May 26, 2005

On parenting

When we were in to see Nathan’s orthopedist a few weeks ago, he asked if we were still keeping Nathan in the brace. “Umm … yes, since that’s what you said to do.” “Really? Oh, that’s good.” He was surprised.

Recently, a woman noticed Nathan’s brace for his club feet and decided to tell us the story of her kid who had been born with “a crooked head”, which required wearing a helmet for a year. “But he didn’t like it, so we only used it for three months. I guess we should have kept it on, because now he’s nine years old and his head is still crooked. Oh well!”

I called Nathan’s doctor yesterday to say that Nathan was kicking out of his shoes about every twenty minutes or so, and I thought we needed new shoes because the leather in his current shoes had stretched so much that we couldn’t keep them tightly buckled anymore. The nurse who called me back thanked me profusely for noticing this and acting on it. One study of club feet showed that the recurrence in “compliant” families, i.e., those who actually do what the doctor says, is 6%. Otherwise, the rate is 80%.

What the hell is wrong with people? You can’t make parenting decisions based solely on what an infant does and doesn’t like. Nathan doesn’t always like to have his diaper changed, but it’s a really good idea to do it anyway.

I don’t mean that what he wants is unimportant. When he cries, I pick him up (even at 2 AM, although I may grumble a bit about it). When he wants to eat, I feed him. But when he cries because of his orthopedic shoes being put on … well, tough. Obviously, it’d be great if he liked them, but he needs them regardless. Nathan can’t make tradeoffs between short term and long term, so it’s our responsibility to do so.

Ignoring a child’s long term medical needs for the sake of short term convenience is a sin.

Posted by Mike at May 26, 2005 08:25 PM
Comments

I am ever surprised by medical professionals' surprise that I do what they say. "Oh, you're still wearing your retainer?" "Oh, you're still continuing that course of antibiotics despite the side effects?" Um, yes, that's what you said would work. Why do all the preliminary work and then quit?

And what do you say to your child someday: "Oh, we intended to correct your club foot, but you didn't enjoy the treatment. Sorry, kid." ?

Posted by: Gretchen on May 30, 2005 04:51 AM

My daughter is wearing the shoes now and keeps kicking out of one of them. what did your dr advise you to do when your son did this? I buckle them so tight that she has a small bruise starting.
Thanks.

Posted by: Amanda Peters on September 27, 2005 06:31 AM

Ilike to know more about ponseti method in treatment of club foot

Posted by: nabazmhamad on December 6, 2005 05:57 AM

This is one of the better sources of information I've found about the Ponseti method:

http://www.global-help.org/publications/cf-english.pdf

Posted by: Mike on December 6, 2005 12:55 PM