Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 I am a pediatric physical therapist who treats at least one new torticollis or plagiocephaly a week. I also am involved in a preemie clinic and see a great deal of scaphocephaly. I am normally sending patients to CHOP neurosurg or craniofacial to eval for helmet, but out of all of my patients only one "qualified". I am wondering if CHOP is to conservative? If I send patients to CT must they have a scan first? Can they go to CT without referral and will CT then request referral if helmet needed? Closest CT is Paramus.......not doable for some of my Camden patients :-( Walsh, RPT Plan your next roadtrip with MapQuest.com: America's #1 Mapping Site. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 If you've referred and only one was qualified it doesn't seem right. I can't imagine you're referring babies with nice round heads. We saw a cranio facial plastic surgeon and our HMO (in CA) and from what I have read they tend to be more band friendly. I wonder are there any cranio facial plastic surgeons you can refer to, and do you know if they are " pro-banding " . As for CT, anyone can go for an eval, but you need an Rx to get a band.CT can give the patient the measurements to help convince the doctor to write the Rx. -christine sydney 2 yrs starband grad > > > > I am a pediatric physical therapist who treats at least one new torticollis or plagiocephaly a week. I also am involved in a preemie clinic and see a great deal of scaphocephaly. > I am normally sending patients to CHOP neurosurg or craniofacial to eval for helmet, but out of all of my patients only one " qualified " . > > I am wondering if CHOP is to conservative? > > If I send patients to CT must they have a scan first? > > Can they go to CT without referral and will CT then request referral if helmet needed? > > Closest CT is Paramus.......not doable for some of my Camden patients :-( > Walsh, RPT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 Welcome- I don't know anything about CHOP, but Cranial Tech does not require a scan or referral before treatment (not sure about certain insurance companies requiring them, but Cranial Tech themselves do not). They do free evals and then send the information back to the doctor who then has to write a script for the band. Jake-20m (tort resolved/rt plagio/DOCBand 12 weeks) Jordan-4 > > > > I am a pediatric physical therapist who treats at least one new torticollis or plagiocephaly a week. I also am involved in a preemie clinic and see a great deal of scaphocephaly. > I am normally sending patients to CHOP neurosurg or craniofacial to eval for helmet, but out of all of my patients only one " qualified " . > > I am wondering if CHOP is to conservative? > > If I send patients to CT must they have a scan first? > > Can they go to CT without referral and will CT then request referral if helmet needed? > > Closest CT is Paramus.......not doable for some of my Camden patients :-( > Walsh, RPT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2008 Report Share Posted May 8, 2008 When we had my daughter evaluated, we had to go through the neuro/pediatric plastci surgeon for a referral. The guy was a joke and told us was fine. This is the same guy my sister had to go to who told her her son's plagio (which was severe with facial deformities) " would make for a good bar story later in life " . Both of us really had to advocate for our children and tell him we weren't leaving without the referral/rx. That's the only way we were able to see the StarBand orthotist. We ended up going with CT, but the process was long and frustrating. Unfortunately, I don't think there are many ways around this and I think docs are generally too conservative. We didn't have to have a scan to go to CT, although we did have an x- ray to make sure the skull bones hadn't prematurely fused. I sent CT our referral (letter of medical necessity) and prescription but I don't know if they require this or not. The decision to go with CT was a hard one...the closest one is 4 1/2 hours away. But we decided to do it and couldn't be happier...the results are amazing. And the staff was so wonderful to work with. Lori Mom to , 16 months DOC Band grad, July " 07 > > > > I am a pediatric physical therapist who treats at least one new torticollis or plagiocephaly a week. I also am involved in a preemie clinic and see a great deal of scaphocephaly. > I am normally sending patients to CHOP neurosurg or craniofacial to eval for helmet, but out of all of my patients only one " qualified " . > > I am wondering if CHOP is to conservative? > > If I send patients to CT must they have a scan first? > > Can they go to CT without referral and will CT then request referral if helmet needed? > > Closest CT is Paramus.......not doable for some of my Camden patients :-( > Walsh, RPT > Quote Link to comment Share on other sites More sharing options...
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