Palm Beach Post Staff Writer
Sept 6, 2011
Demi Reilly doesn't know she's in Florida - "She doesn't know what country she's in," father
Simon clarifies.

The smiley, friendly toddler doesn't really get that the nice lady that hangs out and plays with
her every day for an hour is a physical therapist, or that all the stretching and pulling on her leg
that makes her cry while she's playing is to help her.

And she probably doesn't know that the metal thingee on her leg, which right now is draped
with a SpongeBob SquarePants cover, is called a fixator. Or that, along with a revolutionary
surgery, the nice lady physical therapist and time, will help correct the foot deformity she was
born with.

If all goes according to plan, she will be able to walk on her own, without holding onto anything.
And that's sure to make her smile, even if the physical therapy isn't right now.
"She has her moments with the pain, but she's pretty much back to normal," says Simon, a
firefighter from Palm Beach, Australia, who earlier this month flew with Demi and wife, Sandy, to
West Palm Beach so that their daughter could have bone-lengthening surgery at the Paley
Advanced Limb Lengthening Institute at St. Mary's Medical Center.

Other doctors had recommended amputation of the right foot - her leg eventually was projected
to be shorter than the left one. But on Aug. 11, Dr. Dror Paley and his team reconstructed
15-month-old Demi's right foot, which from birth was twisted to the side, had only three toes,
and was missing a bone that's supposed to form part of her ankle. She's gained about a
centimeter of bone growth since the surgery, according to an X-ray.

Every two weeks, Demi's foot will be measured to chart her progress, but Emily Rade, that nice
lady physical therapist, says things are going well so far.

Right now, stretching the muscles in Demi's reconstructed foot is important so they don't
stiffen up, making it difficult for her to walk in the future. She's getting around pretty well with
the fixator, which adds about 4 pounds to her approximately 27-pound frame.

Simon Reilly wants people to know that this story is about more than a cute little girl. It's about,
he says, an entire team of doctors and medical staff - "Dr. Paley is the big key in the jigsaw. His
team is the best," Reilly says - and a network of firefighters who reached out to help the family
of a brother they'd never met.

While researching the surgery, Reilly made contact with Palm Beach County Fire Chef Steve
Jerauld, who got together with other firefighters to find the family a house, a car and, now a

"The firemen's brotherhood extends all around the world," he says.

Right now, Demi's crying a little, but being placated a little with her mom's soothing voice and a
toy monkey that plays The Spinners' Love Machine.

"She's a baby. She doesn't know what a stretch is, but she knows she doesn't like it," Rade
says. "As you work with kids, you know when they mean 'Leave me alone.' "
She leans down to Demi, smiling.

"But the muscles gotta stretch, right?" she says. Demi smiles back, probably because she
doesn't know what Rade means. She will in a few moments, and she won't be happy. But then,
it's all smiles again.

"She can't tell you what's going on," her father says. "There are different levels of pain, and as
her parents. But she's doing well. If it were you or me, we'd still be in bed complaining and
whinging. Two days after the surgery, she was up."

Though mother Sandy says her daughter has been able to "cruise around the furniture" while
leaning on something, "she hasn't walked completely hands-free."

Because Demi is a baby, she has no idea that her visit to Florida isn't like most families', because
"we're not on holiday," Simon says. That's why the Reillys' most frequently visited sites are the
Lake Worth home they're renting, "the hospital, the hospital and the hospital," he says.

There have been some brief moments of escape, including visiting the beach, and Simon's recent
birthday celebration with their new friends.

Hopefully, there will be more time for fun on the next visit. The Reillys are scheduled to be in the
area for three months total, headed back to Australia at the end of October, depending on Dr.
Paley's recommendations, Simon says. The plan is to return in February to have the fixator
removed - "We'd like to stick with the same team," he says.

"We don't want them to go anywhere, do we?" Rade says to her little client, who smiles.
If all goes well with Demi's recovery, she'll soon be able to go anywhere her two little feet can
carry her.

Direct link to this story
Dror Paley, MD, FRCSC
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Australian baby on the mend after surgery in
West Palm to correct deformed limb
Sandy and Simon hold hands over Demi in the recovery room
Dr. Paley greets Simon after the operation is successfully completed.
Towards the end of the surgery, a fixator is assembled on
Demi's newly lengthened leg
Demi plays peek-a-boo with her father and mother
before she is discharged from her recovery room.