~ Dustie's letter?

[Guest guest]

Ah Hell, I can type it for Debbie and then she can scan it if

necessary. lol Are you ready? A bunch of words that I don't know

what they mean, but somebody does. hehe.....Also, if you notice he

describes what her head looks like in detail. That may be the key.

Something specific, instead of a generic letter of Medical

Necessaty. Let me know what you think.

RE:

CMC: 1187949

FIN# 29953775

DOB# 04/08/02

DOV# 10/02/02

is a 6-month-old little girl who was delivered six weeks

premature. She spent a week in the nursery. Shas done well, and

there have been problems. She smiled at 2 months, rolled over both

directions at 4 months, and has been pulling herself up to sit for

the past month or so. There has been no irritability, lethargy, or

vomiting. Nor eye-crossing. She has frontal bossin and a narrow

forehead.

On examination, the head circumference measurement is 42.0 cm, and

this plots out at the 60th percentile. This is in comparison to a

50th percentile length and a 25th percentile weight measurement. The

child is bright and alert. The extraocular movents are full. The

fontanel is soft. The child has good head contrl. There is no

weakness or tone abnormality in both upper and lower extremities.

The deep tendo reflexes are 1+ and symmetrical thoughout. she has a

tiny patch of hemangiomatous skin discoloration over the lumbosacral

spine.

The head is elongated, and this MAY reflect her prematurity. She has

quite a prominent frontal bossing. However, there is a metopic ridge

that extends from the nasion up to the hairline, and this is not

visible by visual inspection alone. It is palpable, however. The

has some bitemporal pinching, and this may be the porduct of her

metopic suture fusion or the narrow head shape of a premature.

We think that she has a significant cranial deformity, but it is not

clear that this will require surgical correction. We are going to

try a bi-cal headband to see if this can diminish the forehead

prominence. She will also have skull x-rays. We will see her back

once this has been completed.

XXXXXXXXXXXXXXXXXX, M.D.

Pediatric Neurosurgery

Dustie, typin' fool today!

Debbie, I was just wondering if

you had gotten Dustie's fax yet? I'm anxious to see what 's dr.

said. Thanks!!! God Bless,

> in KY Wife to Bert

> Mama to Isabelle (5), Carolina (4), (3) and Lorenzo (7 mos.)

>