Cerebral Palsy by F Miller

By F Miller

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By age 6 years, the parents had gotten a recommendation to use a transcutaneous nerve stimulator on the upper right, very spastic extremity. A course of this stimulation was undertaken even though the child objected because of the discomfort, but the parents persisted for several months until it was clear that there was no benefit. At age 7 years she was able to stand but could not do independent transfers, although she was doing standing transfers with considerable scissoring. She was not able to walk independently without someone guarding her.

Many complications, especially in orthopaedics, do not present with the drama of a cardiac arrest. In orthopaedics, a more typical example is the presentation of a deep wound infection. Every wound with a little erythema and a mild superficial drainage is not a deep wound infection. However, when a deep wound infection is present, it should be acknowledged as such. 3). For this process to work, physicians first have to acknowledge the complication to themselves. We have seen many physicians who cannot bring themselves to acknowledge the magnitude of the complication.

She succeeded in school with assistance of special support for her hearing disability. At one point, she was sent to a boarding school specializing in teaching children with hearing disabilities. However, after 1 year, she missed interaction with her family and returned to the normal school setting. She had two additional medical treatments, one at age 10 years for additional muscle lengthening, and one at age 13, which consisted of a triple arthrodesis of her feet, hamstring lengthenings distally, and a rectus transfer at the knee.

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