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RT in Hamburg by Prof. Seegenschmiedt
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03/31/2016 02:18
Peacefulbird 
03/31/2016 02:18
Peacefulbird 
RT in Hamburg by Prof. Seegenschmiedt

I am very close to making the decision to make two trips to Hamburg, Germany for radiation therapy, to treat my N stage (left hand) and N1 stage (right hand) Dupuytren's Disease. I found Alastair Cook's excellent 45-page document on line about his experiences with treatment there some years ago (link on IDS site). However, I don't see reports of any recent treatments in Hamburg. Please reply if you've been there in the past year or so, and tell of your results since then. If you thought about going, but didn't, please tell why not, and if you're satisfied with your decision. Thank you!

03/31/2016 04:55
meunier 
03/31/2016 04:55
meunier 
Re: RT in Hamburg by Prof. Seegenschmiedt

Agree that Alistair Cook's journal entry is most impressive indeed - a true public service. It obviously is standing the test of time. It would be wonderful to learn of Mr. Cook's current status. I pray he is well and thriving as he so heartily deserves. At least from my observation it has been approaching two years since Mr. Cook last posted on this Forum. (Of course, there is no reason why he should. Life, as they say, moves on.)

To be fair - and only in my reading (and as I understand it) - the only references that even approach a negative suggestion as towards the good Professor now professionally resident in Hamburg - are some people (including several doctors) who have been hesitant to entirely sign up to Prof. S's regime for two reasons: (i) none of his presentations/papers - although presented in conferences/a text book - have yet to be published in professional peer reviewed publications (such is, say, required in terms of basic employment/tenure in any major UK university) - which I must confess seems remarkable for anyone involved in professional research - especially over a stated 30 year period and (ii) a lack of specific published definition of the control groups in his studies. There was also one journal writer on this Forum whose treatment with Prof. S. had sadly not proved a success - one of the so-called 13 per cent - and who wrote to the good Professor and his office in this regard several times and - as reported - got no reply leaving the patient of Prof. S. to seek out his own devices which he did. As has been reported here, the regime is not a panacea. (What today really is?) As ever: Caveat emptor.

Please know this is not in ANY way to doubt the good results and rightful dedication of so many hereabouts - simply an attempt to answer the question as posed.

Edited 03/31/16 08:07

03/31/2016 06:15
Peacefulbird 
03/31/2016 06:15
Peacefulbird 
Re: RT in Hamburg by Prof. Seegenschmiedt

Thanks for your reply meunier.

Yes, I agree, there seems to be a slight hint of "Carter's little liver pills" with Prof. S, if you know what I mean. You might be interested to know that I've been having an email correspondence with Alastair Cook. He is doing well. The more I work with his "report," the more impressed I am with it... an incredible public service, as you say.

03/31/2016 06:24
wach 

Administrator

03/31/2016 06:24
wach 

Administrator

Re: RT in Hamburg by Prof. Seegenschmiedt

Hi meunier,

a few comments to avoid potentially wrong impressions

a) "Prof. S.'s Regime" has not been invented by him but has been a standard protocol of the Erlangen clinic, which has been one of the pioneers in Germany in treating DD & LD with radiotherapy, e.g. http://www.ncbi.nlm.nih.gov/pubmed/20127225 or http://link.springer.com/article/10.1007%2FPL00002371. Seegenschmiedt's contribution was that he investigated 2 different regimes (21 and 30 Gy) over a very long period of time, including an untreated control group. There are other regimes being used but the one that also S. is using is the best researched one.

b) Seegenschmiedt documented his control group in detail in several publications, e.g. http://link.springer.com/chapter/10.1007...-642-22697-7_44 or http://www.dupuytren-online.info/M-Dupuy...py_Internet.ppt

c) Seegenschmiedt has published tons of papers (more than 400) most of them in high quality, peer reviewed journals https://www.researchgate.net/profile/Mic...dt/publications, including some on treating DD.

d) if the textbook that you are referring to is Ch. Eaton et al. (eds.) "Dupuytren's disease and related hyperproliferative disorders" (Springer 2012), each chapter of that book is peer reviewed.

Wolfgang

meunier:
... hesitant to entirely sign up to Prof. S's regime for two reasons: (i) none of his presentations/papers - although presented in conferences/a text book - have yet to be published in professional peer reviewed publications (such is, say, required in terms of basic employment/tenure in any major UK university) - which I must confess seems remarkable for anyone involved in professional research - especially over a stated 30 year period and (ii) a lack of specific published definition of the control groups in his studies. There was also one journal writer on this Forum whose treatment with Prof. S. had sadly not proved a success - one of the so-called 13 per cent - and who wrote to the good Professor and his office in this regard several times and - as reported - got no reply leaving the patient of Prof. S. to seek out his own devices which he did. As has been reported here, the regime is not a panacea. (What today really is?) As ever: Caveat emptor.

Please know this is not in ANY way to doubt the good results and rightful dedication of so many hereabouts - simply an attempt to answer the question as posed.


Edited 03/31/16 09:37

03/31/2016 06:49
spanishbuddha 

Administrator

03/31/2016 06:49
spanishbuddha 

Administrator

Re: RT in Hamburg by Prof. Seegenschmiedt

I've not been there in the last year, but in the last 2.5 years. The description in the article remains accurate. I have to say that the hand I had done 2.5 years ago suffered an injury last year, and lo - new sore nodules appeared in the radiated field.

I have had both hands treated in Hamburg. The very first trip, as per the article I stayed in a hotel close to the airport, in the Langenhorn area 25 minutes walk to the clinic. The subsequent visits I stayed in central Hamburg. I would recommend the latter, but it depends what suits you. Staying in Hamburg my routine was get up at 07:00, breakfast in the hotel, usually the only one at that time, catch the train to Langenhorn Nord about 07:30, arrive about 07:55, walk to the clinic arrive 08:10, usually treated within 15 minutes and back in central Hamburg by 09:30 with the day free for sightseeing, shopping, cycling, parks, boat rides, museums, pavement cafe people watching, exploring, etc. Langenhorn and area is quaint and worth a visit in spring or summer but otherwise there's not much to do or see.

Not sure about the 'liver pills' comment, you are reading material on the Internet, presumably including publications in journals available on PubMed, provided by people you don't know, and someone who is or has been almost the only practitioner in the field. A cure is not being claimed, at all, and failures are documented too. A couple of people on this forum have reported that RT failed for them. Transparency is provided see session 7 http://www.dupuytrensymposium.com/program_2015.php Your free choice and money as with everything else.

Edit to add, read Bad Pharma by Ben Goldberg to get a better view of liver pills and the established western regime of medicine. Now who do you trust?

Edited 03/31/16 09:59

03/31/2016 07:09
Peacefulbird 
03/31/2016 07:09
Peacefulbird 
Re: RT in Hamburg by Prof. Seegenschmiedt

Thanks, SB! You are good for what ails me. First time I've had a chuckle since being diagnosed. I admire and appreciate your calm, wise answers. Thanks for the time and energy you put into it.

03/31/2016 08:50
Stefan_K. 
03/31/2016 08:50
Stefan_K. 

Re: RT in Hamburg by Prof. Seegenschmiedt

My review of my recent radiotherapy in Hamburg, and that of others, can be found at http://reviews.treatmentabroad.com/cance..._center_hamburg

"The clinic performed radiotherapy with the objective of halting growth of nodules and cords in my right hand, or shrinking them. I had two rounds of radiotherapy, each on five consecutive days with 3 months between the two rounds. Two or three small nodules disappeared after the first round, and the main nodule and cord on which one NA/PNF procedure had already been performed in France shrunk in size after each round. I therefore consider the treatment effective and worthwhile - for now. I continue to wear a splint every night, though, to prevent the most affected finger from bending again. Reception and treatment by Dr. Seegenschmiedt and his team was professional and very friendly at all times. It helped create trust in a treatment which is painless but not entirely without risk. Although getting to Hamburg was easy and the time there well spent, I hope the treatment will soon be available in my country of residence so I can avoid the travel and treatment costs which at the moment I have to bear myself. I highly recommend
consulting Dr. Seegenschmiedt, even by email, for his evaluation if radiotherapy is a promising treatment option for your Dupuytren's nodules and cords."

Stef

[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]

04/09/2016 11:30
jimbob0802 
04/09/2016 11:30
jimbob0802 
Re: RT in Hamburg by Prof. Seegenschmiedt

Hello everyone

I have read Alistair Cook's report with much interest, and it has been the document I referred to the most when I went to the GP yesterday to try and put in motion a referral on the NHS for radiotherapy treatment.

The thing is, despite the seemingly obvious DD in my lef hand (spanishbuddha and steffan have seen the photos), I still want to be 100% sure that RT is the way to go. As such, I was wanting to send pictures of the current state of my hands, as per Alistair Cook, to a specialist like Professor Seegenschmiedt. (In an ideal world, I'd like to do the same to the radiotherapists operating in the UK, but I don't know if this would be possible).

Is it still possible to do this, as Alistair Cook did? Or is there any other specialist I can send my photos too?

Final question: do you folks know of the success rates/knowledge of radiotherapists here in the UK? I spoke to the secretaries of quite a few listed from the BDS website and they all seemed confident I would get a referral if the GP could release the funds to have it done in another area. Assuming the GP is able to do so, I would like to visit a renowned specialist in the field - although I know I can't be choosey. Is there anyone in particular within the UK who is considered with the same gravitas as Prof Seegenschmiedt?

Thanks for your help,

Jim

04/09/2016 12:03
Stefan_K. 
04/09/2016 12:03
Stefan_K. 

Re: RT in Hamburg by Prof. Seegenschmiedt

I sent an email with a description of the history and status of my DD with a photo to the address listed at http://www.dupuytren-online.info/radiotherapy_clinics.html for Hamburg in October 2015 and had a positive reply a couple of hours later and my first of two rounds of RT two weeks after that.

Stef

[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]

04/09/2016 12:21
jimbob0802 
04/09/2016 12:21
jimbob0802 
Re: RT in Hamburg by Prof. Seegenschmiedt

Thanks for list Steffen. I need to be more observant and find these webpages before asking! Going to take some photos this afternoon and send them off.

jimbob

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