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The Best Specialist for Your Child May Not Be in Your City

Most parents don’t expect a routine prenatal scan to change the entire trajectory of their plans. Monica didn’t either.

At her 20-week ultrasound, she learned that her daughter, River, had congenital vertical talus, a rare foot deformity often mistaken for clubfoot. The diagnosis was bilateral. Both feet.

From that moment, Monica did what any determined parent would do. She researched. She joined every clubfoot Facebook group she could find. She read case studies, watched videos, and asked questions of strangers on the internet who had been exactly where she was standing.

That research led her to the Paley Institute in West Palm Beach, Florida—and specifically to Dr. Matthew Dobbs, one of the country’s leading specialists in pediatric foot and lower limb deformities. Dr. Dobbs trained under Dr. Ignacio Ponseti, the physician who pioneered the most widely used clubfoot treatment method in the world.

That connection mattered. When Monica found out Dr. Dobbs had trained under Dr. Ponseti, the decision was made. There was just one problem.

Monica lives in Rochester, New York, and West Palm Beach is not a short commute. It’s a 24-hour drive without stops. Flying is the only practical option for a family making repeated long-distance visits with a baby in bilateral casts.

This is the reality for thousands of families across the country every year. The best care for your child’s condition exists somewhere. It may not exist anywhere near you.

Why Word-of-Mouth Is Still the Most Powerful Referral System

Monica found Miracle Flights through Sarah.

Sarah was another mother in a clubfoot Facebook group, and her daughter had the same condition. Sarah told Monica about Miracle Flights—a national nonprofit that provides free commercial flights to families with children in need of long-distance medical treatment.

Without that conversation in a Facebook group, Monica says she would have gone a different direction. Her boyfriend was already planning a GoFundMe campaign.

That one referral, from one parent to another, changed the course of River’s treatment.

Today, it highlights an important issue: awareness for organizations like Miracle Flights spreads best through referrals. The best way to help families find support is to talk about it with the people you know.

If you know a family navigating a serious pediatric diagnosis that requires specialized care far from home, a referral could change everything for them.

The Barrier Nobody Talks About: Asking for Help

Monica was up late one night filling out the Miracle Flights application. She almost didn’t do it.

“I really don’t want to ask for help,” she said. That feeling—that quiet resistance to reaching out—is more common than most people admit. Monica described it as feeling like a charity case. Worrying about judgment. Wondering what other people would think of her family for needing assistance.

This is worth sitting with, especially if you work in or support the nonprofit sector. The families who need help most are often the ones least likely to ask for it. Not because they don’t know an organization exists. Sometimes they know. They just can’t get past the emotional weight of accepting what’s being offered.

For Monica, the turning point was blunt: this is about whether River walks normally or not.

“This is her whole life,” Monica said. “Her walking. It’s not something small.”

Once she reframed the decision around River’s quality of life, the calculus changed. She filled out the application, and Miracle Flights called her back the next day.

Miracle Flights’ response time is not a small detail. For a family already managing a diagnosis, specialist appointments, infant care, and the logistics of traveling across the country, a fast answer signals that someone is actually paying attention, and it signals that the system works.

For families reading this who are in the same position Monica was—knowing Miracle Flights exists, but hesitating—her message is direct: just do it. Fill out the application. The worst outcome is that it doesn’t work out. The best outcome is that your child gets to the specialist who can actually help them.

What River’s Treatment Actually Looks Like

River was first placed in casts at four weeks old.

She spent the better part of her first year of life in bilateral casts, cycling through serial casting, Ponseti boots and bars, and the Dobbs bar as Dr. Dobbs tracked her progress and adjusted her treatment plan. These are not single-visit interventions. Clubfoot treatment at this level requires ongoing appointments, precise monitoring, and adjustments over time.

Monica and River made two Miracle Flights before this article was written. Their first trip lasted two weeks, so they could stack multiple appointments and maximize the travel. Their third Miracle Flight was scheduled for November 22nd.

That visit carries a milestone: River’s casts are coming off.

“She’s been casted her whole entire life,” Monica said. “And now they get to come off, and she’s going to be free.”

For a child who turned one year old the day of this interview, that’s not a small thing. That’s the entire arc of her life so far, compressed into a treatment plan made possible by access to the right specialist at the right institution.

That’s what Miracle Flights funds and supports wholeheartedly.

How the Support Network Actually Works

Miracle Flights doesn’t operate in isolation. Monica’s experience shows a web of support that must inevitably surround families making these trips.

When she and River arrived in West Palm Beach, they stayed at Quantum House—a residential facility that provides housing support for traveling families. Sarah had told her about that, too.

The Miracle Flights family Facebook group is another layer. Beyond the organization’s direct services, families connect with each other through that group—sharing logistics, experiences, and practical knowledge about navigating long-distance pediatric care.

Clubfoot-specific Facebook groups operate the same way. That’s where Monica found Sarah. That’s where she first saw Dr. Dobbs’ name come up, repeatedly, until she started paying closer attention.

For families considering applying: We encourage you to follow our Facebook group and reach out with questions.

For donors: your contribution is part of what makes all this happen. It doesn’t just pay for an airplane ticket. It makes it possible for a family in Rochester to access a specialist in Florida.

Frequently Asked Questions

Who qualifies for Miracle Flights?

Miracle Flights serves families with children who need long-distance medical care that isn’t available locally. If your child requires treatment from a specialist who is not accessible near your home, you may qualify. Visit miracleflights.org to review eligibility and apply.

Is Miracle Flights actually free?

Yes. Miracle Flights provides free commercial airfare to qualifying families. There is no cost to the family for the flights the organization arranges.

How do you apply for a Miracle Flight?

You apply directly through miracleflights.org. The application process is straightforward. Monica and her boyfriend completed it in a single evening. Miracle Flights responded the following day.

How quickly does Miracle Flights respond to applications?

In Monica’s case, Miracle Flights called her back the next day after she submitted her application. Response time may vary, but the organization is designed to move quickly for families with urgent medical needs.

What medical conditions does Miracle Flights cover?

Miracle Flights supports children with a range of medical conditions that require long-distance specialist care. Clubfoot is one example. The organization works with families across many diagnoses. Check miracleflights.org for current eligibility details.

What is the Paley Institute?

The Paley Institute is a leading center for orthopedic and limb deformity treatment located in West Palm Beach, Florida. Dr. Dror Paley and his team, including Dr. Dobbs, treat patients from across the country and internationally. Dr. Dobbs trained under Dr. Ignacio Ponseti, who developed the Ponseti method—the gold standard for clubfoot treatment.

What is clubfoot and how is it treated?

Clubfoot is a congenital foot deformity that is typically diagnosed during a prenatal ultrasound. Treatment usually begins within weeks of birth and involves serial casting, followed by special bracing. At advanced centers like the Paley Institute, treatment may also include the Dobbs bar and other customized protocols, depending on the severity and type of clubfoot.

Do I have to travel alone? Are there other support resources for families?

No. Families traveling for pediatric care often have access to additional resources beyond transportation. Quantum House, for example, provides housing support for qualifying families. Community Facebook groups for specific diagnoses—like clubfoot groups—connect families with firsthand knowledge and referrals to additional programs.

How can I support Miracle Flights as a donor?

You can donate, volunteer, or learn about Miracle Flights events at miracleflights.org. Your donation directly funds free flights for families like Monica and River.

How does Miracle Flights work with commercial airlines?

Miracle Flights coordinates free commercial airline travel for qualifying families. The organization has existing relationships and processes to arrange these flights. Families fly on commercial carriers, which is why awareness among airline employees and travelers matters—many, including some airline staff, have never heard of the program.

Key Takeaways

• If your child needs long-distance specialist care, Miracle Flights may cover the flights. Apply at miracleflights.org. It takes one evening, and they respond fast.

• The emotional resistance to asking for help is real and common. Monica felt it. The answer she gave herself: this is about River’s future. Reframe it around your child if you feel some resistance.

• Ask about Quantum House and other housing support programs when you’re planning a multi-appointment trip. The flight is often just one piece of the logistics.

• If you’re already in a diagnosis-specific community online—Facebook groups, forums, parent networks—you’re sitting on a referral system. Share what worked for your family.

• If you know a family managing a serious pediatric diagnosis that requires specialized care, send them to miracleflights.org. That’s the whole referral chain. One person telling one person.

• Donors: you’re not just funding a flight. You’re funding a better future for a child in need. That’s what the money does.

• Awareness is the gap. Even airline employees don’t know Miracle Flights exists. Share this post.

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