Q&A WITH pediatric orthopaedic surgeon DR. KALI TILESTON
ease of use
families & Hygiene
why kids love aquacast
AquaCast Liner: Why did you get into pediatric orthopedics?
What are some of the challenges of being a pediatric orthopedic surgeon?
What's your favorite thing about being a doctor?
How has medicine and treating patients changed in your years of doing this?
How do you balance what you learn it in school with new technology?
How important is technology being a pediatric surgeon?
When it comes to a fracture, there are a lot of options. Why do your patients like having a waterproof cast option?
Would you use waterproof casting on your kids?
How does a waterproof cast help in dealing with the mental trauma of a fracture?
Why do you use AquaCast Liner?
What procedures do you use AquaCast Liner for?
Can AquaCast be used for Hip Spica casts?
What makes AquaCast different?
Is AquaCast Liner harder to apply and use?
How important is hygiene right now?
What's your favorite thing about AquaCast?
AquaCast Liner: Is AquaCast as good as cotton padding?
Dr. Kali Tileston: I got into pediatric orthopedics because I always wanted to treat kids. Ever since I was five years old, I planned on being some sort of pediatric surgeon. And orthopedics, it's just really fun. You get kids back to playing really fast, and they're just really, really fun to work with.
Dr. Kali Tileston: Some of the challenges of being a pediatric orthopedic surgeon are, you know, they really want to get back to their sports and their activities as fast as they can. So my job is to get them back to the things they want to do safely and quickly, and let them be back to their normal life as soon as they could possibly get there.
Dr. Kali Tileston: My favorite thing about being a doctor is seeing new faces every day, making a really close relationship with a lot of different people and really making a difference on the community that I live in.
Dr. Kali Tileston: I'm a relatively young surgeon, so there's always things coming and going and things that are evolving over time. But I think that we have become more interested in getting kids back to the things that they want to do as fast as possible more recently in my career. And so that has become sort of a tenant of many of the things that we do in our practice.
Dr. Kali Tileston: So I think that it's important to not be the first adopter of something, but don't be the last. And so I think you need to look at the evidence of what things are being created andsort of help be an innovator and be a researcher and look at things with a critical eye, but always want to push the field forward.
Dr. Kali Tileston: Technology is very important in everything that we do as an orthopedic surgeon, we use different technology and we use a lot of different implants. And so we're always innovating doing new things. And so that is a big part of my job as an orthopedic surgeon and part of my job being in this larger pediatric orthopedic surgery world.
Dr. Kali Tileston: My patients love having a waterproof cast option for many reasons. And the younger kids, they tend to be at school, they're doing water play. The parents don't want to have to worry the teachers about it. And then, and the older kids, they don't want their parents showering them. And so giving kids a water and parents, a waterproof option makes a huge difference on their family life, and their ability to interact with their friends and go to school and still live their normal life while they're in care.
Dr. Kali Tileston: I would get a waterproof cast and I can speak to this as a parent. So my kids would almost always get a waterproof cast and because I want them to be able to do all the things that they want to do. And I really believe that, normalizing their life while they're in a cast is incredibly important. And a lot of my families ask, well, what would you do for your own family member? And a hundred percent I would use waterproof casting on my family.
Dr. Kali Tileston: When I see patients, the parents come in and they're worried about all the bathing and they've oftentimes been in a splint. So they've already gone through the painfulness of having to bag the arm while they're treating this fracture. And then they get the option of not only a waterproof cast, but also a color waterproof cast. So then they can show their friends. They can also go in the pool with their friends in the summer. It's really important. I live in California, so they want to be able to go to the beach, and they have swim camps and they want to do all of the things that they want to do with their friends. And especially with COVID, it's been really important for them to be able to wash their hands appropriately. And so almost all of my kids who have upper extremity fractures get that during COVID time so that they can be very good about sanitizing their hands, so that as we're getting kids back to school, that they're not transmitting anything that they shouldn't be.
Dr. Kali Tileston:
I use AquaCast because families come into my office really being worried about what the next several weeks of their life is going to look like. And it provides them an option so that they can really truly live their life as it was before this fracture. And it makes everybody's life so much easier. And it really enhances their, feeling of how their care went and how their healing is going and makes the parents and the children much more accepting of the idea that they need a cast.
Dr. Kali Tileston: I use AquaCast for most forearm fractures, including any fractures that require a long arm cast. I use it for long leg casts, so that they can shower, especially in the pre-teens. Um, and then I use it in my spica cast because I think it's really important that in kids who don't have bowel and bladder control, that their parents are able to clean that cast so that we keep them as clean as possible.
Dr. Kali Tileston: So as a mother, I have young kids, and I know that if my child was in a Spica cast and I was trying to manage the diapering, the double diapering, the blowouts that we all know our kids have on top of trying to carry around a 20 pound child that is now an extra 10 or 15 pounds heavier because of a cast that would just put me over the edge. And so, you know, I really want the families to keep, they want to keep their kids clean. They, want to be able to feel like they're doing all the things that they can do for the kids. And I, I really think that it makes their lives so much better to know, and it just settles them as they're leaving the hospital to know that if they needed to clean their kid off, they would be able to do that. so for me, it's really important that the kids in this spica are, do have the, AquaCast liner.
Dr. Kali Tileston: AquaCast is different because it rolls on very similar to the Webril that we're used to using. So it's really easy for my cast tech to put on AquaCast without my supervision. it's padded, it's got the little checkers to it, so it's really easy to show people how to use it. And then they remember really fast how to use it. it lays down nicely. It sticks to the fiberglass material really nicely, and it allows the water to drain out and doesn't absorb the moisture. So it dries out very, very fast.
Dr. Kali Tileston: So in my opinion, AquaCast is actually easier to apply than Webril because it doesn't wrinkle quite as much as the traditional, under patting would. And then you also don't have to put the cotton liner that we put on. So it takes away a step that we would normally do to finish a cast. So I actually find that it's faster and a little bit easier to put on than traditional liner.
Dr. Kali Tileston: Hygiene is incredibly important right now. I really encourage all families to have their kids in waterproof casts so that they can wash their hands, that we're not passing things on that we shouldn't be. And I've really pushed my partners and colleagues to put on waterproof casts so that the kids can wash their hands as they're going back to school.
Dr. Kali Tileston: There are so many things that I love about AquaCast. One is the ease of use and the ease of application. And two is that the kids are just so happy to know that they can shower and bathe and swim and just have a normal life while they're in a cast. So not only does it make my life easier, it also makes my patients' and their parents' life so much easier.
I love AquaCast because it really allows my patients to live their lives normally as they would, when they're in a cast and really get back to the sports and activities that they love to do.
Dr. Kali Tileston: So in my professional opinion, AquaCast is just as good as the cotton padding that we normally use. And it really changes the lives of my patients. And so I think it's a great option for all families to have.
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