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Maddy had a shunt revision 2 days ago by Dr. Magram,he said she was blocked. The

pain in the back of her head has continued as well as other pain.Dr. Sun and Sue

called yesteday from Childrens Hospital Oakland yesterday and asked if I still

wanted them to help Maddy and see if he can help figure out if this is Chiari

related. I told them yes so the appointments are being made for MRI,visit etc. I

ran my thoughts by nsg about her pain and chiari but they said the mri from 6

months ago was normal so they werent sure what was going on,but werent willing

to do any further tests.

Maddy's pain was not controlled well. She has been getting lortab for about 18

months and it doesnt work for her anymore,tylenol and motrin dont help either

and morphine doesnt last long. I asked nsg if there was a better oral meds they

could try to help her but I guess there wasnt because she was still hurting. She

was sent home today,no longer having a blocked shunt but still having alot of

pain and there is nothing we can do to help her. We are just waiting for Oakland

to call us. I will keep you posted.

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