Recasted 

Service date 02/28/1983

It says requested by Dr. Long but his handwriting is nowhere on this form. 

The James Lawrence Kernan Hospital

Amputee Clinic

Date: 6-17-85

Patient’s Name: LONG, Deepa

Unit Number: 05-52-32

Deepa has not been seen in the clinic since 10-4-82.  Since that time a variety of things have happened with this young lady.  First of all, she was seen at Johns Hopkins Hospital at which time a surgical attempt was made to transfer the superior and inferior gluteal nerves into the gluteal stump with the idea being of re-generating some motor control of the musculature of the stump.  Apparently this objective was not obtained although the mother feels that the patient’s general circulation and some degree of sensation may have improved.  In any event, the next thing that occurred was that the patient had two new prosthesis provided at the Universal Limb Company of Silver Spring, Maryland.  Apparently there were all types of problems with the limb including, skin breakdown and other difficulties such as mechanical breakdown with these limbs.  Presently the mother states that the present limb which the child can wear, relatively, well has been unsuccessful also because of breakdowns in the knee joint.  In examining the child wearing this present limb it appears that her gluteal

The James Lawrence Kernan Hospital

Amputee Clinic

Date: 6-17-85

Patient’s Name: LONG, Deepa

Unit Number: 05-52-32

muscles as well as the ischeal tubercle is ill fitting over the posterior brim and seat of the socket.  It appears that these areas are displaced off the socket medially.  The clinic has recommended that Mr. Grossman provide a new prosthesis for the child with a socket fit to the stump.  The inside of the socket should be leather lined so as to eliminate the possibility of any friction and skin breakdown.  It is to be remembered at all time that this is a desensitized skin surface.  The outside hinges will be external in nature with an outside locking control.  Single axis foot and a pelvic band will be utilized in this new prosthesis.

D 6-18-85  WN

T 6-19-85  lm

William Neill III R.P.T.

Chief Physical Therapist

WISC-R full scale IQ = 133

WRAT-R 

reading = 85

Spelling = 93

Math = 95

HORIZON HEALTH & REHABILITATION, INC.

Craig B. Grether, Ph.D.

Clinical Director

Barbara P. Messing, M.A., CCC-SLP

Director, NeuroRehabilitation Center

FEBRUARY 16, 1989

To Whom It May Concern:

Deepa Long underwent a psychodiagnostic evaluation in December 1986 and April, 1987, results of which were previously submitted to the Howard County Board of Education.  In summary, Deepa had a severe discrepancy between her overall intellectual functioning (WISC–R Full Scale IQ = 133) and her educational achievement (WRAT–R Reading = 85, Spelling = 93 and Arithmetic = 95).  These results indicate the presence of a mixed specific developmental disorder.  Special education resource services are highly recommended for this deserving young girl.

Sincerely,

(signed)

Craig B. Grether, Ph.D.

Clinical Director

Bon Secours Professional Building • 2850 North Ridge Road • Suite 207 • Ellicott City, Maryland 21043 • (301) 750-0555