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Hello,

I just spoke over the phone with Dr. Pirani who came highly recommended by

Dr. Ponseti and by lots of you here. He is very nice and said that I could

definitely come to Vancouver to have my baby treated by him. He did say that

there were two doctors in Calgary at the Children's Hospital that I should

consult with before I decide to travel all the way to Vancouver to see him.

Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

knows them and knows they use the method but doesn't know how many feet

they've treated or their success rates (he said that if they have done at

least 20 feet using the method with good success rates, that I should

consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

definitely go and see both of them. I actually had a consult booked with a

Dr. Goldstein and he recommended talking to these other Dr. instead. I

definitely will, armed with my list of questions!

He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

can fall on weekends etc so in Vancouver he does every 7 days. What did all

of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

the first casting for a few weeks and commence in the New Year. I think I'd

rather start right away or at least get the doctor here to do the initial

casting until I can get to Vancouver. Isn't it better to start right away?

I am still considering going to Iowa or Vancouver but it sure would be

easier to stay in town since we've got a 13 month old and a 2.5 yr old to

content with. I just feel anxious knowing how important it is to start out

with the right doctor and don't want to mess it up! I could just fly out to

Vancouver every week but that is lots of $$ and I do have an aunt there and

can probably stay with her. I wonder if an airline would give a deal on

tickets if you explained why you had to fly so much? Probably not, but you

never know.

Sorry to ramble I just basically wanted to know what you all thought about 7

vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

Joughin?

Thanks!

Halley

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Hello,

I just spoke over the phone with Dr. Pirani who came highly recommended by

Dr. Ponseti and by lots of you here. He is very nice and said that I could

definitely come to Vancouver to have my baby treated by him. He did say that

there were two doctors in Calgary at the Children's Hospital that I should

consult with before I decide to travel all the way to Vancouver to see him.

Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

knows them and knows they use the method but doesn't know how many feet

they've treated or their success rates (he said that if they have done at

least 20 feet using the method with good success rates, that I should

consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

definitely go and see both of them. I actually had a consult booked with a

Dr. Goldstein and he recommended talking to these other Dr. instead. I

definitely will, armed with my list of questions!

He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

can fall on weekends etc so in Vancouver he does every 7 days. What did all

of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

the first casting for a few weeks and commence in the New Year. I think I'd

rather start right away or at least get the doctor here to do the initial

casting until I can get to Vancouver. Isn't it better to start right away?

I am still considering going to Iowa or Vancouver but it sure would be

easier to stay in town since we've got a 13 month old and a 2.5 yr old to

content with. I just feel anxious knowing how important it is to start out

with the right doctor and don't want to mess it up! I could just fly out to

Vancouver every week but that is lots of $$ and I do have an aunt there and

can probably stay with her. I wonder if an airline would give a deal on

tickets if you explained why you had to fly so much? Probably not, but you

never know.

Sorry to ramble I just basically wanted to know what you all thought about 7

vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

Joughin?

Thanks!

Halley

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Hi Halley,

First off, the casting every 7 days is actually the norm. And I

think even Dr. Ponseti does 7 days in Iowa for in town

patients. Those from out of town get an accelerated casting schedule

of every 5 days so they can get home faster. It cuts off a couple of

weeks from the normal casting period when done every 5 days. But

most docs do cast weekly so that's not something you need to worry about.

As far as when to start casting, it depends mostly on your birth

history I guess. If you expect to go 2w early, then waiting would

mean 4w. If you are always late, or even on time you probably won't

need to worry about it. Casting early is beneficial, but not so

important that it can't wait a week or two. Also, that is a

wonderful time to be with your infant with his/her feet exactly the

way they are, all twisted and sweet... you won't see those feet ever

again and so many of us who jumped right into casts after birth feel

that we'd like to see those feet again and love them a little longer

than we got to. It's perfectly ok to wait a week or two to start

casting, enjoy that time and take lots of pictures. You will value

them later. It is actually recommended that you wait a week to be

able to have that time with your baby. One more isn't going to make

the least bit of difference assuming the hands that are treating

those feet are doing it properly.

You may not have seen this, but recently Dr. Ponseti has been able to

obtain an impressive amount of correction on a 3-1/2yo's previously

untreated feet. You can see their story if you read back just about

4 days, they are still in Iowa right now. Simply amazing! The

standard has gone from needing to get treatment preferably before 1y

of age to before 2y and now we're seeing much older feet respond in

ways they hadn't previously thought possible. Take your two weeks...

take 3... make sure the doc is the *right one* for *your* child,

keep your eyes and ears open and don't doubt your research. Be

strong in how you want your child treated and post any time you've

got questions. Smooth sailing from her on out... well, gotta get

the baby our first lol!

Lastly, I absolutely would consult with the docs in your

area. Especially the one Dr. Pirani trained. If you go in with your

guns loaded and make sure he knows you " talked " to Dr. Pirani... I'm

sure that'll make an impression of sorts hehe... The thing is, you

know what to look out for, you know what you want, and you have the

ammunition to make an impression before you even walk in the

door. If you find it doesn't work out, you can always find another

doc. You may want to make appointments with both of them, say a few

weeks apart so that if you do need to change you don't need to

wait. I know I could do this in the US, but not sure in Canada. If

you could though, wouldn't be a bad idea for just in case.

Thanks for posting, it would be great if you did find good docs in

your area. We're always looking to hear about great docs we didn't

know about. Then again... it's hard to want to be the guinea pigs

when it's your child isn't it? tough...

Enjoy the rest of your pregnancy (as much as you can with those other

two running around - boy do I know that!) and do let us know about

those docs. Hopefully someone here will be able to tell you

something more. I do remember hearing the name Keifer recently

though... hummmm... try searching the group archives for those

names and see what you come up with maybe?

Kori

At 05:22 PM 9/28/2005, you wrote:

>Hello,

>

>I just spoke over the phone with Dr. Pirani who came highly recommended by

>Dr. Ponseti and by lots of you here. He is very nice and said that I could

>definitely come to Vancouver to have my baby treated by him. He did say that

>there were two doctors in Calgary at the Children's Hospital that I should

>consult with before I decide to travel all the way to Vancouver to see him.

>

>Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

>knows them and knows they use the method but doesn't know how many feet

>they've treated or their success rates (he said that if they have done at

>least 20 feet using the method with good success rates, that I should

>consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

>definitely go and see both of them. I actually had a consult booked with a

>Dr. Goldstein and he recommended talking to these other Dr. instead. I

>definitely will, armed with my list of questions!

>

>He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

>Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

>can fall on weekends etc so in Vancouver he does every 7 days. What did all

>of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

>the first casting for a few weeks and commence in the New Year. I think I'd

>rather start right away or at least get the doctor here to do the initial

>casting until I can get to Vancouver. Isn't it better to start right away?

>

>I am still considering going to Iowa or Vancouver but it sure would be

>easier to stay in town since we've got a 13 month old and a 2.5 yr old to

>content with. I just feel anxious knowing how important it is to start out

>with the right doctor and don't want to mess it up! I could just fly out to

>Vancouver every week but that is lots of $$ and I do have an aunt there and

>can probably stay with her. I wonder if an airline would give a deal on

>tickets if you explained why you had to fly so much? Probably not, but you

>never know.

>Sorry to ramble I just basically wanted to know what you all thought about 7

>vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

>Joughin?

>

>Thanks!

>

>Halley

>

>

>

>

>

>

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Hi Halley,

First off, the casting every 7 days is actually the norm. And I

think even Dr. Ponseti does 7 days in Iowa for in town

patients. Those from out of town get an accelerated casting schedule

of every 5 days so they can get home faster. It cuts off a couple of

weeks from the normal casting period when done every 5 days. But

most docs do cast weekly so that's not something you need to worry about.

As far as when to start casting, it depends mostly on your birth

history I guess. If you expect to go 2w early, then waiting would

mean 4w. If you are always late, or even on time you probably won't

need to worry about it. Casting early is beneficial, but not so

important that it can't wait a week or two. Also, that is a

wonderful time to be with your infant with his/her feet exactly the

way they are, all twisted and sweet... you won't see those feet ever

again and so many of us who jumped right into casts after birth feel

that we'd like to see those feet again and love them a little longer

than we got to. It's perfectly ok to wait a week or two to start

casting, enjoy that time and take lots of pictures. You will value

them later. It is actually recommended that you wait a week to be

able to have that time with your baby. One more isn't going to make

the least bit of difference assuming the hands that are treating

those feet are doing it properly.

You may not have seen this, but recently Dr. Ponseti has been able to

obtain an impressive amount of correction on a 3-1/2yo's previously

untreated feet. You can see their story if you read back just about

4 days, they are still in Iowa right now. Simply amazing! The

standard has gone from needing to get treatment preferably before 1y

of age to before 2y and now we're seeing much older feet respond in

ways they hadn't previously thought possible. Take your two weeks...

take 3... make sure the doc is the *right one* for *your* child,

keep your eyes and ears open and don't doubt your research. Be

strong in how you want your child treated and post any time you've

got questions. Smooth sailing from her on out... well, gotta get

the baby our first lol!

Lastly, I absolutely would consult with the docs in your

area. Especially the one Dr. Pirani trained. If you go in with your

guns loaded and make sure he knows you " talked " to Dr. Pirani... I'm

sure that'll make an impression of sorts hehe... The thing is, you

know what to look out for, you know what you want, and you have the

ammunition to make an impression before you even walk in the

door. If you find it doesn't work out, you can always find another

doc. You may want to make appointments with both of them, say a few

weeks apart so that if you do need to change you don't need to

wait. I know I could do this in the US, but not sure in Canada. If

you could though, wouldn't be a bad idea for just in case.

Thanks for posting, it would be great if you did find good docs in

your area. We're always looking to hear about great docs we didn't

know about. Then again... it's hard to want to be the guinea pigs

when it's your child isn't it? tough...

Enjoy the rest of your pregnancy (as much as you can with those other

two running around - boy do I know that!) and do let us know about

those docs. Hopefully someone here will be able to tell you

something more. I do remember hearing the name Keifer recently

though... hummmm... try searching the group archives for those

names and see what you come up with maybe?

Kori

At 05:22 PM 9/28/2005, you wrote:

>Hello,

>

>I just spoke over the phone with Dr. Pirani who came highly recommended by

>Dr. Ponseti and by lots of you here. He is very nice and said that I could

>definitely come to Vancouver to have my baby treated by him. He did say that

>there were two doctors in Calgary at the Children's Hospital that I should

>consult with before I decide to travel all the way to Vancouver to see him.

>

>Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

>knows them and knows they use the method but doesn't know how many feet

>they've treated or their success rates (he said that if they have done at

>least 20 feet using the method with good success rates, that I should

>consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

>definitely go and see both of them. I actually had a consult booked with a

>Dr. Goldstein and he recommended talking to these other Dr. instead. I

>definitely will, armed with my list of questions!

>

>He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

>Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

>can fall on weekends etc so in Vancouver he does every 7 days. What did all

>of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

>the first casting for a few weeks and commence in the New Year. I think I'd

>rather start right away or at least get the doctor here to do the initial

>casting until I can get to Vancouver. Isn't it better to start right away?

>

>I am still considering going to Iowa or Vancouver but it sure would be

>easier to stay in town since we've got a 13 month old and a 2.5 yr old to

>content with. I just feel anxious knowing how important it is to start out

>with the right doctor and don't want to mess it up! I could just fly out to

>Vancouver every week but that is lots of $$ and I do have an aunt there and

>can probably stay with her. I wonder if an airline would give a deal on

>tickets if you explained why you had to fly so much? Probably not, but you

>never know.

>Sorry to ramble I just basically wanted to know what you all thought about 7

>vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

>Joughin?

>

>Thanks!

>

>Halley

>

>

>

>

>

>

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I second all this! Do take a little time to let your baby adjust to " being

born " and you two bond and you enjoy those little feet and don't fret about any

of it! I realize religious posts here are sort of prohibited but I just want

to say I was reading some scripture quotes last night about pregnancy... how God

knows our children in the womb as he creates them in the image they need to

serve the purpose He already has planned out for them in life. Take comfort in

your crooked baby that God doesn't make junk.

s.

Re: chatted with Dr. Pirani, can I ask all of you

a couple of things?

Hi Halley,

First off, the casting every 7 days is actually the norm. And I

think even Dr. Ponseti does 7 days in Iowa for in town

patients. Those from out of town get an accelerated casting schedule

of every 5 days so they can get home faster. It cuts off a couple of

weeks from the normal casting period when done every 5 days. But

most docs do cast weekly so that's not something you need to worry about.

As far as when to start casting, it depends mostly on your birth

history I guess. If you expect to go 2w early, then waiting would

mean 4w. If you are always late, or even on time you probably won't

need to worry about it. Casting early is beneficial, but not so

important that it can't wait a week or two. Also, that is a

wonderful time to be with your infant with his/her feet exactly the

way they are, all twisted and sweet... you won't see those feet ever

again and so many of us who jumped right into casts after birth feel

that we'd like to see those feet again and love them a little longer

than we got to. It's perfectly ok to wait a week or two to start

casting, enjoy that time and take lots of pictures. You will value

them later. It is actually recommended that you wait a week to be

able to have that time with your baby. One more isn't going to make

the least bit of difference assuming the hands that are treating

those feet are doing it properly.

You may not have seen this, but recently Dr. Ponseti has been able to

obtain an impressive amount of correction on a 3-1/2yo's previously

untreated feet. You can see their story if you read back just about

4 days, they are still in Iowa right now. Simply amazing! The

standard has gone from needing to get treatment preferably before 1y

of age to before 2y and now we're seeing much older feet respond in

ways they hadn't previously thought possible. Take your two weeks...

take 3... make sure the doc is the *right one* for *your* child,

keep your eyes and ears open and don't doubt your research. Be

strong in how you want your child treated and post any time you've

got questions. Smooth sailing from her on out... well, gotta get

the baby our first lol!

Lastly, I absolutely would consult with the docs in your

area. Especially the one Dr. Pirani trained. If you go in with your

guns loaded and make sure he knows you " talked " to Dr. Pirani... I'm

sure that'll make an impression of sorts hehe... The thing is, you

know what to look out for, you know what you want, and you have the

ammunition to make an impression before you even walk in the

door. If you find it doesn't work out, you can always find another

doc. You may want to make appointments with both of them, say a few

weeks apart so that if you do need to change you don't need to

wait. I know I could do this in the US, but not sure in Canada. If

you could though, wouldn't be a bad idea for just in case.

Thanks for posting, it would be great if you did find good docs in

your area. We're always looking to hear about great docs we didn't

know about. Then again... it's hard to want to be the guinea pigs

when it's your child isn't it? tough...

Enjoy the rest of your pregnancy (as much as you can with those other

two running around - boy do I know that!) and do let us know about

those docs. Hopefully someone here will be able to tell you

something more. I do remember hearing the name Keifer recently

though... hummmm... try searching the group archives for those

names and see what you come up with maybe?

Kori

At 05:22 PM 9/28/2005, you wrote:

>Hello,

>

>I just spoke over the phone with Dr. Pirani who came highly recommended by

>Dr. Ponseti and by lots of you here. He is very nice and said that I could

>definitely come to Vancouver to have my baby treated by him. He did say that

>there were two doctors in Calgary at the Children's Hospital that I should

>consult with before I decide to travel all the way to Vancouver to see him.

>

>Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

>knows them and knows they use the method but doesn't know how many feet

>they've treated or their success rates (he said that if they have done at

>least 20 feet using the method with good success rates, that I should

>consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

>definitely go and see both of them. I actually had a consult booked with a

>Dr. Goldstein and he recommended talking to these other Dr. instead. I

>definitely will, armed with my list of questions!

>

>He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

>Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

>can fall on weekends etc so in Vancouver he does every 7 days. What did all

>of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

>the first casting for a few weeks and commence in the New Year. I think I'd

>rather start right away or at least get the doctor here to do the initial

>casting until I can get to Vancouver. Isn't it better to start right away?

>

>I am still considering going to Iowa or Vancouver but it sure would be

>easier to stay in town since we've got a 13 month old and a 2.5 yr old to

>content with. I just feel anxious knowing how important it is to start out

>with the right doctor and don't want to mess it up! I could just fly out to

>Vancouver every week but that is lots of $$ and I do have an aunt there and

>can probably stay with her. I wonder if an airline would give a deal on

>tickets if you explained why you had to fly so much? Probably not, but you

>never know.

>Sorry to ramble I just basically wanted to know what you all thought about 7

>vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

>Joughin?

>

>Thanks!

>

>Halley

>

>

>

>

>

>

Link to comment
Share on other sites

I second all this! Do take a little time to let your baby adjust to " being

born " and you two bond and you enjoy those little feet and don't fret about any

of it! I realize religious posts here are sort of prohibited but I just want

to say I was reading some scripture quotes last night about pregnancy... how God

knows our children in the womb as he creates them in the image they need to

serve the purpose He already has planned out for them in life. Take comfort in

your crooked baby that God doesn't make junk.

s.

Re: chatted with Dr. Pirani, can I ask all of you

a couple of things?

Hi Halley,

First off, the casting every 7 days is actually the norm. And I

think even Dr. Ponseti does 7 days in Iowa for in town

patients. Those from out of town get an accelerated casting schedule

of every 5 days so they can get home faster. It cuts off a couple of

weeks from the normal casting period when done every 5 days. But

most docs do cast weekly so that's not something you need to worry about.

As far as when to start casting, it depends mostly on your birth

history I guess. If you expect to go 2w early, then waiting would

mean 4w. If you are always late, or even on time you probably won't

need to worry about it. Casting early is beneficial, but not so

important that it can't wait a week or two. Also, that is a

wonderful time to be with your infant with his/her feet exactly the

way they are, all twisted and sweet... you won't see those feet ever

again and so many of us who jumped right into casts after birth feel

that we'd like to see those feet again and love them a little longer

than we got to. It's perfectly ok to wait a week or two to start

casting, enjoy that time and take lots of pictures. You will value

them later. It is actually recommended that you wait a week to be

able to have that time with your baby. One more isn't going to make

the least bit of difference assuming the hands that are treating

those feet are doing it properly.

You may not have seen this, but recently Dr. Ponseti has been able to

obtain an impressive amount of correction on a 3-1/2yo's previously

untreated feet. You can see their story if you read back just about

4 days, they are still in Iowa right now. Simply amazing! The

standard has gone from needing to get treatment preferably before 1y

of age to before 2y and now we're seeing much older feet respond in

ways they hadn't previously thought possible. Take your two weeks...

take 3... make sure the doc is the *right one* for *your* child,

keep your eyes and ears open and don't doubt your research. Be

strong in how you want your child treated and post any time you've

got questions. Smooth sailing from her on out... well, gotta get

the baby our first lol!

Lastly, I absolutely would consult with the docs in your

area. Especially the one Dr. Pirani trained. If you go in with your

guns loaded and make sure he knows you " talked " to Dr. Pirani... I'm

sure that'll make an impression of sorts hehe... The thing is, you

know what to look out for, you know what you want, and you have the

ammunition to make an impression before you even walk in the

door. If you find it doesn't work out, you can always find another

doc. You may want to make appointments with both of them, say a few

weeks apart so that if you do need to change you don't need to

wait. I know I could do this in the US, but not sure in Canada. If

you could though, wouldn't be a bad idea for just in case.

Thanks for posting, it would be great if you did find good docs in

your area. We're always looking to hear about great docs we didn't

know about. Then again... it's hard to want to be the guinea pigs

when it's your child isn't it? tough...

Enjoy the rest of your pregnancy (as much as you can with those other

two running around - boy do I know that!) and do let us know about

those docs. Hopefully someone here will be able to tell you

something more. I do remember hearing the name Keifer recently

though... hummmm... try searching the group archives for those

names and see what you come up with maybe?

Kori

At 05:22 PM 9/28/2005, you wrote:

>Hello,

>

>I just spoke over the phone with Dr. Pirani who came highly recommended by

>Dr. Ponseti and by lots of you here. He is very nice and said that I could

>definitely come to Vancouver to have my baby treated by him. He did say that

>there were two doctors in Calgary at the Children's Hospital that I should

>consult with before I decide to travel all the way to Vancouver to see him.

>

>Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says that he

>knows them and knows they use the method but doesn't know how many feet

>they've treated or their success rates (he said that if they have done at

>least 20 feet using the method with good success rates, that I should

>consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I will

>definitely go and see both of them. I actually had a consult booked with a

>Dr. Goldstein and he recommended talking to these other Dr. instead. I

>definitely will, armed with my list of questions!

>

>He said that if I come out here he casts every Tuesdays so every 7 days. Dr.

>Ponseti casts every 5 days and that is supposed to be ideal but sometimes it

>can fall on weekends etc so in Vancouver he does every 7 days. What did all

>of your Dr.s do? Also, since my baby is due Dec 18, he said I could delay

>the first casting for a few weeks and commence in the New Year. I think I'd

>rather start right away or at least get the doctor here to do the initial

>casting until I can get to Vancouver. Isn't it better to start right away?

>

>I am still considering going to Iowa or Vancouver but it sure would be

>easier to stay in town since we've got a 13 month old and a 2.5 yr old to

>content with. I just feel anxious knowing how important it is to start out

>with the right doctor and don't want to mess it up! I could just fly out to

>Vancouver every week but that is lots of $$ and I do have an aunt there and

>can probably stay with her. I wonder if an airline would give a deal on

>tickets if you explained why you had to fly so much? Probably not, but you

>never know.

>Sorry to ramble I just basically wanted to know what you all thought about 7

>vs 5 day castings and if anyone has heard of either Dr. Kiefer or Dr.

>Joughin?

>

>Thanks!

>

>Halley

>

>

>

>

>

>

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Share on other sites

Hi - I just had my baby on August 4 and remember wondering how soon

we should get her treated too. In the end, we flew out to Iowa City

and got her treated at 3.5 weeks. I called Joyce (Dr. Ponseti's

secretary) to ask her if we should fly out right away, and she told

me that we should enjoy her and it really wouldn't make a difference

to come at 2.5 weeks or 3.5 weeks. So, we went at 3.5 weeks.

Good luck and enjoy your pregnancy!

-Yuuko and

> >Hello,

> >

> >I just spoke over the phone with Dr. Pirani who came highly

recommended by

> >Dr. Ponseti and by lots of you here. He is very nice and said

that I could

> >definitely come to Vancouver to have my baby treated by him. He

did say that

> >there were two doctors in Calgary at the Children's Hospital that

I should

> >consult with before I decide to travel all the way to Vancouver

to see him.

> >

> >Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He

says that he

> >knows them and knows they use the method but doesn't know how

many feet

> >they've treated or their success rates (he said that if they have

done at

> >least 20 feet using the method with good success rates, that I

should

> >consider them). Apparently Dr. Kiefer was trained by Dr. Pirani.

I will

> >definitely go and see both of them. I actually had a consult

booked with a

> >Dr. Goldstein and he recommended talking to these other Dr.

instead. I

> >definitely will, armed with my list of questions!

> >

> >He said that if I come out here he casts every Tuesdays so every

7 days. Dr.

> >Ponseti casts every 5 days and that is supposed to be ideal but

sometimes it

> >can fall on weekends etc so in Vancouver he does every 7 days.

What did all

> >of your Dr.s do? Also, since my baby is due Dec 18, he said I

could delay

> >the first casting for a few weeks and commence in the New Year. I

think I'd

> >rather start right away or at least get the doctor here to do the

initial

> >casting until I can get to Vancouver. Isn't it better to start

right away?

> >

> >I am still considering going to Iowa or Vancouver but it sure

would be

> >easier to stay in town since we've got a 13 month old and a 2.5

yr old to

> >content with. I just feel anxious knowing how important it is to

start out

> >with the right doctor and don't want to mess it up! I could just

fly out to

> >Vancouver every week but that is lots of $$ and I do have an aunt

there and

> >can probably stay with her. I wonder if an airline would give a

deal on

> >tickets if you explained why you had to fly so much? Probably

not, but you

> >never know.

> >Sorry to ramble I just basically wanted to know what you all

thought about 7

> >vs 5 day castings and if anyone has heard of either Dr. Kiefer or

Dr.

> >Joughin?

> >

> >Thanks!

> >

> >Halley

> >

> >

> >

> >

> >

> >

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Hi - I just had my baby on August 4 and remember wondering how soon

we should get her treated too. In the end, we flew out to Iowa City

and got her treated at 3.5 weeks. I called Joyce (Dr. Ponseti's

secretary) to ask her if we should fly out right away, and she told

me that we should enjoy her and it really wouldn't make a difference

to come at 2.5 weeks or 3.5 weeks. So, we went at 3.5 weeks.

Good luck and enjoy your pregnancy!

-Yuuko and

> >Hello,

> >

> >I just spoke over the phone with Dr. Pirani who came highly

recommended by

> >Dr. Ponseti and by lots of you here. He is very nice and said

that I could

> >definitely come to Vancouver to have my baby treated by him. He

did say that

> >there were two doctors in Calgary at the Children's Hospital that

I should

> >consult with before I decide to travel all the way to Vancouver

to see him.

> >

> >Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He

says that he

> >knows them and knows they use the method but doesn't know how

many feet

> >they've treated or their success rates (he said that if they have

done at

> >least 20 feet using the method with good success rates, that I

should

> >consider them). Apparently Dr. Kiefer was trained by Dr. Pirani.

I will

> >definitely go and see both of them. I actually had a consult

booked with a

> >Dr. Goldstein and he recommended talking to these other Dr.

instead. I

> >definitely will, armed with my list of questions!

> >

> >He said that if I come out here he casts every Tuesdays so every

7 days. Dr.

> >Ponseti casts every 5 days and that is supposed to be ideal but

sometimes it

> >can fall on weekends etc so in Vancouver he does every 7 days.

What did all

> >of your Dr.s do? Also, since my baby is due Dec 18, he said I

could delay

> >the first casting for a few weeks and commence in the New Year. I

think I'd

> >rather start right away or at least get the doctor here to do the

initial

> >casting until I can get to Vancouver. Isn't it better to start

right away?

> >

> >I am still considering going to Iowa or Vancouver but it sure

would be

> >easier to stay in town since we've got a 13 month old and a 2.5

yr old to

> >content with. I just feel anxious knowing how important it is to

start out

> >with the right doctor and don't want to mess it up! I could just

fly out to

> >Vancouver every week but that is lots of $$ and I do have an aunt

there and

> >can probably stay with her. I wonder if an airline would give a

deal on

> >tickets if you explained why you had to fly so much? Probably

not, but you

> >never know.

> >Sorry to ramble I just basically wanted to know what you all

thought about 7

> >vs 5 day castings and if anyone has heard of either Dr. Kiefer or

Dr.

> >Joughin?

> >

> >Thanks!

> >

> >Halley

> >

> >

> >

> >

> >

> >

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Hi Halley,

First of all, congratulations on your pregnancy!! And welcome to the

group.

We see Dr. Pirani in New Westminister (Vancouver) and he is just

excellent. We have also seen him train quite a few doctors in our

short history with him. He has also been intregal to bringing the

Ponseti Method to Africa by being a key member in the Ugandan

Project, he is just an amazing passionate doctor!!

If Dr. Pirani trained Dr. Keifer, I would give him a shot first,

before you travel all the way out here. You know the check list and

what questions to ask - you are well informed. If after speaking with

him and asking him some of the questions from the checklist (files

section) and you feel comfortable, I would see him.

If you are not comfortable with his answers, results etc, you can

always travel out here to see Dr. Pirani, his casting clinics are

every Tues and they will always get you in right away.

If I had it to do over again, we would have waited longer to get

Grace into her cast (a couple of weeks). Just to snuggle her and her

crookedy little foot. We would have also taken many more pics!! As it

was, she was undiagnosed (had a kidney issue, so her rcf was missed)

so it was such a shock and without knowing it was OK to wait a couple

of weeks to get her into a cast, which it is, it is totally fine, we

had her casted at 4 days old.

Anyway, good luck with your appts. and keep us informed!

& Grace :o) 14mos

right unilateral FAB 12-14hrs

> Hello,

>

> I just spoke over the phone with Dr. Pirani who came highly

recommended by

> Dr. Ponseti and by lots of you here. He is very nice and said that

I could

> definitely come to Vancouver to have my baby treated by him. He did

say that

> there were two doctors in Calgary at the Children's Hospital that I

should

> consult with before I decide to travel all the way to Vancouver to

see him.

>

> Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says

that he

> knows them and knows they use the method but doesn't know how many

feet

> they've treated or their success rates (he said that if they have

done at

> least 20 feet using the method with good success rates, that I

should

> consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I

will

> definitely go and see both of them. I actually had a consult booked

with a

> Dr. Goldstein and he recommended talking to these other Dr.

instead. I

> definitely will, armed with my list of questions!

>

> He said that if I come out here he casts every Tuesdays so every 7

days. Dr.

> Ponseti casts every 5 days and that is supposed to be ideal but

sometimes it

> can fall on weekends etc so in Vancouver he does every 7 days. What

did all

> of your Dr.s do? Also, since my baby is due Dec 18, he said I could

delay

> the first casting for a few weeks and commence in the New Year. I

think I'd

> rather start right away or at least get the doctor here to do the

initial

> casting until I can get to Vancouver. Isn't it better to start

right away?

>

> I am still considering going to Iowa or Vancouver but it sure would

be

> easier to stay in town since we've got a 13 month old and a 2.5 yr

old to

> content with. I just feel anxious knowing how important it is to

start out

> with the right doctor and don't want to mess it up! I could just

fly out to

> Vancouver every week but that is lots of $$ and I do have an aunt

there and

> can probably stay with her. I wonder if an airline would give a

deal on

> tickets if you explained why you had to fly so much? Probably not,

but you

> never know.

> Sorry to ramble I just basically wanted to know what you all

thought about 7

> vs 5 day castings and if anyone has heard of either Dr. Kiefer or

Dr.

> Joughin?

>

> Thanks!

>

> Halley

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Share on other sites

Hi Halley,

First of all, congratulations on your pregnancy!! And welcome to the

group.

We see Dr. Pirani in New Westminister (Vancouver) and he is just

excellent. We have also seen him train quite a few doctors in our

short history with him. He has also been intregal to bringing the

Ponseti Method to Africa by being a key member in the Ugandan

Project, he is just an amazing passionate doctor!!

If Dr. Pirani trained Dr. Keifer, I would give him a shot first,

before you travel all the way out here. You know the check list and

what questions to ask - you are well informed. If after speaking with

him and asking him some of the questions from the checklist (files

section) and you feel comfortable, I would see him.

If you are not comfortable with his answers, results etc, you can

always travel out here to see Dr. Pirani, his casting clinics are

every Tues and they will always get you in right away.

If I had it to do over again, we would have waited longer to get

Grace into her cast (a couple of weeks). Just to snuggle her and her

crookedy little foot. We would have also taken many more pics!! As it

was, she was undiagnosed (had a kidney issue, so her rcf was missed)

so it was such a shock and without knowing it was OK to wait a couple

of weeks to get her into a cast, which it is, it is totally fine, we

had her casted at 4 days old.

Anyway, good luck with your appts. and keep us informed!

& Grace :o) 14mos

right unilateral FAB 12-14hrs

> Hello,

>

> I just spoke over the phone with Dr. Pirani who came highly

recommended by

> Dr. Ponseti and by lots of you here. He is very nice and said that

I could

> definitely come to Vancouver to have my baby treated by him. He did

say that

> there were two doctors in Calgary at the Children's Hospital that I

should

> consult with before I decide to travel all the way to Vancouver to

see him.

>

> Has anyone heard anything about Dr. Kiefer and Dr. Joughin? He says

that he

> knows them and knows they use the method but doesn't know how many

feet

> they've treated or their success rates (he said that if they have

done at

> least 20 feet using the method with good success rates, that I

should

> consider them). Apparently Dr. Kiefer was trained by Dr. Pirani. I

will

> definitely go and see both of them. I actually had a consult booked

with a

> Dr. Goldstein and he recommended talking to these other Dr.

instead. I

> definitely will, armed with my list of questions!

>

> He said that if I come out here he casts every Tuesdays so every 7

days. Dr.

> Ponseti casts every 5 days and that is supposed to be ideal but

sometimes it

> can fall on weekends etc so in Vancouver he does every 7 days. What

did all

> of your Dr.s do? Also, since my baby is due Dec 18, he said I could

delay

> the first casting for a few weeks and commence in the New Year. I

think I'd

> rather start right away or at least get the doctor here to do the

initial

> casting until I can get to Vancouver. Isn't it better to start

right away?

>

> I am still considering going to Iowa or Vancouver but it sure would

be

> easier to stay in town since we've got a 13 month old and a 2.5 yr

old to

> content with. I just feel anxious knowing how important it is to

start out

> with the right doctor and don't want to mess it up! I could just

fly out to

> Vancouver every week but that is lots of $$ and I do have an aunt

there and

> can probably stay with her. I wonder if an airline would give a

deal on

> tickets if you explained why you had to fly so much? Probably not,

but you

> never know.

> Sorry to ramble I just basically wanted to know what you all

thought about 7

> vs 5 day castings and if anyone has heard of either Dr. Kiefer or

Dr.

> Joughin?

>

> Thanks!

>

> Halley

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Hi Halley,

I can't help with the specific Drs, but I can tell you my experience

on the other questions. Raphael (3 weeks old today, and in his

third cast) is being treated by Dr. Mosca (in Seattle), certified by

Ponseti and highly recommended by folks here. Our first cast was

at 9 days old (9/21, Raphael was born 9/12). I had initially hoped

to start sooner --- my EDD was 9/5, and we actually had an appointment

scheduled for 9/9, which we didn't make :-P. In the end, I'm

really glad we had the time to settle in first rather than contending

with the cast (and slighly more complicated diaper changes, plus

a fussy baby on cast day) right away. Most of our cast appointments

are 7 days apart, just this one was after 5 days. Dr. Mosca actually

said something today about possibly slowing down (doing less

correction with this cast than could be possible) to give Raphael's

feet time to get big enough for the shoes before he's done with the

casts! So, I guess that mean that neither the 9 day delay nor the

weekly casting schedule is slowing things down, at least.

--

Toby 5/02

Raphael 9/05 lcf, 3rd cast

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