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Australian Experience
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04/30/2007 13:27
Issleib 
04/30/2007 13:27
Issleib 
Re: Australian Experience

alanr,

It's not wishful thinking on your part. I had definite improvement and measurable shrinkage of my nodules after my first 5 treatments. Because this was new to my doctors and they were interested I had 2 attendings and 2 resident who measured everything (of course I'd measured the size of my lumps myself). Actually I think I got the most improvement in the beginning. I continued to improve for a couple weeks after my final treatment. It's been about 7 months since I finished with my right hand. 8 since I finished with my left and ther has been no progression at all. Before it was progressing very aggresivly

05/09/2007 11:23
stomo 
05/09/2007 11:23
stomo 
Re: Australian Experience

Are all radiologists slow to get back to you?

I contacted the one that my GP referred me to about 3 weeks ago and haven't heard back yet.

I also spoke to a freind whose partner just happens to be a radiologist about 10 days ago and no reply.

Are they all this slow? Someone said something about some 'get back to you within 8 weeks' as if this was normal. Whatever happened to customer service?

Tomo

05/09/2007 11:29
wach 

Administrator

05/09/2007 11:29
wach 

Administrator

Re: Australian Experience

Just my personal experience: they are typically drowned in work and e-mails get buried easily. Why don't you give him a call?

Wolfgang
PS: don't worry about duplicate posts, they will be deleted by the moderators.

Quote:



Are all radiologists slow to get back to you?

I contacted the one that my GP referred me to about 3 weeks ago and haven't heard back yet.

I also spoke to a freind whose partner just happens to be a radiologist about 10 days ago and no reply.

Are they all this slow? Someone said something about some 'get back to you within 8 weeks' as if this was normal. Whatever happened to customer service?

Tomo


05/10/2007 00:10
stomo 
05/10/2007 00:10
stomo 
Re: Australian Experience

Well amazing coincidence, I received a letter today with an appointment at Peter MacCallum hospital here in Melbourne. They are the leading cancer treatment facility in Victoria.
So, fingers crossed, and yes I can still cross them, I will get somewhere.
I will keep you up to date.
Tomo

05/22/2007 05:28
stomo 
05/22/2007 05:28
stomo 
Re: Australian Experience

Went to the Radiotherapy Oncologist today.
Results not resolved either way if he will help me or not. He was quick to point out the possible side effects of the radioation therapy and that none of his colleagues would take on the job when he discussed it with them.
So I listened to him and then explained that I was aware of the possible side effects and also that if I wait for old fashioned surgery there are similar risks. Also I think he was impressed with my knowledge of the issues which I thank you all for as I the majority of my DD learning has been at this forum and the DD website.
The upshot is that he will do some more research as he was not aware of the results from the 2002 trials that I found on the Cochrane's Library. His only knowledge of resaults was over 10 years ago.
I am ringing him friday week to get an answer, will keep you informed.
Tomo

05/22/2007 06:18
Wolfgang

not registered

05/22/2007 06:18
Wolfgang

not registered

Re: Australian Experience

Stomo, you might point our our web site

http://www.dupuytren-online.info/radiation_therapy.html

to your oncologist. It includes a copy of the presentation at ASSH 2006 which, to my knowledge, is the most current paper on radiotherapy for Dupuytren (and Ledderhose). Dupuytren Society also has translated older paper that originally was published in German and which he possibly hasn't seen yet. For legal reasons we can't publish it on the Internet.

Wolfgang

05/23/2007 09:39
TrevB 
05/23/2007 09:39
TrevB 

Australian Experience (UK view)

Quote:



Went to the Radiotherapy Oncologist today.
He was quick to point out the possible side effects of the radiotherapy



Although I've had Dups for a couple of years in the palm without contracture as yet, I have thought about Radiotherapy to try to halt or stop it but the side effects issue does concern me. What did he point out? If radiotherapy is a fairly safe and useful option then why isn't it more widely available? I wrote to my doctor to ask what he thought but he suggested that I write to the consultant who saw me at the hospital. The consultant's position seemed to be come back when you can't put your hand flat and I'll perform OS I now feel that I'm in the position of medical expert to decide how to treat myself

BTW I'm UK based. You'd know me as a POM

05/24/2007 22:36
Randy_H 
05/24/2007 22:36
Randy_H 

Self Education

"I now feel that I'm in the position of medical expert to decide how to treat myself"

Trevb,

Welcome to the club. Many of us have lost some faith in what certainly looks like a route knee jerk reaction by many surgeons who insist that the *only* option is full traditional invasive surgery (OS). If they are unaware, or negative on any other approach than what they themselves are doing, we need to educate ourselves about our options. This site is currently the best place in the world to do that for our shared disease.

05/25/2007 01:11
stomo 
05/25/2007 01:11
stomo 
Re: Australian Experience

Hi TrevB,

The side effects include the possibility of cancer caused by the treatment. The stat that he quoted was 1 in 1,000 chance for a 65 year old undergoing normal radiotherapy doses for treatment of cancer and other issues, mostly cancers. DD treatment on the other hand, no pun intended, uses very low doses and is not aimed where there are vital organs that might be affected if the treatment is used for more traditional conditions like cancers in many parts of the body.

All of the other possible side effects that he raised are also possible where surgery is used as treatment, so my arguement was to treat it early and hopefully never need the surgery.

By the way I am 50 years old and he quoted stat for 65 year old. Yes I am concerned about the possible side effects from radiotherapy. No I don't want to wait for contracture and surgery, either NA or OS!

Tomo

05/25/2007 03:01
wach 

Administrator

05/25/2007 03:01
wach 

Administrator

side effects

Hi stomo, the odds to develop cancer depend strongly on what you radiate. Hand and foot are much less in danger of developing cancer than parts of the body where cells divide more frequently (stomach, bone marrow etc). Your doctor might have a look at the risk estimate at

http://www.dupuytren-online.de/downloads...20Dupuytren.htm

A long link but maybe important.

Wolfgang

Edited at 05/25/07 06:09

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