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So incredibly disappointed and frustrated!
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11/12/2013 23:30
pia2some 
11/12/2013 23:30
pia2some 
So incredibly disappointed and frustrated!

I spent 1.5 hours in OT today. Tomorrow will make seven weeks since surgery. My hand is officially worse off than before surgery. I knew it was a risk but I was willing to try. In the last 10 days, my pinky has contracted 20 degrees. My middle finger has contracted 15 degrees. There is nothing more the OT can do to prevent the contracting. At this point, we are just working to get my hand into a fist (long way to go) and work on strength building. I cannot grip anything or hold anything so we've got to get that back.

There is also a whole new cord running from the PIP joint of the middle finger diagonally down to the outside edge of my palm. There is a huge nodule in my palm between the pinky and the index finger. It is a huge mess. I should have left it all alone!!!!! This sucks big time. I don't think I will ever opt for surgery again.

~ dawn

11/12/2013 23:34
nanshands 
11/12/2013 23:34
nanshands 
Re: So incredibly disappointed and frustrated!

Dawn,

I'm sure I speak for everyone in saying how much our hearts go out to you! So very, very sorry!

Nan

11/12/2013 23:36
pia2some 
11/12/2013 23:36
pia2some 
Re: So incredibly disappointed and frustrated!

nanshands:
Dawn,

I'm sure I speak for everyone in saying how much our hearts go out to you! So very, very sorry!

Nan

Awww, thanks. It was like a $6,000 experiment. lol. At least we tried.

~ dawn

11/13/2013 07:50
spanishbuddha 

Administrator

11/13/2013 07:50
spanishbuddha 

Administrator

Re: So incredibly disappointed and frustrated!

Sorry to hear about this. Let's hope as healing progresses things do improve. I had hand surgery many years ago after an accident, so not for DD, and it took 9 months to a year to get full function back with help from a physio (OT).

What does your surgeon say?

Is there anything the rest of us can learn from your experience? We have some people on here who have had successful surgery and are willing, almost eager, to do it again if needed, and others who like you have encountered difficulties. Just saying don't have surgery is a bit one way, whilst understandable for you, but don't do surgery if ....? Or make sure you do the following, before and after ...?

11/13/2013 16:34
Jolene 
11/13/2013 16:34
Jolene 
Re: So incredibly disappointed and frustrated!

O Dawn I am so sadden by your news. I am sorry this has happen. I do know how frustrating, frightening & emotional it is when the outcome is not what is hoped for. BUT try not to accept that it will be this way forever! Just as Spanishbuddha has said, even though surgery was not for DC it took 9 months to a year after surgery before there was full use of hand. Perhaps your healing is just going to take a little longer.

If memory serves me correctly a while back you stated that your DC is too for along for RT. I am wondering, perhaps RT can at least 'stop' the progression. When I was in Florida having RT on all 4 limbs I met this lady who travelled from TN for RT. Her hands and foot was pretty for along. Her pinkie had contracted to the point that she could not open it or use it. I could see and feel many cords in her hands and nodules. She said 3 years ago she had N/A. Which helped for 3 years but now it is progressing fast. Doctor Hochman told her the best she could hope for was it could possibly ‘Stop’ the progression. I spoke with her a few weeks back to get update on the treatment. She said it appears RT is actually helping to shrink some of the nodules & the cords. Something the doctor did not think it would do. Perhaps RT might help stop this progression, stop the cord or any new nodule trying to form in its tracks. Just a thought.

I will keep you in my prayers

Btw, how is your husband’s doing? I thought you posted once that he also had this disease also.

Edited 11/13/13 18:40

11/14/2013 05:19
pia2some 
11/14/2013 05:19
pia2some 
Re: So incredibly disappointed and frustrated!

spanishbuddha:
Sorry to hear about this. Let's hope as healing progresses things do improve. I had hand surgery many years ago after an accident, so not for DD, and it took 9 months to a year to get full function back with help from a physio (OT).

What does your surgeon say?

Is there anything the rest of us can learn from your experience? We have some people on here who have had successful surgery and are willing, almost eager, to do it again if needed, and others who like you have encountered difficulties. Just saying don't have surgery is a bit one way, whilst understandable for you, but don't do surgery if ....? Or make sure you do the following, before and after ...?

One major issue is that I have keloid scarring. So where the incisions are in my hand has developed thick scar tissue on the surface and beneath the skin. The scar tissue itself is pulling and distorting my skin. It is something the surgeon was concerned with prior to surgery and something I told the OT on the very first day. We've gone the extra mile to address scarring since day one of OT. It still occurred.

I will get my ability to make a fist back. That will come with time and continuing to work with the OT. That will improve. The contractures are definitely worse than before surgery. That is a fact and something that will not improve. There are more cords and nodules in the area where surgery was performed. That is a fact, as well. I was young when diagnosed and have had a very aggressive form of the disease. When I had Xiaflex, the DC also flared up terribly within a few months. One concern when making the decision for surgery, was how badly it could flare afterward. Guess I found the answer to that question.

I'd never tell anyone else to not have surgery. Or Xiaflex or NA. This disease is way too individualized to make any assumptions. What works for one person may not work for another. I'm just venting that I made the decision and took the risk and the outcome was not good. Hindsight is always 20/20. I made a very educated decision and had two different doctors recommend the same surgery. There was nothing we could have done differently. No one could know the outcome.

~ dawn

11/14/2013 05:27
pia2some 
11/14/2013 05:27
pia2some 
Re: So incredibly disappointed and frustrated!

Jolene, my husband does not have DC. My mother and almost everyone in her extended family has it, though. Definitely a strong genetic tree for DC in my family.

I appreciate your thoughts on RT. At this point it just isn't something we can do. I'm going to be paying off surgery for a while. My husband is needing some medical treatment himself, and we need to get him taken care of. Plus, it appears that he will be laid off work any time now. We just don't have the money to try something like RT, when the potential for real results is not very high. You know?

~ dawn

11/14/2013 15:14
callie 
11/14/2013 15:14
callie 
Re: So incredibly disappointed and frustrated!

Do you have any feelings about a different course of action you might have taken (20/20 hindsight)? Do you feel that you should have done nothing? I applaud you for giving the different procedures a try. Definitely a tough situation considering the involved genetics.

11/18/2013 02:05
pia2some 
11/18/2013 02:05
pia2some 
Re: So incredibly disappointed and frustrated!

callie:
Do you have any feelings about a different course of action you might have taken (20/20 hindsight)? Do you feel that you should have done nothing? I applaud you for giving the different procedures a try. Definitely a tough situation considering the involved genetics.

Callie, I wouldn't have done anything differently. There is no way to know what the outcome of any procedure will be when it comes to DC. I had to try! I'm thinking that since my experience with Xiaflex and surgery has not gone well, I may just have to opt not to treat my DC at all. That is rather difficult to consider since I just turned 50.

Right now, my surgery hand is awful. I see the surgeon on the 25th so I'm anxious to find out what his thoughts are.

~ dawn

11/22/2013 18:01
bstenman 
11/22/2013 18:01
bstenman 
Re: So incredibly disappointed and frustrated!

With the DC so advanced, XRT would be a waste of money.

The more invasive the surgery the greater the odds of complications. Xiaflex and NA are minimally invasive and often are enough to regain the normal use of the hand. The focus should be on use of the hand and not trying to get back to "normal" as that is an unrealistic expectation.

Important to realize that with any medical proceduure the skll and experience and attitude (ability to learn and modify their procedures) varies widely in the practice of medicine. The use by doctors of the work "practice" to describe their vocation says it all. Most hand surgeons in the USA are still doing a tourniquet during faciectomies despite the paralysis that can occur from this procedure. That is where attitude is important as some doctors are more interested in continually improving their capabilities and others are more focused on improving their golf handicap.

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