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peyronie-dupuytren-ledderhose in Washington State
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01/05/2009 15:45
badchess

not registered

01/05/2009 15:45
badchess

not registered

peyronie-dupuytren-ledderhose in Washington State

I'm 46, and over the summer I developed peyronie's disease. While researching that on the internet I determined that I had both Dupuytren's Contracture and Ledderhose disease (on my right hand and right foot).


I'm going to a doctor later this week, but does anyone know if there is some widespread systemic switch that can be treated for all of these related problems?

Also, is there any good experimential treatments in the Seattle-Tacoma area?

So far my foot just has a couple of hard nodules on one of the tendens, and the little finger of my right hand is bent away from the rest of the fingers by about 30º (but not curled toward the palm).

At this point the Payronie's is the most debilitating, though I play a lot of tennis and worry about the effect this is having on my right hand.

01/05/2009 17:44
wach 

Administrator

01/05/2009 17:44
wach 

Administrator

Re: peyronie-dupuytren-ledderhose in Washington State

Have you had a look at http://www.dupuytren-online.info/IPP_and_others.html already? The current "experimental" treatment for Dupuytren's and Peyronie's is collagenase http://www.dupuytren-online.info/dupuytren_collagenase.html. It might work for your pinkie and maybe for your Peyronie's as well. But for both you need to get onto the according trial. You might also have a look at radiotherapy (on the left menu). BTW, Auxilium, the manufacturer of collagenase, recently announced a cooperation with Pfizer http://ir.auxilium.com/phoenix.zhtml?c=1...&id=1237423.

Wolfgang

01/08/2009 16:28
fmerk 
01/08/2009 16:28
fmerk 
Re: peyronie-dupuytren-ledderhose in Washington State

In Seattle the closest practitioner I personally have experience with is Dr. Kline in Boise.
http://www.dupuytrenscenter.com/

After an open fasciotomy in Seattle and a re-occurrence of the DC I decided to pursue the NA procedure. I've use him twice and am satisfied with the results.
Catch an early flight to Boise, bus to the clinic and back to the airport. Fly home the same day.

He is very approachable. I've had a couple phone calls with him discussing my condition and concerns. He takes his time and answers your questions.

Don't know anything about the (new for me) physician up in Vancouver BC but following up on that might be an interesting option.

Fritz

01/09/2009 06:13
Megan 
01/09/2009 06:13
Megan 
Re: peyronie-dupuytren-ledderhose in Washington State

Hi badchess,

I live in Seattle also and traveled to Boise to consult with Dr. Kline and had radiation at St. Luke's Mountain States Tumor Institute in Boise. So far as Seattle, I called Swedish's Radiation Oncology Department in April, spoke to a nurse about the possiblity of receiving radiation here in Seattle. I was told by the nurse that she hadn't heard of Dupuytren's and that they didn't treat it. However, I thought it would be worth my while to encourage them to offer radiation for Dupuytren's so I called today and spoke to the receptionist. She encouraged me to write to the head of radiation oncology, Dr. Todd Barrett. So, although they don't treat it currently, perhaps if they are approached by more than one person, they might become interested in it? I don't know anything about Dr. Barrett, however.

I noticed on Dr. Barrett's website that he is accepting new patients.

Megan L (Bellevue)

Edited 01/09/09 08:16

01/09/2009 20:42
fmerk 
01/09/2009 20:42
fmerk 
Re: peyronie-dupuytren-ledderhose in Washington State

I'm in Group Health. I had the Regional Fasciectomy there in ~ 1996. It worked but the healing process was very unpleasant. Before the procedure I asked the surgeon about NA. He didn't think much of it.
Of course the DC came back. I didn't want surgery again, nor did I much want the trek to Florida or France so I let the finger get a bit too bent before I found out about Dr. Kline. He suggest the radiation on my other hand the last trip. I'm trying to figure out how to get GH to do that. No one knows anything about this kind of treatment.

I was under the impression radiation needed several treatments like a week apart. How did you manage that? A one day trip to Boise is not a big deal. I am a lot more reluctant to do that once a week for 6 weeks or whatever it takes.

Fritz

01/10/2009 02:08
Megan 
01/10/2009 02:08
Megan 
Re: peyronie-dupuytren-ledderhose in Washington State

Hi Fritz,

I had five days of radiation in Boise, and 6 weeks later I had another 5 days. The treatment only took about 30 seconds for each hand...I was only at St. Luke's each day for about 10 minutes total. I arrived in Boise on a Friday, had an appointment with Dr. Kuhn, and they made the molds for my hands that day. I started radiation treatment the following Monday.

However, Dr. Kuhn told me it was possible to have two treatments in a day, so long as they were scheduled 6 hours apart. That way, the treatments could be done in 2-1/2 days. I'd already taken the full weeks off work, though.

Megan

01/11/2009 17:49
fmerk 
01/11/2009 17:49
fmerk 
Re: peyronie-dupuytren-ledderhose in Washington State

Mind telling us the medical cost? Assume hotels, etc. are extra.
Fritz

01/11/2009 18:11
Megan 
01/11/2009 18:11
Megan 
Re: peyronie-dupuytren-ledderhose in Washington State

Hi Fritz,

Well, the medical costs are truly expensive. My husband works at Microsoft and we have really great medical insurance, otherwise I wouldn't have been able to do this. I know how fortunate I am in this regard. Get ready....for the first round of doctor's appointments and radiation, my insurance company was billed $13,308. For the second round, my insurance was billed $4,472. I imagine the first round is more because they make the forms for your hand, etc. Everything was already in place when I went in for the second round. The insurance company did not pay the full amount for all these charges; it looks like they paid about 50% of what the hospital charged and the hospital accepted that. All very wierd how this "works" (or doesn't work) in the US.

Megan

Edited 01/11/09 20:13

01/11/2009 18:44
fmerk 
01/11/2009 18:44
fmerk 
Re: peyronie-dupuytren-ledderhose in Washington State

Ouch!!!!
So, I guess 1 hour to make forms and setup the procedure. After that 10"/treatment of which only a few minutes are actually treatment. That's outrageous, actually. The 2nd cost is more in line for proper cost for the entire treatment as far as I'm concerned.

01/11/2009 19:48
Megan 
01/11/2009 19:48
Megan 
Re: peyronie-dupuytren-ledderhose in Washington State

Hi Fritz,

Yes..I know...the cost seems inexplicable. I can't imagine what the costs are for more complicated radiation procedures. Actually, they make a form for each hand to sit in, so that it stays in the same position, and then some sort of form is cast out of metal for the radiation to come through, so it strikes the part of the hand that the doctor has mapped out. Also, I had a lengthy consult with doctor at the onset of the first treatment round.


Megan

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