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My son, Aleksander, is still not doing well with the DDB, and

yesterday we had to remove the shoes and the bar, per the doctor on

call.

I'm waiting until 7 to call again to talk to scheduling to get him in

today, but I wanted to find out if anyone else had to remove the

shoes for about a day before getting back in, and what happened when

you did that? I have a strong hunch the bar was too long, but now

that he's been out of the shoes I'm worried he'll have to be casted

again.

To make matters worse for the little guy, he's getting his first

tooth....

Thanks!

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-

I noticed in your other post that you're going to Gillette in St.

. Have you met the " cast lady " , Beth Meyers??? If not, please

seek her out as she is a wonderful, caring individual who will help

you work through the issues with Aleksander's brace. A few years

ago, she trained in Iowa with Dr. Ponseti and was instrumental in

bringing the Ponseti method first to the Twin Cities Shriner's and

then to Gillette. She has been a wonderful resource to this board

as well.

If you don't have any luck locating her at the hospital, please

email me directly and I will give you her personal email address.

Good luck!!!!!!!!!!

Keep us posted-

& (3-16-00)

left clubfoot

>

> My son, Aleksander, is still not doing well with the DDB, and

> yesterday we had to remove the shoes and the bar, per the doctor

on

> call.

>

> I'm waiting until 7 to call again to talk to scheduling to get him

in

> today, but I wanted to find out if anyone else had to remove the

> shoes for about a day before getting back in, and what happened

when

> you did that? I have a strong hunch the bar was too long, but now

> that he's been out of the shoes I'm worried he'll have to be

casted

> again.

>

> To make matters worse for the little guy, he's getting his first

> tooth....

>

> Thanks!

>

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There is a female who has casted Aleksander, but I honestly can't

remember her name. She is wonderful though. Actually, everyone

there is so nice and willing to help. They really take an interest

in their patients. It is my understanding that they all trained with

Dr. Ponsetti, or at the very least are endorsed by him.

We will be taking Aleksander back on Thursday to see his doctor and

I'll ask about her then.

For now, he gets a break until he can see Dr. Quanbeck again. She

prefers that he wait to see her until his feet can heal.

Thanks for the name, by the way! I'll definitely seek her out,

although I have a feeling she may be the woman Aleksander has seen

before. She had just figured out how to cast him so he wouldn't

scream the whole time. He's a fiesty boy and tended to kick a lot

when they were touching his feet.

> >

> > My son, Aleksander, is still not doing well with the DDB, and

> > yesterday we had to remove the shoes and the bar, per the doctor

> on

> > call.

> >

> > I'm waiting until 7 to call again to talk to scheduling to get

him

> in

> > today, but I wanted to find out if anyone else had to remove the

> > shoes for about a day before getting back in, and what happened

> when

> > you did that? I have a strong hunch the bar was too long, but

now

> > that he's been out of the shoes I'm worried he'll have to be

> casted

> > again.

> >

> > To make matters worse for the little guy, he's getting his first

> > tooth....

> >

> > Thanks!

> >

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You can see her picture if you look under the files section, in the

folder " Shriners Twin Cities " .

I hope Aleksander's appointment goes well!!!!!!

> > >

> > > My son, Aleksander, is still not doing well with the DDB, and

> > > yesterday we had to remove the shoes and the bar, per the

doctor

> > on

> > > call.

> > >

> > > I'm waiting until 7 to call again to talk to scheduling to get

> him

> > in

> > > today, but I wanted to find out if anyone else had to remove

the

> > > shoes for about a day before getting back in, and what

happened

> > when

> > > you did that? I have a strong hunch the bar was too long, but

> now

> > > that he's been out of the shoes I'm worried he'll have to be

> > casted

> > > again.

> > >

> > > To make matters worse for the little guy, he's getting his

first

> > > tooth....

> > >

> > > Thanks!

> > >

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We haven't met her, but I will definitely look for her on Thursday!

Thanks.

> > > >

> > > > My son, Aleksander, is still not doing well with the DDB, and

> > > > yesterday we had to remove the shoes and the bar, per the

> doctor

> > > on

> > > > call.

> > > >

> > > > I'm waiting until 7 to call again to talk to scheduling to

get

> > him

> > > in

> > > > today, but I wanted to find out if anyone else had to remove

> the

> > > > shoes for about a day before getting back in, and what

> happened

> > > when

> > > > you did that? I have a strong hunch the bar was too long,

but

> > now

> > > > that he's been out of the shoes I'm worried he'll have to be

> > > casted

> > > > again.

> > > >

> > > > To make matters worse for the little guy, he's getting his

> first

> > > > tooth....

> > > >

> > > > Thanks!

> > > >

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Does he have sores? And where on his feet are they? If he's got sores on

his heels, you can cut out the back of the shoes, releive the pressure and

STILL maintain his correction. Really, this is ok and probably a better

option for a fully corrected foot than a healing cast. He should not be

out of the shoes for *days* waiting for the doc to fing enough time to see

him. That's ludicrous. He should be squeezed in TODAY, not

Thursday. Have you seen the document with the information how to cut the

hole? Seriously, it's not a bad thing at all. I will send you a copy with

the pics.

Kori

At 07:12 AM 3/7/2005, you wrote:

>There is a female who has casted Aleksander, but I honestly can't

>remember her name. She is wonderful though. Actually, everyone

>there is so nice and willing to help. They really take an interest

>in their patients. It is my understanding that they all trained with

>Dr. Ponsetti, or at the very least are endorsed by him.

>

>We will be taking Aleksander back on Thursday to see his doctor and

>I'll ask about her then.

>

>For now, he gets a break until he can see Dr. Quanbeck again. She

>prefers that he wait to see her until his feet can heal.

>

>Thanks for the name, by the way! I'll definitely seek her out,

>although I have a feeling she may be the woman Aleksander has seen

>before. She had just figured out how to cast him so he wouldn't

>scream the whole time. He's a fiesty boy and tended to kick a lot

>when they were touching his feet.

>

>

> > >

> > > My son, Aleksander, is still not doing well with the DDB, and

> > > yesterday we had to remove the shoes and the bar, per the doctor

> > on

> > > call.

> > >

> > > I'm waiting until 7 to call again to talk to scheduling to get

>him

> > in

> > > today, but I wanted to find out if anyone else had to remove the

> > > shoes for about a day before getting back in, and what happened

> > when

> > > you did that? I have a strong hunch the bar was too long, but

>now

> > > that he's been out of the shoes I'm worried he'll have to be

> > casted

> > > again.

> > >

> > > To make matters worse for the little guy, he's getting his first

> > > tooth....

> > >

> > > Thanks!

> > >

>

>

>

>

>

>

>

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Yikes, that sounds like the start of a pressure sore, which I believe is worse

than a blister. Can you find anything in the shoe that would press in and

cause this dent? It could be a shoe-defect, or a bunched up sock, sock seam....

I'm not sure but it sounds serious and I'm with the others, after this many days

out of the brace and with problems too, you baby is probably losing correction.

s.

Re: More DDB problems

He has pretty deep indentations on his heels, about the size of a

pencil eraser. I noticed some redness on his heels on Saturday, but

he didn't have blisters, but on Sunday morning when I checked his

feet, he had these deep indentations with a purple bruise in the

center. The skin hadn't broken, but he was extremely upset.

The indentations are still there today, but he's feeling fine. He

wasn't eating well when he had the shoes on, and he ate normally last

night and again this morning. He also went back to sleeping through

most of the night last night, which was a first in quite a while!

The doctor could have seen him today, but wanted his foot to have

time to heal before putting him back in anything. Is that correct,

even though he doesn't have any open sores? I kind of thought he

might lose ground if he wasn't fitted back in the shoes right away,

but it also made sense that if he has bruises now, he shouldn't have

them put back on until they heal.

I will call the doc again and see if she has anything else to say. I

do know she's only in the office we go to on Thursdays, and that she

has a very strong preference for the staff in that location. I did

tell them that we're willing to see her partner, who is available

when she isn't.

> > > >

> > > > My son, Aleksander, is still not doing well with the DDB, and

> > > > yesterday we had to remove the shoes and the bar, per the

doctor

> > > on

> > > > call.

> > > >

> > > > I'm waiting until 7 to call again to talk to scheduling to get

> >him

> > > in

> > > > today, but I wanted to find out if anyone else had to remove

the

> > > > shoes for about a day before getting back in, and what

happened

> > > when

> > > > you did that? I have a strong hunch the bar was too long, but

> >now

> > > > that he's been out of the shoes I'm worried he'll have to be

> > > casted

> > > > again.

> > > >

> > > > To make matters worse for the little guy, he's getting his

first

> > > > tooth....

> > > >

> > > > Thanks!

> > > >

> >

> >

> >

> >

> >

> >

> >

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He has pretty deep indentations on his heels, about the size of a

pencil eraser. I noticed some redness on his heels on Saturday, but

he didn't have blisters, but on Sunday morning when I checked his

feet, he had these deep indentations with a purple bruise in the

center. The skin hadn't broken, but he was extremely upset.

The indentations are still there today, but he's feeling fine. He

wasn't eating well when he had the shoes on, and he ate normally last

night and again this morning. He also went back to sleeping through

most of the night last night, which was a first in quite a while!

The doctor could have seen him today, but wanted his foot to have

time to heal before putting him back in anything. Is that correct,

even though he doesn't have any open sores? I kind of thought he

might lose ground if he wasn't fitted back in the shoes right away,

but it also made sense that if he has bruises now, he shouldn't have

them put back on until they heal.

I will call the doc again and see if she has anything else to say. I

do know she's only in the office we go to on Thursdays, and that she

has a very strong preference for the staff in that location. I did

tell them that we're willing to see her partner, who is available

when she isn't.

> > > >

> > > > My son, Aleksander, is still not doing well with the DDB, and

> > > > yesterday we had to remove the shoes and the bar, per the

doctor

> > > on

> > > > call.

> > > >

> > > > I'm waiting until 7 to call again to talk to scheduling to get

> >him

> > > in

> > > > today, but I wanted to find out if anyone else had to remove

the

> > > > shoes for about a day before getting back in, and what

happened

> > > when

> > > > you did that? I have a strong hunch the bar was too long, but

> >now

> > > > that he's been out of the shoes I'm worried he'll have to be

> > > casted

> > > > again.

> > > >

> > > > To make matters worse for the little guy, he's getting his

first

> > > > tooth....

> > > >

> > > > Thanks!

> > > >

> >

> >

> >

> >

> >

> >

> >

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I checked inside the shoes and didn't see anything. I have tried

different socks (thin ones, thicker ones, ones with grips, etc) and

they all seem to end up with the same result. I've left messages

with everyone I have a number for and now I wait. This is the part

I'm terrible at! I'm one of those people that calls until I get a

live person because I hate trusting people to call me back!

Is a pressure sore something that could be caused if the bar is too

long? It seemed like something was off because Aleksander is such a

great kid and really adjusts to everything really well. He really

seemed to move funny, and not just because it was something new. I

can't really describe what it was, but it really seemed more like

something was off, rather than being about the way he was adjusting.

My husband and I were aware of some of the problems that the

transition could bring and we had been teaching Aleksander to move

his legs together before he even got the bar. We wanted to get him

used to that motion and give him a jump start on adjusting. He had

already been moving his legs together most of the time (except when

he gets really mad!), so that is another reason that I don't think it

was only the adjustment that was making him move funny.

I'm hoping to hear from someone soon. If not, I've had lots of

experience harassing medical professionals until I get what I want.

My husband has had two open heart surgeries (to repair a leaky mitral

valve) and the last one was while I was pregnant with Aleksander. I

was definitely not willing to wait to get that scheduled knowing how

long the recovery is!

> Yikes, that sounds like the start of a pressure sore, which I

believe is worse than a blister. Can you find anything in the shoe

that would press in and cause this dent? It could be a shoe-defect,

or a bunched up sock, sock seam....

>

> I'm not sure but it sounds serious and I'm with the others, after

this many days out of the brace and with problems too, you baby is

probably losing correction.

> s.

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At 11:47 AM 3/7/2005, you wrote:

>I checked inside the shoes and didn't see anything. I have tried

>different socks (thin ones, thicker ones, ones with grips, etc) and

>they all seem to end up with the same result. I've left messages

>with everyone I have a number for and now I wait. This is the part

>I'm terrible at! I'm one of those people that calls until I get a

>live person because I hate trusting people to call me back!

Most times, it's not a problem with the shoes at all. I can honestly say,

that out of all the people who have had this happen to their child, it

hasn't been the shoe but is always that the heel is not seated

properly. Parents think it is, or must be but after they take the plunge

and cut the window in the back, put the shoes back on like they always

do... they then find the heel is indeed rising up. So far, not one parent

who has emailed me and said they cut that hole has said the foot was seated

properly when they finally saw it. This is why I'm more and more inclined

to say just cut that hole, it can't hurt and it always helps, or at least

clarifies what the real problem is. There's a reason Markell is making the

smaller sized shoes with a hole already cut in the heel ya know. When the

heel isn't deep in the shoe, a few things happen that make the

sore. Because the wrong part of the heel is pushed up and into the wrong

part of the shoe, this is what causes the pressure sore. You're lucky you

caught it before the skin broke, this is a good thing. The parts of the

shoe do certain things, and especially if there's plastizode in there, it's

extra pressure spots. The new shoes do not really need the plastizode, the

way they're designed is supposed to mimic what the insert used to do for

the old style shoes. If the plastizode is in there, and these are the new

style shoes (there will be no seam running down the inside heel on the new

style shoes) it should be taken out and tried that way.

>Is a pressure sore something that could be caused if the bar is too

>long?

It's possible yes, but it's a cascade effect rather than a root cause. If

the bar is too long it can make the heels pull up because of the

angle. But this really only happens when the buckles aren't tight enough

(which is very common when parents are first putting these shoes on - I did

it too). They seem tight, but because the heel isn't down in the first

place they actually aren't. When you shove that heel deep into the bottom

of the boot, hold the foot tightly in place and cinch that strap up, more

than likely you'll find you gain a couple of holes worth of

tightness. Then, a bar that is too long won't really be able to pull the

heels up and out putting the wrong part of the foot in the wrong part of

the shoe because the boot is so tight in the first place the foot can't move.

Do you have the adjustable bar (red) or the fixed gold one? Either way, I

suggest taking the shoes off the bar to put them on. It really makes a

difference in making sure they are on properly and while it's a PITA to put

them back on the red adjustable bar once they're on the feet, it's really

going to help you with learning how to put these shoes on.

> It seemed like something was off because Aleksander is such a

>great kid and really adjusts to everything really well. He really

>seemed to move funny, and not just because it was something new. I

>can't really describe what it was, but it really seemed more like

>something was off, rather than being about the way he was adjusting.

>

>My husband and I were aware of some of the problems that the

>transition could bring and we had been teaching Aleksander to move

>his legs together before he even got the bar. We wanted to get him

>used to that motion and give him a jump start on adjusting. He had

>already been moving his legs together most of the time (except when

>he gets really mad!), so that is another reason that I don't think it

>was only the adjustment that was making him move funny.

>

>I'm hoping to hear from someone soon. If not, I've had lots of

>experience harassing medical professionals until I get what I want.

>My husband has had two open heart surgeries (to repair a leaky mitral

>valve) and the last one was while I was pregnant with Aleksander. I

>was definitely not willing to wait to get that scheduled knowing how

>long the recovery is!

Chances are your medical professionals aren't going to know how to solve

this problem. None of them really do. He absolutely can loose correction

with the shoes being off for a few days. I really can't recommend cutting

that hole more. It will allow many things to happen, the most important of

which will be to keep his feet braced while that sore heals and you

continue into your first 3 mo's without more casts and starting all over

again. It will heal nicely without any pressure on it, and he won't hurt

anymore because the shoes won't be pushing on that spot (that's why he was

upset, not because he couldn't move his legs -promise... BTDT), and you

more than likely will find you're not getting them on

properly. Additionally, once you do this and then follow the instructions

for applying the shoes, do all you can and shove that foot deep into the

shoes... but it won't go no matter what you do... you then know his foot

needs further correction because a corrected foot will go into these shoes

just fine baring other problems such as an atypical foot.

I think if you cut that hole, your normally happy sweet babe will be

back. That's what happened with us, and it was amazing what a happy baby

she was wearing the brace when it didn't hurt her.

Hang in there~!! It will get better!

Kori

>

> > Yikes, that sounds like the start of a pressure sore, which I

>believe is worse than a blister. Can you find anything in the shoe

>that would press in and cause this dent? It could be a shoe-defect,

>or a bunched up sock, sock seam....

> >

> > I'm not sure but it sounds serious and I'm with the others, after

>this many days out of the brace and with problems too, you baby is

>probably losing correction.

> > s.

>

>

>

>

>

>

>

>

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You're right to keep nagging them. How long is his bar? It should measure his

shoulder width, you know with the feet at 70*. If the adjustment is way out of

wack it can be really uncomfortable but I'm not sure that would lead to a

pressure sore. I'm really no help here. Sorry. I had a similuar situation

when I started Everett in the bar, it created pressure sores on him and I never

did figure out why (he was treated by Dr. Ponseti personally) - but we changed

to the sandel shoes and it was smooth sailing ever since - well over a

year now.

s.

Re: More DDB problems

I checked inside the shoes and didn't see anything. I have tried

different socks (thin ones, thicker ones, ones with grips, etc) and

they all seem to end up with the same result. I've left messages

with everyone I have a number for and now I wait. This is the part

I'm terrible at! I'm one of those people that calls until I get a

live person because I hate trusting people to call me back!

Is a pressure sore something that could be caused if the bar is too

long? It seemed like something was off because Aleksander is such a

great kid and really adjusts to everything really well. He really

seemed to move funny, and not just because it was something new. I

can't really describe what it was, but it really seemed more like

something was off, rather than being about the way he was adjusting.

My husband and I were aware of some of the problems that the

transition could bring and we had been teaching Aleksander to move

his legs together before he even got the bar. We wanted to get him

used to that motion and give him a jump start on adjusting. He had

already been moving his legs together most of the time (except when

he gets really mad!), so that is another reason that I don't think it

was only the adjustment that was making him move funny.

I'm hoping to hear from someone soon. If not, I've had lots of

experience harassing medical professionals until I get what I want.

My husband has had two open heart surgeries (to repair a leaky mitral

valve) and the last one was while I was pregnant with Aleksander. I

was definitely not willing to wait to get that scheduled knowing how

long the recovery is!

> Yikes, that sounds like the start of a pressure sore, which I

believe is worse than a blister. Can you find anything in the shoe

that would press in and cause this dent? It could be a shoe-defect,

or a bunched up sock, sock seam....

>

> I'm not sure but it sounds serious and I'm with the others, after

this many days out of the brace and with problems too, you baby is

probably losing correction.

> s.

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I just have to say it is incredible to me to witness the transition in this

group over the past year ...over the past several years indeed ....but this past

year so much new, good solid information has been concreted in to us regarding

the DBB, it's such a blessing. I say this because a little more than a year ago

I was having all these same problems with the DBB and the information back then

was nothing compared to what is available today! I hope you all hang around

helping even when your children graduate the DBB phase.

And Jay Markell if you're reading today - I want to express my gratitude to your

company as well for attempting to meet the needs of our babies with your new

shoe designs.

s.

Re: Re: More DDB problems

At 11:47 AM 3/7/2005, you wrote:

>I checked inside the shoes and didn't see anything. I have tried

>different socks (thin ones, thicker ones, ones with grips, etc) and

>they all seem to end up with the same result. I've left messages

>with everyone I have a number for and now I wait. This is the part

>I'm terrible at! I'm one of those people that calls until I get a

>live person because I hate trusting people to call me back!

Most times, it's not a problem with the shoes at all. I can honestly say,

that out of all the people who have had this happen to their child, it

hasn't been the shoe but is always that the heel is not seated

properly. Parents think it is, or must be but after they take the plunge

and cut the window in the back, put the shoes back on like they always

do... they then find the heel is indeed rising up. So far, not one parent

who has emailed me and said they cut that hole has said the foot was seated

properly when they finally saw it. This is why I'm more and more inclined

to say just cut that hole, it can't hurt and it always helps, or at least

clarifies what the real problem is. There's a reason Markell is making the

smaller sized shoes with a hole already cut in the heel ya know. When the

heel isn't deep in the shoe, a few things happen that make the

sore. Because the wrong part of the heel is pushed up and into the wrong

part of the shoe, this is what causes the pressure sore. You're lucky you

caught it before the skin broke, this is a good thing. The parts of the

shoe do certain things, and especially if there's plastizode in there, it's

extra pressure spots. The new shoes do not really need the plastizode, the

way they're designed is supposed to mimic what the insert used to do for

the old style shoes. If the plastizode is in there, and these are the new

style shoes (there will be no seam running down the inside heel on the new

style shoes) it should be taken out and tried that way.

>Is a pressure sore something that could be caused if the bar is too

>long?

It's possible yes, but it's a cascade effect rather than a root cause. If

the bar is too long it can make the heels pull up because of the

angle. But this really only happens when the buckles aren't tight enough

(which is very common when parents are first putting these shoes on - I did

it too). They seem tight, but because the heel isn't down in the first

place they actually aren't. When you shove that heel deep into the bottom

of the boot, hold the foot tightly in place and cinch that strap up, more

than likely you'll find you gain a couple of holes worth of

tightness. Then, a bar that is too long won't really be able to pull the

heels up and out putting the wrong part of the foot in the wrong part of

the shoe because the boot is so tight in the first place the foot can't move.

Do you have the adjustable bar (red) or the fixed gold one? Either way, I

suggest taking the shoes off the bar to put them on. It really makes a

difference in making sure they are on properly and while it's a PITA to put

them back on the red adjustable bar once they're on the feet, it's really

going to help you with learning how to put these shoes on.

> It seemed like something was off because Aleksander is such a

>great kid and really adjusts to everything really well. He really

>seemed to move funny, and not just because it was something new. I

>can't really describe what it was, but it really seemed more like

>something was off, rather than being about the way he was adjusting.

>

>My husband and I were aware of some of the problems that the

>transition could bring and we had been teaching Aleksander to move

>his legs together before he even got the bar. We wanted to get him

>used to that motion and give him a jump start on adjusting. He had

>already been moving his legs together most of the time (except when

>he gets really mad!), so that is another reason that I don't think it

>was only the adjustment that was making him move funny.

>

>I'm hoping to hear from someone soon. If not, I've had lots of

>experience harassing medical professionals until I get what I want.

>My husband has had two open heart surgeries (to repair a leaky mitral

>valve) and the last one was while I was pregnant with Aleksander. I

>was definitely not willing to wait to get that scheduled knowing how

>long the recovery is!

Chances are your medical professionals aren't going to know how to solve

this problem. None of them really do. He absolutely can loose correction

with the shoes being off for a few days. I really can't recommend cutting

that hole more. It will allow many things to happen, the most important of

which will be to keep his feet braced while that sore heals and you

continue into your first 3 mo's without more casts and starting all over

again. It will heal nicely without any pressure on it, and he won't hurt

anymore because the shoes won't be pushing on that spot (that's why he was

upset, not because he couldn't move his legs -promise... BTDT), and you

more than likely will find you're not getting them on

properly. Additionally, once you do this and then follow the instructions

for applying the shoes, do all you can and shove that foot deep into the

shoes... but it won't go no matter what you do... you then know his foot

needs further correction because a corrected foot will go into these shoes

just fine baring other problems such as an atypical foot.

I think if you cut that hole, your normally happy sweet babe will be

back. That's what happened with us, and it was amazing what a happy baby

she was wearing the brace when it didn't hurt her.

Hang in there~!! It will get better!

Kori

>

> > Yikes, that sounds like the start of a pressure sore, which I

>believe is worse than a blister. Can you find anything in the shoe

>that would press in and cause this dent? It could be a shoe-defect,

>or a bunched up sock, sock seam....

> >

> > I'm not sure but it sounds serious and I'm with the others, after

>this many days out of the brace and with problems too, you baby is

>probably losing correction.

> > s.

>

>

>

>

>

>

>

>

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Guest guest

Thank you so much for all of the helpful hints. After many calls, I

got Aleksander in today to have casts put on until Thursday when he

can see the doc. I spoke to her about the best course of action,

and this was the best solution we had so she can see him at her

primary location instead of a sattellite office, and he can have

time for his heels to get better.

She has very good reasons for wanting to see him at the main campus

versus a sattellite location, and they all make perfect sense to

me. This was the best compromise I could think of, and I'm VERY

glad I called to get him casted today. I couldn't stand the thought

of him regressing, and I knew he couldn't have the shoes back on

with the sore feet. He's not pleased about the casts, but he'll be

fine in an hour or so.

I will be meeting with the woman who fits the shoes on Thursday as

well and hopefully she can help me get the shoes on better. I will

check on cutting the hole as well, and explain the positive reasons

for doing so. I really appreciate the 'ammunition' for my next

appointment. It helps so much to know more!

I also met another couple today with a little girl with bilateral

club feet. Hopefully they'll get online too. I gave them the info,

so it is up to them at this point.

> > > Yikes, that sounds like the start of a pressure sore, which I

> >believe is worse than a blister. Can you find anything in the

shoe

> >that would press in and cause this dent? It could be a shoe-

defect,

> >or a bunched up sock, sock seam....

> > >

> > > I'm not sure but it sounds serious and I'm with the others,

after

> >this many days out of the brace and with problems too, you baby is

> >probably losing correction.

> > > s.

> >

> >

> >

> >

> >

> >

> >

> >

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Guest guest

I'll have to ask about the sandles when I'm in. Maybe that will be

an option for us.

> > Yikes, that sounds like the start of a pressure sore, which I

> believe is worse than a blister. Can you find anything in the

shoe

> that would press in and cause this dent? It could be a shoe-

defect,

> or a bunched up sock, sock seam....

> >

> > I'm not sure but it sounds serious and I'm with the others,

after

> this many days out of the brace and with problems too, you baby is

> probably losing correction.

> > s.

>

>

>

>

>

>

>

>

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Maybe I am misunderstanding here about the person you call the Cast Tech. Is

that person Ponseti trained or just the doctor? Like how could a cast tech do

what the Ponseti Method requires if he/she is not trained and qualified.

Those six months was casted, he *saw* the doctor, then went to a cast tech

to be casted. Niether were Ponseti minded people. Those guys were probably

great at setting a broken bone, but for setting clubbed feet they were

disasterous.

Just curious.

s.

After many calls, I

got Aleksander in today to have casts put on until Thursday when he

can see the doc.

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Aleksander sees his doctor after the casts are removed, then the

casting department cast his feet. It is always one of two people who

cast him, and it is my understanding that they trained in Iowa and

know the Ponseti method.

> Maybe I am misunderstanding here about the person you call the Cast

Tech. Is that person Ponseti trained or just the doctor? Like how

could a cast tech do what the Ponseti Method requires if he/she is

not trained and qualified.

>

> Those six months was casted, he *saw* the doctor, then went

to a cast tech to be casted. Niether were Ponseti minded people.

Those guys were probably great at setting a broken bone, but for

setting clubbed feet they were disasterous.

>

> Just curious.

>

> s.

>

> After many calls, I

> got Aleksander in today to have casts put on until Thursday when he

> can see the doc.

>

>

>

>

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Guest guest

Aleksander sees the doctor (who is mentioned on Dr. Ponseti's site as

being trained in his methodology), after the casts are removed.

Then, the 'cast tech' puts the next set of casts on. There are only

two individuals who do this, and both are trained in Ponseti. They

typically have an assistant in the room (Aleksander is very squirmy),

but that person is only there to help hold a leg in position so I can

be free to distract Aleksander while the casts are put back on.

We have been very happy with everything up to this point, and

Aleksander's feet look wonderful. I don't have any reservations

about his treatment up to this point, but I am concerned about having

him return to the Markels shoes. I've been doing a ton of research

to find out what my husband and I need to do to get the

shoes. I've found the link to the site in the Links directory, and

at least know now what we would need to do to get the shoes if they

resist at Gillette. I've also called the ATD department who fits the

shoes to see if it is possible have those shoes ready for him on

Thursday. I'm guessing they can't have them ready that quickly, but

it is worth a shot!

> Maybe I am misunderstanding here about the person you call the Cast

Tech. Is that person Ponseti trained or just the doctor? Like how

could a cast tech do what the Ponseti Method requires if he/she is

not trained and qualified.

>

> Those six months was casted, he *saw* the doctor, then went

to a cast tech to be casted. Niether were Ponseti minded people.

Those guys were probably great at setting a broken bone, but for

setting clubbed feet they were disasterous.

>

> Just curious.

>

> s.

>

> After many calls, I

> got Aleksander in today to have casts put on until Thursday when he

> can see the doc.

>

>

>

>

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Guest guest

Just an FYI about The shoes - they are custom-fitted and

it's my understanding that a mold of Aleksanders feet would be needed

before they could be made.

Daiga

> > Maybe I am misunderstanding here about the person you call the

Cast

> Tech. Is that person Ponseti trained or just the doctor? Like

how

> could a cast tech do what the Ponseti Method requires if he/she is

> not trained and qualified.

> >

> > Those six months was casted, he *saw* the doctor, then went

> to a cast tech to be casted. Niether were Ponseti minded people.

> Those guys were probably great at setting a broken bone, but for

> setting clubbed feet they were disasterous.

> >

> > Just curious.

> >

> > s.

> >

> > After many calls, I

> > got Aleksander in today to have casts put on until Thursday when

he

> > can see the doc.

> >

> >

> >

> >

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