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It is my understanding that this method of treatment is very new. It's a

great idea to ask Dr. Herzenberg how many he's done and what the success

rate is so far.

I would also ask him about waiting until the child is older and can have a

better understanding about it, but it could be that waiting longer will just

mean the child would have to wear it longer, but maybe not much.

I would ask to have the names and numbers of some parents whose children

went through this treatment so they can give you a sense of what it was like

for them.

Most likely, your children would be guinea pigs like my daughter was for the

doctor who switched to the Ponseti method and my daughter was their first

Ponseti patient. Granted, the external fixator is MUCH more intensive than

weekly cast changes, but if our doctor had messed up the castings or

released my daughter from the shoes too soon, we probably would be facing a

relapse and the prospect of needing major surgery. As it was, if I had not

found this board and learned the proper Ponseti protocol, I would not have

known she was not following it properly. If patients had not been guinea

pigs, then the Ponseti method wouldn't have made it this far.

If it were me, I would consult with a child psychologist to see what kinds

of things could be done to prepare the child ahead of time much like you

would for any serious medical condition.

I would read stories about what to expect when you go to the hospital. I

would write my own story with pictures of the fixator (or a child wearing

the fixator if possible) and very simple language explaining what it's all

about. I could email you an example of a story about having clubfoot so you

could see what I'm talking about.

Hope this helps. Best, Joanne W.

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Michele,

Just wanted to let you know that I am currently in Vermont. I will send the

story when I get home as it is on my computer at home... Just didn't want

you sitting there waiting for it!

Best, Joanne

Message: 4

Date: Tue, 18 Jan 2005 13:35:37 -0000

Subject: Re: external fixator

Joanne,

I would love if you could e-mail the story your talking of for a

sample. My email is chele323232@... Thank you for your advice.

Michele

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