Sunday, September 14, 2008

From my eyes

I was about to write the different between Original Ponseti Method [O.P.M] vs Malaysian own Ponseti [I referring to what Dania has gone through] long time ago..I may add more as at when I remember..

1. O.P.M - casting could only takes not more than 7 times but in Dania case, I think it is more than 15 times. huh? Through Ponseti websites, casting more than 7 times is a signal that the treatment is in fault...Hulalala...The treatment can be shortened by changing the plaster casts every five days....in HKL, the casting change every 2 weeks...

2. O.P.M - you can only removed the cast about an hour before new cast applied but in Dania case, we need to do it at home before we reach Hospital.

3. O.P.M - the infant should not be in struggling mode to ensure the casting is well applied but in Dania's case or even her friends, crying out loud like no body business.In Bangkok, Dania was put on sleep during the manupulation to ensure the Ponseti casting method is well applied.

4.O.P.M - Surgeons with limited experience in the treatment of clubfoot should not attempt to correct the deformity. They may succeed in correcting mild clubfeet, but the severe cases require experienced hands. But in Dania's case, in HKL there is none of them is Ponseti certified and no wonder they can't help that much. In HKL, the check up is done by the Medical Officer [MO] but the casting is applied by the so call orthopedic specialist...hmm I'm so speechless...I still keep some of Dania's cast at home since the cast can easily slipped off.Hmm, no wonder!!

5. O.P.M - In order to prevent relapse after following the casting process, the child will be fitted with a splint consisting of a bar with high top, open-toed shoes.The child will need to wear this splint full-time for the first 2-3 months and then at night for 2-4 years. In HKL, we saw a lots of clubfoot kids wearing Dennis Brown shoe without a bar and they wear the shoe as walking shoe!!!!! Dania could be one of them but we were lucky, Dr Ponseti direct us to the right person.

So parents out there, please visit Ponseti International website to understand more on this method and Good Luck!!

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