=========================================================================
Date:         Mon, 10 Aug 1998 20:32:27 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jack and Raquel <jara1@BELLSOUTH.NET>
Subject:      is anyone out there?
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Hello everyone and anyone,

We updated our internet browser and every since have not rec'd any email
from the listserver.  Could anyone send us mail to see if we can still
receive it or did we somehow mess up our listserv access?

Thanks,

Jack & Raquel Miller
jara1@bellsouth.net
=========================================================================
Date:         Mon, 10 Aug 1998 18:56:08 -0600
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         baconsmith <bluenose@TELUSPLANET.NET>
Subject:      Re: is anyone out there?
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

Hi Raquel,  still here, but a slow couple of days I guess.  How's Nicole doing?

Pat and Evajessie in Calgary

ps got Joanne Lindamoods pic today.  Thanks Joanne.  Love the blue jeans too
   -- i live in mine!

>
email to: bluenose@telusplanet.net
IM: onlypeach
It's never too late to have a happy childhood.  Tom Robbins (Still Life With
Woodpecker)
=========================================================================
Date:         Mon, 10 Aug 1998 21:31:07 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Christina Mathis <Nodrmat26@AOL.COM>
Subject:      Re: is anyone out there?
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Jack & Raquel~

I haven't been receiving mail either until yours came.  I'm wondering what
happened?  Anyone know?  I thought my computer was acting up again.

Goodnight,
Christina
San ANtonio
=========================================================================
Date:         Mon, 10 Aug 1998 21:35:55 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         ROBIN L HILL <CARMENRAE@PRODIGY.NET>
Subject:      Re: is anyone out there?
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit

Hi Raquel.  We're still here; just been a bit busy.  Carmen Rae had an
appt. with the hand surgeon today and we were very encouraged about the
results he expects.  She will be having both thumbs released on September
25; the day after good ole mom turns 30!!!!!  How depressing! =)  Anyway,
also getting ready for a trip to Kansas.  We leave on Friday to surprise
Carmen Rae's Great-Grandma for her 70th birthday!  Hope Nicole is doing
well!  Talk to ya later.

Robin Hill

----------
> From: Jack and Raquel <jara1@BELLSOUTH.NET>
> To: APERT@LISTSERV.AOL.COM
> Subject: is anyone out there?
> Date: Monday, August 10, 1998 8:32 PM
>
> Hello everyone and anyone,
>
> We updated our internet browser and every since have not rec'd any email
> from the listserver.  Could anyone send us mail to see if we can still
> receive it or did we somehow mess up our listserv access?
>
> Thanks,
>
> Jack & Raquel Miller
> jara1@bellsouth.net
=========================================================================
Date:         Tue, 11 Aug 1998 12:33:09 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Stacey Jobe <JobeCST@AOL.COM>
Subject:      New Family
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Hi  our names  are  Chris, Stacey, & Tyler Jobe.  Tyler is 9 1/2 months old
and has Apert syndrome.  He has had  four surgery's so far and will have his
first hand surgery Aug. 20th. (just 9 more days) My address is in Cisco, Tx
but I live in the sticks about 15 miles away.  Tyler is in ECI (early
intervention services) and physical therapy.  His doctors are all in  Dallas
Tx.  In Jan. 97 Tyler had a fingernail surgery to remove his ingrow
fingernails. Thats when I met Dr. Genecov  who now will be doing his future
hand surgery's.  Tyler's hand is cups very tightly and it is very hard to cut
his fingernails. But since Genecov cauterized the bad places that i coulden't
get to it's been alot easier.  In March Tyler had his first shunt surgery and
May 11th he had his Crainal Vault Remolding.  July 14th he had to have a shunt
revision surgery and he is doing great!  He's not crawling yet but Kaki, his
physical therapest said he would crawl the day before his hand surgery.  Dr.
Kenneth Salyer is his crainal facial doctor from Medical City Dallas and Dr.
Shaprio is his Neurosurgon from Childrens Medical in Dallas. We were going to
Scottish Rite in Dallas for his hand surgerys but there nurse made me mad and
the doctors were not together on how they were going to do the surgery so
Chris & I moved him to Medical City where Genecov and Hopkins or  Salyer's
associate will do his hand surgery's.  We really like Genecov and feel like
God led us to him because he is so nice, understanding and caring about Tyler.
We have only met one apert family and there names are Mike and Kim Fisher
from Wichita,Ks. There daughter Kindle (Im sorry if I diden't spell her name
right) had her vault remolding two days after Tyler's. I feel bad because i
haven't wrote or called her to see how she's doing.  I need to find out if
she's on this list or not.  But. back to Tyler, he has really done great threw
all his surgerys, in fact he has done better than Chris & I.  But were doing a
lot better and we have learned alot and finally realizes that we just need to
put Tyler in God's hand and enjoy every second with him.  If anybody has any
advice about Tyler's first hand surgery please let me know.

                                             Hope to talk to you soon,

                                             Stacey, Chris & Tyler  Jobe
                                             jobecst@aol.com
=========================================================================
Date:         Tue, 11 Aug 1998 15:30:46 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Steve & Stacy <sshb@EROLS.COM>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Welcome,
My daughter is 19 1/2 months . Her name is Brooke.  She has also gone
through lots of surgeries.  Good luck with Clint's upcoming one.
                                   Stacy Bell

Tiaan Odendaal wrote:

> Hi ALL
>
> My name is Jessica Botha. I joined the server about three weeks ago with
> the help of my friend , Tiaan.
>
> I joined the server because I have a two year old boy that was born with
> Apert syndrome.I was only 18 years old at the time.
> My son's name is Clint. He has had several operations on his face and
> especially his hands , and next week the doctors are going to start on
> his feet as they are webbed as well as his hands.
> Luckily he has'nt had any problems with his teeth  or eyes etc.
> He is a very active little boy with lots of love in him.
>
> Tiaan and me are setting up a website for Clinty and we will let you all
> know when it is going up.We stay in Pretoria , South Africa.
>
> I just want to thank you for  the listserver which has helped allot . It
> was so great to see other children with the same symptoms as we have not
> seen other children here in South Africa with Apert Syndrome.
>
> Jessica
> tiaano@busconn.co.za
=========================================================================
Date:         Tue, 11 Aug 1998 15:44:49 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Steve & Stacy <sshb@EROLS.COM>
Subject:      Re: Brooke is home!
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Thanks Judy.  Tell everyone we said hello.  Brooke has really come a
long way since she was in the NICU.  Unfortuntaly all of her problems
have been the worst case senario of Apert syndrome and its
complications.  Hopefully we are over the hump and can get on with all
of the basics.
                                                Stacy

Judy Gibson wrote:

> Stacy,
>     I'm so glad to hear that Brooke is doing so much better!  The
> crew at St. Agnes will be glad to get the good news too.
>
> Judy
=========================================================================
Date:         Tue, 11 Aug 1998 17:10:12 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Janine Krebs <Yonstein@AOL.COM>
Subject:      Re: New Family
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Welcome to the family.  We are the Krebs, Brian, Janine, Nicholas and Emily,
our one year old with Aperts.  Emily has had 3 surgeries so far and is
scheduled for her first hand surgery in the fall.  We have had to wait for her
surgeon to be available.  We live in New York.  I am sure you will find this
as informative and supportive as I have.

Again, welcome.

Janine Krebs
=========================================================================
Date:         Tue, 11 Aug 1998 17:11:24 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Janine Krebs <Yonstein@AOL.COM>
Subject:      Re: is anyone out there?
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Same goes here for not receiving any mail.  I turned the computer on Sunday
night and there was no mail.  I just checked again today, Tuesday, and there
is only 4 messages.  Seems kind of slow.

Hope all is well with everyone.

Janine
=========================================================================
Date:         Wed, 12 Aug 1998 01:16:39 +0200
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Yngve Wallenius <wallenius@MBOX303.SWIPNET.SE>
Subject:      Re: is anyone out there?
In-Reply-To:  <35CF911B.37526BB7@bellsouth.net>
Mime-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 8bit

Hello

I´m still here and reciving a lot of letter from all of you.

Yngve
=========================================================================
Date:         Tue, 11 Aug 1998 21:39:24 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jack and Raquel <jara1@BELLSOUTH.NET>
Subject:      Welcome Jobe Family
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Chris, Stacey, & Tyler Jobe,

Welcome to the listserver.  We are Jack & Raquel Miller in Ft.
Lauderdale Florida.  Our children are Michelle (14), Steven (10), Erica
(4), and Nicole (10 months) with Apert Syndrome.

Nicole has had two surgeries.  Tube in her ears, (June 98)  and her
cranial vault remodeling done on July 16, 1998.  She is doing great and
it is truly amazing as to how fast these children recover.

Nicole has an appointment next Wednesday with her hand surgeon.
Hopefully then we will find out when her first hand surgery will be.

Again, welcome to the family.

Jack & Raquel Miller
jara1@bellsouth.net
=========================================================================
Date:         Tue, 11 Aug 1998 21:44:52 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jack and Raquel <jara1@BELLSOUTH.NET>
Subject:      Is anyone there?
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Thanks to everyone who responded to our message "is anyone out there"?
We also thought that our computer was messed up.

I updated our browser this weekend and I thought that I messed something
up since we did not receive any new email.  I guess that August is the
vacation month.

Let's just chalk it up to no news is good news.

Jack Miller
=========================================================================
Date:         Wed, 12 Aug 1998 08:15:12 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jenngram@AOL.COM
Subject:      Re: Welcome Jobe Family
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Welcome to the new families that have joined us......

My son, Jordan is 11 mos. old and has had 1 cranial surgery and 2 hand
surgeries...Sept. 11 w/ head in for hand surgery # 3, then Nov. 9 for #
4....the remaining 2 will be done after Christmas.

Things here are crazy w/ summer vacations...and everyone else trecking down
here for a visit...they alll say its to see us...I think being in Florida has
something to do w/ it as well!!!

Hope everyone out there is doing well, and getting ready for the first day of
school....I know here in Tampa/St. Pete I have already seen those big yellow
busses out , and football practice is in full swing.....meaning the end of
summer here

Jenn(Tampa/St. Pete)
=========================================================================
Date:         Wed, 12 Aug 1998 08:57:04 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Don Sears <dsears@SCRS.STATE.SC.US>
Subject:      FW: (no subject)
MIME-Version: 1.0
Content-Type: text/plain

Please welcome Sobia to the listserv!

> -----Original Message-----
> From: pc02 [SMTP:pc02@nottingham.linktraining.co.uk]
> Sent: Wednesday, August 12, 1998 7:14 AM
> To:   CatNDon@apert.org
> Subject:      (no subject)
>
> HELLO MY NAME IS SOBIA RANA AND I HAVE RECENTLY SUBSCRIBED
> IAM 16 AND I HAVE APERT SYNDROME
=========================================================================
Date:         Wed, 12 Aug 1998 10:49:52 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Patbrat718@AOL.COM
Subject:      hello everyone!
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Hi all,

Patti here (and Jazz too!)  I am glad to see so many more people joining the
listserve, its a scary place out in the world alone without support like we
have here.  Welcome, welcome, welcome!

Jasmyn is recovering well from her pneumonia.  Almost herself again.  Her
surgery has been rescheduled for Oct 6.  This time, her doctor has decided
that we will cram all of her pre-op appointments into the day before her
surgery, and not give her the opportunity to come down sick.  Two months also
gives us a chance to put a little meat back on her, before she has to endure
that hospital stay :)

Is there some way that we can have a 'bulletin board'  where we can post our
surgeries and treatments and special events?  I am still having a hard time
keeping up with everyone and thought that if we each could just post as things
come up, that would help.  Sorry, I don't know much about the Internet yet,
but maybe one of you do.

Patti
=========================================================================
Date:         Wed, 12 Aug 1998 12:31:13 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Camous@AOL.COM
Subject:      Re: Andrew Hartley
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

I'm also late in catching up with my email!1 Summer logistics are killing me
;)
Sometimes with all the post-op swelling after cranial surgeries, the eye
muscles are affected.  Evan did some upward gaze stuff also. Wait about 4-6
weeks and you'll see a big difference. Especially in the eyes. Evan also
became "master of the sideways glance" as his forehead was fo big that he
looked up but couldn't see past it. so to see anything over his head, he had
to turn his head and use sideways gaze. Most people who saw him do this
thought it was just a cute mannerism...with no idea as to why he did it!

Marianne
=========================================================================
Date:         Wed, 12 Aug 1998 11:15:40 -0600
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         baconsmith <bluenose@TELUSPLANET.NET>
Subject:      Re: Brooke is home!
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

Dear Stacy and Steve
Hope Brooke continues to do well at home and that you are able to spend some
time relaxing and enjoying her and her sister.  It has been a long haul for
you.  I saw your sweet girl on the OUt of the Shadows program.  Thank you
for sharing her with us.  Take good care and enjoy the rest of the summer.
Best wishes
Pat in Calgary
email to: bluenose@telusplanet.net
IM: onlypeach
It's never too late to have a happy childhood.  Tom Robbins (Still Life With
Woodpecker)
=========================================================================
Date:         Wed, 12 Aug 1998 19:00:11 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Yonstein@AOL.COM
Subject:      Re: Welcome Sobia
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Dear Sobia:

Welcome to the group.  My name is Janine and my daughter is Emily, 1 year old.
This is a great place for information and support.  Please write and tell us
more about you, where you are from and what you like to do.

Again, welcome.

Janine Krebs (NY)
=========================================================================
Date:         Wed, 12 Aug 1998 19:01:54 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Yonstein@AOL.COM
Subject:      Fwd:
Mime-Version: 1.0
Content-type: multipart/mixed; boundary="part0_902962914_boundary"

This is a multi-part message in MIME format.

--part0_902962914_boundary
Content-ID: <0_902962914@inet_out.mail.aol.com.1>
Content-type: text/plain; charset=US-ASCII

Joanne asked me to please share this letter with all of you.

Janine

--part0_902962914_boundary
Content-ID: <0_902962914@inet_out.mail.aol.com.2>
Content-type: message/rfc822
Content-transfer-encoding: 7bit
Content-disposition: inline

Return-Path: <chanan8@juno.com>
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Date: Wed, 12 Aug 1998 11:11:45 +0000
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Hi Janine!

I'm back, this time, I'm alone!  Coal is supposedly resting.  I can hear
him playing with his toys though. Please share this message with the
list:

I have sent out photos and letters to everyone who has sent me one.
Unless I goofed, everyone should receive their mail by the end of this
week.  Thanks for your patience!

I am home recooperating from a negative drug reaction which sent me to
the ER yesterday afternoon.  I had a headache and fatigue for a week,
went to the Urgent Care and they prescribed a antibiotic.  That's where
my problems got worse.  The antibiotic, Zithromax, tore up my stomach.  I
was in the ER for five hours and finally released to my own warm bed.  My
energy level, although increasing, is still near zero.  I'm up, do one
thing and crash again.

My dad was in a serious car accident last week.  It's a pure miracle he
was not seriously hurt or killed. My family has had enough excitement for
the summer!

Talk to  you all soon!
Joanne

_____________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at http://www.juno.com
Or call Juno at (800) 654-JUNO [654-5866]

--part0_902962914_boundary--
=========================================================================
Date:         Wed, 12 Aug 1998 20:08:30 -0400
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jack and Raquel <jara1@BELLSOUTH.NET>
Subject:      Welcome Sobia Rana
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Sobia,

Welcome to the listserver.  We are the Millers; Jack, Raquel, Michelle,
Steven, Erica and Nicole (with Aperts).  Nicole is now 10 months old and
has had her 1st cranial vault remodeling on July 16, 1998.

The people of this listserver will be of great support to you as well as
you to us.  Again, welcome!

Jack & Raquel Miller
=========================================================================
Date:         Wed, 12 Aug 1998 22:59:06 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Nodrmat26@AOL.COM
Subject:      Re: Welcome Jobe Family
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit

Welcome to the Jobe family!
My name is Christina and I have two daughters, Tia (5) and Zoey (18 mos) with
Apert syndrome.  Zoey has had 4 surgeries, her tracheostomy, a cranial vault
surgery and two surgeries on her hands.  My advice on hand surgeries is to try
and come up with things they will be able to play with before you come home
from the hospital.  When I brought Zoey home with both hands in casts, I just
sat their and stared at her and didn't know what to do with her.  She couldn't
play with her usual toys.  Her second surgery was better because they only did
one hand.  Also, I wanted to tell everyone that Zoey's original cast was taken
off on Monday and the surgeon who did her hands told me that he was please and
her hands just sort of "fell into place".  He said he didn't have to go
looking around for nerves and nerve endings.  He did a wonderful job with her
fingernails too, they look so "normal".  I am very happy with Zoey's hand,
hope her right hand does as well.
Again, Welcome Jobe family!
Christina
San ANtonio
=========================================================================
Date:         Thu, 13 Aug 1998 20:15:06 +1200
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
Sender:       Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Howard & Ann <howrdnan@IHUG.CO.NZ>
Subject:      Clinical Studies -diagnosis, teeth, hands, etc
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

A recent Medline search of has identified these papers (and others, but these are the ones I thought may be of interest).  If anyone wants any more info and can't find it through these references given let me know and I'll see if I've typed anything wrong.

Cheers
Ann
NZ

Is this "Camous" anyone we know?

"Prenatal ultrasonographic and molecular diagnosis of Apert Syndrome"
K Filkins, JF Russo, S Boehmer, M Camous, KA Przylepa, W Jian, EW Jabs
Department of Obstetrics and Gynecology, Western Pennsylvania Hospital, Pittsburgh
Prenat-Diagn.1997 Nov; 17(11) : 1081-4
A first-trimester ultrasound evaluation prior to chorionic villus sampling for maternal age 41 was within normal limits except for the suggestion of a "mitten-like" hand and proximally placed thumb.  Mid-trimester ultrasound was not diagnostic; however, following the development of polyhydramnios in the third trimester, the evaluation of the digits and facial features were strongly suggestive of Apert syndrome.  Amniocentesis was performed and a molecular diagnosis of Apert syndrome was made and confirmed on cord blood.

Did someone ask about the kleeblattschadel anomaly?  If so let me know and I will send a copy of the search result.

The Tolarova paper re "Birth prevalence, mutation rate, sex ratio, parents' age, and ethnicity in Apert Syndrome"

"Ultrasound detection of Apert syndrome: a case report and literature review"
K Kaufmann, S Baldinger, L Pratt
Park Nicollet Perinatal Clinic/Minnesota Health System, Minneapolis
Am-J-Perinatol. 1997 Aug; 14(7) : 427-30
Prenatal diagnosis of Apert syndrome is reviewed.

"Apert syndrome, not Apert's syndrome: Apert neither had nor owned the syndrome that bears his name" (editorial)
MM Cohen Jr
Plast-Reconstru-Surg.1997 Aug; 100(2) : 532-3

"Imaging of the Apert syndrome hand using three-dimensional CT amd MRI"
IW Holten, AW Smith, JI Isaacs, MH Moore, DJ David
Dept of Radiology, Royal Adelaide Hospital, Australia
Plast-Reconstr-Surg.1997 May; 99(6) : 1675-80
Imaging of the Apert syndrome hand is usually done with plain x-rays.  This gives only a limited assessment of the grossly abnormal anatomy.  Computed tomography (CT) and magnetic resonance imaging (MRI) have the ability to comprehensively demonstrate the spatial arrangement of the bones as well as the anatomy of the soft-tissue structures.  This paper demonstrates the use of these two imaging modalities in the complex Apert syndrome hand to improve surgical planning and treatment.

"Dental development in Apert Syndrome"
S Kaloust, K Ishii, K Vargervik
Dept of Growth and Development, University of California at San Francisco
Cleft-Palate-Craniofac-J. 1997 Mar; 34(2) : 117-21
... The purpose of this study was to evaluate the development of the dentition and compare it will that of unaffected children.  There appears to be clinical observations indicating delayed eruption of the permanent teeth in the Apert child. ... RESULTS: Thirty-one of 36 individuals had a dental age lower than their chronologic age.  ... The range in delay was 0.5 years advanced to 2.9 years delayed.  There was a positive correlation to increased age with greater delay in dental development (p<.05). CONCLUSION: Our study confirmed our clinical impressions: The results showed a mean developmental delay of 0.96 years, with a trend of increasing delay with increased age.  This positive correlation found between increased age and increased delay parallels the general growth of Apert children, with a greater degree of delay as the child grows older.
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Date:         Thu, 13 Aug 1998 08:04:30 EDT
Reply-To:     Information exchange and Internet safe haven for Apert Syndrome
              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jenngram@AOL.COM
Subject:      Re: Clinical Studies -diagnosis, teeth, hands, etc
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   "Camous" is Marianne Camous...little boy Evan in the San Francisco Bay area
 

Jenn(Tampa/St. Pete)

Thanks for the list of related articles!!!!! :) Always up for a good read!!!!!
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Date:         Thu, 13 Aug 1998 17:14:37 -0400
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         foster <foster@ICONTECH.COM>
Subject:      No sugery today
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Wanted to let you guy know that Billy was not able to have his surgery today
because of a sinus infection that appeared yesterday. He is running a fever
and his surgery will be rescheduled for the last week of Augt. or the first
week of Sept. He has finally popped out three teeth and is bitting everyone
who gets close enough.

Also wanted to welcome all of the new families.

Sorry to hear that your Dad had an accident Joanne but, happy to hear he is ok.

Hope all is well with everyone else.

Karen (PA)
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Date:         Fri, 14 Aug 1998 13:21:07 +1200
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Howard & Ann <howrdnan@IHUG.CO.NZ>
Subject:      Re: No sugery today
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Hi Karen et al

>Wanted to let you guy know that Billy was not able to have his surgery today
>because of a sinus infection that appeared yesterday.

Rotten luck with the sinus infection.  Hope it all clears up for the next scheduled date.

The latest issue of the UK Craniofacial S/G newsletter has an article on "Anaesthesia for Craniofacial Surgery Doesn't Make You Sick".  It says "Psychological stress is one of the biggest causes of the physiological distress that takes a patient beyond their normal parameters, and, as a result, makes them difficult for the anaesthetist to keep stable during surgery." etc, etc, and the "Factors affecting distress" are listed as "age of child, previous experiences, the severity of any illness and the way the child has been prepared for surgery".

We have young children who, once they have had one op and know what it is about, have previous experience and know full-well that what is going to happen won't be fun.

A lot of our kids get sick at the worst possible moment.  No wonder - I think I would succumb to the stress as well and get sick!

And if they are stressed before the op I can understand it affecting how they respond to the anaesthesia.  But who has the answer for ensuring our kids (and us!) are relaxed about all this?  I may have the information about what is going to happen, but it certainly doesn't make ME relax!

Unless I have missed something, there is nothing in this article about pre-meds.  What is the current thinking on their effectiveness in preventing that very understandable panic our kids can feel when heading for theatre, and their post-op benefits?

And if you aren't on the mailing list for this UK newsletter I recommend you send over a donation and get on it.  They have helpful, interesting and relevant information.

Regards
Ann
NZ
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Date:         Thu, 13 Aug 1998 21:39:50 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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From:         ETolson643@AOL.COM
Subject:      Re: No sugery today
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Ann

I wrote before about this exact experience we have had with Tim.  He gets VERY
sick from the anesthesia and NOTHING has helped.  When he was brought into the
OR for his midface advancement a year ago, he vomited solid food...and he
hadn't eaten for twelve hours!  Dr. Ferraro attributed this to the
psychological aspects of undergoing such a big procedure, especially when the
kids know, from experience, that it won't be pleasant.  Dr. Ferraro said Tim's
digestive tract had totally shut down and stopped digesting....from nerves.
We then readmitted him several months later on the day before the surgery and
started IV valium.  This seemed to help...Dad and I would have liked some,
too!!!  This approach worked and the surgery was a go.

Beth Tolson
Boston
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Date:         Thu, 13 Aug 1998 20:34:55 -0500
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Charles LeCara <cal@PHOENIX.NET>
Subject:      Sarah  LeCara's surgery
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Just a few lines to Thank all of you. And to let you know that everything has worked out just fine for our Sarah !!! We even had a miracle we will explain all later .
Sarah is home now and doing very well. She had the midface (Laforte 3) advancement and total vault rebuild all at the same time on 8/5/98. Dr Salyer and his crew are completely amazing she had only a small amount of swelling and draining .If anyone would like to more details Just ask we have video tape and a lot of digital pictures of before and after .

ALL OF OUR LOVE
The LeCara's
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Date:         Thu, 13 Aug 1998 23:44:16 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         BOp1912@AOL.COM
Subject:      Hi
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Hi Listserve
    My name is Beth ,  And I have a few questions Is there anybody older then
me who has this Apert Syndrome I will be 34 in about a week ?  If there is I
would like to get in touch with them ....  I sent the pictures out today to
the people who sent them to me sorry so late getting back to you all working
alot of overtime tring to save for a new car....  Joanne sorry to hear about
your Dad is he doing all right ??  Judy and how are you doing I am doing fine
Send me an Email sometime Well that enough for now Talk to you all later ...
Friends Beth
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Date:         Fri, 14 Aug 1998 08:07:42 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Jenngram@AOL.COM
Subject:      Re: No sugery today
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One thing that has helped Joe and I ...and I ahve to believe Jordan is that
his doctor always carries him back. Needless to say, this man could be a part
of our family after 3 surgeries and numerous visits to his office. They have a
good rapor and like each other very much, so when it comes time to head back
he gets Jordan and carries him and sits while they do their thing in the OR.
He has his scrubs on, but no mask at this point so he doesn't appear scarey.
And of course, Joe wears scrubs everyday, so Jordan thinks that everyone wears
PJs and white coats.

He may be too young to really be comforted by all this, but it works for us,
as when they go back he could care less about us, and is busy chatting and
playing w/ the doctor.....Meanwhile I head for the nearest bathroom to toss my
coffee!!!!! At least I  wait for him to leave!!!!

Jenn(Tampa/St. Pete)
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Date:         Fri, 14 Aug 1998 14:52:16 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         Camous@AOL.COM
Subject:      Re: Clinical Studies -diagnosis, teeth, hands, etc
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In a message dated 8/13/1998 1:18:19 AM Pacific Daylight Time,
howrdnan@IHUG.CO.NZ writes:

<< Is this "Camous" anyone we know?
  >>
Wow!! Thanks Ann!!
This "case" is Evan! As I ran back to work after the 3 hrs of ultrasounds
which resulted in the original presumptive dx and ran a medline which I shared
with the genetics team, as well as going forward with the "experimental" DNA
test, Dr Filkins gave me authorship credit! And this is supposedly a very
prestigious journal!! I didn't know it had finally been accepted and
published. COOL!

Thanks for the update. I had been thinking of running another search but this
summer has been a real logistical challenge. I'll try to do the next update.
And yes, I am still trying to get the photos out....once the process was
interrupted, i have had to dig around and find all the components as there are
too many little people using this desk.

Now off to our first orthodontal sppointment for Sarah!! Ugh!

Marianne
=========================================================================
Date:         Fri, 14 Aug 1998 14:54:35 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
From:         TFinch10@AOL.COM
Subject:      Re: APERT Digest - 12 Aug 1998 to 13 Aug 1998 (#1998-3)
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Ann--
What is the address for the UK craniofacial organization and/or newsletter?
thanks,
Jeanne in  Boston
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Date:         Fri, 14 Aug 1998 15:29:27 EDT
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              and other craniofacial anomalies <APERT@LISTSERV.AOL.COM>
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From:         Camous@AOL.COM
Subject:      trachties
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For all of you with kids with trachs- i just got info on a listserv called
Trachties. I am pasting below the info- Don, Maybe it could be a link from
Teeter's Page. There are only a few of us who are dealing with trachs with our
kids but it almost outweighs many of the other issues.

Marianne

<<We would love to have you as a subscriber to Trachties. If you have any
questions
or problems, please e-mail me or go to
http://member.aol.com/trachtube/trachtie.htm
  We are trying to
reach as many families as possible.  Since Trachties is a very new listserv,
we are looking for more families who can offer support about tracheostomies.

Thanks again for your interest in our group.
Kelly Killough - mom to Dakota 3 1/2 yr - trach, laryngeal atresia,
microgastria
KEKILLOUGH@aol.com>>