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I recently went back to my pediatrician after my son got his helmet. (She

had initially said she didn't think it was severe enough however we have

been told it may border on moderate). One of the things she also said to me

at this time is that she didn't know if we would have as much success

because his plagio was prior to his birth. Have other people also heard

something like this? I am of course hoping for the best and hope it is not

true. I would love to hear from others whose plagio was in utero>

cheryl

Liam 7 months- custom helmet

Sick Kids- Toronto

>From: " outbackyak2 " <outbackyak2@...>

>Reply-Plagiocephaly

>Plagiocephaly

>Subject: Re: Initial visit to Hanger - 20mm CVA - similar

>experiences?

>Date: Thu, 14 Dec 2006 16:40:58 -0000

>

>Hi -

>

>I don't post here often, but your situation caught my attention. My

>daughter's CVA was 22mm, other measurements 13 & 15mm. She started

>her band at 6 months, and wore 2 DOC bands from CT for a total of 5

>months. She finished with measurements at 5mm, 3mm and 3mm. She

>grew like crazy, which helped a ton. Her plagio also developed in

>utero. With such a severe case, you probably want to make sure

>he'll be getting an active band. Then feed him well and hope he's a

>good grower! :)

>

>We used BCBS of Colorado to pay for her bands. Both were covered at

>100%. If you want them to cover, do not even have the casting done

>prior to receiving a written pre-authorization. Even with the pre-

>auth, they denied payment for both bands. It was an easy phone

>call, followed by 90 days to re-process, to get the payment. In

>most BCBS policies, if pre-auth is required, they will not pay for

>treatment that begins prior to receiving authorization.

>

>Good luck!

>

>

> >

> > Hi,

> >

> > I just had my 6 month-old son measured at Hanger and his CVA was

> > 20mm. My wife and I were shocked.

> >

> > We were told he probably would need 2 bands for 6-8 months total.

> > We were also told that because his asymetry was present at birth

>his

> > improvement would be slower and possibly less complete than if it

> > was caused solely by positioning.

> >

> > Has anyone had experience with a Hanger headband and this

> > severe a case? If so, how long was the treatment and what was the

> > outcome?

> >

> > Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

> > We would like to try to get approved, but we also would like to

>get

> > our band ASAP. If we get the band without waiting to hear back on

> > approval fist, will this jeopardize any chance of us getting

> > approval?

> >

> > Many Thanks,

> >

> > JB

> > New Jersey

> > Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

> >

>

>

_________________________________________________________________

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My daughter Jenna's plagio was present at birth. She was banded at 9 months

for high moderate to severe plagio/brachy. We were very pleased with her

results.

Angie and Jenna(STAr grad)

Re: Initial visit to Hanger - 20mm CVA - similar

>>experiences?

>>Date: Thu, 14 Dec 2006 16:40:58 -0000

>>

>>Hi -

>>

>>I don't post here often, but your situation caught my attention. My

>>daughter's CVA was 22mm, other measurements 13 & 15mm. She started

>>her band at 6 months, and wore 2 DOC bands from CT for a total of 5

>>months. She finished with measurements at 5mm, 3mm and 3mm. She

>>grew like crazy, which helped a ton. Her plagio also developed in

>>utero. With such a severe case, you probably want to make sure

>>he'll be getting an active band. Then feed him well and hope he's a

>>good grower! :)

>>

>>We used BCBS of Colorado to pay for her bands. Both were covered at

>>100%. If you want them to cover, do not even have the casting done

>>prior to receiving a written pre-authorization. Even with the pre-

>>auth, they denied payment for both bands. It was an easy phone

>>call, followed by 90 days to re-process, to get the payment. In

>>most BCBS policies, if pre-auth is required, they will not pay for

>>treatment that begins prior to receiving authorization.

>>

>>Good luck!

>>

>>

>> >

>> > Hi,

>> >

>> > I just had my 6 month-old son measured at Hanger and his CVA was

>> > 20mm. My wife and I were shocked.

>> >

>> > We were told he probably would need 2 bands for 6-8 months total.

>> > We were also told that because his asymetry was present at birth

>>his

>> > improvement would be slower and possibly less complete than if it

>> > was caused solely by positioning.

>> >

>> > Has anyone had experience with a Hanger headband and this

>> > severe a case? If so, how long was the treatment and what was the

>> > outcome?

>> >

>> > Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

>> > We would like to try to get approved, but we also would like to

>>get

>> > our band ASAP. If we get the band without waiting to hear back on

>> > approval fist, will this jeopardize any chance of us getting

>> > approval?

>> >

>> > Many Thanks,

>> >

>> > JB

>> > New Jersey

>> > Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

>> >

>>

>>

>

> _________________________________________________________________

> Not only does WindowsOff to school, going on a trip, or moving? Windows

> Live

> (MSN) Messenger lets you stay in touch with friends and family wherever

> you

> go. Click here to find out how to sign up! LiveT OneCareT provide

> all-in-one PC care to keep your computer protected and well-maintained,

> but

> it also makes creating backup files a breeze. Try it today!

> http://www.telusmobility.com/msnxbox/

>

>

>

> For more plagio info

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My son's plagio was at birth. He got his band at just under 6 months

and was out of it in 8 weeks (we hit a growth spurt when he was first

in his band). His head is still high (only growing will fix that),

but the back and his forehead look great. Our therapist was really

happy with the results as well.

> >> >

> >> > Hi,

> >> >

> >> > I just had my 6 month-old son measured at Hanger and his CVA was

> >> > 20mm. My wife and I were shocked.

> >> >

> >> > We were told he probably would need 2 bands for 6-8 months total.

> >> > We were also told that because his asymetry was present at birth

> >>his

> >> > improvement would be slower and possibly less complete than if it

> >> > was caused solely by positioning.

> >> >

> >> > Has anyone had experience with a Hanger headband and this

> >> > severe a case? If so, how long was the treatment and what was the

> >> > outcome?

> >> >

> >> > Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

> >> > We would like to try to get approved, but we also would like to

> >>get

> >> > our band ASAP. If we get the band without waiting to hear back on

> >> > approval fist, will this jeopardize any chance of us getting

> >> > approval?

> >> >

> >> > Many Thanks,

> >> >

> >> > JB

> >> > New Jersey

> >> > Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

> >> >

> >>

> >>

> >

> > _________________________________________________________________

> > Not only does WindowsOff to school, going on a trip, or moving?

Windows

> > Live

> > (MSN) Messenger lets you stay in touch with friends and family

wherever

> > you

> > go. Click here to find out how to sign up! LiveT OneCareT provide

> > all-in-one PC care to keep your computer protected and

well-maintained,

> > but

> > it also makes creating backup files a breeze. Try it today!

> > http://www.telusmobility.com/msnxbox/

> >

> >

> >

> > For more plagio info

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Hi Cheryl,

I have never heard this before and my son just received his helmet

yesterday. His brachy and plagio is 100% from birth and although the

doctor did say his head shape was one of the harder ones to correct

he said nothing about before or after birth being an issue. I also

hope it is not true, so lets both believe that and have confidence it

will get better!!

(Hugh 5.5 months)

On 15 Dec 2006, at 13:39, Cheryl Young wrote:

> I recently went back to my pediatrician after my son got his

> helmet. (She

> had initially said she didn't think it was severe enough however we

> have

> been told it may border on moderate). One of the things she also

> said to me

> at this time is that she didn't know if we would have as much success

> because his plagio was prior to his birth. Have other people also

> heard

> something like this? I am of course hoping for the best and hope

> it is not

> true. I would love to hear from others whose plagio was in utero>

>

> cheryl

> Liam 7 months- custom helmet

> Sick Kids- Toronto

>

>

>> From: " outbackyak2 " <outbackyak2@...>

>> Reply-Plagiocephaly

>> Plagiocephaly

>> Subject: Re: Initial visit to Hanger - 20mm CVA - similar

>> experiences?

>> Date: Thu, 14 Dec 2006 16:40:58 -0000

>>

>> Hi -

>>

>> I don't post here often, but your situation caught my attention. My

>> daughter's CVA was 22mm, other measurements 13 & 15mm. She started

>> her band at 6 months, and wore 2 DOC bands from CT for a total of 5

>> months. She finished with measurements at 5mm, 3mm and 3mm. She

>> grew like crazy, which helped a ton. Her plagio also developed in

>> utero. With such a severe case, you probably want to make sure

>> he'll be getting an active band. Then feed him well and hope he's a

>> good grower! :)

>>

>> We used BCBS of Colorado to pay for her bands. Both were covered at

>> 100%. If you want them to cover, do not even have the casting done

>> prior to receiving a written pre-authorization. Even with the pre-

>> auth, they denied payment for both bands. It was an easy phone

>> call, followed by 90 days to re-process, to get the payment. In

>> most BCBS policies, if pre-auth is required, they will not pay for

>> treatment that begins prior to receiving authorization.

>>

>> Good luck!

>>

>>

>>>

>>> Hi,

>>>

>>> I just had my 6 month-old son measured at Hanger and his CVA was

>>> 20mm. My wife and I were shocked.

>>>

>>> We were told he probably would need 2 bands for 6-8 months total.

>>> We were also told that because his asymetry was present at birth

>> his

>>> improvement would be slower and possibly less complete than if it

>>> was caused solely by positioning.

>>>

>>> Has anyone had experience with a Hanger headband and this

>>> severe a case? If so, how long was the treatment and what was the

>>> outcome?

>>>

>>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

>>> We would like to try to get approved, but we also would like to

>> get

>>> our band ASAP. If we get the band without waiting to hear back on

>>> approval fist, will this jeopardize any chance of us getting

>>> approval?

>>>

>>> Many Thanks,

>>>

>>> JB

>>> New Jersey

>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

>>>

>>

>>

>

> _________________________________________________________________

> Not only does WindowsOff to school, going on a trip, or moving?

> Windows Live

> (MSN) Messenger lets you stay in touch with friends and family

> wherever you

> go. Click here to find out how to sign up! Live™ OneCare™ provide

> all-in-one PC care to keep your computer protected and well-

> maintained, but

> it also makes creating backup files a breeze. Try it today!

> http://www.telusmobility.com/msnxbox/

>

>

>

> For more plagio info

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did he say it was one of the harder ones to correct then because of

severity?

>From: Tracey <sarahtracey@...>

>Reply-Plagiocephaly

>Plagiocephaly

>Subject: Re: asymetry present at birth

>Date: Fri, 15 Dec 2006 21:42:06 +0000

>

>Hi Cheryl,

>

>I have never heard this before and my son just received his helmet

>yesterday. His brachy and plagio is 100% from birth and although the

>doctor did say his head shape was one of the harder ones to correct

>he said nothing about before or after birth being an issue. I also

>hope it is not true, so lets both believe that and have confidence it

>will get better!!

>

> (Hugh 5.5 months)

>

>

>

>On 15 Dec 2006, at 13:39, Cheryl Young wrote:

>

> > I recently went back to my pediatrician after my son got his

> > helmet. (She

> > had initially said she didn't think it was severe enough however we

> > have

> > been told it may border on moderate). One of the things she also

> > said to me

> > at this time is that she didn't know if we would have as much success

> > because his plagio was prior to his birth. Have other people also

> > heard

> > something like this? I am of course hoping for the best and hope

> > it is not

> > true. I would love to hear from others whose plagio was in utero>

> >

> > cheryl

> > Liam 7 months- custom helmet

> > Sick Kids- Toronto

> >

> >

> >> From: " outbackyak2 " <outbackyak2@...>

> >> Reply-Plagiocephaly

> >> Plagiocephaly

> >> Subject: Re: Initial visit to Hanger - 20mm CVA - similar

> >> experiences?

> >> Date: Thu, 14 Dec 2006 16:40:58 -0000

> >>

> >> Hi -

> >>

> >> I don't post here often, but your situation caught my attention. My

> >> daughter's CVA was 22mm, other measurements 13 & 15mm. She started

> >> her band at 6 months, and wore 2 DOC bands from CT for a total of 5

> >> months. She finished with measurements at 5mm, 3mm and 3mm. She

> >> grew like crazy, which helped a ton. Her plagio also developed in

> >> utero. With such a severe case, you probably want to make sure

> >> he'll be getting an active band. Then feed him well and hope he's a

> >> good grower! :)

> >>

> >> We used BCBS of Colorado to pay for her bands. Both were covered at

> >> 100%. If you want them to cover, do not even have the casting done

> >> prior to receiving a written pre-authorization. Even with the pre-

> >> auth, they denied payment for both bands. It was an easy phone

> >> call, followed by 90 days to re-process, to get the payment. In

> >> most BCBS policies, if pre-auth is required, they will not pay for

> >> treatment that begins prior to receiving authorization.

> >>

> >> Good luck!

> >>

> >>

> >>>

> >>> Hi,

> >>>

> >>> I just had my 6 month-old son measured at Hanger and his CVA was

> >>> 20mm. My wife and I were shocked.

> >>>

> >>> We were told he probably would need 2 bands for 6-8 months total.

> >>> We were also told that because his asymetry was present at birth

> >> his

> >>> improvement would be slower and possibly less complete than if it

> >>> was caused solely by positioning.

> >>>

> >>> Has anyone had experience with a Hanger headband and this

> >>> severe a case? If so, how long was the treatment and what was the

> >>> outcome?

> >>>

> >>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

> >>> We would like to try to get approved, but we also would like to

> >> get

> >>> our band ASAP. If we get the band without waiting to hear back on

> >>> approval fist, will this jeopardize any chance of us getting

> >>> approval?

> >>>

> >>> Many Thanks,

> >>>

> >>> JB

> >>> New Jersey

> >>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

> >>>

> >>

> >>

> >

> > _________________________________________________________________

> > Not only does WindowsOff to school, going on a trip, or moving?

> > Windows Live

> > (MSN) Messenger lets you stay in touch with friends and family

> > wherever you

> > go. Click here to find out how to sign up! Live™ OneCare™ provide

> > all-in-one PC care to keep your computer protected and well-

> > maintained, but

> > it also makes creating backup files a breeze. Try it today!

> > http://www.telusmobility.com/msnxbox/

> >

> >

> >

> > For more plagio info

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I thought he said it was harder to correct simply because of the

shape and that there wasn't firm areas to grip the helmet, I believe

that brachy is harder to treat than plagio alone and our main concern

has been the brachy. Did you learn anything else?

On 18 Dec 2006, at 01:34, Cheryl Young wrote:

> did he say it was one of the harder ones to correct then because of

> severity?

>

>

>> From: Tracey <sarahtracey@...>

>> Reply-Plagiocephaly

>> Plagiocephaly

>> Subject: Re: asymetry present at birth

>> Date: Fri, 15 Dec 2006 21:42:06 +0000

>>

>> Hi Cheryl,

>>

>> I have never heard this before and my son just received his helmet

>> yesterday. His brachy and plagio is 100% from birth and although the

>> doctor did say his head shape was one of the harder ones to correct

>> he said nothing about before or after birth being an issue. I also

>> hope it is not true, so lets both believe that and have confidence it

>> will get better!!

>>

>> (Hugh 5.5 months)

>>

>>

>>

>> On 15 Dec 2006, at 13:39, Cheryl Young wrote:

>>

>>> I recently went back to my pediatrician after my son got his

>>> helmet. (She

>>> had initially said she didn't think it was severe enough however we

>>> have

>>> been told it may border on moderate). One of the things she also

>>> said to me

>>> at this time is that she didn't know if we would have as much

>>> success

>>> because his plagio was prior to his birth. Have other people also

>>> heard

>>> something like this? I am of course hoping for the best and hope

>>> it is not

>>> true. I would love to hear from others whose plagio was in utero>

>>>

>>> cheryl

>>> Liam 7 months- custom helmet

>>> Sick Kids- Toronto

>>>

>>>

>>>> From: " outbackyak2 " <outbackyak2@...>

>>>> Reply-Plagiocephaly

>>>> Plagiocephaly

>>>> Subject: Re: Initial visit to Hanger - 20mm CVA - similar

>>>> experiences?

>>>> Date: Thu, 14 Dec 2006 16:40:58 -0000

>>>>

>>>> Hi -

>>>>

>>>> I don't post here often, but your situation caught my

>>>> attention. My

>>>> daughter's CVA was 22mm, other measurements 13 & 15mm. She started

>>>> her band at 6 months, and wore 2 DOC bands from CT for a total of 5

>>>> months. She finished with measurements at 5mm, 3mm and 3mm. She

>>>> grew like crazy, which helped a ton. Her plagio also developed in

>>>> utero. With such a severe case, you probably want to make sure

>>>> he'll be getting an active band. Then feed him well and hope

>>>> he's a

>>>> good grower! :)

>>>>

>>>> We used BCBS of Colorado to pay for her bands. Both were

>>>> covered at

>>>> 100%. If you want them to cover, do not even have the casting done

>>>> prior to receiving a written pre-authorization. Even with the pre-

>>>> auth, they denied payment for both bands. It was an easy phone

>>>> call, followed by 90 days to re-process, to get the payment. In

>>>> most BCBS policies, if pre-auth is required, they will not pay for

>>>> treatment that begins prior to receiving authorization.

>>>>

>>>> Good luck!

>>>>

>>>>

>>>>>

>>>>> Hi,

>>>>>

>>>>> I just had my 6 month-old son measured at Hanger and his CVA was

>>>>> 20mm. My wife and I were shocked.

>>>>>

>>>>> We were told he probably would need 2 bands for 6-8 months total.

>>>>> We were also told that because his asymetry was present at birth

>>>> his

>>>>> improvement would be slower and possibly less complete than if it

>>>>> was caused solely by positioning.

>>>>>

>>>>> Has anyone had experience with a Hanger headband and this

>>>>> severe a case? If so, how long was the treatment and what was the

>>>>> outcome?

>>>>>

>>>>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

>>>>> We would like to try to get approved, but we also would like to

>>>> get

>>>>> our band ASAP. If we get the band without waiting to hear back on

>>>>> approval fist, will this jeopardize any chance of us getting

>>>>> approval?

>>>>>

>>>>> Many Thanks,

>>>>>

>>>>> JB

>>>>> New Jersey

>>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

>>>>>

>>>>

>>>>

>>>

>>> _________________________________________________________________

>>> Not only does WindowsOff to school, going on a trip, or moving?

>>> Windows Live

>>> (MSN) Messenger lets you stay in touch with friends and family

>>> wherever you

>>> go. Click here to find out how to sign up! Live™ OneCare™ provide

>>> all-in-one PC care to keep your computer protected and well-

>>> maintained, but

>>> it also makes creating backup files a breeze. Try it today!

>>> http://www.telusmobility.com/msnxbox/

>>>

>>>

>>>

>>> For more plagio info

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Hi, sometimes they say brachy is harder to correct because it is sort

of like plagio on two sides - meaning both sides of the head are flat

and need to fill in which requires more growth. however, most babies

with only brachy don't have facial or ear assymetry, so in my mind

that made it easier (at least mentally). correcting brachy requires

only banding, but often plagio comes with tort so PT/stretches are

needed to restore full range of motion. moms of tort babies have to do

stretches at home and usually PT appointmets too.

In either case the results often are best if you start early and your

baby cooperates by growing quickly :-)

-christine

mom to sydney/ 11.5 mo /starband grad 10-06

> >>>>>

> >>>>> Hi,

> >>>>>

> >>>>> I just had my 6 month-old son measured at Hanger and his CVA was

> >>>>> 20mm. My wife and I were shocked.

> >>>>>

> >>>>> We were told he probably would need 2 bands for 6-8 months total.

> >>>>> We were also told that because his asymetry was present at birth

> >>>> his

> >>>>> improvement would be slower and possibly less complete than if it

> >>>>> was caused solely by positioning.

> >>>>>

> >>>>> Has anyone had experience with a Hanger headband and this

> >>>>> severe a case? If so, how long was the treatment and what was the

> >>>>> outcome?

> >>>>>

> >>>>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.

> >>>>> We would like to try to get approved, but we also would like to

> >>>> get

> >>>>> our band ASAP. If we get the band without waiting to hear back on

> >>>>> approval fist, will this jeopardize any chance of us getting

> >>>>> approval?

> >>>>>

> >>>>> Many Thanks,

> >>>>>

> >>>>> JB

> >>>>> New Jersey

> >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ

> >>>>>

> >>>>

> >>>>

> >>>

> >>> _________________________________________________________________

> >>> Not only does WindowsOff to school, going on a trip, or moving?

> >>> Windows Live

> >>> (MSN) Messenger lets you stay in touch with friends and family

> >>> wherever you

> >>> go. Click here to find out how to sign up! Live™ OneCare™ provide

> >>> all-in-one PC care to keep your computer protected and well-

> >>> maintained, but

> >>> it also makes creating backup files a breeze. Try it today!

> >>> http://www.telusmobility.com/msnxbox/

> >>>

> >>>

> >>>

> >>> For more plagio info

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lets hope the kids  heads co-operate!!  I'm not sure what you mean by flat on two sides?  My son's head is pointed and flat in the back but he does have good facial symmetry so that's positive  :)  On 18 Dec 2006, at 20:34, christineashok wrote:Hi, sometimes they say brachy is harder to correct because it is sortof like plagio on two sides - meaning both sides of the head are flatand need to fill in which requires more growth. however, most babieswith only brachy don't have facial or ear assymetry, so in my mindthat made it easier (at least mentally). correcting brachy requiresonly banding, but often plagio comes with tort so PT/stretches areneeded to restore full range of motion. moms of tort babies have to dostretches at home and usually PT appointmets too. In either case the results often are best if you start early and yourbaby cooperates by growing quickly :-) -christinemom to sydney/ 11.5 mo /starband grad 10-06> >>>>>> >>>>> Hi,> >>>>>> >>>>> I just had my 6 month-old son measured at Hanger and his CVA was> >>>>> 20mm. My wife and I were shocked.> >>>>>> >>>>> We were told he probably would need 2 bands for 6-8 months total.> >>>>> We were also told that because his asymetry was present at birth> >>>> his> >>>>> improvement would be slower and possibly less complete than if it> >>>>> was caused solely by positioning.> >>>>>> >>>>> Has anyone had experience with a Hanger headband and this> >>>>> severe a case? If so, how long was the treatment and what was the> >>>>> outcome?> >>>>>> >>>>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.> >>>>> We would like to try to get approved, but we also would like to> >>>> get> >>>>> our band ASAP. If we get the band without waiting to hear back on> >>>>> approval fist, will this jeopardize any chance of us getting> >>>>> approval?> >>>>>> >>>>> Many Thanks,> >>>>>> >>>>> JB> >>>>> New Jersey> >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ> >>>>>> >>>>> >>>>> >>>> >>> __________________________________________________________> >>> Not only does WindowsOff to school, going on a trip, or moving?> >>> Windows Live> >>> (MSN) Messenger lets you stay in touch with friends and family> >>> wherever you> >>> go. Click here to find out how to sign up! Live™ OneCare™ provide> >>> all-in-one PC care to keep your computer protected and well-> >>> maintained, but> >>> it also makes creating backup files a breeze. Try it today!> >>> http://www.telusmobility.com/msnxbox/> >>>> >>>> >>>> >>> For more plagio info

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I've heard the brachy/plagio combo is the hardest to treat/fit. I

think our STARband never fit well because there was too much room to

grow in the back to address the brachy which meant it didn't have

enough holding points to keep it from rotating. I saw a post a

while ago where a mom said her DOCband ortho told her that they

address the plagio first and the brachy second and that seems to be

true for my son's DOCband too. I've never directly asked my ortho

about the design, but his DOCband is definitely much flatter in the

back than his STARband. It has done a great job of helping the

asymmetry, so I'm hoping his second DOCband (due 12/28) will help

with the brachy. I've heard the rumor of in-utero plagio/brachy

being harder to correct (and maybe that's why my son is taking so

long rather than a bad fitting first band??) but it doesn't make

sense to me since it's the growth that matters in the correction.

Maybe it's just harder since those babies tend to be more severe

since they start off 'flat' and tend to just get 'flatter'??

Sheila, mom to , 15 months, STARband 3/6-8/6, DOCband 9/6-?

> > >>>>>

> > >>>>> Hi,

> > >>>>>

> > >>>>> I just had my 6 month-old son measured at Hanger and his

CVA was

> > >>>>> 20mm. My wife and I were shocked.

> > >>>>>

> > >>>>> We were told he probably would need 2 bands for 6-8 months

total.

> > >>>>> We were also told that because his asymetry was present at

birth

> > >>>> his

> > >>>>> improvement would be slower and possibly less complete

than if it

> > >>>>> was caused solely by positioning.

> > >>>>>

> > >>>>> Has anyone had experience with a Hanger headband and this

> > >>>>> severe a case? If so, how long was the treatment and what

was the

> > >>>>> outcome?

> > >>>>>

> > >>>>> Regarding insurance: We have Horizon Blue Cross Blue

Shield of NJ.

> > >>>>> We would like to try to get approved, but we also would

like to

> > >>>> get

> > >>>>> our band ASAP. If we get the band without waiting to hear

back on

> > >>>>> approval fist, will this jeopardize any chance of us

getting

> > >>>>> approval?

> > >>>>>

> > >>>>> Many Thanks,

> > >>>>>

> > >>>>> JB

> > >>>>> New Jersey

> > >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon

BCBSNJ

> > >>>>>

> > >>>>

> > >>>>

> > >>>

> > >>>

_________________________________________________________________

> > >>> Not only does WindowsOff to school, going on a trip, or

moving?

> > >>> Windows Live

> > >>> (MSN) Messenger lets you stay in touch with friends and

family

> > >>> wherever you

> > >>> go. Click here to find out how to sign up! Live™ OneCare™

provide

> > >>> all-in-one PC care to keep your computer protected and well-

> > >>> maintained, but

> > >>> it also makes creating backup files a breeze. Try it today!

> > >>> http://www.telusmobility.com/msnxbox/

> > >>>

> > >>>

> > >>>

> > >>> For more plagio info

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I'm curious, how can you address the brachy after the plagio?  i thought that you couldn't ever change the height of the head but could only round out the back in hopes that it looks less prominent?  I think the band we have also has a lot of room in the back?  what does that mean? :)  On 18 Dec 2006, at 23:03, Sheila wrote:I've heard the brachy/plagio combo is the hardest to treat/fit. I think our STARband never fit well because there was too much room to grow in the back to address the brachy which meant it didn't have enough holding points to keep it from rotating. I saw a post a while ago where a mom said her DOCband ortho told her that they address the plagio first and the brachy second and that seems to be true for my son's DOCband too. I've never directly asked my ortho about the design, but his DOCband is definitely much flatter in the back than his STARband. It has done a great job of helping the asymmetry, so I'm hoping his second DOCband (due 12/28) will help with the brachy. I've heard the rumor of in-utero plagio/brachy being harder to correct (and maybe that's why my son is taking so long rather than a bad fitting first band??) but it doesn't make sense to me since it's the growth that matters in the correction. Maybe it's just harder since those babies tend to be more severe since they start off 'flat' and tend to just get 'flatter'?? Sheila, mom to , 15 months, STARband 3/6-8/6, DOCband 9/6-? > > >>>>>> > >>>>> Hi,> > >>>>>> > >>>>> I just had my 6 month-old son measured at Hanger and his CVA was> > >>>>> 20mm. My wife and I were shocked.> > >>>>>> > >>>>> We were told he probably would need 2 bands for 6-8 months total.> > >>>>> We were also told that because his asymetry was present at birth> > >>>> his> > >>>>> improvement would be slower and possibly less complete than if it> > >>>>> was caused solely by positioning.> > >>>>>> > >>>>> Has anyone had experience with a Hanger headband and this> > >>>>> severe a case? If so, how long was the treatment and what was the> > >>>>> outcome?> > >>>>>> > >>>>> Regarding insurance: We have Horizon Blue Cross Blue Shield of NJ.> > >>>>> We would like to try to get approved, but we also would like to> > >>>> get> > >>>>> our band ASAP. If we get the band without waiting to hear back on> > >>>>> approval fist, will this jeopardize any chance of us getting> > >>>>> approval?> > >>>>>> > >>>>> Many Thanks,> > >>>>>> > >>>>> JB> > >>>>> New Jersey> > >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon BCBSNJ> > >>>>>> > >>>>> > >>>>> > >>>> > >>> __________________________________________________________> > >>> Not only does WindowsOff to school, going on a trip, or moving?> > >>> Windows Live> > >>> (MSN) Messenger lets you stay in touch with friends and family> > >>> wherever you> > >>> go. Click here to find out how to sign up! Live™ OneCare™ provide> > >>> all-in-one PC care to keep your computer protected and well-> > >>> maintained, but> > >>> it also makes creating backup files a breeze. Try it today!> > >>> http://www.telusmobility.com/msnxbox/> > >>>> > >>>> > >>>> > >>> For more plagio info

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I heard this as well - Sheila did you hear that from Trish at all at

CIRS? Our ortho told us plagio was the hardest to fit because the

band had the most tendency to spin around and rub onto their face,

etc....I think the brachy shape has more filling out to do - 1/2

instead of 1/4, but the band can essentially hold on both sides of

the head, if that makes sense, so it stays in place better. I

imagine a combo case is the hardest of all.

> > > >>>>>

> > > >>>>> Hi,

> > > >>>>>

> > > >>>>> I just had my 6 month-old son measured at Hanger and his

> CVA was

> > > >>>>> 20mm. My wife and I were shocked.

> > > >>>>>

> > > >>>>> We were told he probably would need 2 bands for 6-8

months

> total.

> > > >>>>> We were also told that because his asymetry was present

at

> birth

> > > >>>> his

> > > >>>>> improvement would be slower and possibly less complete

> than if it

> > > >>>>> was caused solely by positioning.

> > > >>>>>

> > > >>>>> Has anyone had experience with a Hanger headband and this

> > > >>>>> severe a case? If so, how long was the treatment and

what

> was the

> > > >>>>> outcome?

> > > >>>>>

> > > >>>>> Regarding insurance: We have Horizon Blue Cross Blue

> Shield of NJ.

> > > >>>>> We would like to try to get approved, but we also would

> like to

> > > >>>> get

> > > >>>>> our band ASAP. If we get the band without waiting to

hear

> back on

> > > >>>>> approval fist, will this jeopardize any chance of us

> getting

> > > >>>>> approval?

> > > >>>>>

> > > >>>>> Many Thanks,

> > > >>>>>

> > > >>>>> JB

> > > >>>>> New Jersey

> > > >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon

> BCBSNJ

> > > >>>>>

> > > >>>>

> > > >>>>

> > > >>>

> > > >>>

> _________________________________________________________________

> > > >>> Not only does WindowsOff to school, going on a trip, or

> moving?

> > > >>> Windows Live

> > > >>> (MSN) Messenger lets you stay in touch with friends and

> family

> > > >>> wherever you

> > > >>> go. Click here to find out how to sign up! Live™ OneCare™

> provide

> > > >>> all-in-one PC care to keep your computer protected and

well-

> > > >>> maintained, but

> > > >>> it also makes creating backup files a breeze. Try it today!

> > > >>> http://www.telusmobility.com/msnxbox/

> > > >>>

> > > >>>

> > > >>>

> > > >>> For more plagio info

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I can't remember exactly where I first heard that brachy/plagio is

the hardest to correct, but I've seen a few posts over the months

that mention the same thing. Our DOCband is nearly flat across the

back which I think is designed to direct growth out the right side

(the flat side). I think it also helps hold the helmet in place and

keep it from rotating. He was 90.5% at the start of the DOCband

with 8mm asymmetry, so it's really the asymmetry that was the main

issue, not the brachy. Since the right side has recently 'popped

out' at the base and looks almost the same as the left side I'm

hoping the new band will have a little more room in the back to

address the brachy. Even with a flat looking band he has gone from

90.5 to 87.5% in the last 4 months. He looks pretty good and if he

only goes down 3% more in the next 4 months I'll still be thrilled.

I read a study a while back which had a pretty small sample size,

but in the study the average of the back sleeping countries was 84%,

so in my mind, that will be 'normal'. :)

Sheila, mom to , STARband 3/6-8/6, DOCband 9/6-?

> > > > >>>>>

> > > > >>>>> Hi,

> > > > >>>>>

> > > > >>>>> I just had my 6 month-old son measured at Hanger and

his

> > CVA was

> > > > >>>>> 20mm. My wife and I were shocked.

> > > > >>>>>

> > > > >>>>> We were told he probably would need 2 bands for 6-8

> months

> > total.

> > > > >>>>> We were also told that because his asymetry was

present

> at

> > birth

> > > > >>>> his

> > > > >>>>> improvement would be slower and possibly less complete

> > than if it

> > > > >>>>> was caused solely by positioning.

> > > > >>>>>

> > > > >>>>> Has anyone had experience with a Hanger headband and

this

> > > > >>>>> severe a case? If so, how long was the treatment and

> what

> > was the

> > > > >>>>> outcome?

> > > > >>>>>

> > > > >>>>> Regarding insurance: We have Horizon Blue Cross Blue

> > Shield of NJ.

> > > > >>>>> We would like to try to get approved, but we also

would

> > like to

> > > > >>>> get

> > > > >>>>> our band ASAP. If we get the band without waiting to

> hear

> > back on

> > > > >>>>> approval fist, will this jeopardize any chance of us

> > getting

> > > > >>>>> approval?

> > > > >>>>>

> > > > >>>>> Many Thanks,

> > > > >>>>>

> > > > >>>>> JB

> > > > >>>>> New Jersey

> > > > >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon

> > BCBSNJ

> > > > >>>>>

> > > > >>>>

> > > > >>>>

> > > > >>>

> > > > >>>

> > _________________________________________________________________

> > > > >>> Not only does WindowsOff to school, going on a trip, or

> > moving?

> > > > >>> Windows Live

> > > > >>> (MSN) Messenger lets you stay in touch with friends and

> > family

> > > > >>> wherever you

> > > > >>> go. Click here to find out how to sign up! Live™

OneCare™

> > provide

> > > > >>> all-in-one PC care to keep your computer protected and

> well-

> > > > >>> maintained, but

> > > > >>> it also makes creating backup files a breeze. Try it

today!

> > > > >>> http://www.telusmobility.com/msnxbox/

> > > > >>>

> > > > >>>

> > > > >>>

> > > > >>> For more plagio info

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My only guess about addressing the brachy after the plagio is that

they meant they would get both sides evened up before shaving away

foam directly in the back. In my son's case the DOCband looks

almost flat across the back and hugs his head all the way around to

the middle of the back of his head with room to grow mainly on the

right side. I has suspected/hoped they'd shave away foam in the

middle of the back to help the brachy, but his head growth has been

pretty slow, so I think he reached the 'expiration' point (4 months)

before they got to that point. The old STARband only touched his

head over on the left side with a lot of room directly in the back

which I think made it harder to keep it from rotating.

Sheila, mom to , 15 months, STARband 3/6-8/6, DOCband 9/6-?

> > > > >>>>>

> > > > >>>>> Hi,

> > > > >>>>>

> > > > >>>>> I just had my 6 month-old son measured at Hanger and

his

> > CVA was

> > > > >>>>> 20mm. My wife and I were shocked.

> > > > >>>>>

> > > > >>>>> We were told he probably would need 2 bands for 6-8

months

> > total.

> > > > >>>>> We were also told that because his asymetry was

present at

> > birth

> > > > >>>> his

> > > > >>>>> improvement would be slower and possibly less complete

> > than if it

> > > > >>>>> was caused solely by positioning.

> > > > >>>>>

> > > > >>>>> Has anyone had experience with a Hanger headband and

this

> > > > >>>>> severe a case? If so, how long was the treatment and

what

> > was the

> > > > >>>>> outcome?

> > > > >>>>>

> > > > >>>>> Regarding insurance: We have Horizon Blue Cross Blue

> > Shield of NJ.

> > > > >>>>> We would like to try to get approved, but we also would

> > like to

> > > > >>>> get

> > > > >>>>> our band ASAP. If we get the band without waiting to

hear

> > back on

> > > > >>>>> approval fist, will this jeopardize any chance of us

> > getting

> > > > >>>>> approval?

> > > > >>>>>

> > > > >>>>> Many Thanks,

> > > > >>>>>

> > > > >>>>> JB

> > > > >>>>> New Jersey

> > > > >>>>> Son / 6 mos / 20mm CVA / Hanger band pending / Horizon

> > BCBSNJ

> > > > >>>>>

> > > > >>>>

> > > > >>>>

> > > > >>>

> > > > >>>

> > __________________________________________________________

> > > > >>> Not only does WindowsOff to school, going on a trip, or

> > moving?

> > > > >>> Windows Live

> > > > >>> (MSN) Messenger lets you stay in touch with friends and

> > family

> > > > >>> wherever you

> > > > >>> go. Click here to find out how to sign up! Live™ OneCare™

> > provide

> > > > >>> all-in-one PC care to keep your computer protected and

well-

> > > > >>> maintained, but

> > > > >>> it also makes creating backup files a breeze. Try it

today!

> > > > >>> http://www.telusmobility.com/msnxbox/

> > > > >>>

> > > > >>>

> > > > >>>

> > > > >>> For more plagio info

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