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10/19/2005 23:02
Brian Nicholsnot registered
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10/19/2005 23:02
Brian Nicholsnot registered
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NA-Not a Candidate
Thank godness I found this forum. Ilike most (all?)am frustrated with most surgeons who refuse to acknowledge NA.Recently I made contact with Dr Eaton who considered me not to be a candidate for NA after inspecting photos of both hands.(two prior operations plus continuing problems
with contractures)I have asked the good doctor why ? I feel an answer will not be forthcoming in the near future (hopefully wrongly)Has anyone else been considered similiarly and found a solution? Would an opinion from the people in Paris be worthwhile? Is futher surgery the only option? Being in Australia I feel somewhat isolated in this matter and have found only one doctor (via this forum)here that is remotely interested in NA He however will only look at very early stage contractures
Any suggestions would be appreciated Thanks Brian Nichols
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10/20/2005 23:34
jim hnot registered
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10/20/2005 23:34
jim hnot registered
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Something well over 50%?
Dupuytren's takes different forms and one variable is the degree to which the Dupuytren's tissue is attached to the surrounding tissue. The NA technique depends on weakening a cord and then snapping it by mechanical force - literally pulling the finger straight. This works well when there's a distinct, separate cord but not as well when the cord adheres to the tissue around it.
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10/20/2005 23:20
Francesnot registered
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10/20/2005 23:20
Francesnot registered
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Something well over 50%?
Back in the old days (four years ago) when people asked about NA we used to tell them that hands that have had surgery are probably not eligible for NA because of the scaring, but it doesn't cost anything for an email so go ahead and ask. To our delight some hands that had surgery were able to recieve NA, but sadly, others were not.
It is my belief that early intervention with NA is going to produce a whole generation of DC patients that may never require surgery. :-) Infact, when you think about it, hands that have had surgery are usually attached to a patient who was told to '...wait till the curvature gets worse then come see me for surgery'. So those very same patients are further down the DC path then those who have not had surgery at all.
Gosh, even when I typed that it seemed strange....'wait till you are sicker...almost crippled in fact... then come see me for an operation'. D'oh!?? Early intervention with NA just makes medical sense to me.
Frances
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10/21/2005 23:43
Randy H.not registered
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10/21/2005 23:43
Randy H.not registered
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Something well over 50%?
Francis,
Anticipating this very question, I personally asked Eaton the following:
"Even considering a higher rate of recurrence for many, what percent of all the newly diagnosed could use NA to avoid OS for the rest of their lives"
"Something well over 50%"
Now, to be more than fair, Eaton is personally invested in fundamentally changing the way this disease is treated World Wide. To be sure, he is on a mission (largely made possible by BioS and the likes of us). On the *other* unscarred hand, who Worldwide is better qualified to answer that question?
And, to be sure, I asked and remember his answer while flat on my back with a moving needle in my hand. I dare the next recipient to check his current answer under the same condition :-)
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10/21/2005 23:17
Richard Lehouxnot registered
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10/21/2005 23:17
Richard Lehouxnot registered
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Something well over 50% ?
Hi Randy H.,
In your previsous post, I did not understand the word OS. Would you please explain me, what OS mean ?
I am French Canadian and sometimes miss some words !
Thank you.
Richard
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