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Candy

I'll respond to one of your questions regarding private therapy. I think

you'll find a wide range of answers to this, depending on the services

provided by your local EI as well as the individual therapist.

We moved during my daughter's time in EI and (at current count) have had 5

different EI therapists in two states. Without boring you with details,

there can be a HUGE difference in what you get in different locations...even

within the same county but with a different therapist. My learning has been

it all comes down to the therapist. If you get an EI therapist that is

experienced with these sorts of problems AND can engage your child, (to me,

these are two completely different things!),try to maximize the visits/time

you can get with that therapist, especially if your child has more than a

few months before turning 3. If your therapist in EI doesn't offer both --

try to get another, but in our experience the time/difficulty in 'switching'

within EI wasn't worth it. At that point, or as your child gets closer to

3, you may want to start a search for a private SLP. The benefit will be

you can completely pick who it is, and ensure they are knowledgeable and can

engage your child. Once you find one you like, you can stick with them as

long as needed, not just until they turn 3. This consistency can be very

helpful if your child ends up in a developmental preschool environment at

age 3. Of course, the downside of a private SLP is cost... check the

resources on the website for tips in securing insurance coverage.

Not that I can claim scientific proof, but my daughter starting showing

significant improvement after we found the 'right' private SLP and being on

EFAs for a few months. We've kept the EI services in the meantime, and

asked the private SLP to work with the EI SLP to coordinate approach. As my

daughter is 3 in June, I'm toying with increasing the frequency of private

therapy and stopping EI a few months early. (I've got a newborn as well and

there is only so much scheduling I can handle...when I prioritize, what I

think is contributing the least right now is the EI therapy).

I think one more reason why private therapy has helped us so much is that

after a year of EI-only therapy in our home, my daughter became rather

un-cooperative. In-home therapy is great and convenient, but for Ellie, she

didn't want to play the therapists' games when we were in her home turf.

When we are at the private therapists, she's much more cooperative. But,

I'm sure there are parents who have had the opposite experience as well!

Hope this helps

[ ] New with Questions

> Hello, I just joined the board and thought I'd introduce

> myself and ask a few questions. My son turned two this past

> December and is currently receiving speech therapy through Early

> Intervention. He has only had a handful of sessions so far so I

> don't really have any opinions yet from the therapist. He says a

> couple of two word sentences like hi doggie and hi mommy. He says

> bye but then he says eye eye when he adds an extra bye. The

> therapist says he shows some apraxia symptoms. He can't blow

> bubbles, bites his straw, and even though he understands just about

> everything refuses to use the words for them except occasionally. I

> just started him on ProEfa two days ago so I have my fingers crossed

> that will help.

> My son's history: born breech at 38 weeks gestation with

> dislocated hip, asymmetrical headshape, and severe torticollis.

> Underwent PT for torticollis from 4 months to 14 months and 2

> DOCbands from 9 months through 18 months. Sees an osteopath every

> three months for cranial manipulation.

> Now to the questions: One of my questions is that when my son is

> playing he totally focuses on that toy to the extent that he will

> ignore anyone asking him questions or asking him to do something.

> He doesn't like to make eye contact when asked. His therapist says

> this is an indication that he won't follow direction. Does anyone

> else's child do this?

> Also, I heard someone mention a neurodevelopmentist in

> sonville, land; Carol Samango-Sprouse, which is only a few

> minutes from my home. What does a neurodevelopmentist do?

> I have an appt. next month to have my son evaluated by a private

> speech therapist. Does anyone's child see a private therapist as

> well as the one in the EI Program at the same time?

> Thanks for listening and I look forward to any response.

>

> Candy, mom to

> land

>

>

>

>

>

>

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Hi Candy -

Welcome - I am so glad you found us!!

Your has a lot of the same characteristics my son had when he

was his age. Focusing on a certain toy and seeming to block

everything else out - did this. Looking back I think it was

his way of having control of something. Since he couldn't talk at

the time he would " control " what he was playing with. I also like to

think that since these boys will grow into men, they are practicing

their " selective hearing " !!

Eye contact is another big thing that many kids with apraxia have

trouble with. would not make eye contact with anyone,

especially when he was non-verbal. I think this is because he knew

he couldn't verbally communicate, so he didn't want to try. Think

about it - If you were in a foreign county and didn't know their

language, would you make eye contact with people? I wouldn't because

I would be afraid that would open the " air " for a hello or some sort

of communication. Usually people don't come up and talk to you

unless they have made eye contact first.

When I wanted to look at me, I would take his hands and put

them on my face. He would then look at me in the eye. I would not

put my hands on his face as this was an invasion of his space and he

did not like it. Once we got in the routine of this I would start

verbally cueing him by saying - , look at me when I am talking

to you please. He is 5 1/2 now and I still remind him. He still

does not like making eye contact - but he does when he needs too.

We went to a private therapist since was 2 1/2. When he

turned 4 we started through the school system (even though you can

start at 3.) I would not have changed our private therapist for

anything...she is the reason is doing so well. I know many

people that use early intervention, and then supplement with private

therapy. I believe that you, as 's mom, knows what he needs.

You are his biggest advocate and always will be. My goal was for

to catch up to his peers by the time he started Kindergarten.

He has met that goal. We still have many hurdles ahead, but at least

one goal is behind us!!

Good luck - let me know if there is anything else I can help with!!

North CArolina

.........

> Now to the questions: One of my questions is that when my son

is

> playing he totally focuses on that toy to the extent that he will

> ignore anyone asking him questions or asking him to do something.

> He doesn't like to make eye contact when asked. His therapist

says

> this is an indication that he won't follow direction. Does anyone

> else's child do this?

> Also, I heard someone mention a neurodevelopmentist in

> sonville, land; Carol Samango-Sprouse, which is only a few

> minutes from my home. What does a neurodevelopmentist do?

> I have an appt. next month to have my son evaluated by a

private

> speech therapist. Does anyone's child see a private therapist as

> well as the one in the EI Program at the same time?

> Thanks for listening and I look forward to any response.

>

> Candy, mom to

> land

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Michele: Welcome to this group. You will learn so much just by reading

all of the posts and messages, even about things that are not a topic for

you at that time....read them as much as you can.

About your Pro-EFA question, the (time)results are varied, but the " usual " time

is approximately 3 weeks before seeing progress. Some parents see results

earlier, some later. For me, it took about 6 weeks before we saw

significant progress, and the progress is still happening. I only used

one capsule a day for my son, who was 2.6 at the time. He is now 3.1 years

old and is still on one capsule a day.

When my son was 2.6 years old, he only had a few words in his vocabulary,

mostly signs. It helped me to keep a list on our refridgerator of his

words that he was using consistently. It helped me to see that he was

making progress, and I shared that list with his therapist. Although we

have a LONG way to go, and I get discouraged often, my son now speaks in

3-5 word sentences and has an unlimited vocabulary.....he is just having a

tough time putting them together. NOW, we are dealing mostly with

attitude problems and tantrums/behavior. Go figure, when he couldn't

speak, he was a sweetheart. Now that he is verbal, he is tough to take!

It is great that you got him into therapy, for speech, OT and PT. Keep it

up and Good Luck!

Kim

Hi there,

I just joined this group yesterday and thought I would give a

background why I am here and ask a few questions.

My son is 2.5 years old and has apraxia.  He also has reflux, food

allergies, sensory integration dysfunction, hypotnia and epilepsy

(current controlled on medications). He only babbles and although I

think he says single words from time to time, I think it is just

babble.  He cannot blow bubbles, or kiss with his lips, or drink from

anything but a bottle (probably more behavioral). He has been in EI

ST for about a year but for the first 8 months the therapist said she

only needed to see him once a month, then for a few months after I

pushed for it they increased it to 1x a week and then finally a month

ago 2x a week.  My son also gets OT once a week and PT twice a month

through EI.  We pay for two private therapist as well, a feeding/oral

motor specialist and will be starting with a sensory inegration

therapist this Monday.  My son has made progress overall, but

expressive speech has been so slow.  He does not have a single word

in his vocabulary that he will use on a daily basis.  He can sign

about five things now.  We had him on Cod Liver Oil for a month and

now we are switching to Pro EFA I am hoping he has success like some

apraxic kids.

My questions:

1) How long did it take to see if Pro EFA works?  How many pills did

you start with a day?

2) Anyone from CT that can recommend a very good private ST? I want

the best even if it cost me.

3) Any support groups in CT?

Thanks-

Michele

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Michele,

My apraxic son is now a month away from 4 years old. He had reflux and still

has sensory integration dysfunction, hypotonia, dysarthria, global apraxia. My

older child has epilepsy, he is 6yrs old. The apraxic son was only making the

ah and eh sound at the age of 2.5 years and started saying his first words about

5 months ago. He is now up to 45 words consistently and many others he can say

with prompting and we are beginning to put two words together i.e. apple sauce

(his favorite food) and ball up. He puckers his lips with prompting now put

not always. He does intense oral motor therapy at home and in private and

public speech. He has been on ProEFA for I think a little over a year and it

took about a month to see big spurts and in the beginning it was in OT. He

started on one ProEFA a day, we increased to two about 4-5 months later when he

plateaued and now we are on One ProEFA and One EPA a day.

I can't help you with CT but good luck.

Daphne

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Please read Children with Starving Brains by Dr. McCandless. Her 2003

edition is just out and it will sum up everything you need to know and it

will help formulate questions to ask. It is an easy read and written by a

DAN doctor. Dr. McCandless is trying to cure her grandaughter from autism so

she has a vested interest in finding the cure!!

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Elayna,

Welcome to the list. Check the FAQs of this list for info about how to get a

hair analysis from DDI with or without a doc of your own. Many on this list

chelate without a doc. Digestive enzymes, probiotics, and for some the gfcf

diet help with the gut issues.

S

Where can I get a metals (hair) test done on my child? Also Is there <BR>

a book I can buy about chelating? Is this only done under a Dr's care?<BR>

I do have access to a Dan Dr. in my area. But you first have to go to <BR>

a meeting and everyone brings 10.00??? Seems shady to me. Also, I <BR>

keep hearing about healing the gut, how is this done? Thanks,<BR>

<BR>

Elayna<BR>

<BR>

</tt>

<br>

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Hello,

> Where can I get a metals (hair) test done on my child?

details here:

/files/HOW_TO_hair_test

> Also Is there

> a book I can buy about chelating?

not really, but there are a few books that have some info on it:

/files/Books_about_autism

The first section about biomedical and metals issues may be some

help.

> Is this only done under a Dr's care?

A lot of people do it under a doctors care, some do it without

a doctor directing it.

> I do have access to a Dan Dr. in my area. But you first have to go to

> a meeting and everyone brings 10.00???

I don't know if I understand what you mean here. What is the

meeting? Like a lecture or something?

> Seems shady to me.

I don't know, I don't get what the meeting is about yet.

Most doctors will want to do an inintial intake visit, and

a bunch of tests, and possibly a number of visits, before

chelating. That is a LOT more than $10.

best,

Moria

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> Hi,

>

> Where can I get a metals (hair) test done on my child? Also Is there

> a book I can buy about chelating?

There is info here

/files

>> Is this only done under a Dr's care?

Not necessarily. It depends on your philosophy and what your child

needs.

> I do have access to a Dan Dr. in my area. But you first have to go

to

> a meeting and everyone brings 10.00??? Seems shady to me.

Yep

Also, I

> keep hearing about healing the gut, how is this done?

Depends on what your child's issues are. In general, it means

removing food intolerances [with diet, enzymes, or both] and

yeast/bacteria issues

http://www.danasview.net/parent3.htm#diet

Dana

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>

> Hi there. I stumbled upon this group purely by accident, but as it

> turns out have a ton of questions. My son is 4 mos old and the

right

> side of the back of his head is flat. He favors this side when

> sitting, sleeping, eating, etc. Our pediatrician has not made any

> diagnosis of plagiocephaly in so many words, but has mentioned the

> flat spot at both of his visits and told us we have to do something

> about it (i.e. repositioning). I've done some basic internet

> research and am wondering if we shouldn't be a bit more concerned

> than we are or if we are making a big deal out of this. I've tried

> to compare his head to pictures I've seen and while his ears are

> symmetical, his head is very slanted when looking down on it from

> above. I've had people tell me it will fix itself once he starts

> sitting up and crawling and others tell me that if we don't do

> something now, he'll have to wear a helmet 20 hours a day!

>

> We have tried repositioning several times during the night, but he

> always winds up looking straight up (which is still better than to

> the right like he used to). We bought the noggin nest for his

> carseat, bouncy seat, etc., but don't know if this was a total

waste

> of money or not. I don't want to use a sleep positioner, since I've

> read that those can be dangerous in cribs. We alter how we feed

him,

> position him, etc.

>

> I guess I'm just looking for a bit more info, advice, and ideas.

> Hopefully this is the correct forum for me! Sorry for such a long,

> wordy post and thank you.

>

> -J.

Welcome J,

My son was 11 wks when I started noticing the back right of his head

looking flat. Actually it looks alot worse in the front left side

where its not filled out as much. Put your son in the mirror and look

at his image. Can you tell if he has any asymetry? That's what I

based my decision on. His image looked terrible in the mirror. Really

asymetrical. He's been in his band for about 4 weeks and I'm

beginning to see improvement.Good luck.

Kristy

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Hello,

Welcome to the group! You are absolutely in the right place for

your questions. We have extensive repositioning sections in both

our files and links areas. We also have many success stories on the

board of parents who have avoided a helmet through repositioning.

It is a difficult task though, and needs to be done 24/7 to be

effective. Has your son been evaluated for torticollis? At his age

repoing will get a bit more difficult now b/c he's not going to want

to sleep where you put him, but at the same time he should be able

to spend some time in an exersaucer now. Another product you should

look into is www.babybumboseat.com. As far as sleep repositioners,

there are two fairly new ones at www.nightform.com and

www.sleepshaper.com. Sleeping is the most important time for him to

be off his flat spot, so it's something I would strongly consider.

How severe do you think he is? We have severity assessments in our

links section. Could you post a picture of his head from a birds

eye view? Laying him on a boppy pillow will help with getting one.

It's important to record your progress with pictures as well, so you

know the repiong is working. Also, where are you located? Cranial

Technologies, www.cranialtech.com, offers free consultations.

They'll give you an idea of his severity and will help you track his

progress. If he does end up needing a helmet it is worn 23 hrs a

day, but really isn't as bad as it sounds. My daughter had severe

right sided plagio and wore three bands for 14 months. Her before

and after pics are on her website below if you're interested.

Looking through our before and after photo area may help out in

determining your son's severity as well.

, mom to Hannah, DOCgrad

Cape Cod, Ma

http://hannahsnoggin.typepad.com

>

> Hi there. I stumbled upon this group purely by accident, but as it

> turns out have a ton of questions. My son is 4 mos old and the

right

> side of the back of his head is flat. He favors this side when

> sitting, sleeping, eating, etc. Our pediatrician has not made any

> diagnosis of plagiocephaly in so many words, but has mentioned the

> flat spot at both of his visits and told us we have to do

something

> about it (i.e. repositioning). I've done some basic internet

> research and am wondering if we shouldn't be a bit more concerned

> than we are or if we are making a big deal out of this. I've tried

> to compare his head to pictures I've seen and while his ears are

> symmetical, his head is very slanted when looking down on it from

> above. I've had people tell me it will fix itself once he starts

> sitting up and crawling and others tell me that if we don't do

> something now, he'll have to wear a helmet 20 hours a day!

>

> We have tried repositioning several times during the night, but he

> always winds up looking straight up (which is still better than to

> the right like he used to). We bought the noggin nest for his

> carseat, bouncy seat, etc., but don't know if this was a total

waste

> of money or not. I don't want to use a sleep positioner, since

I've

> read that those can be dangerous in cribs. We alter how we feed

him,

> position him, etc.

>

> I guess I'm just looking for a bit more info, advice, and ideas.

> Hopefully this is the correct forum for me! Sorry for such a long,

> wordy post and thank you.

>

> -J.

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Hi J,

You've already got some wonderful replies!

I see that nighttime repo seems to be your biggest challenge area.

already replied with postioners that are actually a

combination mattress/positioner that can assuage concerns of loose

positioner wedges coming loose, etc. It's critical for repo results

that you are able to place your son's head so that he is on or just

to the side of his bulging area on the back of his head, as if you

were trying to " squish " the bulging part over to the flattened

area. There are some aggressive repositioning tips, including how

to measure progress, etc. in the Files/Repo Headquarters folder that

may be of help to you. Bouncie seat use should be non-existant or

at an absolute minimum, even with a noggin nest (although I know

this isn't always practical.) We aggressively repo'd our daughter

Remy for her plagio/brachy from 5 to 13 months. It was a grueling

and exhausting 24 hour a day job. She was never on her back except

for diaper changes and the carseat. Her progress pics are in the

Photos/Before and After/Repositioned folder if you'd like to take a

look.

You mentioned that your ped has brough up in a round-a-bout way the

flattened area of his head at " both appt's. " Does this mean both

his 2 and 4 month appts? If you started repo at 2 months of age,

you should have realized some great correction in a month's time or

less, but it sounds to me from your post that you haven't seen any

improvement - is this correct? The AAP's guidelines on plagio

treatment say that repo should be tried for 2-3 months, but that in

cases where the headshape worsens or results stall, babies should be

referred for evaluation for a helmet/band. If you are unable to

properly repo at night (some babies can be very stubborn) it may be

best to start down the path of banding so that you don't

inadverdently let the headshape worsen while waiting a few months to

see what happens. At your baby's age, you should be taking top,

front, side, back view photos every couple of weeks or so to see if

your repositioning efforts are working. This can help with dialogue

with your pediatrician in that it may show repo is just not working

for you particular baby.

Regarding your son's severity, sometimes it can be helpful to post a

few pictures here at the group and get feedback from some of the

other members. I know you said that from the top, your son's

heashape appears very slanted. It's impossible to know from your

words, but in my mind, there might be some facial asymmtry happening

with that kind of description. It's so difficult to judge ears -

are you open to taking another look at his ear symmetry? A low-

tech, but effective way is to look down at the top of your son's

head, and stick one of your fingers in each of his ears,and seeing

how they are oriented to his nose. You can judge facial asymmetry

best by holding your baby in front of a mirror, which nulls the self-

correcting our own eyes do naturally when we look at someone.

Knowing about any facial asymmetry involvement can be helpful in

deciding on treatment options.

At first glance, helmets and bands may seem like something you'd

want to be the last resort. However, the babies do just fine in

them, and they look so cute in their decorated bands! Also, they

work, which is wonderful. Some babies just do not respond to

repositioning for a variety of reasons, tort included, and it's

important that those babies move on to a helmet/band in a timely

enough manner to optimize correctin. There are also those babies

who do round out on their own. It is impossible to predict who

those lucky babies will be, however, so it really is a roll of the

dice.

Your son is young enough that all of his treatment options are in

front of him. I'm glad you discovered this condition actually has a

name, and are taking a more serious look at defining what you would

like to do as far as treatment.

Would you let me know if I can be of any help at all with repo?

Take care,

Christie (Mom to Repo'd Remy)

>

> Hi there. I stumbled upon this group purely by accident, but as it

> turns out have a ton of questions. My son is 4 mos old and the

right

> side of the back of his head is flat. He favors this side when

> sitting, sleeping, eating, etc. Our pediatrician has not made any

> diagnosis of plagiocephaly in so many words, but has mentioned the

> flat spot at both of his visits and told us we have to do

something

> about it (i.e. repositioning). I've done some basic internet

> research and am wondering if we shouldn't be a bit more concerned

> than we are or if we are making a big deal out of this. I've tried

> to compare his head to pictures I've seen and while his ears are

> symmetical, his head is very slanted when looking down on it from

> above. I've had people tell me it will fix itself once he starts

> sitting up and crawling and others tell me that if we don't do

> something now, he'll have to wear a helmet 20 hours a day!

>

> We have tried repositioning several times during the night, but he

> always winds up looking straight up (which is still better than to

> the right like he used to). We bought the noggin nest for his

> carseat, bouncy seat, etc., but don't know if this was a total

waste

> of money or not. I don't want to use a sleep positioner, since

I've

> read that those can be dangerous in cribs. We alter how we feed

him,

> position him, etc.

>

> I guess I'm just looking for a bit more info, advice, and ideas.

> Hopefully this is the correct forum for me! Sorry for such a long,

> wordy post and thank you.

>

> -J.

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Hi J....You have already received some wonderful repo advice from

Christie. So I will simply say welcome to the group and please let

us know if there's anything we can help you with.

Becky, mom to , repo grad in Pgh, PA

> >

> > Hi there. I stumbled upon this group purely by accident, but as

it

> > turns out have a ton of questions. My son is 4 mos old and the

> right

> > side of the back of his head is flat. He favors this side when

> > sitting, sleeping, eating, etc. Our pediatrician has not made

any

> > diagnosis of plagiocephaly in so many words, but has mentioned

the

> > flat spot at both of his visits and told us we have to do

> something

> > about it (i.e. repositioning). I've done some basic internet

> > research and am wondering if we shouldn't be a bit more

concerned

> > than we are or if we are making a big deal out of this. I've

tried

> > to compare his head to pictures I've seen and while his ears are

> > symmetical, his head is very slanted when looking down on it

from

> > above. I've had people tell me it will fix itself once he starts

> > sitting up and crawling and others tell me that if we don't do

> > something now, he'll have to wear a helmet 20 hours a day!

> >

> > We have tried repositioning several times during the night, but

he

> > always winds up looking straight up (which is still better than

to

> > the right like he used to). We bought the noggin nest for his

> > carseat, bouncy seat, etc., but don't know if this was a total

> waste

> > of money or not. I don't want to use a sleep positioner, since

> I've

> > read that those can be dangerous in cribs. We alter how we feed

> him,

> > position him, etc.

> >

> > I guess I'm just looking for a bit more info, advice, and ideas.

> > Hopefully this is the correct forum for me! Sorry for such a

long,

> > wordy post and thank you.

> >

> > -J.

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Thanks to everyone for the replies. I apologize in advance this

second wordy post.

I read up on the links provided for torticollis and while I'm hardly

well versed on the subject, it doesn't seem like this is the

problem. He has really good range of motion and our attempts at

getting him to look to his left as opposed to the right are starting

to see success. Looking back I think we're to blame a bit because we

were positioning him with stimulus usually to the right without even

thinking about it. I wish they told you to mix it up with crib

positioning, etc. in child birth classes or in the hospital!

The ped did mention the flatness at his two month and told us to

watch it and move his crib toys to the opposite side of the crib so

he would look the other way. Unfortunately, we did this, but I guess

we just didn't take it seriously enough to be aggresive. Too many

people told us it would work iteself out. By the 4 month check up,

the ped was much more serious with us and told us to do it now as

our window of opportunity to fix it this way was closing. He

basically said to do whatever worked to get him off the flat spot.

Of course I feel like a jerk for not being more vigilant earlier.

Now we rarely have him on his back and if we do he is positioned so

he is looking to the left. If we use the bouncy seat, we use the

noggin nest and turn it so that he has to look to the left to see

whatever it is he is interested in. He spends most of his time in an

exersaucer or in our arms. When we feed him, we position him so he

is looking left. So far he is cooperating without a problem.

You are correct that night is the hardest time, though we have got

him to sleep without looking to the right. I position him looking to

the left with a receiving blanket rolled up and placed under the

right side of his head like a wedge. He does move his head slightly

from the left facing position to face up, but not to the right

anymore. But I will definately look into the mentioned sleep

positioners.

What angles of picture are the most helpful for opinions from the

group besides top view?

Thanks again for the quick response.

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J -

You have come to the right place! Welcome to the group. Ask as many questions as you like we have all been in your shoes At this point you are probably at the right level of concern. Please go visit the files section and read up on repo tips. We have some very good tips for aggressive 24/7 repo. I would incorporate as much as you can.

At 4 months a sleep poisitioner may be useless since you son is probably pretty wiggly. However, if you were to secure a positioner to his sleeper it might work. The basic concept is get some foam, a cover, and some velcro. Attach velcro to back of sleeper under right shoulder going up and down body. Put a cover over the foam piece. Attach another piece of velcro to foam lengthwise. Attach foam piece to sleeper at naps and night! Pick the size of the foam "roll" based on how far you want to tilt him on his side. Just a little maybe enough to keep him off the flat spot.

Timewise you have caaght this early which is great. He has no ear asymmetry that you can see which is also great (ears are stubborn to move). Time is of the essence to correct without a band. This would be my game plan ...

Document current level of flatness with pictures. Take from aerial view, front, sides and back. Repeat every 2 weeks from same angels. Check the photos section -->before and after --> doc bands for examples of good angels.

Be as aggressive as possible with repo 24/7, see files section for many tips. See links section for helpful products.

Tummy time!!! Every day! Multiple times! Start with 30 seconds every hour and work up from there as he tolerates. If he can do 15 minutes an hour then go for it. Don't wait for him to be sitting to get off the flat spot.

Work on stretching and strengthening his neck muscles. It sounds like he has a definite preference. He may have torticollis or possibly just neck tightness. We have some tips in the file section with pictures for how to stretch and strengthen (look for torticollis tips).

At 6 month well baby or any visit with ped between now and then ... bring photos, discuss your repo efforts and progress, discuss neck and possible range of motion issues and possible tilt. The AAP says repo is a good first step up until 5 months of age. Some parents have found if it is working well for them (i.e. they can manage agressive repo and they are seeing desirable results) they will attempt repo up until 7 or 8 months. After that point if you are still unhappy with the headshape the AAP recommends band treatment.

Document any purchases made for repo. Document any discussion with dr (tell him to put note in chart). Document repo efforts and stretching and strengthening efforts (a journal, pictures, emails, etc.). This may come in handy for insurance approval at a later date.

Good luck.

mom to naDOC Grad 2/04Tort ResolvedSouth Carolinawww.thefilyaws.comjrawla@... wrote:

Hi there. I stumbled upon this group purely by accident, but as it turns out have a ton of questions. My son is 4 mos old and the right side of the back of his head is flat. He favors this side when sitting, sleeping, eating, etc. Our pediatrician has not made any diagnosis of plagiocephaly in so many words, but has mentioned the flat spot at both of his visits and told us we have to do something about it (i.e. repositioning). I've done some basic internet research and am wondering if we shouldn't be a bit more concerned than we are or if we are making a big deal out of this. I've tried to compare his head to pictures I've seen and while his ears are symmetical, his head is very slanted when looking down on it from above. I've had people tell me it will fix itself once he starts sitting up and crawling and others tell me that if

we don't do something now, he'll have to wear a helmet 20 hours a day! We have tried repositioning several times during the night, but he always winds up looking straight up (which is still better than to the right like he used to). We bought the noggin nest for his carseat, bouncy seat, etc., but don't know if this was a total waste of money or not. I don't want to use a sleep positioner, since I've read that those can be dangerous in cribs. We alter how we feed him, position him, etc. I guess I'm just looking for a bit more info, advice, and ideas. Hopefully this is the correct forum for me! Sorry for such a long, wordy post and thank you.-J.For more plagio info

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Hi and welcome to the grp! Please post again w/any questions...

Sue

Colin F. 15 mos.

STARband grad

>

> Hi there. I stumbled upon this group purely by accident, but as it

> turns out have a ton of questions. My son is 4 mos old and the

right

> side of the back of his head is flat. He favors this side when

> sitting, sleeping, eating, etc. Our pediatrician has not made any

> diagnosis of plagiocephaly in so many words, but has mentioned the

> flat spot at both of his visits and told us we have to do something

> about it (i.e. repositioning). I've done some basic internet

> research and am wondering if we shouldn't be a bit more concerned

> than we are or if we are making a big deal out of this. I've tried

> to compare his head to pictures I've seen and while his ears are

> symmetical, his head is very slanted when looking down on it from

> above. I've had people tell me it will fix itself once he starts

> sitting up and crawling and others tell me that if we don't do

> something now, he'll have to wear a helmet 20 hours a day!

>

> We have tried repositioning several times during the night, but he

> always winds up looking straight up (which is still better than to

> the right like he used to). We bought the noggin nest for his

> carseat, bouncy seat, etc., but don't know if this was a total

waste

> of money or not. I don't want to use a sleep positioner, since I've

> read that those can be dangerous in cribs. We alter how we feed

him,

> position him, etc.

>

> I guess I'm just looking for a bit more info, advice, and ideas.

> Hopefully this is the correct forum for me! Sorry for such a long,

> wordy post and thank you.

>

> -J.

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Hello J

Welcome to the group. I'm glad you found us, and I see you have

gotton exellent replies already. Set yourself a timeline for the

repo. Take pictures top down, and then retake them every wk so you

have comparison. And please feel free to ask any ? you have.

Sandy Willow's Mom

>

> Hi there. I stumbled upon this group purely by accident, but as it

> turns out have a ton of questions. My son is 4 mos old and the

right

> side of the back of his head is flat. He favors this side when

> sitting, sleeping, eating, etc. Our pediatrician has not made any

> diagnosis of plagiocephaly in so many words, but has mentioned the

> flat spot at both of his visits and told us we have to do

something

> about it (i.e. repositioning). I've done some basic internet

> research and am wondering if we shouldn't be a bit more concerned

> than we are or if we are making a big deal out of this. I've tried

> to compare his head to pictures I've seen and while his ears are

> symmetical, his head is very slanted when looking down on it from

> above. I've had people tell me it will fix itself once he starts

> sitting up and crawling and others tell me that if we don't do

> something now, he'll have to wear a helmet 20 hours a day!

>

> We have tried repositioning several times during the night, but he

> always winds up looking straight up (which is still better than to

> the right like he used to). We bought the noggin nest for his

> carseat, bouncy seat, etc., but don't know if this was a total

waste

> of money or not. I don't want to use a sleep positioner, since

I've

> read that those can be dangerous in cribs. We alter how we feed

him,

> position him, etc.

>

> I guess I'm just looking for a bit more info, advice, and ideas.

> Hopefully this is the correct forum for me! Sorry for such a long,

> wordy post and thank you.

>

> -J.

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Hello Kim

Welcome to the group. I'm sorry to hear that your little one is

having a rough start. may I ask what type of surgery she had? I

know that the usual bands from CT can go upto 24months at the end of

treatment, but I'm not sure about other types. I know they do post

op bands as well, but like I said I do not know much about those.

You might be able to contact a Cranial Tech facility and get more

specific info on that. They are very helpful there.

Any other questions you might have feel free to ask them here.

Sandy Willow's Mom

>

> My daughter is almost one year old. She has had a very difficult

start in life and several

> medical issues to deal with. I was told that the surgeon that did

her skin graft was very

> experienced with using DOC bands and that would likely need to be

our next step.

> Unfortunately he does not feel that she is stable enough to begin

therapy for her head

> shape at this time and needs at least six months to heal. Other

surgery will be required,

> so I am not sure that the traditional bands can be used in her

case as she will be close to

> two years old by then. When I asked if we would then be out of

luck to adress the head

> shape issue, I was told " No, it just becomes more complex at that

point " .

>

> I am now wondering what can be done to correct this problem at

such a late time? Any

> insight you may have would be greatly appreciated. Thanks!

>

> Kim

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Hello Kim

Welcome to the group. I'm sorry to hear that your little one is

having a rough start. may I ask what type of surgery she had? I

know that the usual bands from CT can go upto 24months at the end of

treatment, but I'm not sure about other types. I know they do post

op bands as well, but like I said I do not know much about those.

You might be able to contact a Cranial Tech facility and get more

specific info on that. They are very helpful there.

Any other questions you might have feel free to ask them here.

Sandy Willow's Mom

>

> My daughter is almost one year old. She has had a very difficult

start in life and several

> medical issues to deal with. I was told that the surgeon that did

her skin graft was very

> experienced with using DOC bands and that would likely need to be

our next step.

> Unfortunately he does not feel that she is stable enough to begin

therapy for her head

> shape at this time and needs at least six months to heal. Other

surgery will be required,

> so I am not sure that the traditional bands can be used in her

case as she will be close to

> two years old by then. When I asked if we would then be out of

luck to adress the head

> shape issue, I was told " No, it just becomes more complex at that

point " .

>

> I am now wondering what can be done to correct this problem at

such a late time? Any

> insight you may have would be greatly appreciated. Thanks!

>

> Kim

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Hi Kim,

I'm so sorry to hear that your daughter has had a rough start. I'm assuming the skin grafts are on her head. You definitely want all of that to heal before starting band therapy. If she can start by 18 months then you may be able to get good correction with a DOC band. It would all depend on severity and her growth. By any chance was she a preemie? Cranial Tech (DOC band makers) use adjusted age for determining banding cutoffs. They will keep a baby in a band up until 24 months or until there are signs (or xrays) showing the sutures have closed too much) whichever is first.

If your daughter is too old for a band then surgery may be the only option. They is usually only used in severe cases. We have had one recent surgery - Jax. He did great and looks great. Please keep us posted and let us know if you have anymore quesitons.

mom to na

DOC Grad

South Carolina

www.thefilyaws.com

emiliasmommy1 <emiliasmommy1@...> wrote:

My daughter is almost one year old. She has had a very difficult start in life and several medical issues to deal with. I was told that the surgeon that did her skin graft was very experienced with using DOC bands and that would likely need to be our next step. Unfortunately he does not feel that she is stable enough to begin therapy for her head shape at this time and needs at least six months to heal. Other surgery will be required, so I am not sure that the traditional bands can be used in her case as she will be close to two years old by then. When I asked if we would then be out of luck to adress the head shape issue, I was told "No, it just becomes more complex at that point". I am now wondering what can be done to correct this problem at such a late time? Any insight you may have would be

greatly appreciated. Thanks!Kim For more plagio info

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Hi Kim,

I'm so sorry to hear that your daughter has had a rough start. I'm assuming the skin grafts are on her head. You definitely want all of that to heal before starting band therapy. If she can start by 18 months then you may be able to get good correction with a DOC band. It would all depend on severity and her growth. By any chance was she a preemie? Cranial Tech (DOC band makers) use adjusted age for determining banding cutoffs. They will keep a baby in a band up until 24 months or until there are signs (or xrays) showing the sutures have closed too much) whichever is first.

If your daughter is too old for a band then surgery may be the only option. They is usually only used in severe cases. We have had one recent surgery - Jax. He did great and looks great. Please keep us posted and let us know if you have anymore quesitons.

mom to na

DOC Grad

South Carolina

www.thefilyaws.com

emiliasmommy1 <emiliasmommy1@...> wrote:

My daughter is almost one year old. She has had a very difficult start in life and several medical issues to deal with. I was told that the surgeon that did her skin graft was very experienced with using DOC bands and that would likely need to be our next step. Unfortunately he does not feel that she is stable enough to begin therapy for her head shape at this time and needs at least six months to heal. Other surgery will be required, so I am not sure that the traditional bands can be used in her case as she will be close to two years old by then. When I asked if we would then be out of luck to adress the head shape issue, I was told "No, it just becomes more complex at that point". I am now wondering what can be done to correct this problem at such a late time? Any insight you may have would be

greatly appreciated. Thanks!Kim For more plagio info

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Thank you for your responses!

To answer a few questions, here's a bit more information. Emilia was born full

term and

with no signs of any problems. A few days later we noticed a mark on her head,

eventually

learning it was a hemangioma (vascular tumor/birthmark). Because of many

complications

she had been on oral steroids and a chemotherapy drug to try and stop the

growth.

Eventually things began to improve, except the large open ulcers on her head.

Because of

these, she was only able to sleep, be heald on one side of her head. This of

course has

caused the shape problems along with a lot of contracture along her neck when

healing

finally began. Just over a month ago, Emilia had a skin graft from her

butock/thigh to her

scalp.

We have been working with the early intervention program in our state since

August. PT,

OT and speech. While we are still hoping that her range of motion will improve,

it is likely

not a quick fix. Surgery is a possibility later on to fix it as well as

multiple other

procedures after the graft has time to heal.

I guess I am just trying to gather more information at this point so that I am

better

informed about what options are available. I will continue reading the older

posts on this

board and gain much insight I'm sure. Thanks again!

Kim

>

> My daughter is almost one year old. She has had a very difficult start in

life and several

> medical issues to deal with. I was told that the surgeon that did her skin

graft was very

> experienced with using DOC bands and that would likely need to be our next

step.

> Unfortunately he does not feel that she is stable enough to begin therapy for

her head

> shape at this time and needs at least six months to heal. Other surgery will

be required,

> so I am not sure that the traditional bands can be used in her case as she

will be close

to

> two years old by then. When I asked if we would then be out of luck to adress

the head

> shape issue, I was told " No, it just becomes more complex at that point " .

>

> I am now wondering what can be done to correct this problem at such a late

time? Any

> insight you may have would be greatly appreciated. Thanks!

>

> Kim

>

>

>

>

>

> For more plagio info

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Guest guest

Thank you for your responses!

To answer a few questions, here's a bit more information. Emilia was born full

term and

with no signs of any problems. A few days later we noticed a mark on her head,

eventually

learning it was a hemangioma (vascular tumor/birthmark). Because of many

complications

she had been on oral steroids and a chemotherapy drug to try and stop the

growth.

Eventually things began to improve, except the large open ulcers on her head.

Because of

these, she was only able to sleep, be heald on one side of her head. This of

course has

caused the shape problems along with a lot of contracture along her neck when

healing

finally began. Just over a month ago, Emilia had a skin graft from her

butock/thigh to her

scalp.

We have been working with the early intervention program in our state since

August. PT,

OT and speech. While we are still hoping that her range of motion will improve,

it is likely

not a quick fix. Surgery is a possibility later on to fix it as well as

multiple other

procedures after the graft has time to heal.

I guess I am just trying to gather more information at this point so that I am

better

informed about what options are available. I will continue reading the older

posts on this

board and gain much insight I'm sure. Thanks again!

Kim

>

> My daughter is almost one year old. She has had a very difficult start in

life and several

> medical issues to deal with. I was told that the surgeon that did her skin

graft was very

> experienced with using DOC bands and that would likely need to be our next

step.

> Unfortunately he does not feel that she is stable enough to begin therapy for

her head

> shape at this time and needs at least six months to heal. Other surgery will

be required,

> so I am not sure that the traditional bands can be used in her case as she

will be close

to

> two years old by then. When I asked if we would then be out of luck to adress

the head

> shape issue, I was told " No, it just becomes more complex at that point " .

>

> I am now wondering what can be done to correct this problem at such a late

time? Any

> insight you may have would be greatly appreciated. Thanks!

>

> Kim

>

>

>

>

>

> For more plagio info

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Hello Kim

I am sorry to hear of your daughters start in life .. makes me hurt

thinking of it. It is so frustrating to see tiny ones in pain. I

sure hope everything starts going good for her!

I would definately ask around, if possible, to other clinics,

doctors about banding an older baby. I am the mother of the kiddo

that had the surgery recently to correct his plagio. We tried many

times to get him into another helmet before finally finding out that

surgery was the only way he'd get corrected.

I hope that it doesnt come to that for your daughter, especially

given what she's already been through. In the meantime, feel free to

ask many questions here... so many helpful people here.

Kim

mom to Jaxson 20 mo

CranioCap grad 04/04

Craniotomy to correct plagio 01/10/05

>

> My daughter is almost one year old. She has had a very difficult

start in life and several

> medical issues to deal with. I was told that the surgeon that did

her skin graft was very

> experienced with using DOC bands and that would likely need to be

our next step.

> Unfortunately he does not feel that she is stable enough to begin

therapy for her head

> shape at this time and needs at least six months to heal. Other

surgery will be required,

> so I am not sure that the traditional bands can be used in her

case as she will be close to

> two years old by then. When I asked if we would then be out of

luck to adress the head

> shape issue, I was told " No, it just becomes more complex at that

point " .

>

> I am now wondering what can be done to correct this problem at

such a late time? Any

> insight you may have would be greatly appreciated. Thanks!

>

> Kim

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Hi Kim,

So sorry again about Emilia's rough start. I can see why she developed the range of motion and plagio issues - really no other option. You are so right that range of motion improvement is a long process. With a good PT program and work at home it can be greatly improved. We have quite a few members whose children have had PT, OT and speech - you are not alone.

You are wise to start your research early. If you are near a CT you may want to call them and get a consult now (first eval is free). They may have some insight as to things you can do to help prepare. Or they may just be able to help you track any progress. They have a ton of experience with Plagio and range of motion issues. Keep us posted.

mom to na

DOC Grad

South Carolina

www.thefilyaws.comemiliasmommy1 <emiliasmommy1@...> wrote:

Thank you for your responses!To answer a few questions, here's a bit more information. Emilia was born full term and with no signs of any problems. A few days later we noticed a mark on her head, eventually learning it was a hemangioma (vascular tumor/birthmark). Because of many complications she had been on oral steroids and a chemotherapy drug to try and stop the growth. Eventually things began to improve, except the large open ulcers on her head. Because of these, she was only able to sleep, be heald on one side of her head. This of course has caused the shape problems along with a lot of contracture along her neck when healing finally began. Just over a month ago, Emilia had a skin graft from her butock/thigh to her scalp.We have been working with the early intervention program in our

state since August. PT, OT and speech. While we are still hoping that her range of motion will improve, it is likely not a quick fix. Surgery is a possibility later on to fix it as well as multiple other procedures after the graft has time to heal.I guess I am just trying to gather more information at this point so that I am better informed about what options are available. I will continue reading the older posts on this board and gain much insight I'm sure. Thanks again!Kim> > My daughter is almost one year old. She has had a very difficult start in life and several > medical issues to deal

with. I was told that the surgeon that did her skin graft was very > experienced with using DOC bands and that would likely need to be our next step. > Unfortunately he does not feel that she is stable enough to begin therapy for her head > shape at this time and needs at least six months to heal. Other surgery will be required, > so I am not sure that the traditional bands can be used in her case as she will be close to > two years old by then. When I asked if we would then be out of luck to adress the head > shape issue, I was told "No, it just becomes more complex at that point". > > I am now wondering what can be done to correct this problem at such a late time? Any > insight you may have would be greatly appreciated. Thanks!> > Kim > > > > > > For more plagio info

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Hi and welcome to the group. My daughter had 11 mm of cranial vault asymmetry (think X on top of the head). She was conisdered moderate. 17 mm is considered severe. However, inexperienced measurers can be off +/- 5 mm. Don't be alarmed. It is treatable. At your daughter's age the sooner she is banded the better. She's not too old but not getting younger Where are you located?

mom to na

DOC Grad

South Carolina

www.thefilyaws.comkstavop <kstavop@...> wrote:

Hi - My daugher is 9 months old with Torticollis. We just started physical therapy and have been referred to a Craniofacial clinic. Our appt. is April 22 for measurements and evaluation. Her PT took her measurments and came up with 17(an estimate). Since some of you sound like veterans with this, is this borderline to where she may need a headband? What were your children's measurements?I am all for the headband if it corrects the shape of her head.Thanks.For more plagio info

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