Congenital Adrenal Hyperplasia

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re: re: re: Upcoming knee surgery for 15 yo grandson
Jul. 31st, 2008   8:43pm

My 19 (almost 20) yr old daughter has had numerous surgeries - 3 knee and 4 hip, not to mention tonsils/adenoids many years ago.  She currently takes Cortef and Florinef for her SWCAH.  What we have always done is to give her a shot of Solu-Cortef at home right before we leave for the hospital.  Once there, they prep her and get her IV in.  The surgeon always has the dr's orders for additional Solu-Cortef either during surgery or immediately post-op.  I think it depends on how much time it has been since her shot at home, how long the surgery will take, etc.  When I give the shot at home, she gets the full vial, intramuscular, in the arm. We continue for a day on so on a higher dose and then within 2-3 days, we have her back on her normal dose of meds.

Good luck to your son with the ACL repair.  My son (non-CAH) tore his when he was either 12 or 13 and had reconstruction.  Because he was not finished growing, they took some of his hamstring and created a new ligament for him (using patella would have compromised his growth plate.)  It has worked well for him.  He is now 30 and his ACL is probably a little small for his adult body size, but it has not given him any trouble at all.  How are they doing your son's?

Kay




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