Re: A chicken and egg question. (m)

[Guest guest]

In a message dated 3/8/01 3:47:27 PM Pacific Standard Time, mom2genna2000@... writes:

I am wondering if Genna was born with a tight muscle that contributed to her preferring one side and hence the plagio developed,

My thoughts are your comment here! Couldn't agree more!

Tammy & 12/8/99

[Guest guest]

All our docs say that in our son's case it does. If we had only known how

serious this would be we would have worked MUCH harder. luke wears a DOC

band and is also on physical therapy for his tort.

Heidi & Luke

[Guest guest]

My ped suggested that was born with the tight muscle and that was the

major contributor to the plagio. Anyone else? I'll be curious to hear what

everyone says!

Marci (Mom to )

Oklahoma

[Guest guest]

We think that Hanna was born with her flat head, and because her head always turned one way, she had a tight muscle (not tort). A couple of little stretches for a week or so, and viola! No more tightness.

Kendra in CanadaFor more plagio info, visitwww.plagiocephaly.org/support...

----- Original Message -----

From: marcisch@...

Plagiocephaly

Sent: Friday, March 09, 2001 6:49 AM

Subject: Re: A "chicken and egg" question. (m)

My ped suggested that was born with the tight muscle and that was the major contributor to the plagio. Anyone else? I'll be curious to hear what everyone says!Marci (Mom to )Oklahoma

[Guest guest]

was definitely born with a tight muscle (from being stuck inutero)

and the plagio resulted.

On this issue...Just curious...for those families that are fighting

insurance companies and whose child was born with tort/plagio from inutero

complications (big baby, stuck in one position, head dropped early, etc) -

How can we get OBs to document the predisposition for problems so the

pediatrician is not alone in recommending a band/helmet? I found it

interesting how the OB is in total control of prenatal care and some post

(i.e., circumcision), but then the ped won't consider the prenatal factors

that can lead to plagio (because he/she wasn't fully aware of prenatal

conditions)

I know this is rambling, but I see two sets of conditions in this group -

some plagio caused by inutero issues that lead to tort, some unknown causes

of plagio. Are the insurance companies looking at this and approving based

on these issues? Any thoughts?

Sue Luck

mom to , DOC band graduate

----- Original Message -----

From: <marcisch@...>

<Plagiocephaly >

Sent: Friday, March 09, 2001 9:49 AM

Subject: Re: A " chicken and egg " question. (m)

> My ped suggested that was born with the tight muscle and that was

the

> major contributor to the plagio. Anyone else? I'll be curious to hear what

> everyone says!

>

> Marci (Mom to )

> Oklahoma

>

>

[Guest guest]

In a message dated 3/11/01 7:48:39 AM Pacific Standard Time, msluck@... writes:

On this issue...Just curious...for those families that are fighting

insurance companies and whose child was born with tort/plagio from inutero

complications (big baby, stuck in one position, head dropped early, etc)

Sue - When I spoke to my insurance company ('s medical records was pretty well documented, I think, the folded ear, facial asymmetry, trips to the ENT, oral surgeon, etc., etc., was inutero stuff) when it came down to insurance paying for his bands, we had no hassles at all. I had mentioned to the person on the phone how plagio was so much more common with the back to sleep program and so many babies were getting flat heads from sleeping on their backs. All she said is that my son was born with tort/plagio condition so no problems covering treatment. I often wondered if not, what coverage would have been. I did see my OBGY a few weeks ago and she did catch the article in our local paper in January and was really fun discussing all the issues! I've been blesses with really good doctors in my area (except my first ped, gurr).

Tammy & 12/8/99

[Guest guest]

Sue:

I never did discuss Hanna's head with my OB, only because I didn't have to fight insurance or anything. If I did have to fight, you can bet your bottom dollar that I would have been over there asking for support! Maybe it's speculation, but I think there were too many coincidences (dropped early, not being able to measure the head because it was too low at 32 weeks, head falling to one side from birth...), and if a doctor can document all of the coincidences, plus photos, etc., I don't see why something like this couldn't work. Don't insurance companies HAVE TO COVER if a child is BORN with his/her condition?

Kendra in CanadaFor more plagio info, visitwww.plagiocephaly.org/support...

----- Original Message -----

From: msluck

Plagiocephaly

Sent: Sunday, March 11, 2001 7:52 AM

Subject: Re: A "chicken and egg" question. (m)

was definitely born with a tight muscle (from being stuck inutero)and the plagio resulted.On this issue...Just curious...for those families that are fightinginsurance companies and whose child was born with tort/plagio from inuterocomplications (big baby, stuck in one position, head dropped early, etc) -How can we get OBs to document the predisposition for problems so thepediatrician is not alone in recommending a band/helmet? I found itinteresting how the OB is in total control of prenatal care and some post(i.e., circumcision), but then the ped won't consider the prenatal factorsthat can lead to plagio (because he/she wasn't fully aware of prenatalconditions)I know this is rambling, but I see two sets of conditions in this group -some plagio caused by inutero issues that lead to tort, some unknown causesof plagio. Are the insurance companies looking at this and approving basedon these issues? Any thoughts?Sue Luckmom to , DOC band graduate----- Original Message -----From: <marcisch@...><Plagiocephaly >Sent: Friday, March 09, 2001 9:49 AMSubject: Re: A "chicken and egg" question. (m)> My ped suggested that was born with the tight muscle and that wasthe> major contributor to the plagio. Anyone else? I'll be curious to hear what> everyone says!>> Marci (Mom to )> Oklahoma>>

[Guest guest]

I wouldn't say "HAVE" to cover, depends on the policy -- but congenital conditions usually covered much more often -- and I would definitely elect to get a doctor to help with documentation if at all possible for an appeals. While one factor might not make them consider it congenital -- a combination of factors can help build your case...

(aka Kali)

mom to Quinn

-----Original Message-----From: Kendra [mailto:p-nutsmum@...]Sent: Sunday, March 11, 2001 3:38 PMPlagiocephaly Subject: Re: A "chicken and egg" question. (m)

Sue:

I never did discuss Hanna's head with my OB, only because I didn't have to fight insurance or anything. If I did have to fight, you can bet your bottom dollar that I would have been over there asking for support! Maybe it's speculation, but I think there were too many coincidences (dropped early, not being able to measure the head because it was too low at 32 weeks, head falling to one side from birth...), and if a doctor can document all of the coincidences, plus photos, etc., I don't see why something like this couldn't work. Don't insurance companies HAVE TO COVER if a child is BORN with his/her condition?

Kendra in CanadaFor more plagio info, visitwww.plagiocephaly.org/support...

----- Original Message -----

From: msluck

Plagiocephaly

Sent: Sunday, March 11, 2001 7:52 AM

Subject: Re: A "chicken and egg" question. (m)

was definitely born with a tight muscle (from being stuck inutero)and the plagio resulted.On this issue...Just curious...for those families that are fightinginsurance companies and whose child was born with tort/plagio from inuterocomplications (big baby, stuck in one position, head dropped early, etc) -How can we get OBs to document the predisposition for problems so thepediatrician is not alone in recommending a band/helmet? I found itinteresting how the OB is in total control of prenatal care and some post(i.e., circumcision), but then the ped won't consider the prenatal factorsthat can lead to plagio (because he/she wasn't fully aware of prenatalconditions)I know this is rambling, but I see two sets of conditions in this group -some plagio caused by inutero issues that lead to tort, some unknown causesof plagio. Are the insurance companies looking at this and approving basedon these issues? Any thoughts?Sue Luckmom to , DOC band graduate----- Original Message -----From: <marcisch@...><Plagiocephaly >Sent: Friday, March 09, 2001 9:49 AMSubject: Re: A "chicken and egg" question. (m)> My ped suggested that was born with the tight muscle and that wasthe> major contributor to the plagio. Anyone else? I'll be curious to hear what> everyone says!>> Marci (Mom to )> Oklahoma>>