While I applaud People magazine for drawing attention to the rising
incidence of positional plagiocephaly, I believe that several key points
have been neglected in favor of focusing only on the cosmetic aspects of
the condition. For example, it is important for parents to know that if
they have concerns about the shape of their child’s head, they should
seek medical advice to rule out other conditions (for example,
torticollis or craniosynostosis) that require other forms of
intervention, perhaps even surgery. In addition, parents should be aware
that if left untreated, children, especially those with moderate to
severe deformities may experience other medical issues later in life
(for example, problems with the TMJ, temporomandibular joint). Finally,
it should be noted that the goal of treatment is normalcy, not
perfection. However, even if one chooses to focus only on the aesthetic
aspects of the condition, one should not understate the importance of
simply “looking normal” to a child’s emotional and social development,
particularly as children grow into their teens. These factors and others
make positional plagiocephaly a much greater concern than was presented
in the article.
Kevin M. Kelly, Ph.D.
Assoc. Research Scientist, College of Public Health, University of
Iowa
Webmaster,
www.Plagiocephaly.org
Sent: Sunday, July 10, 2005 1:27 AM
To: Kevin-Kelly@UIowa.edu
Subject: Sent to People Mag
Dear People Editor/Writer,
I am also a proud parent of a daughter that had SEVERE abnormalities
(brachy/plagio) in regard to head shape. Her head was literally growing
UP instead of out in the back thanks to our ped telling us to keep our
baby on her back at all time to decrease the risk of SIDS (back to sleep
program). Her ears pop'd out like dumbo and she had no occipital lobe by
8 weeks! Strangers could point it out to us! She was banded at 4.75
months and stayed in her doc band for 9 weeks. We did not care about
cosmetics and got 3 DOCTORS opinions - we cared about her face looking
normal and that she would not have severe MEDICAL problems later on
(headaches, ear infections) - clearly something we could prevent with
the DOC band.
As a writer/editor of a magazine you should know that their are two
sides to every story. That is journalism. There is nothing worse than
reading an grossly misinformed article about a subject that hits close
to home for MANY families. How hurtful this was to our little community
of concerned and caring parents. At best, you should have allowed the
reader to hear both sides of the story and give them the links/tools to
research themselves. You could have given parents tips on how to avoid
the upsetting news of finding out that your child would need to be
casted, banded for several weeks and months at a heavy cost. HOW ABOUT
SOME TIPS on how to keep the head from getting flat (as in some, but not
all cases, it is preventable!)
Personally, if it was JUST cosmetic, we would have skipped this
treatment. I could have thought of a much more fun way to spend $3000 of
our hard earned money - that was about 2 mortgage payments for us.
Get your facts straight so you can help people, not hurt them.
Jessica Welch
Escondido, CA
Sent: Friday, July 08, 2005 11:20 AM
To: editor@people.com
Cc: kevin-kelly@uiowa.edu
Subject: "Article" on Plagiocephaly
To the editor and staff at People Magazine:
I know that you have already received numerous letters about your recent
article on Plagiocephaly. I have read many of them on the Plagiocephaly
website. Because you have heard most of the arguments before, I will not
run through the lengthy list of medical issues associated with this
condition. My son is seven (7) months old and has been in a DOC band for
a little over a month. Great progress has been made, but we will likely
need to have another helmet fitted before sufficient correction occurs.
Please understand the pain you have caused. After explaining to family
and friends about the medical concerns and reasons we were having to do
this, they passed along your article as if they were questioning what we
had been telling them. They did not mean to do that, but they assumed
that your reporter had done SOME research and seemed puzzled that we
would blow something out of proportion the way we must have. As a result
of the lack of understanding of this condition, I had to struggle to get
insurance to cover this in the first place, and I am going to face a
real struggle to get insurance to cover the next one. When we take our
son out in public, people look at us as if we have done something to
him. The glances are awkward and unforgiving. Your article will only
enhance that reaction. Untreated, many children with Plagiocephaly would
likely suffer (among other things) vision problems, migraines, muscular
joint problems in their necks, and potentially other neurological
issues. It is beyond uncaring, it is cruel to report so callously about
this condition. I beg you, for the sake of the many, many parents out
there struggling through a terribly emotional ordeal, please RE-PRINT
the story with correct facts and an apology. Reference the new article
on the cover. A weak-kneed retraction buried in the magazine is
insufficient. Neither is it sufficient to simply print a few (I suspect
carefully chosen) letters from upset parents or doctors. As a magazine
with your size and reputation, you have the unique opportunity in
everything you do to influence this world. Here, you have done so
poorly. With a well researched and accurately rewritten story, you have
the power to educate the public about a very serious medical condition
that even pediatricians are not as familiar with as they should be.
Thank you for time and attention.
Skip Perkins
Sent: Saturday, July 02, 2005 8:14 AM
To: Kevin-Kelly@UIowa.edu
Subject: MY LETTER IS BEING PUBLISHED IN THE JULY 18TH ISSUE OF PEOPLE!
Just thought I'd pass some GREAT news on....I just got word that my
rebuttle letter will be published in the July 18th issue. Below is what
I wrote to the editor:
Dear Editor:
I was so excited when I saw the picture of the cute little boy with a
molding helmet. I then continued on to read the story and was appalled!
The article downplayed the medical need of this helmet!What about the
medical part? The person who wrote this basically said it was a
"cosmetic" issue. It's not! My son was 2 months old when we started
noticing his head was flat. We took him to the pediatrician and they
said to reposition him and it would round itself out over time. By 6
months it didn't change. He also had some facial bulging. His ears were
out of line and his eyes drooped slightly. We took him to Dr. Arno Fried
at Hackensack Medical Center. He was wonderful. Dr. Fried did a CT scan
on our son and he was diagnosed with craniosynotosis. This is when the
skull bones fuse prematurely. He said it was the bones that did not
require surgery, in which most cases it does. He prescribed a DOC band
(a molding helmet). Our son was casted for his helmet in December 2001.
On December 31, 2001 he started to wear his helmet 23 hours per day for
4 months. His head is still not 100%, it's alot better than it was. When
our son was released Dr. Fried gave us some great advice, don't give him
crew cuts. Children who are diagnosed with plagio, craniosynotosis or
torticollis can have problems with their jaws and some do have visual
problems.
It was also stated in the article that "the insurance company covered
most of the $2,400 cost." Did they get paid right away or did they have
to fight for it? I'm sure it took some time. Most insurance companies do
not want to cover his helmet. They consider it "cosmetic". Some
insurance companies do cover it with no questions asked. I was one of
the unlucky ones whose insurance company did not want to cover it. It
took me over 13 months to get reimbursed $2800 of the $3000 we had to
pay. By not showing the medical end of it, insurance companies will
continue not to pay if they are led to believe that it is purely for
cosmetic reasons, as stated in your article.
In my opinion the couple in the article who had the split decision were
looking at it in a purely cosmetic manner! This article should have went
farther in depth to show the medical necessity that sometimes occurs due
to plagiocephaly, craniosynotosis or torticollis.
I suggest your log onto parentpaper.com and look at the March 2005 issue
and read the story written by Dr. Arno Fried so that you understand the
difference between the "cosmetic" and medical needs of this helmet! You
may also want to go to cranialtech.com and read the comments on the
parents discussion board regarding your article. They're not too happy
either!
Sincerely,
Kristen Peterson
Midland Park, NJ 07432
Sent: Friday, July 01, 2005 10:40 PM
To: Kevin-Kelly@uiowa.edu
Subject: Copy of letter to People Magazine editor
Dear Kevin,
Thank you for posting our comments regarding the article in People
magazine.
I personally am very upset and disgusted as how this article was
written.
Below is a copy of the letter I wrote and I'm even sending them
pictures.
Lauren
Dear People Magazine,
I am writing regarding your recent article from this month’s magazine
relating to the DOC band helmets. I am absolutely appalled by the
content of this article. It shows that it was written without thorough
knowledge of the medical conditions that necessitate an infant to wear
this device. Your article never mentions the severity of other related
medical conditions such as Craniosynostosis and torticollis.
Your article gives a false image of the parents of infants wearing these
bands because you mention that parents are doing it for strictly
cosmetic reasons, which is absolutely not the case. Prior to having my
twins, I was unaware of Plagiocephaly and what the condition was. I had
seen other children wearing helmets and never realized what they were
for. When your readers read your article that have no knowledge of the
medical condition, they will automatically be judging parents as vain.
Furthermore, your statement that insurance companies cover most of the
cost is misleading. My daughter is currently wearing her 2nd band and
insurance has denied the claim. Do you think I would spend $6000 ($3000
for each helmet) just because I want her to have a perfect head? I don’t
think so.
I have been on several discussion boards where parents find help and
support for plagiocephaly & torticollis, and craniosyntosis and all of
these sites have messages from parents regarding how disappointed and
upset they are about your article.
I think that as a reputable magazine (maybe not anymore) you should
reconsider writing the article with more thorough knowledge of the
medical conditions that require the helmets. My twin daughter’s head was
mis-shaped due to constrictions in-utero and she developed severe
plagiocephaly, which was noticeable after birth. As you can see from the
pictures attached her head is severely misaligned and she had developed
facial asymmetry. This is a serious condition which left untreated could
have lead to further complications.
The severity of her condition could obviously not been treated by
strictly positioning. My daughter additionally developed neck problems
due to her condition, which we had to administer physical therapy for
during the time she wears the helmet. After just 3 months in her DOC
band, she has shown a lot of progress.
I hope that you consider rewriting the article to inform the public of
medical necessity and the give your readers the truth about why children
are wearing these medical helmets. We are not parents that are going the
extra mile and having our insurance companies spend thousands of dollars
just so our children can have perfectly shaped heads so they won’t be
teased in school. On the contrary, we are concerned parents do all we
can and use the medical devices available so for the health of our
children.
Lauren Alin
(Disgusted reader of your magazine)
Sent: Friday, July 01, 2005 8:22 PM
To: editor@people.com
Subject: Disgraceful article on Plagiocephaly
Dear Editor:
I am writing to express my extreme disgust and disappointment in your
article entitled "Help! My Baby has a Flat Head!" What a glib,
superficial, and callous piece of "journalism" regarding a serious
medical condition. I do understand that your article was not meant to
address certain medical causes for deformities of babies' skulls, causes
such as Torticollis (tight neck muscles causing babies to look only
toward one side at almost all times), Craniosynostosis (premature fusing
of one or more sutures on baby's skull), or intra-uterine constraint
(cramped quarters for baby before birth). However, Plagiocephaly caused
strictly by adhering to the Back to Sleep campaign is no less serious a
condition and carries with it the same potential effects later in
life...chronic ear infections and migraine, TMJ, jaw misalignment, and
vision problems, among others.
Your article implies that if a parent adheres strictly to the advice of
the Back to Sleep campaign, strictly enough for it to cause a flattening
of the head, then it is not a medical condition but a cosmetic one, and
that if parents seek out band/helmet treatment for it, they are "going
too far in their quest for the perfect baby." All we, as parents of
children with plagiocephaly, are on a quest for is physical and
psychological health for our children. In addition to treating the
physical manifestation of Plagiocephaly, correcting the deformity also
gives our children a better chance to have a healthy self esteem and a
sense of fitting in with their peers which no one can deny is an
integral part of growing up nowadays.
Many, if not most, pediatricians are still under the impression that
plagiocephaly, no matter how it was caused, will round out on its own.
And we parents are conditioned to trust the word of our doctors over our
own maternal instincts. Your article has done a disservice to all
parents. You have ridiculed and questioned the decisions of the ones
that decided to use band/helmet treatments to correct their children's
head shape. And you have deepened the level of self doubt felt by many
parents just starting out on this medical journey. If only one child is
sentenced to a life of ridicule and low self esteem because your article
caused a parent to leave their child's condition untreated for fear of
seeming to be on a "quest for the perfect child," then that is one child
too many, and the fault falls squarely in your lap and the laps of your
careless writers.
Sincerely,
Rebecca Scalise
Mother of a plagio baby
Former People Magazine reader
Sent: Friday, July 01, 2005 8:54 AM
To: Kevin-Kelly@UIowa.edu
Subject: People Plagio. Article
Dear Kevin,
Following is what I wrote to the Editor at People magazine. Thank you
for posting the comments. Hopefully some of these People readers will
get real information from the comments.
Peter Bertling
father of Hannah, July 2004 DOC Band grad
Dear Editor:
I was excited to hear that People magazine was writing an article on
plagiocephaly. I thought that the article would raise awareness in
people about the problems of leaving children on their backs, as
recommended by the American Academy of Pediatrics in the SIDS Back To
Sleep campaign. Unfortunately, the spin that was put on your article
made me feel hurt and angry by your magazine. You failed to mention all
of the ways that a child can develop plagiocephaly such as back
sleeping, prematurity, torticollis (a tightened neck muscle), in utero
constraint, multiple births (twins, triplets, etc.) to name a few. Dr.
Joseph Madsen at Boston's Children's Hospital, who was interviewed for
your article, diagnosed my daughter, Hannah, with the worst case of
cranial asymmetry he had seen. She had an asymmetry of 20 millimeters,
which was caused by in utero constraint. Prior to Hannah, Dr. Madsen
stated that the worst he had seen was a 16 millimeter asymmetry. After
hearing about how untreated "plagio" could lead to the development of
TMJ, chronic ear infections, and head and facial deformity we opted to
begin 15 months of driving 3 hours, each way, to Connecticut every week
or two to have Hannah fitted properly for the 3 helmets she ended up
having to have because of her severity. We felt the heartache of having
to fight our insurance company twice to pay for the helmet, because they
stated it was a cosmetic issue, as opposed to a prosthesis to correct a
problem. They have since changed their policy and how this treatment is
classified. We constantly had people ask if Hannah was "retarded" or if
we were just overprotective parents preventing her from hurting her
head. Others would bless her because she "had something wrong with her."
Others would stare themselves, but direct their innocent children, who
asked what was wrong, not to stare because it was rude. In the end, we
would simply laugh at the ignorance and try to educate these individuals
as to what the helmet was actually doing, RESHAPING her head, not
preventing it. Would I have preferred to not have had to go through the
whole process? Yes. Do I regret doing it to help my child have a normal
shaped head? No. And I would do it all over again. Even though Hannah
has been out of her helmet for about a year now, I see that we are still
educating the ignorant. Please do proper research and include all of the
facts next time you decide to report on something such as this subject.
Peter J. Bertling
Cape Cod, MA
Sent: Wednesday, June 29, 2005 12:12 PM
To: Kevin-Kelly@UIowa.edu
Subject: Response to article in People Magazine "Help, My Baby Has A
Flat Head!"
Dear Editor,
I am writing in response to your article in the July 4th issue "Help my
baby has a flat head!" I would like to say that I am appalled at this
story and was completely taken back. My son is 10 months old and was
diagnosed with Craniosynostosis of the sagittal suture at almost 4
months old. He has been under the supervision of a pediatric
neurosurgeon at Johns Hopkins Hospital in Baltimore, MD and is scheduled
for surgery next week, July 6th. The surgery that he is having is an
extensive surgery that involves cutting bone out of the top of his skull
to allow his head to grow naturally and to prevent possible mental
retardation and other serious health risks. I wish that we would have
been able to treat our son with just a helmet. I wish that he did not
have to go through this major event in his life at just 10 months old.
There is a chance that he will be required to wear a helmet after the
surgery to which we will oblige. My next door neighbor, he is 10 now,
was diagnosed with Craniosynostosis at 5 1/2 or 6 months old. You can
ask his mother about how his brain had started to erode parts of his
skull due to the fact that his head could not grow normally. I'm sure
they wish that they had been able to fix him with just a helmet as well.
Two surgeries later he is doing fine and has no developmental delays,
but if this had gone undetected he surely would have serious issues
today. PLEASE, try to tell us that this was for cosmetic reasons and
that we are in search of the perfect baby. My baby is perfect with his
football shaped head.
Your story was inaccurate without checking ALL of your facts first. I
wish and hope that you will do your homework and print a retraction or
write another article fixing your mistakes. I feel awful for the parents
out there who read your article and are now second guessing their child
and the shape of their head thinking they are just being vain about it.
You should take a look at www.capps.org
an organization and support group trying to get awareness out there and
help others like me going through this rough time. Also, check out
www.jorgeposada.com and see
what his foundation is doing to promote awareness.
I was a big fan of people, but now I'm not so sure - How many other
articles have I read that have been reported incorrectly?
Sincerely,
Megan R. Travers
Sent: Tuesday, June 28, 2005 7:55 PM
To: kevin-kelly@UIowa.edu
Subject: plagio article
Here's mine...
Dear editor,
I am writing in response to the article, "Help! My Baby Has a Flat
Head!" in your July 4 issue. I am extremely disappointed that you would
print such a biased and incomplete article.
By belittling the effects of positional plagiocephaly by stating that
parents are "turning to helmets to deal with what they perceive as a
problem", you have had a negative impact on the awareness of this
condition as well as craniosynostosis, which is an actual fusing of the
bones of the skull. The only way to treat craniosynostosis is through
invasive surgery which at times needs to be followed with helmet
therapy. It was totally irresponsible to run an article on plagiocephaly
without mentioning the fact that only a specialist can diagnose this
condition or that a CT scan is the only definitive way to discern if it
is plagiocephaly or craniosynostosis.
I wonder how you feel knowing that your article may deter families from
seeking medical advice or treating one of these conditions out of worry
that others may look upon them as vain or on a "quest for perfect
babies". There is no quest for a perfect baby. Your baby is perfect from
the moment he or she is placed in your arms. As parents, there is
nothing more painful than hearing that there is anything "wrong" with
them. My son was diagnosed with craniosynostosis as an infant and had
surgery at 10 months old. He did not require helmet therapy, but if he
had, we would have gladly put that helmet on him every single day. We
considered ourselves lucky that his condition, unlike so many other
children, was cosmetic and could be improved.
Perhaps the most insensitive piece of this article was that it was
included in your "Trends" department. Capris, flip-flops, and Livestrong
bracelets are trends. How dare you imply that treating a condition that
if left untreated could lead to lifelong developmental and psychological
difficulties is a "trend" or that parents would enter into these
decisions lightly.
I expect that you will do the right thing and print a follow up article
that includes all of the facts. Included in this article should
be resources where parents can turn for support from other parents who
have faced the same issues. Given the damage that you have done in
regards to the general public, parents facing these conditions will need
support from people who have been there and will not judge them as you
have judged us.
Lauren Luscombe
Massachusetts
Sent: Tuesday, June 28, 2005 6:27 PM
To: Kevin-Kelly@UIowa.edu
Subject: Response to People Magazine article re: Positional
Plagiocephaly
Kevin,
The following is a comment I sent to People magazine's editor today
regarding their article on Positional Plagiocephaly.
To whom it may concern,
As the mother of a son who had Positional Plagiocephaly due to
congenital reasons, I was extremely saddened to read your recent article
on this issue. I am amazed that a story regarding a serious medical
condition would be printed in the "Trends" section of your magazine. For
my son, having Plagiocephaly was related to a medical problem. Our
decision to treat it was not so we could be a part of a "trend", nor was
our family, as you describe it, on a “quest for the perfect baby.”
In my son’s case, in addition to his "flat head", his ears were
misaligned and he had marked asymmetry in his facial features, including
a bulging right cheek and bossing (protrusion) on one side of his
forehead. Due to congenital Torticollis (tightening of the neck muscle
on one side) my son could not turn his head to the right. Therefore, I
was not able to simply reposition him and prevent further deformation. I
waited but his head did not "round out" as he got older. It was
heartbreaking, as a mother, to see my child's face become more
disfigured over time, as his facial bones, on one side, pushed farther
forward.
Getting a shaping helmet was the only intervention available to help
prevent this severe problem from getting worse. When we got the helmet
for our son, it was because, as parents, we would do anything to help
him. Is doing everything you can to prevent your child’s face from
becoming more disfigured, as you put it in your article: “going to far”?
Your article presents only one perspective, that of Positional
Plagiocephaly being merely a trivial cosmetic issue involving "vain"
parents. From my perspective, as a parent who has been there, I can tell
you, it was far from a trivial issue and vanity had nothing to do with
it.
Cheryl Clift
San Ramon, California
Sent: Tuesday, June 28, 2005 1:57 PM
To: Kevin-Kelly@UIowa.edu
Subject: My Letter to the Editor
Dear Editor,
As a first time mother, the decision to band my 7 month old son did
require me to think of "cosmetics". I thought about how my baby would
look wearing his band and all of the looks he would get from people who
didn't understand the treatment of Plagio. These thoughts almost made me
decide NOT to band my son. Thankfully, our Doctor told us the FACTS of
Plagio and all of the MEDICAL issues that can occur if left untreated. I
am very glad we went ahead with the band and currently 6 weeks into
treatment we see great improvement. I know we did what was best for our
son and I only wish your article would have done a better job raising
awareness of the medical issue of Plagio. Now, I fear that we will get
even more looks from people as they think that I am "Forcing" my son to
wear his helmet in pursuit of a "perfect baby". I would appreciate your
Magazine taking another look at this issue and printing more accurate
information.
Sincerely,
Carrie Smith
Charlotte, NC
Sent: Tuesday, June 28, 2005 1:41 PM
To: Kelly, Kevin M
Subject: Here is a letter I sent to people magazine as well
My son was recently diagnosed with plagiocephaly and has had his helmet
for 2 weeks now. My in-laws gave me a copy of the People magazine
article the other day and I almost fell on the floor from shock that
someone not only wrote the article but that it actually made it past the
editor and put in print. Here is a copy of the letter I sent to the
editor of People magazine:
I am not only disappointed in People magazine but outraged as well!
After reading your article "Help! My baby has a flat head" I was
appalled that you merely talked about the cosmetic aspect of
plagiocephaly and made it sound as if us parents that have our child
wearing a molding helmet are simply vain people that want a cupie doll
for a baby.
My son was recently diagnosed with a moderate case of positional
plagiocephaly. Your article neglected to mention that most babies like
my son have much more than just a flat spot on the back of their head,
but there is usually asymmetry of the face and ears as well as bulging
of the forehead. You also neglected to mention there are health dangers
related to untreated plagiocephaly such as as persistent flattening and
asymmetry, recurrent ear infections, TMJ, and migraine headaches. I
can't understand why you chose to leave that out of the article. The
teasing by other children or the possibility of my son shaving his head
when he gets older were not even a thought in our minds---our son's
health was what came first and foremost in our decision to get him a
molding helmet.
I am a first time mom and throughout my pregnancy and even afterward the
risk of SIDS and the Back to Sleep campaign were shoved down my throat.
The hospital and pediatrician all told me I needed to have my baby spend
10 minutes a day doing tummy time. Not once did any of them tell me I
should actually be spending lots of supervised tummy time from birth
with my son or that I should alternate the end you place your baby's
head at in the crib and on the changing table or when bottle feeding, be
sure to alternate which side you hold your baby on during feedings or
limit use of swings, bouncy seats, car seats, etc. Instead I found out
the hard way AFTER my son's head had flattened to the point that the
aggressive repositional therapy we tried beginning at two months of age
did nothing. My son was born a month premature making him even more
susceptible to positional plagiocephaly.
Our son has had the molding helmet for a week now and we can already see
improvements in his face and head. He wears the helmet 23 hours a day
with an hour break for bath time. He acts exactly the same as he did
before we put the helmet on him and continues to act as if it's not even
there.
So no my husband and I are not going to far in the quest for a perfect
baby by having our son wear a molding helmet. We are simply doing
everything we can to keep him healthy and happy now and in the future.
Everett's Mom
Garden City, Michigan
Sent: Tuesday, June 28, 2005 12:36 PM
To: editor@people.com
Subject: Response to HELP! My baby has a flat head!
I was so taken back by the fact that you actually let this article get
published in your magazine. I used to think of "People" as not your
ordinary tabloid rag but now I'm convinced that your just like the rest.
And then to put it in the "trends" section was the worst part. Like this
is just a faze or fashion statement.
What were you thinking, obviously not, when this went to proof for
print. Your writers didn't research the most common and serious of
reasons for parents to get head banding treatment for their children.
All they needed to do was search the Internet for a whole world of
websites focusing on this issue. I speak from experience and I'll tell
you how I know.
My daughter, Viola, was born with Congenital Plagiocephaly (flat-sided
head shape). She was delivered by c-section in my 42 week. There was no
more room in the womb for her so she got squished and so did her head.
Not only that but she also had Congenital Muscular Torticollis (twisted
neck syndrome) which was diagnosed 1 month later. She could only turn
her head one way, thus encouraging the flatness. Our pediatrician
assured us that with physical therapy for her neck, that her head would
eventually "round itself out". That didn't happen. In fact her head
seemed to get worse. After being referred to specialists, (maxillo-facial,
speech, ENT, and a pediatric neurosurgeon) we made the decision to get
our daughter in head banding treatment. It was the only way to prevent
future medical problems, such as speech, TMJ, and visual, and hearing
issues.
Our daughter is in her last 3 weeks of wearing her "helmet" and she has
improved greatly and even though I had to fly back and forth in the same
day from Jacksonville, FL to Miami, every other week for 4 months, it
was worth every crazy moment.
Our story is only one of many. There are children with more serious
reasons for the treatment such as Craniosystosis (which can be life
threatening), and Brachycephaly )which can sometimes require major
surgery). If you don't know what those conditions are, look it up!
This article is such a huge injustice to the public and this
misinformation could cause some parents to think twice about bringing up
this serious medical issue with their child's pediatrician. I hope you
are willing to carry the burden that there will be some children that
could suffer greatly from your poor excuse of media. You should print a
retraction or some kind of explanation of the truth behind this serious
subject. It makes me physically ill to think of all the children and
parents effected by this.
I'll never buy or read your publication again.
I'm so disgusted, I don't even know how to sign this letter.
Sincerely ?,
Robin Barquilla
Proud Mother of a flat headed child.
Sent: Tuesday, June 28, 2005 10:44 AM
To: Kelly, Kevin M
Subject: My letter to the editor of People re: plagiocephaly article
Kevin,
Thank you for putting our response letters on your website. People
online has a link to
plagiocephaly.org right next the the plagiocephaly article title, so
I know there will be lots of traffic to your website. Hopefully our
letters to the editor will educate parents curious about plagiocephaly
treatment, unlike the People article. My letter to the editor follows:
To Whom It May Concern:
Please tell me I was hallucinating when I saw that you had placed an
article on medical treatment for infants in the "Trends" section!
Your article, "Help! My Baby Has a Flat Head," treated the very serious
issue of Deformational Plagiocephaly as if it were a fashion debate. I
am flabbergasted that a condition flagged by the American Academy of
Pediatrics as being deformation of the infant skull, and worthy of
correction by repositioning, physical therapy, and helmets or bands,
would be watered down to an inexcusable allegation of a parent's quest
for perfection. Deformational
Plagiocephaly, Brachycephaly,
and Scaphocephaly are not
minor, cosmetic variations in infant skull shape; they are serious head
shape, facial, ear, and forehead deformations that are WAY outside the
normal, anthropometric range of what is considered a normal head shape.
Your alleged "quest for perfection" and "vanity" accusations are, in
reality, a hope that ANY improvement in skull shape could be achieved
through treatment with repositioning or helmets and bands.
The laziness and incompetence of the article authors are mind-boggling.
Helmets and Bands CORRECT plagiocephaly by redirecting growth to desired
areas - they don't PREVENT plagiocephaly! In addition to the obvious
concern of craniofacial deformation clearly outside the norm, research
is emerging that shows that marked asymmetry of the skull shape
indicates misalignment on the inside of the mandibular, ocular,
auditory, nasal areas as well, leading to an increased risk of problems.
Another well-regarded study concludes that plagiocephalic babies end up
having grade-school learning issues. I would have expected a simple,
online search of medical journals on the subject of
Plagiocephaly to be a bare
minimum expectation of any journalist covering a medical issue. Sadly, I
strongly suspect that the editor's bias toward this treatment as being
"Trendy" was already present when this story was assigned.
Your magazine's insensitivity and incompetence when giving Deformational
Plagiocephaly it's highest mainstream platform to date has done
irreparable harm to the very important crusade of plagiocephaly
prevention and treatment. Surely some parents will swallow your pill of
this condition being a "cosmetic" and "vanity" issue, and sadly seek no
further information on treatments available - this is a consequence with
which your magazine leadership will have to live. I strongly suggest you
publish a properly researched follow-up article immediately - show some
respect for the babies being treated for this skull deformation by not
putting the article in the "Trends" section, please!!!!!!!
No longer a reader of People,
Christie
Sent: Tuesday, June 28, 2005 8:47 AM
To: Kelly, Kevin M
Subject:
Hi Kevin, here is my letter to the editor:
I am extremely disappointed in your article on positional plagiocephaly.
I can not understand why an upstanding magazine like People would
publish an article that appears to be based on the writer's opinion
rather than actual facts.
Positional plagiocephaly is not something to be taken lightly. Contrary
to what the article states, it is not always just "a cosmetic issue". A
misshapen head can lead to facial asymmetry, vision problems,
torticollis, or breathing problems. In addition, there is no mention at
all that a child with a misshapen head may have a condition called
craniosynostosis, something that is often mistaken for positional
plagiocephaly.
The article leads people to believe that these helmets are torture for
the child, right from the line that says "But are parents going too far
in the quest for perfect babies?"
In my opinion, it has nothing to do with the quest for a perfect baby,
but has everything to do with what is best for a child in the long run.
I would put my child in a molding helmet any day versus letting him live
a life of being teased and having low self esteem.
One last point I would like to make is that these molding helmets are
not new as stated in the article, they have been around a while and are
FDA approved.
A follow up article with proper education on this condition, as well as
Craniosynostosis would be greatly appreciated by many. Thank you for
taking the time to read this.
Sent: Tuesday, June 28, 2005 12:58 AM
To: Kelly, Kevin M
Subject: Re: People Magazines Article about Plagiocephaly
Kevin,
Here is a copy of the letter I sent to the editor
Editor,
I was so excited to hear from my sister there was an article in People
magazine about Plagiocephaly and how common it was becoming because of
infants sleeping on their backs for the prevention of SIDS. My husband
rushed right out to buy your magazine to read the article. I was very
disappointed in the lack of real information of your article. It angered
me to read your magazine feels we parents who support the treatment of
plagiocephaly are doing so only for cosmetic reasons and to have the
perfect child. Your article is saying for our own vanity we will put a
band on our children, 23 hours a day for months! Are you a parent? If
so, would you make choices for your children simply for your own vanity?
I'm sure the answer is no. My son Adam has severe plagiocephaly along
with severe torticollis and delayed gross motor skills. My son has been
going to physical therapy, sometimes twice a week, and my husband,
family, and I work with my son 2-3 times a day. My little boy works very
hard and I can tell you it is not for his cosmetic appearance!! My
insurance covers treatment of Plagiocephaly 100% but doesn't cover
plastic surgery or any type of breast surgery. What does that tell you!
Insurance companies are realizing the treatment of Plagiocephaly is NOT
for cosmetic purposes but for the health and well being of our children!
Your magazine was always the 1st magazine we would buy for a plane trip
or for laying out in the sun. I will never buy your magazine again &
will email everyone I know to boycott your magazine until you write an
article that does justice to Plagiocephaly and any other topics you have
misreported!
Sincerely,
Greta Verd
Mother to Adam
Sent: Monday, June 27, 2005 8:22 PM
To: Kevin-Kelly@UIowa.edu
Subject: Keep the fires burning!
Dear Editor:
You obviously struck a nerve. Do a little research and re-write.
Robert M. Johnston
Sent: Monday, June 27, 2005 3:13 PM
To: kevin-kelly@uiowa.edu
Subject: Copy of Letter to the Editor
I have reviewed your recent article on ONE family's experience with a
child suffering from plagiocephaly. However, I am completely
disappointed by your lack of education and ethical judgment. My son was
diagnosed in May with both plagiocephaly and torticollis. His condition
also included facial asymmetry. If your reporter had taken more time to
review the medical evidence, which is simply to locate on various
websites (cappskids.org;
cranialtech.com), she would
have found that despite what the particular parent interviewees told her
regarding the condition being cosmetic, that the condition is a medical
condition, covered by many insurance companies, the subject of various
appeals and Court actions. Further, I am informed and believe that your
reporter spoke to many other parents who informed your repoter of the
medical aspects of this condition, but it is clear that she simply
choose to ignore them. It is unfortunate that you choose to take this
avenue of reporting, which has now subjected many parents of Plagio kids
to endless, unsolicited comments about us trying to make our kids
"perfect" when that is not the case at all. As all parents do, we are
looking out for the best interest of our children and addressing medical
problems early in life to avoid many medical issue later in life, but
not limited to, respiratory and vision problems, migraine headaches,
difficulty chewing, TMJ, and increased ear infections, as well as
psychological consequences. I suggest that in the future you take some
responsibility for your reporters to ensure they are reporting on the
true story and not just one parents opinion.
Amy L. Smith-Compos
Sent: Monday, June 27, 2005 1:46 PM
To: Kevin-Kelly@UIowa.edu
Subject: "People" Article Comment
Hi Kevin,
I'm glad you decided to post comments about the "People" article on
Plagiocephaly. I am a moderator over on the Yahoo! Positional
Plagiocephaly group (http://health.groups.yahoo.com/group/Plagiocephaly/)
and have put countless hours into trying to educate people about plagio
over the last couple years. What a giant step backwards this article is!
I was also interviewed for this article and was really excited about the
idea of plagio finally getting some good national coverage. What a HUGE
disappointment. I'm very glad my daughter's story was not included in
such a poorly reported article! I really hope no baby suffers with being
left untreated because of this article.
Sarah
Dear Editor:
Your article on Plagiocephaly really saddens me as you have done a huge
injustice to babies and parents everywhere. Babies get flat heads for
many reasons: back sleeping, prematurity, torticollis (a tightened neck
muscle which requires physical therapy to correct), inutero constraint,
and a very serious condition called Craniosynostosis. My daughter was
born with a flattened head from the way she was positioned in utero and
it was made worse by her back sleeping. We saw Dr. Joseph Madsen at
Boston's Children's Hospital (who was quoted in your article), who
described to us the dangers of untreated Plagiocephaly as persistent
head and facial deformity, TMJ, and ear infections. He told us the only
effective way to correct my daughter's severely flattened head was with
a helmet, and I'm proud of my choice and was thrilled with my daughter's
correction. These helmets are by prescription only and are FDA approved.
I did not "force" my child to wear a helmet to "ensure a perfect head."
I wanted to give her the head she should have, and while it is still not
"perfect," she looks normal will be able to wear sunglasses and bike
helmets like other kids. Most parents wouldn't hesitate to get their
child teeth braces--why is that more acceptable? Why would I leave my
daughter with a severely misshapen head if it could be fixed in such an
easy, painless, and non-invasive way? Furthermore, your article stated
that helmets PREVENT flatness, which is not the reason behind their
design--they CORRECT flatness. Now you have thousands of parents all
over the world who will be self-conscious of their helmeted babies
because the audience of People magazine has been told it is a trend and
parents are vainly on a "quest for perfect babies." You should be
ashamed that your article may scare parents away from seeking this easy
and effective treatment for their babies. If you want to speak poorly of
anyone it should be the medical community for not following the American
Academy of Pediatrics’ guidelines on Plagiocephaly and not educating
parents properly about how! to prevent and treat flatness.
Sarah Bertling
Cape Cod, Ma
Mom to Hannah, severe plagio corrected with 3 DOCband Helmets
Sent: Monday, June 27, 2005 1:39 PM
Subject: People Article: My letters to the editor and interviewer.
These are the letters I wrote to the editor and the interviewer that
contacted me. I am so unhappy about this article, it hurts to know that
someone could let this junk be written as I'm sure it does anyone else
who has gone through this.
Subj: How could you print that article on Plagiocephaly?????
Date: 6/25/2005 10:35:39 PM Eastern Daylight Time
I cannot believe after all the information your people were provided by
informed educated parents and doctors that this is what you came up
with. How dare you say my son's plagiocephaly treatment is a quest for
perfection. How about a quest for my child to NOT be delayed in gross
motor skills, how about a quest for my son to be able to turn his head
correctly, eat correctly and develope the muscles in his entire body
correctly. I gave my story as many other parents going through this
nightmare did to your so called interviewer with the understanding that
she actually cared about the FACTS, but boy was I wrong. Your article is
wrong plain and simple, it has incorrect information in it and only
contains facts that would help with the angle you wanted to portray. I
can honestly say I was willing to give People Magazine a chance and not
believe it to be the rag so many said it was, but again I was wrong.
Once again I say,HOW DARE YOU!!!!!
Carol Gatto
Mom to Dominick 8 mo,plagio/muscle imbalance
Doc Band #1 Feb.10th-April 7th 2005
Doc Band #2 April 26th - present
also Anthony(14),Frankie(10),& Carly(5)
Subj: How Dare You Do That
Date: 6/25/2005 10:42:39 PM Eastern Daylight Time
Giovanni,
When you spoke with me in detail about my son with plagiocephaly, I was
under the impression that you were going to do a medical article, not
the crap that was printed in this issue. What happened to all the
information you were given, what happened to the facts??? How dare you
let them do this when you spoke with us and knew what this was like for
all of us. We shared our stories about this nightmare and you let them
do this. I cannot believe that you could let them print this article
with so many medical facts being left out and absolutely wrong. You
should be ashamed of yourself, but I'm sure you really don't care as
long as it sells magazines.
Carol Gatto
Mom to Dominick 8 mo,plagio/muscle imbalance caused by plagio
Doc Band #1 Feb.10th-April 7th 2005
Doc Band #2 April 26th - present
also Anthony(14),Frankie(10),& Carly(5)
Sent: Monday, June 27, 2005 12:03 PM
To: Kelly, Kevin M
Subject: Plagiocephaly article
Here is a copy of the letter I sent to the editor:
I was initially excited to see an article in People dealing with
Plagiocephaly, but after reading the article am thoroughly disgusted at
the way it portrayed parents who choose to use a helmet or band for
their child.
Not only did the article portray the parents in a bad light, it also
lacked journalistic integrity. The reporting was one-sided and implied
that parents were being selfish and subjecting their children to
uncomfortable treatments in the pursuit of "perfection". Not only is
this untrue, it is irresponsible of your magazine to print such drivel.
The article did not mention the many doctors who don't consider
plagiocephaly to be only a "cosmetic" problem. The facial and ear
asymmetry that can result from plagiocephaly were not discussed, nor
were levels of severity, treatment options or how the helmets work. It
also did not mention torticollis, a muscular condition of the neck which
is commonly associated with plagiocephaly.
My son Connor, who was in physical therapy for 10 months due to
torticollis, wore a helmet for 3 months. He didn't mind wearing his
helmet one bit and the results were very good. We weren't striving for
perfection, only to make his head look more normal and to decrease the
chances of further problems down the road. It's articles like yours that
spread misinformation and prevent parents, whose children could benefit
from such treatments, from making informed decisions. Your article is a
disservice to children with plagiocephaly and the parents who love them.
Sincerely,
Andrea Gagen
St. Louis, Missouri
Sent: Monday, June 27, 2005 11:44 AM
To: Kevin-Kelly@UIowa.edu
Subject: People Magazine article.
Kevin,
Please find attached the letter I wrote to People magazine....
Dear Editor,
When I first saw the headline that you had an article about
plagiocephaly ("Help! My Baby Has a Flat Head, July 4, 2005") in your
most recent issue, I was very excited that People was raising awareness
about a major issue that affected my family. However, when I began
reading the article, I was extremely disappointed that your magazine
portrayed the shaping bands as something that overzealous parents do in
a quest for the perfect child. In our case, as in may of the parents we
encountered at Cranial Technologies (where we got our daughter's DOCband),
our daughter was born with a condition called torticollis (a tightening
of the neck muscle on one side, which limits the baby's range of motion,
thereby flattening the back of the head on one side). The bands do not
cause any pain or discomfort for the child - they aren't "forced to wear
a helmet" any more than they are forced to wear a diaper and a t-shirt -
the bands only weigh a few ounces. Torticollis and Plagiocephaly are
medical conditions that require treatment, including physical therapy,
and are not simply an aesthetic issue for a boy who may shave his head
or go bald in later life. This is evidenced by the fact that insurance
does cover these shaping bands (and wouldn't cover breast enhancement or
a face lift!).
Sincerely,
Kerri Wolfe
Sent: Monday, June 27, 2005 8:25 AM
To: Kelly, Kevin M
Subject: disapproval letter to people magazine.
I also was not happy with the people magazine article, thought it
spreads awareness it does not do it in an appropriate or helpful way.
Here is my letter to the editor.
Dear editor,
I was deeply upset when I read your article in the July 4 issue of
People magazine, “Help! My baby has a flat head.” Positional
plagiocephaly is not a condition to be taken lightly aside from causing
facial asymmetry, vision problems, hearing problems,
torticollis, and
developmental delay, did you know that a flat head can also mean that
the skull bones may have closed to soon, a condition called
craniosynostosis?
Your article made no mention of this potentially life threatening
condition that can be mistaken for
placiocephaly,
I know because my son has got four of the six main skull bones fused and
he was misdiagnosed as having
placiocephaly.
Because of this misdiagnosis my son is now 2 years old and has the
development of a nine month old and will be undergoing and invasive
surgery in a few weeks to relieve the excess pressure from his brain
pushing on his skull, a surgery that because of his age will have to be
done multiple times as he grows.
Craniosynostosis can only be corrected by an invasive surgery where
the child’s skull is literally cut open and reshaped to prevent further
problems or hopefully stop existing problems and it has the best results
when it is caught early from us moms who want our “flat headed” babies
perfect as you put it and ask the doctors about it, you know what? My
flat-headed baby is perfect but without this treatment he could die or
have severe brain damage. Without treatment of
craniosynostosis
a child can suffer from many things including brain damage, damage to
the eyes affecting eyesight, damage to the ears affecting hearing,
developmentally delay, and potential death. Did you know that the only
way to diagnosis this condition is to ask your doctor about your child’s
“flat head” and have at CT scan done. Your article not only makes this
condition seem trivial but will also make more parents who notice
something funny about their child’s head shape not ask their doctors
about it because they are afraid to look like they want a “perfect
child” as you put it. Did you also know that the molding helmets that we
are forcing our children to wear are also used after an endoscopic
craniosynostosis
surgery to mold the head so that the child does not have to undergo the
more invasive surgery would you say that is going to far in the quest
for the perfect baby? A person does not know from the outside why the
child is wearing his helmet and those of us who are using it for post op
molding are facing the questions and stares from strangers who read your
article and feel we are trying to make our baby perfect. If you had done
any real research for your article you would have known these things.
Any flat headedness needs to be pointed out to the child’s doctor so it
can be investigated fully. I feel that a retraction of your bias article
is needed and an article portraying the true facts of
placiocephaly
and craniosynostosis
should be written.
Angela Norris, mom of a perfect flat headed baby with craniosynostosis
and I wouldn’t trade him for the world. Member of
www.cappskids.org spreading
awareness of
placiocephaly and craniosynostosis.
Sent: Monday, June 27, 2005 8:10 AM
To: Kelly, Kevin M
Subject: Re: article in People
Hi Kevin,
It took me awhile to digest what really came across in this article, and
I am still in shock. I did send a response to the editor as well. So,
here is a copy of my letter, from a mother whose child had to have
surgery to correct the plagio.
To say that I am disappointed in this article is a complete
understatement! I am FURIOUS! Not one time did you mention what can
happen to children left untreated with plagio. If the person that wrote
this article is truly a reporter, they would have found out ALL the
facts about plagio prior to writing an article like this!
My son, Jaxson, who is now almost 2 years old suffered from severe
plagiocephaly. He had torticollis as well (is that cosmetic, too??).
Jaxson received a CranioCap from Gillette Childrens and wore that from
the time he was 5 months old to the time he was 9 months old. Little
correction happened. The CranialFacial surgeon that seen him said he was
one of the most severe cases he had ever seen. Cosmetic you say?!
Because my son was so severe, his brain shifted to the left, where it
pointed outwards on the left side, the right completely flat. We had to
take him to a neurosurgeon, who said surgery was the only option. If you
think THAT is cosmetic, why would my insurance pay for it? More
importantly, why would I put my son through a major surgery where the
remove his skull to correct the shape? That is completely insane. He had
84 stitches across the top of his head, suffered for weeks with pain,
and months without sleeping. He will have a scar for the rest of his
life. But yet, you say cosmetic.
How about telling the real truth behind Plagio. The truth of what may
happen if left untreated. The truth of children who were never diagnosed
now suffer with insecurities of their shape. The fact of children who
HAVE to have correction done in order to have a life that should come to
them automatically. Tell the truth about doctors who dismiss plagio as
nothing, just as you did.
I have to say, I was an avid reader of People until this article. I am
so disgusted by it, that I will never buy another one of your magazines
again, and I will make sure I speak to my entire family and my friends
about this... hoping they will no longer receive your magazine either!
Kim Seguin - mother to Jaxson, 23 months who had SURGERY (non cosmetic)
to correct severe plagio
Duluth, MN
Sent: Sunday, June 26, 2005 1:36 PM
Subject: re: people article
Hi Kevin,
Just wanted to pass along a copy of my letter to the editor of People...
I commend Plagiocephaly.org
for helping to create healthy debate...
Thanks!
~Jen
Dear Editor,
While your magazine is a tabloid, I would've expected just a little bit
more accuracy in your recent article on plagiocephaly. Not only were
many of your facts incorrect (ie. that helmets "prevent" flatheadedness;
they actually correct it), but you did not accurately portray families
who have struggled with plagio and the subsequent treatment.
I am sure that the number of letters that you receive in response to
this will be many, so mine will be brief. I urge you to reprint some
corrections and a large apology to all of the parents and CHILDREN that
you have offended. This article was not only offensive, but does nothing
to assist that other families never have to go through an ordeal like
plagio.
My daughter's plagiocephaly is correctable. I am giving you and your
magazine the opportunity to correct your flaws.
Regards,
Jennifer & Nicholas Civello
Disgusted by People Magazine and parents to the lovely lopsided head
Alyson- 7.5 months old
Carthage NY
Sent: Sunday, June 26, 2005 1:05 PM
Subject: plagio article
dear kevin i will attach a copy of the email i sent to the editor
dear editor
i am writing to you in protest at the article in this weeks people
magazine,
your article was the most insensitive and downright condescending
article i have ever had the misfortune of reading.
How can you justify trivialising such a condition as plagiocephaly, it
is completely out of order and you and your features editor should be
thoroughly ashamed
do you even realise that there is a condition very closely linked to
plagiocephaly called craniosynostosis which is a potentially life
threatening condition
plagiocephaly cannot be distinguished from craniosynostosis without
proper evaluation by 3d ct scan. this was not once mentioned in your
article, why not? your decision not to mention this possible link has
probably ensured that lots of babies with this condition could now go
undiagnosed.
do you also realise that many small babies who have undergone extensive
cranial vault remodeling surgery to correct their craniosynostosis also
have to wear a helmet after surgery to ensure adequate correction of
their cranium....would you suggest that this is also 'going to far in
the quest for a perfect baby' as well???
people on the outside have no idea if a baby is wearing that helmet for
positional plagio or post-surgical correction so now, are we the parents
of cranio babies going to be forced to answer the questioning stares of
members of the public who are wondering why we are 'forcing our babies
to wear a helmet for 23 hours a day'?
you need to and MUST post an article on craniosynostosis as the other
side of plagio to right all the wrongs that you have made with your
article..........if you need any assistance with this articles you will
find a wealth of information and families willing to assist you
i await and expect your reply with the utmost anticipation
sincerely
Natalie secka
Sent: Sunday, June 26, 2005 8:45 AM
Subject: Article in People Magazine
I am appalled that an article like that would be put in People
magazine!! There is absolutely no mention of Craniosynostosis and the
chance that having a "flat spot" may be caused from Craniosynostosis,
not just Positional. These helmets are not just used for "Cosmetic
Purposes" only!! My daughter has Cranio, and I was shocked to see the
lack of actual information supplied in this article. Making a child wear
a helmet for 23 hours a day is not a decision any of us take lightly.
Our children's lives, well being and self esteem are some of the many
considerations that are made before making such a decision. It is not a
decision made out of Vanity!!
These children need to be checked for Craniosynostosis and I am just
baffled that you would put such an article in People magazine. "Poor
Diego" Poor people having to read such an ill informed article!! A
retraction is definitely needed or another article mentioning the
possibility that what they think is Positional may be Cranio. [People
Magazine is] putting peoples lives in jeopardy here and with no mention
of the Cranio, [they] are setting back all the work other organizations
such as CAPPS KIDS have done to make people aware of this disorder.
Not a fan of People Magazine anymore and really disappointed that this
was printed and made into such a trivial matter. A letter has been sent
to the Editor of People's Magazine as well about my disappointment and
anger about this article. I am also stupefied that [Plagiocephaly.org]
would actually have this article flashing on the Plagiocephaly Site!!
It's nothing to be proud of and gives little valid information.
Tracey Katz
Ontario, Canada
Date: Sat, 25 Jun 2005 13:22:26 -0700 (PDT)
Subject: Re: [Plagio] Re: People Magazine
I think the author did a terrible job on this. Like most of you stated,
it is not simply a cosmetic procedure. We are seeing a nuero and a
plastic surgeon for tort. I guess that's just cosmetic too, since I
don't want him to look like he is twisted around. Its disgusting to me
that they could take a serious medical condition and distort it like
that. I am overweight and dieting. Do I do it for cosmetic reasons? NO.
There are health issues associated, just like with plagio. And for a lot
of our kids, its a side effect from something else (tort, etc). I will
definitely be writing the editor on this one.
Crissy
mom to Eli, 8 mo with tort & plagio. See the Nuero Monday!
Sent: Saturday, June 25, 2005 12:02 PM
Subject: Copy of response to People Magazine
Dear Editor:
I was deeply disappointed at your article Help! My Baby Has a Flat Head.
Your article gave the impression that cranial orthotic devices (helmets)
are strictly used for cosmetic reasons. You did not present any
information that these devices can be medically necessary, as it was
with our son. He, too, suffered from deformational positional
plagiocephaly, as a result of a rare bone disorder. Physical therapy and
"repositioning" did not work, and his neurosurgeon prescribed one of
these helmets. After 5 months of treatment, his (L/R) (R/L) head
measurements went from a 20 millimeter difference to 0 millimeters (12
is considered "severe"). Unlike the parents in your article, our
insurance company, Blue Cross Blue Shield of Florida, does not cover
these devices; however, if we had one of a number of other insurance
companies, the helmet would have been covered as medically necessary. In
the court case Suzanne Bynum vs. Cigna Healthcare of North Carolina, it
was upheld on appeal in the 5th circuit court that the helmet for Ms.
Bynum's daughter was indeed medically necessary and Cigna was forced to
pay for the helmet, as it was stated by her doctor that ‘head shape
abnormalities or asymmetry of the skull base can lead to further
deformities or physical impairments of the facial region, such as
malocclusion of the mandible’. At the 1997 Craniosynostosis and Skull
Molding Symposium, general guidelines for treating positional
plagiocephaly were outlined in a position paper and endorsed by the
Section of Plastic Surgery of the American Academy of Pediatrics, the
American Cleft Palate/Craniofacial Society, the American Society of
Craniofacial Surgeons, the American Society of Maxillofacial Surgeons,
the American Association of Pediatric Plastic Surgeons, and the American
Association of Pediatric Neurosurgeons, stating in part, "if
repositioning is unsuccessful or if the initial deformity is too severe,
or if the child is older than 5 or 6 months, orthotic management
[helmets] should be considered as the next logical alternative… these
recommendations appear to be well supported by expert opinion in the
field and reflect the evidence provided by published clinical studies".
Dr. Persing, a well-known expert who you quoted in your article and I
have corresponded with as a parent trying to bring this issue to the
forefront, is one of the proponents of this position paper and supports
the use of helmets in appropriate cases. Plagiocephaly is becoming an
epidemic as an unfortunate byproduct of the success of the "back to
sleep campaign". I certainly hope your article does not make parents who
may be on the fence about pursuing this method of treatment at a
specialist's urging feel they are being "vain" by wanting their child to
have a "pretty" head. I would love to see you do a follow-up article on
this issue that will only become more prevalent. In the meantime,
parents, please rotate your newborns' heads and give them supervised
tummy time to help prevent plagiocephaly. It is the part of the "back to
sleep" campaign that gets little attention.
The
information provided on this web site, although based on a
thorough and careful review of the medical literature, is
for educational purposes only and is not intended as a
substitute for the medical advice of physicians. The reader
should consult a physician in matters relating to health and
particularly in regards to any symptoms which may require
diagnosis or medical attention. Neither the author nor the
publisher shall be responsible for any harm or injury
resulting from interpretations of the materials in this
site.