Guest guest Posted March 14, 2004 Report Share Posted March 14, 2004 Hadley, I am so glad that your son is doing well. To be totally frank, I was somewhat shocked to read your post - I had no idea that doctors were still performing surgery to correct positional plagiocephaly. I know that surgery is the only option available after the baby is 24 months old, but even then, I haven't heard of any parents electing to do so, although I'm sure some must. The DOCband, for instance, and depending on the situation, may be used up to 24 months of age. We have a lot of older babies who received good correction from active bands such as the Starband or DOCband at advanced ages, as evidenced by the photos in the Before and After Photos section, including one who started the band at 19.5 months of age. Your post was very informative and detailed, and I read it with great interest. Did your son ever have any x-rays, etc. to rule out craniosynostosis, where there is premature fusing of one or more of the sutures? The plagiocephalic shaped skull can also be caused by cranio, which we know requires surgery for treatment www.cappskids.com . Many of our babies that are eventually diagnosed with positional plagiocephaly (no premature fusing of any sutures), have to rule out craniosynostosis through x-rays or whatever, because the head shapes for the two conditions can appear similar. That is one reason I could think of that would make two helmets not work at all, since fused sutures would make the skull resistant to remolding. I'm sure you did, but I have to ask, did your doctors discuss this term with you, and rule it out with your son? What type/name of helmet did you try with your son? Again, I'm really surprised to read that he did start using the first of two helmets at 4 months, which is very young, and at the youngest end of the age for starting helmet treatment, and yet he received no correction.... how distressing. Am I to understand that you elected surgical correction when Bo was about 14 months old? During your decision process and discussion with the doctors, were you made aware, or did you research other banding options, which could be effective on a baby your son's age at that time? I agree that positional plagiocephaly is not a cosmetic condition. Although no studies exist that document the psychological effect of plagio, emerging studies are beginning to show that plagio can increase the risk of visual field development, auditory processing disorders, sleep apnea, astigmatism, learning problems, etc. We have collected a large amount of studies on the subject of plagiocephaly in the LINKS section, PLAGIO STUDIES AND RESEARCH folder. Again, I am very, very happy to read that your son is doing well. To be perfectly candid, I am stunned that in the absence of craniosynostosis, doctors recommended cranial vault surgery prior to 14 months of age for positional plagiocephaly, when active bands such as the Starband (18 months) and DOCband (24 months) can yield results in older babies. I know that your son and family have been through so much already, and my heart and support go out to all of you for his upcoming surgery. Thank you for sharing your treatment story, and if you have time, I would be very interested in hearing any answers or comments about my questions. Take care, Christie (Mom to Aggressively Repositioned Remy) --- In Plagiocephaly , " Hadley " <mcgregorfamily@c...> wrote: > Hi everyone, > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > through two helmets, starting at 4 months old. They caught it early, > but it didn't make a difference. The helmets did not improve his > head shape very much at all. > > The plastic surgeon & neurosurgeon in Atlanta, who have followed him > since the beginning, strongly suggested that we get the Cranial Vault > Reconstruction Surgery. I know that some may not choose to do this > because they consider it cosmetic. But, the same thing can be said > about a cleft lip (actually what one surgeon in Philadelphia said to > us). They also said that surgery shouldn't be performed after the > age of 2 or 2 1/2. > > The surgeons strongly believe in the psychological damage that can be > done if this abnormal shape of the skull is not corrected. My son's > head was rated as moderately severe. The flatness is on his back > left side. He also had frontal bossing on the right side of his > forehead. I was just so worried that one day he would come to me and > say, " Mommy, why didn't you help me by fixing this when you had the > chance? " I just didn't want to risk the emotional & psychological > damage that comes along with teasing and feeling inadequate as a > child and teenager. > > Although I fully understand why some parents choose to not do this > surgery. It is emotionally taxing to see your child like this and > the worries that go along with any surgery are always there. It was > just the right thing for us to do in our son's situation. I read > everything I could get my hands on prior to making the decision, > stories from parents who chose to do it, parents who chose to not do > it and grown adults that never had it done as a child. I also looked > at photos from other children's surgeries. I will post my son's > photos in the file section so those making this decision will have > something to reference. > > The first surgery was to take care of the frontal bossing on his > forehead. The surgery has to be done in two parts. First the front > was done on October 31, 2003. The second is scheduled for April 2004. > > The surgery went smoothly, although it is very difficult to see your > child in this type of situation, even if you know it is for the best > in the long run. The surgery last about 4-5 hours. After it was > over he was taken to the Pediatric Intensive Care Unit for one > night. After the night in PICU, he was transferred the next > afternoon to a regular hospital room on the neuro floor. > > For the moms out there going through this surgery - my advice is to > not stay awake the entire first night like I did. The nurses, > doctors & my husband all urged me to try to sleep some, but I didn't > listen and stayed by his bedside the entire night without sleeping at > all. It is was just so hard to see him in the bandage with all of > the tubes everywhere. They are on morphine so they sleep almost the > entire time, but will moan and whimper every so often, which is what > kept me from wanting to leave his side. I was so exhausted the next > day I could barely hold it together. This is an emotional time and > you really need your sleep if you can get any. In the PICU they > have " sleep rooms " so you can go there and switch off with your > husband every few hours. > > The hardest part of the surgery is the swelling. Bo's eyes were > swollen shut for the first 3 days. It is very upsetting for them > because they don't know what is going on and can't see at all. He > would get extremely scared everytime the door would open to the room, > so we asked all friends & family to not come by the hospital. > > We kept up with them by website updates to my son's free page on > www.tlcontact.com . This is a great service and all of your friends > & family will thank you for using it. You can update them as much as > you want, with written accounts of what is going on and by adding > photos. It was a life saver also because I set the website up (very > simple to do) while my son was in surgery. They had a computer set > up in the PICU waiting room w/ internet access. This allowed me to > keep busy during the surgery so I wouldn't be pacing the halls the > entire time. Just make sure you take your friend's email addresses > to the hospital with you. We were supposed to wait in the surgery > waiting area, but a friend who's daughter had been there before told > us to request the PICU waiting room. The surgeons thought that was a > great idea and said they would have one of the nurses call that > waiting room instead with our hourly updates during the surgery. > > The surgery was at ish Rite Hospital in Atlanta, Georgia > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > and Dr. ph K. (plastic/craniofacial surgeon). They are > excellent and have the best bedside manner - to the point that you > wonder how they can actually be doctors (ha ha)! They both have > children and are very involved with their patients. They took care > of my husband and myself just as well. They are very caring and > always want to make sure that you are well informed and feel > comfortable about everything 100% of the time. Both of them are very > special to us. Having surgeons that are excellent in their work & > also easy to talk to with great bedside manners is very very very > important. You are trusting these guys with the most precious thing > in your life. Be sure they are the ones to handle such an enormous > task. > > Shop around if you have to, and even fly out of state if needed. We > actually live in Rehoboth Beach, Delaware. We just moved here from > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > hours from our house), some that are world renown, considered " the > best " in their field. But, they just seemed very robotic and just > didn't make me feel comfortable. They answered my questions, but it > was just the way they did it. I felt as if my child was just another > number to them and that not only did they need to be good at the > actual task, but that it was important that we felt we could talk to > them and ask anything. > > The Atlanta surgeons we ended up choosing gave us their cell phone > numbers at home to call day or night if we had concerns or needed to > talk while our son was in the hospital post-op. They came by each > morning personally to check on him in the hospital - even on their > days off, instead of letting their partner " on call " attend to us. > That is what we were looking for, just the right combination. > > My son was on morphine the entire hosptial stay, so I don't think his > pain was too bad. I slept in the bed with him every night (he > started out in a crib, but we requested a regular hospital bed & they > brought one and put the rails up on the side. This works great b/c > you can lay there with them and it is very comforting to them when > they can't see yet because of the swelling. We also took his > favorite blankets from home & stuffed animals. Don't wash them > before you go though, to keep the familiar " home " scent on them. We > also took the little music box w/ the ocean noise that my son listens > to every night while he falls asleep. Anything like that will help > to comfort them when their eyes are swollen shut and all they can do > is smell, feel and hear. We also took his favorite music cd's and > videos. We played the videos after one of his eyes opened and he was > so thrilled to see something familiar like that. > > He was in the hosptial for 5 days. Once at home, he did have some > problems sleeping at night and was pretty clingy for about 3 months > afterward. But that is to be expected. > > The material they used in the surgery was resorbable/dissolvable > plates & screws. It is amazing, they completely dissolve in 1 year. > These are fairly new and have a great track record so far. No metal > hardware sitting inside your head for the rest of your life! The > stitches also dissolve about 6-10 weeks later. > > My son goes back for his 2nd surgery in Atlanta during the month of > April. I will be glad once this is all over. It has been hard to > put him through this, but in the long run I think he will thank us > for it. The time actually flies by and before you know it the > surgery is over and they recover so fast. My son was running around > the Mc House where we stayed after the surgery before > flying home. He was playing and being his usual self with only one > eye open and the other one still swollen shut. This was just 5 days > after the surgery. I was amazed at how fast he bounced back. > > Feel free to email me with questions or reply to this message on the > group, I know how hard it is to make this decision and go through > this as a parent. > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2004 Report Share Posted March 14, 2004 Hi Hadley, Welcome to the group. Your son will be in my prayers. Please let us know how everything goes on the 20th. What type of helmet was Bo in? Was your orthotist experienced in treating plagio babies? Does/did Bo have craniosynostosis? I checked out his Bo's pictures, he is adorable. Thanks for sharing. --- In Plagiocephaly , " Hadley " <mcgregorfamily@c...> wrote: > Hi everyone, > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > through two helmets, starting at 4 months old. They caught it early, > but it didn't make a difference. The helmets did not improve his > head shape very much at all. > > The plastic surgeon & neurosurgeon in Atlanta, who have followed him > since the beginning, strongly suggested that we get the Cranial Vault > Reconstruction Surgery. I know that some may not choose to do this > because they consider it cosmetic. But, the same thing can be said > about a cleft lip (actually what one surgeon in Philadelphia said to > us). They also said that surgery shouldn't be performed after the > age of 2 or 2 1/2. > > The surgeons strongly believe in the psychological damage that can be > done if this abnormal shape of the skull is not corrected. My son's > head was rated as moderately severe. The flatness is on his back > left side. He also had frontal bossing on the right side of his > forehead. I was just so worried that one day he would come to me and > say, " Mommy, why didn't you help me by fixing this when you had the > chance? " I just didn't want to risk the emotional & psychological > damage that comes along with teasing and feeling inadequate as a > child and teenager. > > Although I fully understand why some parents choose to not do this > surgery. It is emotionally taxing to see your child like this and > the worries that go along with any surgery are always there. It was > just the right thing for us to do in our son's situation. I read > everything I could get my hands on prior to making the decision, > stories from parents who chose to do it, parents who chose to not do > it and grown adults that never had it done as a child. I also looked > at photos from other children's surgeries. I will post my son's > photos in the file section so those making this decision will have > something to reference. > > The first surgery was to take care of the frontal bossing on his > forehead. The surgery has to be done in two parts. First the front > was done on October 31, 2003. The second is scheduled for April 2004. > > The surgery went smoothly, although it is very difficult to see your > child in this type of situation, even if you know it is for the best > in the long run. The surgery last about 4-5 hours. After it was > over he was taken to the Pediatric Intensive Care Unit for one > night. After the night in PICU, he was transferred the next > afternoon to a regular hospital room on the neuro floor. > > For the moms out there going through this surgery - my advice is to > not stay awake the entire first night like I did. The nurses, > doctors & my husband all urged me to try to sleep some, but I didn't > listen and stayed by his bedside the entire night without sleeping at > all. It is was just so hard to see him in the bandage with all of > the tubes everywhere. They are on morphine so they sleep almost the > entire time, but will moan and whimper every so often, which is what > kept me from wanting to leave his side. I was so exhausted the next > day I could barely hold it together. This is an emotional time and > you really need your sleep if you can get any. In the PICU they > have " sleep rooms " so you can go there and switch off with your > husband every few hours. > > The hardest part of the surgery is the swelling. Bo's eyes were > swollen shut for the first 3 days. It is very upsetting for them > because they don't know what is going on and can't see at all. He > would get extremely scared everytime the door would open to the room, > so we asked all friends & family to not come by the hospital. > > We kept up with them by website updates to my son's free page on > www.tlcontact.com . This is a great service and all of your friends > & family will thank you for using it. You can update them as much as > you want, with written accounts of what is going on and by adding > photos. It was a life saver also because I set the website up (very > simple to do) while my son was in surgery. They had a computer set > up in the PICU waiting room w/ internet access. This allowed me to > keep busy during the surgery so I wouldn't be pacing the halls the > entire time. Just make sure you take your friend's email addresses > to the hospital with you. We were supposed to wait in the surgery > waiting area, but a friend who's daughter had been there before told > us to request the PICU waiting room. The surgeons thought that was a > great idea and said they would have one of the nurses call that > waiting room instead with our hourly updates during the surgery. > > The surgery was at ish Rite Hospital in Atlanta, Georgia > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > and Dr. ph K. (plastic/craniofacial surgeon). They are > excellent and have the best bedside manner - to the point that you > wonder how they can actually be doctors (ha ha)! They both have > children and are very involved with their patients. They took care > of my husband and myself just as well. They are very caring and > always want to make sure that you are well informed and feel > comfortable about everything 100% of the time. Both of them are very > special to us. Having surgeons that are excellent in their work & > also easy to talk to with great bedside manners is very very very > important. You are trusting these guys with the most precious thing > in your life. Be sure they are the ones to handle such an enormous > task. > > Shop around if you have to, and even fly out of state if needed. We > actually live in Rehoboth Beach, Delaware. We just moved here from > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > hours from our house), some that are world renown, considered " the > best " in their field. But, they just seemed very robotic and just > didn't make me feel comfortable. They answered my questions, but it > was just the way they did it. I felt as if my child was just another > number to them and that not only did they need to be good at the > actual task, but that it was important that we felt we could talk to > them and ask anything. > > The Atlanta surgeons we ended up choosing gave us their cell phone > numbers at home to call day or night if we had concerns or needed to > talk while our son was in the hospital post-op. They came by each > morning personally to check on him in the hospital - even on their > days off, instead of letting their partner " on call " attend to us. > That is what we were looking for, just the right combination. > > My son was on morphine the entire hosptial stay, so I don't think his > pain was too bad. I slept in the bed with him every night (he > started out in a crib, but we requested a regular hospital bed & they > brought one and put the rails up on the side. This works great b/c > you can lay there with them and it is very comforting to them when > they can't see yet because of the swelling. We also took his > favorite blankets from home & stuffed animals. Don't wash them > before you go though, to keep the familiar " home " scent on them. We > also took the little music box w/ the ocean noise that my son listens > to every night while he falls asleep. Anything like that will help > to comfort them when their eyes are swollen shut and all they can do > is smell, feel and hear. We also took his favorite music cd's and > videos. We played the videos after one of his eyes opened and he was > so thrilled to see something familiar like that. > > He was in the hosptial for 5 days. Once at home, he did have some > problems sleeping at night and was pretty clingy for about 3 months > afterward. But that is to be expected. > > The material they used in the surgery was resorbable/dissolvable > plates & screws. It is amazing, they completely dissolve in 1 year. > These are fairly new and have a great track record so far. No metal > hardware sitting inside your head for the rest of your life! The > stitches also dissolve about 6-10 weeks later. > > My son goes back for his 2nd surgery in Atlanta during the month of > April. I will be glad once this is all over. It has been hard to > put him through this, but in the long run I think he will thank us > for it. The time actually flies by and before you know it the > surgery is over and they recover so fast. My son was running around > the Mc House where we stayed after the surgery before > flying home. He was playing and being his usual self with only one > eye open and the other one still swollen shut. This was just 5 days > after the surgery. I was amazed at how fast he bounced back. > > Feel free to email me with questions or reply to this message on the > group, I know how hard it is to make this decision and go through > this as a parent. > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 , Bo was in a StarBand through the Orthotics department at Children's Healthcare of Atlanta (ish Rite Hospital) www.choa.org . The orthotists there were very experienced w/ plagio babies and were wonderful with us. They did everything they could and followed Bo's progress very closely. He went through two helmets because he grew out of the first one. The surgeons say this does happen sometimes and unfortunately it results in the need for surgery. Because Bo started the first helmet (which we named " Ralph " - made me actually feel better to say " ralph " instead of " helmet " or " band " )so early at 4 months of age, he really had one of the best chances for correction of his head shape. It is strange, but Bo does not have Craniosynostosis. His sutures are open. He has had 4 CT scans from 4 months old to 17 months old. The only theory we have heard thus far to explain this, is from a geneticist who said he probably has a Craniofacial syndrome. The problem, I think, is that all the craniofacial syndromes I read about have the bones being " fused " as their primary symptom. So, we have no idea what to think. We will probably never know. I hope others will still go to CHOA in Atlanta after reading my post. They are truly wonderful and see a high volume of plagio babies. After researching, I went with them because they were one of the most experienced centers in the United States. Bo was just a rare case. Also, the process they use for scanning is superior to the Cranial Tech process. At the time, they told us that Cranial Tech uses a mold to get the shape for the helmet. At CHOA, they use the StarBand, and lay the child on this little piece of equipment which scans their skull shape and only takes about 3 seconds. So in 3 seconds they have the info on your child's head without upsetting them or making them uncomfortable. This is used to make the helmet. They also use this scanner to check the children every few weeks. At each check up they gave us a computer printout of Bo's head shape showing how much it had or hadn't grown since the last check up & since the first initial scan. If my next child had plagio, I would take him to the people at CHOA. They are top-notch, do everything possible to help them and are terrific about educating the parents. Thanks for the prayers and your reply, Hadley > > Hi everyone, > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > > through two helmets, starting at 4 months old. They caught it > early, > > but it didn't make a difference. The helmets did not improve his > > head shape very much at all. > > > > The plastic surgeon & neurosurgeon in Atlanta, who have followed him > > since the beginning, strongly suggested that we get the Cranial > Vault > > Reconstruction Surgery. I know that some may not choose to do this > > because they consider it cosmetic. But, the same thing can be said > > about a cleft lip (actually what one surgeon in Philadelphia said > to > > us). They also said that surgery shouldn't be performed after the > > age of 2 or 2 1/2. > > > > The surgeons strongly believe in the psychological damage that can > be > > done if this abnormal shape of the skull is not corrected. My son's > > head was rated as moderately severe. The flatness is on his back > > left side. He also had frontal bossing on the right side of his > > forehead. I was just so worried that one day he would come to me and > > say, " Mommy, why didn't you help me by fixing this when you had the > > chance? " I just didn't want to risk the emotional & psychological > > damage that comes along with teasing and feeling inadequate as a > > child and teenager. > > > > Although I fully understand why some parents choose to not do this > > surgery. It is emotionally taxing to see your child like this and > > the worries that go along with any surgery are always there. It was > > just the right thing for us to do in our son's situation. I read > > everything I could get my hands on prior to making the decision, > > stories from parents who chose to do it, parents who chose to not do > > it and grown adults that never had it done as a child. I also looked > > at photos from other children's surgeries. I will post my son's > > photos in the file section so those making this decision will have > > something to reference. > > > > The first surgery was to take care of the frontal bossing on his > > forehead. The surgery has to be done in two parts. First the front > > was done on October 31, 2003. The second is scheduled for April > 2004. > > > > The surgery went smoothly, although it is very difficult to see your > > child in this type of situation, even if you know it is for the best > > in the long run. The surgery last about 4-5 hours. After it was > > over he was taken to the Pediatric Intensive Care Unit for one > > night. After the night in PICU, he was transferred the next > > afternoon to a regular hospital room on the neuro floor. > > > > For the moms out there going through this surgery - my advice is to > > not stay awake the entire first night like I did. The nurses, > > doctors & my husband all urged me to try to sleep some, but I didn't > > listen and stayed by his bedside the entire night without sleeping > at > > all. It is was just so hard to see him in the bandage with all of > > the tubes everywhere. They are on morphine so they sleep almost the > > entire time, but will moan and whimper every so often, which is what > > kept me from wanting to leave his side. I was so exhausted the > next > > day I could barely hold it together. This is an emotional time and > > you really need your sleep if you can get any. In the PICU they > > have " sleep rooms " so you can go there and switch off with your > > husband every few hours. > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > swollen shut for the first 3 days. It is very upsetting for them > > because they don't know what is going on and can't see at all. He > > would get extremely scared everytime the door would open to the > room, > > so we asked all friends & family to not come by the hospital. > > > > We kept up with them by website updates to my son's free page on > > www.tlcontact.com . This is a great service and all of your friends > > & family will thank you for using it. You can update them as much as > > you want, with written accounts of what is going on and by adding > > photos. It was a life saver also because I set the website up (very > > simple to do) while my son was in surgery. They had a computer set > > up in the PICU waiting room w/ internet access. This allowed me to > > keep busy during the surgery so I wouldn't be pacing the halls the > > entire time. Just make sure you take your friend's email addresses > > to the hospital with you. We were supposed to wait in the surgery > > waiting area, but a friend who's daughter had been there before told > > us to request the PICU waiting room. The surgeons thought that was a > > great idea and said they would have one of the nurses call that > > waiting room instead with our hourly updates during the surgery. > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > > and Dr. ph K. (plastic/craniofacial surgeon). They are > > excellent and have the best bedside manner - to the point that you > > wonder how they can actually be doctors (ha ha)! They both have > > children and are very involved with their patients. They took care > > of my husband and myself just as well. They are very caring and > > always want to make sure that you are well informed and feel > > comfortable about everything 100% of the time. Both of them are very > > special to us. Having surgeons that are excellent in their work & > > also easy to talk to with great bedside manners is very very very > > important. You are trusting these guys with the most precious thing > > in your life. Be sure they are the ones to handle such an enormous > > task. > > > > Shop around if you have to, and even fly out of state if needed. We > > actually live in Rehoboth Beach, Delaware. We just moved here from > > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > > hours from our house), some that are world renown, considered " the > > best " in their field. But, they just seemed very robotic and just > > didn't make me feel comfortable. They answered my questions, but it > > was just the way they did it. I felt as if my child was just another > > number to them and that not only did they need to be good at the > > actual task, but that it was important that we felt we could talk to > > them and ask anything. > > > > The Atlanta surgeons we ended up choosing gave us their cell phone > > numbers at home to call day or night if we had concerns or needed to > > talk while our son was in the hospital post-op. They came by each > > morning personally to check on him in the hospital - even on their > > days off, instead of letting their partner " on call " attend to us. > > That is what we were looking for, just the right combination. > > > > My son was on morphine the entire hosptial stay, so I don't think > his > > pain was too bad. I slept in the bed with him every night (he > > started out in a crib, but we requested a regular hospital bed & > they > > brought one and put the rails up on the side. This works great b/c > > you can lay there with them and it is very comforting to them when > > they can't see yet because of the swelling. We also took his > > favorite blankets from home & stuffed animals. Don't wash them > > before you go though, to keep the familiar " home " scent on them. We > > also took the little music box w/ the ocean noise that my son > listens > > to every night while he falls asleep. Anything like that will help > > to comfort them when their eyes are swollen shut and all they can do > > is smell, feel and hear. We also took his favorite music cd's and > > videos. We played the videos after one of his eyes opened and he was > > so thrilled to see something familiar like that. > > > > He was in the hosptial for 5 days. Once at home, he did have some > > problems sleeping at night and was pretty clingy for about 3 months > > afterward. But that is to be expected. > > > > The material they used in the surgery was resorbable/dissolvable > > plates & screws. It is amazing, they completely dissolve in 1 year. > > These are fairly new and have a great track record so far. No metal > > hardware sitting inside your head for the rest of your life! The > > stitches also dissolve about 6-10 weeks later. > > > > My son goes back for his 2nd surgery in Atlanta during the month of > > April. I will be glad once this is all over. It has been hard to > > put him through this, but in the long run I think he will thank us > > for it. The time actually flies by and before you know it the > > surgery is over and they recover so fast. My son was running > around > > the Mc House where we stayed after the surgery before > > flying home. He was playing and being his usual self with only one > > eye open and the other one still swollen shut. This was just 5 > days > > after the surgery. I was amazed at how fast he bounced back. > > > > Feel free to email me with questions or reply to this message on the > > group, I know how hard it is to make this decision and go through > > this as a parent. > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Christie, Hi and thanks for your reply. Bo does not have Craniosynostosis. He has had 4 CT scans & 1 MRI since he was 4 months old. He has also had a skeletal survey which is when they take individual x-rays of your entire body. Bo has strabismus (his eyes cross) and chronic ear infections. Like you said, this may or may not cause more vision problems, along with hearing, TMJ issues, etc. He also is developmentally delayed. He receives speech, occupational, physical and cognitive therapy several times each week at Easter Seals. He was diagnosed with moderate to severe Cerebral Palsy at 5 months of age. They said he would probably never walk. I have had him in intense therapy since that day, never went back to my job so I could work with him 1-on-1 everyday and now they say his diagnosis is Mild Cerebral Palsy. He started walking at 12 months and is all over the place. He still has low muscle tone and is completely non-verbal at 19 months. He also has Sensory Integration Dysfunction. All of this is much more than we ever dreamed of. He is a little miracle. His surgeons in Atlanta are two of the best in the country. We also had 2nd opinions from 2 surgeons at Children's Hospital of Philadelphia. That place is amazing and is consistently ranked as the #1 pediatric hospital in the US. The surgeons there agreed with the Atlanta surgeons. I am sure that the bands work on a lot of the older plagio babies. I also know that it is a fact that the skull becomes less able to correct itself this way as the children age. This is why we have to get Bo's surgery completed now, the window of time to do so is closing very soon. None of Bo's sutures were fused. They were 100% sure and so were we after 4 CT scans. Also, in grilling these 4 surgeons with questions (like all moms do ha ha) I found out that these surgeries on plagio kids aren't as rare as we all think. They even gave me families to contact who had been through the same surgery for the same reason. I got to see photos and read the stories written from the parents. Just like you I was so surprised to hear this. But this was coming from 4 very well known pediatric neurosurgeons & pediatric craniofacial plastic surgeons who use the latest techniques including the resorbable plates & screws with great success. Trust me, they know their stuff. They saw a pattern with Bo and I am so glad they intervened with the idea for surgery. I would have hated to band him up to 24 months and then find out he never improved and the window of time had closed for the surgery. I even asked the doctors about the banding option until 24 months and they said that the chances were extremely slim. They said the cases where this is successful, is when the flattening is more mild and also when there has been a pattern of improvement throughout the child's banding process. Bo's head was rated moderately severe. I know that there aren't a lot of studies to show the psychological damage done to kids with abnormal shaped heads. I really went with common sense on this one though. And I wasn't going to wait 20 years until all the " Bo's " grow up, participate in these case studies and then the researchers agree that all the teasing crushes their self esteem & damages them psychologically. We all know how cruel children can be. All of us remember the kids that were pursued relentlessly by bullies at school who wouldn't let up on them because of a physical feature that they couldn't help. If this happened to Bo, it would be too late and I couldn't help him. If he were overweight and they teased him, then I would change his diet and get him exercising, not suggest a gastric bypass. In this case though, we were really left with only one option. I had to think, " what would " Bo the teenager " or " Bo the adult " want me to do for him? It was hard, but I had to get past seeing him as just a toddler (hard for a mom, we want them to stay this little forever!). I just see it as they can't make decisions for themselves right now. We have to make decisions for them that will affect them today and tomorrow. On the internet, there are stories from teenagers and young adults who say it did affect them in this way. That also had a lot to do with my decision. In reading, I did find that there are many parents of kids with Craniosynostosis that go through the same thing. Lots of these kids have Cranio that isn't causing Intracranial Pressure. This puts them in the same category as us. They don't have to do it for the purpose of saving their child's life, and they are left with the same options as us. The surgery Bo had is actually the exact same one that these cranio kids get - Cranial Vault Reconstruction. I spoke with several of these moms who had a lot of great advice to share regarding the surgery. I also looked into the percentages of kids who have complications from this surgery. It is very very very rare and practically unheard of. This surgery, although it is not fun to go through, is very safe. The recovery rate is super fast as well. To go through a surgery and be out of the hospital in 3-5 days is amazing. So I hope I have answered some questions, please feel free to ask more as they pop up! I hope I didn't rush too much, my husband keeps reminding me that The Sopranos is about to come on and I'm going to miss it - lol. Hadley > > Hi everyone, > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > > through two helmets, starting at 4 months old. They caught it > early, > > but it didn't make a difference. The helmets did not improve his > > head shape very much at all. > > > > The plastic surgeon & neurosurgeon in Atlanta, who have followed > him > > since the beginning, strongly suggested that we get the Cranial > Vault > > Reconstruction Surgery. I know that some may not choose to do this > > because they consider it cosmetic. But, the same thing can be said > > about a cleft lip (actually what one surgeon in Philadelphia said > to > > us). They also said that surgery shouldn't be performed after the > > age of 2 or 2 1/2. > > > > The surgeons strongly believe in the psychological damage that can > be > > done if this abnormal shape of the skull is not corrected. My son's > > head was rated as moderately severe. The flatness is on his back > > left side. He also had frontal bossing on the right side of his > > forehead. I was just so worried that one day he would come to me > and > > say, " Mommy, why didn't you help me by fixing this when you had the > > chance? " I just didn't want to risk the emotional & psychological > > damage that comes along with teasing and feeling inadequate as a > > child and teenager. > > > > Although I fully understand why some parents choose to not do this > > surgery. It is emotionally taxing to see your child like this and > > the worries that go along with any surgery are always there. It was > > just the right thing for us to do in our son's situation. I read > > everything I could get my hands on prior to making the decision, > > stories from parents who chose to do it, parents who chose to not > do > > it and grown adults that never had it done as a child. I also > looked > > at photos from other children's surgeries. I will post my son's > > photos in the file section so those making this decision will have > > something to reference. > > > > The first surgery was to take care of the frontal bossing on his > > forehead. The surgery has to be done in two parts. First the front > > was done on October 31, 2003. The second is scheduled for April > 2004. > > > > The surgery went smoothly, although it is very difficult to see > your > > child in this type of situation, even if you know it is for the > best > > in the long run. The surgery last about 4-5 hours. After it was > > over he was taken to the Pediatric Intensive Care Unit for one > > night. After the night in PICU, he was transferred the next > > afternoon to a regular hospital room on the neuro floor. > > > > For the moms out there going through this surgery - my advice is to > > not stay awake the entire first night like I did. The nurses, > > doctors & my husband all urged me to try to sleep some, but I > didn't > > listen and stayed by his bedside the entire night without sleeping > at > > all. It is was just so hard to see him in the bandage with all of > > the tubes everywhere. They are on morphine so they sleep almost the > > entire time, but will moan and whimper every so often, which is > what > > kept me from wanting to leave his side. I was so exhausted the > next > > day I could barely hold it together. This is an emotional time > and > > you really need your sleep if you can get any. In the PICU they > > have " sleep rooms " so you can go there and switch off with your > > husband every few hours. > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > swollen shut for the first 3 days. It is very upsetting for them > > because they don't know what is going on and can't see at all. He > > would get extremely scared everytime the door would open to the > room, > > so we asked all friends & family to not come by the hospital. > > > > We kept up with them by website updates to my son's free page on > > www.tlcontact.com . This is a great service and all of your friends > > & family will thank you for using it. You can update them as much > as > > you want, with written accounts of what is going on and by adding > > photos. It was a life saver also because I set the website up (very > > simple to do) while my son was in surgery. They had a computer set > > up in the PICU waiting room w/ internet access. This allowed me to > > keep busy during the surgery so I wouldn't be pacing the halls the > > entire time. Just make sure you take your friend's email addresses > > to the hospital with you. We were supposed to wait in the surgery > > waiting area, but a friend who's daughter had been there before > told > > us to request the PICU waiting room. The surgeons thought that was > a > > great idea and said they would have one of the nurses call that > > waiting room instead with our hourly updates during the surgery. > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > > and Dr. ph K. (plastic/craniofacial surgeon). They are > > excellent and have the best bedside manner - to the point that you > > wonder how they can actually be doctors (ha ha)! They both have > > children and are very involved with their patients. They took care > > of my husband and myself just as well. They are very caring and > > always want to make sure that you are well informed and feel > > comfortable about everything 100% of the time. Both of them are > very > > special to us. Having surgeons that are excellent in their work & > > also easy to talk to with great bedside manners is very very very > > important. You are trusting these guys with the most precious thing > > in your life. Be sure they are the ones to handle such an enormous > > task. > > > > Shop around if you have to, and even fly out of state if needed. We > > actually live in Rehoboth Beach, Delaware. We just moved here from > > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > > hours from our house), some that are world renown, considered " the > > best " in their field. But, they just seemed very robotic and just > > didn't make me feel comfortable. They answered my questions, but it > > was just the way they did it. I felt as if my child was just > another > > number to them and that not only did they need to be good at the > > actual task, but that it was important that we felt we could talk > to > > them and ask anything. > > > > The Atlanta surgeons we ended up choosing gave us their cell phone > > numbers at home to call day or night if we had concerns or needed > to > > talk while our son was in the hospital post-op. They came by each > > morning personally to check on him in the hospital - even on their > > days off, instead of letting their partner " on call " attend to us. > > That is what we were looking for, just the right combination. > > > > My son was on morphine the entire hosptial stay, so I don't think > his > > pain was too bad. I slept in the bed with him every night (he > > started out in a crib, but we requested a regular hospital bed & > they > > brought one and put the rails up on the side. This works great b/c > > you can lay there with them and it is very comforting to them when > > they can't see yet because of the swelling. We also took his > > favorite blankets from home & stuffed animals. Don't wash them > > before you go though, to keep the familiar " home " scent on them. We > > also took the little music box w/ the ocean noise that my son > listens > > to every night while he falls asleep. Anything like that will help > > to comfort them when their eyes are swollen shut and all they can > do > > is smell, feel and hear. We also took his favorite music cd's and > > videos. We played the videos after one of his eyes opened and he > was > > so thrilled to see something familiar like that. > > > > He was in the hosptial for 5 days. Once at home, he did have some > > problems sleeping at night and was pretty clingy for about 3 months > > afterward. But that is to be expected. > > > > The material they used in the surgery was resorbable/dissolvable > > plates & screws. It is amazing, they completely dissolve in 1 year. > > These are fairly new and have a great track record so far. No metal > > hardware sitting inside your head for the rest of your life! The > > stitches also dissolve about 6-10 weeks later. > > > > My son goes back for his 2nd surgery in Atlanta during the month of > > April. I will be glad once this is all over. It has been hard to > > put him through this, but in the long run I think he will thank us > > for it. The time actually flies by and before you know it the > > surgery is over and they recover so fast. My son was running > around > > the Mc House where we stayed after the surgery before > > flying home. He was playing and being his usual self with only > one > > eye open and the other one still swollen shut. This was just 5 > days > > after the surgery. I was amazed at how fast he bounced back. > > > > Feel free to email me with questions or reply to this message on > the > > group, I know how hard it is to make this decision and go through > > this as a parent. > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Wow Hadley, you guys sure have been through alot. I had never heard of helmets not working with sutures open. Did he have any correction at all? Did his head still grow properly, but just not change shape? Did you ever get a second opinion on the craniofacial syndrome diagnoses? Thank you for sharing your story with us and sorry to ask so many questions! Bo is absolutely adorable. What is his assymetry like in the back now? From the front he looks perfect! I hope you'll keep us updated on his progress. , mom to Hannah, DOCgrad Cape Cod, Ma > > > Hi everyone, > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > > > through two helmets, starting at 4 months old. They caught it > > early, > > > but it didn't make a difference. The helmets did not improve his > > > head shape very much at all. > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have followed > him > > > since the beginning, strongly suggested that we get the Cranial > > Vault > > > Reconstruction Surgery. I know that some may not choose to do this > > > because they consider it cosmetic. But, the same thing can be said > > > about a cleft lip (actually what one surgeon in Philadelphia said > > to > > > us). They also said that surgery shouldn't be performed after > the > > > age of 2 or 2 1/2. > > > > > > The surgeons strongly believe in the psychological damage that > can > > be > > > done if this abnormal shape of the skull is not corrected. My > son's > > > head was rated as moderately severe. The flatness is on his back > > > left side. He also had frontal bossing on the right side of his > > > forehead. I was just so worried that one day he would come to me > and > > > say, " Mommy, why didn't you help me by fixing this when you had > the > > > chance? " I just didn't want to risk the emotional & psychological > > > damage that comes along with teasing and feeling inadequate as a > > > child and teenager. > > > > > > Although I fully understand why some parents choose to not do this > > > surgery. It is emotionally taxing to see your child like this and > > > the worries that go along with any surgery are always there. It > was > > > just the right thing for us to do in our son's situation. I read > > > everything I could get my hands on prior to making the decision, > > > stories from parents who chose to do it, parents who chose to not > do > > > it and grown adults that never had it done as a child. I also > looked > > > at photos from other children's surgeries. I will post my son's > > > photos in the file section so those making this decision will have > > > something to reference. > > > > > > The first surgery was to take care of the frontal bossing on his > > > forehead. The surgery has to be done in two parts. First the front > > > was done on October 31, 2003. The second is scheduled for April > > 2004. > > > > > > The surgery went smoothly, although it is very difficult to see > your > > > child in this type of situation, even if you know it is for the > best > > > in the long run. The surgery last about 4-5 hours. After it was > > > over he was taken to the Pediatric Intensive Care Unit for one > > > night. After the night in PICU, he was transferred the next > > > afternoon to a regular hospital room on the neuro floor. > > > > > > For the moms out there going through this surgery - my advice is > to > > > not stay awake the entire first night like I did. The nurses, > > > doctors & my husband all urged me to try to sleep some, but I > didn't > > > listen and stayed by his bedside the entire night without > sleeping > > at > > > all. It is was just so hard to see him in the bandage with all of > > > the tubes everywhere. They are on morphine so they sleep almost > the > > > entire time, but will moan and whimper every so often, which is > what > > > kept me from wanting to leave his side. I was so exhausted the > > next > > > day I could barely hold it together. This is an emotional time > and > > > you really need your sleep if you can get any. In the PICU they > > > have " sleep rooms " so you can go there and switch off with your > > > husband every few hours. > > > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > > swollen shut for the first 3 days. It is very upsetting for them > > > because they don't know what is going on and can't see at all. He > > > would get extremely scared everytime the door would open to the > > room, > > > so we asked all friends & family to not come by the hospital. > > > > > > We kept up with them by website updates to my son's free page on > > > www.tlcontact.com . This is a great service and all of your > friends > > > & family will thank you for using it. You can update them as much > as > > > you want, with written accounts of what is going on and by adding > > > photos. It was a life saver also because I set the website up > (very > > > simple to do) while my son was in surgery. They had a computer set > > > up in the PICU waiting room w/ internet access. This allowed me to > > > keep busy during the surgery so I wouldn't be pacing the halls the > > > entire time. Just make sure you take your friend's email addresses > > > to the hospital with you. We were supposed to wait in the surgery > > > waiting area, but a friend who's daughter had been there before > told > > > us to request the PICU waiting room. The surgeons thought that > was a > > > great idea and said they would have one of the nurses call that > > > waiting room instead with our hourly updates during the surgery. > > > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > > > and Dr. ph K. (plastic/craniofacial surgeon). They > are > > > excellent and have the best bedside manner - to the point that you > > > wonder how they can actually be doctors (ha ha)! They both have > > > children and are very involved with their patients. They took care > > > of my husband and myself just as well. They are very caring and > > > always want to make sure that you are well informed and feel > > > comfortable about everything 100% of the time. Both of them are > very > > > special to us. Having surgeons that are excellent in their work & > > > also easy to talk to with great bedside manners is very very very > > > important. You are trusting these guys with the most precious > thing > > > in your life. Be sure they are the ones to handle such an enormous > > > task. > > > > > > Shop around if you have to, and even fly out of state if needed. > We > > > actually live in Rehoboth Beach, Delaware. We just moved here from > > > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > > > hours from our house), some that are world renown, considered " the > > > best " in their field. But, they just seemed very robotic and just > > > didn't make me feel comfortable. They answered my questions, but > it > > > was just the way they did it. I felt as if my child was just > another > > > number to them and that not only did they need to be good at the > > > actual task, but that it was important that we felt we could talk > to > > > them and ask anything. > > > > > > The Atlanta surgeons we ended up choosing gave us their cell phone > > > numbers at home to call day or night if we had concerns or needed > to > > > talk while our son was in the hospital post-op. They came by each > > > morning personally to check on him in the hospital - even on their > > > days off, instead of letting their partner " on call " attend to us. > > > That is what we were looking for, just the right combination. > > > > > > My son was on morphine the entire hosptial stay, so I don't think > > his > > > pain was too bad. I slept in the bed with him every night (he > > > started out in a crib, but we requested a regular hospital bed & > > they > > > brought one and put the rails up on the side. This works great b/c > > > you can lay there with them and it is very comforting to them when > > > they can't see yet because of the swelling. We also took his > > > favorite blankets from home & stuffed animals. Don't wash them > > > before you go though, to keep the familiar " home " scent on them. > We > > > also took the little music box w/ the ocean noise that my son > > listens > > > to every night while he falls asleep. Anything like that will help > > > to comfort them when their eyes are swollen shut and all they can > do > > > is smell, feel and hear. We also took his favorite music cd's and > > > videos. We played the videos after one of his eyes opened and he > was > > > so thrilled to see something familiar like that. > > > > > > He was in the hosptial for 5 days. Once at home, he did have some > > > problems sleeping at night and was pretty clingy for about 3 > months > > > afterward. But that is to be expected. > > > > > > The material they used in the surgery was resorbable/dissolvable > > > plates & screws. It is amazing, they completely dissolve in 1 > year. > > > These are fairly new and have a great track record so far. No > metal > > > hardware sitting inside your head for the rest of your life! The > > > stitches also dissolve about 6-10 weeks later. > > > > > > My son goes back for his 2nd surgery in Atlanta during the month > of > > > April. I will be glad once this is all over. It has been hard to > > > put him through this, but in the long run I think he will thank us > > > for it. The time actually flies by and before you know it the > > > surgery is over and they recover so fast. My son was running > > around > > > the Mc House where we stayed after the surgery > before > > > flying home. He was playing and being his usual self with only > one > > > eye open and the other one still swollen shut. This was just 5 > > days > > > after the surgery. I was amazed at how fast he bounced back. > > > > > > Feel free to email me with questions or reply to this message on > the > > > group, I know how hard it is to make this decision and go through > > > this as a parent. > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Hadley, Thank you so much for being so patient with all of my questions - Bo's situation is a new learning for me. I am surprised to learn that the Starbands provided little improvement, even with the sutures open! What a relief to find out that the surgery has such low risks and quick recovery time. Sharing Bo's story and photos will be invaluable to members joining the group who are facing a surgical treatment decision. Would you continue to keep us posted on Bo's progress and upcoming surgery? Take care, Christie (Mom to Repo'd Remy) > > > Hi everyone, > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He went > > > through two helmets, starting at 4 months old. They caught it > > early, > > > but it didn't make a difference. The helmets did not improve his > > > head shape very much at all. > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have followed > > him > > > since the beginning, strongly suggested that we get the Cranial > > Vault > > > Reconstruction Surgery. I know that some may not choose to do this > > > because they consider it cosmetic. But, the same thing can be said > > > about a cleft lip (actually what one surgeon in Philadelphia said > > to > > > us). They also said that surgery shouldn't be performed after > the > > > age of 2 or 2 1/2. > > > > > > The surgeons strongly believe in the psychological damage that > can > > be > > > done if this abnormal shape of the skull is not corrected. My > son's > > > head was rated as moderately severe. The flatness is on his back > > > left side. He also had frontal bossing on the right side of his > > > forehead. I was just so worried that one day he would come to me > > and > > > say, " Mommy, why didn't you help me by fixing this when you had > the > > > chance? " I just didn't want to risk the emotional & psychological > > > damage that comes along with teasing and feeling inadequate as a > > > child and teenager. > > > > > > Although I fully understand why some parents choose to not do this > > > surgery. It is emotionally taxing to see your child like this and > > > the worries that go along with any surgery are always there. It > was > > > just the right thing for us to do in our son's situation. I read > > > everything I could get my hands on prior to making the decision, > > > stories from parents who chose to do it, parents who chose to not > > do > > > it and grown adults that never had it done as a child. I also > > looked > > > at photos from other children's surgeries. I will post my son's > > > photos in the file section so those making this decision will have > > > something to reference. > > > > > > The first surgery was to take care of the frontal bossing on his > > > forehead. The surgery has to be done in two parts. First the front > > > was done on October 31, 2003. The second is scheduled for April > > 2004. > > > > > > The surgery went smoothly, although it is very difficult to see > > your > > > child in this type of situation, even if you know it is for the > > best > > > in the long run. The surgery last about 4-5 hours. After it was > > > over he was taken to the Pediatric Intensive Care Unit for one > > > night. After the night in PICU, he was transferred the next > > > afternoon to a regular hospital room on the neuro floor. > > > > > > For the moms out there going through this surgery - my advice is > to > > > not stay awake the entire first night like I did. The nurses, > > > doctors & my husband all urged me to try to sleep some, but I > > didn't > > > listen and stayed by his bedside the entire night without > sleeping > > at > > > all. It is was just so hard to see him in the bandage with all of > > > the tubes everywhere. They are on morphine so they sleep almost > the > > > entire time, but will moan and whimper every so often, which is > > what > > > kept me from wanting to leave his side. I was so exhausted the > > next > > > day I could barely hold it together. This is an emotional time > > and > > > you really need your sleep if you can get any. In the PICU they > > > have " sleep rooms " so you can go there and switch off with your > > > husband every few hours. > > > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > > swollen shut for the first 3 days. It is very upsetting for them > > > because they don't know what is going on and can't see at all. He > > > would get extremely scared everytime the door would open to the > > room, > > > so we asked all friends & family to not come by the hospital. > > > > > > We kept up with them by website updates to my son's free page on > > > www.tlcontact.com . This is a great service and all of your > friends > > > & family will thank you for using it. You can update them as much > > as > > > you want, with written accounts of what is going on and by adding > > > photos. It was a life saver also because I set the website up > (very > > > simple to do) while my son was in surgery. They had a computer set > > > up in the PICU waiting room w/ internet access. This allowed me to > > > keep busy during the surgery so I wouldn't be pacing the halls the > > > entire time. Just make sure you take your friend's email addresses > > > to the hospital with you. We were supposed to wait in the surgery > > > waiting area, but a friend who's daughter had been there before > > told > > > us to request the PICU waiting room. The surgeons thought that > was > > a > > > great idea and said they would have one of the nurses call that > > > waiting room instead with our hourly updates during the surgery. > > > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > > www.choa.org . Our surgeons were Dr. Reisner (neurosurgeon) > > > and Dr. ph K. (plastic/craniofacial surgeon). They > are > > > excellent and have the best bedside manner - to the point that you > > > wonder how they can actually be doctors (ha ha)! They both have > > > children and are very involved with their patients. They took care > > > of my husband and myself just as well. They are very caring and > > > always want to make sure that you are well informed and feel > > > comfortable about everything 100% of the time. Both of them are > > very > > > special to us. Having surgeons that are excellent in their work & > > > also easy to talk to with great bedside manners is very very very > > > important. You are trusting these guys with the most precious > thing > > > in your life. Be sure they are the ones to handle such an enormous > > > task. > > > > > > Shop around if you have to, and even fly out of state if needed. > We > > > actually live in Rehoboth Beach, Delaware. We just moved here from > > > Atlanta last year. We took my son to surgeons in Philadelphia (1.5 > > > hours from our house), some that are world renown, considered " the > > > best " in their field. But, they just seemed very robotic and just > > > didn't make me feel comfortable. They answered my questions, but > it > > > was just the way they did it. I felt as if my child was just > > another > > > number to them and that not only did they need to be good at the > > > actual task, but that it was important that we felt we could talk > > to > > > them and ask anything. > > > > > > The Atlanta surgeons we ended up choosing gave us their cell phone > > > numbers at home to call day or night if we had concerns or needed > > to > > > talk while our son was in the hospital post-op. They came by each > > > morning personally to check on him in the hospital - even on their > > > days off, instead of letting their partner " on call " attend to us. > > > That is what we were looking for, just the right combination. > > > > > > My son was on morphine the entire hosptial stay, so I don't think > > his > > > pain was too bad. I slept in the bed with him every night (he > > > started out in a crib, but we requested a regular hospital bed & > > they > > > brought one and put the rails up on the side. This works great b/c > > > you can lay there with them and it is very comforting to them when > > > they can't see yet because of the swelling. We also took his > > > favorite blankets from home & stuffed animals. Don't wash them > > > before you go though, to keep the familiar " home " scent on them. > We > > > also took the little music box w/ the ocean noise that my son > > listens > > > to every night while he falls asleep. Anything like that will help > > > to comfort them when their eyes are swollen shut and all they can > > do > > > is smell, feel and hear. We also took his favorite music cd's and > > > videos. We played the videos after one of his eyes opened and he > > was > > > so thrilled to see something familiar like that. > > > > > > He was in the hosptial for 5 days. Once at home, he did have some > > > problems sleeping at night and was pretty clingy for about 3 > months > > > afterward. But that is to be expected. > > > > > > The material they used in the surgery was resorbable/dissolvable > > > plates & screws. It is amazing, they completely dissolve in 1 > year. > > > These are fairly new and have a great track record so far. No > metal > > > hardware sitting inside your head for the rest of your life! The > > > stitches also dissolve about 6-10 weeks later. > > > > > > My son goes back for his 2nd surgery in Atlanta during the month > of > > > April. I will be glad once this is all over. It has been hard to > > > put him through this, but in the long run I think he will thank us > > > for it. The time actually flies by and before you know it the > > > surgery is over and they recover so fast. My son was running > > around > > > the Mc House where we stayed after the surgery > before > > > flying home. He was playing and being his usual self with only > > one > > > eye open and the other one still swollen shut. This was just 5 > > days > > > after the surgery. I was amazed at how fast he bounced back. > > > > > > Feel free to email me with questions or reply to this message on > > the > > > group, I know how hard it is to make this decision and go through > > > this as a parent. > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Hi , His head did grow. It is actually quite large, in the 98th percentile. His head was growing taller for a while, which they said was " mild turricephaly " . It seems to have stopped though which is good, we were really worried when it seemed to get taller all of a sudden. He also had benign external hydrocephalus, which has actually resolved itself. The first CVR surgery was a frontal orbital advancement. It was to correct the frontal bossing of his forehead. During the surgery, they also gave him a brow ridge which he really didn't have before. He was just pretty flat there. The second CVR surgery will be for the back of his head. The back was actually more severe than the front, but they say that the front is more noticable since that is the direction people are usually looking at you from. They typically do the front first, then the back second. The flatness in the back is very obvious. Looking at him in a mirror is actually pretty shocking. One of his ears is set back further from the other, so much that if he has to get glasses, they will have to custom make them so one side is longer than the other. If the back was not corrected, they said he would probably not be able to ever wear a football, baseball or bike helmet. They also said that hats would not fit correctly, so he would be unable to wear those too. Today, he can't wear a baseball hat because of the back of his head. It won't stay positioned on his head and is either too tight, or if it is any bigger, will slide around sideways. As far as the Craniofacial Syndrome goes, we have had lots of opinions. The neurosurgeons and the craniofacial surgeons all agree he probably does have some sort of genetic syndrome, but who knows which one. We have also seen 3 geneticists. One in Atlanta at CHOA, one in Philadelphia at CHOP and one in Delaware at AI Dupont. He has had a lot of genetic testing done since he was 5 months old and still nothing has come up. Genetic testing has ended up being another surprise to me. The geneticists say that 40% of kids tested, who show without a doubt that they have a genetic syndrome (by distinct physical features), will not ever show a positive finding on a genetic blood test. One reason is that it is just not an exact science yet. There are many kids out there who are given a diagnosis of a syndrome, show all the clinical signs of having it, but when tested for the syndrome come up negative. Another reason is that there are so many thousands of syndromes out there. There are ones that don't even have a name yet. They don't have tests for all of them yet. And like I said, even if they do, it doesn't mean it will show on the test. Angelman's Syndrome and Syndrome are two good examples of syndromes where there are kids labeled with the diagnosis, but it didn't show on the test. I met a mom at Easter Seals last week whose son has a genetic syndrome that is the first of its kind in the world. There is no name for it yet of course, and she is just distraught at the idea of not knowing anything about what is causing his medical issues. Bo continues to have more genetic testing. It is unreal how many tests there actually are. When they do the FISH test, they only test for one individual syndrome at a time. I didn't know this at first and just told them to test him for everything - they laughed. They only test for a few syndromes at a time. This testing is very very expensive so they are careful with how they go about it (getting insurance to cover it,etc.) Basically it is like finding a needle in a haystack. This is all stuff that most of you moms luckily won't have to deal with so I won't bore you with the details. It really is so frustrating. For instance in November he tested negative on the FISH test for Syndrome. In April he will have the FISH test for Angelman's Syndrome. And by the way, these tests take anywhere from 10 to 18 weeks before you get the results back. It is ridiculous. I don't know why there isn't a lot of info out there about the plagio and cranio kids who don't have intracranial pressure, but who do get the surgery. Maybe because these companies like Cranial Tech are the ones supplying a lot of the info. I do wonder though how the bands are so similar, but StarBand and others only band to a certain time and Cranial Tech claims they can successfully band up to 24 months. Are they all really so different, one far superior to the next? Or are we dealing with Coke & Pepsi, Nike & Reebok? I wonder what the real statistics are. I mean if only a small percentage of kids see results at that late of an age, is it really a fair statement to say it works for older kids? They are the ones getting more money for more bands. And the later they set the age at, the more kids can use their helmets and more money for them $. Meanwhile, there are probably kids who wear the band until they are 24 months, it doesn't do the job and now it's too late for the surgery. It's unfortunate for the kids who have plagio now, but it will probably be years and years before they figure it all out. Soon they will probably come out and say that plagio does cause all these developmental delays, vision and hearing problems, etc. I wonder what the insurance companies who have denied payment for these bands will think then? Probably that they saved a lot of money. At the expense of our kids? Sad that a lot of things come down to money, especially when it hurts our children. Okay that was my venting time for corporate america...ha ha. Hadley > > > > Hi everyone, > > > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He > went > > > > through two helmets, starting at 4 months old. They caught it > > > early, > > > > but it didn't make a difference. The helmets did not improve > his > > > > head shape very much at all. > > > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have > followed > > him > > > > since the beginning, strongly suggested that we get the > Cranial > > > Vault > > > > Reconstruction Surgery. I know that some may not choose to do > this > > > > because they consider it cosmetic. But, the same thing can be > said > > > > about a cleft lip (actually what one surgeon in Philadelphia > said > > > to > > > > us). They also said that surgery shouldn't be performed after > > the > > > > age of 2 or 2 1/2. > > > > > > > > The surgeons strongly believe in the psychological damage that > > can > > > be > > > > done if this abnormal shape of the skull is not corrected. My > > son's > > > > head was rated as moderately severe. The flatness is on his > back > > > > left side. He also had frontal bossing on the right side of his > > > > forehead. I was just so worried that one day he would come to > me > > and > > > > say, " Mommy, why didn't you help me by fixing this when you > had > > the > > > > chance? " I just didn't want to risk the emotional & > psychological > > > > damage that comes along with teasing and feeling inadequate as > a > > > > child and teenager. > > > > > > > > Although I fully understand why some parents choose to not do > this > > > > surgery. It is emotionally taxing to see your child like this > and > > > > the worries that go along with any surgery are always there. > It > > was > > > > just the right thing for us to do in our son's situation. I > read > > > > everything I could get my hands on prior to making the > decision, > > > > stories from parents who chose to do it, parents who chose to > not > > do > > > > it and grown adults that never had it done as a child. I also > > looked > > > > at photos from other children's surgeries. I will post my son's > > > > photos in the file section so those making this decision will > have > > > > something to reference. > > > > > > > > The first surgery was to take care of the frontal bossing on > his > > > > forehead. The surgery has to be done in two parts. First the > front > > > > was done on October 31, 2003. The second is scheduled for > April > > > 2004. > > > > > > > > The surgery went smoothly, although it is very difficult to > see > > your > > > > child in this type of situation, even if you know it is for > the > > best > > > > in the long run. The surgery last about 4-5 hours. After it was > > > > over he was taken to the Pediatric Intensive Care Unit for one > > > > night. After the night in PICU, he was transferred the next > > > > afternoon to a regular hospital room on the neuro floor. > > > > > > > > For the moms out there going through this surgery - my advice > is > > to > > > > not stay awake the entire first night like I did. The nurses, > > > > doctors & my husband all urged me to try to sleep some, but I > > didn't > > > > listen and stayed by his bedside the entire night without > > sleeping > > > at > > > > all. It is was just so hard to see him in the bandage with all > of > > > > the tubes everywhere. They are on morphine so they sleep > almost > > the > > > > entire time, but will moan and whimper every so often, which > is > > what > > > > kept me from wanting to leave his side. I was so exhausted > the > > > next > > > > day I could barely hold it together. This is an emotional > time > > and > > > > you really need your sleep if you can get any. In the PICU > they > > > > have " sleep rooms " so you can go there and switch off with > your > > > > husband every few hours. > > > > > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > > > swollen shut for the first 3 days. It is very upsetting for > them > > > > because they don't know what is going on and can't see at all. > He > > > > would get extremely scared everytime the door would open to > the > > > room, > > > > so we asked all friends & family to not come by the hospital. > > > > > > > > We kept up with them by website updates to my son's free page > on > > > > www.tlcontact.com . This is a great service and all of your > > friends > > > > & family will thank you for using it. You can update them as > much > > as > > > > you want, with written accounts of what is going on and by > adding > > > > photos. It was a life saver also because I set the website up > > (very > > > > simple to do) while my son was in surgery. They had a computer > set > > > > up in the PICU waiting room w/ internet access. This allowed > me to > > > > keep busy during the surgery so I wouldn't be pacing the halls > the > > > > entire time. Just make sure you take your friend's email > addresses > > > > to the hospital with you. We were supposed to wait in the > surgery > > > > waiting area, but a friend who's daughter had been there > before > > told > > > > us to request the PICU waiting room. The surgeons thought that > > was a > > > > great idea and said they would have one of the nurses call that > > > > waiting room instead with our hourly updates during the > surgery. > > > > > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > > > www.choa.org . Our surgeons were Dr. Reisner > (neurosurgeon) > > > > and Dr. ph K. (plastic/craniofacial surgeon). > They > > are > > > > excellent and have the best bedside manner - to the point that > you > > > > wonder how they can actually be doctors (ha ha)! They both have > > > > children and are very involved with their patients. They took > care > > > > of my husband and myself just as well. They are very caring and > > > > always want to make sure that you are well informed and feel > > > > comfortable about everything 100% of the time. Both of them > are > > very > > > > special to us. Having surgeons that are excellent in their > work & > > > > also easy to talk to with great bedside manners is very very > very > > > > important. You are trusting these guys with the most precious > > thing > > > > in your life. Be sure they are the ones to handle such an > enormous > > > > task. > > > > > > > > Shop around if you have to, and even fly out of state if > needed. > > We > > > > actually live in Rehoboth Beach, Delaware. We just moved here > from > > > > Atlanta last year. We took my son to surgeons in Philadelphia > (1.5 > > > > hours from our house), some that are world renown, > considered " the > > > > best " in their field. But, they just seemed very robotic and > just > > > > didn't make me feel comfortable. They answered my questions, > but > > it > > > > was just the way they did it. I felt as if my child was just > > another > > > > number to them and that not only did they need to be good at > the > > > > actual task, but that it was important that we felt we could > talk > > to > > > > them and ask anything. > > > > > > > > The Atlanta surgeons we ended up choosing gave us their cell > phone > > > > numbers at home to call day or night if we had concerns or > needed > > to > > > > talk while our son was in the hospital post-op. They came by > each > > > > morning personally to check on him in the hospital - even on > their > > > > days off, instead of letting their partner " on call " attend to > us. > > > > That is what we were looking for, just the right combination. > > > > > > > > My son was on morphine the entire hosptial stay, so I don't > think > > > his > > > > pain was too bad. I slept in the bed with him every night (he > > > > started out in a crib, but we requested a regular hospital bed > & > > > they > > > > brought one and put the rails up on the side. This works great > b/c > > > > you can lay there with them and it is very comforting to them > when > > > > they can't see yet because of the swelling. We also took his > > > > favorite blankets from home & stuffed animals. Don't wash them > > > > before you go though, to keep the familiar " home " scent on > them. > > We > > > > also took the little music box w/ the ocean noise that my son > > > listens > > > > to every night while he falls asleep. Anything like that will > help > > > > to comfort them when their eyes are swollen shut and all they > can > > do > > > > is smell, feel and hear. We also took his favorite music cd's > and > > > > videos. We played the videos after one of his eyes opened and > he > > was > > > > so thrilled to see something familiar like that. > > > > > > > > He was in the hosptial for 5 days. Once at home, he did have > some > > > > problems sleeping at night and was pretty clingy for about 3 > > months > > > > afterward. But that is to be expected. > > > > > > > > The material they used in the surgery was > resorbable/dissolvable > > > > plates & screws. It is amazing, they completely dissolve in 1 > > year. > > > > These are fairly new and have a great track record so far. No > > metal > > > > hardware sitting inside your head for the rest of your life! > The > > > > stitches also dissolve about 6-10 weeks later. > > > > > > > > My son goes back for his 2nd surgery in Atlanta during the > month > > of > > > > April. I will be glad once this is all over. It has been hard > to > > > > put him through this, but in the long run I think he will > thank us > > > > for it. The time actually flies by and before you know it the > > > > surgery is over and they recover so fast. My son was running > > > around > > > > the Mc House where we stayed after the surgery > > before > > > > flying home. He was playing and being his usual self with > only > > one > > > > eye open and the other one still swollen shut. This was just > 5 > > > days > > > > after the surgery. I was amazed at how fast he bounced back. > > > > > > > > Feel free to email me with questions or reply to this message > on > > the > > > > group, I know how hard it is to make this decision and go > through > > > > this as a parent. > > > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 I'll keep you guys updated. I hope I didn't scare everyone. But, I just want everyone to know the options and that stories like Bo's are out there and are very real. We weren't talked into this surgery because we live out in a cornfield somewhere with uninformed doctors. We aren't parents who just want a kid with a perfect head. We went to two major metropolitan pediatric hospitals with great reputations and excellent surgeons who are practicing the latest techniques. I researched this surgery so much that my husband used to beg me to go to sleep before 4 am and get off the internet. I called these doctors so much asking questions, that we actually became good friends with them. Maybe not their office staff, who probably cringe when they hear me on the other line! I would fax the surgeons lists of questions and they would call me back with the answers to each and every one of them. We didn't take this lightly, so I have a lot of info to share with those who end up in the same boat. Don't be afraid to ask, I certainly never am! So send me an email or post to the board with any questions you have and I'll be happy to help any moms that I can. Hadley > > > > Hi everyone, > > > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He > went > > > > through two helmets, starting at 4 months old. They caught it > > > early, > > > > but it didn't make a difference. The helmets did not improve > his > > > > head shape very much at all. > > > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have > followed > > > him > > > > since the beginning, strongly suggested that we get the > Cranial > > > Vault > > > > Reconstruction Surgery. I know that some may not choose to do > this > > > > because they consider it cosmetic. But, the same thing can be > said > > > > about a cleft lip (actually what one surgeon in Philadelphia > said > > > to > > > > us). They also said that surgery shouldn't be performed after > > the > > > > age of 2 or 2 1/2. > > > > > > > > The surgeons strongly believe in the psychological damage that > > can > > > be > > > > done if this abnormal shape of the skull is not corrected. My > > son's > > > > head was rated as moderately severe. The flatness is on his > back > > > > left side. He also had frontal bossing on the right side of his > > > > forehead. I was just so worried that one day he would come to > me > > > and > > > > say, " Mommy, why didn't you help me by fixing this when you > had > > the > > > > chance? " I just didn't want to risk the emotional & > psychological > > > > damage that comes along with teasing and feeling inadequate as > a > > > > child and teenager. > > > > > > > > Although I fully understand why some parents choose to not do > this > > > > surgery. It is emotionally taxing to see your child like this > and > > > > the worries that go along with any surgery are always there. > It > > was > > > > just the right thing for us to do in our son's situation. I > read > > > > everything I could get my hands on prior to making the > decision, > > > > stories from parents who chose to do it, parents who chose to > not > > > do > > > > it and grown adults that never had it done as a child. I also > > > looked > > > > at photos from other children's surgeries. I will post my son's > > > > photos in the file section so those making this decision will > have > > > > something to reference. > > > > > > > > The first surgery was to take care of the frontal bossing on > his > > > > forehead. The surgery has to be done in two parts. First the > front > > > > was done on October 31, 2003. The second is scheduled for > April > > > 2004. > > > > > > > > The surgery went smoothly, although it is very difficult to > see > > > your > > > > child in this type of situation, even if you know it is for > the > > > best > > > > in the long run. The surgery last about 4-5 hours. After it was > > > > over he was taken to the Pediatric Intensive Care Unit for one > > > > night. After the night in PICU, he was transferred the next > > > > afternoon to a regular hospital room on the neuro floor. > > > > > > > > For the moms out there going through this surgery - my advice > is > > to > > > > not stay awake the entire first night like I did. The nurses, > > > > doctors & my husband all urged me to try to sleep some, but I > > > didn't > > > > listen and stayed by his bedside the entire night without > > sleeping > > > at > > > > all. It is was just so hard to see him in the bandage with all > of > > > > the tubes everywhere. They are on morphine so they sleep > almost > > the > > > > entire time, but will moan and whimper every so often, which > is > > > what > > > > kept me from wanting to leave his side. I was so exhausted > the > > > next > > > > day I could barely hold it together. This is an emotional > time > > > and > > > > you really need your sleep if you can get any. In the PICU > they > > > > have " sleep rooms " so you can go there and switch off with > your > > > > husband every few hours. > > > > > > > > The hardest part of the surgery is the swelling. Bo's eyes were > > > > swollen shut for the first 3 days. It is very upsetting for > them > > > > because they don't know what is going on and can't see at all. > He > > > > would get extremely scared everytime the door would open to > the > > > room, > > > > so we asked all friends & family to not come by the hospital. > > > > > > > > We kept up with them by website updates to my son's free page > on > > > > www.tlcontact.com . This is a great service and all of your > > friends > > > > & family will thank you for using it. You can update them as > much > > > as > > > > you want, with written accounts of what is going on and by > adding > > > > photos. It was a life saver also because I set the website up > > (very > > > > simple to do) while my son was in surgery. They had a computer > set > > > > up in the PICU waiting room w/ internet access. This allowed > me to > > > > keep busy during the surgery so I wouldn't be pacing the halls > the > > > > entire time. Just make sure you take your friend's email > addresses > > > > to the hospital with you. We were supposed to wait in the > surgery > > > > waiting area, but a friend who's daughter had been there > before > > > told > > > > us to request the PICU waiting room. The surgeons thought that > > was > > > a > > > > great idea and said they would have one of the nurses call that > > > > waiting room instead with our hourly updates during the > surgery. > > > > > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > > > www.choa.org . Our surgeons were Dr. Reisner > (neurosurgeon) > > > > and Dr. ph K. (plastic/craniofacial surgeon). > They > > are > > > > excellent and have the best bedside manner - to the point that > you > > > > wonder how they can actually be doctors (ha ha)! They both have > > > > children and are very involved with their patients. They took > care > > > > of my husband and myself just as well. They are very caring and > > > > always want to make sure that you are well informed and feel > > > > comfortable about everything 100% of the time. Both of them > are > > > very > > > > special to us. Having surgeons that are excellent in their > work & > > > > also easy to talk to with great bedside manners is very very > very > > > > important. You are trusting these guys with the most precious > > thing > > > > in your life. Be sure they are the ones to handle such an > enormous > > > > task. > > > > > > > > Shop around if you have to, and even fly out of state if > needed. > > We > > > > actually live in Rehoboth Beach, Delaware. We just moved here > from > > > > Atlanta last year. We took my son to surgeons in Philadelphia > (1.5 > > > > hours from our house), some that are world renown, > considered " the > > > > best " in their field. But, they just seemed very robotic and > just > > > > didn't make me feel comfortable. They answered my questions, > but > > it > > > > was just the way they did it. I felt as if my child was just > > > another > > > > number to them and that not only did they need to be good at > the > > > > actual task, but that it was important that we felt we could > talk > > > to > > > > them and ask anything. > > > > > > > > The Atlanta surgeons we ended up choosing gave us their cell > phone > > > > numbers at home to call day or night if we had concerns or > needed > > > to > > > > talk while our son was in the hospital post-op. They came by > each > > > > morning personally to check on him in the hospital - even on > their > > > > days off, instead of letting their partner " on call " attend to > us. > > > > That is what we were looking for, just the right combination. > > > > > > > > My son was on morphine the entire hosptial stay, so I don't > think > > > his > > > > pain was too bad. I slept in the bed with him every night (he > > > > started out in a crib, but we requested a regular hospital bed > & > > > they > > > > brought one and put the rails up on the side. This works great > b/c > > > > you can lay there with them and it is very comforting to them > when > > > > they can't see yet because of the swelling. We also took his > > > > favorite blankets from home & stuffed animals. Don't wash them > > > > before you go though, to keep the familiar " home " scent on > them. > > We > > > > also took the little music box w/ the ocean noise that my son > > > listens > > > > to every night while he falls asleep. Anything like that will > help > > > > to comfort them when their eyes are swollen shut and all they > can > > > do > > > > is smell, feel and hear. We also took his favorite music cd's > and > > > > videos. We played the videos after one of his eyes opened and > he > > > was > > > > so thrilled to see something familiar like that. > > > > > > > > He was in the hosptial for 5 days. Once at home, he did have > some > > > > problems sleeping at night and was pretty clingy for about 3 > > months > > > > afterward. But that is to be expected. > > > > > > > > The material they used in the surgery was > resorbable/dissolvable > > > > plates & screws. It is amazing, they completely dissolve in 1 > > year. > > > > These are fairly new and have a great track record so far. No > > metal > > > > hardware sitting inside your head for the rest of your life! > The > > > > stitches also dissolve about 6-10 weeks later. > > > > > > > > My son goes back for his 2nd surgery in Atlanta during the > month > > of > > > > April. I will be glad once this is all over. It has been hard > to > > > > put him through this, but in the long run I think he will > thank us > > > > for it. The time actually flies by and before you know it the > > > > surgery is over and they recover so fast. My son was running > > > around > > > > the Mc House where we stayed after the surgery > > before > > > > flying home. He was playing and being his usual self with > only > > > one > > > > eye open and the other one still swollen shut. This was just > 5 > > > days > > > > after the surgery. I was amazed at how fast he bounced back. > > > > > > > > Feel free to email me with questions or reply to this message > on > > > the > > > > group, I know how hard it is to make this decision and go > through > > > > this as a parent. > > > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Hi Hadley and welcome to the group. I have read this thread all morning and find this very interesting. I would be interested in seeing Bo's headshape BEFORE surgery, before the STARBand attempts. If the sutures are open, it amazes me that 2 STARBands did not correct the shape in anyway. Do you have any pictures of Bo in his STARBands? Can you post any of these pictures? Dustie, mom to , DOCGrad'03 Texas > > > > > Hi everyone, > > > > > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. He > > went > > > > > through two helmets, starting at 4 months old. They caught it > > > > early, > > > > > but it didn't make a difference. The helmets did not improve > > his > > > > > head shape very much at all. > > > > > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have > > followed > > > > him > > > > > since the beginning, strongly suggested that we get the > > Cranial > > > > Vault > > > > > Reconstruction Surgery. I know that some may not choose to do > > this > > > > > because they consider it cosmetic. But, the same thing can be > > said > > > > > about a cleft lip (actually what one surgeon in Philadelphia > > said > > > > to > > > > > us). They also said that surgery shouldn't be performed > after > > > the > > > > > age of 2 or 2 1/2. > > > > > > > > > > The surgeons strongly believe in the psychological damage > that > > > can > > > > be > > > > > done if this abnormal shape of the skull is not corrected. My > > > son's > > > > > head was rated as moderately severe. The flatness is on his > > back > > > > > left side. He also had frontal bossing on the right side of > his > > > > > forehead. I was just so worried that one day he would come to > > me > > > > and > > > > > say, " Mommy, why didn't you help me by fixing this when you > > had > > > the > > > > > chance? " I just didn't want to risk the emotional & > > psychological > > > > > damage that comes along with teasing and feeling inadequate > as > > a > > > > > child and teenager. > > > > > > > > > > Although I fully understand why some parents choose to not do > > this > > > > > surgery. It is emotionally taxing to see your child like this > > and > > > > > the worries that go along with any surgery are always there. > > It > > > was > > > > > just the right thing for us to do in our son's situation. I > > read > > > > > everything I could get my hands on prior to making the > > decision, > > > > > stories from parents who chose to do it, parents who chose to > > not > > > > do > > > > > it and grown adults that never had it done as a child. I also > > > > looked > > > > > at photos from other children's surgeries. I will post my > son's > > > > > photos in the file section so those making this decision will > > have > > > > > something to reference. > > > > > > > > > > The first surgery was to take care of the frontal bossing on > > his > > > > > forehead. The surgery has to be done in two parts. First the > > front > > > > > was done on October 31, 2003. The second is scheduled for > > April > > > > 2004. > > > > > > > > > > The surgery went smoothly, although it is very difficult to > > see > > > > your > > > > > child in this type of situation, even if you know it is for > > the > > > > best > > > > > in the long run. The surgery last about 4-5 hours. After it > was > > > > > over he was taken to the Pediatric Intensive Care Unit for one > > > > > night. After the night in PICU, he was transferred the next > > > > > afternoon to a regular hospital room on the neuro floor. > > > > > > > > > > For the moms out there going through this surgery - my advice > > is > > > to > > > > > not stay awake the entire first night like I did. The nurses, > > > > > doctors & my husband all urged me to try to sleep some, but I > > > > didn't > > > > > listen and stayed by his bedside the entire night without > > > sleeping > > > > at > > > > > all. It is was just so hard to see him in the bandage with > all > > of > > > > > the tubes everywhere. They are on morphine so they sleep > > almost > > > the > > > > > entire time, but will moan and whimper every so often, which > > is > > > > what > > > > > kept me from wanting to leave his side. I was so exhausted > > the > > > > next > > > > > day I could barely hold it together. This is an emotional > > time > > > > and > > > > > you really need your sleep if you can get any. In the PICU > > they > > > > > have " sleep rooms " so you can go there and switch off with > > your > > > > > husband every few hours. > > > > > > > > > > The hardest part of the surgery is the swelling. Bo's eyes > were > > > > > swollen shut for the first 3 days. It is very upsetting for > > them > > > > > because they don't know what is going on and can't see at > all. > > He > > > > > would get extremely scared everytime the door would open to > > the > > > > room, > > > > > so we asked all friends & family to not come by the hospital. > > > > > > > > > > We kept up with them by website updates to my son's free page > > on > > > > > www.tlcontact.com . This is a great service and all of your > > > friends > > > > > & family will thank you for using it. You can update them as > > much > > > > as > > > > > you want, with written accounts of what is going on and by > > adding > > > > > photos. It was a life saver also because I set the website up > > > (very > > > > > simple to do) while my son was in surgery. They had a > computer > > set > > > > > up in the PICU waiting room w/ internet access. This allowed > > me to > > > > > keep busy during the surgery so I wouldn't be pacing the > halls > > the > > > > > entire time. Just make sure you take your friend's email > > addresses > > > > > to the hospital with you. We were supposed to wait in the > > surgery > > > > > waiting area, but a friend who's daughter had been there > > before > > > > told > > > > > us to request the PICU waiting room. The surgeons thought > that > > > was > > > > a > > > > > great idea and said they would have one of the nurses call > that > > > > > waiting room instead with our hourly updates during the > > surgery. > > > > > > > > > > The surgery was at ish Rite Hospital in Atlanta, Georgia > > > > > www.choa.org . Our surgeons were Dr. Reisner > > (neurosurgeon) > > > > > and Dr. ph K. (plastic/craniofacial surgeon). > > They > > > are > > > > > excellent and have the best bedside manner - to the point > that > > you > > > > > wonder how they can actually be doctors (ha ha)! They both > have > > > > > children and are very involved with their patients. They took > > care > > > > > of my husband and myself just as well. They are very caring > and > > > > > always want to make sure that you are well informed and feel > > > > > comfortable about everything 100% of the time. Both of them > > are > > > > very > > > > > special to us. Having surgeons that are excellent in their > > work & > > > > > also easy to talk to with great bedside manners is very very > > very > > > > > important. You are trusting these guys with the most precious > > > thing > > > > > in your life. Be sure they are the ones to handle such an > > enormous > > > > > task. > > > > > > > > > > Shop around if you have to, and even fly out of state if > > needed. > > > We > > > > > actually live in Rehoboth Beach, Delaware. We just moved here > > from > > > > > Atlanta last year. We took my son to surgeons in Philadelphia > > (1.5 > > > > > hours from our house), some that are world renown, > > considered " the > > > > > best " in their field. But, they just seemed very robotic and > > just > > > > > didn't make me feel comfortable. They answered my questions, > > but > > > it > > > > > was just the way they did it. I felt as if my child was just > > > > another > > > > > number to them and that not only did they need to be good at > > the > > > > > actual task, but that it was important that we felt we could > > talk > > > > to > > > > > them and ask anything. > > > > > > > > > > The Atlanta surgeons we ended up choosing gave us their cell > > phone > > > > > numbers at home to call day or night if we had concerns or > > needed > > > > to > > > > > talk while our son was in the hospital post-op. They came by > > each > > > > > morning personally to check on him in the hospital - even on > > their > > > > > days off, instead of letting their partner " on call " attend > to > > us. > > > > > That is what we were looking for, just the right combination. > > > > > > > > > > My son was on morphine the entire hosptial stay, so I don't > > think > > > > his > > > > > pain was too bad. I slept in the bed with him every night (he > > > > > started out in a crib, but we requested a regular hospital > bed > > & > > > > they > > > > > brought one and put the rails up on the side. This works > great > > b/c > > > > > you can lay there with them and it is very comforting to them > > when > > > > > they can't see yet because of the swelling. We also took his > > > > > favorite blankets from home & stuffed animals. Don't wash them > > > > > before you go though, to keep the familiar " home " scent on > > them. > > > We > > > > > also took the little music box w/ the ocean noise that my son > > > > listens > > > > > to every night while he falls asleep. Anything like that will > > help > > > > > to comfort them when their eyes are swollen shut and all they > > can > > > > do > > > > > is smell, feel and hear. We also took his favorite music cd's > > and > > > > > videos. We played the videos after one of his eyes opened and > > he > > > > was > > > > > so thrilled to see something familiar like that. > > > > > > > > > > He was in the hosptial for 5 days. Once at home, he did have > > some > > > > > problems sleeping at night and was pretty clingy for about 3 > > > months > > > > > afterward. But that is to be expected. > > > > > > > > > > The material they used in the surgery was > > resorbable/dissolvable > > > > > plates & screws. It is amazing, they completely dissolve in 1 > > > year. > > > > > These are fairly new and have a great track record so far. No > > > metal > > > > > hardware sitting inside your head for the rest of your life! > > The > > > > > stitches also dissolve about 6-10 weeks later. > > > > > > > > > > My son goes back for his 2nd surgery in Atlanta during the > > month > > > of > > > > > April. I will be glad once this is all over. It has been hard > > to > > > > > put him through this, but in the long run I think he will > > thank us > > > > > for it. The time actually flies by and before you know it > the > > > > > surgery is over and they recover so fast. My son was running > > > > around > > > > > the Mc House where we stayed after the surgery > > > before > > > > > flying home. He was playing and being his usual self with > > only > > > > one > > > > > eye open and the other one still swollen shut. This was just > > 5 > > > > days > > > > > after the surgery. I was amazed at how fast he bounced back. > > > > > > > > > > Feel free to email me with questions or reply to this message > > on > > > > the > > > > > group, I know how hard it is to make this decision and go > > through > > > > > this as a parent. > > > > > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Hi Hadley! I have also read and re-read this thread 2xs this morning and am also very interested in seeing photos of your son's headshape before, during and after treatment. My 20-month old twin boys had very severe brachy and after DOC band treatment still have moderate to severe brachy headshapes. Not one of our doctors (plastic surgeons, ped, orthotist, etc) ever recommended surgery. I'd like to see how your son's headshape compares to theirs. (I have posted pics of them here in the Photos section that you can see. They are in the " Nolan & " folder.) Glad to read your son's first surgery was successful and hoping that his second is, as well. mom to Nolan & , DOC band grads > > > > > > Hi everyone, > > > > > > > > > > > > My name is Hadley and my son is Bo. Bo is 19 months old. > He > > > went > > > > > > through two helmets, starting at 4 months old. They caught > it > > > > > early, > > > > > > but it didn't make a difference. The helmets did not > improve > > > his > > > > > > head shape very much at all. > > > > > > > > > > > > The plastic surgeon & neurosurgeon in Atlanta, who have > > > followed > > > > > him > > > > > > since the beginning, strongly suggested that we get the > > > Cranial > > > > > Vault > > > > > > Reconstruction Surgery. I know that some may not choose to > do > > > this > > > > > > because they consider it cosmetic. But, the same thing can > be > > > said > > > > > > about a cleft lip (actually what one surgeon in > Philadelphia > > > said > > > > > to > > > > > > us). They also said that surgery shouldn't be performed > > after > > > > the > > > > > > age of 2 or 2 1/2. > > > > > > > > > > > > The surgeons strongly believe in the psychological damage > > that > > > > can > > > > > be > > > > > > done if this abnormal shape of the skull is not corrected. > My > > > > son's > > > > > > head was rated as moderately severe. The flatness is on > his > > > back > > > > > > left side. He also had frontal bossing on the right side > of > > his > > > > > > forehead. I was just so worried that one day he would come > to > > > me > > > > > and > > > > > > say, " Mommy, why didn't you help me by fixing this when > you > > > had > > > > the > > > > > > chance? " I just didn't want to risk the emotional & > > > psychological > > > > > > damage that comes along with teasing and feeling > inadequate > > as > > > a > > > > > > child and teenager. > > > > > > > > > > > > Although I fully understand why some parents choose to not > do > > > this > > > > > > surgery. It is emotionally taxing to see your child like > this > > > and > > > > > > the worries that go along with any surgery are always > there. > > > It > > > > was > > > > > > just the right thing for us to do in our son's situation. > I > > > read > > > > > > everything I could get my hands on prior to making the > > > decision, > > > > > > stories from parents who chose to do it, parents who chose > to > > > not > > > > > do > > > > > > it and grown adults that never had it done as a child. I > also > > > > > looked > > > > > > at photos from other children's surgeries. I will post my > > son's > > > > > > photos in the file section so those making this decision > will > > > have > > > > > > something to reference. > > > > > > > > > > > > The first surgery was to take care of the frontal bossing > on > > > his > > > > > > forehead. The surgery has to be done in two parts. First > the > > > front > > > > > > was done on October 31, 2003. The second is scheduled for > > > April > > > > > 2004. > > > > > > > > > > > > The surgery went smoothly, although it is very difficult > to > > > see > > > > > your > > > > > > child in this type of situation, even if you know it is > for > > > the > > > > > best > > > > > > in the long run. The surgery last about 4-5 hours. After > it > > was > > > > > > over he was taken to the Pediatric Intensive Care Unit for > one > > > > > > night. After the night in PICU, he was transferred the next > > > > > > afternoon to a regular hospital room on the neuro floor. > > > > > > > > > > > > For the moms out there going through this surgery - my > advice > > > is > > > > to > > > > > > not stay awake the entire first night like I did. The > nurses, > > > > > > doctors & my husband all urged me to try to sleep some, > but I > > > > > didn't > > > > > > listen and stayed by his bedside the entire night without > > > > sleeping > > > > > at > > > > > > all. It is was just so hard to see him in the bandage with > > all > > > of > > > > > > the tubes everywhere. They are on morphine so they sleep > > > almost > > > > the > > > > > > entire time, but will moan and whimper every so often, > which > > > is > > > > > what > > > > > > kept me from wanting to leave his side. I was so > exhausted > > > the > > > > > next > > > > > > day I could barely hold it together. This is an emotional > > > time > > > > > and > > > > > > you really need your sleep if you can get any. In the > PICU > > > they > > > > > > have " sleep rooms " so you can go there and switch off with > > > your > > > > > > husband every few hours. > > > > > > > > > > > > The hardest part of the surgery is the swelling. Bo's eyes > > were > > > > > > swollen shut for the first 3 days. It is very upsetting > for > > > them > > > > > > because they don't know what is going on and can't see at > > all. > > > He > > > > > > would get extremely scared everytime the door would open > to > > > the > > > > > room, > > > > > > so we asked all friends & family to not come by the > hospital. > > > > > > > > > > > > We kept up with them by website updates to my son's free > page > > > on > > > > > > www.tlcontact.com . This is a great service and all of > your > > > > friends > > > > > > & family will thank you for using it. You can update them > as > > > much > > > > > as > > > > > > you want, with written accounts of what is going on and by > > > adding > > > > > > photos. It was a life saver also because I set the website > up > > > > (very > > > > > > simple to do) while my son was in surgery. They had a > > computer > > > set > > > > > > up in the PICU waiting room w/ internet access. This > allowed > > > me to > > > > > > keep busy during the surgery so I wouldn't be pacing the > > halls > > > the > > > > > > entire time. Just make sure you take your friend's email > > > addresses > > > > > > to the hospital with you. We were supposed to wait in the > > > surgery > > > > > > waiting area, but a friend who's daughter had been there > > > before > > > > > told > > > > > > us to request the PICU waiting room. The surgeons thought > > that > > > > was > > > > > a > > > > > > great idea and said they would have one of the nurses call > > that > > > > > > waiting room instead with our hourly updates during the > > > surgery. > > > > > > > > > > > > The surgery was at ish Rite Hospital in Atlanta, > Georgia > > > > > > www.choa.org . Our surgeons were Dr. Reisner > > > (neurosurgeon) > > > > > > and Dr. ph K. (plastic/craniofacial surgeon). > > > They > > > > are > > > > > > excellent and have the best bedside manner - to the point > > that > > > you > > > > > > wonder how they can actually be doctors (ha ha)! They both > > have > > > > > > children and are very involved with their patients. They > took > > > care > > > > > > of my husband and myself just as well. They are very > caring > > and > > > > > > always want to make sure that you are well informed and > feel > > > > > > comfortable about everything 100% of the time. Both of > them > > > are > > > > > very > > > > > > special to us. Having surgeons that are excellent in their > > > work & > > > > > > also easy to talk to with great bedside manners is very > very > > > very > > > > > > important. You are trusting these guys with the most > precious > > > > thing > > > > > > in your life. Be sure they are the ones to handle such an > > > enormous > > > > > > task. > > > > > > > > > > > > Shop around if you have to, and even fly out of state if > > > needed. > > > > We > > > > > > actually live in Rehoboth Beach, Delaware. We just moved > here > > > from > > > > > > Atlanta last year. We took my son to surgeons in > Philadelphia > > > (1.5 > > > > > > hours from our house), some that are world renown, > > > considered " the > > > > > > best " in their field. But, they just seemed very robotic > and > > > just > > > > > > didn't make me feel comfortable. They answered my > questions, > > > but > > > > it > > > > > > was just the way they did it. I felt as if my child was > just > > > > > another > > > > > > number to them and that not only did they need to be good > at > > > the > > > > > > actual task, but that it was important that we felt we > could > > > talk > > > > > to > > > > > > them and ask anything. > > > > > > > > > > > > The Atlanta surgeons we ended up choosing gave us their > cell > > > phone > > > > > > numbers at home to call day or night if we had concerns or > > > needed > > > > > to > > > > > > talk while our son was in the hospital post-op. They came > by > > > each > > > > > > morning personally to check on him in the hospital - even > on > > > their > > > > > > days off, instead of letting their partner " on call " > attend > > to > > > us. > > > > > > That is what we were looking for, just the right > combination. > > > > > > > > > > > > My son was on morphine the entire hosptial stay, so I > don't > > > think > > > > > his > > > > > > pain was too bad. I slept in the bed with him every night > (he > > > > > > started out in a crib, but we requested a regular hospital > > bed > > > & > > > > > they > > > > > > brought one and put the rails up on the side. This works > > great > > > b/c > > > > > > you can lay there with them and it is very comforting to > them > > > when > > > > > > they can't see yet because of the swelling. We also took > his > > > > > > favorite blankets from home & stuffed animals. Don't wash > them > > > > > > before you go though, to keep the familiar " home " scent on > > > them. > > > > We > > > > > > also took the little music box w/ the ocean noise that my > son > > > > > listens > > > > > > to every night while he falls asleep. Anything like that > will > > > help > > > > > > to comfort them when their eyes are swollen shut and all > they > > > can > > > > > do > > > > > > is smell, feel and hear. We also took his favorite music > cd's > > > and > > > > > > videos. We played the videos after one of his eyes opened > and > > > he > > > > > was > > > > > > so thrilled to see something familiar like that. > > > > > > > > > > > > He was in the hosptial for 5 days. Once at home, he did > have > > > some > > > > > > problems sleeping at night and was pretty clingy for about > 3 > > > > months > > > > > > afterward. But that is to be expected. > > > > > > > > > > > > The material they used in the surgery was > > > resorbable/dissolvable > > > > > > plates & screws. It is amazing, they completely dissolve > in 1 > > > > year. > > > > > > These are fairly new and have a great track record so far. > No > > > > metal > > > > > > hardware sitting inside your head for the rest of your > life! > > > The > > > > > > stitches also dissolve about 6-10 weeks later. > > > > > > > > > > > > My son goes back for his 2nd surgery in Atlanta during the > > > month > > > > of > > > > > > April. I will be glad once this is all over. It has been > hard > > > to > > > > > > put him through this, but in the long run I think he will > > > thank us > > > > > > for it. The time actually flies by and before you know it > > the > > > > > > surgery is over and they recover so fast. My son was > running > > > > > around > > > > > > the Mc House where we stayed after the > surgery > > > > before > > > > > > flying home. He was playing and being his usual self with > > > only > > > > > one > > > > > > eye open and the other one still swollen shut. This was > just > > > 5 > > > > > days > > > > > > after the surgery. I was amazed at how fast he bounced > back. > > > > > > > > > > > > Feel free to email me with questions or reply to this > message > > > on > > > > > the > > > > > > group, I know how hard it is to make this decision and go > > > through > > > > > > this as a parent. > > > > > > > > > > > > Hadley Quote Link to comment Share on other sites More sharing options...
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