubfoot with 8 toes (reconstructed 2/96, 3/96, 1/97, 3/04), pes cavus, single

umblilical artery, tonsil-adnoidectomy and ear tubes (3/98), etc.

http://carmellb-ivil.tripod.com/myfamily/

__________________________________________________

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