Guest guest Posted August 28, 2004 Report Share Posted August 28, 2004 My vote in all of this is for the " soft " casts like Dr. Mosca uses in Seattle. I'm not quite sure what they were made of (fiberglass?--Do you remember Robin?) Anyway, the word soft is kindof misleading because you could definitely knock on them and make a rap rap noise. If you really pushed with your thumb though, you could make them flex a little. Evan never once had any kind of a slip in these casts and we could take them off at home just by unravelling them--no saws, no soaking. Of course, our instructions were to leave them on until the last possible minute, so we would remove them, have a bath and be out the door to the hospital as fast as we could. They were so lightweight, seemed easy to apply and were easy to remove. I can't imagine why more docs don't use them. Does anyone know? If there's not a good reason, those still in casts should push for them!! They sure did the trick for us and as far as I know this is all Dr. Mosca uses. and Evan (8-17-00) > > > > We will be there again tomorrow. Just thought I would find out > >if > > > anyone > > > > else was going this week too. > > > > > > > > > > > > > > > > > > > > > > > > Mommy to 12/17/98 > > > > > > > > and Christian 1/30/04 > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2004 Report Share Posted August 28, 2004 My vote in all of this is for the " soft " casts like Dr. Mosca uses in Seattle. I'm not quite sure what they were made of (fiberglass?--Do you remember Robin?) Anyway, the word soft is kindof misleading because you could definitely knock on them and make a rap rap noise. If you really pushed with your thumb though, you could make them flex a little. Evan never once had any kind of a slip in these casts and we could take them off at home just by unravelling them--no saws, no soaking. Of course, our instructions were to leave them on until the last possible minute, so we would remove them, have a bath and be out the door to the hospital as fast as we could. They were so lightweight, seemed easy to apply and were easy to remove. I can't imagine why more docs don't use them. Does anyone know? If there's not a good reason, those still in casts should push for them!! They sure did the trick for us and as far as I know this is all Dr. Mosca uses. and Evan (8-17-00) > > > > We will be there again tomorrow. Just thought I would find out > >if > > > anyone > > > > else was going this week too. > > > > > > > > > > > > > > > > > > > > > > > > Mommy to 12/17/98 > > > > > > > > and Christian 1/30/04 > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2004 Report Share Posted August 28, 2004 My vote in all of this is for the " soft " casts like Dr. Mosca uses in Seattle. I'm not quite sure what they were made of (fiberglass?--Do you remember Robin?) Anyway, the word soft is kindof misleading because you could definitely knock on them and make a rap rap noise. If you really pushed with your thumb though, you could make them flex a little. Evan never once had any kind of a slip in these casts and we could take them off at home just by unravelling them--no saws, no soaking. Of course, our instructions were to leave them on until the last possible minute, so we would remove them, have a bath and be out the door to the hospital as fast as we could. They were so lightweight, seemed easy to apply and were easy to remove. I can't imagine why more docs don't use them. Does anyone know? If there's not a good reason, those still in casts should push for them!! They sure did the trick for us and as far as I know this is all Dr. Mosca uses. and Evan (8-17-00) > > > > We will be there again tomorrow. Just thought I would find out > >if > > > anyone > > > > else was going this week too. > > > > > > > > > > > > > > > > > > > > > > > > Mommy to 12/17/98 > > > > > > > > and Christian 1/30/04 > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 It's said that the plaster holds the foot more securely than the fiberglass, I think because it expands as it hardens. Plaster is supposed to be more secure and you can really hold the foot and manipulate the foot well with plaster even after it's been wrapped (while it's still soft). Darbi's first cast was soft fiberglass like that and quite honestly, that one showed the most difference in my inexperienced mind. Then we went to Dr. Sussman and after her first plaster cast there was a big thumbprint in the inside arch area and my mom asked if that was supposed to be there, thinking it was a mistake. ( I was wondering too) But he said it's supposed to be like that. There was no thumbprint in the fiberglass cast. What's everyone else's experience with that? I liked the fiberglass cast the best though for personal reasons... I could fit some of her shoes over it for one! It was also much lighter and less bulky. The reason Dr. Mosca gets away with the fiberglass casts is that he's shown he gets good results with them. There's something special about Dr. Mosca and his casting technique that works well enough for Dr. Ponseti to overlook that apparently. I wouldn't think that all docs should do fiberglass because there's very good reason for plaster to be used as far as I've ever heard. Plaster isn't all that bad. Let's just consider that as long as the doc knows what he/she's doing the baby shouldn't be in casts more than 10w anyway. 10w is a very short time compared to the rest of baby's life. I would be very apprehensive if the docs started using fiberglass just because that's what parents like. Parents don't like putting the brace on every night... but those who are told they MUST apparently do it. If plaster works best in general... I'm all for it. It does seem to be the one thing Dr's who do (or claim) they do Ponseti method seem to be consistent with. Plaster... Kori At 08:52 PM 8/28/2004, you wrote: >My vote in all of this is for the " soft " casts like Dr. Mosca uses in >Seattle. I'm not quite sure what they were made of (fiberglass?--Do >you remember Robin?) Anyway, the word soft is kindof misleading >because you could definitely knock on them and make a rap rap noise. >If you really pushed with your thumb though, you could make them flex >a little. Evan never once had any kind of a slip in these casts and >we could take them off at home just by unravelling them--no saws, no >soaking. Of course, our instructions were to leave them on until the >last possible minute, so we would remove them, have a bath and be out >the door to the hospital as fast as we could. They were so >lightweight, seemed easy to apply and were easy to remove. I can't >imagine why more docs don't use them. Does anyone know? If there's >not a good reason, those still in casts should push for them!! They >sure did the trick for us and as far as I know this is all Dr. Mosca >uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 It's said that the plaster holds the foot more securely than the fiberglass, I think because it expands as it hardens. Plaster is supposed to be more secure and you can really hold the foot and manipulate the foot well with plaster even after it's been wrapped (while it's still soft). Darbi's first cast was soft fiberglass like that and quite honestly, that one showed the most difference in my inexperienced mind. Then we went to Dr. Sussman and after her first plaster cast there was a big thumbprint in the inside arch area and my mom asked if that was supposed to be there, thinking it was a mistake. ( I was wondering too) But he said it's supposed to be like that. There was no thumbprint in the fiberglass cast. What's everyone else's experience with that? I liked the fiberglass cast the best though for personal reasons... I could fit some of her shoes over it for one! It was also much lighter and less bulky. The reason Dr. Mosca gets away with the fiberglass casts is that he's shown he gets good results with them. There's something special about Dr. Mosca and his casting technique that works well enough for Dr. Ponseti to overlook that apparently. I wouldn't think that all docs should do fiberglass because there's very good reason for plaster to be used as far as I've ever heard. Plaster isn't all that bad. Let's just consider that as long as the doc knows what he/she's doing the baby shouldn't be in casts more than 10w anyway. 10w is a very short time compared to the rest of baby's life. I would be very apprehensive if the docs started using fiberglass just because that's what parents like. Parents don't like putting the brace on every night... but those who are told they MUST apparently do it. If plaster works best in general... I'm all for it. It does seem to be the one thing Dr's who do (or claim) they do Ponseti method seem to be consistent with. Plaster... Kori At 08:52 PM 8/28/2004, you wrote: >My vote in all of this is for the " soft " casts like Dr. Mosca uses in >Seattle. I'm not quite sure what they were made of (fiberglass?--Do >you remember Robin?) Anyway, the word soft is kindof misleading >because you could definitely knock on them and make a rap rap noise. >If you really pushed with your thumb though, you could make them flex >a little. Evan never once had any kind of a slip in these casts and >we could take them off at home just by unravelling them--no saws, no >soaking. Of course, our instructions were to leave them on until the >last possible minute, so we would remove them, have a bath and be out >the door to the hospital as fast as we could. They were so >lightweight, seemed easy to apply and were easy to remove. I can't >imagine why more docs don't use them. Does anyone know? If there's >not a good reason, those still in casts should push for them!! They >sure did the trick for us and as far as I know this is all Dr. Mosca >uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 Hi , You are talking about the semi-rigid casting I mentioned in my post Dr H mentioned quite a few times as he was applying that type that they are not Ponseti protocol but that there are many docs who use it. Mosca being one of them. had no problems in them either and I loved the removal process! No pain, no tears!! Marilouise 9/9/03, LCF, 3 week cast after tenotomy (15 days left) Owen and 3/20/99 > My vote in all of this is for the " soft " casts like Dr. Mosca uses in > Seattle. I'm not quite sure what they were made of (fiberglass?-- Do > you remember Robin?) Anyway, the word soft is kindof misleading > because you could definitely knock on them and make a rap rap noise. > If you really pushed with your thumb though, you could make them flex > a little. Evan never once had any kind of a slip in these casts and > we could take them off at home just by unravelling them--no saws, no > soaking. Of course, our instructions were to leave them on until the > last possible minute, so we would remove them, have a bath and be out > the door to the hospital as fast as we could. They were so > lightweight, seemed easy to apply and were easy to remove. I can't > imagine why more docs don't use them. Does anyone know? If there's > not a good reason, those still in casts should push for them!! They > sure did the trick for us and as far as I know this is all Dr. Mosca > uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 Hi , You are talking about the semi-rigid casting I mentioned in my post Dr H mentioned quite a few times as he was applying that type that they are not Ponseti protocol but that there are many docs who use it. Mosca being one of them. had no problems in them either and I loved the removal process! No pain, no tears!! Marilouise 9/9/03, LCF, 3 week cast after tenotomy (15 days left) Owen and 3/20/99 > My vote in all of this is for the " soft " casts like Dr. Mosca uses in > Seattle. I'm not quite sure what they were made of (fiberglass?-- Do > you remember Robin?) Anyway, the word soft is kindof misleading > because you could definitely knock on them and make a rap rap noise. > If you really pushed with your thumb though, you could make them flex > a little. Evan never once had any kind of a slip in these casts and > we could take them off at home just by unravelling them--no saws, no > soaking. Of course, our instructions were to leave them on until the > last possible minute, so we would remove them, have a bath and be out > the door to the hospital as fast as we could. They were so > lightweight, seemed easy to apply and were easy to remove. I can't > imagine why more docs don't use them. Does anyone know? If there's > not a good reason, those still in casts should push for them!! They > sure did the trick for us and as far as I know this is all Dr. Mosca > uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 I swear we've done just about everything under the sun to Olivia's foot! Yesterday we discussed sawing versus soaking (done both) and today it's plaster versus fiberglass. Guess what! We've had both!! I guess that's what happens when you go through three other doctors before seeing Dr. Ponseti. By the way, she's also had below the knee casts too. Anyone care to dicuss?? LOL Our second doctor used fiberglass, but we were told by Dr. Ponseti that it should always be plaster because you can get better manipulation out of it. I am always surprised when I see that Dr. Mosca uses fiberglass, but I guess if he's getting good results then it's fine! I've never seen any postings about him getting anything but good results. I honestly didn't see much difference in size between plaster and fiberglass. The fiberglass were definitely easier on my legs and arms when I got kicked! They were also easier to remove. Our doctor had us take them off at home the night before, which should have been our biggest indicator that he wasn't using the Ponseti method (besides using fiberglass), but we were still new to the method and trying to trust in our doctor. Big mistake, but that's another story. Jen & Livie Re: Re: cast removal It's said that the plaster holds the foot more securely than the fiberglass, I think because it expands as it hardens. Plaster is supposed to be more secure and you can really hold the foot and manipulate the foot well with plaster even after it's been wrapped (while it's still soft). Darbi's first cast was soft fiberglass like that and quite honestly, that one showed the most difference in my inexperienced mind. Then we went to Dr. Sussman and after her first plaster cast there was a big thumbprint in the inside arch area and my mom asked if that was supposed to be there, thinking it was a mistake. ( I was wondering too) But he said it's supposed to be like that. There was no thumbprint in the fiberglass cast. What's everyone else's experience with that? I liked the fiberglass cast the best though for personal reasons... I could fit some of her shoes over it for one! It was also much lighter and less bulky. The reason Dr. Mosca gets away with the fiberglass casts is that he's shown he gets good results with them. There's something special about Dr. Mosca and his casting technique that works well enough for Dr. Ponseti to overlook that apparently. I wouldn't think that all docs should do fiberglass because there's very good reason for plaster to be used as far as I've ever heard. Plaster isn't all that bad. Let's just consider that as long as the doc knows what he/she's doing the baby shouldn't be in casts more than 10w anyway. 10w is a very short time compared to the rest of baby's life. I would be very apprehensive if the docs started using fiberglass just because that's what parents like. Parents don't like putting the brace on every night... but those who are told they MUST apparently do it. If plaster works best in general... I'm all for it. It does seem to be the one thing Dr's who do (or claim) they do Ponseti method seem to be consistent with. Plaster... Kori At 08:52 PM 8/28/2004, you wrote: >My vote in all of this is for the " soft " casts like Dr. Mosca uses in >Seattle. I'm not quite sure what they were made of (fiberglass?--Do >you remember Robin?) Anyway, the word soft is kindof misleading >because you could definitely knock on them and make a rap rap noise. >If you really pushed with your thumb though, you could make them flex >a little. Evan never once had any kind of a slip in these casts and >we could take them off at home just by unravelling them--no saws, no >soaking. Of course, our instructions were to leave them on until the >last possible minute, so we would remove them, have a bath and be out >the door to the hospital as fast as we could. They were so >lightweight, seemed easy to apply and were easy to remove. I can't >imagine why more docs don't use them. Does anyone know? If there's >not a good reason, those still in casts should push for them!! They >sure did the trick for us and as far as I know this is all Dr. Mosca >uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 When started seeing Dr. P just before his 2nd birthday, Ponseti attempted to cast-correct him prior to the ATTT. Anyway, he would apply a plaster cast, then put fiberglass over that to add strength due to being so active. His first doctor tried knee-high casts once in a while.He also had us take the casts off teh night before a new set was due. The more I learn the more I want to go picket that doctor's office so no other parent ever takes their club foot baby to him! s. Re: Re: cast removal It's said that the plaster holds the foot more securely than the fiberglass, I think because it expands as it hardens. Plaster is supposed to be more secure and you can really hold the foot and manipulate the foot well with plaster even after it's been wrapped (while it's still soft). Darbi's first cast was soft fiberglass like that and quite honestly, that one showed the most difference in my inexperienced mind. Then we went to Dr. Sussman and after her first plaster cast there was a big thumbprint in the inside arch area and my mom asked if that was supposed to be there, thinking it was a mistake. ( I was wondering too) But he said it's supposed to be like that. There was no thumbprint in the fiberglass cast. What's everyone else's experience with that? I liked the fiberglass cast the best though for personal reasons... I could fit some of her shoes over it for one! It was also much lighter and less bulky. The reason Dr. Mosca gets away with the fiberglass casts is that he's shown he gets good results with them. There's something special about Dr. Mosca and his casting technique that works well enough for Dr. Ponseti to overlook that apparently. I wouldn't think that all docs should do fiberglass because there's very good reason for plaster to be used as far as I've ever heard. Plaster isn't all that bad. Let's just consider that as long as the doc knows what he/she's doing the baby shouldn't be in casts more than 10w anyway. 10w is a very short time compared to the rest of baby's life. I would be very apprehensive if the docs started using fiberglass just because that's what parents like. Parents don't like putting the brace on every night... but those who are told they MUST apparently do it. If plaster works best in general... I'm all for it. It does seem to be the one thing Dr's who do (or claim) they do Ponseti method seem to be consistent with. Plaster... Kori At 08:52 PM 8/28/2004, you wrote: >My vote in all of this is for the " soft " casts like Dr. Mosca uses in >Seattle. I'm not quite sure what they were made of (fiberglass?--Do >you remember Robin?) Anyway, the word soft is kindof misleading >because you could definitely knock on them and make a rap rap noise. >If you really pushed with your thumb though, you could make them flex >a little. Evan never once had any kind of a slip in these casts and >we could take them off at home just by unravelling them--no saws, no >soaking. Of course, our instructions were to leave them on until the >last possible minute, so we would remove them, have a bath and be out >the door to the hospital as fast as we could. They were so >lightweight, seemed easy to apply and were easy to remove. I can't >imagine why more docs don't use them. Does anyone know? If there's >not a good reason, those still in casts should push for them!! They >sure did the trick for us and as far as I know this is all Dr. Mosca >uses. > > and Evan (8-17-00) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 > It's said that the plaster holds the foot more securely than the > fiberglass, I think because it expands as it hardens. Plaster is supposed > to be more secure and you can really hold the foot and manipulate the > foot well with plaster even after it's been wrapped (while it's still > soft). > Kori > That's a good point about accuracy. For us the mix of plaster for the accurate manipulation and fibreglass for the lightwieght anchoring of the knee was a great use of materials and purpose. Our plasters did have that thumbprint which was always an indent in Jasper's foot which I guess was the head of the Talus moving into it's correct position? That indent isn't there anymore one week after DDB. Tamsin Quote Link to comment Share on other sites More sharing options...
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