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NA Experience
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01/08/2008 21:50
marhill 
01/08/2008 21:50
marhill 
NA Experience

hi all. well, it turns out that i'm not getting my physical therapy at stanford--they didn't seem at all happy about dealing with someone who had had na rather than surgery , so i am going to a place called hand rehibilitation associates, which is actually closer to me. the person scheduling the appointments clearly knew nothing about dc or na, but was very nice. so we'll see.

01/08/2008 21:54
marhill 
01/08/2008 21:54
marhill 
Re: NA Experience

i should have said that this is a continuation of the discussion in "NA appointment scheduled".

01/09/2008 00:38
Serafina

not registered

01/09/2008 00:38
Serafina

not registered

Re: NA Experience

I'm so glad to hear you're not getting your PT at the Stanford Hand Clinic. I'm in the trial there and I've never dealt with such an unprofessional, disorganized and arrogant group of people in my life. They totally discount NA, they talk out of both sides of their mouths and cite different statistics on OS vs NA vs Auxillium/Xiaflex each time you speak with them. During my weeks in the trial so far there they've lost my phone number several times, have actually run out of "equipment" for blood draws and I've had to re-schedule an appointment after showing up with no prior notification of the problem--a 1.5 hour round trip,- I've had to wait 1.5 to 2 hours for "guaranteed" appointment times, they've skipped part of the exams and measurements listed in the study, they've been rude and blase about adjusting my splint, they've given me incorrect paperwork and wrong ID numbers for blood draws, they've called me 5 times, automatic robot calls- I just hung up in fact-- about appointments I have coming up or appointments I've missed-- all of them incorrect. They even billed me and my insurance company for the cost of the blood draws. And-- the principal investigator in the Stanford trial is on the Scientific Advisory Board of Auxilim and is compensated for this-- can you say conflict of interest?

Good luck on your hand therapy. Should you need a recommendation on a hand PT specialist, I can recommend one in the Peninsula area.

quote:
hi all. well, it turns out that i'm not getting my physical therapy at stanford--they didn't seem at all happy about dealing with someone who had had na rather than surgery , so i am going to a place called hand rehibilitation associates, which is actually closer to me. the person scheduling the appointments clearly knew nothing about dc or na, but was very nice. so we'll see.

01/09/2008 02:46
marhill 
01/09/2008 02:46
marhill 
Re: NA Experience

interesting to hear. dr denkler had assumed that stanford would be a good place for me to go, but . . . i was sorry that i had missed the trials there, but you make me think i'm better off.

i'd be happy to hear your recommendation for pt--i picked hand rehabilitation because it is close and a blue shield preferred provider. (and the receptionist was nice. as opposed to the woman at stanford i talked to.) i hope that it works out, but it would be good to be prepared, just in case--i hadn't found any others that were hand specialists.

01/09/2008 16:26
Mike S

not registered

01/09/2008 16:26
Mike S

not registered

Re: NA Experience

If you are looking for a good hand PT in the SF area one option is to call Dr. Denkler's office and ask for a referral/contact info. I live in LA, had NA done by Dr. Denkler, whose office staff volunteered to search for and locate qualified hand PT offices in my area of LA!!! They did exactly what they said they would do and I ended up with a hand specialist PT that had some familarity and experience with both NA and the Auxillium trials.

01/09/2008 18:07
marhill 
01/09/2008 18:07
marhill 
Re: NA Experience

we are far enough south of sf that dr. denkler didn't know any pt people near me--except knew stanford did pt and assumed they would be good. after i had my bad experience with them, i found hand rehabilitation associates and then had him check them out--good old google--before i made the appointment. today i talked to a friend whose husband goes there for arthritis treatment, and he thinks they're great, so i'm very hopeful. my first appointment is this afternoon--shortly after i get to take off my bandage.

01/10/2008 01:14
marhill 
01/10/2008 01:14
marhill 
Re: NA Experience

I hope this doesn't post twice, as some of my others seem to have done. I don't think it's anything I'm doing.

So . . . after 48 hours, I took off the bandage and splint and about 1 1/2 hours later went in to PT for the first time.

There is very little swelling, if any. (I did a good job of keeping my hand elevated for the 48 hours.) Most of the punctures are scabbed over--only a couple of places where the most was done are still open. There is a bit of bruising, but I bruise if you look at me cross-eyed. Even without any PT, my ring and middle fingers are very, very straight. I concentrated on the little finger so much that I didn't pay much attention to what degrees of contracture they were, but now they are my straight fingers and the ones I didn't bother with having fixed are the ones that are bent.

My little finger will, of course, need PT to reach it's maximum straightness. I have a new splint from the PT that I am to wear essentially 24/7 and am going in Friday to get a straighter splint on. She thinks a spring splint is too much pressure for right now--I'm not sure if that's what I get Friday or if it will be next Tuesday when I go again. I will, of course, do the PT and get the finger as straight as possible, but I could certainly live with it the way it is now.

I liked the therapist at Hand Rehab Associates. She wasn't super familiar with NA, but had had one other patient who had had it done--she thought from Dr. Denkler. She was familiar with Dr. Denkler's name and knew that he was well-known for NA. She commented on what good shape I was in compared to people who had had OS.

I would describe my hand as slightly tender rather than as sore (the only pain medication I ever took was one Vicodin the first night). The split is the only thing that inhibits my ability to do things. I certainly could drive, but would probably take off the splint if I did. Mostly my husband and friends are being nice enough to drive me around.

01/10/2008 06:56
wach 

Administrator

01/10/2008 06:56
wach 

Administrator

Double posts

Hi marhill, that's not your fault and no big deal, we usually are very quick in deleting double posts. Sometimes our forum software takes a little time to process a new post. You might then have the impression that your posting didn't work and click again on the send button. That (or a double click) creates double posts. Our next version of the software will indicate that the forum is already processing your post and will thus avoid double posts.

Wolfgang

Quote:



I hope this doesn't post twice, as some of my others seem to have done. I don't think it's anything I'm doing.




Edited at 10.01.08 08:58

01/10/2008 21:20
marhill 
01/10/2008 21:20
marhill 
Re: NA Experience

Thanks, Wolfgang. I don't think I'm clicking "confirm" twice, but will be very careful from now on.

01/12/2008 19:07
marhill 
01/12/2008 19:07
marhill 
Re: NA Experience-5 days later

So here I am on day five. I have some bruises and scabs on my hand, but only the worst place on my little finger still requires a band-aid.

My middle and ring fingers (which started out at 80 degrees and 100 degrees of contracture, respectively) may require some minor PT on my part to be perfectly straight and perfectly flexible, but you have to really test them to tell that they aren't already perfect.

My little finger was down to 42 degrees when I saw the PT on Friday. (It started out at 135 degrees.) The PIP joint is a little sore, probably mostly from the PT, but nothing else on my hand is at all. The therapist can push the little finger to 22 degrees, so I got the impression that if I'm diligent with my PT it can get down that far. Even where it is now, the only thing that keeps it from being perfectly usable for my purposes (I even used it to type those "p's" and the quotation marks!) is it's lack of flexibility, which will definitely improve. Obviously, if it had been vital to me to have that finger completely straight, I would have dealt with it before it got so far.

I got a new splint on the little finger on Friday--the splint with the spring comes later--which lets the finger be more flexible. The previous splint, which connected with my palm and kept the finger sticking out straight was what made several things--such as driving-- difficult, but now I can do pretty much anything that doesn't involve immersing my hand in water (and there are plastic gloves for that).

So I am very, very happy with the NA and would encourage everyone to try it, even for stage four fingers, before doing anything else.

Marian

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