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Re: Marilouise - DBB Time

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here is an email we got from Dr. P a few month ago:

" -After three months the child can be out of the brace about 6-8

hours a day.

He should wear it at night and when he naps. Once he starts to walk,

he should wear the brace about 12-14 hours a day. It is better to

keep the shoes in 70 degrees of outward rotation. Your son will

learn to crawl, pull up to stand, and may even learn to take a few

steps in the brace.

I.V.Ponseti, M.D.

(Joyce Roller, secretary) "

best,

Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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here is an email we got from Dr. P a few month ago:

" -After three months the child can be out of the brace about 6-8

hours a day.

He should wear it at night and when he naps. Once he starts to walk,

he should wear the brace about 12-14 hours a day. It is better to

keep the shoes in 70 degrees of outward rotation. Your son will

learn to crawl, pull up to stand, and may even learn to take a few

steps in the brace.

I.V.Ponseti, M.D.

(Joyce Roller, secretary) "

best,

Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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here is an email we got from Dr. P a few month ago:

" -After three months the child can be out of the brace about 6-8

hours a day.

He should wear it at night and when he naps. Once he starts to walk,

he should wear the brace about 12-14 hours a day. It is better to

keep the shoes in 70 degrees of outward rotation. Your son will

learn to crawl, pull up to stand, and may even learn to take a few

steps in the brace.

I.V.Ponseti, M.D.

(Joyce Roller, secretary) "

best,

Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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Some docs do it different, but the preference in my opinion is the way described

by Holly. This is the one thing I adamantly do not agree with Dr Mosca on - he

goes from 23/7 down to 10-12 per day and that has never sat right with me. I

suppose he is doing what he can to get maximum cooperation from parents, but I

still think he would do better to give them the numbers and then tell them the

hours Dr Ponseti has set out.

We chose to go by what Dr Ponseti said and that was that. Dr Mosca never

diagreed with us and now for Kai at least he lets Dr Ponseti set the hours.

Angel

Marilouise - DBB Time

Marilouise,

In answer to your question about DBB time - Ponseti protocol is that

after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

nights only (10-12 hours) until he was 2 years of age.

Holly

Zachary 7/27/02

Right C/F

DBB Nights only

Treated by Dr. P

#2 due: 1/8

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Some docs do it different, but the preference in my opinion is the way described

by Holly. This is the one thing I adamantly do not agree with Dr Mosca on - he

goes from 23/7 down to 10-12 per day and that has never sat right with me. I

suppose he is doing what he can to get maximum cooperation from parents, but I

still think he would do better to give them the numbers and then tell them the

hours Dr Ponseti has set out.

We chose to go by what Dr Ponseti said and that was that. Dr Mosca never

diagreed with us and now for Kai at least he lets Dr Ponseti set the hours.

Angel

Marilouise - DBB Time

Marilouise,

In answer to your question about DBB time - Ponseti protocol is that

after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

nights only (10-12 hours) until he was 2 years of age.

Holly

Zachary 7/27/02

Right C/F

DBB Nights only

Treated by Dr. P

#2 due: 1/8

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Some docs do it different, but the preference in my opinion is the way described

by Holly. This is the one thing I adamantly do not agree with Dr Mosca on - he

goes from 23/7 down to 10-12 per day and that has never sat right with me. I

suppose he is doing what he can to get maximum cooperation from parents, but I

still think he would do better to give them the numbers and then tell them the

hours Dr Ponseti has set out.

We chose to go by what Dr Ponseti said and that was that. Dr Mosca never

diagreed with us and now for Kai at least he lets Dr Ponseti set the hours.

Angel

Marilouise - DBB Time

Marilouise,

In answer to your question about DBB time - Ponseti protocol is that

after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

nights only (10-12 hours) until he was 2 years of age.

Holly

Zachary 7/27/02

Right C/F

DBB Nights only

Treated by Dr. P

#2 due: 1/8

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Hi Holly,

Thanks for your input:) Don't they fight it during the day?

isn't even trying to pull up yet (even before the cast) -- I

can't imagine her trying to do it with the DBB on.

Marilouise

> Marilouise,

> In answer to your question about DBB time - Ponseti protocol is

that

> after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

> nights only (10-12 hours) until he was 2 years of age.

>

> Holly

> Zachary 7/27/02

> Right C/F

> DBB Nights only

> Treated by Dr. P

> #2 due: 1/8

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Hi Holly,

Thanks for your input:) Don't they fight it during the day?

isn't even trying to pull up yet (even before the cast) -- I

can't imagine her trying to do it with the DBB on.

Marilouise

> Marilouise,

> In answer to your question about DBB time - Ponseti protocol is

that

> after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

> nights only (10-12 hours) until he was 2 years of age.

>

> Holly

> Zachary 7/27/02

> Right C/F

> DBB Nights only

> Treated by Dr. P

> #2 due: 1/8

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Hi Idit,

Nice to have the quote straight from Dr. P. Agress with the

response from Holly. Since Oshri is pretty much the same age as

, how is he doing developmentally wearing the DBB that many

hours/day?

Marilouise

9/9/03, LCF, cast #2/2nd series

Owen and 3/20/99

> here is an email we got from Dr. P a few month ago:

>

> " -After three months the child can be out of the brace about 6-8

> hours a day.

> He should wear it at night and when he naps. Once he starts to

walk,

> he should wear the brace about 12-14 hours a day. It is better to

> keep the shoes in 70 degrees of outward rotation. Your son will

> learn to crawl, pull up to stand, and may even learn to take a few

> steps in the brace.

> I.V.Ponseti, M.D.

> (Joyce Roller, secretary) "

>

> best,

> Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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Hi Idit,

Nice to have the quote straight from Dr. P. Agress with the

response from Holly. Since Oshri is pretty much the same age as

, how is he doing developmentally wearing the DBB that many

hours/day?

Marilouise

9/9/03, LCF, cast #2/2nd series

Owen and 3/20/99

> here is an email we got from Dr. P a few month ago:

>

> " -After three months the child can be out of the brace about 6-8

> hours a day.

> He should wear it at night and when he naps. Once he starts to

walk,

> he should wear the brace about 12-14 hours a day. It is better to

> keep the shoes in 70 degrees of outward rotation. Your son will

> learn to crawl, pull up to stand, and may even learn to take a few

> steps in the brace.

> I.V.Ponseti, M.D.

> (Joyce Roller, secretary) "

>

> best,

> Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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Hi Idit,

Nice to have the quote straight from Dr. P. Agress with the

response from Holly. Since Oshri is pretty much the same age as

, how is he doing developmentally wearing the DBB that many

hours/day?

Marilouise

9/9/03, LCF, cast #2/2nd series

Owen and 3/20/99

> here is an email we got from Dr. P a few month ago:

>

> " -After three months the child can be out of the brace about 6-8

> hours a day.

> He should wear it at night and when he naps. Once he starts to

walk,

> he should wear the brace about 12-14 hours a day. It is better to

> keep the shoes in 70 degrees of outward rotation. Your son will

> learn to crawl, pull up to stand, and may even learn to take a few

> steps in the brace.

> I.V.Ponseti, M.D.

> (Joyce Roller, secretary) "

>

> best,

> Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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Hi Angel,

You are in agreement with Holly and Idit. Nice to know there is

consistency (even though Dr. Mosca says different). How does Kai

handle the long hours? He walks now correct? When did he start

walking? Not that I am rushing :)

Marilouise

> Some docs do it different, but the preference in my opinion is the

way described by Holly. This is the one thing I adamantly do not

agree with Dr Mosca on - he goes from 23/7 down to 10-12 per day and

that has never sat right with me. I suppose he is doing what he can

to get maximum cooperation from parents, but I still think he would

do better to give them the numbers and then tell them the hours Dr

Ponseti has set out.

>

> We chose to go by what Dr Ponseti said and that was that. Dr

Mosca never diagreed with us and now for Kai at least he lets Dr

Ponseti set the hours.

>

> Angel

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Hi Angel,

You are in agreement with Holly and Idit. Nice to know there is

consistency (even though Dr. Mosca says different). How does Kai

handle the long hours? He walks now correct? When did he start

walking? Not that I am rushing :)

Marilouise

> Some docs do it different, but the preference in my opinion is the

way described by Holly. This is the one thing I adamantly do not

agree with Dr Mosca on - he goes from 23/7 down to 10-12 per day and

that has never sat right with me. I suppose he is doing what he can

to get maximum cooperation from parents, but I still think he would

do better to give them the numbers and then tell them the hours Dr

Ponseti has set out.

>

> We chose to go by what Dr Ponseti said and that was that. Dr

Mosca never diagreed with us and now for Kai at least he lets Dr

Ponseti set the hours.

>

> Angel

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Hi Angel,

You are in agreement with Holly and Idit. Nice to know there is

consistency (even though Dr. Mosca says different). How does Kai

handle the long hours? He walks now correct? When did he start

walking? Not that I am rushing :)

Marilouise

> Some docs do it different, but the preference in my opinion is the

way described by Holly. This is the one thing I adamantly do not

agree with Dr Mosca on - he goes from 23/7 down to 10-12 per day and

that has never sat right with me. I suppose he is doing what he can

to get maximum cooperation from parents, but I still think he would

do better to give them the numbers and then tell them the hours Dr

Ponseti has set out.

>

> We chose to go by what Dr Ponseti said and that was that. Dr

Mosca never diagreed with us and now for Kai at least he lets Dr

Ponseti set the hours.

>

> Angel

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Just to put your mind at east on the developmental front here are a few tidbits.

Kai was cruising when he went back into casts at 9 months. Did not stop him. I

have some cute photos of him cruising in the cast (toe-to-groin). He then went

into the DBB for 16 hours a day and would stand in it. He still had sufficient

time out each day to keep cruising around and he began walking on Christmas Eve,

just before he turned 1. He went into knee length casts at 13 months and stayed

in them until almost 15 months. He walked all around in them. Back in the DBB

about 14-16 hrs per day (night and nap mostly) and now if he gets his brace on

while he is awake he can cruise around in it - he doesnt have the ballance down

yet to take steps without holding on, but holding on he does just fine - was

doing it just last night, in fact. The DBB just doesnt slow them down at all!

Angel

Re: Marilouise - DBB Time

Hi Angel,

You are in agreement with Holly and Idit. Nice to know there is

consistency (even though Dr. Mosca says different). How does Kai

handle the long hours? He walks now correct? When did he start

walking? Not that I am rushing :)

Marilouise

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Just to put your mind at east on the developmental front here are a few tidbits.

Kai was cruising when he went back into casts at 9 months. Did not stop him. I

have some cute photos of him cruising in the cast (toe-to-groin). He then went

into the DBB for 16 hours a day and would stand in it. He still had sufficient

time out each day to keep cruising around and he began walking on Christmas Eve,

just before he turned 1. He went into knee length casts at 13 months and stayed

in them until almost 15 months. He walked all around in them. Back in the DBB

about 14-16 hrs per day (night and nap mostly) and now if he gets his brace on

while he is awake he can cruise around in it - he doesnt have the ballance down

yet to take steps without holding on, but holding on he does just fine - was

doing it just last night, in fact. The DBB just doesnt slow them down at all!

Angel

Re: Marilouise - DBB Time

Hi Angel,

You are in agreement with Holly and Idit. Nice to know there is

consistency (even though Dr. Mosca says different). How does Kai

handle the long hours? He walks now correct? When did he start

walking? Not that I am rushing :)

Marilouise

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Hello,

Well, since Oshri has over flexibility he rolled both ways at 5.5

month with the shoes. But he started to bring him self to sitting

only when he was 9 month old. We do some Feldenkrize classes and go

to the swimming pool and it helps.

He doses not crawl yet but sure trying!

About 3 weeks ago we had a Forum meeting in Israel. There was one

boy who started the Ponseti method when he was 6 month- after

switching from the French method- he had 5 or 6 casts. Now he has to

be 23 hours with the dbb for 3 month. The boy STOOD for the first

time with the dbb after 2 weeks! (Almost 8 moth old) Amazing. I hear

a lot about how the shoes do not interfere with these kind of

development.

BEST

Idit, mom to Oshri, 25 August 03. BL ClubFoot, heavy DBB for 16/24

hours.. http://truly_clubfoot.tripod.com - website in Hebrew. To see

the photos click on the leftist link on the top frame.

> > here is an email we got from Dr. P a few month ago:

> >

> > " -After three months the child can be out of the brace about 6-

8

> > hours a day.

> > He should wear it at night and when he naps. Once he starts to

> walk,

> > he should wear the brace about 12-14 hours a day. It is better

to

> > keep the shoes in 70 degrees of outward rotation. Your son will

> > learn to crawl, pull up to stand, and may even learn to take a

few

> > steps in the brace.

> > I.V.Ponseti, M.D.

> > (Joyce Roller, secretary) "

> >

> > best,

> > Idit, mom to Oshri. 10.5 month BL clubfoot. dbb 16h.

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Really? That's depressing, I was hoping Everett would go down to the 12 hours

pretty soon but he's not even a year old yet. OK, we'll just have to follow dr.

orders and keep plugging along! :)

s.

Marilouise,

In answer to your question about DBB time - Ponseti protocol is that

after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

nights only (10-12 hours) until he was 2 years of age.

Holly

Zachary 7/27/02

Right C/F

DBB Nights only

Treated by Dr. P

#2 due: 1/8

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For myself, when we went from the 23 hours a day to the 18 hours a day - it was

almost harder. Everett had so much fun ( and me too) with the bar off it killed

me to put it back on after 6 hours of freedom. I think it's something parents

need to be on guard for..... " Oh a couple more hours won't hurt " ..... know what I

mean? It's all old hat nowdays though. I plan those 6 hours so if we're going

to the lake or something I give him that time free instead of a rigid daily

schedule.

s.

Marilouise - DBB Time

Marilouise,

In answer to your question about DBB time - Ponseti protocol is that

after 23/7 the bar is worn 16-18 hours. Zach was not lowered to

nights only (10-12 hours) until he was 2 years of age.

Holly

Zachary 7/27/02

Right C/F

DBB Nights only

Treated by Dr. P

#2 due: 1/8

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But remember each baby develops differently. The bar hasn't slowed Everett

down a bit, your baby will do things when ready.

s.

Hi Holly,

Thanks for your input:) Don't they fight it during the day?

isn't even trying to pull up yet (even before the cast) -- I

can't imagine her trying to do it with the DBB on.

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