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Hip dysplasia via Shutterstock

Dublin hospitals 'overloaded' with babies with hip dysplasia

Temple Street has asked regional departments to step in.

TEMPLE STREET’S ORTHOPAEDIC services are “overloaded” with babies needing treatment for hip dysplasia, the Medical Independent reports.

The hospital’s chief said that the department could not cater for all the children who needed to be seen.

CEO Mona Baker confirmed that Consultant Orthopaedic Surgeon at the hospital, Prof Damian McCormack, had written to Dr Paul Gallagher, Consultant Paediatrician at Midland Regional Hospital Portlaoise, about the issue. He has asked for regional orthopaedic departments to begin offering treatment in the area.

Temple Street has two dedicated nurses in a dysplasia clinic applying and changing Pavlik harnesses but they are only employed on a half-time basis.

From 1 September 2013 to 31 August 2014, some 559 children were seen in the Congenital Hip Dysplasia Outpatients Clinic. Some 310 children were new patients, 126 were children returning, and a further 123 were returning for a second time or more.

Read more at the Medical Independent>

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63 Comments
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    Mute Sharon Murphy
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    Nov 15th 2014, 8:55 AM

    Nowhere does it say there is an increase in hip displacements, it just says TS can’t cope with the demand, probably because of cut backs. It’s crazy that people with new borns have to travel to Dublin to get a harness adjusted! Also, a high number of hip displacement cases are hereditary.

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    Mute Ken Mitchell
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    Nov 15th 2014, 9:32 AM

    there is a similar situation with children with talipes. temple street and crumlin are the only two hospitals in ireland that now treat it after they stopped treatment in cork and galway

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    Mute Dermot Ryan
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    Nov 15th 2014, 10:01 AM

    All is well – Enda is sorting out the Central Remedial Clinic to cope with any overflow – all should be ready in 2039 at the current rate of progress !

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    Mute Pauline Maguire
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    Nov 15th 2014, 8:52 AM

    The point of the article is not that there is an overload of children with this issue. Its that there is only 1 department in the country dealing with it when the country is experiencing a baby boom

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    Mute Lily
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    Nov 15th 2014, 10:12 AM

    All babies from where I live go to Coombe near limerick I say they cater for Cork, Kerry, Limerick, Clare and Tipperary

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    Mute Markonline
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    Nov 15th 2014, 11:58 AM

    North west go to Crumlin for treatment.

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    Mute Louise Allen
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    Nov 15th 2014, 9:05 AM

    I just can’t believe you would link a congenital hip development problem with vaccinations. You say it as if there’s some hip dysplasia/vaccine conspiracy, with no link to any study or evidence of any kind. It’s irresponsible and doesn’t further debate. I apologise for calling you a cabbage but it’s early and your comment had me choking on my breakfast.

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    Mute Caroline Reddy
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    Nov 15th 2014, 9:09 AM

    It also tends to run in families. Baby girls are a lot more likely to have congenial hip dysplasia too, I think it’s 5 times more likely. I had it as an infant, so my children were all checked at birth, 6 week check up and X ray at 4 months. Glen, please don’t blame vaccinations, they prevent so many infections, which can be devastating to children and adults. There is no proven link anywhere which shows vaccinations cause problems.

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    Mute #Wynner
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    Nov 15th 2014, 10:25 AM

    As a baby I suffered from HD back then it was wearing 8/9 nappies and when my 2 girls came along they both had HD too, both went into harness the eldest girl was fine but with the youngest we spent years going up and down from Crumlin and some lengthy stays and it’s still kind of ongoing just the yearly visit to measure the leg length, Damn genetics are responsible :)

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    Mute steve white
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    Nov 15th 2014, 8:37 AM

    why

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    Mute Bob Mullally
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    Nov 15th 2014, 9:07 AM

    My youngest had quite severe dysplasia and was in the pavlick harness for 20 weeks. So I can give info as to what caused it and all the trips to the hospital. She was lodged breach for a long time so her hips didn’t get the chance to form properly. Luckily for us we live in Derry and once we got over the shock of her needing it, they were great in the hospital and never had a long wait for a check up of the harness. The only time we waited for any length of time was the days we needed to see the consultant.

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    Mute Stevie J
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    Nov 15th 2014, 9:07 AM

    These problems are mostly spotted before a baby even leaves the hospital. Vaccinations have bot all to do with it

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    Mute Tanya Lawless
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    Nov 15th 2014, 10:07 AM

    My son was diagnosed at birth, had a palvic harness fitted at 6 weeks for 20 weeks and then into a brace, he was walking at 10 months and theres no stopping him now, hes back 29th dec for his final xray hopefully!! It runs in our family, my sister had it as did a few cousins in the time when 4 cloth nappies did the trick!! Nothing to do with vaccinations at all! Runs in families and the nurses in the rotunda and temple street are brilliant!!

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    Mute Catherine Crichton
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    Nov 15th 2014, 10:37 AM

    I hope they get this issue sorted quickly. Failure to treat newborns with dysplasia can lead to a lifetime of hip problems, pain and surgeries. It was often not diagnosed at birth in the 60s and 70s and I know many other women (the condition is much more prevalent in females) around my age who have long term problems as a result. I had surgeries at age two and nine and my first hip replacement at 45 (it won’t be my last). Yet the condition can usually be resolved with a harness in the first weeks of life at little cost. But seemingly even that is too much for our beleaguered health system to manage.

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    Mute Glen
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    Nov 15th 2014, 8:39 AM

    Well what’s the thing they all have in common…. Vaccinations ! I’m just saying.

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    Mute AlanH -AFC
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    Nov 15th 2014, 8:43 AM

    bullshit !

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    Mute Glen
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    Nov 15th 2014, 8:47 AM

    Alan
    I think it’s worth a look at… Has anyone else got an explanation ? The article didn’t offer one.

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    Mute Lisa Malone
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    Nov 15th 2014, 8:48 AM

    It’s more to do with the position they are in the womb. All babies born by c-section are sent for an ultra sound at six weeks to check their hips. The only vaccination they would have had at that age is the bcg which goes in their arm. It’s more likely that the increase in cases is due to the screening of all c-section babies and not just the ones who present to the doctor with problems further on down the road.

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    Mute Orela Krawczyk
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    Nov 15th 2014, 8:49 AM

    So a hip (bone) developmental problem which is usually present at birth ( I know there are other ways it develops but NONE are due to vaccines) is cause by vaccinations. Seriously figure out what your talking about before you write.

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    Mute Glen
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    Nov 15th 2014, 8:49 AM

    Louise
    Instead of insulting me like why don’t you explain what does cause it.

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    Mute Jacqui Russell
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    Nov 15th 2014, 8:52 AM

    It’s usually diagnosed at birth before the first vaccination is given at 3 weeks. Is that enough of an explanation?

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    Mute Philip King
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    Nov 15th 2014, 8:55 AM

    @glen. Now you want an explanation. Why not just make shit up or imply a link where there is none. Sound like a conspiracy nut. The whole world is not out to get you.

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    Mute Glen
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    Nov 15th 2014, 8:57 AM

    But the point is Lisa they have received a vaccination.
    My point here is that vaccinations are the common denominator in these cases I’m not saying I’m right I could be wrong but vaccination is something they all have in common.
    Why can’t people debate without insulting ? Just because you’re an angry person it’s no reason to take it out in a comments section. Get therapy if you need stop taking it out on strangers.

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    Mute Glen
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    Nov 15th 2014, 9:00 AM

    Jacqui
    Well that’s news to me. It would be helpful if the author had pointed that out in the article. Thank you for your non-insulting response.

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    Mute Lucia Larkin
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    Nov 15th 2014, 9:00 AM

    I’ve had 3 sections and have never had scan it happens to breech babies

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    Mute Andrea Rock Massey
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    Nov 15th 2014, 9:04 AM

    Actually Glen, the vast majority of babies would be diagnosed before they even receive the BCG nowadays. Newborns used to get the BCG in the hospital but now, most babies get it in their local health centre within 3 weeks of birth. The hip check is done before they leave the hospital, when the babies are 1 day old. Absolutely nothing to do with vaccinations, it is a physical problem. Nothing more.

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    Mute Dublinguy2013
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    Nov 15th 2014, 9:04 AM

    Glen I think you need some vaccinations with the amount of crap you write on this site.

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    Mute Sam Bartell
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    Nov 15th 2014, 9:09 AM

    Not could be wrong glen you most defo are wrong. In our case it runs throughout the family. Youngest was put in brace just last week and you somehow blaming the parents is just sick. Get a grip and if you dont vaccinate stay the hell away from me and my family, my 2 yr old nearly died at 4 weeks after being in contact with a person who “didnt believe” in vaccines

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    Mute Captain kirk
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    Nov 15th 2014, 9:19 AM
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    Mute Ablitive
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    Nov 15th 2014, 9:20 AM

    The kids have all been vaccinated and have their immune system seriously weakened indirectly by their parents consuming toxic Monsanto GMO laced cereals, grain products, super market beef and chicken pumped with hormones, coloring, chemicals, junk food and what ever else.

    These problems never existed at such scale in the good old days where the farmer brought his product’s to the local grocery store and real food was locally home produced.

    http://1.bp.blogspot.com/_qLAIskTQXUc/TMGLpbOicOI/AAAAAAAAD94/EruK0uXIOQY/s1600/monshop_dees.jpg

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    Mute Glen
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    Nov 15th 2014, 9:20 AM

    Really Sam
    How did this two year old nearly die from someone who is anti-vaccination four weeks ago?

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    Mute Caitriona
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    Nov 15th 2014, 9:26 AM

    1 of my twins was diagnosedwith this. She was twin 2 and because she was a bit more squashed in utero than twin 1 it caused hip dyspasia. It is caused by positioning of the baby in utero. Babys that are breech and twins are more prone. There is a suggestion of a genetic predisposition. Girls tend to have it more than boys. The doctor will isually enquire about a family history and once a child is diagnosed in a family all siblings born afterward will be screened. She was diagnosed within 12 hours of being born and had received no vaccines. Off the temple st and pavlick harness fitted. Back every week for to have it changed and refitted. The 2 nurses that run the hip clinic are amazing.

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    Mute Mary Lyons
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    Nov 15th 2014, 9:51 AM

    Glen is just an attention seeker.
    Got plenty this morning so his day is made.

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    Mute Nosmo King
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    Nov 15th 2014, 9:58 AM

    Lisa , what makes you think all c-section babies are scanned within 6 weeks ?

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    Mute Dermot Ryan
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    Nov 15th 2014, 10:04 AM

    why not discuss something more statistically accepted – like the apparent correlation between C-sections and autism …..

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    Mute David Murphey
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    Nov 15th 2014, 10:12 AM

    “apparent correlation……”

    Dermot,

    That is the extent of your research and scientific analysis? Surely deserves a PhD.

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    Mute Sam Bartell
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    Nov 15th 2014, 10:21 AM

    Glen. Read my post again. When my daughter was 4 weeks she was in contact with a person who had whopping cough. They were not vaccinated, my daughter hadnt begun her vacs, she contracted it, spent a week in isolation on oxygen and having goo hoovered out of her mouth after each coughing fit. There is no treatment, just antobiotics to stop it spreading. She would turn blue, her tiny hand scratching at me, she would go limp with exhaustion then be too weak to feed. At 1 stage her breathing was 5 beats above cpr level. Its called the 100 day cough, she was still coughing occasionally at 9 months. Babies die from preventable diseases because of stupid, ignorant decisions others make

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    Mute Catherine Crichton
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    Nov 15th 2014, 10:23 AM

    Glen, you win the prize for most stupid comment of the week. This condition is congenital, ie babies are born with it. They haven’t yet had any vaccinations. DUH! It also runs in families. Me, my mother, two sisters, daughter and niece all had hip dysplasia at birth. Nothing whatsoever to do with vaccinations.

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    Mute AlanH -AFC
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    Nov 15th 2014, 10:28 AM

    Instead of trying to insight hysteria among parents , perhaps you could read up on the relevant documentation to put forward an exhausted researched paper on the reasons why parents shouldn’t vaccine there children. Im sure you could recommend alternative to Measles Mumps Rubella ,Meningitis immunisation. Perhaps we should bury a potato in the garden and rub a lucky rabbits foot and hope the fairy’s protect our children.

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    Mute #Wynner
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    Nov 15th 2014, 10:28 AM

    Glen it’s genetics I had HD, my mam possible had it too and there was fec all vaccination back in the dark ages and my 2 daughters have suffered from it so please go back to what ever rock you crawled out off !

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    Mute Ingela Ericsson
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    Nov 15th 2014, 10:38 AM

    Crawl back under your rock Glen. The simple explanation is genetic inheritance whereby changes in the genetic material is passed from one generation to another. It is, in a way, a type of evolution although a negative one. Vaccination has nothing to do with it and to think so is just showing blatant ignorance.

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    Mute Ingela Ericsson
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    Nov 15th 2014, 10:50 AM

    I think the osteoarcheologist would beg to differ. HD is evident in numerous archaeological skeletal remains and has always existed. That we see more of it these days is probaly due to better screening routines for early detection, (sorry about this) a relatively narrow gene pool that allows for defunct genetic material to be passed on and more awareness made about the problem.

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    Mute Leanne
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    Nov 15th 2014, 11:13 AM

    As a children’s nurse I can say that the benefits of vaccinations far outweigh any consequences they may carry! But anyway…vaccinations have nothing at all to do with a condition that a child is born with!

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    Mute Nicola Long
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    Nov 15th 2014, 11:13 AM

    Lisa, not all c section babies are checked by ultrasound. All mine were born by c section and the only one scanned was one of the twins who was transverse breech. He’s fine, didn’t have to go to temple st.

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    Mute Dermot Ryan
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    Nov 15th 2014, 11:19 AM

    David .
    The reason I used apparent is because I didn’t do the research so unlike some people I don’t claim credit for the work of others ……
    The people who actually work on the behalf of children with autism have however and here it is according to google at any rate – I didn’t read the article … -

    http://www.google.ie/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=0CCsQFjAB&url=http%3A%2F%2Fwww.autismtoday.com%2Flibrary-back%2FAutism_More_Likely_in_C-sections%2520.htm&ei=TzZnVNrXLYL0asT_gNgO&usg=AFQjCNEdEX0C8291NXPtWeGAcljDwcU9Sw&sig2=GNfT9zVz-mbqMtpNwVO1RA&bvm=bv.79142246,d.ZWU&cad=rja

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    Mute Dermot Ryan
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    Nov 15th 2014, 11:20 AM

    Thanks David – for reminding me of the error of not posting the backup …cheers dude !

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    Mute Catherine Crichton
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    Nov 15th 2014, 11:29 AM

    No Glen, what would actually be helpful would be if you refrained from making inane comments on a medical condition about which you have seemingly zero knowledge.

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    Mute Fran mcardle
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    Nov 15th 2014, 12:06 PM

    Seriously? The sooner the better they come up with a vaccine for stupid, we’ll make sure your top of the cue as your need is obviously really big

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    Mute Fran mcardle
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    Nov 15th 2014, 12:10 PM

    Lisa Malone wrong. Not all c section babies are sent for ultra sound at 6 weeks or anything like it. They are checked by the paediatrician at birth and if there’s any doubt they may be sent on 4 months if memory serves. As was my first but my second 17 weeks old and c section was fine no ultrasound.

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    Mute Fran mcardle
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    Nov 15th 2014, 12:13 PM

    Glen Louise is right your a cabbage. All babies are also given bottles. Millions of babies get vaccines and the numbers for this out of millions are nearly none existent. And why hasnt this been a problem in previous years and why isn’t it a massive problem worldwide? Vaccines save lives they do not cause hip problems in neonates

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    Mute Adrieanne Murphy
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    Nov 15th 2014, 1:13 PM

    Not all babies born by c section are sent for ultrasound, both my c section babies never had it. One of my non c section babies had an xray at 18 months because she wasn’t walking right.

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    Mute Dermot Ryan
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    Nov 15th 2014, 1:26 PM

    Fran I don’t know who the first of the three comments are aimed at – but you should reference them all – otherwise the first looks like a confessional brain-fart !
    Not havin’ a go – but just trying to clear up any confusion – it was a mistake I often made in the past and still do betimes !

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    Mute Sam Glynn
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    Nov 15th 2014, 2:19 PM

    It’s caused during birth. Vaccinations are given after birth…..if parent wishes. It’s not forced thankfully. Mine will never get the dirty vaccinations.

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    Mute Colin C
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    Nov 15th 2014, 3:00 PM

    Glen, my daughter has hip dysplasia and was not vaccinated because of medication my wife had to take during the pregnancy.

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    Mute Colin C
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    Nov 15th 2014, 3:20 PM

    “Dirty vaccinations”??? That’s the sort of attitude that causes polio to endemic in Pakistan and Afghanistan while it has been eliminated in the rest of the world.

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    Mute Louise Evans
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    Nov 15th 2014, 12:14 PM

    My daughter was diagnosed with developmental dysplasia at 12 months and spent 6 months in a hip spica and bachelor cast,she went on to have an osteotomy at age 6 and spent 3 months with her two legs in cast and used a wheelchair,in October she was discharged from crumlin hospital after 10 years under the care of the wonderful mr Moore and his team,she is very active in all sports and ballet and looks forward to a future now with no osteoarthritis or possible hip replacement at a young age,I hope this reassures any parent who is starting out on this journey

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    Mute Sorcha De' Nógla
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    Nov 15th 2014, 11:41 AM

    This is ridiculous. All it takes is for a child to miss their appointments trying to get there from halfway across the country, and if they don’t get the treatment when they’re young they’ll have to deal with years of surgeries, callipers and long lasting pain when they get older. This should be a no brainer. Give them some bloody help.

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    Mute Peadar O'Comain
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    Nov 15th 2014, 11:44 AM

    My daughter had hip dysplasia and wore a brace for eight weeks. Diagnosed on day one before vaccinations. Caused by her breech position in the uterus. All fixed now, temple st nurses are fab!!

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    Mute Emma
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    Nov 15th 2014, 12:37 PM

    Spotted before me & daughter left the hospital. Harness for 6 weeks & not a bother since. I had the same issue when born but had to wear several nappies to correct it.

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    Mute Dermot Ryan
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    Nov 15th 2014, 1:32 PM

    *was not are …see we all have farty brains !

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    Mute Dermot Ryan
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    Nov 15th 2014, 1:33 PM

    for a thread down below …farty fingers too !

    1
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