SPMLs & EtOH

As SPMLs evolved we saw what those ‘layers’ of reactivity were actually all about. Variations in ethanol techniques have let us widen the scope. When we have anesthesia planned

for the legs, it is not uncommon that we will use that easy

availability to decrease upper extremity posturing problems that might, by themselves, not warrant a general anesthesia. But, as we already noted, to reduce our “missed opportunity score” (any patient having an anesthesia within one year of SPML for any reason ~7%) we have co-operated with ent, dentistry, general surgery, etc to handle outstanding pesky stuff in just the one anesthesia SPML session.

Mary Alexander, RPT supervised pre-op and post-op evaluations by our staff as well as tallying before and after evaluations by the independent PTs not privy to what exactly was done. All surgery was by a single surgeon. None of the outcomes were the word of that surgeon. The details that were reported (1997, see below) in Canada were, then given to a patient’s mother (a medical writer) to present in a meaningful but accurate way for general education of parents. That report was ‘trashed’ as ‘this is the crap we see on the web’ by a Canadian academic to a pediatric orthopedic session at an American meeting. 100% positive questionnaire response was dismissed as ‘placebo’. So, beware, this might be boogada boogada – all in everyone’s heads. Some placebo! That placebo follows: