Re: 2nd Opinion from Dr. Mosca today...

[Guest guest]

Darby,

I am sorry that Dr. Mosca did not find that her foot could be

corrected without surgery, as we all know there are some that just

cannot and I am sure that Livi will do very well with the surgery. Is

there any chance that Dr. Mosca would do the procedure?

Keep us posted on how things go!

Louisa

6-27-99

Zoe 2-22-04 RCF FAB 16/7

>

> I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> had been talking surgery to open up Olivia's ankle capsule and I

was

> questioning this action.

>

> Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> Schmale - he took the time to explain the technical side of things,

> which I really appreciated. He had wonderful things to say about

> the Ponseti method, but he said that we were at a point where the

> method would not necessarily help her - he said 95% of kids have no

> problems, but Olivia's achilles tendons are very tight on both

feet,

> and it may be more than the tendon that is causing the tightness.

> He said they would not mess with anything else in her feet, just

the

> back.

>

> Olivia has also been kicking out of her left shoe (the worse foot)

> at night, all the time. He suggested that we change the degree of

> rotation on the bar to 60 degrees to see if it helps keep them on -

> that way she'll stay in them but won't lose any more of the

progress

> she's made in the other parts of her correction.

>

> So we go back to Schmale in a month and he will probably talk to us

> about scheduling the surgery. I guess they won't open the capsule

> unless once they get in there, they find it's necessary. I'm

feeling

> better about it after talking to him and getting a second opinion

> from a known doc....but it obviously wasn't what I wanted to hear.

>

> Darby

> Livi 3/15/04 bi cf dbb 12/7

> EDD #2 5/12/05

[Guest guest]

Darby,

Dang it. Not fun to hear your little one will need surgery I'm sure. We saw

Dr. Mosca this week as well. We really liked him. He took so much more time

with us and seemed to really care. We have decided to switch to Dr. Mosca..

however, Dr. Mosca did say that Schmale did do an excellent job with Weston's

foot. Lori

-------------- Original message --------------

I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

had been talking surgery to open up Olivia's ankle capsule and I was

questioning this action.

Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

Schmale - he took the time to explain the technical side of things,

which I really appreciated. He had wonderful things to say about

the Ponseti method, but he said that we were at a point where the

method would not necessarily help her - he said 95% of kids have no

problems, but Olivia's achilles tendons are very tight on both feet,

and it may be more than the tendon that is causing the tightness.

He said they would not mess with anything else in her feet, just the

back.

Olivia has also been kicking out of her left shoe (the worse foot)

at night, all the time. He suggested that we change the degree of

rotation on the bar to 60 degrees to see if it helps keep them on -

that way she'll stay in them but won't lose any more of the progress

she's made in the other parts of her correction.

So we go back to Schmale in a month and he will probably talk to us

about scheduling the surgery. I guess they won't open the capsule

unless once they get in there, they find it's necessary. I'm feeling

better about it after talking to him and getting a second opinion

from a known doc....but it obviously wasn't what I wanted to hear.

Darby

Livi 3/15/04 bi cf dbb 12/7

EDD #2 5/12/05

[Guest guest]

Glad you liked Dr. Mosca, too! I believe we're going to stay with

Schmale - to his credit per Dr. Mosca, he's also done a good job with

her feet to this point- just maybe doesn't have his social skills up

to par with his doctor abilities? That's ok- there are a lot of

people who are the same way.

I am going to ask him to get more in depth with explanations of what

and why in the future... I appreciate being talked to as an

intelligent adult who can understand basic medical terms about my

baby's feet, instead of getting the " See Spot Run " version of things.

You can tell from talking to Schmale that he is a smart guy. I guess

since I'm pretty young some docs mistakenly think I don't care or

don't understand.

Anyhow, I ramble sometimes....

Darby

>

> Darby,

> Dang it. Not fun to hear your little one will need surgery I'm

sure. We saw Dr. Mosca this week as well. We really liked him. He

took so much more time with us and seemed to really care. We have

decided to switch to Dr. Mosca.. however, Dr. Mosca did say that

Schmale did do an excellent job with Weston's foot. Lori

> -------------- Original message --------------

>

> I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> had been talking surgery to open up Olivia's ankle capsule and I

was

> questioning this action.

>

> Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> Schmale - he took the time to explain the technical side of things,

> which I really appreciated. He had wonderful things to say about

> the Ponseti method, but he said that we were at a point where the

> method would not necessarily help her - he said 95% of kids have no

> problems, but Olivia's achilles tendons are very tight on both

feet,

> and it may be more than the tendon that is causing the tightness.

> He said they would not mess with anything else in her feet, just

the

> back.

>

> Olivia has also been kicking out of her left shoe (the worse foot)

> at night, all the time. He suggested that we change the degree of

> rotation on the bar to 60 degrees to see if it helps keep them on -

> that way she'll stay in them but won't lose any more of the

progress

> she's made in the other parts of her correction.

>

> So we go back to Schmale in a month and he will probably talk to us

> about scheduling the surgery. I guess they won't open the capsule

> unless once they get in there, they find it's necessary. I'm

feeling

> better about it after talking to him and getting a second opinion

> from a known doc....but it obviously wasn't what I wanted to hear.

>

> Darby

> Livi 3/15/04 bi cf dbb 12/7

> EDD #2 5/12/05

>

>

>

>

>

>

[Guest guest]

Good luck with everything! Lori

-------------- Original message --------------

Glad you liked Dr. Mosca, too! I believe we're going to stay with

Schmale - to his credit per Dr. Mosca, he's also done a good job with

her feet to this point- just maybe doesn't have his social skills up

to par with his doctor abilities? That's ok- there are a lot of

people who are the same way.

I am going to ask him to get more in depth with explanations of what

and why in the future... I appreciate being talked to as an

intelligent adult who can understand basic medical terms about my

baby's feet, instead of getting the " See Spot Run " version of things.

You can tell from talking to Schmale that he is a smart guy. I guess

since I'm pretty young some docs mistakenly think I don't care or

don't understand.

Anyhow, I ramble sometimes....

Darby

>

> Darby,

> Dang it. Not fun to hear your little one will need surgery I'm

sure. We saw Dr. Mosca this week as well. We really liked him. He

took so much more time with us and seemed to really care. We have

decided to switch to Dr. Mosca.. however, Dr. Mosca did say that

Schmale did do an excellent job with Weston's foot. Lori

> -------------- Original message --------------

>

> I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> had been talking surgery to open up Olivia's ankle capsule and I

was

> questioning this action.

>

> Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> Schmale - he took the time to explain the technical side of things,

> which I really appreciated. He had wonderful things to say about

> the Ponseti method, but he said that we were at a point where the

> method would not necessarily help her - he said 95% of kids have no

> problems, but Olivia's achilles tendons are very tight on both

feet,

> and it may be more than the tendon that is causing the tightness.

> He said they would not mess with anything else in her feet, just

the

> back.

>

> Olivia has also been kicking out of her left shoe (the worse foot)

> at night, all the time. He suggested that we change the degree of

> rotation on the bar to 60 degrees to see if it helps keep them on -

> that way she'll stay in them but won't lose any more of the

progress

> she's made in the other parts of her correction.

>

> So we go back to Schmale in a month and he will probably talk to us

> about scheduling the surgery. I guess they won't open the capsule

> unless once they get in there, they find it's necessary. I'm

feeling

> better about it after talking to him and getting a second opinion

> from a known doc....but it obviously wasn't what I wanted to hear.

>

> Darby

> Livi 3/15/04 bi cf dbb 12/7

> EDD #2 5/12/05

>

>

>

>

>

>

[Guest guest]

Darby,

At least you can feel confident that you are going into this with

your eyes wide open! And it is such a good thing that you have

confidence in your doctor, good for you for seeing Dr. Mosca for a

second opinion!

Give Olivia a hug from us and also, congrats on your pregnancy! You

must be really starting to showing by now!

& Grace

>

> I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> had been talking surgery to open up Olivia's ankle capsule and I

was

> questioning this action.

>

> Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> Schmale - he took the time to explain the technical side of things,

> which I really appreciated. He had wonderful things to say about

> the Ponseti method, but he said that we were at a point where the

> method would not necessarily help her - he said 95% of kids have no

> problems, but Olivia's achilles tendons are very tight on both

feet,

> and it may be more than the tendon that is causing the tightness.

> He said they would not mess with anything else in her feet, just

the

> back.

>

> Olivia has also been kicking out of her left shoe (the worse foot)

> at night, all the time. He suggested that we change the degree of

> rotation on the bar to 60 degrees to see if it helps keep them on -

> that way she'll stay in them but won't lose any more of the

progress

> she's made in the other parts of her correction.

>

> So we go back to Schmale in a month and he will probably talk to us

> about scheduling the surgery. I guess they won't open the capsule

> unless once they get in there, they find it's necessary. I'm

feeling

> better about it after talking to him and getting a second opinion

> from a known doc....but it obviously wasn't what I wanted to hear.

>

> Darby

> Livi 3/15/04 bi cf dbb 12/7

> EDD #2 5/12/05

[Guest guest]

Darby, hang in there. Hope all goes well.

Darby dabrennan@...> wrote:

I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

had been talking surgery to open up Olivia's ankle capsule and I was

questioning this action.

Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

Schmale - he took the time to explain the technical side of things,

which I really appreciated. He had wonderful things to say about

the Ponseti method, but he said that we were at a point where the

method would not necessarily help her - he said 95% of kids have no

problems, but Olivia's achilles tendons are very tight on both feet,

and it may be more than the tendon that is causing the tightness.

He said they would not mess with anything else in her feet, just the

back.

Olivia has also been kicking out of her left shoe (the worse foot)

at night, all the time. He suggested that we change the degree of

rotation on the bar to 60 degrees to see if it helps keep them on -

that way she'll stay in them but won't lose any more of the progress

she's made in the other parts of her correction.

So we go back to Schmale in a month and he will probably talk to us

about scheduling the surgery. I guess they won't open the capsule

unless once they get in there, they find it's necessary. I'm feeling

better about it after talking to him and getting a second opinion

from a known doc....but it obviously wasn't what I wanted to hear.

Darby

Livi 3/15/04 bi cf dbb 12/7

EDD #2 5/12/05

[Guest guest]

I guess

> since I'm pretty young some docs mistakenly think I don't care or

> don't understand.

>

Darby,

I hear you on that! I just turned 25 and have 3 kids, the oldest is

4. And I don't always wear makeup so I look alot younger. I know

alot of people look at me like I'm some trashy kid bopping out

babies. When my fingers got too swollen to wear my wedding rings

during pregnancy, I went and bought a fake one in a bigger size,

just so I'd have *something*!!! Sometimes I feel like yelling " NOT

that it's any of your business but I've been married happily 6 whole

years!!!! "

, mommy of:

Guinevere, on, Ava 8/4/04 right CF DBB 23/7

[Guest guest]

,

Your too funny. I did the ring thing too.

KK

> I guess

> > since I'm pretty young some docs mistakenly think I don't care or

> > don't understand.

> >

>

> Darby,

> I hear you on that! I just turned 25 and have 3 kids, the oldest is

> 4. And I don't always wear makeup so I look alot younger. I know

> alot of people look at me like I'm some trashy kid bopping out

> babies. When my fingers got too swollen to wear my wedding rings

> during pregnancy, I went and bought a fake one in a bigger size,

> just so I'd have *something*!!! Sometimes I feel like yelling " NOT

> that it's any of your business but I've been married happily 6

whole

> years!!!! "

> , mommy of:

> Guinevere, on, Ava 8/4/04 right CF DBB 23/7

[Guest guest]

I know it's not the news you wanted to hear but I am sure she'll be

fine. Knowing your baby is having surgery is always harder on the

parents then the child. I went through it twice once with each child.

Olivia had tubes in her ears at 10mnths and Ava had her tenotomy

(cord lengthening) under general at 9wks. That was unfortunatly

before we started seeing Dr. Ponseti. What exactly is it that they

are going to do? Lengthen the tendon? What else other then the tendon

would be causing the tightness?

KK

Livi 01/22/03 Big " B " day coming up!

Ava 05/27/04 Bilat Atypical CF 21/7 mitchells

>

> I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> had been talking surgery to open up Olivia's ankle capsule and I

was

> questioning this action.

>

> Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> Schmale - he took the time to explain the technical side of things,

> which I really appreciated. He had wonderful things to say about

> the Ponseti method, but he said that we were at a point where the

> method would not necessarily help her - he said 95% of kids have no

> problems, but Olivia's achilles tendons are very tight on both

feet,

> and it may be more than the tendon that is causing the tightness.

> He said they would not mess with anything else in her feet, just

the

> back.

>

> Olivia has also been kicking out of her left shoe (the worse foot)

> at night, all the time. He suggested that we change the degree of

> rotation on the bar to 60 degrees to see if it helps keep them on -

> that way she'll stay in them but won't lose any more of the

progress

> she's made in the other parts of her correction.

>

> So we go back to Schmale in a month and he will probably talk to us

> about scheduling the surgery. I guess they won't open the capsule

> unless once they get in there, they find it's necessary. I'm

feeling

> better about it after talking to him and getting a second opinion

> from a known doc....but it obviously wasn't what I wanted to hear.

>

> Darby

> Livi 3/15/04 bi cf dbb 12/7

> EDD #2 5/12/05

[Guest guest]

People are so rude. When carrying Everett and swollen too big for my ring

another mother at my older kid's school actually asked me if I was married....it

was her tone of voice, kwim? Whether I was married or not while pregnant was

absolutely none of her business and would it make me a horrible person if I were

not? Geesh.

s.

I guess

> since I'm pretty young some docs mistakenly think I don't care or

> don't understand.

>

Darby,

I hear you on that! I just turned 25 and have 3 kids, the oldest is

4. And I don't always wear makeup so I look alot younger. I know

alot of people look at me like I'm some trashy kid bopping out

babies. When my fingers got too swollen to wear my wedding rings

during pregnancy, I went and bought a fake one in a bigger size,

just so I'd have *something*!!! Sometimes I feel like yelling " NOT

that it's any of your business but I've been married happily 6 whole

years!!!! "

, mommy of:

Guinevere, on, Ava 8/4/04 right CF DBB 23/7

[Guest guest]

While I was on bedrest in hospital a specialist came in while I was on

the phone with dh and when I hung up, he said, oh, was that your

boyfriend? grrrr.....men.

the next day, my hubby got me a fake one too...he said no rich doctors

hitting on my wife all day!! hehe. Gotta love 'em!

> I guess

> > since I'm pretty young some docs mistakenly think I don't care or

> > don't understand.

> >

>

> Darby,

> I hear you on that! I just turned 25 and have 3 kids, the oldest is

> 4. And I don't always wear makeup so I look alot younger. I know

> alot of people look at me like I'm some trashy kid bopping out

> babies. When my fingers got too swollen to wear my wedding rings

> during pregnancy, I went and bought a fake one in a bigger size,

> just so I'd have *something*!!! Sometimes I feel like yelling " NOT

> that it's any of your business but I've been married happily 6 whole

> years!!!! "

> , mommy of:

> Guinevere, on, Ava 8/4/04 right CF DBB 23/7

>

>

>

>

>

>

>

[Guest guest]

My favorite (ya RIght) is the old ladies in the mall giving you the dirty looks.

I did not wear my rings for fear that they would have to be cut off and my

husband had longer hair than I did. Boy did we get nasty looks while

shopping!!!! some people huh!

Wold aliwold2@...> wrote:

While I was on bedrest in hospital a specialist came in while I was on

the phone with dh and when I hung up, he said, oh, was that your

boyfriend? grrrr.....men.

the next day, my hubby got me a fake one too...he said no rich doctors

hitting on my wife all day!! hehe. Gotta love 'em!

> I guess

> > since I'm pretty young some docs mistakenly think I don't care or

> > don't understand.

> >

>

> Darby,

> I hear you on that! I just turned 25 and have 3 kids, the oldest is

> 4. And I don't always wear makeup so I look alot younger. I know

> alot of people look at me like I'm some trashy kid bopping out

> babies. When my fingers got too swollen to wear my wedding rings

> during pregnancy, I went and bought a fake one in a bigger size,

> just so I'd have *something*!!! Sometimes I feel like yelling " NOT

> that it's any of your business but I've been married happily 6 whole

> years!!!! "

> , mommy of:

> Guinevere, on, Ava 8/4/04 right CF DBB 23/7

>

>

>

>

>

>

>

[Guest guest]

Darby,

It must be hard to hear that surgery is imminent but at least you know its

coming from doctors who know what they are talking about.

Mommy to (12-17-98) and

Christian (1-30-04) LCF - DBB 23/7

_____

From: Darby

Sent: Friday, January 07, 2005 3:04 PM

To: nosurgery4clubfoot

Subject: 2nd Opinion from Dr. Mosca today...

I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

had been talking surgery to open up Olivia's ankle capsule and I was

questioning this action.

Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

Schmale - he took the time to explain the technical side of things,

which I really appreciated. He had wonderful things to say about

the Ponseti method, but he said that we were at a point where the

method would not necessarily help her - he said 95% of kids have no

problems, but Olivia's achilles tendons are very tight on both feet,

and it may be more than the tendon that is causing the tightness.

He said they would not mess with anything else in her feet, just the

back.

Olivia has also been kicking out of her left shoe (the worse foot)

at night, all the time. He suggested that we change the degree of

rotation on the bar to 60 degrees to see if it helps keep them on -

that way she'll stay in them but won't lose any more of the progress

she's made in the other parts of her correction.

So we go back to Schmale in a month and he will probably talk to us

about scheduling the surgery. I guess they won't open the capsule

unless once they get in there, they find it's necessary. I'm feeling

better about it after talking to him and getting a second opinion

from a known doc....but it obviously wasn't what I wanted to hear.

Darby

Livi 3/15/04 bi cf dbb 12/7

EDD #2 5/12/05

[Guest guest]

That is hilarious. I will remember that when I can no longer wear my

ring... it will be pretty soon I think!

Darby

> > I guess

> > > since I'm pretty young some docs mistakenly think I don't care

or

> > > don't understand.

> > >

> >

> > Darby,

> > I hear you on that! I just turned 25 and have 3 kids, the oldest

is

> > 4. And I don't always wear makeup so I look alot younger. I know

> > alot of people look at me like I'm some trashy kid bopping out

> > babies. When my fingers got too swollen to wear my wedding rings

> > during pregnancy, I went and bought a fake one in a bigger size,

> > just so I'd have *something*!!! Sometimes I feel like

yelling " NOT

> > that it's any of your business but I've been married happily 6

> whole

> > years!!!! "

> > , mommy of:

> > Guinevere, on, Ava 8/4/04 right CF DBB 23/7

[Guest guest]

I guess once a baby gets older (at what exact age they aren't sure)

the ankle capsule (I'm still not sure what that is) can be causing

the tightness, instead of the achilles tendon. Livi has already had

a tenotomy at 4 months. I guess in some kids, the tenotomy helps the

progress, but not drastically - and the foot will continue to be

tight. At least, that's my recollection of the explanation I got. I

still have some more questions to drill them on next time we go in.

Darby

Livi 3/15/04 bi cf dbb 12/7

EDD #2 (girl!) 5/12/05

> >

> > I took Livi to Dr. Mosca today to get a 2nd opinion...Dr. Schmale

> > had been talking surgery to open up Olivia's ankle capsule and I

> was

> > questioning this action.

> >

> > Dr. Mosca was very nice and smart, but ultimately agreed with Dr.

> > Schmale - he took the time to explain the technical side of

things,

> > which I really appreciated. He had wonderful things to say about

> > the Ponseti method, but he said that we were at a point where the

> > method would not necessarily help her - he said 95% of kids have

no

> > problems, but Olivia's achilles tendons are very tight on both

> feet,

> > and it may be more than the tendon that is causing the

tightness.

> > He said they would not mess with anything else in her feet, just

> the

> > back.

> >

> > Olivia has also been kicking out of her left shoe (the worse

foot)

> > at night, all the time. He suggested that we change the degree

of

> > rotation on the bar to 60 degrees to see if it helps keep them

on -

> > that way she'll stay in them but won't lose any more of the

> progress

> > she's made in the other parts of her correction.

> >

> > So we go back to Schmale in a month and he will probably talk to

us

> > about scheduling the surgery. I guess they won't open the capsule

> > unless once they get in there, they find it's necessary. I'm

> feeling

> > better about it after talking to him and getting a second opinion

> > from a known doc....but it obviously wasn't what I wanted to hear.

> >

> > Darby

> > Livi 3/15/04 bi cf dbb 12/7

> > EDD #2 5/12/05

[Guest guest]

Keep us posted. I would be intrested in knowing more about it myself.

Has anyone else on the board had this type of surgery?

KK

> > >

> > > I took Livi to Dr. Mosca today to get a 2nd opinion...Dr.

Schmale

> > > had been talking surgery to open up Olivia's ankle capsule and

I

> > was

> > > questioning this action.

> > >

> > > Dr. Mosca was very nice and smart, but ultimately agreed with

Dr.

> > > Schmale - he took the time to explain the technical side of

> things,

> > > which I really appreciated. He had wonderful things to say

about

> > > the Ponseti method, but he said that we were at a point where

the

> > > method would not necessarily help her - he said 95% of kids

have

> no

> > > problems, but Olivia's achilles tendons are very tight on both

> > feet,

> > > and it may be more than the tendon that is causing the

> tightness.

> > > He said they would not mess with anything else in her feet,

just

> > the

> > > back.

> > >

> > > Olivia has also been kicking out of her left shoe (the worse

> foot)

> > > at night, all the time. He suggested that we change the degree

> of

> > > rotation on the bar to 60 degrees to see if it helps keep them

> on -

> > > that way she'll stay in them but won't lose any more of the

> > progress

> > > she's made in the other parts of her correction.

> > >

> > > So we go back to Schmale in a month and he will probably talk

to

> us

> > > about scheduling the surgery. I guess they won't open the

capsule

> > > unless once they get in there, they find it's necessary. I'm

> > feeling

> > > better about it after talking to him and getting a second

opinion

> > > from a known doc....but it obviously wasn't what I wanted to

hear.

> > >

> > > Darby

> > > Livi 3/15/04 bi cf dbb 12/7

> > > EDD #2 5/12/05