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Did your surgeon tell you about NA?
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08/20/2009 23:10
brian123

not registered

08/20/2009 23:10
brian123

not registered

Re: Did your surgeon tell you about NA?

Dr. Eaton did a GREAT job on me..NA
Went to 3 local CHS...what a joke one never heard of NA another did...and said no "I have to sleep ay night"
Thanks God for N.A, and Eaton.

08/21/2009 16:10
rmc

not registered

08/21/2009 16:10
rmc

not registered

Re: Did your surgeon tell you about NA?

I went to a surgeon in Tacoma,Wa last september who says he does NA even the office personal say he does NA after he told me he would not do NA on my 90deg pip little finger because it would cause nerve damage he convinced me to do surgery. I found this site one week before it was scheduled and cancelled the surgery. Flew to Dr Denkler after emailing photos of my finger now 9 months later my pip joint is at about 5 degrees with no problems. I later found out the surgeon has only looked at videos of NA but has not performed it.

08/22/2009 09:42
brian123

not registered

08/22/2009 09:42
brian123

not registered

Re: Did your surgeon tell you about NA?

SAME HERE...95 DEGREE PIP LITTLE FINGER NOW LESS THAN 5 DEGREES AFTER NA 8 MONTHS AGO.....STILL WEAR SPLINT AS PRECAUTION AT NIGHT,

08/22/2009 14:53
callie 
08/22/2009 14:53
callie 
Re: Did your surgeon tell you about NA?

I think the options on procedures are great. I always thought that I would perhaps try NA on my other hand when the time comes. But, after 7 1/2 years following surgery on my first hand done (90 degrees, little finger) my thoughts have changed. I happened to see my GP doctor yesterday (who also has Dupuytren's) and he couldn't believe that my hand was still showing no signs of Dupuytren's. The limited fasciectomy was the best choice I could have made.

08/22/2009 18:39
Issleib2

not registered

08/22/2009 18:39
Issleib2

not registered

Re: Did your surgeon tell you about NA?

my hand surgeon not only didn't give me any options except waiting for contracture and having surgery, he YELLED at me. A physician myself, when I was first diagnosed, I went to my medical search engins to see what this was about. One of my first stops was Campbells Operative Orthopedics. I really didn't like what I was reading. Eventualy I found the articles on radiation. I checked out the validity with a radiation oncolgist who was a friend and he arranged for a friend of his to treat me localy. I kept my follow-up appt. with the surgeon mostly to say thank-you, because he had diagnosed it early while radiation was still an option. He roared he was so angry. On the other had many other docs in the doctors dining room of my hospital were really interested. I know tht a couple family docs and a couple dermatologist have refered for radiation.

08/22/2009 19:12
Randy_H 
08/22/2009 19:12
Randy_H 

Re: Did your surgeon tell you about NA?

Yelled at by your CHS? And you yourself are part of the MD fraternity? Wow. Can this be about anything other than the fact that you disregarded his ultimate wisdom, knowledge and understanding? Good thing there is no Ego involved here :)

It must be said in passing that with a somewhat lower average rate of recurrence, Open Surgery can be the better choice. I think this is especially true when dealing with a MCP joint next to the palm. However, my position for some time has been to go with the least invasive approach first and then move up to OS if recurrence after NA is unacceptable. Going form least invasive to higher levels of invasiveness is the general rule in medicine.

If radiation were more widely available and diagnosis a lot earlier, most lot of us would be in Wolfgang's position. His disease seems dead in it's tracks.

08/23/2009 14:41
flojo 
08/23/2009 14:41
flojo 
Re: Did your surgeon tell you about NA?

Issleib2,

The reaction by your hand surgeon is just sad! Thankfully, your other colleagues are open and interested. I think it is critically important for GPs and dermatologists, the "1st responders", so to speak, to be educated about the proven effectivness of early, less invasive treatments, e.g. NA and RT. Unless they know differently, they can only do the traditional, refer to a hand surgeon. I'm doing my part to educate and my GP and dermatologist welcomed the information, were pleased at the results of NA and RT for me, and are very happy to know they can refer their patients for other options. They asked for contact information for my NA and RT specialists.

Kudos to you for "trying" to thank and educate your hand surgeon. True, he did diagnose it early and that is critical for the effectiveness of RT. If I had known about RT when I was first diagnosed, I would have had it first and probably not needed NA. By the time I found out about the availability of RT, I had minor contracture and needed NA.

The success of your radiation makes me even more confident that the early improvement on my right hand will be permanent. Since my left hand is showing signs of Dups, I am in position to watch it and get radiation early, if needed.


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