bit of info on Calgary Dr and could use your opinion...

[Guest guest]

Hello,

I just had an initial appt with Dr. Joughin today at Children's Hospital in

Calgary. Our baby is due on Dec. 18 w/suspected right club foot. She was one

of the two doctors that Dr. Pirani said that I should consult with before

deciding to travel out to Vancouver for treatment (though he said he was

perfectly happy to treat my baby too, but of course easier to be in your own

city).

She is not certified but apparently had Dr. Ponseti show her the technique

some time ago. She mentioned that Dr. Pirani would place his hand on hers

to show her how to correctly manipulate the bones and tendons. The reason

she is not certified is b/c she doesn't want to spend the money to do it. I

thought certification only involved submitting case studies so maybe she was

referring to taking the course to become certified or something like that.

She said she usually does 4-6 casts, 90% have a tenotomy, uses full length

fiberglass casts (she feels it is easier for her to apply them correctly

using fiberglass), uses DBB (FAB), and also has some patients go to the

shoes (though most use Markells). As for sugery rate for ATTs after

relapse she said that she has only done that a couple of times. One baby had

arthogryposis (spelling?) and one that parents just didn't want to go

through more casting. So she sounds promising though we are going to see one

more Dr. here in November who was trained by Dr. Pirani, his name is Dr.

Keifer.

I just had a question, Dr. Joughin has the baby wear the FAB full time until

one year old and then down to just nightime. I know that I would alter that

and probably decline hours of wear a little less suddenly after the one

year. Does one full year of full-time wear seem unusual or is that fine?

Also, both Dr. Keifer & Dr. Joughin are gone from Dec 21-Jan 5. I am due on

Dec 18 and am usually late. I was thinking of maybe going to see Dr. Pirani

(if he's in town then) for the first couple of casts and then having Dr.

Joughin or Dr. Keifer continue once they are back in town. I just don't want

to have the first cast put on and then have whatever Dr. is filling in put

on the next cast or two if they are not as adept at using the method. Dr.

Joughin said that as far as Ponseti method is concerned, she and Dr. Keifer

are the only ones that she feel are committed to the method and have most

experience. I think it's too good to switch doctors for castings if the one

doctor maybe doesn't quite have the knowledge experience with the method.

What do you think?

I suppose I could just wait the couple of weeks and start treatment in the

New Year too but on the other hand, it might be nice to get things started

off on the right foot by seeing Dr. Pirani. Well, I am rambling on so just

wanted to give some info on Dr. Joughin since it's good to get more info on

Drs and to get the opinion of some of you here as to what you would do.

Thank you all!

Halley

[Guest guest]

Hello,

I just had an initial appt with Dr. Joughin today at Children's Hospital in

Calgary. Our baby is due on Dec. 18 w/suspected right club foot. She was one

of the two doctors that Dr. Pirani said that I should consult with before

deciding to travel out to Vancouver for treatment (though he said he was

perfectly happy to treat my baby too, but of course easier to be in your own

city).

She is not certified but apparently had Dr. Ponseti show her the technique

some time ago. She mentioned that Dr. Pirani would place his hand on hers

to show her how to correctly manipulate the bones and tendons. The reason

she is not certified is b/c she doesn't want to spend the money to do it. I

thought certification only involved submitting case studies so maybe she was

referring to taking the course to become certified or something like that.

She said she usually does 4-6 casts, 90% have a tenotomy, uses full length

fiberglass casts (she feels it is easier for her to apply them correctly

using fiberglass), uses DBB (FAB), and also has some patients go to the

shoes (though most use Markells). As for sugery rate for ATTs after

relapse she said that she has only done that a couple of times. One baby had

arthogryposis (spelling?) and one that parents just didn't want to go

through more casting. So she sounds promising though we are going to see one

more Dr. here in November who was trained by Dr. Pirani, his name is Dr.

Keifer.

I just had a question, Dr. Joughin has the baby wear the FAB full time until

one year old and then down to just nightime. I know that I would alter that

and probably decline hours of wear a little less suddenly after the one

year. Does one full year of full-time wear seem unusual or is that fine?

Also, both Dr. Keifer & Dr. Joughin are gone from Dec 21-Jan 5. I am due on

Dec 18 and am usually late. I was thinking of maybe going to see Dr. Pirani

(if he's in town then) for the first couple of casts and then having Dr.

Joughin or Dr. Keifer continue once they are back in town. I just don't want

to have the first cast put on and then have whatever Dr. is filling in put

on the next cast or two if they are not as adept at using the method. Dr.

Joughin said that as far as Ponseti method is concerned, she and Dr. Keifer

are the only ones that she feel are committed to the method and have most

experience. I think it's too good to switch doctors for castings if the one

doctor maybe doesn't quite have the knowledge experience with the method.

What do you think?

I suppose I could just wait the couple of weeks and start treatment in the

New Year too but on the other hand, it might be nice to get things started

off on the right foot by seeing Dr. Pirani. Well, I am rambling on so just

wanted to give some info on Dr. Joughin since it's good to get more info on

Drs and to get the opinion of some of you here as to what you would do.

Thank you all!

Halley