| NA Finally Going Mainstream |
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06/24/2009 18:45
Randy_H 
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06/24/2009 18:45
Randy_H
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NA Finally Going Mainstream
The number of hand surgeons that Dr. Charles Eaton has now personally instructed in NA is up to 48. Eaton himself performed his first NA with *no* training or consultation other than to watch a home made video of the procedure as performed in France. This tells you that for a CHS, NA is a walk in the part. And there are a number of good CHS who do NA and have not been instructed by Eaton. Denkler is an example (through he had French instruction) Still, Eaton is the top NA instructor in the world so anyone he has instructed is definitely qualified.
Check his list at: http://www.handcenter.org/visitors.htm
There are now some *very* highly regarded CHS on his list including a former head of the ASSH. NA is well on the way to going mainstream. And based on who is now on this list I believe NA will eventually be taught in Med school. Game Over. Eaton always said it was just a matter of time.
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07/08/2009 04:12
Megan 
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07/08/2009 04:12
Megan
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Re: NA Finally Going Mainstream
Hi Randy,
That is great news...thanks for sharing. It looks like things are happening fast in the treatment of this disease. That's good news for all of us who have it!!!
Megan L (Bellevue, WA)
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08/07/2009 01:33
fingers 
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08/07/2009 01:33
fingers
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Re: NA Finally Going Mainstream
It seems that some docs may be doing it without much fanfare. A couple of years ago I saw a hand surgeon at a Kaiser facility in the San Francisco bay area. He said he does it, but I wouldn't have known that in advance of seeing him, since it is not something advertised.
He also said he thinks it is something of a gimmick, and said he had been doing more or less the same thing for many years, only with a very thin and narrow knife instead of a needle. As far as he was concerned, they were basically the same procedure, and the only reason he started using a needle was because so many patients were clamoring for it.
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09/13/2009 09:21
guest2not registered
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09/13/2009 09:21
guest2not registered
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Re: NA Finally Going Mainstream
Roy Meals, MD is listed as Randy H said, former pres. of ASSH and co-author of NEJM collagenase study. Bravo Dr. Meals and Bravo Dr. Eaton!!!
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09/13/2009 20:47
Guest3not registered
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09/13/2009 20:47
Guest3not registered
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Re: NA Finally Going Mainstream
Quote:
It seems that some docs may be doing it without much fanfare. A couple of years ago I saw a hand surgeon at a Kaiser facility in the San Francisco bay area. He said he does it, but I wouldn't have known that in advance of seeing him, since it is not something advertised.
He also said he thinks it is something of a gimmick, and said he had been doing more or less the same thing for many years, only with a very thin and narrow knife instead of a needle. As far as he was concerned, they were basically the same procedure, and the only reason he started using a needle was because so many patients were clamoring for it.
I had N.A. done on my hand twice (2005 and 2007)and was told the next time I would have to take the next step up the ladder and get minor surgery. So (April 2009 )I checked out a surgeon close to home that was in my in HMO......CDPHP..... Norteast Orthopaedics in Albany,N.Y....... DR. Khuri
He checked out my hand and said he would have to open up my little finger because the PIP joint was so bad.
Then came the shocker...he said before they put me under to do the PIP, I would need to be awake because he would be doing N.A. on my palm cord. I asked him how he got started doing it, he said he was at a hand surgery conference and he saw a talk on it and he AND A COUPLE OTHER Doctors liked what they saw and heard. My surgeon trained on how to do it and like you said "without much fanfare" just started doing it in 2007.But, also like you said "I wouldn't have known that in advance of seeing him, since it is not something advertised." But what a pleasant suprise. Wonder how many more Doctors are doing it under the radar ??
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09/14/2009 07:39
guest2not registered
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09/14/2009 07:39
guest2not registered
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Re: NA Finally Going Mainstream
Also, it seems Dr. R. Meals is Chairman or was chairman of the Division of Hand Surgery at UCLA Medical School and is responsible for the training of hand surgeons there.
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09/14/2009 14:35
jimh 
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09/14/2009 14:35
jimh
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Re: NA Finally Going Mainstream
I recently had it done by a hand surgeon at Mayo Clinic. You can't get much more mainstream than that.
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09/15/2009 03:13
Guestnot registered
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09/15/2009 03:13
Guestnot registered
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Re: NA Finally Going Mainstream
Quote:
Also, it seems Dr. R. Meals is Chairman or was chairman of the Division of Hand Surgery at UCLA Medical School and is responsible for the training of hand surgeons there.
If NA is mainstream, I wonder why Auxilium continues to say over and over, "Currently, surgery is the mainstay of treatment but is not curative; there is a high likelihood of recurrence, as discussed in Section 3.3 below. There are currently no approved non-surgical treatments for DC." and why Xiaflex is being reviewed bur the FDA Arthritis drug advisory committee and rheumatologists. I wonder how many actual cases of DD/DC these docs have seen.
http://www.fda.gov/downloads/AdvisoryCom...e/UCM182013.pdf
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09/16/2009 20:46
Guest3not registered
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09/16/2009 20:46
Guest3not registered
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Re: NA Finally Going Mainstream
Quote:
Quote:
It seems that some docs may be doing it without much fanfare. A couple of years ago I saw a hand surgeon at a Kaiser facility in the San Francisco bay area. He said he does it, but I wouldn't have known that in advance of seeing him, since it is not something advertised.
He also said he thinks it is something of a gimmick, and said he had been doing more or less the same thing for many years, only with a very thin and narrow knife instead of a needle. As far as he was concerned, they were basically the same procedure, and the only reason he started using a needle was because so many patients were clamoring for it.
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09/16/2009 22:09
jimh
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09/16/2009 22:09
jimh
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Re: NA Finally Going Mainstream
There are still some insurers who won't pay for NA and many surgeons who won't do it, and won't even refer patients to other doctors that will. So in that narrow sense, the treatment isn't "approved" according to Auxilium. The reality is that Auxliuim knows all about NA and is concerned that in the years it's taken them to get Xiaflex approved, NA may have taken a lot of the market and is still gaining ground.
I don't think we should be casting Auxilium as the bad guys. They've spent a lot of money on Xiaflex, and it may turn out to be a good treatment in many cases. Every product is sold on the basis of a certain amount of hype, and consumers have to filter it - that's just how the system works. My main concern right now is that they may be trying to price it too high.
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