SPMLs & EtOH

THAT is what ‘percs’ means – we don’t need all the big tools and will only use simple drapes and maybe a few small dressings (ordinarily kept in the specific operating rooms anyway). So about that abbreviation: You don’t has to call it SPMLIHGROwSEPFD. You can call it Johnny. You can call it Ronny. OK, sorry, no more burlesque. To truly understand what we are doing you should read the other books on our book shelf. These books are hugely redundant on purpose as we are essentially teaching a new CP language. Start with Mud. Really. Prehistoric people set us up for the treatment errors. Then skim through the SACH-SAWCH book. It details why feet should never be our limitation. Absolute wildly extreme worse case: amputate & apply a prosthesis. Prosthetics behave quite well. Seriously, that was done not that long ago. It was sought after by patients who didn’t want to be sidelined by feet that would not behave as feet should. Interesting, but more importantly, instructive. If you think of an AFO as similar to a prosthetic – kind sorta? With misbehaving feet, we can attain prosthetic type (‘SACH’) foot function using SPML in high gain SPMLIHGROwSEPFDs even for – especially for – some of the nastiest situations you can imagine. These examples are as horrifying to the surgeon as they are to you – but even more so as complications with standard surgical methods are horrific.

This is a 12 yo girl who walked in staggering fashion unassisted, having athetoid CP – a nightmare for surgeons as athetoid patients respond to surgery unpredictably and badly. For no reason that we could pin down, her legs now clamped together and she could no longer