| Lost password
620 users onlineYou are not loggend in.  Login
Australia is calling for the first time
 1 2 3
 1 2 3
04/06/2012 10:03
Brigit 
04/06/2012 10:03
Brigit 
Australia is calling for the first time

Hi everyone, I recently found out through an Ultrasound that I have Dupuytrens palmar fibrosis. Went with this report to 3 different doctors here in Qld, Australia, and each of them gave me the advice to wait and see what happens. Not one of them knew about RT treatments or any other treatments besides having an operation later on...Through this website I found out there is RT for Dupuytren in Perth, Adelaide and on the Gold Coast where I am. Had my first meeting with the radiation oncologist from the Gold Coast, he does mainly cancer patients, but he told me he had some Dupuytren patients and did radiation treatments on them. What confuses me is that he also suggested to wait with the RT, and I would be the first patient he does RT in this early stage. Well my stage is this....early this year I found one lump inside my right hand exactly in the middle and now there are three lumps which two of them seem to extent each into a longer lump. My thumb hurts as well, all of my fingers are a bit stiff and the knuckles outside my hand are a bit swollen, not sure if this disease does all of this? I made my next appointment to have RT done with this doctor in early May and hope in the meantime to find out more about all of this, so I would very much appreciate some comments on it, if it could be too early for RT, also how many days of RT and Gys are sufficient. This doctor suggested 7 days with each day 3 Gys and he uses the electrons which don't penetrate deeply into the hand, he showed me the chart with the testing from Prof. Dr. Seegenschmiedt. I also wonder if vitamin E oil and tablets can help or any other medication? and also massaging/exercising the hand...lots of questions, hopefully someone has some answers, thanks in advance...Brigit

04/06/2012 13:12
wach 

Administrator

04/06/2012 13:12
wach 

Administrator

Re: Australia is calling for the first time

Sounds like Dupuytren's to me and doesn't sound like too early. But your doctor has to decide.

Vitamin or massaging won't help much but if you feel it does good you can do it, it doesn't do damage either. What you should not do is pulling ot overstreching. That might provoke faster development of contracture.

Wolfgang

04/06/2012 20:16
Brigit 
04/06/2012 20:16
Brigit 
Re: thanks Wolfgang

wach:
Sounds like Dupuytren's to me and doesn't sound like too early. But your doctor has to decide.

Vitamin or massaging won't help much but if you feel it does good you can do it, it doesn't do damage either. What you should not do is pulling ot overstreching. That might provoke faster development of contracture.

Wolfgang


Thanks for your quick response and your advice, I will have this RT done as soon as possible and consider even to have it done in Germany where I was born. HAPPY EASTER to you and everyone.....

Brigit

04/07/2012 07:09
Larry 
04/07/2012 07:09
Larry 
Re: Australia is calling for the first time

Brigit:
wach:
Sounds like Dupuytren's to me and doesn't sound like too early. But your doctor has to decide.

Vitamin or massaging won't help much but if you feel it does good you can do it, it doesn't do damage either. What you should not do is pulling ot overstreching. That might provoke faster development of contracture.

Wolfgang


Thanks for your quick response and your advice, I will have this RT done as soon as possible and consider even to have it done in Germany where I was born. HAPPY EASTER to you and everyone.....

Brigit

I strongly recommend you to get first examined by Prof. Seegenschmiedt himself for the first round of RT - he has really seen over 200 pateints with Ledderhose Disease and several hundreds with Dupuytren's Disease - he detected nodules and diseased areas on both feet which I didn't recognized before an he made a prognosis on my hand which fitted exactly as I had only treatment for my operated feet due to Ledderhose: 3 years later I underwent RT for my hand !

What is the experience of the doctor in Perth ? If your examining doctor is not able to detect ALL DISEASED AREAS the treatment areas may be too small and you may develop disease outside the RT area which could have been treated in the first setting as well.

I still go to Prof. Seegenschmiedt every year for follow-up, just to be sure, but I am living in Germany ...

All the best for you, Larry

Edited 04/07/12 10:12

04/08/2012 00:32
Brigit 
04/08/2012 00:32
Brigit 
Re: thanks Larry

My doctor here wants to do a CT scan before radiation treatment, which will show the whole damage...I wonder if that is always done before starting the RT? Does Prof. Seegenschmiedt uses CT scanning as well to locate the affected areas or what else can be used? How can I contact Prof. Seegenschmiedt and in which city is he located? bye Brigit

04/08/2012 02:41
Dirk 
04/08/2012 02:41
Dirk 
Re: Australia is calling for the first time

Hi Brigit,

I had RT with Dr. David Christie at John Flynn Hospital in Tugun, QLD. in
the first half of February this year. The same protocol as you mentioned.
No great changes yet, although it feels there is better motility in my hands
and less pain. The slight contraction of my pinky fingers (I only have one largish nodule
and a small cord in my left hand pinky and two larger nodules on and below my right
hand pinky with a more pronounced cord with some contraction.
The contraction now various quite a bit, good days not so good days.

A month after the treatment, there was some flaking of the skin and the callouses
which had formed over the nodules came off, lovely new baby skin :-)

Over the 6 years I have had Dup, I have used many alternative therapies,
which may or may not have slowed down the progress.
But when late last year some contraction set in, I decided to go for RT,
based upon the experiences mentioned here on the site and its forum.

Cheers,

Dirk

04/08/2012 03:54
flojo 
04/08/2012 03:54
flojo 
Re: Australia is calling for the first time

Brigit,

Sounds like a normal protocol to me. A CT scan was done on my hand at the time of actual planning the RT. My understanding of is that it was to determine the depth of the disease in my palm. That's how they know how deep to send the electron rays.

04/08/2012 05:57
Brigit 
04/08/2012 05:57
Brigit 
Re: thanks Dirk

Hi Dirk,

very good to hear from someone who had RT done in Qld. and with the same doctor as well. I did find out about Dr. Christie from another Radiation Oncologist in Adelaide, and so I went for my first appointment on Tues this week. He told me about the RT he did just recently on a patient who had slightly contracture, maybe that was you.
What really surprised me was when after looking at my hand he said 'if it would be him, he would wait with the treatment because it's early stage and no contracture yet, but if I want to have it done he will do it'. Also I would be his first patient having RT done that early..
Anyway, I made my appointment with him for beginning of May, in the meantime I will have my well deserved holiday on a cruise ship......
I did read a lot on this website about Dupuytren and about Stages and Therapies, which says that RT on stage N (which I am) is very efficient and usually applied in this stage, so I want to do it very very soon.
Did you had 7 days RT and each day 3 GYs? Do you have to go back for a second session? Can you tell me how much you paid and if priv. health fund or medicare does cover some expenses?

Look forward to hear back, cheers Brigit

04/08/2012 07:11
wach 

Administrator

04/08/2012 07:11
wach 

Administrator

Re: Australia is calling for the first time

Two comments on recent posts:

a) Radiotherapy for Dupuytren's is most effective in the initial disease stage, before contracture starts. Actually the earlier the better. You then need to irradiate smaller areas and the odds are better that the new, growing nodule vanishes.

b) CT scans are usually not required to determine the size of the nodule. It's palpable. If you need to determine the depth distribution ultrtasound is cheaper and does less damage to the body.

Wolfgang

Brigit:
My doctor here wants to do a CT scan before radiation treatment, which will show the whole damage...I wonder if that is always done before starting the RT? Does Prof. Seegenschmiedt uses CT scanning as well to locate the affected areas or what else can be used? How can I contact Prof. Seegenschmiedt and in which city is he located? bye Brigit

04/09/2012 10:21
Dirk 
04/09/2012 10:21
Dirk 
Re: Australia is calling for the first time

Hi Brigit,

I must have been the patient Dr. Christie was referring to.
After studying the material I provided him from this site,
he suggested the 7 day protocol (interrupted by a weekend),
which doesn't require a follow up session after half a year or so.

The total cost was about $ 2,100 of which medicare gave a $1,200 rebate.

Wolfgang's comments are so right. If I had known about RT 5 years ago I would
have gone for it, probably preventing a (slight) contraction and certainly saving
a lot of money spent on other therapies.

Enjoy your cruise and it would be good to hear how the RT went for you.

Cheers, dirk

 1 2 3
 1 2 3
experience   treatments   treatment   contracture   theparrothangout   Dupuytren   dupuytren-online   overstreching   disease   calling   Adelaide   Australia   Ledderhose   Wolfgang   recommendation   qualifications   radiation   Seegenschmiedt   contraction   Radiotherapy