Jessie sends us her wedding photos to show her nice posture and incision.

I just got out of 6.5 complex spinal deformity scoliosis reconstruction surgery, and wandered back to the clinic for a diet Pepsi, see a couple clinic guests, and catch my breath.

When I popped open Jessie’s beautiful wedding photos on my email just now, my energy level definitely came back, and it brought a definite smile. I straightened up Jessie’s adolescent idiopathic scoliosis back in December 2005 (approximately 6 years ago)when she was 22 years old. She’s from the Washington, DC area. Wonderful family.

What a joy it is when our guests take the time to send an encouraging word, and a photo of them back to playing sports, jumping on a trampoline, getting married, or going to the prom, etc.

Thanks Jessie for sharing this with all of us!
You look beautiful!
Congratulations on your big move to San Francisco, CA!

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

--------------------------
From: Jessie
Date: Sun, 30 Oct 2011 18:22:14 -0700
To: Lloyd Hey
Subject:


Absolutely! I actually asked my photographer to take a picture of my back to show the minimal scar to share with you all. I would be happy to send it your way up accompany the short blurb.

The extra time you take, from consult, through surgery, and to follow-up, meant the world to me and my family. I am certain the confidence I had from your staff going into the surgery allowed for a smoother recovery. Thanks again.

Best,
Jessie

NOT ashamed of her body and scar in wedding dress after scoliosis surgery

From: J
Date: Sun, 30 Oct 2011 15:09:16 -0700

Dear Dr. Hey,

Many thanks for your help. I look forward to connecting with Dr. Berven.

On a separate note, I wanted to thank you for allowing me to feel confident in my low-back wedding dress. Prior to coming to you, I would have never selected a similar cut because of my scoliosis. Your successful surgery and the extra time you took to give me a careful closure allow me to show my back with pride. I now wear the minimal scar proudly as evidence that I made a decision to improve my back and refuse to feel ashamed of my body. What a wonderful feeling of empowerment.

Thank you again.

Best regards,
J
----------
Absolutely! I actually asked my photographer to take a picture of my back to show the minimal scar to share with you all. I would be happy to send it your way up accompany the short blurb.

The extra time you take, from consult, through surgery, and to follow-up, meant the world to me and my family. I am certain the confidence I had from your staff going into the surgery allowed for a smoother recovery. Thanks again.

Best,
J

On Oct 30, 2011, at 5:40 PM, Lloyd Hey wrote:

You will really like Dr. Berven. We worked together at Boston Children’s and Harvard Combined Orthopaedic Residency Program many years ago.....

That’s awesome Jessie! You made my day!

Catching up. Young and middle aged adults trying to decide what to do about their scoliosis. "Black Clouds" and Preventive Interventions.

I have seen three patients from South Carolina within the past week, all of whom had scoliosis.  H
The last one I saw was a very nice 31 yo woman from Charleston, who came in for second opinion for possible surgery for her scoliosis.
She had X-Rays with her from 2004, 7 years ago. Since then, her curve has progressed 20 degrees and is now and is now 53 degrees.
She is starting to have some back pain, and is just a little self-conscious about her posture.
She’d like to start a family soon and have children, and she was at the appointment with her husband who is very supportive.

She had don a TON of research on the Internet, and felt very unsure going into our appointment what she wanted to do.
My nurse practitioner Brittaney and I went over her whole story, physical examination and imaging and answered all of her questions.

Given the large amount of curve progression she has had as an adult (5 degrees per year is a lot),  and the current curve size, I thought it made more sense to get the scoliosis fixed now when she is younger, and avoid issues down the road when life is more complex during pregnancy and after pregnancy with kids!  Her lower lumbar area right now looks quite good, and fixing the curve when she’s younger could result in a shorter surgery with less fusion.

We talked a little about the “Black Cloud” of decision and worry that seemed to be hanging over her --- which I’ve seen many times before.  Her husband definitely smiled and agreed with this assessment of his wonderful bride!  It is definitely worth the time to research your scoliosis, find out your options, and find a surgeon and hospital you are peaceful with.  But at some point it’s good to just decide what you feel is best for the LONG RUN (like through the rest of your whole life --- maybe 50+  more years ) rather than spinning your wheels and just being overwhelmed with worry.

One thing for sure this case illustrates is the importance of following your scoliosis over time, even after you are an adult.
That X-Ray she brought with her from 2004 from South Carolina was so helpful to prove that her curve is collapsing and progressing as an adult.

Today I did huge scoliosis surgery on a 55 yo lady, who has developed very severe progressive back pain til the point she can’t work.  Her X-Rays show that her lumbar area is collapsing and degenerative, even though her original adolescent idiopathic scoliosis was thoracic only.  I did T3-L4 instrumentation and fusion, which could have been fixed with 3 levels less if fixed before this lower curve became degenerative and collapsed. Sometimes I actually have to fuse all the way down to pelvis when there is severe collapse and stenosis below.  Her surgery went well, and we got a very nice correction, but I would have rather fixed this curve at age 15, 25, or 35 or 45 rather than 55.  But 55 is still better than 65 or 75!  Her bone quality was still quite good, and she only had 700 cc blood loss. Surgery was about 4.5 hours.  She was able to go to a non-ICU bed postop.

Just after doing her scoliosis surgery, I met a very nice 51 yo woman with a painful 38 degree scoliosis, who also has severe right arm pain with a C56 C67 disc herniation and foraminal stenosis.  Her scoliosis may be actually making her arm pain worse due to the angle of her upper thoracic spine, which might close down the neural foramen on the right side.  She’s in agony with her right arm pain and actually has triceps weakness.  After one more shot at conservative treatment, we will likely fix the C56 C67 disc herniations with an anterior cervical discectomy and fusion (ACDF), and then may end up needing to address her scoliosis which is also becoming painful for her, even though her curve is not huge.

This afternoon I fixed a giant lumbar disc herniation at L5S1 which a lady in her 20’s had been suffering with for over a year!  Yow.  That sucker was huge, and was tenting the S1 nerve root.  She looked great in recovery room.

Tonight talked to mom from Arizona about her 14 yo daughter with scoliosis who had sent me some films to look at.  Look forward to see them for consultation sometime this fall.

Now it is definitely time for bed.  Really big scoliosis in the morning to fix, then a guy with severe thoracic myelopathy with a T10-11 severe spinal stenosis.

Duke Raleigh Hospital had their Talent Show this evening.  I saw some of it, but missed seeing our Motorcycle Dan do his rendition of “Country Boy” on his guitar....  “People say I’m No Good, Crazy as a Loon.....”  I remembered most of the words to the song as we all sang along at end of surgery yesterday listening to Pandora.  Nurse Kelly was impressed with my singing as much as Dan’s!

Hope you are all doing well.  Will try to be more consistent with writing.....but it’s tough.  This is not my main job!  I met a blogger this past weekend who writes for 4.5 hours every day!!! Yikes!!! I would get no sleep period!  :)

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Re: Hello From Georgia. Hearing about Scoliosis on Fox Sports.

Anne,
So good to hear from you!
You are the second patient who has told me about hearing this on national TV last night!
I think Ken did a great job with his article.  If you haven’t read it, check it out:
http://msn.foxsports.com/mlb/story/scoliosis-bow-tie-for-srs-represents-special-family-ties-for-ken-rosenthal-alcs-on-fox-100611

Really shared from the heart, and I think it will really make an impact.  It even has motivated my 79 yo mom to go back and volunteer to do scoliosis screenings again!

Please give my best to your family and glad to hear you are doing well.
Hope you can drop by to see us at Hey Clinic if you are back in the Raleigh area sometime.
I’m doing well, along with the family --- staying busy as usual!

Take care,

Dr. Lloyd Hey
Hey Clinic for Scoliosis Surgery
http://www.heyclinic.com

---

From: Anne
Date: Sun, 9 Oct 2011 15:37:25 -0400
To: Lloyd Hey <>
Subject: Hello From Georgia

Hi Dr. Hey, I hope you are doing ok.   Everything here in GA is great.  It's so good being closer to some of my family!   
 
I was watching the Tigers/Rangers baseball playoff game on TV last night.  One of the sports commentators (his last name was Rosenthal) was talking about a tie his daughter has designed & it had something to do with scoliosis.  He said he had had scoliosis when he was a teenager & his daughter did but that "Dr. Lloyd Hey" had operated on her she she is fine.  Not sure if you knew you were mentioned on primetime TV!!!
 
It made me think of you, so I wanted to say hello!    I hope all your family is doing fine.    Take care...
 
Bye,
Anne

Re: A message from my mom to nurses. Her decision to volunteer to do scoliosis screenings again.

Dear Mrs. Hey, 

Lloyd forwarded me this E-mail. It's so great you're doing this. I hope you and your family are well.

Ken

On Oct 9, 2011, at 8:18 PM, Lloyd Hey wrote:

Fellow nurses,

Please click on the website below to read the inspiration for my decision to volunteer to do scoliosis screenings in local schools as I did for 15 years as a nurse-teacher in Oyster Bay, Long Island.  Budget cuts in all schools have eliminated positions for nurses qualified to do this screening.  Even if the nurses can do the screening, understaffing has eliminated time to do this.  I did it as part of the preliminaries for Sports' and annual physicals.  The training is very easy... as with all nursing preparation, it takes time to develop skill.  But our skill is better than no detection at all.  One concern we all have is law suits.  I will work on this problem because most of us have no malpractice insurance.

Most pediatricians include this screening in their physicals.  Some do not... and some students never see a doctor except in the Emergency Room.

I hope we can make a difference.

June Hey

http://msn.foxsports.com/mlb/story/scoliosis-bow-tie-for-srs-represents-special-family-ties-for-ken-rosenthal-alcs-on-fox-100611

A message from my mom to nurses. Her decision to volunteer to do scoliosis screenings again.

Fellow nurses,

Please click on the website below to read the inspiration for my decision to volunteer to do scoliosis screenings in local schools as I did for 15 years as a nurse-teacher in Oyster Bay, Long Island.  Budget cuts in all schools have eliminated positions for nurses qualified to do this screening.  Even if the nurses can do the screening, understaffing has eliminated time to do this.  I did it as part of the preliminaries for Sports' and annual physicals.  The training is very easy... as with all nursing preparation, it takes time to develop skill.  But our skill is better than no detection at all.  One concern we all have is law suits.  I will work on this problem because most of us have no malpractice insurance.

Most pediatricians include this screening in their physicals.  Some do not... and some students never see a doctor except in the Emergency Room.

I hope we can make a difference.

June Hey

http://msn.foxsports.com/mlb/story/scoliosis-bow-tie-for-srs-represents-special-family-ties-for-ken-rosenthal-alcs-on-fox-100611

Hey Clinic Smiling "Graduates" from Friday

Here’s some of our “graduates” of all ages from Hey Clinic that I saw on Friday, who also said it was ok to share their team photo on the blog.

As you can see, some of our younger guests are quite the performers!

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

North Carolina Orthopaedic Association (NCOA) Research Presentation

I presented a paper this morning at the North Carolina Orthopaedic Association (NCOA) Meeting.
I wanted to thank all of my Hey Clinic staff who worked very hard to help get this data and analysis together. Special thanks to Rachel Robinson PAC, NC State pre-Med Charlotte Rastas, Jimmy Davies, Emily Fulmer, Jennifer Hardy, Sarah Rivera for their help, and Mike Vorberger from SAS for his help with the statistical analysis and SAS JMP help. All of my Hey Clinic staff, however, are involved in outcomes data collection which is built in to the way we care for patients so we can always be improving quality and process over time.

The bottom line of my talk was that estimated blood loss (EBL) does decrease with surgical experience in scoliosis / kyphosis spinal deformity surgery. There was also strong correlation with number of levels of fusion, and a close connection between surgical time and blood loss.

This is a good example how we can always continue to improve and learn over time for the sake of our patients.

It was good to see many of my former Duke residents and their families at the meeting, including Ed Lilly from Hendersonville, NC who is our upcoming NCOA President. Also good to see Dr. Jim Nunley, Dr. Bill Hardaker and others from the Duke Faculty, and also Jim Mooney who I knew from Boston Children’s. Steve and Libby Lang are also here — always good to see them. It was also good to see Alan Skipper from NC Medical Society. A great meeting.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Fox Sports Writer Ken Rosenthal gets behind Scoliosis Research Society this Weekend!

Tomorrow,  (Oct 8) Saturday night --- you need to watch Fox Sports to see Ken Rosenthal, top baseball writer and sportscaster wearing his custom-made bowtie to help promote scoliosis awareness and research with the Scoliosis Research Society (SRS).  He wrote a nice article published this evening on the foxsports.com website which has a link below.  I also copied and pasted the article below as well.  

Enjoy!  Dr. Lloyd Hey, Hey Clinic for Scoliosis and Spine Surgery / Raleigh NC USA

http://msn.foxsports.com/mlb/story/scoliosis-bow-tie-for-srs-represents-special-family-ties-for-ken-rosenthal-alcs-on-fox-100611


Ken Rosenthal’s FoxSports.com Article October 7, 2011

I first agreed to wear Dhani Jones’ bow ties on FOX in support of different causes and charities, I asked Dhani’s director of philanthropy, Chad Williamson, if they could design one or two ties for organizations that were personal to me.

Chad said "No problem"; Dhani’s initiative, the Bow Tie Cause, is all about telling stories, the more personal, the better.

Well, I almost completely missed a story that was right in front of me, a story that I initially dismissed even though it’s as personal as it gets.

So, after a full season of wearing bow ties each week on FOX, I’ve got a story to tell as we begin our coverage of the American League Championship Series on Saturday night.

It took me a while to figure out what the story was, actually. But I think I’ve finally got it.

It’s a story about getting to the right place.

It is about my daughter Sarah, who underwent surgery in late June for scoliosis, or curvature of the spine.

It is about my wife Lisa, who spent countless hours searching for a surgeon who could promise Sarah a shorter recovery time than the standard six to 12 months.

And it is about my high school classmate, Dr. Lloyd Hey, whose own life experience led him to become that surgeon, unbeknownst to me.

The bow tie I will wear Saturday night represents the Scoliosis Research Society, a non-profit organization dedicated to education, research and treatment of spinal deformity. It was designed by Lloyd’s daughter, also Sarah, who adapted the pattern from the original SRS logo created in 1966. Sarah is an art and psychology major at the University of North Carolina.

My role in all this?

Well, my daughter, Sarah, inherited scoliosis from me — I had my own corrective surgery when I was 17. And yet, even though I had intimate knowledge of the condition, I somehow thought that it did not merit a bow tie.

Scoliosis generally is not life-threatening. The surgery’s rate of success is quite good. And the ordeal is not the same as it was when I had the operation in 1980. I spent three weeks in the hospital, and for six months wore a body cast that extended from my shoulders to my hips.

To me, other causes just seemed more worthy.

But as Sarah’s story unfolded, I realized how wrong I was.

Scoliosis is rare in boys — the ratio of girls to boys with significant spinal curves is 10 to 1. I’m not quite sure how I hit the lottery. All I knew was that my doctor had told me that if I ever had children, to make sure they were checked regularly.

Sarah, 15, is the youngest of our three children. We caught her scoliosis early, when she was 10. She tried different braces. We desperately wanted her to avoid surgery. But nothing stopped her curve from progressing.

You might recall me tweeting about Sarah a few years back — she landed a principal role in the Broadway musical “Ragtime,” when she was 13. The show ran for only about two months, but we moved from Baltimore to New York after our older two children went to college, trying to make it easier for Sarah to pursue additional acting roles.

The scoliosis clock was ticking the entire time.

Sarah slept in a brace — and a rather uncomfortable one at that — even when she was performing eight shows a week. But her curve eventually reached a point where surgery was inevitable. And one doctor after another told us that after the operation, she could not resume physical activity for at least six months.

Well, Sarah is like most teenagers, an active kid. She sings and dances, rides the subway to school, bounces around. To me, a six-month recovery seemed reasonable; Sarah, thanks to an improvement in the surgery, would not need to wear a cast like I did. My wife, though, could not stand the thought of Sarah being down for so long.

We had picked out a doctor to perform Sarah’s surgery, but Lisa was on the Internet virtually every night, reading about scoliosis, looking for alternate solutions.

One night, she popped her head into my office while I was writing. She said that she had found a doctor who worked on high-performance athletes, did the surgery a different way, got people back on their feet more quickly.

I won’t lie — I was a little suspicious, though I knew better than to say so.

“He’s from Oyster Bay,” Lisa said.

That would be Oyster Bay, NY, a small town on the north shore of Long Island — my hometown.

I’ve lost touch with virtually everyone from Oyster Bay, but if that is where this doctor was from, there was at least a reasonable chance I knew him.
“His name is Hey,” Lisa said.

“Lloyd Hey?” I replied.

Lisa said yes. And right away, I knew that she had hit the jackpot.

When Lloyd Hey was 16, he was struck by a car while riding a moped and nearly lost his left leg — and almost his life. He stayed in the hospital for more than three months, underwent 11 surgeries and endured painful therapy.

We were in high school then. Most of us knew that Lloyd had been hurt badly. But even many of us who were friendly with him did not grasp the extent of his injury.

To hold the bones rigid in Lloyd’s leg, doctors attached pins to his bones. A metal frame held the pins together. But the frame could not hold the bones rigid, which only added to Lloyd’s pain and slowed his recovery.

Now comes the incredible part.

Lloyd had a knack for fixing things; before attending Harvard Medical School, he earned a degree in electrical engineering from MIT. He took it upon himself to design a more rigid frame. His father, Albert, an aeronautical engineer, enlisted friends at Grumman to make the critical new pieces out of aluminum.

The new frame worked. About a year after Lloyd suffered his injury, he finally walked again.

The experience inspired him to pursue a career in orthopaedic medicine, and seek innovative ways to help patients. Dr. John Hall, one of the founders of SRS, and Dr. John Emans inspired Lloyd at Boston Children’s Hospital to help children and adults with spinal deformity by developing “frames on the inside.”

I checked out Lloyd’s website and was duly impressed; somebody from Oyster Bay High School had made good! But when I first called my old classmate, I asked him the questions any parent would ask: What makes your procedure different? How do you get dancers and athletes back to their active lives so quickly?

Lloyd explained that the surgical techniques have come a long way in the past 50 years; the hardware is stronger now, the techniques for correcting and holding the spine much-improved. He said that he has continued to improve his own surgical techniques and instrumentation over the years, getting better corrections with less surgical time and faster recoveries.

He was as passionate and sincere as I remembered him. And as I would tell him later, only half-joking, he was about one of three people from my high school that I would trust.

Sarah’s surgery was June 28 at the home of the Hey Clinic, Duke-Raleigh Hospital in Raleigh, NC. The surgery lasted 3-1/2 hours, and there is no getting around it — her initial pain was awful, similar to what I remembered.

The trauma is quite pronounced — Lloyd straightened and fused Sarah’s spine, then reinforced his work with rods, screws and clamps. The first three days were horrible for Sarah. But on the fourth day, we flew home.

Four weeks later, Sarah was dancing again. A few weeks after that, she was completely off pain medication. Now she is back to normal, a sophomore in high school, complete with a much straighter spine.

The only thing worse than seeing your child in pain is the pain that your child actually experiences. Sitting with Lisa and Sarah in the hospital, all the memories from my own surgery came flooding back. And it occurred to me: Scoliosis merits a bow tie. How could I have thought it did not?

A few days after Sarah’s surgery, I sent Lloyd an email explaining to him that I wear a bow tie on MLB on FOX each week to represent a different charity or organization. I told him I wore the ties mostly to raise awareness, and asked for his blessing to wear one for the Scoliosis Research Society.

His response stunned me.

The cause was worthier than I thought.

“Due to federal government policy changes in the last 10-plus years, the routine scoliosis screenings that used to happen in schools around the country have pretty much gone away completely,” Lloyd said.

“These policy changes were not based on good science, and have resulted in a tremendous decrease in scoliosis and kyphosis (hunchback) awareness, which I believe has resulted in much later diagnosis for many children, adolescents and younger adults, resulting in much more difficult surgery, with less curve correction with more risk. It has also resulted in more pain, more disc degeneration, and poorer self-image for many younger people.

“SRS not only promotes scoliosis awareness and care here, but also supports scoliosis work overseas, including doing scoliosis care and surgery in Africa. Literally SRS has a world-wide impact for education and research and care.”

So, there you have it.

I will wear the SRS bow tie Saturday night in honor of Sarah, out of gratitude to Lloyd and in tribute to all those children and adults who are affected by spinal deformity.

My back is straight. Sarah’s back is straight.

It’s time I got the story straight, too.

For more information about the Scoliosis Research Society, go to www.srs.org <http://www.srs.org> .

Getting the SAS JMP help I needed

Since 1985 as a second year medical student at Harvard, I've been interested in clinical research and statistics. It was in that year that I got first copy of SAS PC on 15 floppy discs and installed it on my new IBM xt computer w the little green monochrome screen and massive 20mb hard drive. I had to write tons of lines of code to analyze the data for my thesis which examined the health status an care for children in emergency shelters. The program would then run all might with my dot matrix printer slowly spitting out the results all night long.

In 1991-2, dr. John hall and staff at Boston childen's sent me to get my Masters in Clinical Epidemiology where I became an outcomes research dude and SAS whiz. Those skills have been a blessing for years of inspiring and helping many students on faculty at Duke.

Recently I've been learning how to use JMP from SAS on my little MAC Air laptop. I ran into major snag and have been really wanting to fin a tutor to help me out.

God answered this prayer this afternoon when mike came in for a scoliosis visit. I asked what mike did for a living and he told me he was statistician at SAS!!! Jackpot!!

So, with his permission I ran and grabbed my laptop, and within about 10 seconds he answered my question and then showed me 3 other cool things. Super awesome.

Mike and i decided to barter for SAS help for spine help! Win-win! He also is getting me the tutoring I need to become a JMP Stud so we can complete several research projects at Hey Clinic.

Thanks so much for your help Mike!

JMP picture

"You're too old for scoliosis surgery"

Saw MD yesterday in clinic who had referred a 50 Yo patient w post-polio syndrome w severe scoliosis and severe pain. Was seen at an academic medical center by spine surgeon who told patient "you are too old for scoliosis surgery!". She continues to suffer.

This patient below had kyphoscoliosis surgery this morning. She is 80 years old and in agony w back pain and deformity. She doesn't wish to live unless she gets relief. She is otherwise quite healthy

We did T3-iliac wing instrumentation and fusion for her this morning and she did really well. Surgical time 4 hrs 20 min. Ebl 850 cc. No blood transfused. Got very good correction.

While I would obviously prefer to fix spinal deformities in younger patients, many older guests benefit greatly from having their scoliosis stabilized an corrected.

The "too old" opinion is a bit of a hold-over from the old Dr. Harrington days when scoliosis and kyphosis surgery was done just for children, and adolescents an adults under 40.

14 Yo young lady w 56 degree adolescent idiopathic scoliosis straightened up this morning

Double curve also w 66 degrees of kyphosis.
T3-L3 instrumentation and fusion w Osteotomies
Surgical time: 3 hrs 12 min
Complications: none
Ebl: 350 cc
Blood transfused: none.

Correction: very good.

Adolescent Kyphosis / Scoliosis Postop Hug from Taylor. The scoliosis JOURNEY.

Friday was busy in clinic as usual, with lots of smiles and happy reunions with our guests, including many of our adolescent and young adults back for follow-up after scoliosis and/or kyphosis surgery.

Taylor, one of our teenage postop scoliosis guests told her mom that she wanted to give me a “BIG HUG” when she saw me in clinic today.

Well, as you can see, she got her wish.  The journey through scoliosis / kyphosis diagnosis and treatment is definitely a real journey for the adolescent and their family.  It’s not just important to “take care of the curve”, or the anatomic problem to prevent issues later in life.  It’s important to try to make the whole journey a positive experience for the young person becoming an adult, so they emerge stronger, more confident and perhaps inspired to pursue compassionate career / life options as they grow up and have a chance to give back to others.  I know my own experience as a patient and teenager definitely had that effect on my life.

What a great encouragement to keep me going through the rest of clinic!  

Thanks for the hug, Taylor and letting us share this on the Blog.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Travelling after major adult scoliosis surgery: Seeing the Eiffel Tower!

My PA Jenny and I received this nice picture from Carol, who  I saw recently after her scoliosis surgery doing quite well playing tennis and travelling again.
Many patients have told me that the thoracolumbar iliac wing instrumentation we frequently use for adult scoliosis reconstruction looks like the Eiffel Tower!
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Date: Fri, 30 Sep 2011 07:12:32 -0400
To: LLOYD HEY
Subject: Fwd: Eiffel Tower picture for Dr.Hey

  Jenny, here is a picture of me at the Eiffel Tower, as promised to Dr.
Hey. We had a wonderful time...walked for miles. Enjoy your baby.
Carol

------ End of Forwarded Message