Pediatric Online Chat: Chat with a Doctor

Our doctors regularly hold online chat sessions to help people learn more about various conditions and available treatment options. You do not have to be a patient of the International Center for Limb Lengthening to participate in these free of charge sessions. During a session, people log into a designated internet chat room and communicate by typing messages in real time. The doctor is also logged into the chat room and answers people’s questions in the order they are invited to participate. Please note that this is not a private consultation or video call. Everyone in the chat room can see the messages that the participants and the doctor type.

While the chat sessions cover a wide variety of topics, they do not cover every possible condition. Topics include: limb length discrepancy, congenital limb conditions (for example, fibular hemimelia, tibial hemimelia, congenital femoral deficiency, radial club hand, posteromedial tibial bowing, congenital pseudarthrosis of the tibia and other conditions), Perthes disease, skeletal dysplasias (including achondroplasia), and other miscellaneous conditions including but not limited to nonunions, malunions, pseudarthrosis, growth arrests, polio, genu varum, pterygium, and arthrogryposis.

The chat sessions are held on most Thursday evenings at 8:30 p.m. EST and generally last about two hours. For the schedule and instructions about how to participate, please email icll@lifebridgehealth.org, and write “doctor chat” in the subject line of the email. In the body of the email, please include your name, the patient name (if it is not you) and age, diagnosis and brief treatment history (if any). You will also receive instructions to submit X-rays and/or pictures for the doctor so you will get feedback specific to you or your child’s case.

X-ray Positions

Sometimes facilities outside of the Rubin Institute for Advanced Orthopedics (RIAO) have difficulty knowing how to position our patients for the X-rays we need to assess their condition or healing progress from afar. If your RIAO doctor asks you to get X-rays of any of the following views, please share the appropriate handout with your X-ray technician:

• Full Length Standing AP (Anteroposterior) and Lateral View X-ray Positions
  • Full Length Standing AP View X-ray Position
  • Full Length Standing Standing Lateral View X-ray Position

• Infant/Toddler Supine AP (Anteroposterior) and Lateral Long Leg X-ray Positions
  • Infant/Toddler AP Long Leg Supine X-ray Position
  • Infant/Toddler Lateral Long Leg X-ray Position

• Three X-ray Views of the Pelvis
  • AP (Anteroposterior) Pelvis Supine (Lying Down) or Standing) X-ray View Position
  • Maximum Abduction X-ray View Position
  • Frog-leg X-ray View Position