Question regarding transition into FAB

[Guest guest]

I have a question regarding the transition from the casts into the FAB. As

our transition, by all accounts was not good, I am trying to figure out what

SHOULD have been done...

We started seeing Dr. Herzenberg in Baltimore after Maddie was out of her

casts and we were having a lot of problems with the DBB. We were seeing Dr.

Sponseller at 's Hopkins. When she was casted, he used the peel away

casts, not plaster. When she transitioned into the Markell shoes, I peeled

her casts off on the day that he indicated (we were at home) and per his

instructions, put her immediately into the shoes, 23 hours a day. He never

saw her feet prior to the shoes, and he never fitted her. I went to the

shoe store and the sales associate helped me... We (meaning me and the

sales associate- after e-mail contact with Dr. Sponseller) tried three

different pairs of shoes prior to seeing Dr. Herzenberg.

What I am trying to find out is how does one properly transition from the

casts into the brace (DDB or )? Maddie screamed almost non-stop for

two weeks. This is why we sought out Dr. Herzenberg... Dr. Sponseller was

not helping and even suggested that we reduce to 50 degrees abduction vs.

the 70.

I am trying to figure out what SHOULD have been done. Her feet and legs

were so red and puffy when the casts came off, but Dr. Sponseller told me

that she had to go into the shoes immediately, I mean right away. I was

acutally scared that I may not get them on fast enough! She was sized

(again, by the sales associate at the shoe store) with her casts on. As I

was doing it... it made no sense to me, but figured Dr. Sponseller knew what

he was doing. She screamed so bad when I would put them on and would not

stop until she literally fell asleep from exhaustion. This is when I found

this group.... and realized that something was not right.

As Dr. Herzenberg has indicated to me that Maddie's feet do look good and

are corrected properly. I still wonder what I should have done

differently. Hind sight is 20/20, but perhaps others can benefit. It seems

to me that the transition phase is important. How do you " do " the

transition properly?

This is just something that has bothered me for a while....

Thanks, Kim

Mom to Maddie 06/16/2005, BCF, P/M Brace

[Guest guest]

When Kelsey came out of her last cast, she did go directly into the FAB but it

was in the Doctors office. Our doctor had the orthotist come to the

appointment with us and she and the orthotist fit the shoes on together and

both made sue that the shoes and bar were the proper fit when we left. Not all

doctors do this but it certainly gave me great peace of mind during that

adjustment period because I knew they fit correctly.

Jenni

Kim wrote: I have a question regarding the

transition from the casts into the FAB. As

our transition, by all accounts was not good, I am trying to figure out what

SHOULD have been done...

We started seeing Dr. Herzenberg in Baltimore after Maddie was out of her

casts and we were having a lot of problems with the DBB. We were seeing Dr.

Sponseller at 's Hopkins. When she was casted, he used the peel away

casts, not plaster. When she transitioned into the Markell shoes, I peeled

her casts off on the day that he indicated (we were at home) and per his

instructions, put her immediately into the shoes, 23 hours a day. He never

saw her feet prior to the shoes, and he never fitted her. I went to the

shoe store and the sales associate helped me... We (meaning me and the

sales associate- after e-mail contact with Dr. Sponseller) tried three

different pairs of shoes prior to seeing Dr. Herzenberg.

What I am trying to find out is how does one properly transition from the

casts into the brace (DDB or )? Maddie screamed almost non-stop for

two weeks. This is why we sought out Dr. Herzenberg... Dr. Sponseller was

not helping and even suggested that we reduce to 50 degrees abduction vs.

the 70.

I am trying to figure out what SHOULD have been done. Her feet and legs

were so red and puffy when the casts came off, but Dr. Sponseller told me

that she had to go into the shoes immediately, I mean right away. I was

acutally scared that I may not get them on fast enough! She was sized

(again, by the sales associate at the shoe store) with her casts on. As I

was doing it... it made no sense to me, but figured Dr. Sponseller knew what

he was doing. She screamed so bad when I would put them on and would not

stop until she literally fell asleep from exhaustion. This is when I found

this group.... and realized that something was not right.

As Dr. Herzenberg has indicated to me that Maddie's feet do look good and

are corrected properly. I still wonder what I should have done

differently. Hind sight is 20/20, but perhaps others can benefit. It seems

to me that the transition phase is important. How do you " do " the

transition properly?

This is just something that has bothered me for a while....

Thanks, Kim

Mom to Maddie 06/16/2005, BCF, P/M Brace

[Guest guest]

Sounds like your doctor let you down there big time in the transition. I

can't imagine having a shoe store lady set your kid up in the FAB. But I don't

really know what to say because we took Everett's last casts off at home

(applied by Dr. Ponseti) and there wasn't any of the redness or swelling I hear

others talk about. He did not wear the Markell's well though and had issues

with deep sores on his heels until we got the 's. After that it was

smooth sailing.

Theoretically the child's foot should be fitted to the shoe prior to that last

cast so you have the right size.

s.

Question regarding transition into FAB

I have a question regarding the transition from the casts into the FAB. As

our transition, by all accounts was not good, I am trying to figure out what

SHOULD have been done...

We started seeing Dr. Herzenberg in Baltimore after Maddie was out of her

casts and we were having a lot of problems with the DBB. We were seeing Dr.

Sponseller at 's Hopkins. When she was casted, he used the peel away

casts, not plaster. When she transitioned into the Markell shoes, I peeled

her casts off on the day that he indicated (we were at home) and per his

instructions, put her immediately into the shoes, 23 hours a day. He never

saw her feet prior to the shoes, and he never fitted her. I went to the

shoe store and the sales associate helped me... We (meaning me and the

sales associate- after e-mail contact with Dr. Sponseller) tried three

different pairs of shoes prior to seeing Dr. Herzenberg.

What I am trying to find out is how does one properly transition from the

casts into the brace (DDB or )? Maddie screamed almost non-stop for

two weeks. This is why we sought out Dr. Herzenberg... Dr. Sponseller was

not helping and even suggested that we reduce to 50 degrees abduction vs.

the 70.

I am trying to figure out what SHOULD have been done. Her feet and legs

were so red and puffy when the casts came off, but Dr. Sponseller told me

that she had to go into the shoes immediately, I mean right away. I was

acutally scared that I may not get them on fast enough! She was sized

(again, by the sales associate at the shoe store) with her casts on. As I

was doing it... it made no sense to me, but figured Dr. Sponseller knew what

he was doing. She screamed so bad when I would put them on and would not

stop until she literally fell asleep from exhaustion. This is when I found

this group.... and realized that something was not right.

As Dr. Herzenberg has indicated to me that Maddie's feet do look good and

are corrected properly. I still wonder what I should have done

differently. Hind sight is 20/20, but perhaps others can benefit. It seems

to me that the transition phase is important. How do you " do " the

transition properly?

This is just something that has bothered me for a while....

Thanks, Kim

Mom to Maddie 06/16/2005, BCF, P/M Brace

[Guest guest]

Our first go at the shoes was by no means perfect, but through no

fault of the doctor, or the orthotics department at Gilletted.

On the day Aleksander had his last casts removed, we had three

appointments:

1. With the cast techs to have the casts removed

2. With Dr. Quanbeck to check Aleksander's feet

3. With ATD to get Aleksander fitted for the shoes, and for my

husband and I to go over how to put the shoes on.

When we went to ATD, they measured Aleksander's feet and shoulder

width, and then prepared the shoes and bar for us. They demonstrated

how to put the shoes on, and then let us try it a few times before we

left. Aleksander actually slept thru getting the shoes put on, and

our trying them on him several times.

We ended up having problems, and Aleksander came very close to

developing pressure sores. But, we called Gillette and spoke to the

doctor on call that day, even though it was a weekend. He ultimately

ended up in healing casts, but the second go at the shoes has been

just fine.

Hope that helps.

Aleksander 11/24/05, bcf

>

> I have a question regarding the transition from the casts into the

FAB. As

> our transition, by all accounts was not good, I am trying to figure

out what

> SHOULD have been done...

>

> We started seeing Dr. Herzenberg in Baltimore after Maddie was out

of her

> casts and we were having a lot of problems with the DBB. We were

seeing Dr.

> Sponseller at 's Hopkins. When she was casted, he used the

peel away

> casts, not plaster. When she transitioned into the Markell shoes,

I peeled

> her casts off on the day that he indicated (we were at home) and

per his

> instructions, put her immediately into the shoes, 23 hours a day.

He never

> saw her feet prior to the shoes, and he never fitted her. I went

to the

> shoe store and the sales associate helped me... We (meaning me and

the

> sales associate- after e-mail contact with Dr. Sponseller) tried

three

> different pairs of shoes prior to seeing Dr. Herzenberg.

>

> What I am trying to find out is how does one properly transition

from the

> casts into the brace (DDB or )? Maddie screamed almost non-

stop for

> two weeks. This is why we sought out Dr. Herzenberg... Dr.

Sponseller was

> not helping and even suggested that we reduce to 50 degrees

abduction vs.

> the 70.

>

> I am trying to figure out what SHOULD have been done. Her feet and

legs

> were so red and puffy when the casts came off, but Dr. Sponseller

told me

> that she had to go into the shoes immediately, I mean right away.

I was

> acutally scared that I may not get them on fast enough! She was

sized

> (again, by the sales associate at the shoe store) with her casts

on. As I

> was doing it... it made no sense to me, but figured Dr. Sponseller

knew what

> he was doing. She screamed so bad when I would put them on and

would not

> stop until she literally fell asleep from exhaustion. This is when

I found

> this group.... and realized that something was not right.

>

> As Dr. Herzenberg has indicated to me that Maddie's feet do look

good and

> are corrected properly. I still wonder what I should have done

> differently. Hind sight is 20/20, but perhaps others can benefit.

It seems

> to me that the transition phase is important. How do you " do " the

> transition properly?

>

> This is just something that has bothered me for a while....

>

> Thanks, Kim

> Mom to Maddie 06/16/2005, BCF, P/M Brace

>

>

>