Re: Update from Iowa ;-)

[Guest guest]

Are there any pictures of Asa's or Kai's feet on the site? I would

like to see a picture of what shape the foot is(just out of

curiousity).

> > Sorry I am so late in posting! We got here sunday afternoon,

and

> the

> > RMH was full, so they sent us over to the Holliday Inn. We

spent a

> > nice night there and then off to our appt yesterday morning.

There

> > is so much to tell from that appt!

> >

> > FIRST! Audra! Asa's foot came up in the conversation

> IMMEDIATELY.

> > Dr Ponseti said Kai's foot is JUST LIKE Asa's, but it has not

ben

> > dammaged by previous casting, so the toes are all still in the

> > general area of where they should be. He says what is wrong

with

> > these feet that is not wrong in other clubfeet is that the

> > metatarsals are in equinus and plantar. What that translates to

is

> > that the midfoot is shaped like an upside down V. By being in

that

> > position, the metatarsals are able to pull up and away from

where

> > they are supposed to be. He said that the German doctor brought

> him

> > x-rays of a foot just like this so now he has a good visual in

his

> > mind of what is where. Get this - he asked me if there were any

x-

> > rays of Kai's foot! He really wanted to see some!! He said

that

> > even if the food looks strange when casting is done, the German

> > doctor has shown that the long term outcome is excellent. I

didnt

> > get the specifics (forgot!) but my guess would be that with

weight

> > bearing, the bones of the midfoot begin to move down into a more

> > normal position.

> >

> > Second - I swear there is something amazing about Kai's foot

that

> no

> > one has figured out yet. We established that there has been a

> > significant relapse of flexability, but it is still ok because a

> > normal foot has approx 25-30 degrees of dorsoflexion, and when

Dr

> > Mosca finished with Kai's foot, Kai had an amazing 40 degrees!

He

> > has lost a great deal, but he still has 20 degrees, so it is

ok.

> Dr

> > P watched Kai pull up and stand on EVERYTHING and overall

observed

> > him for probably 15-20 mins and then examined his foot for about

10

> > min and then told me 2-3 casts should take care of it. We go in

to

> > do the casting (after he took several pictures of Kai's foot)

and

> > about halfway thru the cast he says " We may only need to have

this

> > one cast! We will leave it on for 7 days instead of 5 and see

what

> > it looks like. We have gotten SO MUCH correction here! "

> >

> > Some of you may remember, Dr Mosca was appalled because he only

> used

> > 3 casts before the tenotomy. That is actually under the minimum

> > usually needed. It isnt that Kai's foot is mild - it was

extremely

> > tight and quite severe. Dr P originally told me that a foot of

> this

> > sort should take at LEAST 6 casts. Even if he puts on a second

> cast,

> > we will have gotten out of this with just barely that!

> >

> > Anyway, I will check back in later. We are still trying to get

> > settled in here at the RMH. I know I will be here to see Audra

> come -

> > but I am not so sure about Meredith! I may well be leaving

> tuesday

> > or wednesday. We will see!

> >

> > Angel and Kai