9.07.2010

Logans 1st Orthopedic Appointment for his Clubfeet

Logan was born 7.14.2010 and his first Orthopedic appointment with Dr. Mosca at Seattle Childrens Hospital was 7.26.2010. We had already been educated on clubfoot and were told that he would have about 9 sets of casts, one a week. Then he would have his Achilles tendon severed and have a 3 week cast. After that would be a set of bar and shoe braces to keep the feet turned out. He would wear these for 23 hours a day for 3 months. Following the 3 months of braces he would need to wear them at night until the age of 4.
    We showed up at Logan's first appointment prepared of what his future treatment would consist of. We meant to get there early so we would have time to let Logan nurse and get him good and milk drunk before his appointment. However we weren't counting on the main route to the hospital being shut down. We made it in just enough time to check in.
    In our cranky mans true nature he was crying and fussing up a little storm as Dr. Mosca was checking out his feetsies. He said very hopefully, "This is one of the mildest cases of clubfoot I've ever seen!". Jeremy and I had known just from looking at his feet that it really wasn't bad but, hearing it from the expert was so exciting! Dr. Mosca went on to say that his right foot was a 1 out 6 on the clubfoot scale, and that his left was only a .5 out of 6!
   
He went on to cast Logan's right leg. Logan put up quite a fight. I mentioned to Dr. Mosca I meant to get there early enough to breastfeed him. He suggested after he was done casting the right foot that I should nurse him and that'd he'd come back and cast the left leg.
    When he returned he was manipulating Logan's left foot.
        "Boy, I am sure glad you nursed!" He said.
         "..This left foot isn't even clubbed at all. He was just tense. But, now that he's relaxed I see that this foot won't even need a cast."

We couldn't believe our ears! NO cast?? He went on to say that the right foot would probably only need one more cast! I asked, "and then the Achilles tendon cut?"
 "Oh Noooooo. No, no, no.." replied Dr. Mosca "..cases this mild don't need the tenotomy."


ven though our baby boy put up quite the fuss with his first cast, a cast that went from toes to groin. We were very proud of him and I couldn't help but well up with tears seeing only one cast and hearing his treatment was going to much quicker than anticipated!




Even thou in the pictures Logan's left foot still looks a little twisted in, the Dr ensured us that once he begins to walk he will flatten it out on his own.

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