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Found NA in the USA
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10/30/2003 23:07
Charlie 
10/30/2003 23:07
Charlie 
Insurance coverage

I am covered by Blue Cross Insurance. They checked and Dr. Eaton is not listed as a preferred provider. They will pay $280 towards the $700 bill. That is not too bad. It is better than no payment. Dr. Eaton may not be covered because Blue Cross always underpays the Dr. bills. I would not blame him. I will pay him up front with cash and submit the bill to Blue Cross myself.

10/30/2003 23:16
Sean 
10/30/2003 23:16
Sean 
NA in Florida

Randy H,
If you are trying to provoke an argument, you don't have one here. I agree with most everything you said. Why the combativeness (or whatever you want to call it) in your message? There will still be many occasions when surgery is the only answer. NA is not appropriate for every situation of DC and most people who know, realize that. It is good that there is a choice, but I'm not going to try to talk anyone in to either procedure. I just know my surgery was very successful, but that doesn't mean that I wouldn't consider NA in the future.

10/30/2003 23:24
Randy H.

not registered

10/30/2003 23:24
Randy H.

not registered

Retraction

Sean,

More playful than anything else. I guess I should have added some :):) to clarify my tone. But having read many of your numerous posts, are you really claiming a completely neutral position on surgery Vs NA? If so, please forgive my misreading of what has often sounded like subtle pro-surgery spin.

It should be the hope of all who suffer from Dups that NA will prove to be exactly what it's French practitioners say it is:

"We believe, as do a few hand surgeons, that needle aponevrotomy is indeed the most suitable first-line procedure for stages I to III of Dupuytren's disease.......we are convinced that only 10 to 15% of Dupuytren's diseases should be treated surgically, whereas most of the contractured digits can be extended within two or three needle aponevrotomy sessions."

See: http://assoc.wanadoo.fr/f.badois-dupuytren/html/gbsommaire.html

10/30/2003 23:54
Sean 
10/30/2003 23:54
Sean 
NA

Randy H,
I don't care what procedure anyone chooses, but I'm not going to say one procedure is better than another. I have no idea what each persons situation is with DC. I will not try to sway anyones mind because I haven't experienced NA. If someone asks about surgery I can comment on that because of my experience.

I do read as many studies from medical journals that I can obtain. It is helpful for me because I have DC in other hand and Ledderhose Disease in both arches. My opinions come from reading all I can, not as a very few people on this forum complain that I have a vested interest in surgical procedures.

10/30/2003 23:21
Walt Stagner

not registered

10/30/2003 23:21
Walt Stagner

not registered

Way to Go Charlie!

I agree w/your payment method, Charlie. Pay Dr. Eaton up front and worry about what's covered later. I'd encourage ANYONE who can afford this method to choose it.

This is what ALL of us did who opted for Europe. I'm old enough to remember when "health insurance" was called "major medical insurance" which is what it SHOULD be. Many people these days have a 500-1000 deductable anyway to keep the cost down.

10/31/2003 23:42
Randy H.

not registered

10/31/2003 23:42
Randy H.

not registered

Point taken.

Sean,

You and I have much in common. Having had one hand surgery apiece, we both look with anguish at the disease growing in our respective "other hands" and ponder our fate. This must be the case. Otherwise, who on earth would scower every medical journal they can get their yet non-contracted hands on for further medical information? Sean, as text book perfect as yours was, you'll loose all credibility if you try and tell me you wouldn't love to avoid another traditional invasive fasciotomy, and another round of well-meaning physical therapists bending your recently scared fingers into curvatures that they would rather not. Let's face it. Even in the best of cases, traditional Dups surgery ain't no picnic. Anyone who says otherwise is in serious need of further medical assistance. Given the overwhelming testimonies of Americans who have experienced NA, I know not what course others might take, but as for me, give me USA NA.......or.....I'll fly to Paris.

10/31/2003 23:35
JERRY 
10/31/2003 23:35
JERRY 
NA

Sean,

I promised myself I would not again become involved with you, but I find your posts both erroneous and somewhat amusing.

Can it be that your D/C and Ledderhose condition is a direct result of the TRAUMA inflicted by your previous surgery? Virtually everyone with whom I correspend reports resultant trauma after successful traditional surgery, while no one that has experienced N/A has reported subsequent trauma.

Do you honestly expect to obtain TRAUMA information by reading medical journals when the establishment refuses to accept the fact that a correlation exists between trauma and D/C?

Try commenting on my recent posting of updated results of my survey as well as Kris and my paper conserning FLARES.

Randy: Thank you for adding your sensible and informative comments to this forum.

10/31/2003 23:37
Sean 
10/31/2003 23:37
Sean 
NA

Randy H,
I had a fasciectomy and even though it was "textbook", it was not nearly as bad (or not normal) as you write. I had no physical therapist painfully bending my fingers. I went to therapy twice and then did the rest myself. There was no pain involved. I just stretched the tissue continually, it didn't hurt. It didn't put me out of commission. It is now, almost two years later, the finger stil is as it was prior to DC. There is no visible scar, 0 contraction, 100% strength and total flexibility. Contrary to what you write, it would be tough for me to choose NA given the results I have had. I, without a doubt, will consider NA when the time comes. I read that normally a persons first surgery is the last one necessary and time will tell for me. The longer my surgery hand is in good shape, the more I will be inclined to choose surgery over NA.

It will be interesting to see how Dr. Eaton evaluates what he is doing. I will continue to read information and will have questions about both surgery and NA. I'm still looking for more information about the necessity to remove all of the diseased tissue. That is the feeling of most surgeons who are convinced that it is necessary for long term results. That is why the fasciectomy is preferred over the fasciotomy.

10/31/2003 23:05
Sean 
10/31/2003 23:05
Sean 
Sean

Jerry,
Thanks for your concern for me. I had Dupuytren's in both hands and Ledderhose in both arches when I had my surgery. The Dupuytren's in the non-operated hand is exactly as it was when I had surgery. The Ledderhose is actually much better and not an issue at this time. The nodules are smaller and not bothersome. This I can attribute to more appropriate shoes and taking better care of my arches. Also, it could be a dormant stage. All in all, the surgery had no impact at all to spur the growth of DC as you suggest.

There are many medical papers which link trauma to the development of DC. Why do you say they ignore the topic. Many websites for hand clinics express the linkage. That doesn't mean that all surgery should be eliminated because of the possibility of developing Dupuytren's. Every surgery (or procedure) has risks and downsides. People die from heart surgery, knee surgery and many other surgeries or procedures. Contracting or developing Dupuytren's from a surgical procedure is not the end of the world. You don't quit doing heart surgery because the trauma of the surgery might kill you. Most are successful.

10/31/2003 23:57
JERRY 
10/31/2003 23:57
JERRY 
Jerry

When you have been previously queried on many occasions you have refused to verify any of the sites or studies you profess to quote.

You might add a bit of credibility to your posts if you would divulge a source other than Moerman's now and then.

I have discussed the TRAUMA issue with many surgeons and NONE have acknowledged any correlation, however other physicians have informed me that reluctance is due to a fear of malpractice suits if TRAUMA is linked to surgery.

A release would have to be tendered to the patient prior to a procedure to absolve them of causing further injury.

It's as simple as that....



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