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Dr. Ponseti E-mail

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It sounds like he must be very busy. I have emailed him with photos of

Ethan's feet 3 times and it was only a day or two til I got a

response. The last time, in September, I got a reply the same

afternoon. Good luck, I know he will make every effort to get back to

you as soon as he can.

Tina

Dylan 3-21-00

Ethan 3-06-04 bcf s 15/24

#3 EDD 5-25-05

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It sounds like he must be very busy. I have emailed him with photos of

Ethan's feet 3 times and it was only a day or two til I got a

response. The last time, in September, I got a reply the same

afternoon. Good luck, I know he will make every effort to get back to

you as soon as he can.

Tina

Dylan 3-21-00

Ethan 3-06-04 bcf s 15/24

#3 EDD 5-25-05

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  • 2 weeks later...

I spoke to Joyce on Friday and she said that Dr. Ponseti likes to

look at the pictures in color and she doesn't have a color printer so

she has to send them out to be printed. Boy we know what that office

needs from Santa.

Tommy Lee 4/23/04BLCF..waiting for Dr. Ponseti's opinion patiently!---

In nosurgery4clubfoot , " thejuggasmomma "

wrote:

>

> I got an e-mail from Joyce yesterday saying that she was going to

> print the pictures of Jordan's feet and hopefully get an answer

from

> Dr. Ponseti today. Yeah! We have been waiting since November 1st.

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We also got a reply from Dr. Ponseti.

Just as I suspected Jordan's feet are not corrected. He suggested

that we put her back in casts. Should be fun... (she's two years

old)

Here is his response...

But, here is my question...Should I print this e-mail and take it

with us to her first appointment with Dr. Frick on December 7th or

not?

November 22, 2004

Dear Mrs. Canady:

You are right. The picture you sent show that both feet are still

turning in some. They don't appear to be fully corrected. We tend

to treat a first relapse with two or three more plaster casts, each

worn for one or two weeks. The feet should be turned out to at

least 60 degrees of abduction in the last cast. That trains the

bones and joints to realign in a straight position. Jordan would

then have to wear the brace at night and naptime until she is 3 - 3

1/2 years old. If she had a further relapse, she would need to be

casted to get the feet straight before an anterior tibial tendon

transfer could be done. The tendon transfer is to better balance

the foot but the deformity must be corrected with casting before the

tenotomy.

I am curious how many degress are the shoes turned out on the bar.

After the feet are fully corrected, the shoes should be turned out

to 60 and preferably 70 degrees, but the child will not tolerate

this unless the feet are corrected to this degree with casts.

I.V. Ponseti, M.D.

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I'm not sure what you are referring to when you say " an ATTT does

NOT hold correction for club foot!!! "

Ponseti uses the ATTT as a very last resort to correct feet that for whatever

reason did not respond to the normal correction methods, or for kids who came to

the Ponseti-Method too old for traditional correction to be effective. At age

2 my son couldn't walk - he hobbled like one of those little China women who've

had their feet bound, and his feet were all balled up, he walked on the outer

edges with his toes curled up under. This after 2 years worth of non-ponseti

care. Ponseti and Dietz performed the ATTT on him in on May 30th, four months

later he didn't only walk, he was running and could wear shoes, nice regular

shoes. I admit his feet are not perfect nor with out some minor issues, but all

in all it was the ATTT that gave my son his legs and I'm truely thankful.

The major difference that seperates the ATTT from other operations is that the

are not " breaking " bones, cutting bones, or anything to that nature which comes

back to haunt the patient in later years - they simply tighten a certain tendon.

s.

Re: Dr. Ponseti E-mail

May I ask how much an ATTT costs??? I seem to remember hearing that

it was somewhere in the $ 1500 - $ 2500 dollar range....hmmmm...makes

you wonder! I hate to say something like that but it really does make

me wonder when it has been said time and time again that an ATTT does

NOT hold correction for club foot!!!

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I'm not sure what you are referring to when you say " an ATTT does

NOT hold correction for club foot!!! "

Ponseti uses the ATTT as a very last resort to correct feet that for whatever

reason did not respond to the normal correction methods, or for kids who came to

the Ponseti-Method too old for traditional correction to be effective. At age

2 my son couldn't walk - he hobbled like one of those little China women who've

had their feet bound, and his feet were all balled up, he walked on the outer

edges with his toes curled up under. This after 2 years worth of non-ponseti

care. Ponseti and Dietz performed the ATTT on him in on May 30th, four months

later he didn't only walk, he was running and could wear shoes, nice regular

shoes. I admit his feet are not perfect nor with out some minor issues, but all

in all it was the ATTT that gave my son his legs and I'm truely thankful.

The major difference that seperates the ATTT from other operations is that the

are not " breaking " bones, cutting bones, or anything to that nature which comes

back to haunt the patient in later years - they simply tighten a certain tendon.

s.

Re: Dr. Ponseti E-mail

May I ask how much an ATTT costs??? I seem to remember hearing that

it was somewhere in the $ 1500 - $ 2500 dollar range....hmmmm...makes

you wonder! I hate to say something like that but it really does make

me wonder when it has been said time and time again that an ATTT does

NOT hold correction for club foot!!!

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I'm not sure what you are referring to when you say " an ATTT does

NOT hold correction for club foot!!! "

Ponseti uses the ATTT as a very last resort to correct feet that for whatever

reason did not respond to the normal correction methods, or for kids who came to

the Ponseti-Method too old for traditional correction to be effective. At age

2 my son couldn't walk - he hobbled like one of those little China women who've

had their feet bound, and his feet were all balled up, he walked on the outer

edges with his toes curled up under. This after 2 years worth of non-ponseti

care. Ponseti and Dietz performed the ATTT on him in on May 30th, four months

later he didn't only walk, he was running and could wear shoes, nice regular

shoes. I admit his feet are not perfect nor with out some minor issues, but all

in all it was the ATTT that gave my son his legs and I'm truely thankful.

The major difference that seperates the ATTT from other operations is that the

are not " breaking " bones, cutting bones, or anything to that nature which comes

back to haunt the patient in later years - they simply tighten a certain tendon.

s.

Re: Dr. Ponseti E-mail

May I ask how much an ATTT costs??? I seem to remember hearing that

it was somewhere in the $ 1500 - $ 2500 dollar range....hmmmm...makes

you wonder! I hate to say something like that but it really does make

me wonder when it has been said time and time again that an ATTT does

NOT hold correction for club foot!!!

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Yes, that's what I meant.

-M

> > >>>

> > >>>

> > >>>

> > >>>

> > >>>>We also got a reply from Dr. Ponseti.

> > >>>>Just as I suspected Jordan's feet are not corrected. He

> suggested

> > >>>>that we put her back in casts. Should be fun... (she's two

> years

> > >>>>old)

> > >>>>

> > >>>>Here is his response...

> > >>>>

> > >>>>But, here is my question...Should I print this e-mail and

take

> it

> > >>>>with us to her first appointment with Dr. Frick on December

7th

> or

> > >>>>not?

> > >>>>

> > >>>>

> > >>>>November 22, 2004

> > >>>>

> > >>>>Dear Mrs. Canady:

> > >>>>

> > >>>>You are right. The picture you sent show that both feet are

> still

> > >>>>turning in some. They don't appear to be fully corrected.

We

> tend

> > >>>>to treat a first relapse with two or three more plaster

casts,

> each

> > >>>>worn for one or two weeks. The feet should be turned out to

at

> > >>>>least 60 degrees of abduction in the last cast. That trains

the

> > >>>>bones and joints to realign in a straight position. Jordan

> would

> > >>>>then have to wear the brace at night and naptime until she is

> 3 - 3

> > >>>>1/2 years old. If she had a further relapse, she would need

to

> be

> > >>>>casted to get the feet straight before an anterior tibial

tendon

> > >>>>transfer could be done. The tendon transfer is to better

> balance

> > >>>>the foot but the deformity must be corrected with casting

before

> > >>>>

> > >>>>

> > >>the

> > >>

> > >>

> > >>>>tenotomy.

> > >>>>

> > >>>>I am curious how many degress are the shoes turned out on the

> bar.

> > >>>>After the feet are fully corrected, the shoes should be

turned

> out

> > >>>>to 60 and preferably 70 degrees, but the child will not

tolerate

> > >>>>this unless the feet are corrected to this degree with casts.

> > >>>>

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

> > >>>>

> > >>>>

> > >>>>

> > >>>>

> > >>>>

> > >>>>

> > >>>>

> > >>>>

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Sorry!!! I meant AFO's!!! So many abbreviations...got mixed up!

- & Grace

> I'm not sure what you are referring to when you say " an ATTT does

> NOT hold correction for club foot!!! "

>

> Ponseti uses the ATTT as a very last resort to correct feet that

for whatever reason did not respond to the normal correction methods,

or for kids who came to the Ponseti-Method too old for traditional

correction to be effective. At age 2 my son couldn't walk - he

hobbled like one of those little China women who've had their feet

bound, and his feet were all balled up, he walked on the outer edges

with his toes curled up under. This after 2 years worth of non-

ponseti care. Ponseti and Dietz performed the ATTT on him in on May

30th, four months later he didn't only walk, he was running and could

wear shoes, nice regular shoes. I admit his feet are not perfect nor

with out some minor issues, but all in all it was the ATTT that gave

my son his legs and I'm truely thankful.

>

> The major difference that seperates the ATTT from other operations

is that the are not " breaking " bones, cutting bones, or anything to

that nature which comes back to haunt the patient in later years -

they simply tighten a certain tendon.

> s.

>

>

> Re: Dr. Ponseti E-mail

>

>

>

>

> May I ask how much an ATTT costs??? I seem to remember hearing that

> it was somewhere in the $ 1500 - $ 2500 dollar

range....hmmmm...makes

> you wonder! I hate to say something like that but it really does

make

> me wonder when it has been said time and time again that an ATTT

does

> NOT hold correction for club foot!!!

>

>

>

>

>

>

>

>

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Kori, it's my understanding that she hasn't been to see Dr. Frick

yet...this will be the first appointment!

Daiga

>

>

> >We also got a reply from Dr. Ponseti.

> >Just as I suspected Jordan's feet are not corrected. He suggested

> >that we put her back in casts. Should be fun... (she's two years

> >old)

> >

> >Here is his response...

> >

> >But, here is my question...Should I print this e-mail and take it

> >with us to her first appointment with Dr. Frick on December 7th or

> >not?

> >

> >

> >November 22, 2004

> >

> >Dear Mrs. Canady:

> >

> >You are right. The picture you sent show that both feet are still

> >turning in some. They don't appear to be fully corrected. We tend

> >to treat a first relapse with two or three more plaster casts, each

> >worn for one or two weeks. The feet should be turned out to at

> >least 60 degrees of abduction in the last cast. That trains the

> >bones and joints to realign in a straight position. Jordan would

> >then have to wear the brace at night and naptime until she is 3 - 3

> >1/2 years old. If she had a further relapse, she would need to be

> >casted to get the feet straight before an anterior tibial tendon

> >transfer could be done. The tendon transfer is to better balance

> >the foot but the deformity must be corrected with casting before

the

> >tenotomy.

> >

> >I am curious how many degress are the shoes turned out on the bar.

> >After the feet are fully corrected, the shoes should be turned out

> >to 60 and preferably 70 degrees, but the child will not tolerate

> >this unless the feet are corrected to this degree with casts.

> >

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

> >

> >

> >

> >

> >

> >

> >

> >

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