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had her checkup today with Dr. Herzenberg. He said her feet

look great! Dorsiflexion is 20 on both feet. Which he said was

very good. was in the s 23/7 for 3 long, long, long

months. Finally, we made it! Now here is my question: Dr. H said

she only needed to wear them 12 hours now. I was expecting to be

reduced to 16. I know 16 is the protocol, so I asked him and he

said it isn't necessary. Not even to wear them at naptime. I found

this very odd. has had 1 relapse already. I asked him if the

12 hours was enough time not to cause relapse and he looked at me as

if I had 3 heads. I'm paranoid, and I don't want another relapse.

In addition, I know the normal protocal. is 10 months, not

walking yet but pulling herself up to standing. I know 12 hours is

usually given after they start walking. Dr. Herzenberg definately

knows what he is doing and I have never questioned him before. I

plan to leave them on at least 14hours or maybe 16 some days. I

called DH after the appointment and told him Dr. H said 14 hours. I

had to stretch the truth a little or he will take them off at

exactly 12 hours.

Let me know your thoughts.

and 3/2/04,bcf, s 14 hours?

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That's what happened with Naomi as well... we went from 23/7 to night

time wear - to quote our ortho surgeon - " as long as she tolerates

it. " I emailed Dr. Ponseti some pics and he said that Naomi should be

wearing them at least 16 hours a day. I went back to my ortho with

that information and she said that it wasn't necessary, that Naomi

should be working her legs during the day and during naps... Naomi

will be a year old next month and she's still not anywhere near

walking (she's standing, but not creeping).

We try to keep them on longer during the day now, but Noms is used to

having them off as soon as she gets up so we're going to have to try

and break her of the habit.

Does anyone have any tips on how to soften up a new pair of

Markells??? Naomi had such a bad night last night (new bar and boots)

and I'm kinda dreading putting them back on tonight...

maureen

naomi bcf

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Yeah for !!

Tommy Lee4/23/04...I miss my little screamimg girlfriend

>

> had her checkup today with Dr. Herzenberg. He said her feet

> look great! Dorsiflexion is 20 on both feet. Which he said was

> very good. was in the s 23/7 for 3 long, long, long

> months. Finally, we made it! Now here is my question: Dr. H said

> she only needed to wear them 12 hours now. I was expecting to be

> reduced to 16. I know 16 is the protocol, so I asked him and he

> said it isn't necessary. Not even to wear them at naptime. I

found

> this very odd. has had 1 relapse already. I asked him if

the

> 12 hours was enough time not to cause relapse and he looked at me

as

> if I had 3 heads. I'm paranoid, and I don't want another relapse.

> In addition, I know the normal protocal. is 10 months, not

> walking yet but pulling herself up to standing. I know 12 hours is

> usually given after they start walking. Dr. Herzenberg definately

> knows what he is doing and I have never questioned him before. I

> plan to leave them on at least 14hours or maybe 16 some days. I

> called DH after the appointment and told him Dr. H said 14 hours.

I

> had to stretch the truth a little or he will take them off at

> exactly 12 hours.

>

> Let me know your thoughts.

>

> and 3/2/04,bcf, s 14 hours?

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My thoughts? I think you are a wise, wise woman.

s.

Reduced Hours!!!!!!

had her checkup today with Dr. Herzenberg. He said her feet

look great! Dorsiflexion is 20 on both feet. Which he said was

very good. was in the s 23/7 for 3 long, long, long

months. Finally, we made it! Now here is my question: Dr. H said

she only needed to wear them 12 hours now. I was expecting to be

reduced to 16. I know 16 is the protocol, so I asked him and he

said it isn't necessary. Not even to wear them at naptime. I found

this very odd. has had 1 relapse already. I asked him if the

12 hours was enough time not to cause relapse and he looked at me as

if I had 3 heads. I'm paranoid, and I don't want another relapse.

In addition, I know the normal protocal. is 10 months, not

walking yet but pulling herself up to standing. I know 12 hours is

usually given after they start walking. Dr. Herzenberg definately

knows what he is doing and I have never questioned him before. I

plan to leave them on at least 14hours or maybe 16 some days. I

called DH after the appointment and told him Dr. H said 14 hours. I

had to stretch the truth a little or he will take them off at

exactly 12 hours.

Let me know your thoughts.

and 3/2/04,bcf, s 14 hours?

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Congratulations on the reduced hours!

Did they take a picture of with her shoes on before you left? One of

the doctors came in to do that today and I thought it was a little odd.

Mommy to (12-17-98) and

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

_____

From: momshook2004

Sent: Friday, January 14, 2005 3:12 PM

To: nosurgery4clubfoot

Subject: Reduced Hours!!!!!!

had her checkup today with Dr. Herzenberg. He said her feet

look great! Dorsiflexion is 20 on both feet. Which he said was

very good. was in the s 23/7 for 3 long, long, long

months. Finally, we made it! Now here is my question: Dr. H said

she only needed to wear them 12 hours now. I was expecting to be

reduced to 16. I know 16 is the protocol, so I asked him and he

said it isn't necessary. Not even to wear them at naptime. I found

this very odd. has had 1 relapse already. I asked him if the

12 hours was enough time not to cause relapse and he looked at me as

if I had 3 heads. I'm paranoid, and I don't want another relapse.

In addition, I know the normal protocal. is 10 months, not

walking yet but pulling herself up to standing. I know 12 hours is

usually given after they start walking. Dr. Herzenberg definately

knows what he is doing and I have never questioned him before. I

plan to leave them on at least 14hours or maybe 16 some days. I

called DH after the appointment and told him Dr. H said 14 hours. I

had to stretch the truth a little or he will take them off at

exactly 12 hours.

Let me know your thoughts.

and 3/2/04,bcf, s 14 hours?

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,

How did Christian's appointment go?

> Congratulations on the reduced hours!

>

>

>

> Did they take a picture of with her shoes on before you

left? One of

> the doctors came in to do that today and I thought it was a little

odd.

>

>

>

>

>

> Mommy to (12-17-98) and

>

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

>

> _____

>

> From: momshook2004 [mailto:susan.shook@v...]

> Sent: Friday, January 14, 2005 3:12 PM

> To: nosurgery4clubfoot

> Subject: Reduced Hours!!!!!!

>

>

>

>

> had her checkup today with Dr. Herzenberg. He said her feet

> look great! Dorsiflexion is 20 on both feet. Which he said was

> very good. was in the s 23/7 for 3 long, long, long

> months. Finally, we made it! Now here is my question: Dr. H said

> she only needed to wear them 12 hours now. I was expecting to be

> reduced to 16. I know 16 is the protocol, so I asked him and he

> said it isn't necessary. Not even to wear them at naptime. I

found

> this very odd. has had 1 relapse already. I asked him if

the

> 12 hours was enough time not to cause relapse and he looked at me

as

> if I had 3 heads. I'm paranoid, and I don't want another relapse.

> In addition, I know the normal protocal. is 10 months, not

> walking yet but pulling herself up to standing. I know 12 hours is

> usually given after they start walking. Dr. Herzenberg definately

> knows what he is doing and I have never questioned him before. I

> plan to leave them on at least 14hours or maybe 16 some days. I

> called DH after the appointment and told him Dr. H said 14 hours.

I

> had to stretch the truth a little or he will take them off at

> exactly 12 hours.

>

> Let me know your thoughts.

>

> and 3/2/04,bcf, s 14 hours?

>

>

>

>

>

>

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Hi ,

We see Dr. Pirani in BC and he comes very highly recommended by Dr.

Ponseti. He is part of the Ugandan project and is very dedicated to

the method. He has even asked that we show our daughters foot to a

patient he treated with surgery before he discovered the Ponseti

method and apologized profusly to that patient. We love him and he

has done wonders with Grace's foot. He too said that we could reduce

to between 12 and 16 hours after she came out of 23/7 wear. I did

question him on this asking about 16 hr wear as standard protocol. He

said that she would be fine with wearing the shoes within this time

frame. I keep the shoes on at least 14 hrs and usually closer to 16.

When she is walking I will reduce a bit more.

Funny what you said about comment to your DH...I winced as Dr. Pirani

said the above as I knew that I wanted to keep her in closer to 16

and Gilles would " follow the doctors orders " and think 12 was OK. He

is not on this board as I have been and calls me " the crusader " when

he comes upstairs and I am typing, the stinker hehe!

I trust Dr. Pirani totally but still for my own piece of mind will

err on the side of caution!

Congratulation on the reduced hours and have fun suggling your baby!!

& Grace 07-21-04

Unilateral RCF DBB 16 hrs

>

> had her checkup today with Dr. Herzenberg. He said her feet

> look great! Dorsiflexion is 20 on both feet. Which he said was

> very good. was in the s 23/7 for 3 long, long, long

> months. Finally, we made it! Now here is my question: Dr. H said

> she only needed to wear them 12 hours now. I was expecting to be

> reduced to 16. I know 16 is the protocol, so I asked him and he

> said it isn't necessary. Not even to wear them at naptime. I

found

> this very odd. has had 1 relapse already. I asked him if

the

> 12 hours was enough time not to cause relapse and he looked at me

as

> if I had 3 heads. I'm paranoid, and I don't want another relapse.

> In addition, I know the normal protocal. is 10 months, not

> walking yet but pulling herself up to standing. I know 12 hours is

> usually given after they start walking. Dr. Herzenberg definately

> knows what he is doing and I have never questioned him before. I

> plan to leave them on at least 14hours or maybe 16 some days. I

> called DH after the appointment and told him Dr. H said 14 hours.

I

> had to stretch the truth a little or he will take them off at

> exactly 12 hours.

>

> Let me know your thoughts.

>

> and 3/2/04,bcf, s 14 hours?

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That's wonderful news! I agree with you on the hours. Good thing the

kids don't understand the hour reduction or you would be fighting DH

and DD. LOL

KK

>

> had her checkup today with Dr. Herzenberg. He said her feet

> look great! Dorsiflexion is 20 on both feet. Which he said was

> very good. was in the s 23/7 for 3 long, long, long

> months. Finally, we made it! Now here is my question: Dr. H said

> she only needed to wear them 12 hours now. I was expecting to be

> reduced to 16. I know 16 is the protocol, so I asked him and he

> said it isn't necessary. Not even to wear them at naptime. I

found

> this very odd. has had 1 relapse already. I asked him if

the

> 12 hours was enough time not to cause relapse and he looked at me

as

> if I had 3 heads. I'm paranoid, and I don't want another relapse.

> In addition, I know the normal protocal. is 10 months, not

> walking yet but pulling herself up to standing. I know 12 hours is

> usually given after they start walking. Dr. Herzenberg definately

> knows what he is doing and I have never questioned him before. I

> plan to leave them on at least 14hours or maybe 16 some days. I

> called DH after the appointment and told him Dr. H said 14 hours.

I

> had to stretch the truth a little or he will take them off at

> exactly 12 hours.

>

> Let me know your thoughts.

>

> and 3/2/04,bcf, s 14 hours?

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Hi !

I'm so bummed I missed you guys. The weather was horrible, but we

weren't the only family late on Friday. There are 2 families who found

out about Dr. H through the support group we organized. Both go to our

old doctor we ditched. I didn't get a chance to meet the second one. I

met and her husband. Their son was wearing an AFO. Just like

had. I hope their appointment was good news.

Anyway, a doctor took a picture of the shoes after they were already off.

No pictures of 's feet, etc.. I haven't read through all the posts

yet, I hope to hear an update about Christian.

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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Thanks .

I have met Dr. Pirani at a symposium Dr. Herzenberg did back in September.

He actually did 's cast change. He seemed very nice. It is

reassuring that he also perscribed 12-16 hours after the 23/7. That is a

big spread of hours though. I have been doing about 15 hours daily thus

far.

I am sooooooo paranoid!

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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Hi ,

Our appointment wasn't until 11:40. I am sure that you and were long

gone by that time. We sat in the waiting room until 1:40 before we were

called in! Christian was so tired and cranky at that point I knew it wasn't

going to be fun. The only good thing that came out of Friday was the

reduced hours. Did cry when Dr. H touched her feet too?

Christian started to balance today by himself. He can stand alone for about

10 seconds before he falls on his bottom. I hope this means he will start

walking soon.

Mommy to (12-17-98) and

Christian (1-30-04) LCF - DBB (nights only)

_____

From: susan.shook@...

Sent: Monday, January 17, 2005 7:03 AM

To: nosurgery4clubfoot

Subject: RE: Reduced Hours!!!!!!

Hi !

I'm so bummed I missed you guys. The weather was horrible, but we

weren't the only family late on Friday. There are 2 families who found

out about Dr. H through the support group we organized. Both go to our

old doctor we ditched. I didn't get a chance to meet the second one. I

met and her husband. Their son was wearing an AFO. Just like

had. I hope their appointment was good news.

Anyway, a doctor took a picture of the shoes after they were already off.

No pictures of 's feet, etc.. I haven't read through all the posts

yet, I hope to hear an update about Christian.

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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Hi ,

I find it so odd the Dr. H with such a great reputation would take

her down to 12 hours so soon. I have had issues with our Dr. and

times he prescribes, so wrote to Dr. P and here is what he had to say.

It is basically the same has his website.

Quote

May 28, 2004

We have observed that after three months of full time brace wear,

night and naptime for a total of 16-18 hours

are sufficient to prevent a relapse. Once the child is walking about

12-14 hours is adequate. I see no reason to have

the child wear the brace 23 hours a day until she is crawling.

Straight last shoes are usually more comfortable and

are adequate to maintain the correction. Reverse last shoes are not

necessary.

I.V. Ponseti, M.D.

Unquote

We are doing 16 right now. is not much younger than Zoe and I

bet they will both be walking in the next few months and can have

their hours reduced more shortly.

Louisa

Rachael 6-27-99

Zoe 2-22-04 RCF FAB 16/7

>

> had her checkup today with Dr. Herzenberg. He said her feet

> look great! Dorsiflexion is 20 on both feet. Which he said was

> very good. was in the s 23/7 for 3 long, long, long

> months. Finally, we made it! Now here is my question: Dr. H said

> she only needed to wear them 12 hours now. I was expecting to be

> reduced to 16. I know 16 is the protocol, so I asked him and he

> said it isn't necessary. Not even to wear them at naptime. I

found

> this very odd. has had 1 relapse already. I asked him if

the

> 12 hours was enough time not to cause relapse and he looked at me

as

> if I had 3 heads. I'm paranoid, and I don't want another relapse.

> In addition, I know the normal protocal. is 10 months, not

> walking yet but pulling herself up to standing. I know 12 hours is

> usually given after they start walking. Dr. Herzenberg definately

> knows what he is doing and I have never questioned him before. I

> plan to leave them on at least 14hours or maybe 16 some days. I

> called DH after the appointment and told him Dr. H said 14 hours.

I

> had to stretch the truth a little or he will take them off at

> exactly 12 hours.

>

> Let me know your thoughts.

>

> and 3/2/04,bcf, s 14 hours?

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Thanks Louisa!

I have been averaging about 15-16 hours. !6 more than 15. doesn't

know any different, so longer is better IMO. I have mixed feelings about

her walking. I want her to walk because I know how great it will be for

her feet developing, etc., however, I don't want her to start walking and

getting into everything!!!! Plus, I want her to be a baby, not a toddler.

They grow too fast!!!

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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I know what you mean! Zoe is our second and it is so funny how NOT

anxious I am for her to do the mobile things, I would love for her to

be out of the bar longer, but am not ready to chase her around YET.

I can't turn my back for a second as it is, she likes to climb on top

of low down things and then go head first off the other side.

They will both be there before we know it.

Louisa

> Thanks Louisa!

> I have been averaging about 15-16 hours. !6 more than 15.

doesn't

> know any different, so longer is better IMO. I have mixed feelings

about

> her walking. I want her to walk because I know how great it will

be for

> her feet developing, etc., however, I don't want her to start

walking and

> getting into everything!!!! Plus, I want her to be a baby, not a

toddler.

> They grow too fast!!!

>

>

>

>

>

>

>

> Shook

> Retail Operations Manager/Baking Instructor

> Vie de France Yamazaki, Inc.

> 2070 Chain Bridge Rd. Suite 500

> Vienna, VA 22182

> x374

> x374

> fax

>

>

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