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Radiotherapy in Essen, Germany – My Experience - June 2009
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06/24/2009 23:04
alan_texas 
06/24/2009 23:04
alan_texas 
Radiotherapy in Essen, Germany – My Experience - June 2009

Just wanted to share my recent experience with RT in Essen, Germany. After much research, primarily from this site, I learned about Essen and Dr. Seegenschmidt, and was able to contact the RT department there and set up an appointment for treatment after sending photos and a description of my Dupuytren stage.

I was examined by Dr. Oppenkowski, and received a 5-day schedule of sessions. I will be returning to Germany for my second round in 3 months. I chose to go with the two 5-days of treatment with 3 months in between simply because of my own schedule. Everyone was very friendly. Ms. Giebels and Dr. Oppenkowski were very helpful in answering all of my questions and in making sure everything went smoothly, from scheduling, to handling paperwork, to receiving the treatment.

The treatment each day lasted only a few minutes and was painless. So far there has been no noticeable redness or dryness, but from all I’ve read I expect to possibly see these symptoms later. Even though Dr. Oppenkowski said I shouldn’t notice any benefit this soon, I believe that my hand is noticeably less tight and less painful than before the procedure.

Besides possible redness and dryness, the side-effects they mentioned that could possibly occur were with these RT sessions are: less than 1% increased chance of cancer of the treated area, as well as less than 1% increased chance of leukemia. These possible risks are mentioned in Dr. Seegenschmidt’s book as well. I also asked about possible risk with future children, and was told there was at least a month minimum wait (6 months recommended) after the final treatment before my wife and I should consider any more children. These risks and side-effects are of course all based on my questions and my reading, so please, make your own assessment. I was also advised to limit mechanical and physical stress to the treated area of my hand for 2-3 weeks following the treatment.

As a side note, I stayed in Werden, a nice suburb of the more urban Essen. Werden was only three and a half miles from the hospital and filled with restaurants, bakeries and shops, and an overall very pleasant location. It was located on the bus route that took me to a tram station that dropped me within 3 blocks of the hospital on the one day I did not have a car. In my experience, Werden is not an area frequented by many English-speaking visitors. Everything is in German, from bus routes, train routes, to restaurant menus. Many people spoke English, but only a very little. I was able to get by with the kindness of strangers, sign language, and notes.

To sum it up, I am very optimistic with the way the treatment has gone so far. My last RT session was 5 days ago, and my hand continues to feel less tight, less painful. I was also extremely pleased with my overall experience in Germany at the Krupp Hospital with Dr. Oppenkowski. As the weeks go by I will post updates with any changes.

06/25/2009 14:44
Diana 
06/25/2009 14:44
Diana 
Re: Radiotherapy in Essen, Germany – My Experience - June 2009

Hi Alan. Thanks for posting your experience in Essen. I've been waiting to hear from you so this is great.

1. Did the doctor have a CAT scan of your hand before your radiation treatment or did he/she just palpitate it and figure out where to treat?

2. Were you able to find out how much experience Dr. O. has with Dupuytren's?

Thanks, Diana

06/25/2009 19:14
alan_texas 
06/25/2009 19:14
alan_texas 
Re: Radiotherapy in Essen, Germany – My Experience - June 2009

Diana-


Dr. O. examined my hand manually, he did not perform a CAT scan. I did not inquire about his actual years of experience, but he mentioned that he saw many, many patients at my stage of Dupuytrens. He did come across to me as an extremely knowledgeable veteran in this field.



Thanks,
Alan

06/26/2009 07:59
Wolfgang

not registered

06/26/2009 07:59
Wolfgang

not registered

Re: Radiotherapy in Essen, Germany – My Experience - June 2009

x-rays (that's what Essen is using) usually treat a larger area than focussed electron beams. X-rays use a "safety margin" of about 1/2 inch around the nodule. Because of this, palpation is fully sufficient and computer tomography or MRT not required prior to treatment. That may be one of the reasons why this treatment is more versatile in Essen. Unfortunately not too many suitable x-ray machines are available. The e-beams are better for cancer and better business.

Wolfgang

07/05/2009 17:14
HughLaxton 
07/05/2009 17:14
HughLaxton 
Re: Radiotherapy in Essen, Germany – My Experience - June 2009

Alan, from what you say you were driving. Did the treatment make it uncomfortable to drive after your stay in Essen? I go at the end of the month for my first week and was wondering whether it is better to go by train? Thanks for the tip about Werden. I will look into accommodation there.

Hugh

07/05/2009 17:20
HughLaxton 
07/05/2009 17:20
HughLaxton 
Re: Radiotherapy in Essen, Germany – My Experience - June 2009

Hi Alan, I am not sure I posted my question to you about your experience of driving after getting your first week of treatment. Was it OK or is it better to use the train? Your comments would be welcome. Also thanks for tip about Werden - I will go the last week in July.

Hugh

07/05/2009 20:47
Issleib2

not registered

07/05/2009 20:47
Issleib2

not registered

Re: Radiotherapy in Essen, Germany – My Experience - June 2009

I had my radiation in USA with electron beam and I drove my self to and from daily No Problem

07/09/2009 08:06
newman 
07/09/2009 08:06
newman 

Re: Radiotherapy in Essen, Germany – My Experience - June 2009

HI i HAD RT on both feet and hands in Essen. I travelled with my wife and had no problem even with the suit cases. After each treatment I used creme containing Urea .We purchased the German Twin Rail ticket and went everywhere.Use the time to sightsee. I am in Germany at the moment. Regards.

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