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*Update* Which Doctor to Believe? (Long, Pic)

Anonymous
Posted by Anonymous
  • 25 Replies

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So my 4 yo DD broke her arm on the 10th in a car accident. At the time, the doctor said surgery was a possibility. She tried whats called a hanging cast, hoping that it would put weight on the fracture, helping straighten it out. They said it was imperative to get an X-ray within 10 days after the accident, that they would call us. They never called, so we took her to one recommended by her pediatrician on the 18th. My parents took her, as the office is literally around the corner from their house, and during the visit the doctor called me personally and told me I NEEDED to take her back to the attending physician in the ER, and DEMAND a surgery. He said he would schedule her right then and there if he performed surgery on patients that young. So I did took her back to the first doctor at the pediatric hospital that following Monday. We were scheduled with the first doctor's partner, who examined her, said she was healing just fine, even showed us X-rays of another patient (anonymously) and how the hanging cast method works, that she could get her cast off in 10 days (today). I was apprehensive until he showed me the other girl's fracture. Went back in today, they took the cast off and then did the X-ray. Not good. The bone has shifted, and there are little signs of regrowth, opposite of last week's appointment. This time the original ER Orthopedist saw her. She tells me she's not happy with the results, how much it shifted out of place, and she wants to do the surgery. She would have to put a rod in her arm, and then have another surgery to remove the rod. We'd be back at square one. She ALSO told me that there's still a chance it will straighten out more, and the new growth will encompass the raw edge of the bone. She said some orthopedists would highly recommend leaving it be, especially because she's so young, and has so much growing to do. I just don't know what to do at this point. I'm going to schedule her an appointment with a third office, fourth doctor, to get another opinion. I don't want to subject my daughter to any more pain, and I especially don't want to have to put her under either. At the same time, I don't want her to have any unforeseen negative repercussions years down the road. It's weighing heavily on my mind. I guess the only thing I can do tonight is wait it out until we see another doctor. Ugh I'm just so confused!

The picture is from today's visit. She broke her upper humerus.

**Update** Kiddo's got another appointment with a pediatric orthopedist in a whole new clinic today at 3:30. Now that I'm not in shock over the latest diagnosis and not 'on the spot', and have formulated my questions and concerns, we will have a little more insight on the best route to go.

In the meantime, does anyone know how I can get TRUTHFUL reviews on surgeons in our area? All the websites do is tout their awesome abilities, but I want to know the complaints, you know? How do I find the good AND the bad?


***2nd Update***
We saw a doctor today that really really made us feel comfortable with how it's being fixed. The X-rays he showed us showed significant regrowth, something we had no seen yesterday. He addressed all our concerns without us even having to bring them up, and even fitted her for a splint to protect her on the playground. I immediately felt a sense of comfort with him, whereas the other doctor made me feel uneasy from day 1. I'm VERY happy with this new clinic!***
Posted by Anonymous on Jul. 31, 2013 at 7:46 PM
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Replies (1-10):
Anonymous
by Anonymous 1 - Original Poster on Jul. 31, 2013 at 7:50 PM
The marking on the far left is the edge of her skin. The edge of the fracture is very close to the epidermis.
MissTacoBell
by Taco Bell Princess on Jul. 31, 2013 at 7:55 PM
Get surgery. It's a clean break of the humorous and it needs to be set. Yes, her bones still have to grow but that's not the solution to everything. ER docs suck.
Shari55
by on Jul. 31, 2013 at 7:57 PM

I am no doctor, however I would have the other doctor do the surgery, he/she seems to care. I have never heard of a hanging cast, and as I was reading this I was thinking it doesn't keep the arm from moving at all.

My Second career, Babysitter/Nanny/Teacher..self employed at last

Shari

rebeccasmly
by Silver Member on Jul. 31, 2013 at 7:59 PM

I'm not 100% sure what a hanging cast is. I only knew of the regualr type of casting. Can you explain what it is please? We've had 2 broken bones in our house but not the type apparently to talk about a hanging cast, lol. Thanks!

jjchick75
by Member on Jul. 31, 2013 at 8:01 PM
2 moms liked this

I would schedule the surgery. That's a bad break that hasn't really healed at all. It's going to be a much bigger deal if you wait. I know it's scary but I think that would be best. The sooner that gets lined up correctly the sooner it will heal and the sooner this will all be over. 

jjchick75
by Member on Jul. 31, 2013 at 8:21 PM


A hanging cast goes above the elbow(of course the elbow is bent) there is a little thing that a strap or string of some sort is put through on the forearm of the cast and then it is wraped around their neck. This causes a downward pull and is supposed to put the bone back in line and hold them there. That is basically what they told us(best I remember anyway, someone can correct me if I told any part wrong lol) and did when my neice broke her arm. The hanging cast didn't work for her either and she ended up needing surgery. But it does work for alot of people. 

Quoting rebeccasmly:

I'm not 100% sure what a hanging cast is. I only knew of the regualr type of casting. Can you explain what it is please? We've had 2 broken bones in our house but not the type apparently to talk about a hanging cast, lol. Thanks!



Anonymous
by Anonymous 1 - Original Poster on Jul. 31, 2013 at 8:35 PM
I agree! The ER doc is the one that wants to do the surgery though, so here I am thinking, "if you didn't fix her the right way to begin with, how can I trust you opinion now?" She wasn't an actual ER physician, she was a pediatric orthopedist specialist brought over to the ER to set her arm. Because kiddo had just eaten breakfast before the wreck, they had to wait until noon to give her anesthetic, so they had time to call her over.


Quoting MissTacoBell:

Get surgery. It's a clean break of the humorous and it needs to be set. Yes, her bones still have to grow but that's not the solution to everything. ER docs suck.

Anonymous
by Anonymous 1 - Original Poster on Jul. 31, 2013 at 8:38 PM
That's exactly what it is. What had me apprehensive is the fact that her break is so high up, it was outside of the cast the whole time, hardly stabilized. I'll post the picture from last weeks visit so you can see how much movement it's had.


Quoting jjchick75:


A hanging cast goes above the elbow(of course the elbow is bent) there is a little thing that a strap or string of some sort is put through on the forearm of the cast and then it is wraped around their neck. This causes a downward pull and is supposed to put the bone back in line and hold them there. That is basically what they told us(best I remember anyway, someone can correct me if I told any part wrong lol) and did when my neice broke her arm. The hanging cast didn't work for her either and she ended up needing surgery. But it does work for alot of people. 


Quoting rebeccasmly:

I'm not 100% sure what a hanging cast is. I only knew of the regualr type of casting. Can you explain what it is please? We've had 2 broken bones in our house but not the type apparently to talk about a hanging cast, lol. Thanks!





Anonymous
by Anonymous 1 - Original Poster on Jul. 31, 2013 at 8:39 PM

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From the 22nd
rebeccasmly
by Silver Member on Jul. 31, 2013 at 8:41 PM
Oh ok. Definitely different. I think I would go back to the doctor who wanted to do surgery. That is a bad break and after all this time, still no progress. I believe surgery is probably needed.
Quoting jjchick75:


A hanging cast goes above the elbow(of course the elbow is bent) there is a little thing that a strap or string of some sort is put through on the forearm of the cast and then it is wraped around their neck. This causes a downward pull and is supposed to put the bone back in line and hold them there. That is basically what they told us(best I remember anyway, someone can correct me if I told any part wrong lol) and did when my neice broke her arm. The hanging cast didn't work for her either and she ended up needing surgery. But it does work for alot of people. 

Quoting rebeccasmly:

I'm not 100% sure what a hanging cast is. I only knew of the regualr type of casting. Can you explain what it is please? We've had 2 broken bones in our house but not the type apparently to talk about a hanging cast, lol. Thanks!



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