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The appointment yesterday went very well. We ended up having to wait

for quite awhile because Dr. Pirani had three residents as well as a

visiting doctor from the Congo that he was training. When we finally

got asked in, Hayden was just starting to drift off. But, Dr. Pirani

took the time to explain everything very carefully to Doug and also to

the students. We then proceeded with the treatment. We distracted

Hayden with a " rain stick " and a bottle of formula and for the first

little while he was fine. The underlayer was a cotton stocking-like

sock. Dr. Pirani had a technique that he had designed to prevent the

casts from slipping and that was to wrap the first layer of the cast

around the foot and ankle as though you were putting a tensor bandage

on, leaving the heel exposed. Then the top layer went over everything.

Hayden was fine for almost the first complete cast and then started to

get a little fussy. He started crying and I suspected that he was

tired, so I suggested that I nurse him. Everyone left so I could calm

him and he nursed to sleep. They returned and did the second foot. He

started to surface a couple of times, but I just shoved the boob back

into his mouth and stroked his head. Done. No screaming, no holding

him down, no upset baby or mommy. I did the right thing and I am very

grateful to my husband for going along with it. Hayden is going to be

alright!

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,

I'm so glad it went so well! That is wonderful. Just curious, were

you not able to nurse him during castings at Dr. Alvarez's office?

Or was he just to frantic to be able to?

>

> The appointment yesterday went very well. We ended up having to wait

> for quite awhile because Dr. Pirani had three residents as well as a

> visiting doctor from the Congo that he was training. When we finally

> got asked in, Hayden was just starting to drift off. But, Dr. Pirani

> took the time to explain everything very carefully to Doug and also

to

> the students. We then proceeded with the treatment. We distracted

> Hayden with a " rain stick " and a bottle of formula and for the first

> little while he was fine. The underlayer was a cotton stocking-like

> sock. Dr. Pirani had a technique that he had designed to prevent the

> casts from slipping and that was to wrap the first layer of the cast

> around the foot and ankle as though you were putting a tensor

bandage

> on, leaving the heel exposed. Then the top layer went over

everything.

> Hayden was fine for almost the first complete cast and then started

to

> get a little fussy. He started crying and I suspected that he was

> tired, so I suggested that I nurse him. Everyone left so I could

calm

> him and he nursed to sleep. They returned and did the second foot.

He

> started to surface a couple of times, but I just shoved the boob

back

> into his mouth and stroked his head. Done. No screaming, no holding

> him down, no upset baby or mommy. I did the right thing and I am

very

> grateful to my husband for going along with it. Hayden is going to

be

> alright!

>

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Oh no - I was never allowed to nurse him during the

procedure - it consisted of him on a table with four

of us holding him down. Any wonder why it was so

traumatic? Sometimes they would let me pick him up

between the casts, but I would decline often because I

just wanted to get it over with since he was screaming

so hard and didn't want to prolong the agony.

The other major difference is that the casts are MUCH

thinner and do not go as far up his thighs as the

others so he can actually sit comfortably in his

carseat, etc. I'm also hoping that the thinner casts

combined with the single sock underlay will help the

skin problems he's had in the past.

--- wrote:

---------------------------------

,

I'm so glad it went so well! That is wonderful. Just

curious, were

you not able to nurse him during castings at Dr.

Alvarez's office?

Or was he just to frantic to be able to?

>

> The appointment yesterday went very well. We ended

up having to wait

> for quite awhile because Dr. Pirani had three

residents as well as a

> visiting doctor from the Congo that he was training.

When we finally

> got asked in, Hayden was just starting to drift off.

But, Dr. Pirani

> took the time to explain everything very carefully

to Doug and also

to

> the students. We then proceeded with the treatment.

We distracted

> Hayden with a " rain stick " and a bottle of formula

and for the first

> little while he was fine. The underlayer was a

cotton stocking-like

> sock. Dr. Pirani had a technique that he had

designed to prevent the

> casts from slipping and that was to wrap the first

layer of the cast

> around the foot and ankle as though you were putting

a tensor

bandage

> on, leaving the heel exposed. Then the top layer

went over

everything.

> Hayden was fine for almost the first complete cast

and then started

to

> get a little fussy. He started crying and I

suspected that he was

> tired, so I suggested that I nurse him. Everyone

left so I could

calm

> him and he nursed to sleep. They returned and did

the second foot.

He

> started to surface a couple of times, but I just

shoved the boob

back

> into his mouth and stroked his head. Done. No

screaming, no holding

> him down, no upset baby or mommy. I did the right

thing and I am

very

> grateful to my husband for going along with it.

Hayden is going to

be

> alright!

>

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> >

> > The appointment yesterday went very well. We ended

> up having to wait

> > for quite awhile because Dr. Pirani had three

> residents as well as a

> > visiting doctor from the Congo that he was training.

> When we finally

> > got asked in, Hayden was just starting to drift off.

> But, Dr. Pirani

> > took the time to explain everything very carefully

> to Doug and also

> to

> > the students. We then proceeded with the treatment.

> We distracted

> > Hayden with a " rain stick " and a bottle of formula

> and for the first

> > little while he was fine. The underlayer was a

> cotton stocking-like

> > sock. Dr. Pirani had a technique that he had

> designed to prevent the

> > casts from slipping and that was to wrap the first

> layer of the cast

> > around the foot and ankle as though you were putting

> a tensor

> bandage

> > on, leaving the heel exposed. Then the top layer

> went over

> everything.

> > Hayden was fine for almost the first complete cast

> and then started

> to

> > get a little fussy. He started crying and I

> suspected that he was

> > tired, so I suggested that I nurse him. Everyone

> left so I could

> calm

> > him and he nursed to sleep. They returned and did

> the second foot.

> He

> > started to surface a couple of times, but I just

> shoved the boob

> back

> > into his mouth and stroked his head. Done. No

> screaming, no holding

> > him down, no upset baby or mommy. I did the right

> thing and I am

> very

> > grateful to my husband for going along with it.

> Hayden is going to

> be

> > alright!

> >

>

>

>

>

>

>

>

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,

I'm so happy to hear your update. I can hear the relief in your words!

I, too, saw a huge difference in castings once we switched doctors

(we went to Iowa). My baby had screamed herself purple during the

previous castings, with me holding her down, tears streaming down my

cheeks too at having to do it. Once we got to Iowa, castings were a

huge contrast, so peaceful.. she was so comfortable she just lay back

and looked around the room, babbling or cooing. The room was silent

much of the time, with Dr. P and the other doctors and nurses

whispering, even .. the only sound the rainstick or rattle they used

to interest her. If there was ever any question in my mind we had

made the right decision in going, seeing that immediate difference in

my child was my first clue..

and then, the improvement in her foot after even just that first

cast.. what a difference..

I'm so glad you are on this track. Please keep us informed! we're so

interested.

and Claire age 5

>

> Oh no - I was never allowed to nurse him during the

> procedure - it consisted of him on a table with four

> of us holding him down. Any wonder why it was so

> traumatic? Sometimes they would let me pick him up

> between the casts, but I would decline often because I

> just wanted to get it over with since he was screaming

> so hard and didn't want to prolong the agony.

>

>

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, I was hoping to see your update - I've been checking this

board all day! I'm so glad to hear that the castings went so well.

Hayden is in excellent care and you and Doug will not be sorry!

Please keep us updated as you all continue your journey!

Daiga and Owen, 02/04/03

Unilateral LCF, FAB 14/7

>

> The appointment yesterday went very well. We ended up having to wait

> for quite awhile because Dr. Pirani had three residents as well as a

> visiting doctor from the Congo that he was training. When we finally

> got asked in, Hayden was just starting to drift off. But, Dr. Pirani

> took the time to explain everything very carefully to Doug and also

to

> the students. We then proceeded with the treatment. We distracted

> Hayden with a " rain stick " and a bottle of formula and for the first

> little while he was fine. The underlayer was a cotton stocking-like

> sock. Dr. Pirani had a technique that he had designed to prevent the

> casts from slipping and that was to wrap the first layer of the cast

> around the foot and ankle as though you were putting a tensor

bandage

> on, leaving the heel exposed. Then the top layer went over

everything.

> Hayden was fine for almost the first complete cast and then started

to

> get a little fussy. He started crying and I suspected that he was

> tired, so I suggested that I nurse him. Everyone left so I could

calm

> him and he nursed to sleep. They returned and did the second foot.

He

> started to surface a couple of times, but I just shoved the boob

back

> into his mouth and stroked his head. Done. No screaming, no holding

> him down, no upset baby or mommy. I did the right thing and I am

very

> grateful to my husband for going along with it. Hayden is going to

be

> alright!

>

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