We had a tremendous experience at Sick Kids in Toronto yesterday. We got referred there to treat Molly's club feet. Every single person we dealt with at the hospital was friendly, professional, positive and helpful. We met with an ortho fellow and the ortho surgeon, who laid out the treatment plan for us (they follow the Ponseti approach) and then with the physio who, in their multi-disciplinary approach, is responsible for applying the casts each week. The first casts were put on yesterday, with very little discomfort for Molly. We'll go back weekly for probably 4 to 7 cast changes. Once her feet are set in the proper position, then she'll wear a "boots and bar" 24/7 for about a year, and then at night until she's about 3 years old. After the casting, she will probably have a tenotomy, a procedure to loosen the achilles tendon, which will be done under local anaesthetic. Out of the 300 people they've seen at Sick Kids in the past 5 years, only 3 have required surgery, which is exactly what we wanted to avoid.
The surgeon and the physio were very optimistic for Molly's prognosis. They're confident that she'll have full, normal use of her feet. The doctor said the only thing she might not be able to do is be a foot model! So, it won't always be convenient in the coming months, but the long term situation is really positive.
You don't always hear a lot of positive encounters with the health care system, but this one could not have been any better.
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