tag:blogger.com,1999:blog-60900033849172293382024-03-17T22:59:24.112-04:00Dr. Lloyd Hey's Blog: Scoliosis and Spine Care, Aviation Safety and Quality "Standard Work"How can we care for scoliosis and kyphosis and spondylolisthesis better with conservative care like physical therapy, high-tech scoliosis braces, exercise and other techniques? What can be done to improve surgical care, and understand choices for surgery, learning from those around the world? How can we learn from aviation and from Deming's principles of "Standard Work" to constantly improve spine and all healthcare? Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.comBlogger997125tag:blogger.com,1999:blog-6090003384917229338.post-40475839742523627472020-08-25T20:49:00.005-04:002020-08-25T20:49:27.326-04:00Will I lose spine flexibility if I have a spine fusion for scoliosis? I want to be able to dance or play sports! Will I be unable to dance or cheerlead or dive / swim?<div>Using Schroth physical therapy and home exercises and 3D-CADCAM Rigo-Cheneau bracing, we are able to treat the very large majority of our scoliosis patients at Hey Clinic with conservative therapy, and life-long follow-up.</div><div><br /></div><div>However, there still is a small percentage of patients whose curves progress and/or the patients have pain and/or posture issues where they want to hear more about surgical options for treating their scoliosis.</div><div><br /></div>One of the most common questions I've received over the years caring for children, adolescents and adults with scoliosis is this: "Will I be able to bend after scoliosis surgery?" or "Will I be able to dance if I chose to have a spinal fusion?" Am I better off having my daughter or son have a tether rather than a spinal instrumentation and fusion to preserve spine mobility?" <div><br /></div><div>Here is MaKenzie's answer, an AIS adolescent scoliosis patient now 9 months postop. MaKenzie and her mom voluntarily have shared this on YouTube, and Facebook and now here for you to see. Thanks for sharing your passion with all of us MaKenzie! Just beautiful!!<br /><div><br /></div><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/Gx_thaDuUPM" width="320" youtube-src-id="Gx_thaDuUPM"></iframe></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcbojRDQ6oDnLYf9Xpa8gu7QocaEqA6qPChl_Y5bMjLuod_xvPq6GDUG60mmk7WhkpmxRz1F7Q1aZuvsyYm3PHqSTy4fVLiQlMkpdzUawNNsAA4JF1Pm_b4l7pH5VMFaXAKRH-KJXPKWM/s1196/Screen+Shot+2020-08-25+at+8.47.36+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1176" data-original-width="1196" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcbojRDQ6oDnLYf9Xpa8gu7QocaEqA6qPChl_Y5bMjLuod_xvPq6GDUG60mmk7WhkpmxRz1F7Q1aZuvsyYm3PHqSTy4fVLiQlMkpdzUawNNsAA4JF1Pm_b4l7pH5VMFaXAKRH-KJXPKWM/s640/Screen+Shot+2020-08-25+at+8.47.36+PM.png" width="640" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;">http://www.heyclinic.com</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div><br /></div></div>Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-5111512030294678602020-06-01T16:56:00.002-04:002020-06-01T17:39:23.985-04:00June Is Scoliosis Awareness Month! The Under 30 degree Green Zone... Screening at Home... and Need for Life-Long Scoliosis Follow-up<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">25 degree Angle Trunk Rotation (ATR) R Thoracic Rib hump</td></tr>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbH8kYNv5x3VijbUIqzkz20bQbsOEh8Xoi-Q31wLyokiGXtaZLLU8nxcph21Y9UtpEbEFqwAikFrJ7DOmV4GF6GmtOyZOdbbtMMuAM3QyGiiwtHM_N9SbyAByydU7a7-bjm8Og3G9t2sg/s1600/Screen+Shot+2020-06-01+at+4.43.20+PM.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="905" data-original-width="1600" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbH8kYNv5x3VijbUIqzkz20bQbsOEh8Xoi-Q31wLyokiGXtaZLLU8nxcph21Y9UtpEbEFqwAikFrJ7DOmV4GF6GmtOyZOdbbtMMuAM3QyGiiwtHM_N9SbyAByydU7a7-bjm8Og3G9t2sg/s320/Screen+Shot+2020-06-01+at+4.43.20+PM.png" width="320" /></a>This is a guest post from Colleen Skeete and Jonathan Revoir, scoliosis patients and CareGuard Institute interns.<br />
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Welcome to Scoliosis Awareness Month! Our spine is the core of our body that holds us up for our lifetime, and we can take it for granted. Early screening in children and life-long monitoring in adults is important to take care of your spine, so that you can maintain a good quality of life.<br />
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<tr><td class="tr-caption" style="text-align: center;">4 degree Left Lumbar Angle Trunk Rotation (ATR)</td></tr>
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It is easy to screen yourself, your children, or your friends from home by using a scoliometer or a bubble-level app on your smart phone to measure the degree of rotation. Simply have the person bend over, and measure the two greatest areas of rotation. <b><i><u><span style="color: red;">If the angle of trunk rotation (ATR) is greater than six degrees, it is a good idea to get physician evaluation, and a full-length x-ray</span></u></i></b> taken to see if scoliosis is present. If scoliosis is present, conservative methods such as Schroth therapy, a physical therapy technique focusing on elongating the spine, and 3D-CADCAM (Rigo-Chenau) bracing can help to stop and/or reverse the scoliosis. This may prevent later quality of life issues, and life-long curve progression. and possibly prevent the need for invasive surgical treatment. Weinstein found that curves under 30 degrees tended not to progress during adulthood -- so we want to FIND scoliosis under 30 degrees, and try to <b><i>"<span style="color: lime;">KEEP IT IN THE GREEN ZONE"</span></i></b> - under 30 degrees if possible, with conservative therapies.<br />
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Life-long monitoring of scoliosis, even after adolescent years, is just as important as early screening. Natural progression history research shows 68% of patients with adolescent idiopathic scoliosis (<br />
(AIS)will experience curve progression as adults, as shown in the figure below. Curves under 30 degrees, shown in green, tend not to progress [Weinstein et al 1981, 1983 -- see figure below].<br />
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For more information about Scoliosis Awareness Month and the steps you can take to decrease the chance of life-long effects of scoliosis, watch this video from Dr. Hey and his team. </div>
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You can also find more information at <a href="http://scoliosis.org/" target="_blank">National Scoliosis Foundation</a> and the <a href="http://srs.org/" target="_blank">Scoliosis Research Society</a> -- Please support both of these important non-profits! !!!<br />
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The SRS website allows you to <a href="https://www.srs.org/find/disclaimer.php" target="_blank">"Find a Scoliosis Specialist</a>" near you.</div>
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Jonathan Revoir and Colleen Skeete<br />
<a href="http://www.careguard.org/" target="_blank">CareGuard Institute</a> Summer Interns with Dr Lloyd Hey<br />
http://www.CareGuard.org<br />
Hey Clinic for Scoliosis and Spine Care<br />
http://www.heyclinic.com</div>
<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-28708125731172649132020-03-20T16:48:00.001-04:002020-03-21T17:16:12.917-04:00Responding to Coronavirus --Hey Clinic"Pit Stop" EOS X-Ray for "No Touch" 3 minute visit + Telemedic...<br />
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What a wild couple of weeks it has been here, and around the country and the world with coronavirus.<br />
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Here is a short video on how we are innovating to help give patients and families more choices to how to screen for scoliosis and other deformities, and be able to get the necessary imaging when necessary for initial diagnosis so that early treatment can be initiated, such as bracing and Schroth physiotherapeutic exercises and physical therapy.<br />
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Check out the video, and we'll have more innovations coming up to share, including how to screen yourself or your own children for scoliosis using a scoliometer or bubble meter.<br />
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Stay safe, but let's not forget to "take care of our core" with early diagnosis and treatment for spinal deformities and other conditions for a better quality of life for the long run.<br />
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Lloyd A. Hey, MD MSDr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-34183903150494755182020-01-18T09:05:00.003-05:002020-01-18T09:05:58.170-05:00"Minimally Invasive Scoliosis Surgery" -- Harnessing the body's ability to realign. Good news for 13 yo Regan with AISThere has been a lot of buzz in recent years about the Minimally Invasive Spine Surgery (MISS), and in some cases minimally invasive scoliosis surgery, using small puncture incisions, XLIF's, slipping rods under the skin, and/or going anteriorly with tethering through the chest.<br />
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But many people have not heard much about the LEAST invasive scoliosis "surgery", which really isn't surgery at all, which is Schroth Physiotherapeutic Scoliosis-Specific Exercises (PSSE), and 3D CADCAM bracing, also known as Rigo-Cheneau Bracing. Even I was not aware of these two techniques, that both emanated from Europe until about 3-4 years ago, which really has brought a transformation for the way we can manage scoliosis at Hey Clinic, especially in our new, much larger facility we moved into a year and a half ago on the Duke Raleigh Hospital campus at 3320 Wake Forest Road, Raleigh, NC, where we had the room to add physical therapy, and in-house brace measurement and construction, as well as put in an EOS X-Ray machine, and have a large open area for training and classes.<br />
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Yes, this has been a total "game changer" for us at Hey Clinic, and for now hundreds of our pediatric, adolescent, young adult, middle-aged adult, and older adult patients.<br />
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We had another example of a huge success in clinic this past Thursday with 14 yo Regan.<br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSdMsnQKU1yfVF43-MIwoJLgcGx_b3duEvYcdWMc6d6OGgoj6OG7G4AL9gLozbcLCZ5HkHz0zjp-Tf25858gq0znFOhSiwvdGEK4Ry5v09o56x8t6EBn_YS9_Pr4EqSxjUn_QWQmkr_TM/s1600/Screenshot+2020-01-18+08.32.01.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1522" data-original-width="889" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSdMsnQKU1yfVF43-MIwoJLgcGx_b3duEvYcdWMc6d6OGgoj6OG7G4AL9gLozbcLCZ5HkHz0zjp-Tf25858gq0znFOhSiwvdGEK4Ry5v09o56x8t6EBn_YS9_Pr4EqSxjUn_QWQmkr_TM/s320/Screenshot+2020-01-18+08.32.01.png" width="186" /></a>3 months ago, she got some very bad news... she had a 28.9 degree scoliosis. We recommended Schroth physiotherapy. She rolled her eyes. She was not psyched. This whole thing was a complete downer.<br />
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But she was willing to give it a shot, encouraged by one of our Schroth Therapists, Mariah, that we have seen many successes. She chose to do Schroth only for starters, and hold off on the 3D CADCAM Brace, to see what we could get. Over the last 3 months, Regan has come to Hey Clinic once a week to learn how to do the PSSE exercises, and started doing them at home for about 20-25 minutes a day, 6 days a week. She actually began to actually LIKE to do the exercises, and was faithful to do them.<br />
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Well, this past Thursday morning was the big reveal.....<br />
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Her mom and dad were there.....and the results were....29.5 degrees, down to 11.6 degrees.... 18 degree improvement in 3 months. And less pain!<br />
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At that point, there was lots of "hootin' and hollerin'" and celebration with Regan and her parents and also with Mariah. </div>
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Then there was time for a quick Team Win Photo</div>
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Then Regan shares her story to inspire other children and teens to consider Schroth PSSE</div>
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With Schroth and the 3D-CADCAM braces (when needed), we are seeing 90+ % success rates thus far with conservative management. However, some curves still do progress despite our best efforts, but especially when we can inspire the compliance, the success rate is very high. When the curves do get into the range where surgery could be considered, and when it is paid for by insurance, we also are happy to discuss that option as well so that the patient as well as the family completely understand and have the freedom to make their own personal choice. About 60% of AIS scoliosis curves will progress during adulthood, so we do also always recommend lifetime follow-up. </div>
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We do see many happy patients who chose the surgical route as well, especially for curves that are in the 40-50 degree range where scoliosis surgery may be considered, and over 50 degree range where it is usually strongly considered. Curves under 40 are sometimes considered for surgery if there is ongoing pain/quality of life issues that do not respond to conservative therapy. At Hey Clinic, we take a LOT of time to help our pediatric, adolescent and adult patients to fully understand your diagnoses, as well as your CHOICES, since it is YOUR BODY, and YOUR CHOICE... which will affect you for the rest of your life, since your spine is literally the very CORE of what has to hold you up!!</div>
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So for example, on Thursday we also saw Elizabeth, who was treated at age 12 for her scoliosis with Schroth and bracing, but unfortunately her curve progressed to 56 degrees, at which point her and her parents decided to have her scoliosis addressed surgically. Bracing and Schroth compliance was a bit harder for her, which may have contributed to her curve progression. She had her surgery a year ago, and recovered quickly, back to cheerleading, and now is taking up diving, and also showed me her new dress from Christmas which she is proud of, confident in her posture going into high school and beyond. </div>
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So maybe it's time to take a trip to Hey Clinic, and get a second opinion for bracing, Schroth, and possibly very very "minimally invasive" scoliosis care that could bring joy to your family too! </div>
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Congratulations Regan and Elizabeth!!! </div>
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<a href="https://www.blogger.com/goog_1378994418">Lloyd A. Hey, MD MS</a></div>
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-50706298121769138922019-11-25T21:31:00.003-05:002019-11-25T21:31:45.415-05:00Leah's Thankfulness Tree: for those who give a more positive outlook to overcome scoliosis....<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWRVWzpgku9Vk9qd37e_xMVs6M0h6GNPrFzxOABWxZ139yPmCGRsaISs9lQedZQN1rhL7YcMb-ug0uSVfnd5t7pHI9DqvuN1tLtmMge7on2rkmd8jrfAjYx3bqbT5JAVy1bzd9V5ztoA0/s1600/IMG_2002.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="640" data-original-width="480" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWRVWzpgku9Vk9qd37e_xMVs6M0h6GNPrFzxOABWxZ139yPmCGRsaISs9lQedZQN1rhL7YcMb-ug0uSVfnd5t7pHI9DqvuN1tLtmMge7on2rkmd8jrfAjYx3bqbT5JAVy1bzd9V5ztoA0/s400/IMG_2002.JPG" width="300" /></a>It was a beautiful sunny fall afternoon in our Hey Clinic Great Room today when I bumped into Andrea, one of my scoliosis moms. She had to show me something her daughter Leah made this week in school for Thanksgiving. She showed me the "Tbankfulness Tree" Leah made, and a long list of things she is thankful for. Take a look -- I'm the brown leaf toward the middle of the tree! How cool! I asked if it would be OK to share these thankgivings with all of you, and Andrea replied:<br />
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<span style="background-color: white; color: #222222; font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><b><i>"Absolutely you can share it! Leah thinks the world of you and your talks with her have helped her immensely! Thank you for educating us and for your wonderful encouragement! We will see you on December 5th! </i></b></span><b style="color: #222222; font-family: Arial, Helvetica, sans-serif; font-size: small;"><i>Happy Thanksgiving "</i></b><br />
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Andrea pointed out that "Dr. Hey" actually made it onto the Thankfulness Tree, and in her list of thanksgivings explained why:<br />
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"<b><i><span style="font-size: large;">... because he has helped me to have a more positive outlook on my scoliosis and to not give up on my ability to overcome scoliosis."</span></i></b><br />
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Leah also shared that she was <b>thankful for scoliosis</b>:<br />
<b><i><span style="font-size: large;">"because though it has hindered me greatly, it has taught me a dedication to physical therapy and helps me appreciate things I wouldn't normally appreciate."</span></i></b> <br />
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Wow. I can look back to my own teenage experiences as a patient and say "Amen", although it took me longer to figure that out than Leah!<br />
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Having a thankful spirit has been shown to be the key to resilience, which is why Remembering "Three Good Things" every day is one of the best suggested cures for burnout. There are definitely things that my physician assistants, physical therapists, orthotists, MA's and other staff do to really help patients and families through this difficult journey, and actually grow and thrive. There is much more going on here than a cobb angle or trunk shift changing -- there is a little precious person becoming a big person, with a growing foundation of compassion, strength and hope and confidence!<br />
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Strong work Leah for facing your scoliosis with courage, and thriving through it! I am thankful for you and your family, and the many other patients and families who bring life and light to our lives at Hey Clinic every day.<br />
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Happy Thanksgiving from all of us at Hey Clinic for Scoliosis and Spine Care.<br />
--- Lloyd A. Hey, MD MS<br />
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-67148948932274508582019-11-14T20:56:00.001-05:002019-11-14T20:56:27.818-05:00Precious Layla's twelve year scoliosis and life journey from AIS surgery... to Physician Assistant Student ... and beautiful bride!<span style="text-align: center;">Last Friday, I had an incredible reunion with one of my former scoliosis patients - Layla - who is now a physician assistant student at Campbell! I went there last Friday to do a lecture on the importance of compassion as the driving force for resilience through medical training and years of care for others, and also how compassion is the driving force for quality and safety and lean improvement. Several of my medical student mentorees from this past summer's Better Samaritan Institute summer program were there as well as I shared personal stories from my own journey from being</span><span style="text-align: center;"> a patient, to becoming a surgeon and an influencer for driving change to improve safety, and effectiveness of care</span><span style="text-align: center;">. I also got a chance to help them launch our first <a href="http://careguard.org/">CareGuard.org</a> "Outpost" at Campbell, which med student Gabriel is leading.</span><br />
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<b>LAYLA'S JOURNEY: </b></div>
You performed by scoliosis fusion on Monday, December 17, 2007. I remember being so brave for my parents and siblings, but I began to cry when they wheeled me back to the OR. You and Jacklyn, one of your PAs at the time, bent down next to me and prayed with me before the procedure. It is something I will never forget.</div>
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It was my sophomore year (2013) at NCSU when I started shadowing in your clinic and in the OR, and serving as a surgery mentor for adolescent patients needing instrumentation.</div>
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<br />My junior year (2014) was when I completed my undergraduate research project with you. It was studying 1000 cases of idiopathic scoliosis in 4 distinct age groups, comparing the patients that needed instrumentation, and comparing their pre-op X-rays and their 6-week post-op X-rays. We determined what age group exhibited the best curvature corrections and concluded that it is best to receive surgery at a younger age for better/optimal surgical results.</div>
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In 2017, I reached out and you submitted a letter of recommendation for my first year applying to PA programs.</div>
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In 2018 I was accepted to Campbell and committed to start with the 2019 school year.</div>
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Our paths crossed again this past Friday, and I have to say it was a breath of fresh air. </div>
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Your outlook on medicine and patient care inspired all of my classmates. We will be spreading the news about CareGuard and the shadowing/internship opportunities you offer. </div>
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Thank you for helping in shaping me into the woman, person, and provider I am today. Thank you for the reminder to continue to love all of God's children unconditionally and show them compassion.</div>
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With love and admiration,</div>
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-52014734039216775112018-12-13T21:34:00.000-05:002018-12-13T21:42:00.561-05:0015 yo Rachel from Tennessee had 40 degree progression of her AIS over a couple years, then surgery this week with 90 degree curve<div class="separator" style="clear: both; text-align: center;">
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Rachel is a wonderful 15 yo young lady from Tennessee diagnosed with scoliosis just a couple of years ago with a curve in the upper 40's, possibly low 50's. She then had follow-up X-Rays just recently when experiencing increased pain, and her curves had jumped up to around 90 degrees x2.<br />
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Her family made the long drive from Tennessee to Raleigh this Saturday just ahead of the huge snowstorm that crashed in on us here in the Triangle, dumping 10 inches on Sunday, and another 3 inches on Monday! They stayed at the hotel across the street from Duke Raleigh Hospital, and luckily I was able to make it in early Monday morning to do her surgery.<br />
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She did very well during her nearly 5 hour surgery using our special electronic checklist quality and safety control system that has over 400 safety checks that enables our team to work seamlessly together. We were able to get a very nice correction safely, and she woke up smoothly, nice and warm, using some new warming techniques that worked like a charm.<br />
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Rachel bounced back quickly from surgery, and stood up next to her "big" (older) sister postop day 1, and realized that her bigger sister was now shorter!!! Rachel had gained about 3 inches in one day!<br />
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Rachel advanced quickly on her diet and walking program, and felt ready to make the drive back to Tennessee this morning after being cleared by physical and occupational therapy today climbing stairs and getting into and out of a test car in they physical therapy room at Duke Raleigh Hospital. Rachel and her family stopped by our Hey Clinic office right next to hospital after discharge, got her ultra-low radiation ultra-HD EOS X-Ray in our office, and wanted a quick photo together before driving the 8 hours home through the mountains.<br />
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She also took a minute to give thanks to all of the kind nurses, scrub techs, implant reps, neuromonitoring techs, CRNA's, SRNA's, anesthesiologists, nursing aids, Hey Clinic PA's and support staff who helped make her dream come true.<br />
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Meanwhile, Rachel won over the hearts of ALL of the Duke Raleigh nursing and other staff who worked with her, as Rachel shared thankgivings to everyone with kind words, but also hand-written thank you notes and drawings!!<br />
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Get well soon Rachel, and thanks for brightening up all of our lives here.... you brought a smile to many caregivers!!! <br />
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Lloyd A. Hey, MD MS<br />
Hey Clinic for Scoliosis and Spine Care<br />
http://www.heyclinic.com<br />
https://www.instagram.com/heyclinic/Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com03320 Wake Forest Rd #450, Raleigh, NC 27609, USA35.827886 -78.61922099999998210.3058515 -119.92781499999998 61.349920499999996 -37.310626999999982tag:blogger.com,1999:blog-6090003384917229338.post-4011411880243166642018-11-13T14:59:00.002-05:002018-11-13T14:59:55.835-05:00Is there such thing as "Minimally Invasive Scoliosis Surgery"? Can a herniated disc give you scoliosis? Define "Cattywampus" and can it be treated?<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMLyHycgbbsmJbsLGFCIc_nO1a85c_rHMkRomeLmeH8EWI9QpFAtQFu-hCXSavOKwk0DEx1QYnqKXNV_uTtcFluBM5QXFGuucXg1SJz6kAETGsdkqyfzFwQJtP0NUp0qAogYq8nHouz8k/s1600/Screen+Shot+2018-11-13+at+12.59.40+PM.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="760" data-original-width="986" height="246" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMLyHycgbbsmJbsLGFCIc_nO1a85c_rHMkRomeLmeH8EWI9QpFAtQFu-hCXSavOKwk0DEx1QYnqKXNV_uTtcFluBM5QXFGuucXg1SJz6kAETGsdkqyfzFwQJtP0NUp0qAogYq8nHouz8k/s320/Screen+Shot+2018-11-13+at+12.59.40+PM.png" width="320" /></a><br />
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I just saw 20 yo Hannah back for her 4 week postop visit, and she is one happy young lady! I saw her a few weeks ago and she was completely "<b><u>cattywampus"</u></b> preop, several inches to one side with a thoracolumbar scoliosis and trunk shift and having quite a bit of pain. For those who are not familiar with the medical term "cattywampus", you can google it, and Google the Answer Man says:<br />
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<i><b><span style="background-color: white; color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px;">"adjective. The definition of </span><span style="background-color: white; color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px;">cattywampus</span><span style="background-color: white; color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px;">, often spelled catawampus, is not lined up or not arranged correctly, or diagonally. An example of something </span><span style="background-color: white; color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px;">cattywampus</span></b></i><span style="background-color: white; color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px;"><i><b> are the positions of the items on the top of a coffee table after a two year old has been playing with them and moving them around." </b></i> -- yourdictionary.com</span><br />
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<span style="color: #222222; font-family: Roboto, arial, sans-serif;"><b>Cattywampus</b> when it comes to scoliosis is a super obvious trunk shift, so that one hip sticks out like crazy and in some cases it looks like the patient literally is going to fall over to one side, like the leaning tower of Pisa... maybe worse. </span><br />
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<span style="color: #222222; font-family: Roboto, arial, sans-serif;">So what made Hannah so cattywampus? As you can see above, the root cause was a disc herniation at L45 on the left, which was causing her to unconsciously lean forward and to the right, AWAY from the pain. After failing conservative therapy, I performed a minimally invasive microdiscectomy, and her posture and pain began to improve immediately. Her scoliosis has improved 11.3 degrees from 38 to 26, and trunk shift has improved 5cm from 8 to 3 cm. Her sagittal posture has also improved dramatically. The way to think about this is that the disc herniation is like a "hot poker", in this case on the left at L45. The patient instinctively leans AWAY from the hot poker, and also may lean forward. When the disc herniation and foraminal stenosis is removed, then the spine can gradually come back to a more normal position. </span><br />
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<span style="color: #222222; font-family: Roboto, arial, sans-serif;">Since "Sad Crooked Hannah" is now "Happy Much Straighter Hannah", I gave her option of doing some Schroth therapy to keep working on getting that 26 degree curve hopefully even lower down into the teens to help prevent back problems and progression later in life. I also gave her the option to just observe and see if it progresses or improves. We love to give people CHOICES, especially conservative choices that could train them with techniques that could benefit them for many decades to come. She's opted for the Schroth therapy which we will get done closer to her home in Chatham County with our wonderful Schroth therapist colleagues at Advance Physical Therapy in Chapel Hill!! After we finish our training class for 12 more Schroth therapists here at Hey Clinic in December, we should have many more sites around NC and SC to help folks locally to "get it straight" conservatively, sometimes with 3D CADCAM comfortable ultra-low profile braces like the Rigo-Cheneau that we fit and build here at Hey Clinic -- for children, adolescents and adults. </span><br />
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<span style="color: #222222; font-family: Roboto, arial, sans-serif;">So, is there microsurgery or minimally invasive surgery for scoliosis? Yes.... but unfortunately not for everyone! We can do microsurgery also for some patients who have severe sciatica with spondylolisthesis and/or scoliosis even if they are not catttywampus. Anyway, especially for a rapid onset scoliosis this is good thing to think about. Not all disc herniations need surgery -- some can get better with conservative therapy, but in cases that do not, microsurgery / microdiscectomy is a really cool solution that can be life changing for folks like Hannah.</span><br />
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<span style="color: #222222; font-family: Roboto, arial, sans-serif;">Lloyd A. Hey, MD MS . --- Hey Clinic for Scoliosis and Spine Care. http://www.heyclinic.com</span><br />
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-52081322016595813832018-10-27T19:01:00.001-04:002018-10-28T21:12:58.629-04:00Can Adults with Scoliosis also be treated with a brace?.... and Can my daughter or son be a competitive athlete after scoliosis surgery? Celebrating Karmen's Georgia State Cross-Country Meet Today!There is a growing excitement at Hey Clinic over the last few months with our Schroth Physiotherapeutic Scoliosis Specific Exercises (PSSE) and in-house fabrication of 3D CADCAM personalized (Rigo-like) approach!!! Alma, or Schroth therapist is doing a super job with a big smile, and is well loved by everyone -- keeping it simple, and motivating the troops. She's working evenings, Saturdays and some days to meet the need. I think we are going to need 1 or 2 more Schroth therapists this fall. Let me know if you are interested in getting trained in our December course if you are a physical therapist -- and maybe you can join our team!!! KC our orthotist is also quite busy, tweaking the CADCAM software with our 3D EOS data and surface imaging, and special CADCAM software. We tweak the design each week to get better corrections, and keep working to make it less visible, and also more comfortable.<br />
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It is exciting to see results similar to what I got a chance to see in the European countries that are WAY AHEAD of the USA, when I was at SOSORT this spring in Dubrovnik, Croatia. Yesterday I saw a young teenage girl who improved her curve 17 degrees with her faithful wearing of the brace, and daily performance of the PSSE. We literally gave this young lady a standing ovation in the clinic room for her dedication to improving her scoliosis through her daily choices that will have a HUGE effect on her quality of life in the LONG RUN.<br />
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We did have a couple of teens who had slacked off a bit on their PSSE and brace wear, and saw no improvement, and one where the curve had actually worsened. Rather than coming down hard on the teen, we had really good dialogues about CHOICES -- daily choices they can make to be more intentional to get those curves down hopefully under 30 degrees, so they can much more likely live a happier, healthier life with better posture -- and be much less likely to need spine surgery in the future. We're continuing to tweak our in-house 3D brace design to work on better corrections, but also to make it lower profile and more comfortable so that the brace is not very evident under clothes at school -- which helps with compliance.<br />
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We saw several others who had improvements in the 3-10 degree range as well, which actually included a 61 yo nurse practitioner who has degenerative combined with adolescent scoliosis, who had a 4 degree correction of her thoracic and She feels absolutely great in her brace, which she wears for most of the day working in clinic, with excellent relief of her pain. Patricia shared some tricks for how to wear a special bra that is much more comfortable under the brace. She literally does not want to be out of that brace and had a really big smile the whole clinic visit, eager to share. I actually learned about this adult bracing using the 3D CADCAM Personalized brace in Croatia as well, which included seeing an incredible video of an older man with severe kyphosis who was restored to an upright posture with the brace. Who would have imagined that 3D CADCAM Rigo-like braces would actually not only give good relief, but also help with quality of life!<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYPxzAtZNfwnG6G0tf-ZWAPUghNQy2M9VaAUroladMHlLuwv-G8Bjq4RXa3p5y7GKpzrxcqRZwrBbIhp4FAbkTK7d-hQ3_shR-A49IAjN3VmNjQGGKGPjUxeLj9XbmByB5ZXZVOPoCSjc/s1600/Screen+Shot+2018-10-27+at+5.58.37+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1220" data-original-width="1516" height="321" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYPxzAtZNfwnG6G0tf-ZWAPUghNQy2M9VaAUroladMHlLuwv-G8Bjq4RXa3p5y7GKpzrxcqRZwrBbIhp4FAbkTK7d-hQ3_shR-A49IAjN3VmNjQGGKGPjUxeLj9XbmByB5ZXZVOPoCSjc/s400/Screen+Shot+2018-10-27+at+5.58.37+PM.png" width="400" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2SKWNeQzhAYZcu2PQE0TV0_IotT5EQxWMiKPcHG_RSnrZtJ_BxBscQFIaQIgPLYxBEl7j7wope4ES7u4TQuUe6Y3wPTx-9zBpCyfC57ZEOk_wXj72gYTi52l1vx3qOT0Ry8dai39lVig/s1600/Screen+Shot+2018-10-27+at+6.12.48+PM.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="559" data-original-width="1600" height="138" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2SKWNeQzhAYZcu2PQE0TV0_IotT5EQxWMiKPcHG_RSnrZtJ_BxBscQFIaQIgPLYxBEl7j7wope4ES7u4TQuUe6Y3wPTx-9zBpCyfC57ZEOk_wXj72gYTi52l1vx3qOT0Ry8dai39lVig/s400/Screen+Shot+2018-10-27+at+6.12.48+PM.png" width="400" /></a>The other big news from this week is that the book chapter I've been working on for several years on <a href="https://www.uptodate.com/contents/scoliosis-in-the-adult" target="_blank">"Scoliosis in The Adult "was published this week online on Uptodate.</a> UpToDate is a wonderful online medical textbook used by many physicians, PA's, NP's, nurses, residents, students and patients around the world, and is the reference linked to Electronic Health Records (EHR) like Epic. Since my residency years working at Boston Children's Hospital with Dr. John Hall, John Emans and others, I have always wanted to provide life-long scoliosis care for children, adolescents and adults. I saw that UpToDate had a great chapter on adolescent scoliosis and kyphosis, but nothing for adults. While I am excited about this chapter getting published, UpToDate doesn't really have a way of acknowledging ALL of the people who made this chapter happen, so I want to give credit to the "village" who made this real over several years. Several years ago, when I was serving on the Scoliosis Research Society (SRS.ORG) Adult Deformity Committee under Dr. Sig Berven, the vision of creating helpful texts for primary care doctors and many others to better understand adult spinal deformity was begun. Dr. Jeff Coe worked with me, along with several other committee members to begin the process, which was really quite challenging. I then had a phenomenal pre-med student named Tom Turner who spent 2 years working for me at Hey Clinic as a medical/research assistant apprentice. Tom continued that writing process with me and began to work with UpToDate.... and now Tom doing great in medical school. <b>THANKS SO MUCH TOM FOR YOUR FAITHFUL WORK. IT IS FINISHED AND PUBLISHED!</b> Couldn't have done it without you. </div>
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After Tom went off to medical school, I worked directly with UpToDate editors, including Dr. Dan Sullivan. Dan and I spent many hours on the phone together really talking through this important topic. Dan has since chosen to leave UpToDate to return to practice and teaching in Boston, MA but want to thank him so much for his creative input and pushing this project forward. Dr. Mary Torchia then took over the project, and made the final edits and figures, and was also a pleasure to work with. Her assistant, Emma Needham was also quite helpful. </div>
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Many thanks also to Kad, one of my young adult scoliosis patients, who had an 88 degree curve who was willing to share photos of his back and his X-Rays to show the UpToDate readers to know what to look for on physical exam. Thanks Kad!</div>
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<b>BUT NOW FOR THE BIG, BIG NEWS!</b></div>
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The last big news just happened today... We talk frequently at Hey Clinic with our pediatric and adolescent patients that we try to take advantage of this growing "window" of time to do what is best for the LONG RUN.</div>
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Well, many of our patients are actually awesome athletes, and one particular patient named KARMEN from Dublin, Georgia needs a big STANDING OVATION for her incredible accomplishment earlier today.... Karmen won the Georgia State Cross-Country Championship Race!! Karmen had her scoliosis surgery here at Hey Clinic / Duke Raleigh Hospital in March 2017, and got right out there with her training as soon as she got back to Georgia. This is one DETERMINED YOUNG LADY..... Watch out World!! Her mom, a nurse, texted me photos while I was working hard outside this afternoon, and actually texted me photos from today's race, and her regional WIN earlier this week and gave her blessing to share this with all of you. </div>
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<tr><td class="tr-caption" style="text-align: center;">Postop Scoliosis athlete Karmen wins regional cross-country meet October 15, 2018 in Georgia</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Oct 27 2018 Karmen leads the pack GA XC championship</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Oct 27 2018: Karmen with her 1st Place ALL-STATE Cross-Country Championship Award</td></tr>
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I truly enjoy getting to know my patients and families, and being a part of their life, as they are a part of mine. "What are you going to be when you grow up" -- one of my favorite questions to ask... and it is truly a blessing to see how many of these precious young people move toward healthcare careers as they go through their scoliosis journey.... and I'm confident they will be great caregivers, knowing what it is like to be a patient. It's quite a privilege to be a part of the journey of these precious caregivers of tomorrow!!!<br />
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This weekend, I'm preparing another talk for Triangle Christian Medical and Dental Association (TCMDA) for Friday November 9th on "Burnout Prevention and Treatment - How To Enjoy The Journey in Hope", as well as working on some home chores, rounding, and working on our multi-site eChecklist project with our POSNA grant. Today I worked outside all day -- absolutely beautiful fall day here in North Carolina. Now it time for dinner. Time is UP!! Have a great evening.<br />
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Lloyd A. Hey, MD MS ---- Hey Clinic for Scoliosis and Spine Care . -- http://www.heyclinic.com<br />
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-69544809395708991802018-10-07T16:56:00.000-04:002018-10-07T21:12:20.529-04:00FoxSports Ken Rosenthal Baseball Expert Talks About Scoliosis and Scoliosis Research Society (SRS.ORG) on TV Tonight!<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhD8glEdzhrHsKRewDDKjOlJEeWps7ruoEZ82jDfZW2sDAaKNcPw7Avojj_4GTCwDIIRy2ffI1DAuVR6pkQEb1UQMa_DxK_rLYBxPERfthSHAEFS7CfIzPC7e2OTpOxvU1P5liauUnr0oY/s1600/Screen+Shot+2018-10-07+at+4.34.40+PM.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1598" data-original-width="1154" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhD8glEdzhrHsKRewDDKjOlJEeWps7ruoEZ82jDfZW2sDAaKNcPw7Avojj_4GTCwDIIRy2ffI1DAuVR6pkQEb1UQMa_DxK_rLYBxPERfthSHAEFS7CfIzPC7e2OTpOxvU1P5liauUnr0oY/s320/Screen+Shot+2018-10-07+at+4.34.40+PM.png" width="231" /></a>I just got word that Ken Rosenthal will be speaking again tonight on national TV for National League Baseball about one of his important "Bowtie Charities" --- scoliosis and the Scoliosis Research Foundation (http://www.srs.org). SRS has been around for over 50 years, advancing scoliosis care for children, adolescents and adults all over the world. I've been a member for years, and am actually writing this blog just before boarding the plane for Europe for our annual meeting in Bologna, Italy!!<br />
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As you can read from his story, he actually had scoliosis as a teenager, and had Harrington rod surgery as a teen as well. His daughter, a dancer, also had scoliosis surgery as a teen.<br />
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He will likely also be discussing / tweeting about the National Scoliosis Foundation (http://www.scoliosis.org), which helps to promote early scoliosis detection and treatment to help decrease suffering due to spinal deformities, and also decrease need for scoliosis surgery.<br />
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2022 EST update<br />
Ken Rosenthal did get a chance to specifically mention in a separate TWEET, he National Scoliosis Foundation: <span style="background-color: #e6ecf0; color: #14171a; font-family: "helvetica neue" , "helvetica" , "arial" , sans-serif; font-size: 14px;">https://twitter.com/Ken_Rosenthal/status/1049041954850443265</span><br />
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<div class="TweetTextSize TweetTextSize--jumbo js-tweet-text tweet-text" data-aria-label-part="4" lang="en" style="font-size: 27px; letter-spacing: 0.01em; line-height: 32px; overflow-wrap: break-word; white-space: pre-wrap;">
"Another worthy scoliosis organization - National Scoliosis Foundation <a class="twitter-timeline-link" data-expanded-url="http://scoliosis.org" dir="ltr" href="https://t.co/VCeuomt6gk" rel="nofollow noopener" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #0084b4; text-decoration-line: none;" target="_blank" title="http://scoliosis.org"><span class="tco-ellipsis"></span><span class="invisible" style="font-size: 0px; line-height: 0;">http://</span><span class="js-display-url">scoliosis.org</span><span class="invisible" style="font-size: 0px; line-height: 0;"></span><span class="tco-ellipsis"><span class="invisible" style="font-size: 0px; line-height: 0;"> </span></span></a>. Promotes scoliosis awareness and screening. Modern bracing and physical therapy can prevent suffering later in life. Catching scoliosis early can actually result in reversing curve"<br />
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<span style="font-family: "source serif pro" , serif; white-space: pre-wrap;"><a href="https://www.curvygirlsscoliosis.com/" target="_blank">Curvy Girls</a> is another great organization that works alongside which helps with local support groups for girls and their parents with scoliosis. I had the pleasure of speaking at the Raleigh chapter of Curvy Girls recently, which was just awesome -- 20-30 girls there, and their moms (and sometimes Dads!) -- sharing some of the latest research coming out on the effectiveness of more modern 3D bracing and physiotherapeutic scoliosis-specific exercises (PSSE) such as Schroth Therapy. Many of the girls downloaded scoliometer apps and learned how to do their own screening!! One of the girls wants to help improve scoliosis screening across all of North Carolina, starting with her own city and county. Amazing. All of of these organizations (SRS, NSF, and Curvy Girls) do a phenomenal job, and deserve your support, small or large to promote scoliosis awareness, screening, research, innovation, and care</span></div>
<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-19819428897529635482018-09-24T21:11:00.001-04:002018-09-25T04:36:47.690-04:00Does scoliosis bracing always work in the long run? What happens if my curves progress later in life? Scoliosis surgery before pregnancy? At Hey Clinic, we are HUGE advocates for conservative treatment for scoliosis and other spine conditions for children, adolescents and adults. This includes in-house affordable low radiation high resolution EOS imaging (without the hospital facility fee), SCHROTH PHYSIOTHERAPEUTIC-SPECIFIC EXERCISES (PSSE), and in-house custom molded Rigo-Cheneau braces from 3D surface data. As a result, we have a very good success rate with conservative treatment for a large percentage of our guests in all age groups.<br />
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We are also HUGE advocates for life-long scoliosis follow-up, collecting scoliosis measurements not just during childhood and adolescence, but during adulthood as well, since 60-70% of scoliosis will progress during adulthood. Having that longitudinal data over time, combined with dialogue and assessment of quality of life, height loss, posture and appearance changes over time combined with osteoporosis assessment and prevention are all super helpful for the patient and family to clearly understand your CHOICES at each stage of this life-long scoliosis journey.<br />
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From time to time we have patients and families who want to share their stories anonymously to share part of their life-long journey. I received this story this evening from one of our young adult patients who gave her OK to share it with all of you! Enjoy and thanks for sharing S!!!<br />
----------- Dr. Lloyd Hey . http://www.heyclinic.com . Hey Clinic for Scoliosis and Spine Care<br />
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<i>"I was diagnosed with scoliosis when
I was 12 years old. When I first met with my pediatric physician he recommended
a night time brace which I wore for three years. The brace was successful in
halting progression as I grew and by the time I was 21 my curves had remained
at 32 and 37 degrees for several years. I was told it was unlikely my scoliosis
would progress in adulthood and for several years I put it out of my mind. <span style="mso-spacerun: yes;"> </span><o:p></o:p></i></div>
<div class="MsoNormal" style="text-indent: .5in;">
<i>When I was 28 years old I began
noticing changes in my body. My ribs stuck out, my sides and shoulders were
more uneven than they used to be, and I began to feel discomfort in my back and
sides. I found Dr. Hey online and chose to go to him because of his experience
and reputation for being an excellent surgeon. At my first appointment I
learned that both of my curves had significantly progressed. Dr. Hey was
informative and discussed my options with me. I felt absolutely no pressure
from Dr. Hey to have surgery. He left it up to me to determine how I felt it
would be best to move forward. Because I was in a hurry to start a family I
made the decision to be proactive and have the surgery before I had children. <o:p></o:p></i></div>
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<i>I had surgery 7 weeks ago and I am
thrilled with my decision. I was extremely nervous before the operation but Dr.
Hey and his wonderful team answered all of my questions and helped set my mind
at ease. I spent four days in the hospital and felt very well taken care of by
the nursing staff. The first three weeks of recovery were difficult, but I
could feel myself getting stronger each day. I am now seven weeks out from
surgery and my incision has completely healed. I can also walk with ease and
bend down without much trouble. I still have sensitivity near the incision site
and a bit of stiffness, but I am very close to feeling completely back to
normal. I am confident that I made the best decision for myself in moving
forward with the surgery and I am looking forward to a brighter future
uninhibited by scoliosis."<o:p></o:p></i></div>
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-10503588491466602962018-09-04T09:15:00.001-04:002018-09-04T09:27:58.033-04:00Can my Adolescent Idiopathic Scoliosis Curve and Posture actually Improve With Schroth PSSE and modern Rigo-Cheneau Brace? EF Teen StoryI received the following letter from EF, one of our adolescent idiopathic scoliosis (AIS) patients we are treating here at our new expanded Hey Clinic for Scoliosis and Spine Care here in Raleigh, NC. The patient and her mom gave permission to share her story with all of you. We are seeing many success stories like this now as we ramp up Schroth Scoliosis Physiotherapeutic Specific Exercise (PSSE) here with two therapists here at Hey Clinic, and also working with our expanding network of PSSE therapists across North Carolina and beyond. We actually just had an Intro class here for Schroth a couple of weeks ago, with therapists from across NC and beyond joining in to learn the basics, and will be holding a full Schroth Certification at our Hey Clinic Learning Center here in December. <br />
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Our In-house scoliosis bracing facility is also now fully up to speed, allowing us to take 3D images of the patient, also with our EOS X-Ray machine contributing high resolution, low radiation imaging data including 3D data. We can then take that data into special software to design and fabricate a very comfortable, and effective brace for 3D correction based on the principles of Rigo and Cheneau derotation --- a huge step forward from the Boston Brace and Charleston Brace. </div>
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Thanks EF for sharing your story of not only improving your Cobb angle, but your pain level, quality of life and appearance, with great improvement in your trunk shift!! </div>
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Here is EF's story: </div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>"Two years ago while shopping for bathing suits with my mom, I noticed that my right hip was higher than my left. The next day my mom took me to my regular doctor. He took several x-rays and then referred me to Dr. Hey. </i></b></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>When I went and saw Dr. Hey, I got more detailed back and spine x-rays and he explained to me that I had scoliosis. My curve was 20 degrees in my lower back. When I first found out that I had scoliosis, I was really anxious because I didn't know if it was going to get worse, or if my hips would ever look normal again. I was also worried if it would effect me playing sports because I played soccer, did cheer, and swam. The only discomfort I had was pain in lower back, but it was manageable with some advil. </i></b></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>My next two six months appointments, my x-rays were still the same. I was worried that my curve would never go decrease and that my hip discrepancy would only get bigger. I expressed my discomfort and concern to Dr. Hey and he recommended bracing. My first thoughts were “there’s no way I’m wearing a huge brace to school every day.” I thought it would be really uncomfortable, and I would look weird in it. </i></b></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>After talking to my parents, I decided to move forward with the bracing process. When I first started wearing it, it was a difficult adjustment. I felt the brace pushing my left hip and shoulder up. I would wear my brace when I got home from school and I would wear it to sleep at night. After a few weeks of getting used to it, my brace actually felt good putting it on; I felt like my hips were straight.</i></b></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>I continued wearing my brace every night for the next 7 months! At my last appointment, when I took my x-ray, Dr. Hey told me my curve had gone down by 5 degrees! I was so excited that my back was finally getting straight and that my hip discrepancy was actually not as noticeable. My hips look much more even and normal now.</i></b></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><b><i>Even though at first, I was scared, nervous, and unsure with my bracing journey, I could not be more happy with the results I have gotten so far. This summer, when I was at the beach, I actually felt comfortable in my bikini! I will definitely continue to wear it every day to help my back improve more. "</i></b></span></div>
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-28460147043150697572018-06-09T06:38:00.001-04:002018-06-09T06:40:15.631-04:00June is Scoliosis Awareness Month, and also celebrating opening of the new Hey Clinic!<div class="separator" style="clear: both; text-align: center;">
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<tr><td class="tr-caption" style="text-align: center;">New Hey Clinic Open House June 7 2018 with Dr. David Zaas, Duke Raleigh Hospital CEO kicking off Scoliosis Awareness Month with Roy Cooper's Proclamation</td></tr>
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This past week has been a very busy, but joyous one at the newly opened Hey Clinic, as we all celebrate the kickoff off June as Scoliosis Awareness Month. Many thanks to Wendy from Hey Clinic (a scoliosis mom) and for Roy Cooper and his office who worked hard to make this happen, as North Carolina joins with other States around the US, and other nations around the world to be more aware of spinal deformities. The truth is that the United States, while great in a lot of things, is <b><i>way behind </i></b>other countries around the world when it comes to scoliosis screening and early intervention. </div>
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Scoliosis, kyphosis and spondylolisthesis awareness is important more than ever as evidence continues to mount that <b><i>"an ounce of prevention is worth a pound of cure"</i></b>, starting with the 2013 NEJM scoliosis bracing randomized control trial with Weinstein and Dolan. Since then, other studies coming out of SOSORT and other sources showing how physiotherapeutic scoliosis-specific exercises (PSSE) like Schroth, which have actually been widely used in Europe for decades, can in some cases actually IMPROVE scoliosis, especially during the crucial early curve progression period in early adolescence. I actually spent a week this past April over in Dubrovnik Croatia learning from conservative scoliosis treatment experts from all over Europe and the rest of the world how we can possibly redirect the miraculous, complex 25 segment core structure of every human being. For example, there also is growing evidence of the synergistic benefit of PSSE combined with more modern custom 3D derotation scoliosis braces like Rigo-Cheneau, which seem to be resulting in higher patient compliance, which is linked to effectiveness.</div>
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After a very busy couple years planning and building the new Hey Clinic, and also very busy writing lectures, and developing new patient safety "apps" using checklists that we will be rolling out to other scoliosis centers this summer, and training up new interns to help out with our quality improvement projects, I hope to take a little more time now to share what we've been learning here on the blog. </div>
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Stay tune for more, and let's all try to figure out ways to increase scoliosis awareness, and think and act creatively to ensure that every precious growing child in North Carolina and elsewhere has the opportunity to get screened, and have an early intervention like PSSE and/or bracing that can help prevent decades of suffering and possibly disability later in life. So download a Scoliometer App for your phone, and learn how YOU can even help identify children and adolescents at risk for scoliosis. Even adults can be identified with scoliosis and kyphosis and still benefit from detection and careful follow-up and conservative care. --- Lloyd Hey</div>
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Here is the text from Governor Roy Cooper's Proclamation</div>
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<b>State of North Carolina</b></div>
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<b>Roy Cooper Governor</b></div>
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<b>National Scoliosis Awareness Month</b></div>
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<b>2018</b></div>
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<b>BY THE GOVERNOR OF THE STATE OF NORTH CAROLINA</b></div>
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<b>A PROCLAMATION</b></div>
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<b>WHEREAS,</b> increasing public awareness of scoliosis can help children, parents, adults and healthcare providers understand, recognize and treat this and other complex spinal deformities; and</div>
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WHEREAS, scoliosis is an abnormal curvature of the spine that affects an estimated 3 percent of the population, or 7 million people in the United States; there is no known cause for scoliosis, and the condition can affect people of any age, race, gender or ethnicity; and</div>
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WHEREAS, an estimated one million scoliosis patients utilize health care yearly and approximately one in every six children diagnosed with this condition is required to receive medical treatment, sometimes involving surgery; and</div>
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WHEREAS, the primary age of onset for scoliosis is between ten and 15 years; females who have scoliosis are five times more likely to progress to a curve magnitude that requires treatment; and</div>
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WHEREAS, screening programs allow for early detection and for treatment opportunities which may alleviate the worst effects of the condition; and</div>
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WHEREAS, National Scoliosis Awareness Month is an opportunity to raise awareness and support for those combatting this spinal condition, and to advocate for increased research and funding to reduce pain and suffering it causes;</div>
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NOW, THEREFORE, I ROY COOPER, Governor of the State of North Carolina, do hereby proclaim June 2018 as "NATIONAL SCOLIOSIS AWARENESS MONTH" in North Carolina, and commend its observance to all citizens.</div>
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Signed Roy Cooper, Governor</div>
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In witness thereof, I have hereunto set my hand and affixed the great seal of North Carolina at the Capitol in Raleigh this first day of June in the year of our Lord two thousand and eighteen and of the independence of the United States of America the two hundred and forty-second.</div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhayLegNNvUxHcuFqx2Jw_DDFhfse-7Ao3KOrFaN5CXRU9TdAXk9GiEbncYuLPe6uT3Ui6nogvdIkiATbbJ2rj3_SBRrpd341iKYuHek5TiTRCkMiXsUhyphenhyphenrxMQkoA4NierVtV6dNRH2tao/s1600/IMG_20180607_130913945.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhayLegNNvUxHcuFqx2Jw_DDFhfse-7Ao3KOrFaN5CXRU9TdAXk9GiEbncYuLPe6uT3Ui6nogvdIkiATbbJ2rj3_SBRrpd341iKYuHek5TiTRCkMiXsUhyphenhyphenrxMQkoA4NierVtV6dNRH2tao/s1600/IMG_20180607_130913945.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhayLegNNvUxHcuFqx2Jw_DDFhfse-7Ao3KOrFaN5CXRU9TdAXk9GiEbncYuLPe6uT3Ui6nogvdIkiATbbJ2rj3_SBRrpd341iKYuHek5TiTRCkMiXsUhyphenhyphenrxMQkoA4NierVtV6dNRH2tao/s640/IMG_20180607_130913945.jpg" width="480" /></a>Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com07341, 3320 Wake Forest Rd suite 450, Raleigh, NC 27609, United States35.827886 -78.61922099999998210.3058515 -119.92781499999998 61.349920499999996 -37.310626999999982tag:blogger.com,1999:blog-6090003384917229338.post-69709414264494987912017-03-31T21:30:00.002-04:002017-03-31T21:46:29.869-04:00HAPPY BIRTHDAY AHMAD!! What do neurofibromatosis, scoliosis, burnout, patient safety and "flow" have to do with one another? After going to a wonderful Duke Patient Safety Conference last Thursday which discussed ways of avoiding and treating burnout, and also finding "flow" in your life, I've been inspired to start writing my blog more regularly again. Dr. Shanafelt from Mayo Clinic shared that 45% of doctors and nurses are burned out, and that burnout leads to patient safety issues, retention issues, and even health consequences for healthcare providers and patients!! Bryan Sexton, PhD from Duke also shared his research and interventions that could possibly help prevent burnout. I was really struck that this is an issue that we as a medical community need to work together on. It reminded me of a lecture I gave almost 3 years ago at Cornell to a Phi Delta Epsilon premed Honor Society entitled "Finding and Maintaining Your Joy and Idealism through your Medical Career Journey" -- that talk was very well received with over 1/4 of the audience coming down to talk with me afterwards since I was providing hope to escape the cynicism that was already pervading their path. The main point of that talk was COMPASSION -- what can drive us to keep serving, as we realize the precious people we serve in healthcare, and the precious people we work with in service together as a team. So here's my plan -- I want to help improve patient safety, and also improve work culture by writing down thankful encouraging miracle moments when they occur so we can all take better care of our patients, and enjoy the journey more, and inspire the next generation to do likewise!!!<br />
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While events are still fresh in my mind, I want to try to remember the inspiring patients and families and events that remind us why it is great to be a surgeon, nurse, PA, nurse practitioner, medical assistant, X-Ray tech, scrub tech... you name it! Every day there are little miracles that occur that make you smile.... and I often say that I should write them down while the "energy spike" of the moment is fresh.... but usually I don't! <br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizyJxJoUMBwkNx69daXA6U769vg9_2IbLjGNJ6qG2qH3Id8yrC34tHL4Iu0U-lESMHaWCQp9IquClV8moPuO1oVXsuXVamBbfxVZ_cZlkAsugg_ZlBp2oMIKukr4AxNj6shagYIJwN2WY/s1600/IMG_0913.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizyJxJoUMBwkNx69daXA6U769vg9_2IbLjGNJ6qG2qH3Id8yrC34tHL4Iu0U-lESMHaWCQp9IquClV8moPuO1oVXsuXVamBbfxVZ_cZlkAsugg_ZlBp2oMIKukr4AxNj6shagYIJwN2WY/s320/IMG_0913.JPG" width="240" /></a>Well, I want to make an effort to share a bit more now, so as time goes by I can remember, but maybe also inspire some others to take heart and be encouraged as well. We are all quite blessed to be able to interact with precious people, and to be able to be in a compassionate profession. But we are also blessed to be working WITH EACH OTHER, showing compassion to one another as well as to patients and families. Taking special notice of those moments of compassion and healing can help maintain a thankful spirit, which is a great treatment and prevention for "burnout", which I learned affects 45% of physicians and nurses in healthcare today!!<br />
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The miracle guy I want to focus on first is my friend, and future MD partner Ahmad. Ahmad is 12 years old, and will be 13 years old tomorrow, April Fool's Day!! <b>HAPPY BIRTDHAY AHMAD!!!</b> He has neurofibromatosis, which has caused a very severe scoliosis, around 110 degrees. This makes it tough to grow, tough to breathe, and can become quite painful. We admitted him for cervical traction at WakeMed Children's Hospital for several weeks, gradually stretching out his spine, which allowed his lungs to work better, improve his spinal alignment, and also improve his nutrition. <br />
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Yesterday I got a chance to see Ahmad and his mom and Pre-Med sister at Hey Clinic for his 6 week postop visit doing very well. <br />
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<tr><td class="tr-caption" style="text-align: center;">12 yo Ahmad, before and after scoliosis surgery</td></tr>
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His mom brought us two big boxes of Dunkin' Donuts which our staff and patients fully enjoyed, even though it broke my "low carb" promise I had made to myself. Ahmad then gave me a very special gift that he had made for me, that he designed himself:<br />
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When I opened up the box and took out this beautiful clear award, I just had to laugh as I read the inscription around his before and after X-Rays etched into the glass: "Get it Straight... Dr. Lloyd Hey... <b><i>COOLEST DOCTOR AWARD" !!! </i></b><br />
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The hand-written card from Ahmad and his parents was also quite precious...ending with "I love you"<br />
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So Ahmad has already told me that he wants to join Hey Clinic as a doctor when he grows up, but he doesn't plan to do surgery, since he "doesn't like blood." His older sister, a pre-med definitely is is surgically minded and wants to help as well. They will likely be working alongside Jonathan R, a boy a little older than Ahmad who had a 110 degree scoliosis we fixed at WakeMed about 2.5 years ago. Jonathan just entered a special medical health high school program so he can fast track toward a career in medicine. As an interesting coincidence, I actually got invited to Jonathan's 14th birthday party, which I went to as Jonathan was making transition to manhood! What a joy to be included in that special celebration with his family and friends. We are all part of a web of relationships... it's not just work!!!</div>
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So, <b><u>Happy Birthday Ahmad</u></b>, and thanks to you and your family for blessing me and our whole team at Hey Clinic and WakeMed with your words of encouragement, your gifts, and your friendship.</div>
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<b>I love you too, Ahmad.</b></div>
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I was a patient once, too, and still love my surgeon who saved my life and my leg.</div>
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com1tag:blogger.com,1999:blog-6090003384917229338.post-90589678879733153242017-02-21T16:04:00.002-05:002017-02-21T16:04:52.542-05:00I just received a beautiful letter from a guest of Hey Clinic I just had to share!<br />
This is one of the remarkable reasons I became a surgeon-Thanks Kara and to your wonderful family as well-Keep Dancing-Dr. Hey<br />
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"Dr. Hey,</div>
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This a link to a video of Kara doing a dress rehearsal for her dance solo this year. The dance is based on her journey this year with her surgery. I want to thank you and all of your staff for making this possible. 5 months ago when she went in for surgery I really had my doubts that she would be up and dancing this quickly. She learned this dance in December just 2 months after her surgery. Her teachers are amazed at what she is doing. Hope you enjoy. Thank you again for what you do for everyone that suffers like she was. We are so grateful for Hey Clinic!!"</div>
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-71381994562569489882016-05-21T15:25:00.002-04:002016-05-21T15:25:35.715-04:00What do early onset scoliosis (EOS) and adolescent idiopathic scoliosis (AIS) patients really think about scoliosis surgery and recovery? A brother and sister create their own interview video!<div class="separator" style="clear: both; text-align: center;">
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A few months ago, we had the opportunity to care for a brother and sister, Ava and Luca, who had progressive adolescent idiopathic scoliosis (AIS) and early onset scoliosis (EOS) -- both of whom had rapidly progressive curves over 50 degrees and growing. This morning I received an email from their parents that the two of them actually created their own movie, interviewing each other about their experience. We'll see what you think, but I think the two of them did a great job putting this together with their parents. Understanding scoliosis and scoliosis treatment through the eyes of the patient and family is super helpful, and this family did a really good job sharing their amazing journey through the preoperative, surgical, and recovery phases of care. They share about their concerns before surgery, and their postoperative recovery, including when they were able to go back to school, and return to sports, dance and gymnastics. They share about their improved posture, preop and postop pain and much more. <br />
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Strong work Ava and Luca, and your amazing Mom and Dad! You guys did a wonderful job documenting your journey to help other children and adolescents, and their parents, and also to thank the people who helped care for you at WakeMed Children's Hospital in Raleigh, NC and Hey Clinic.<br />
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Lloyd Hey, MD MS<br />
Hey Clinic for Scoliosis and Spine Surgery<br />
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-12173876564165044142016-02-07T18:13:00.001-05:002016-02-07T18:19:00.919-05:00Can my daughter dance freely after scoliosis surgery?<div class="separator" style="clear: both; text-align: center;">
Ava is a 13 yo young lady from Long Island, NY who had scoliosis surgery along with her younger brother in November 2015 with Dr. Lloyd Hey (Hey Clinic for Scoliosis and Spine Surgery), in Raleigh, NC. Her mom Marisa shared a recent video of Ava at dance class, showing how freely she can move on the dance floor after instrumentation and fusion correction of her scoliosis. Her younger brother is back to full activity as well from his thoracolumbar scoliosis surgery. Ava and her mom and dad allowed us to share this video and her before and after X-Rays with all of you! Go Ava!!!!</div>
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-7254384264729125872015-12-10T22:23:00.000-05:002015-12-10T22:25:25.218-05:00Thank You Note from 15 yo Susan 6 weeks postop adolescent idiopathic scoliosisSaw 15 yo Susan back for her 6 week postop visit, who made me a wonderful home-made thank you car that I share below.<br />
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<i><b>"12/10/2015</b></i><br />
<i><b>Dr. Hey,</b></i><br />
<i><b>Thank you for all the help you have done. After the surgery, I know i can do the things I love to do without having limits or being in pain. Throughout the day of my surgery, I was scared and so was my family. But when you said a prayer for me and my family, me and my family knew everything was going to be just fine. Thank you so much!! You made a true difference in my life!! And for that I want to thank you. Love, Susan"</b></i><br />
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-15615264061159963492015-11-05T18:17:00.001-05:002015-11-05T18:17:32.020-05:0024 yo Vanessa with severe scoliosis and one lung looking well and feeling well at 5 months postop<br />
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We saw Vanessa and her husband back in clinic today, and she was absolutely radiant! We've shared <a href="http://drlloydhey.blogspot.com/2015/06/24-yo-vanessa-with-one-lung-since-birth.html" target="_blank">her story on a previous blog </a>with her permission, and again today with he permission. She was sent to me by Dr. Chris Brown, a wonderful Duke spine surgeon who I have known for many years. Vanessa was quite a challenge: a severe scoliosis, and missing one lung from birth, which is not a good combination for long-term cardio-pulmonary health, and even for perioperative risk. She had done very well, however, and I am thankful that she now able to enjoy better quality of life with her 3 yo and husband, better posture and appearance, and also better long-term outlook for her cardio-pulmonary health! Vanessa and her husband share their updated story on YouTube video and transcribed text below. <br />
Dr. Lloyd Hey -- Hey Clinic for Scoliosis and SpineSurgery<br />
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<iframe width="320" height="266" class="YOUTUBE-iframe-video" data-thumbnail-src="https://i.ytimg.com/vi/LDdDWdQfJvI/0.jpg" src="https://www.youtube.com/embed/LDdDWdQfJvI?feature=player_embedded" frameborder="0" allowfullscreen></iframe><b><i>“I am Vanessa. I am originally from Fayetteville. I have been seen by Dr. Hey. My surgery was this past June of 2015. I suffered from scoliosis since I was about 12 years old and it was ongoing pain, literally. I am really grateful now because Dr. Hey has fixed my spine. I feel prettier now. I used to grow my hair really long to hide my hump and now I cut it short, so I’m happy about that. I have a 3 year old that I can </i></b><b><i>keep up with now. I took him trick or treating recently and I was excited to look at the pictures because I didn’t have any hump and I was able to last all night long. It was great! So I am very thankful for Dr. Hey and his staff and everybody at Duke Raleigh who took care of me. I’m very grateful. I feel beautiful. Much more beautiful than I did before. Life is great and is going great now.” -Vanessa</i></b><br />
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<b><i>“I would just like to thank Dr. Hey and everybody at the Hey Clinic and Duke Raleigh medical center. Just for getting my wife to where she wanted to be, where she is pain free. She is taller now. Pain free everyday too. A lot happier and her morale is a 100 times better.” –Vanessa’s husband</i></b><br />
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<tr><td class="tr-caption" style="text-align: center;">Vanessa's new back posture, incision looks good</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Vanessa's very good side posture postop</td></tr>
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<br />Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-39499583105317217142015-09-23T07:51:00.003-04:002015-09-23T07:59:39.190-04:00Can I regain quality of life after flat back syndrome kyphosis and scoliosis surgery? Email received today from Sheila, South Carolina shares.<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdzygxDcWbNwC8jVRqEhnJpS8auzNHK9BdgpIdeMPNp1SGpXbQSHCtiUynFduwpfA71Pt6KQTOYY6Jpxhq5aiv3xr9uOqV5lGDkEJPmor7ZpAI03Qbq-cU42cXy_cONMgwVfuw4P7AlEE/s1600/20150920_122050.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdzygxDcWbNwC8jVRqEhnJpS8auzNHK9BdgpIdeMPNp1SGpXbQSHCtiUynFduwpfA71Pt6KQTOYY6Jpxhq5aiv3xr9uOqV5lGDkEJPmor7ZpAI03Qbq-cU42cXy_cONMgwVfuw4P7AlEE/s320/20150920_122050.jpg" width="180" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4CQo3A3w_zEcx8H88pLbg4LmjkqhFsEvjcEb2-HfhNsWXTRwEcZW6R8Z13zzVkxqLPN4-hhPnt5iRPksbobp9AnDLhMqjqmDdGa9xjewsMuKttM57h1LDQUpFJiD1VhOsyJiVYcsrCR8/s1600/20150919_090350.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4CQo3A3w_zEcx8H88pLbg4LmjkqhFsEvjcEb2-HfhNsWXTRwEcZW6R8Z13zzVkxqLPN4-hhPnt5iRPksbobp9AnDLhMqjqmDdGa9xjewsMuKttM57h1LDQUpFJiD1VhOsyJiVYcsrCR8/s320/20150919_090350.jpg" width="180" /></a><span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">Sheila had severe flatback syndrome, spinal stenosis, and severe kyphotic posture combined with severe L5S1 anterolisthesis below a previous Harrington Rod fusion done many years ago for her adolescent idiopathic scoliosis. <a href="http://drlloydhey.blogspot.com/2015/06/flat-back-syndrome-and.html" target="_blank">Her pre and postop posture is shown on previous blog post</a>. She sent me this email earlier this am, with her latest accomplishment. --- Thanks for sharing, Sheila! You go, girl! Dr. Hey</span><br />
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<i><span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">"Hello! Had to share my weekend with you. This is our bridge here in Beaufort going to Lady's island and I walked it both </span><span class="aBn" data-term="goog_1526390131" style="background-color: white; border-bottom-color: rgb(204, 204, 204); border-bottom-style: dashed; border-bottom-width: 1px; color: #222222; font-family: arial, sans-serif; font-size: 12.8px; position: relative; top: -2px; z-index: 0;" tabindex="0"><span class="aQJ" style="position: relative; top: 2px; z-index: -1;">Saturday</span></span><span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;"> and </span><span class="aBn" data-term="goog_1526390132" style="background-color: white; border-bottom-color: rgb(204, 204, 204); border-bottom-style: dashed; border-bottom-width: 1px; color: #222222; font-family: arial, sans-serif; font-size: 12.8px; position: relative; top: -2px; z-index: 0;" tabindex="0"><span class="aQJ" style="position: relative; top: 2px; z-index: -1;">Sunday</span></span><span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;"> this past weekend. I made it all the way to the other side and then back again. It has a gradual incline to the top, and my much younger friend ( 23 years old) who walked with me, was very concerned about the incline. She said if I wanted to, we could only go halfway and come back. Nope. I said I'm walking the whole bridge and back. And we did. She was amazed. And even more amazed that I did it again the next day. It's about 3/4 of a mile each way. Not too shabby for someone who is recovering from spine revision surgery. LOL I haven't been able to walk this bridge in over 2 years. I was in too much pain from being bent over to be able to do it. My husband reminded me I couldn't make it from the parking garage to your office the day I came to see you. We had to stop several times. When I first approached the bridge, I stood at the bottom and looked up and said to myself, can I do this? I was just hoping to make the walk up to the top and then come back down to my car. I made it to the top, stood and enjoyed the view and then started going down the other way. And I made the climb twice! My hubby was worried. He said only go half way. When I came back and told him I did the whole bridge, he cried. And then I cried. And we remembered that day before surgery, when I couldn't walk to Dennys restaurant from our hotel. I couldn't do it. And next month, we will welcome a new grandbaby and this grandma will be able to stand up straight beside his crib. I am so very happy that I decided to have this surgery. I wished I had sooner. But I was scared. And by the way, anyone who is worried about their clothes afterwards in warmer weather because of the scar, don't worry at all. You can wear anything you want. My scar looks great. Went right over the old one. That was a concern to me cause before I was in a body cast for 9 months years ago with the first surgery and didn't worry really about what it would look like. This time I did. I just want others to know that I'm not sure if it was possible for anyone to have been more scared than I was. And I did great. And had a great outcome. This surgery now allows me to walk without pain, stand without bending my knees constantly, stand straight and not be bent over, stand at my sink and do dishes, stand at my stove and cook, go to events and not be constantly looking ahead for a bench to sit on. And so much more. Please share my story with those who are trying to decide to have revision surgery. They won't regret it. I never dreamed I would be walking this bridge EVER again in my life. Thank you again and I'll see you in November. Sincerely, Sheila C. "</span></i><br />
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">Thanks again for sharing Sheila!! Keep it up!</span><br />
<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">Lloyd A. Hey, MD MS -- Hey Clinic for Scoliosis and Spine Surgery</span><br />
<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">http://www.heyclinic.com</span><br />
<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;"><br /></span>Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-31486042983604417802015-07-31T10:58:00.000-04:002015-07-31T12:35:20.333-04:00Hand-written Thank You Notes....even from the texting generation! Mentorship, and thanks for the whole team.<div class="" style="clear: both; text-align: left;">
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After finishing up a day in surgery or in clinic, it is always a great joy to find a hand-written note from one of our patients on my desk. This week I've received a couple of notes shown below -- one from Alex, a 20 yo gentleman from Venice, Florida who had a fairly severe kyphosis that I straightened out for him back in May. He is heading off to medical school next week! His note is encouraging, since as many of you know, I was inspired to be a surgeon because of my own experience as a patent as a teenager. I was helped by an orthopedic surgeon who literally gave me my life and my leg and my ability to walk back. I spend time each week mentoring medical and pre-med students helping them to truly consider how they should take care of the whole person, and whole family, and not just think about diagnoses, procedures, and "cases." </div>
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Sometimes this inspiration happens for patients like Alex as well. Another postop teenager named Cedar, from Asheville, NC told me this week in clinic that she now wants to be a surgeon, after I fixed her severe scoliosis a year ago... Perhaps these 2, and maybe others will help take my place some day when I retire. However, God willing, I am not planning to retire anytime soon. Like my mentor, Dr. John Hall at Boston Children's Hospital, it would be my great joy to keep serving as a scoliosis surgeon for many years to come. Dr. Hall finally retired at age 80, after 3 Harvard retirement dinners, and I believe his wife finally putting down the final ultimatum! </div>
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My hope is that I can hire a few younger surgeons in the years to come, and share what I've learned through my experience caring for many children, adolescents and adults with spinal deformity using successful conservative treatments in the clinic, as well as surgical treatments in the operating room. Passing on this learning and wisdom should help keep Hey Clinic going, and growing and improving for many years to come, with excellence. </div>
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Here is the note from Alex<b><i>: Dr. Hey, I wanted to express my thanks again to you and your awesome team; having you fix me up has done me a lot of good not only physically but psychologically as well. I am getting ready to start medical school next week, and I can't tell you how much this experience has helped me define where I want to take my career. You have been a great role model for me, even if our time spent in person has been brief. Talk to you soon, and God bless you and yours. Alex"</i></b></div>
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13 yo Kristin's note was inspired and completely written out by her alone, which was accompanied by a collection of fresh chocolate-covered strawberries and apples that we were able to share with the entire Hey Clinic staff yesterday afternoon. </div>
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Her note reads: </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg980GBut82gJeXRQo5TC7DMIuSKZ_7deKxzb_BR33YkD20rjc9oXXYhYbSsbDr5Adm6d51TXRAOiOF6aCcssGl74f6YX3tQvzwnb8eS-DgZ-8edPk1zalcJ7ZuBAvvE0Ap170uDUCYVjw/s1600/Screen+Shot+2015-07-31+at+10.26.11+AM.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg980GBut82gJeXRQo5TC7DMIuSKZ_7deKxzb_BR33YkD20rjc9oXXYhYbSsbDr5Adm6d51TXRAOiOF6aCcssGl74f6YX3tQvzwnb8eS-DgZ-8edPk1zalcJ7ZuBAvvE0Ap170uDUCYVjw/s320/Screen+Shot+2015-07-31+at+10.26.11+AM.png" width="238" /></a><b><i>"Dear Dr. Hey, Thank you so much for fixing my spine and taking care of me during my recovery in the hospital. I would also like to give thanks to the nurses who helped me handle my pain, helped me sit up, and walk. I feel little to no pain at all. :) -- Kristin"</i></b></div>
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Kristin, we will be sure to pass along your thanksgiving to the Duke Raleigh Hospital nurses and physical therapists and occupational therapists who helped you! There were actually quite a few people who helped you even during your surgery while you were asleep who are also a key part of our team. I will thank them as well. After my severe leg injury and 3 month hospitalization, I actually made several trips back to the hospital floor and visited the nurses and therapist to just say thanks and to show them that I was actually starting to walk again. I also shared with them how their compassionate care helped me to get through a very dark valley of my life, and inspired me to become a doctor some day. </div>
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So let's face it: we're not just X-Raying, measuring, bracing, and straightening up crooked spines here to prevent heart and lung compression and/or pain and disability now or later in life. We are interacting with very special, developing human beings -- who are quite impressionable. If we handle this whole experience with your child, adolescent or adult loved one well, they not only end up with the desired CLINICAL result, but PSYCHOLOGICAL, EMOTIONAL and WHOLE LIFE DEVELOPMENTAL and INSPIRATIONAL result that may have a huge impact on their life as they grow up and choose to serve someday. That's the kind of personalized "signature care" we have been seeking to gradually perfect over many years now with our whole team. </div>
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And that is when we get the hand-written thank you note that makes our day.</div>
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Thank you Alex and Kristin for taking the time to send in a thank you note. It is so encouraging for me and for our whole team. Each guest and their family is precious to me, and to our entire clinic and hospital staff, both at Duke Raleigh Hospital, and WakeMed Children's Hospital, and these notes really help us to keep pressing on to serve better and better over time.</div>
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Lloyd A. Hey, MD MS</div>
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Hey Clinic for Scoliosis and Spine Surgery</div>
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http://www.heyclinic.com</div>
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Let us know if we can be of any help for a second opinion regarding conservative (including bracing) vs. surgical treatment for your child, adolescent, or adult loved one. Our team is ready to help in a non-rushed, no pressure, highly educational way. There is an easy link on our home page to send in an appointment request.</div>
Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-42810421692286497292015-07-27T11:08:00.002-04:002015-07-27T20:49:53.109-04:0024 yo Stephanie tells her story: pain-free and enjoying new posture and life after revision adolescent idiopathic scoliosis surgery<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">After, and before revision scoliosis surgery with Dr. Lloyd Hey</td></tr>
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<i>I was originally diagnosed with scoliosis when I was 13. I
was never braced--just given all forms of physical therapy, pain meds, etc.
Finally by the time I was 18--my curve had gotten much worse and I was in
terrible pain. I was playing golf in college--but was in so much pain I
had to drop out of a tournament in the middle of a round. I knew then I could
not live like this anymore. After my first surgery--my back was considerably
straighter--but I still had a hump (from the kyphosis I was yet to be diagnosed
with). The pain was much better--but I still had some rough days. <o:p></o:p></i></div>
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<i>Less than five years after my first surgery--I was walking
around the bank (where I work) and all of the sudden I felt this awful pain in
my back and heard a sound that sounded like a gun shot. It was terrifying. I
immediately was in tears---I was in unbearable pain. I called my doctor and
drove there immediately. They did X-rays and discovered that two of my rods had
broken....<o:p></o:p></i></div>
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<i>I really never thought the day would come when I would be
totally pain free with a straight, flat back. I couldn't even imagine this ever
happening--all I wanted was for the broken rods to be fixed. Every day was a
struggle since I </i><i>had both of my rods break. I couldn't sit, stand, or even lay
down comfortably. I became dependent on pain meds to help me sleep and get
comfortable--but those barely even touched the pain. I could feel my lower rod
protruding through my skin--and each day it seemed to be sticking out more. The
surgeon who did my original surgery gave me lots of pain meds and shots.
He didn't seem to think the rod needed to be surgically fixed. I was beginning
to lose all hope.</i></div>
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<i>After a few months of suffering with the broken rod--I
decided to start looking for other scoliosis specialists within the state for a second opinion. On a
Sunday afternoon I just happened to come across Dr. Hey's website. I could not
believe all of the success stories and before and after pictures. My
"after picture" looked NOTHING like the ones he had on his website. I
decided to put in a request asking for someone to contact me. I knew this would
probably take a while. Later that afternoon--my phone rang and Dr. Hey himself
contacted me about my request! I could not even believe it! He scheduled me an
appointment the very next morning (which happened to be Columbus Day--so I was
off work). This all seemed too good to be true. When I arrived at his
office--the girl told me he didn't have any available appointments for months.
It was amazing to me that he would fit me in his busy schedule like he did. He
took X-rays and diagnosed me with Kyphosis--which is probably what led to
my original rods breaking. He confidently told me he could fix my scoliosis and
kyphosis and give me a stronger construct which would lead to a flatter,
straighter back. <o:p></o:p></i></div>
<div class="MsoNormal">
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<i>Forward to after my surgery---I had an amazing experience at
the Duke Raleigh Hospital with Dr. Hey's Team--everyone was so amazing! As soon
as I woke up from my surgery-Dr. Hey handed me a picture of my X-rays--I could
not even believe it--my back was completely straight! <o:p></o:p></i></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9S-WA-jGeDV4fUUZs-hyACkEwhhHGz6-HfgmjcYZW3RjDTOlPs_Dw8yhzjeW1lMI6vOYm7QQXwQGJk0PhoPFjCwXaDa_iCVhauofI-zv488GCrNO18oz6f-vEAvLFuz18dxdWsmCQOGc/s1600/SD.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9S-WA-jGeDV4fUUZs-hyACkEwhhHGz6-HfgmjcYZW3RjDTOlPs_Dw8yhzjeW1lMI6vOYm7QQXwQGJk0PhoPFjCwXaDa_iCVhauofI-zv488GCrNO18oz6f-vEAvLFuz18dxdWsmCQOGc/s400/SD.jpg" width="247" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Me, last weekend with my new posture.</td></tr>
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<i>Six months later and I am completely PAIN FREE. It is
amazing. I am 2 inches taller, my back is straight and flat. I feel like a
whole new person! I can do everything I ever wanted to do without pain! It is
absolutely unbelievable. Dr. Hey and the Hey Clinic for Scoliosis and Spine Surgery was a true answer to prayer. I cannot even
express how blessed I am to be able to live my life pain free! I just hope
other people are able to find Dr. Hey who have had failed surgeries who believe
that there is really no hope to being fixed and pain free---when there
definitely is!!! </i><o:p></o:p></div>
<h4 style="text-align: center;">
</h4>
<h4 style="text-align: center;">
We love stories from our patients that let you see the compassionate, excellent care you will receive as part of our care family. </h4>
<div>
<div style="text-align: center;">
Check out our other successful revisions-</div>
</div>
<div>
<div style="text-align: center;">
http://drlloydhey.blogspot.com/2014/05/fwd-thank-you.html</div>
</div>
<div>
<div style="text-align: center;">
and</div>
</div>
<div>
<div style="text-align: center;">
https://www.youtube.com/watch?v=1nPbX16UHeY</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
<br />
<br /></div>
<div style="text-align: center;">
Contact us at http://www.heyclinic.com for an easy appointment request.</div>
<div style="text-align: center;">
We would be happy to serve you and your family with a thorough second opinion about possible scoliosis bracing, surgery, or revision kyphosis, spondylolisthesis or scoliosis surgery for your child, adolescent or adult loved one. <br />
<br /></div>
<div style="text-align: center;">
Our guests tell us that we make it worth your trip!</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Dr. Lloyd Hey</div>
<div style="text-align: center;">
Hey Clinic for Scoliosis and Spine Surgery</div>
<div style="text-align: center;">
http://www.heyclinic.com</div>
</div>
<div>
<br /></div>
<div>
<br /></div>
Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-11074367437716341742015-06-26T09:07:00.000-04:002015-07-30T19:55:21.417-04:0024 yo Vanessa with one lung since birth and severe scoliosis gets her wish for new posture and pain relief. She tells her story.<div style="color: #434343; font-family: Roboto, sans-serif; font-size: 14px;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWHGQxzTIHz2JydJ9kQ_rGn_RICe57t4pcD972DmSj5SyywqjRXA3zY3OWacEwWcFFFlEoRSB7iX9dosUpgTm3XhAIh762AnNpd7MM26aNvbE8NdSHap3dJ6NiLJWCRbQXL-NnYS0f6YA/s1600/IMG_20150622_142024.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWHGQxzTIHz2JydJ9kQ_rGn_RICe57t4pcD972DmSj5SyywqjRXA3zY3OWacEwWcFFFlEoRSB7iX9dosUpgTm3XhAIh762AnNpd7MM26aNvbE8NdSHap3dJ6NiLJWCRbQXL-NnYS0f6YA/s200/IMG_20150622_142024.jpg" width="200" /></a></div>
<b><i>I was born with one lung and was diagnosed with scoliosis at age 12. At that point in time my spine was too far gone for any kind of brace, surgery was the only answer. We were afraid to do surgery because at 12 years old I had already medically been through so much. So I fought scoliosis for years and I was in pain all the time due to the curve. My hip went bad and then during my pregnancy the curve got worse and actually became a triple curve.</i></b></div>
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<b><i>After the birth of my son we searched for the best surgeon to help me and would take on my high risk case. We were referred to Dr.Hey by another orthopedist. From the beginning, he treated us like family and took such great care of me. I was very comfortable with Dr.Hey and his team.</i></b><br />
<b><i>I now feel like I should at 24!</i></b><br />
<b><i><br /></i></b>
<b><i>We thank Dr.Hey for fixing what we thought was impossible. Thanks for straightening me out!”</i></b><br />
<b><i>Vanessa Mcmanus and Family </i></b><b><i>Surgery date 6/2/15</i></b></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxSe2CWPCp_4Z0YCjRRpT-Fuij9i3_bCudk5smxA0daibCOkAUX-MURgnfXpiS6MhUvorBpFKflF2VrPWirUDdYchNaM5aauRfUVgGVhT0T-AraaOSb66PfIPYWE3XZyZfnIExohixa_0/s1600/PhotoGrid_1434218303545.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxSe2CWPCp_4Z0YCjRRpT-Fuij9i3_bCudk5smxA0daibCOkAUX-MURgnfXpiS6MhUvorBpFKflF2VrPWirUDdYchNaM5aauRfUVgGVhT0T-AraaOSb66PfIPYWE3XZyZfnIExohixa_0/s640/PhotoGrid_1434218303545.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa, before surgery with Dr. Hey</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLI48Bw33O4vx_Xe3NepmoyP96ZzVkaueCRdQ0hpjGTSYOmv7FCMso8aoywDU8z6ubTEN4LVrQiyh2-BRYmbnu6uPneKll3iqQcsvTMiogYizDIdsQhQ90tZdc2wfWPzNWqRotmsuALu8/s1600/Screenshot_2015-06-22-14-24-22-1+%25281%2529.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLI48Bw33O4vx_Xe3NepmoyP96ZzVkaueCRdQ0hpjGTSYOmv7FCMso8aoywDU8z6ubTEN4LVrQiyh2-BRYmbnu6uPneKll3iqQcsvTMiogYizDIdsQhQ90tZdc2wfWPzNWqRotmsuALu8/s320/Screenshot_2015-06-22-14-24-22-1+%25281%2529.png" width="210" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa, before scoliosis surgery</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPx2tlQTz_bRGWG0TUY51kmeNAMYzaTnk2utV8evBb5tELQYoKJB3ovP15bdjM_LVaSrF8mNAxnS8w7LlPI8m27iw1qMw6Ubeqs5ilypzmt0s3acAM8gTQIhMt0fQXWjj24qKkicCS15I/s1600/Screenshot_2015-06-22-14-26-57-1+%25281%2529.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPx2tlQTz_bRGWG0TUY51kmeNAMYzaTnk2utV8evBb5tELQYoKJB3ovP15bdjM_LVaSrF8mNAxnS8w7LlPI8m27iw1qMw6Ubeqs5ilypzmt0s3acAM8gTQIhMt0fQXWjj24qKkicCS15I/s320/Screenshot_2015-06-22-14-26-57-1+%25281%2529.png" width="205" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa, before scoliosis surgery</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIAsSjD4vGTnW5RBdq0jEmKJJNISHr03HYA6I2vIs9xBJBaAHBBC6uE_ZDQD7u2J9ZyC0psc0R9CmRHXMF6Rh3xY0p1p-3MRMB_Dg9YaJ5tnCuchFOwAYAwEH_l7Lx2H600JYW_F5eOgI/s1600/PhotoGrid_1434997171200.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIAsSjD4vGTnW5RBdq0jEmKJJNISHr03HYA6I2vIs9xBJBaAHBBC6uE_ZDQD7u2J9ZyC0psc0R9CmRHXMF6Rh3xY0p1p-3MRMB_Dg9YaJ5tnCuchFOwAYAwEH_l7Lx2H600JYW_F5eOgI/s320/PhotoGrid_1434997171200.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa, before and after scoliosis surgery with Dr. Hey</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEM8EEKBNt_lkdB89w6phsdythM0Tmr5sn8B7yBpUtHv0bbH1yBUDYJGmP_ZIfuGHC-n6FZs5-hJgIG-G1hnPH4Dvb8b-GHbe3rGqWUS3m-ICmdhUfGi4CnuQCGQ-zF_3jO2WCVV4Abdk/s1600/FB_IMG_1434996840512.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEM8EEKBNt_lkdB89w6phsdythM0Tmr5sn8B7yBpUtHv0bbH1yBUDYJGmP_ZIfuGHC-n6FZs5-hJgIG-G1hnPH4Dvb8b-GHbe3rGqWUS3m-ICmdhUfGi4CnuQCGQ-zF_3jO2WCVV4Abdk/s320/FB_IMG_1434996840512.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa's before and after scoliosis surgery, back view, shared from patient with permission</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkh8p-RAnfCR3E-excLhxlcgCfEVB5ogoJX_PC_50uC01t38Q905sDj5Csp47ASILKUfkPG0JTyeZM0n1Df4OelcQhhfKi3BJ6HzocgCXfZJOpM4-WveLqJ9WfiFBYbcJGOXOprJ5B2-c/s1600/FB_IMG_1434996851451.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkh8p-RAnfCR3E-excLhxlcgCfEVB5ogoJX_PC_50uC01t38Q905sDj5Csp47ASILKUfkPG0JTyeZM0n1Df4OelcQhhfKi3BJ6HzocgCXfZJOpM4-WveLqJ9WfiFBYbcJGOXOprJ5B2-c/s320/FB_IMG_1434996851451.jpg" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa's new posture, even at hospital (photo shared by patient after hospitalization with permission)</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZsIBuY_nYS-Tz3BGNgzOpNnd9JKjFRhOd0bLNd0cVsJH7DMmxND-lLZe7_w6PMd16v6YDVn3eP_n5mLIU05BceKJonqd0jo4Amtnn5yJ-nZRb0Yg6eaAshXF8iKoJQnmHp4HucBMg_zI/s1600/FB95IMG951434997012166.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZsIBuY_nYS-Tz3BGNgzOpNnd9JKjFRhOd0bLNd0cVsJH7DMmxND-lLZe7_w6PMd16v6YDVn3eP_n5mLIU05BceKJonqd0jo4Amtnn5yJ-nZRb0Yg6eaAshXF8iKoJQnmHp4HucBMg_zI/s320/FB95IMG951434997012166.jpg" width="180" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa at hospital after surgery in Hey Clinic T-Shirt... Got it Straight with Dr. Lloyd Hey</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjV2z0m-30MkxiXt70mF8Duwr87tdnUG17e3qqlAX-jZwXnqtsNhcsOM9SZfw-09NZgRDdXlvyajJVUlx3aW7FkG3WXjMK9MPT3ZfwsEtvI_ot8JaEvm5sjf59pyfvGrMjvVfTBk9s9Atg/s1600/FB_IMG_1434997053403.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjV2z0m-30MkxiXt70mF8Duwr87tdnUG17e3qqlAX-jZwXnqtsNhcsOM9SZfw-09NZgRDdXlvyajJVUlx3aW7FkG3WXjMK9MPT3ZfwsEtvI_ot8JaEvm5sjf59pyfvGrMjvVfTBk9s9Atg/s320/FB_IMG_1434997053403.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa's back when she got home from hospital with plastic surgery closure and hump gone.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgx0VXv4vJXsqyUgVwdSo8ZvYC_44HSA_2tjYKmmCuFH_HEupl9D8MnbhTeoErTaK3jnKy6uws3FeErQ72AA8IFNkUkG9fqID-cIABxofoWV9F5lG6wax24DrwnQNdEe3OcP0EOL5mD71g/s1600/0730151259.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgx0VXv4vJXsqyUgVwdSo8ZvYC_44HSA_2tjYKmmCuFH_HEupl9D8MnbhTeoErTaK3jnKy6uws3FeErQ72AA8IFNkUkG9fqID-cIABxofoWV9F5lG6wax24DrwnQNdEe3OcP0EOL5mD71g/s320/0730151259.jpg" width="180" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Vanessa's new posture at 6 week postop.<br />
Incision healing nicely, humps gone, shoulders level</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Vanessa and her husband Joshua with me at 6 week postop visit 7/30/15 at Hey Clinic with her preop and postop X-Rays</td></tr>
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We would be happy to serve you and your family with a thorough second opinion about possible scoliosis bracing, surgery, or revision kyphosis, spondylolisthesis or scoliosis surgery for your child, adolescent or adult loved one.</div>
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Our guests tell us that we make it worth your trip!</div>
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Dr. Lloyd Hey</div>
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Hey Clinic for Scoliosis and Spine Surgery</div>
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http://www.heyclinic.com</div>
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Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0tag:blogger.com,1999:blog-6090003384917229338.post-6391210490242119342015-06-09T13:56:00.001-04:002015-06-10T08:45:15.793-04:00Flat Back Syndrome and Spondylolisthesis - can I ever stand up straight again?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhL7U-GOcnyL2mAco2cG1-3RzJSL5Dec9Q5_i9EIDKc_81l46jMbMkTn0G05eLusxWwaZi2d9QH-UbWvYRFLQnlw4K4_0nitoK1Yf_KBHn4MDKgCFRLJhnY3HUomQuFqyCMTStTGOCWwZs/s1600/Screen+Shot+2015-06-09+at+1.51.17+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><br /><img border="0" height="584" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhL7U-GOcnyL2mAco2cG1-3RzJSL5Dec9Q5_i9EIDKc_81l46jMbMkTn0G05eLusxWwaZi2d9QH-UbWvYRFLQnlw4K4_0nitoK1Yf_KBHn4MDKgCFRLJhnY3HUomQuFqyCMTStTGOCWwZs/s640/Screen+Shot+2015-06-09+at+1.51.17+PM.png" width="640" /></a></div>
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I received these 2 pictures from Sheila, from South Carolina, who had flat back syndrome anterior/posterior surgery with me a few weeks ago, and is now doing very well. She had an old Harrington rod fusion with severe L5S1 spondylolisthesis with spinal stenosis. </div>
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8000001907349px;">Email text received today with first and second photos!</span></div>
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Hello. I wanted to share with you this BEFORE surgery picture. This was taken the day we left for Raleigh NC 4 days before surgery. This is my son. He wanted a picture before we left. I am also emailing you an after picture.</div>
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8000001907349px;">AFTER surgery. 2 weeks post op.</span></div>
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8000001907349px;">Dr. Lloyd Hey</span></div>
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8000001907349px;">Hey Clinic for Scoliosis and Spine Surgery</span></div>
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<span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8000001907349px;">http://www.heyclinic.com</span></div>
Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com2tag:blogger.com,1999:blog-6090003384917229338.post-71441967955034878702015-05-12T14:56:00.002-04:002015-05-12T14:56:41.476-04:00How quickly can my teenager get back to sports and even the prom after adolescent scoliosis surgery<br />
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Natalie, a 15 yo 6 weeks s/p T5-L2 instrumentation and fusion doing great, who wrote this in email on 5/4/15: </div>
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"Turns out I danced the night away at prom and 5 weeks after my surgery I was able to get back on the field and pitch a whole game , hit, run , slide and do everything everyone else on the team could! Everyone was so shocked including myself , this would have never been able to happen without you! I've been back to playing softball and Thursday was my last game but I went out with a bang! I pitched the whole game, slid into the base, dove back to the base and even hit a home run!"</div>
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Natalie: you go girl!!! Lloyd A. Hey, MD MS Hey Clinic for Scoliosis and Spine Surgery</div>
Dr. Lloyd Heyhttp://www.blogger.com/profile/08281456336007049677noreply@blogger.com0