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Joanna:

To view the assymetry hold him up in a mirror. You can

usually see it then. My son had 18 mm of assymetry and

was considered in the mod to severe category. I don't

remember the ranges. I could only really see it in

pictures or when I held him up in front of a mirror.

Jack - DOCBand (2) Grad

--- joag95 <joag95@...> wrote:

> I have a question. I see people talking about

> mild/moderate/severe

> plagio. How do you know what the level is? One of

> my problems is

> that I do see flatness in the back of my son's head,

> but I don't

> really see much assymetry. They said he was at 13

> mm, and that the

> normal level is only 2-3. Does that mean he is

> severe? Is there some

> kind of a scale published?

>

> Joanna

> Nate, 4 months - getting ready for DOC band

>

>

>

>

>

>

>

>

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We just got measurements for my son last week and he is at 15. The ortho told us he is still in the moderate range. Maybe that will give you an idea. As for a scale, there probably is one the orthos use, but I'm not sure what it is.

Amy (SC)

On 4/10/06, joag95 <joag95@...> wrote:

I have a question. I see people talking about mild/moderate/severe plagio. How do you know what the level is? One of my problems is that I do see flatness in the back of my son's head, but I don't really see much assymetry. They said he was at 13 mm, and that the normal level is only 2-3. Does that mean he is severe? Is there some kind of a scale published?JoannaNate, 4 months - getting ready for DOC band

For more plagio info

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This is what I have heard from the orthos:

Normal 0-3mm

very mild <6 mm

mild (but warrants banding) 6-10mm

moderate (definite banding) 10-15 mm

severe (even the clueless drs get it) 15+ mm

Molly

California

Nicolas, 6 months, tort & plagio, getting STARband in April (10mm)

, 3

, 6

severity

I have a question. I see people talking about mild/moderate/severe

plagio. How do you know what the level is? One of my problems is

that I do see flatness in the back of my son's head, but I don't

really see much assymetry. They said he was at 13 mm, and that the

normal level is only 2-3. Does that mean he is severe? Is there some

kind of a scale published?

Joanna

Nate, 4 months - getting ready for DOC band

For more plagio info

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Guest guest

> >

> > I have a question. I see people talking about

mild/moderate/severe

> > plagio. How do you know what the level is? One of my problems is

> > that I do see flatness in the back of my son's head, but I don't

> > really see much assymetry. They said he was at 13 mm, and that

the

> > normal level is only 2-3. Does that mean he is severe? Is there

some

> > kind of a scale published?

> >

> > Joanna

> > Nate, 4 months - getting ready for DOC band

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > For more plagio info

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  • 2 years later...

Chuck, are you aware of any credible research that indicates that long

term lack of treatment may cause the body to not respond in a typical

manner to hypothyroid treatment? Or is it considered to be more a

matter that the other damage that has occurred complicates treatment?

[i'm thinking maybe we discussed this somewhat?]

Thanks,

..

..

> OTOH, being hypoT for a long time can create damage to other systems. In

> that sense, high TSH is an indicator of severity, just severity of damage.

>

> Chuck

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My assumption is the longer one has been hypothyroid, the longer it

will take to recover, once adequately treated.

Any 'trial' under any 'conditions' relating to this situation would be

absurd and dishonest in the extreme and unlikely to be approved by any

credible ethics committee.

Bob

>

> Chuck, are you aware of any credible research that indicates that

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...contd]

for example, how would you write a research proposal?

show what you mean?

then consider if it's at all credible ?

Bob

> Chuck, are you aware of any credible research that indicates that

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wrote:

>

>

> Chuck, are you aware of any credible research that indicates that long

> term lack of treatment may cause the body to not respond in a typical

> manner to hypothyroid treatment? Or is it considered to be more a

> matter that the other damage that has occurred complicates treatment?

> [i'm thinking maybe we discussed this somewhat?]

Yes, lots. Just look under myxedema coma, which is the outcome of

chronic hypoT. Here's a gentle introduction with citations to the more

technical stuff:

http://www.aafp.org/afp/20001201/2485.html

Here's a list of the clinical findings that go with long term lack of

treatment, many of which can be fatal:

Anemia

Elevated CPK

Elevated creatinine

Elevated transaminases

Hypercapnia

Hyperlipidemia

Hypoglycemia

Hyponatremia

Hypoxia

Leukopenia

Respiratory acidosis

This describes how the system adapts in chronic hypoT, so the result is

that TSH looks normal, but they still have symptoms. Where have we heard

of that before?

Skinner GRB, Holmes D, Ahmad A, Davies J, Benitez J. Clinical response

to thyroxine sodium in clinically hypothyroid but biochemically

euthyroid patients. J Nutri. Environ Med 10:115-- 124, 2000.

This one says it is most severe in hypoT children, but the distortion

improves with time (under treatment):

The Journal of Clinical Endocrinology & Metabolism Vol. 85, No. 8

2722-2727, " The Hypothalamic-Pituitary-Thyroid Negative Feedback Control

Axis in Children with Treated Congenital Hypothyroidism, " D. A. Fisher,

E. J. Schoen, S. LA Franchi, S. H. Mandel, J. C. , E. I. Carlton

and J. H. Goshi.

Chuck

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You and your "credible research" !

I think Bob said it all. "Any 'trial' under any 'conditions' relating to this situation would be absurd and dishonest in the extreme and unlikely to be approved by any credible ethics committee.

Sheila

Chuck, are you aware of any credible research that indicates that long term lack of treatment may cause the body to not respond in a typical manner to hypothyroid treatment? Or is it considered to be more a matter that the other damage that has occurred complicates treatment? [i'm thinking maybe we discussed this somewhat?]Thanks,.

..

No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.14/1643 - Release Date: 30/08/2008 17:18

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Sheila,

You wrote:

>

>

> You and your " credible research " !

>

> I think Bob said it all. " Any 'trial' under any 'conditions' relating to

> this situation would be absurd and dishonest in the extreme and unlikely

> to be approved by any credible ethics committee.

Deliberately inflicting a potentially dangerous or damaging condition on

people to determine an outcome is indeed unethical, but it is quite

possible to extract credible demographic data from cases where

circumstances outside the experimenter's control caused the condition in

question. There have been many people found in a state of myxedema coma,

and the literature I posted showed that they do, indeed, have many

treatment complications, including resistance to the thyroid meds they

need. These results are both credible and ethical.

Chuck

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Hmmm; I hadn't thought of that. I guess the only possible ethical pool

would consist of those who had credoble evidence indicating they were

hypo some time in the past, but did not receive treatment... It

probably happens, but not frequently enough where there's documentation

to form the pool. I guess...

Thanks,

> My assumption is the longer one has been hypothyroid, the longer it

> will take to recover, once adequately treated.

>

> Any 'trial' under any 'conditions' relating to this situation would be

> absurd and dishonest in the extreme and unlikely to be approved by any

> credible ethics committee.

>

> Bob

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Bob, I know nothing of writing a research proposal. But if you have to

detail where you're going to get a pool of subjects I suspect that alone

would shoot down the whole project.

> for example, how would you write a research proposal?

> show what you mean?

> then consider if it's at all credible ?

>

> Bob

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  • 1 month later...

Hi everyone. I am having trouble with my insurer paying out on a

trauma claim that covers Rheumatoid. Some of their criteria is that

I MUST have joint deformity and it must be SEVERE RHEUM. After

reading their response, I have a couple of questions I am hoping

someone can answer for me:

My " dud " Rheumy (go to new one on Monday - hooray!) said in her

report " potential to be severe " . What does this mean? Does this

disease get worse over time or do you know how severe it is upon

diagnosis? Does RA Factor indicate severity?

With regard to joint deformity - aren't I taking all of these drugs

to prevent deformity? Can I still suffer deformity even with this

cocktail I take?

I would appreciate any information anyone has - not going to let the

insurer get away with this one.........

Cheryl

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