Blog

The Pectus Excavatum Blog is dedicated to conveying advice on how to deal with and improve the condition. It provides you with an opportunity to share your experiences or advice and ask any questions which you may have about the condition.


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Exercises to Treat Pectus Excavatum

There are some really great exercises which can be extremely effective at treating and improving Pectus Excavatum. Breathing exercises are an excellent place to start, as they target the patients lung capacity and work the diaphragm and muscles surrounding the ribs and chest. By performing breathing exercises you are helping to strengthen the muscles surrounding the ribs which will ultimately help to pull the chest into a more appealing shape. An example breathing exercise, would be breathing squats.


Arguably, the most effective exercise for treating Pectus Excavatum is the dumbell pullover. This exercise really stretches the muscles in the chest which are neglected by most chest exercises and can really help to improve the appearance of the chest. Many of our users have noted significant improvements in the appearance of their chest from this exercise.

Another great exercise for treating Pectus Excavatum is the dumbbell fly or some other variation of a fly. Dumbbell Fly’s really stretch the muscles in the chest and encourage them to respond by pulling the chest into a more appealing shape.

Another good exercise, just to help with the overall appearance and strength of the chest is push ups.

Finally, whilst it doesn’t not directly relate to the chest, it is important not to neglect your core, as your core has a profound effect on your posture and ultimately the shape of your chest. Thus, core exercises such as situps are a great addition to any Pectus Excavatum workout.

Video Diary of Pectus Excavatum Surgery

Harry’s Hospital Journal & Experiences

Wednesday, June 12th 2004

We arrived at the Hospital around 8:30a.m. Shortly after signing in, Harry’s name was called and the entire family was directed over to pre surgery. In the following couple of hours Harry got checked over, changed into hospital attire and given a dose of valium to help him relax.


At 10:30 Harry was rolled into the pre surgery holding area. We were permitted to accompany him right up until the start of the surgery. While waiting for the operating room to be prepared we met with his surgeon, the anesthesiologist and the ICU nurse. Our family was reassured and Harry was encouraged to remain calm, which he found difficult.

Finally the moment came to send him off and it was a bit emotional. The doctor said they would call during the surgery and give us an update on Harry’s progress. About half way through the surgery, we got a call from the ICU nurse. She said everything was just fine. I heard the surgeon in the back repeat the same reassuring remarks.

By around 3:30p.m. we were beginning to get restless. One of the recovery nurses informed us that they were closing up and we would be able to see Harry shortly. Just before 4:00p.m. we were escorted back to the holding area. At first Harry was very nauseous from the anesthetic but after a while we were allowed into the post surgery recovery unit.

Harry was still out of it, but starting to come around. Our first look at his chest brought tears to our eyes. It looked awesome. Later he could respond with a yes and no nod to our questions, but he was a bit uncomfortable with pain. He was given pain medication which allowed him to sleep some more. The surgeon discussed the surgery with us and even showed us the Lorenz kit, containing a collection of tools, bars and stabilizers used in the Nuss procedure. We had our first look at the bar inside Harrys chest, with an ex-ray taken on the spot.

After a while Harry got transferred to ICU. We were fortunate to have a private room. There Harry spent the next 17 hours, cared for by the very competent staff. The night was a bit restless but his pain was well controlled with the epidural anesthetic and some boosters for minor discomfort. He was also given antibiotics.

Later in the evening he was helped into a chair to sit for a while. He found this very exhausting and once again a feeling of nausea came over him. But he managed to hang in there. A couple of times he was asked to exercise his lungs, by using a breathing device with a tube, to suck air through . He managed to raise the progress monitor to a satisfactory level. No problems with the urinal catheter. He was well hydrated and asked for drinks often.

Thursday, June 13th, 2004

Following the night we were confident that the worst was over. Unfortunately this was not the case at all. The morning started out with a nursing shift change with the unfortunate disadvantage of having an ICU nurse assigned who was not experienced in dealing with Harry’s age group. She made several remarks about having only dealt with babies.

When Harry’s surgeon arrived he took Harry for a bit of a walk to test his strength. After a bit of breakfast and sitting up in the chair, Harry received the approval to transfer to our HMO’s own hospital. We anticipated the transfer around 11:00. This is where things started to go wrong. The nurse was becoming increasingly inattentive and asked a couple of other nurses to perform the preparation for the transfer. Since they were busy with their own patients, they disconnected the medications and pain management devices ? hour prior to the 11:00 a.m. transfer. There was no backup medication given.

The ambulance arrived about ? hour late so by the time we reached the other hospital, Harry had been without pain medication for 1 and ? hours. He was beginning to feel some serious discomfort. The nurse in the new location tried her best to speed things, but the epidural required approval from the surgeon. She gave Harry some morphine but for some reason this did not control his pain at all, it was getting progressively worse. Panic set in and he could no longer cope. I requested extra assistance and a number of nurses tried various things to comfort him. Nothing seemed to work, we were both in tears, Harry from his pain and I from my frustration, in not being able to do anything about it. He had been without the epidural for 2 and ? hours by the time they got it going again. It seemed like forever to take hold, but it finally did. By this time Harry was exhausted. He slept for several hours.

Friday June 14th, 2004

The night was good. Just a minor problem with the urinal catheter that got resolved with the nurses’ efforts. In the morning Harry was quite irritable and complaining about pain. They took the edge off with some morphine. The unfortunate thing about morphine was that it made him very sleepy and lethargic. Mid morning we managed to catch some pain free time and Harry walked around the ward. Then he sat up in the chair for about 45 minutes. I washed him with hospital cloths and changed his gown. The nurses changed his bedding and he was ready for more pain medication and a long nap. He still had no appetite and a bit of a fever.

In the afternoon the doctor ordered to have the epidural level increased so that he would not have to be given morphine. He needed to get up and walk around and eat. It took a while for the increase to take affect so he was given one last dose of morphine. He slept all afternoon but once the morphine wore off and the epidural kicked in, he was a lot more energetic. He walked and was able to eat.

After all the walking and coughing, Harry was sore and tired. He thought he may need a boost of morphine for the night but by the time the nurse came he was asleep. It was a good night with no interruptions.

Saturday, June 15th, 2004

We were both very tired in the morning despite the good night sleep. Harry was not motivated to walk but he pushed himself anyway. He did not have much of an appetite either. At 9:00a.m. they gave him his first dose of Toradal with plans to discontinue the epidural. The nurse said they would use Tylenol with Codine for the break through pain. The transition was a bit frightening after the experience from Tuesday when Harry was off the epidural for a couple of hours.

It turned out to be another rough day with the transition from the epidural to the other pain medications. They ended up doubling the dose on the Tylenol. Harry was beginning to experience sharp, stabbing pains on his left side that got progressively worse. He was not coping well. He no longer wanted to walk or practice his breathing exercises because it was too painful.

On the positive side, he got the urinal line removed and was able to go the bathroom on his own. But getting in and out of bed became a challenge. We managed to figure out a system of pulling him up by his neck. Later the pain settled and he was able to cope as long as he did not move around much.

The night was quiet except that the nurse did not give the pain medication on time and Harry had some discomfort while catching up again.

Sunday, June 16th, 2004

The mornings seem rough. Harry was beginning to feel significant nausea from the medications. He could barely keep his breakfast down. He ate so little and it was such an effort, it would have been a shame to bring it up. The doctor called and suggested a change for the breakthrough medication, to something without Codeine. He also prescribed an anti nausea medicine and soon after taking it, Harry fell asleep. The nurse made plans to have the epidural catheter removed.

Things turned around by the afternoon. Harry began to feel better except for the nausea. The surgeon dropped in to discuss Harry’s progress and it was decided that he could leave the hospital and continue his recovery at home. His dressings were removed and the stitches examined. Everything was in order.

The surgeon gave specific instructions for recovery care and medication for at home. The nurse prepared Harry for the drive home by giving some extra anti-nausea medication. Harry was wheeled down to the patient pickup area and loaded into the ‘family bus’.

A List of Pectus Excavatum Specialist Surgeons

Australia / New Zealand

SYDNEY

Professor Richard B. Chard (Sydney)
Adult and Paediatric Cardiothoracic Surgeon
Suite 8, Level 1
Children’s Hospital Medical Centre
Hainsworth St, Westmead NSW 2145
Telephone (02) 9687 9200
Fax (02) 9684 8300
Email chardric@netspace.net.au

John Harvey
phone: 0298453235
Westmead children’s hospital

BRISBANE QLD

Dr Morgan Windsor (Brisbane, Qld)
Thoracic Surgeon
Holy Spirit Northside Medical Centre, Rode Rd, Chermside
(07) 3861 4922

MELBOURNE

Dr Robin Brown (Melbourne)
9342 8952, 9347 9077

Dr Alex Auldist
Paediatric Surgeon

Based At: Royal Childrens Hospital, Melbourne

Contact through the Royal Children’s Hospital Switchboard:
(03) 9345 5522

John Goldblatt – Royal Melbourne Hospital

Gavin Wright – St. Vincents Hospital

Phillip Antippa – Royal Melbourne Hospital

Simon Knight – Austin Hospital

Bruce Davis – Cabrini Hospital Malvern

PERTH

David Andrews
Cardiothoracic Surgeon
Suite 34
Mount Medical Centre
146 Mounts Bay Road

Perth, WA, 6000
Austalia
Phone (08) 9486 1453

NEW ZEALAND

Dr Ross Blair (New Zealand)
Email: rdblair@wave.co.nz


Canada

Victoria, British Columbia

Dr. Allen Hayashi MD
Victoria BC Pediatric Surgeon @ Victoria General

tel: 250.592.4313
fax:250.592.5020
allenhayashi@yahoo.com

Vancouver, British Columbia

Erik Skarsgard
Erik D. Skarsgard, MD, FRCSC, FACS
Associate Professor and Head,
Division of Pediatric General Surgery
Children’s and Women’s Health Centre of B.C.
4480 Oak Street, Vancouver, B.C. V6H 3V4
Phone: (604) 875-3744 Fax: (604) 875-2721
eskarsgard@cw.bc.ca

Dr. James Bond
214 – 13710 – 94A Avenue
Surrey, BC V3V 1N1
Phone: (604) 588-5634
Fax: (604) 588-5638
Email: docbond@telus.net
MOA: Sandra – lungdoc@telus.net

Hamilton, Ontario

Dr. Peter Fitzgerald
McMaster Children’s Hospital
Hamilton, Ontario
905-521-5094

Toronto

Dr C Compeau
General & Thoracic Surgeon

St Joseph’s Medical Centre
The Queensway
Toronto

(416) 530 6530

Dr Shaf Kevsafjee
Toronto General

Toronto , Ontario

Dr. A Feteau
Toronto Sick Children
416.813.7272

http://www.sickkids.on.ca

Norfolk, VA

Tina Gustin, RN, MSN, CNS
Pectus Program Coordinator
Pediatric Surgery
(757) 668-8751 Phone
(757) 554-5362 Pager
601 Children’s Lane
Norfolk, VA 23507
(757) 668-8860 Fax
TGustin@CHKD.ORG


USA

California

Steve C. Chen, MD FACS
Co-Director, Pediatric Surgery

Cedars-Sinai Medical Center

8635 W. Third St., Suite 1150 W
Los Angeles, CA

(310) 423-2331
E-mail steve.chen@cshs.org

Robert D. Acton, M.D.
Assistant Professor of Surgery & Pediatrics

Chicago, illinois

Dr. Donald Liu
University of Chicago Childrens Hospital
5721 S. Maryland Ave
Chicago IL. 60637
773-702-6175
e-mail dliu@surgery.bsd.uchicago.edu

Los Angeles California

Dr. Eric W. Fonkalsrud
Department of Surgery
UCLA Medical Center
Los Angeles California USA
(310) 825-6712

EFonkalsrud@mednet.ucla.edu

Steve C. Chen, MD FACS
Co-Director, Pediatric Surgery

Cedars-Sinai Medical Center

8635 W. Third St., Suite 1150 W
Los Angeles, CA

(310) 423-2331
E-mail steve.chen@cshs.org

c/o Pediatric Staff 4NE
Cedars Sinai
8700 Beverly Blvd.
Los Angeles, CA, 90048

Los Angeles California

Los Angeles / Long Beach, California

Daniel M. Bethencourt, M.D.
Director, Pediatric Cardiothoracic Surgery

Long Beach Memorial / Miller Children’s Hospital

2865 Atlantic Ave., Ste 205
Long Beach , CA 90806
(562) 988-9333

Little Rock, Arkansas

Arkansas Children’s Hospital, 800 Marhsall street #837

Little Rock, AK 72202

Evan Kokoska M.D

ph 501-364-1446

Lousiana

Dr. William Loe,
JR from Pediatric Surgery of Louisiana
http://www.manta.com/coms2/dnbcompany_0rw9dc
San Diego, CA

Rady Children’s Hospital and Health Center
3020 Children’s Way
San Diego, CA 92123
858-966-1700
Contact Person: Barry E. LoSasso, M.D. x6721

Boston

Dr. Brian Gilchrist
Tufts New England Medical Center Floating Hospital for Children
800 Washington Street #281
Boston, MA 02111
Phone: (617) – 636 – 6270
email: bgilchrist@tufts-nemc.org

Ann Arbor, Michigan

Dr. Arnold G. Coran
Pediatric Surgery Clinic
C.S. Mott Children’s Hospital
University of Michigan Health System
1500 E Medical Center Dr
Ann Arbor, MI 48109
734-764-4151

Detroit, Michigan

Dr. Langenburg, Children’s Hospital http://www.childrensdmc.org

Royal Oak, Michigan

DOCTORS/SURGEONS:
Dr. Chan & Dr. Mordon
Pediatric Surgeons
3535 West Thirteen Mile Road
Suite 748
Royal Oak, Michigan 48073
(248)551-2400

CARDIOLOGIST:
Dr. Riggs, M.D.
Chief, Pediatric Cardiology
3535 West Thirteen Mile Road
Suite 707
Royal Oak, Michigan 48073
(248)551-0487

HOSPITAL:
William Beaumont Hospital
3601 West Thirteen Mile Road
Royal Oak, MIchigan 48073
(248)898-5000

Minneapolis, Minnesota

Drs. Daniel Saltzman & Robert Acton
University of Minnesota Fairview Clinic
specializing in the leonard procedure

(612) 626-4214

Minneapolis, Minnesota
Department of Surgery
Medical School
Room 11-136 Moos Tower
Mayo Mail Code 195
420 Deleware Street S.E.
Minneapolis, MN 55455
Office: 612-626 4214
Fax: 612-624-6969
E-mail: acton002@umn.edu

Houston, Texas
Houston Pediatric Surgeons
St. Luke’s Medical Tower
6624 Fannin, Suite 1590
Houston, Texas 77030

713-796-1600
Toll Free 888 796- 1600
Fax 713-796-0397

Dr. Robert S. Bloss
Dr. Allen L. Milewicz
Dr. Mark V. Mazziotti
Dr. Eugene S. Kim
Dr. Robert K. Minkes

http://www.pediatricsurgeons.com
email: txpedsurg@aol.com
email: txpedsurg@pediatricsurgeons.com
Cincinnati, Ohio

Victor F Garcia, MD, FACS, FAAP
Professor of Surgery
Division of Pediatric Surgery
(513)636-4371
(513)636-7657 fax
victor.garcia@cchmc.org

Cincinnati Children’s Hospital Medical Center
3333 Burnet Avenue
Cincinnati, OH 452229-3039
http://www.cincinnatichildrens.org

Nationwide Children’s Hospital

700 Children?s Dr.
Columbus, OH 43205
Phone: (614) 722-3900
Fax: (614) 722-3903

Brian Kenney, MD, MPH – Clinic director

Gail Besner, MD – Pediatric Surgeon

Chapel Hill, North Carolina

Chapel Hill, North Carolina
[originally posted by Audreysmom]

UNC Chapel Hill Children’s Hospital
J. Duncan Phillips, MD
Associate Professor
(919)966-4643
e-mail: Duncan_Phillips@med.unc.edu

Lynne Farber, RN,BSN
Clinical Instructor
(919)962-9592
email: Lynne_Farber@med.unc.edu
Colorado, Denver.
David A. Partrick. M.D.

Assistant Prfessor of Sugery & Pediatrics
Director of Surgical Endoscopy

Phone (303) 861-6571
Clinic appoinments: (303) 861-6182

http://www.thechildrenshospital.org/

1056 East 19th Avenue, B323
Denver Colorado 80218

Miami, Florida

Cathy A. Burnweit, M.D.
Pediatiric Surgeon
General – Thoracic – Urologic
Miami Children’s Hospital
3200 S.W. 60th Court, #201
Miami, Fl 33155
PH# 305-662-8320

Tampa / St. Petersburg, Florida

Dr. Jeffery Jacobs
Cardiac Surgical Associates, 603 Seventh Street South, Suite 450
St. Petersburg, FL 33701
United States

Phone: 1 727 822 6666
Fax: 1 727 551 0404

Web: http://www.heartsurgery-csa.com , http://www.ctsnet.org/home/jjacobs , http://www.ctsnet.org/doc/6705

Rochester, Minnesota
The Mayo Clinic
Claude Deschamps, M.D.
Professor of Surgery
Division of General Thoracic Surgery

200 First Street SW
Rochester, Minnesota 55905

Fax: 507-284-0058
email: deschamps.claude@mayo.edu

New Brunswick, NJ
Manisha Shende, M.D.
Assistant Professor
Thoracic Surgery
Division of Cardiothoracic Surgery
One Robert Wood Johnson Place, P.O. Box 19
New Brunswick, NJ 08903-0019
Phone: (732) 235-7802
Fax: (732) 235-8150
Website: rwjuh.edu
Cleveland, Ohio
Cleveland Clinic , Pediatric Surgery

9500 Euclid Ave. Cleveland , OH 44195

Surgeons – John DiFiore M.D

Anthony Stallion M.D

Oliver Soldes M.D

Jackson, Mississippi

Dr. Michael Koury
General Surgery
1421 N State St
Suite 304
Jackson, MS 39202

New York City

Dr. Charles Stolar
Children’s Hospital of NewYork-Presbyterian
Columbia University Medical Center
3959 Broadway 212 North
New York, New York 10032
212.305.2305

601-948-1411

Dr. Columbani, John Hopkins

www.hopkinsmedicine.org/

Washington, USA

Seattle Children’s Hospital Nuss Surgeons

Dr. Clinton M. Cavett ? (206) 987-2794
Dr. Robert Sawin ? (206) 987-2794
Dr. Stephen Kim ? (206) 987-2039

Children?s Hospital and Medical Center
4800 Sand Point Way
Department of Surgery
Box 359300, G0035
Seattle, WA 98105-0371
http://www.seattlechildrens.org

Tbilisi, Georgia

Dr.Paata Gvetadze

Iashvili kids hospital, ravitch technique

Indiana

Riley Hospital in Indianapolis

Frederick J. Rescorla, MD
Director of Pediatric Surgery
(317) 274-4681
(317) 274-4491 (fax)
http://www.rileypediatricsurgery.com/

Riley Hospital for Children
702 Barnhill Dr.
Indianapolis, IN 46202
http://www.rileyhospital.org/physicians/profile.jsp?id=266

http://www.rileyhospital.org/

Iowa City, Iowa

University of Iowa Hospitals and Clinics ,Dr. John Meehan
ph. 319-356-1884

http://www.uihealthcare.com/directories/physicians/gen/969.html

http://aboutplastic.surgery.uiowa.edu/htmpages/meehan.htm

Los Angeles

Fonkalsrud, Eric W. M.D.
Professor, and Emeritus Chief of Pediatric Surgery
UCLA Medical Center
Los Angeles CA

Portland, Oregon

Dornbecher Childrens Hospital Portland Oregon

http://www.ohsu.edu/health/clinics-and-services/doernbecher/

Kansas City, Missouri

http://www.childrens-mercy.org/ , Nuss Procedure

Dr. Sharp & Dr. Ostlie

Pennsylvania

Hershey Medical Center, Hershey PA

http://www.hmc.psu.edu/

Phoenix, Arizona

Dr. Dawn Jaroszewski

Mayo Clinic Phoenix Arizona

5777 E Mayo Boulevard

Phoenix, Arizona 85054

Tucson Arizona

Cosentino, Catherine M MD FAAP FACS
2380 N Ferguson Av Ste 106
Tucson, AZ
(520) 795-5338

San Antonio

North Central Baptist Hospital

Dr Charles Baldwin

www.baptisthealthsystem.com/facilities_ncbh.aspx

South Carolina Charleston,

SC Medical University of South Carolina

96 Jonathan Lucas St., Suite 418 CSB, Charleston , SC 29425

Andre Hebra, M.D.

Greenville, SC

Dr. Michael Gauderer
Pediatric Surgery
Memorial Medical Office Building
Suite 440
890 W. Faris Road
Greenville, SC 29605
(864)455-5070

FAX (864)455-4170

Hershey, Pennsylvania

Dr. Robert Cilley, ped PE, Nuss procedure, 866-204-0305
Pediatric Reconstructive Surgery
Penn State’s Hershey Medical Center
500 University Drive
Hershey, PA 17033

Virginia State

Children’s Hospoital of the King’s Daughters

601 Childrens LN, Norfold, VA , USA

(757) 668-7098

Surgeons

– Donald Nuss M.D

Robert Kelly M.D

Michael Goretsky M.D

Robert Obermeyer M.D

Ann Kuhn M.D

Winston Salem NC

Wake Forest University Baptist Medical Center – Ravitch

Dr. Michael Hines

Buenos Aires, Argentina

Hospital Privado de Ninos, Fundacion Hospitalaria

Cramer 4601- 3er piso – C1429AKK

(5411) 4704 – 6006 4702-3116 4703-2333 , Ciudad Autonoma de Buenos Aires

Marcelo Martinez-Ferro M.D, www.mipectus.com.ar


UNITED KINGDOM

England UK

Birmingham Heartlands hospital, England UK

http://www.heartsol.wmids.nhs.uk/

Birmingham Childrens Hospital

http://www.bch.org.uk/

England UK

Dr. Simon Jordon

Royal Brompton Hospital, London, UK

www.rbht.nhs.uk

Dr. David Ross (more cosmetic option)

Guys Hospital – Southwark


RUSSIA

Moscow

Philatov Moscow Pediatric Clinical Hospital

http://www.pedsurg.ru/dep.htm

Dr. Professor Razumovsky

nuss procedure


DENMARK

Danmark ?rhus. skejbyssyghus

Skejby Sygehus
Brendstrupg?rdsvej 100
8200 ?rhus N

Tlf.: 89 49 55 66
Email : sks@sks.aaa.dk

http://www.sundhed.dk/wps/portal/_s.155/6403?agId=1014031120194113&praesentId=7026


GERMANY

Berlin

Helios Kliniken

Professor Schaarschmidt

http://www.helios-kliniken.de/


SWEDEN

Lund Sweden

Erik Gyllstedt
Thoraxkirurgi
Lund Universitets sjukhus (Lund Sweden)
046-172406