Doctor misdiagnosed my brother in-law. [UPDATE] 12/11 1:06 MST

Beau

Lifer
Jun 25, 2001
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Just found out that my fiance's little brother diagnosis of cerebral palsy was wrong. :) :(

This kid has been through so much in his life. He was first diagnosed with Cerebral Palsy (CP) when he was 2. Not as severe of a case as could have been, he is still all mentally there, but has slow/poor motor skills and cannot walk. The doctors said he would not live past 5. He is 18 now. When he was 4, he developed chronic respiratory problems that prompted doctors to give him a trach (sp? hole in the trachea that has the tube that respirators hooks up to a respirator). His doctor said he should out-grow it, but shortly after that, the doctor left and completely forgot about him. Since then, he has had surgeries to correct bone growth, died twice (obviously been recussitated), and has had to sleep on a respirator every night. Even through all of this, he is still the most optimistic person I know. Life has basically sh!t all over him, and he still finds the brightest part of life.

Flash foreward to this week...

He recently has been having some tests on him to see if anything can be done to help him. He went in for an MRI on monday. Turns out that he doesn't have CP afterall. Turns out that he possibly had a neck injury on his upper most vertebre (right where the brainstem connects to the spinal chord, right where his respiratory system is controlled from) that has had scar tissue growth. As he's grown, the scar tissue has gotten worse, putting pressure on and constraining his spinal cord and brain stem. He has lived his whole life thinking that there is nothing that could have been done to correct him, and now that all this irreversible damage has been done, he finds out that he could have had an operation when he was 2 that could have corrected nearly everything. Now, he has to have this surgery or he will die, and soon. If he lets it continue, the scar tissue will eventually inhibit his respiratory system from functioning completely, he'll stop breathing... and die. And to worsen the situation, he has about a 50/50 chance of the operation being successful.

All this because of a careless, irresponsible doctor. :( (Edit: had the wrong parentheses)

His mother plans on suing, but we don't know what else we can do. I am so...... I don't even know how I feel. GRRR!!!! I can only imagine how he feels. This week has been hell for his family.

Beau

UPDATE: 12/10 11:00 PM MST

Just got back from a grueling 8.5 hours of surgery. Found out exactly what the status of his ailment. Turns out that his first vertibrae was not properly seated to his skull, thus every time his head was turned, jarred, or disturbed, it injured the cartilidge surrounding his brainstem, causing a build-up of scar-tissue. After 18 years of this, his brainstem's radius (which should be relatively 1") has been reduced to less than 1/16" .

Into surgery he went. First they went through his mouth and removed the scar tissue from arround his spinal cord. Then the flipped him over and removed his top vertebrae all-together. They then took a section of bone from his hip and fused it to his second vertebrae and his skull and then fused his second a third vertebrae so that he has a firm base for his skull. And to top it all off, they put a titanium pin from his third vertebrae, through his second and into his skull. It kind-of effects his turning and tilting abilities, but not too bad.

Anyway, he is still in recovery and I will probably be spending a good majority of my week and weekend with him. We'll start talking to lawyers after he gets out and is more coherent.

Beau

Update 12/11 1:06 MST

Just got off the phone with his mom. He is awake and a bit groggy, but overall, he's okay. He wants me to bring my PS2 and a TV down to him... LOL... after all this, all he wants to do is get back to playing games :). I'll probably be down there every night 'till he's better. They think they are gonna get him up and moving around by Friday. Can't wait for that.
 

Keego

Diamond Member
Aug 15, 2000
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OH MY GOD!

If I were in your shoes, first, I'd thank God that it's repairable, then I'd think about how much $ you think this guy should get for all the pain (obvious) and anguish that he's had to go through.
 

Beau

Lifer
Jun 25, 2001
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But that just the thing.... It's not irreversible. The damage is done. The only thing that will be fixed, other than he will live longer, is that he may be able to breathe on his own. He'll still never walk and always have poor motor skills.
 

Azraele

Elite Member
Nov 5, 2000
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That's terrible. :(

Be supportive, and try to be positive. Best wishes to him, and keep us updated on how he does.
 

vi edit

Elite Member
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Oct 28, 1999
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I have nothing but sympathy for him and his family, but please do keep in mind that the medical technologies of nearly 20 years ago are no where near as advanced as what we have now.

Did his family ever seek out a second opinion?
 

Beau

Lifer
Jun 25, 2001
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I will, he goes into surgery on Monday (12/10). Sounds horrible, but I think that we are gonna take him out all weekend.... have fun... kinda like a last day just in case :(
 

Beau

Lifer
Jun 25, 2001
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<< Did his family ever seek out a second opinion? >>


Not until recently. All of his symptoms are consistant with CP. One thing I am very thankful is that he has been going to Primary Childrens Hospital in Salt Lake City. It is hands down the best childrens hospital in the country. They know what they are doing. If he has a chance... they'll be the best bet to give it to him.
 

Optimus

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Aug 23, 2000
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Thats awful, Beau! :(

I'm surprised at the diagnosis of CP when there were respiratory probelms with it - my sister with CP has never had any problems with breathing, just the motor skills/walking.

But perhaps 16 years ago things weren't at a stage where they could catch this? Or could they have seen it without an MRI? Did we have MRI technology 16 years ago?


(I'm sorry if these questions all sound bad - not my intention at all - I'm honestly asking because its shocking and terrible. I'm just looking to understand.)
 

Beau

Lifer
Jun 25, 2001
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I don't think that they could have seen it when he was originally diagnosed, but if the doctor would have requested him to go in for yearly MRI/CT's, I'm sure they could have found it a couple years later... especially if when he was going through a growth spurt.

His breathing problems, at least the speculated, were caused as a secondary effect of the CP. He can breathe on his own during the day, but it is a conscious effort. His lungs also break down during the day, and rebuild at night, kinda like atrophy... another characteristic of CP.
 

TheBlondOne

Golden Member
Jul 14, 2001
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I'm so sorry. I would definately be praying about the surgery if I were you.

And while I'm thinking about it, I'll say a prayer as well.

Please keep us updated.

--Sarah
 
Jul 12, 2001
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thats so horrible...imsorry


thats one of the reasons i decided not to go to med school...wouldnt be able to deal with it if i screwed up someone elses life...if i screw mine thats fine...thatswhy i am now doing the engineering side of medicine, even though i wanted to be a doctor...just couldnt deal with that possiblity
 

Azraele

Elite Member
Nov 5, 2000
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I'm glad the surgery went well. :)
Keep us updated on his continuing recovery.
 

TheBlondOne

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Jul 14, 2001
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I am so happy that the surgery went well, Beau! As Azraele said, please keep us updated on his recovery!

--Sarah