Guest guest Posted November 18, 2002 Report Share Posted November 18, 2002 Hi there. My name is Amy, and I am due Feb. 28th. I have had two level II ultrasounds (wks 19 and 23), and both detected that my baby has bilateral clubfeet. I am located in the Phoenix area, and am wondering if anyone knows of any doctors in this area that use the Ponseti method. I have heard of a Dr. in Tucson, however that's about it, so far. Anyway, I want to do as much research as possible before my baby arrives, so that I'll be prepared to make some decisions. I am thrilled to have found this page, and am so much more confident that all will be ok, after taking the time to read alot of the posts. Thanks in advance for everyone's support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 18, 2002 Report Share Posted November 18, 2002 Hi Amy, welcome to our board! i'm sure you will find MORE than enough help/support here! First off, congrats on your pregnancy ~ you have to be so excited. we're due with our 3rd child in 4 weeks and are counting down the days! we didn't know our son (our 2nd child) had CF until birth so there was a lot of scrambling to try to figure out what to do - i'd never even seen a CF before! My MIL found out about Dr. Ponseti and we flew from SW Florida to Iowa when our son was 12 days old - this is definitely the best method of treatment! our son is now 15 months old and is running everywhere! you mentioned that you are in AZ, i don't know for sure if there are any docs that practice Dr. P's method there, but here's the link... http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html again, welcome and keep us updated on your pregnancy ~ please post any questions you have ~ there are a lot of VERY knowledgeable people on this board that have gone thru what you're going thru now. best wishes - belly rubs from a fellow preggo Tia & Kelby 8-3-01 bilateral CF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Thanks so much for your response! I wrote to Dr. P's office, and they don't have anyone in Az on their list of certified Ponseti method doctors, so I do have a bit of research to do. I do have a name of a pediatric orthopedic surgeon in the area that " incorporates " the Ponseti method, and I have a consultation scheduled with him in Dec., so I'll see what he has to say. He comes very highly recommended, which makes me feel a little better. I guess I'm glad to know ahead of time, but this is my first, and I have been awfully worried too. I had an amnio done, so I do know that there isn't anything else chromosome -related wrong, but I am still a little stressed out, to say the least! So you flew out to Iowa? How long did you stay? Im not opposed to flying to Iowa, but I can't afford to do it on a weekly basis, so I'm wondering how you worked it out? Was it shocking for you to see the feet, esp. not expecting it? Sorry for all of the questions....!! Re: so glad to have found this page! Hi Amy, welcome to our board! i'm sure you will find MORE than enough help/support here! First off, congrats on your pregnancy ~ you have to be so excited. we're due with our 3rd child in 4 weeks and are counting down the days! we didn't know our son (our 2nd child) had CF until birth so there was a lot of scrambling to try to figure out what to do - i'd never even seen a CF before! My MIL found out about Dr. Ponseti and we flew from SW Florida to Iowa when our son was 12 days old - this is definitely the best method of treatment! our son is now 15 months old and is running everywhere! you mentioned that you are in AZ, i don't know for sure if there are any docs that practice Dr. P's method there, but here's the link... http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html <http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html> again, welcome and keep us updated on your pregnancy ~ please post any questions you have ~ there are a lot of VERY knowledgeable people on this board that have gone thru what you're going thru now. best wishes - belly rubs from a fellow preggo Tia & Kelby 8-3-01 bilateral CF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Thanks so much for your response! I wrote to Dr. P's office, and they don't have anyone in Az on their list of certified Ponseti method doctors, so I do have a bit of research to do. I do have a name of a pediatric orthopedic surgeon in the area that " incorporates " the Ponseti method, and I have a consultation scheduled with him in Dec., so I'll see what he has to say. He comes very highly recommended, which makes me feel a little better. I guess I'm glad to know ahead of time, but this is my first, and I have been awfully worried too. I had an amnio done, so I do know that there isn't anything else chromosome -related wrong, but I am still a little stressed out, to say the least! So you flew out to Iowa? How long did you stay? Im not opposed to flying to Iowa, but I can't afford to do it on a weekly basis, so I'm wondering how you worked it out? Was it shocking for you to see the feet, esp. not expecting it? Sorry for all of the questions....!! Re: so glad to have found this page! Hi Amy, welcome to our board! i'm sure you will find MORE than enough help/support here! First off, congrats on your pregnancy ~ you have to be so excited. we're due with our 3rd child in 4 weeks and are counting down the days! we didn't know our son (our 2nd child) had CF until birth so there was a lot of scrambling to try to figure out what to do - i'd never even seen a CF before! My MIL found out about Dr. Ponseti and we flew from SW Florida to Iowa when our son was 12 days old - this is definitely the best method of treatment! our son is now 15 months old and is running everywhere! you mentioned that you are in AZ, i don't know for sure if there are any docs that practice Dr. P's method there, but here's the link... http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html <http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html> again, welcome and keep us updated on your pregnancy ~ please post any questions you have ~ there are a lot of VERY knowledgeable people on this board that have gone thru what you're going thru now. best wishes - belly rubs from a fellow preggo Tia & Kelby 8-3-01 bilateral CF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Thanks so much for your response! I wrote to Dr. P's office, and they don't have anyone in Az on their list of certified Ponseti method doctors, so I do have a bit of research to do. I do have a name of a pediatric orthopedic surgeon in the area that " incorporates " the Ponseti method, and I have a consultation scheduled with him in Dec., so I'll see what he has to say. He comes very highly recommended, which makes me feel a little better. I guess I'm glad to know ahead of time, but this is my first, and I have been awfully worried too. I had an amnio done, so I do know that there isn't anything else chromosome -related wrong, but I am still a little stressed out, to say the least! So you flew out to Iowa? How long did you stay? Im not opposed to flying to Iowa, but I can't afford to do it on a weekly basis, so I'm wondering how you worked it out? Was it shocking for you to see the feet, esp. not expecting it? Sorry for all of the questions....!! Re: so glad to have found this page! Hi Amy, welcome to our board! i'm sure you will find MORE than enough help/support here! First off, congrats on your pregnancy ~ you have to be so excited. we're due with our 3rd child in 4 weeks and are counting down the days! we didn't know our son (our 2nd child) had CF until birth so there was a lot of scrambling to try to figure out what to do - i'd never even seen a CF before! My MIL found out about Dr. Ponseti and we flew from SW Florida to Iowa when our son was 12 days old - this is definitely the best method of treatment! our son is now 15 months old and is running everywhere! you mentioned that you are in AZ, i don't know for sure if there are any docs that practice Dr. P's method there, but here's the link... http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html <http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html> again, welcome and keep us updated on your pregnancy ~ please post any questions you have ~ there are a lot of VERY knowledgeable people on this board that have gone thru what you're going thru now. best wishes - belly rubs from a fellow preggo Tia & Kelby 8-3-01 bilateral CF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Amy, Congratulations on your pregnancy! About your post- I would be very leary of a doctor who " incorporates " the Ponseti method. For the best results, I would recommend finding a doctor who follows the method as it was developed and taught in Iowa to a " T " . When doctors " tweak " the method, they tend to have a lower success rate (more than 95% of their cases need surgery to obtain correction). I thought that the Salt Lake City Shriners Hospital held clubfoot clinics in Phoenix regularly. Perhaps you could look into that option? I believe the doctor there is Dr. Santora. I'm sure will have the details on doctors in your area and will post to you as soon as he's able. If you did choose to go to Iowa for treatment (or any other location where you might have friends/relatives nearby) you can expect 5-7 cast changes (up to 9 with the most severe feet) and the casts are changed every 5-7 days. You could stay at the Mc House, so housing is very inexpensive. You can also arrange to fly for treatment for free through one of the volunteer pilot organizations such as " Angel Flights " . They fly children all over the U.S. for medical treatment. If you wanted to stay for the duration of treatment, I'd expect to be there for roughly a month to a month and a half. You could always break it up and go for a few weeks at a time too. There are lots of parents here who have gone and stayed the entire time at the RMD House, I'm sure they'd be willing to share their experiences with you. I, too, didn't know about my daughter's clubfoot until she was born (despite numerous ultrasounds), so the sight of her foot did shock me. Being a first time mom, though, I thought it might be " normal " from being cramped in the womb, and it would just straighten itself out. I've learned a lot about clubfoot since March of 2000! Don't worry about the sight of your baby's feet, you won't be able to take your eyes off that sweet face! We're happy to have you here- feel free to post any questions or concerns! I'll post my websites below if you're interested. Regards, & (3-16-00) left clubfoot, switched to Ponseti method at 4 months old http://ponseticlubfoot.freeservers.com/ http://ponsetikids.freeservers.com/ > Thanks so much for your response! I wrote to Dr. P's office, and they don't > have anyone in Az on their list of certified Ponseti method doctors, so I do > have a bit of research to do. I do have a name of a pediatric orthopedic > surgeon in the area that " incorporates " the Ponseti method, and I have a > consultation scheduled with him in Dec., so I'll see what he has to say. He > comes very highly recommended, which makes me feel a little better. > > I guess I'm glad to know ahead of time, but this is my first, and I have > been awfully worried too. I had an amnio done, so I do know that there > isn't anything else chromosome -related wrong, but I am still a little > stressed out, to say the least! > > So you flew out to Iowa? How long did you stay? Im not opposed to flying > to Iowa, but I can't afford to do it on a weekly basis, so I'm wondering how > you worked it out? > > Was it shocking for you to see the feet, esp. not expecting it? Sorry for > all of the questions....!! > > > Re: so glad to have found this page! > > > Hi Amy, welcome to our board! i'm sure you will find MORE than > enough help/support here! First off, congrats on your pregnancy ~ > you have to be so excited. we're due with our 3rd child in 4 weeks > and are counting down the days! we didn't know our son (our 2nd > child) had CF until birth so there was a lot of scrambling to try to > figure out what to do - i'd never even seen a CF before! My MIL > found out about Dr. Ponseti and we flew from SW Florida to Iowa when > our son was 12 days old - this is definitely the best method of > treatment! our son is now 15 months old and is running everywhere! > > you mentioned that you are in AZ, i don't know for sure if there are > any docs that practice Dr. P's method there, but here's the link... > http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html > <http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html> > > again, welcome and keep us updated on your pregnancy ~ please post > any questions you have ~ there are a lot of VERY knowledgeable > people on this board that have gone thru what you're going thru > now. best wishes - belly rubs from a fellow preggo > Tia & Kelby > 8-3-01 bilateral CF > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Amy, Congratulations on your pregnancy! About your post- I would be very leary of a doctor who " incorporates " the Ponseti method. For the best results, I would recommend finding a doctor who follows the method as it was developed and taught in Iowa to a " T " . When doctors " tweak " the method, they tend to have a lower success rate (more than 95% of their cases need surgery to obtain correction). I thought that the Salt Lake City Shriners Hospital held clubfoot clinics in Phoenix regularly. Perhaps you could look into that option? I believe the doctor there is Dr. Santora. I'm sure will have the details on doctors in your area and will post to you as soon as he's able. If you did choose to go to Iowa for treatment (or any other location where you might have friends/relatives nearby) you can expect 5-7 cast changes (up to 9 with the most severe feet) and the casts are changed every 5-7 days. You could stay at the Mc House, so housing is very inexpensive. You can also arrange to fly for treatment for free through one of the volunteer pilot organizations such as " Angel Flights " . They fly children all over the U.S. for medical treatment. If you wanted to stay for the duration of treatment, I'd expect to be there for roughly a month to a month and a half. You could always break it up and go for a few weeks at a time too. There are lots of parents here who have gone and stayed the entire time at the RMD House, I'm sure they'd be willing to share their experiences with you. I, too, didn't know about my daughter's clubfoot until she was born (despite numerous ultrasounds), so the sight of her foot did shock me. Being a first time mom, though, I thought it might be " normal " from being cramped in the womb, and it would just straighten itself out. I've learned a lot about clubfoot since March of 2000! Don't worry about the sight of your baby's feet, you won't be able to take your eyes off that sweet face! We're happy to have you here- feel free to post any questions or concerns! I'll post my websites below if you're interested. Regards, & (3-16-00) left clubfoot, switched to Ponseti method at 4 months old http://ponseticlubfoot.freeservers.com/ http://ponsetikids.freeservers.com/ > Thanks so much for your response! I wrote to Dr. P's office, and they don't > have anyone in Az on their list of certified Ponseti method doctors, so I do > have a bit of research to do. I do have a name of a pediatric orthopedic > surgeon in the area that " incorporates " the Ponseti method, and I have a > consultation scheduled with him in Dec., so I'll see what he has to say. He > comes very highly recommended, which makes me feel a little better. > > I guess I'm glad to know ahead of time, but this is my first, and I have > been awfully worried too. I had an amnio done, so I do know that there > isn't anything else chromosome -related wrong, but I am still a little > stressed out, to say the least! > > So you flew out to Iowa? How long did you stay? Im not opposed to flying > to Iowa, but I can't afford to do it on a weekly basis, so I'm wondering how > you worked it out? > > Was it shocking for you to see the feet, esp. not expecting it? Sorry for > all of the questions....!! > > > Re: so glad to have found this page! > > > Hi Amy, welcome to our board! i'm sure you will find MORE than > enough help/support here! First off, congrats on your pregnancy ~ > you have to be so excited. we're due with our 3rd child in 4 weeks > and are counting down the days! we didn't know our son (our 2nd > child) had CF until birth so there was a lot of scrambling to try to > figure out what to do - i'd never even seen a CF before! My MIL > found out about Dr. Ponseti and we flew from SW Florida to Iowa when > our son was 12 days old - this is definitely the best method of > treatment! our son is now 15 months old and is running everywhere! > > you mentioned that you are in AZ, i don't know for sure if there are > any docs that practice Dr. P's method there, but here's the link... > http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html > <http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Physicians.html> > > again, welcome and keep us updated on your pregnancy ~ please post > any questions you have ~ there are a lot of VERY knowledgeable > people on this board that have gone thru what you're going thru > now. best wishes - belly rubs from a fellow preggo > Tia & Kelby > 8-3-01 bilateral CF > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 Hello Amy, There is a doctor in Tucson and one in Phoenix who indicate that they are using the Ponseti method. I believe that they each have only been there for a year or two after having been at the Portland Shriners for a number of years. The 2 lead doctors at the Portlands Shriners have been on Dr. Ponseti's list for a couple of years. A message about Dr. in Tucson can be seen at http://groups.yahoo.com/group/nosurgery4clubfoot/message/10855 I had talked to Dr. Hirasky in Phoenix last spring. He is practicing the Ponseti method in Phoenix. His phone # is . He received training in Iowa last September (2001?) and was previously with Dr. at Portland Shriners. Dr. practices the Ponseti method in Tuscon. Since they are not yet on Dr. Ponseti's site, you should try to determine how closely they are following the method. In order to get on his list, Dr. Ponseti likes to see information from cases that the doctor has treated and if possible see some of their patients. Dr. Ponseti has also indicated that we can ask a couple of questions to get an indication as to how experienced and/or how well a doctor is using the method. The questions are: 1. How many children have you treated with the Ponseti method and what percentage have you been able to correct without the posterior release types of surgery? The answer should be less than 10% have needed the surgery and hopefully closer to 5%. The number treated with give you and idea of how much experience. 2. How many casts (on average) does it take you to correctly position the children's feet? The answer should be 4-7 and never more than 9 casts. My impression is that doctors who are beginning to use the method may need more casts than those who have had more experience. Since you have a few months, I would encourage you to go meet with the doctors you are considering to see what you thing and get to know them a bit. and (3-17-99) http://www.vh.org/Patients/IHB/Ortho/Peds/Clubfeet/Egbert.html > Hi there. My name is Amy, and I am due Feb. 28th. I have had two > level II ultrasounds (wks 19 and 23), and both detected that my baby > has bilateral clubfeet. > I am located in the Phoenix area, and am wondering if anyone knows > of any doctors in this area that use the Ponseti method. > I have heard of a Dr. in Tucson, however that's about it, so > far. > Anyway, I want to do as much research as possible before my baby > arrives, so that I'll be prepared to make some decisions. > I am thrilled to have found this page, and am so much more confident > that all will be ok, after taking the time to read alot of the posts. > Thanks in advance for everyone's support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 yes it was quite shocking when our son was born ~ i think it was a little more difficult for our son who watched the birth, he was 11 at the time. he was so afraid his brother would never walk, play sports etc... fortunately CF is the easiest deformity (it took me a long time to be able to say that word) to fix. i flew with the baby to iowa and we stayed at the Mc House for 3 weeks. kelby was casted the day after we got there (13 days old) and had a new cast done every 5 days. he had his tenotomy and last casting done the day before we left. i think (?) i answered all the questions feel free to fire away with more, that's what everyone is here for! Tia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2002 Report Share Posted November 19, 2002 yes it was quite shocking when our son was born ~ i think it was a little more difficult for our son who watched the birth, he was 11 at the time. he was so afraid his brother would never walk, play sports etc... fortunately CF is the easiest deformity (it took me a long time to be able to say that word) to fix. i flew with the baby to iowa and we stayed at the Mc House for 3 weeks. kelby was casted the day after we got there (13 days old) and had a new cast done every 5 days. he had his tenotomy and last casting done the day before we left. i think (?) i answered all the questions feel free to fire away with more, that's what everyone is here for! Tia Quote Link to comment Share on other sites More sharing options...
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