Thursday, June 15, 2023

June 13 and 15, 2023 "Orthopaedic and ENT Surgical consults"

 June 13-Dr. Anna Vergun, Pediatric Orthopaedic Surgeon
Right Leg- Rayden has external tibial torsion in his right leg. He also has some forwarding residual club foot countering the external twist, causing the fibula bone to stick out of the back. The bone is very prominent making a curved look in the back of his ankle. At this time, we are not doing anything to correct this. 
Left Leg- His left leg has NO external rotation so it's hard to make the joint move and stay forward. This is why his left leg rotates inward when he walks. We are currently treating this with a twister cable attached from his left AFO to a hip belt. 
-The surgeon recommended working on flexibility and stretching external rotation of his hips on the left side. She recommended corrective surgery when he is almost finished growing to prevent stunting the growth plates, around 13 years old. 


June 15- Dr. Austin S. Rose, Pediatric ENT
Rayden was diagnosed with strep throat 4 times in the past 4 months so Dr. Mary Ann Chiodo, Pediatrician, referred him to the ENT for possible tonsil removal. Taking into consideration that there has been an unusually high volume of strep this season, as well as Rayden's significant surgical history and recent seizure episodes, the surgeon recommended watchful waiting for additional strep over the next 1-2 months. Should episodes persist, he recommended performing a tonsillectomy and adenoidectomy in the near future. We found it admirable that he didn't want to put Rayden through another surgery when he had every excuse to do so. 

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