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2nd Opinion from Dr. Mosca today...

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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

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