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Dear All

Just wondered if anyone had ever had a problem with being referred to

a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

Naomi Davies who said I needed a referral from my Doctor. I am 28

weeks pregnant and we were diagnosed with bilateral talipes at our 20

weeks scan. Since then we have decided to go with the Ponsetti

Method if needs be. I have been to see my doctor today who wouldn't

refer me to Naomi Davies (which is 4 hours away) as he had said we

had good facilities in our area here. That it would probably be mild

anyway and he had never heard of the Ponsetti Method and couldn't

think of anything worse that casting a baby and misdiagnosing it. He

said they only performed 'surgery' in the worst cases and only if

absolutely necessary. He said I should be concentrating on bonding

with my baby and not to worry and uptight about anything. I have to

say I don't feel worried or uptight about anything except seeing the

doctor again now. I thought I was just organising myself and getting

ready 'just in case' it is more than mild. We are both very much

looking forward to our baby coming.

I have come to the conclusion that they are not very helpful here

unless you just sit back and let them tell you what should be done,

if you do your own research then they say you are paranoid and

uptight........

Rach & Steve.

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Rach,

I haven't posted in a long time, but I read the boards everyday. Your

posting was a flashback to what happened when we found out our son,

Austin would have club foot via ultrasound. We are in the US, but

had the exact same issue. Our insurance required a referal to Dr

Herzenberg in Baltimore, which is about 2 hours away from us. When

we started interviewing pediatricians before Austin was born one of

our first questions was about the CF and a referal for DR H and using

the Ponsiti method. The first DR said she prefered to use her own

orhto doctor but " since CF is not life threatening, we could go out

and try this method and when it failed, we can come back to her for

her doctor. " My husband and I immediately walked out of the office.

We were so taken back by her attitude. She was offended that we

actaully thought we knew better than her " the mighty doctor " . The

next doctor we went to was a different story. He hadn't heard about

the Ponsiti method, but knew DR Herzenberg was suppose to be one of

the best in the region. He told us, since he wasn't an othopedist

himself, who was he to judge what method was better. After we

explained the method to him he said " let me get this right, it will

fix the club foot, is almost 100% successful and doesn't require

surgury on an infant. What's not to like about that " He then did a

bunch of research himself so he can talk to other patients about it.

So, long story, short, if possible, find a new doctor. Any doctor

who would not support use of a successful, non-invasive correction is

not following the number one rule of medicine " FIRST, DO NO HARM "

Good luck in your search and best wishes for your baby.

and Austin (7/8/03, RT CF, LF MA)

> Dear All

>

> Just wondered if anyone had ever had a problem with being referred

to

> a Doctor who uses the Ponsetti Method in the UK. I have spoken to

Dr

> Naomi Davies who said I needed a referral from my Doctor. I am 28

> weeks pregnant and we were diagnosed with bilateral talipes at our

20

> weeks scan. Since then we have decided to go with the Ponsetti

> Method if needs be. I have been to see my doctor today who wouldn't

> refer me to Naomi Davies (which is 4 hours away) as he had said we

> had good facilities in our area here. That it would probably be

mild

> anyway and he had never heard of the Ponsetti Method and couldn't

> think of anything worse that casting a baby and misdiagnosing it.

He

> said they only performed 'surgery' in the worst cases and only if

> absolutely necessary. He said I should be concentrating on bonding

> with my baby and not to worry and uptight about anything. I have

to

> say I don't feel worried or uptight about anything except seeing

the

> doctor again now. I thought I was just organising myself and

getting

> ready 'just in case' it is more than mild. We are both very much

> looking forward to our baby coming.

>

> I have come to the conclusion that they are not very helpful here

> unless you just sit back and let them tell you what should be done,

> if you do your own research then they say you are paranoid and

> uptight........

>

> Rach & Steve.

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Hi Rach-

From your post it sounds like you are asking your OBGYN for a referral. In

the US the referrals usually come from the baby's pediatrician. Have you

tried that route yet??? Also most doctors practicing the Ponseti method will

talk or meet with your in person to consult how things will be handled after

the baby is born for no charge. So you shouldn't even need to have a

referral at this time. Just tell the receptionist at the ortho pedi doctors

office that you are interested in setting up an interview with the doctor

before deciding to go with the particular doctor. That allows you to discuss

your situation with the ortho pedi without being charged and to make sure

the doc is actually using the Ponseti method. Some questions to ask during

the interview are: How long have you been using the Ponseti method? What

has been your sucess rate...meaning how many of the children have been

treated without surgery? (Should be 5% or less) Tell me step by step what

will occur after my child is born? The right answer for the last question is

groin length casts 5-9 (above the knee), tenonomy if needed, then final cast

for 3 weeks with foot rotated out to 70 degrees, then DBB for 23hrs a day

for 3 months. If the doc's answer varies then run it by Dr. Ponseti. The

Ponseti Method is so black and white but, so many doctors want to modify it.

Best of luck!

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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Hi Rach-

From your post it sounds like you are asking your OBGYN for a referral. In

the US the referrals usually come from the baby's pediatrician. Have you

tried that route yet??? Also most doctors practicing the Ponseti method will

talk or meet with your in person to consult how things will be handled after

the baby is born for no charge. So you shouldn't even need to have a

referral at this time. Just tell the receptionist at the ortho pedi doctors

office that you are interested in setting up an interview with the doctor

before deciding to go with the particular doctor. That allows you to discuss

your situation with the ortho pedi without being charged and to make sure

the doc is actually using the Ponseti method. Some questions to ask during

the interview are: How long have you been using the Ponseti method? What

has been your sucess rate...meaning how many of the children have been

treated without surgery? (Should be 5% or less) Tell me step by step what

will occur after my child is born? The right answer for the last question is

groin length casts 5-9 (above the knee), tenonomy if needed, then final cast

for 3 weeks with foot rotated out to 70 degrees, then DBB for 23hrs a day

for 3 months. If the doc's answer varies then run it by Dr. Ponseti. The

Ponseti Method is so black and white but, so many doctors want to modify it.

Best of luck!

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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http://join.msn.com/?page=features/junkmail

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Dear Rach & Steve

Don't be put off by the ignorance of the doctor. Stick with it you

will get there eventually.

Best wishes

Tom, Corinne & Ben

> Dear All

>

> Just wondered if anyone had ever had a problem with being referred

to

> a Doctor who uses the Ponsetti Method in the UK. I have spoken to

Dr

> Naomi Davies who said I needed a referral from my Doctor. I am 28

> weeks pregnant and we were diagnosed with bilateral talipes at our

20

> weeks scan. Since then we have decided to go with the Ponsetti

> Method if needs be. I have been to see my doctor today who wouldn't

> refer me to Naomi Davies (which is 4 hours away) as he had said we

> had good facilities in our area here. That it would probably be

mild

> anyway and he had never heard of the Ponsetti Method and couldn't

> think of anything worse that casting a baby and misdiagnosing it.

He

> said they only performed 'surgery' in the worst cases and only if

> absolutely necessary. He said I should be concentrating on bonding

> with my baby and not to worry and uptight about anything. I have

to

> say I don't feel worried or uptight about anything except seeing

the

> doctor again now. I thought I was just organising myself and

getting

> ready 'just in case' it is more than mild. We are both very much

> looking forward to our baby coming.

>

> I have come to the conclusion that they are not very helpful here

> unless you just sit back and let them tell you what should be done,

> if you do your own research then they say you are paranoid and

> uptight........

>

> Rach & Steve.

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Dear Rach & Steve

Don't be put off by the ignorance of the doctor. Stick with it you

will get there eventually.

Best wishes

Tom, Corinne & Ben

> Dear All

>

> Just wondered if anyone had ever had a problem with being referred

to

> a Doctor who uses the Ponsetti Method in the UK. I have spoken to

Dr

> Naomi Davies who said I needed a referral from my Doctor. I am 28

> weeks pregnant and we were diagnosed with bilateral talipes at our

20

> weeks scan. Since then we have decided to go with the Ponsetti

> Method if needs be. I have been to see my doctor today who wouldn't

> refer me to Naomi Davies (which is 4 hours away) as he had said we

> had good facilities in our area here. That it would probably be

mild

> anyway and he had never heard of the Ponsetti Method and couldn't

> think of anything worse that casting a baby and misdiagnosing it.

He

> said they only performed 'surgery' in the worst cases and only if

> absolutely necessary. He said I should be concentrating on bonding

> with my baby and not to worry and uptight about anything. I have

to

> say I don't feel worried or uptight about anything except seeing

the

> doctor again now. I thought I was just organising myself and

getting

> ready 'just in case' it is more than mild. We are both very much

> looking forward to our baby coming.

>

> I have come to the conclusion that they are not very helpful here

> unless you just sit back and let them tell you what should be done,

> if you do your own research then they say you are paranoid and

> uptight........

>

> Rach & Steve.

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Thank you Philip, that is what I will do so everything is in place for when

he is born, we have decided to go with Dr. Naomi in Manchester as

she is nearer to our home and also I spoke to Dr. Ponsetti's secretary who

advised us to go with her. Thank you for your information. I will keep you

informed.

Natasha

>-- Original Message --

>To: <nosurgery4clubfoot >

>

>Date: Tue, 14 Jan 2003 20:30:05 -0000

>Subject: Re: Referrals

>Reply-To: nosurgery4clubfoot

>

>

>

>

>

>

>Natasha

>

>We had a referral letter sent prior to Josh's birth, this meant that as

soon

>as he was born all we had to do was phone the consultant and make an initial

>appointment.  It certainly alleviates much of the stress if you know

>everything is in place!

>

>Philip

>

> Referrals

>>Reply-To: nosurgery4clubfoot

>>

>>

>>

>>

>>

>>

>>Dear All

>>

>>Just wondered if anyone had ever had a problem with being referred to

>>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>>

>>Naomi Davies who said I needed a referral from my Doctor. I am 28

>>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>>weeks scan. Since then we have decided to go with the Ponsetti

>>Method if needs be. I have been to see my doctor today who wouldn't

>>refer me to Naomi Davies (which is 4 hours away) as he had said we

>>had good facilities in our area here. That it would probably be mild

>>

>>anyway and he had never heard of the Ponsetti Method and couldn't

>>think of anything worse that casting a baby and misdiagnosing it. He

>>said they only performed 'surgery' in the worst cases and only if

>>absolutely necessary. He said I should be concentrating on bonding

>>

>>with my baby and not to worry and uptight about anything. I have to

>>

>>say I don't feel worried or uptight about anything except seeing the

>>doctor again now. I thought I was just organising myself and getting

>>ready 'just in case' it is more than mild. We are both very much

>>looking forward to our baby coming.

>>

>>I have come to the conclusion that they are not very helpful here

>>unless you just sit back and let them tell you what should be done,

>>if you do your own research then they say you are paranoid and

>>uptight........

>>

>>Rach & Steve.

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

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Hi Rach and Steve,

My wife is 28 weeks pregnant also, and we are facing mild

to severe bi-lateral clubfeet too. We have also decided to try and persue

the Ponseti method if possible.

I am 33 now and also suffered with severe bi-lateral Talipes. This has made

me more determined than ever to persue a non-surgical method.

I have spent months reserching and gatering as much information as I can,

relating to the ponseti method and the pro's and cons.

The only con I have been able to come up with so far, seems to be a shortage

of trained staff here in the UK. This means travel will be inevitable. I'm

not sure which area you are in. We're in Bedfordshire. We have discussed

what we would like with the registrars at Bedford Hospital. They have been

very supportive, and asked if I could bring along all the documentation,

information and reserch I have, when we see the orthopedic surgeons at the

end of Feb. They believe we know more about Ponseti than they will. They

have also agreed to try and help us find the most suitable location for

treatment. They are aware that it won't be Bedford.

I have checked the Internet and found flights to Newcastle for £2.50 return,

even with an Easyjet Car hire or Taxi to Sunderland hospital, it'll cheaper

than driving all the way there and back - both in terms of finance and time.

I guess different doctors and hospitals have different thoughts and

proceedures, but we all pay our taxes and are entitled to what we consider

the best for our children.

Be polite but firm, and if you don't get any joy with them, transfer

somewhere else.

All we can do for now is be as prepared as possible, try to enjoy the rest

of the pregnancy (Sooo glad I'm a man), and wait and see what happens when

we meet the surgeons next month.

If you would like me to share everything I have found so far, just let me

know and I'll forward it on to you.

In the meantime, relax and pamper yourself.

But you're definately not paranoid.

Kind Regards

Kieren and Debbie

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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Dear Kieran and Debbie

Thanks for e mail. We are in Somerset. There are other doctors at my

surgery but now I think there have been some 'notes' put on about me, so if

I go to another one then they will already know that I have been to see one

of them. All is not lost yet!!! My partner has a doctor at a different

surgery so might try that one first and also the Physiotherapist that was

supposed to be talking to us prior birth about what could be done is

practising the Ponsetti method in Bath, which is about 1/2 hour away (my

doctor did not even know this!!!), so I am waiting for an appointment to go

and see the physio aswell.

I won't be told what to I can do not now I have done my own research, after

all it is our baby and we need to be able choose the care best for him.

Good luck with the pregnancy too!!!

Rach & Steve.

-- Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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Dear Kieran and Debbie

Thanks for e mail. We are in Somerset. There are other doctors at my

surgery but now I think there have been some 'notes' put on about me, so if

I go to another one then they will already know that I have been to see one

of them. All is not lost yet!!! My partner has a doctor at a different

surgery so might try that one first and also the Physiotherapist that was

supposed to be talking to us prior birth about what could be done is

practising the Ponsetti method in Bath, which is about 1/2 hour away (my

doctor did not even know this!!!), so I am waiting for an appointment to go

and see the physio aswell.

I won't be told what to I can do not now I have done my own research, after

all it is our baby and we need to be able choose the care best for him.

Good luck with the pregnancy too!!!

Rach & Steve.

-- Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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Dear Kieran and Debbie

Thanks for e mail. We are in Somerset. There are other doctors at my

surgery but now I think there have been some 'notes' put on about me, so if

I go to another one then they will already know that I have been to see one

of them. All is not lost yet!!! My partner has a doctor at a different

surgery so might try that one first and also the Physiotherapist that was

supposed to be talking to us prior birth about what could be done is

practising the Ponsetti method in Bath, which is about 1/2 hour away (my

doctor did not even know this!!!), so I am waiting for an appointment to go

and see the physio aswell.

I won't be told what to I can do not now I have done my own research, after

all it is our baby and we need to be able choose the care best for him.

Good luck with the pregnancy too!!!

Rach & Steve.

-- Referrals

>Date: Mon, 13 Jan 2003 20:52:27 -0000

>

>Dear All

>

>Just wondered if anyone had ever had a problem with being referred to

>a Doctor who uses the Ponsetti Method in the UK. I have spoken to Dr

>Naomi Davies who said I needed a referral from my Doctor. I am 28

>weeks pregnant and we were diagnosed with bilateral talipes at our 20

>weeks scan. Since then we have decided to go with the Ponsetti

>Method if needs be. I have been to see my doctor today who wouldn't

>refer me to Naomi Davies (which is 4 hours away) as he had said we

>had good facilities in our area here. That it would probably be mild

>anyway and he had never heard of the Ponsetti Method and couldn't

>think of anything worse that casting a baby and misdiagnosing it. He

>said they only performed 'surgery' in the worst cases and only if

>absolutely necessary. He said I should be concentrating on bonding

>with my baby and not to worry and uptight about anything. I have to

>say I don't feel worried or uptight about anything except seeing the

>doctor again now. I thought I was just organising myself and getting

>ready 'just in case' it is more than mild. We are both very much

>looking forward to our baby coming.

>

>I have come to the conclusion that they are not very helpful here

>unless you just sit back and let them tell you what should be done,

>if you do your own research then they say you are paranoid and

>uptight........

>

>Rach & Steve.

>

>

>

>

_________________________________________________________________

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