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2nd time around
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03/27/2005 23:11
Randford

not registered

03/27/2005 23:11
Randford

not registered

Are You for Real?

Dear Generalissimo Ultimo,

Though I appreciate you apparent sentiment for the wider spread of NA as the procedure of choice as a first resort against our shared malady, your One Liners come off a bit like "Kilgore Was Here" graffiti. As was chanted by protesters at an historic Democratic Convention: "The whole World is Watching."

Obviously not so here. Perhaps only 10% of the 5% similarly inflicted. However, we better serve "The Revolution" with more accuracy, less "black and while" declaratives. NA is a significant new tool in the tool belt. It is not a cure all (Though up next at bat for me personally. I will soon be Eatonized.)

But them, who am I to critique a fellow Zealot who wants to see the way our disease treated? I'm on your side.

By the way, Collagenase, as an enzyme, seems to work just fine. It's the lack of funding to pass FDA muster that is at issue. This you would know if you had been here for a while or bothered to study the older posts as any newbie should

03/27/2005 23:41
Anon

not registered

03/27/2005 23:41
Anon

not registered

DC remission

Dear Sean,

It's a persons body that makes the diseased tissue form around the cords and neither surgery nor NA can't stop what the body does.

I view Surgery like scraping moss from rocks in a lake with a wire brush so a person can stand in saftey at their favorite swimming spot for the summer....next year.... the moss will be back because it is the lake that provides the atmosphere for it to grow.

Yes DC does appear to go dormant, I know that has happened with my husband and don't understand why that is...but...remember he has had NA and his DC has been dormant too. So it's not the procedure...it's the body that has made the DC go dormant.

In fact...Perhaps this is a good question to ask our readers? How many people feel their DC has gone through periods of remission and which procedure did you have? Surgery or NA? Approximately how long did the remission last?

Husband had NA in Oct of 2001. We were told to expect to need to repeat NA between 18 months and two years at best. It is now three years and 6 months later...husbands hands have only begun to curl again recently. During the time when there was no curling he said his hands felt more flexible/less stiff/less pain in morning...he knew when the curling was coming back because the stiffness/discomfort had returned. He also said the progression FELT different...not as aggressive before - what ever that means. Now he tells me the stiffness has gone and he thinks the curling has stopped again. Wishful thinking???! I don't know...but I have watched and he doesn't appear to be needing to stretch his fingers in the morning...and throughout the day...and yes...there has been no more curling in the last month. *scratching my head in confusion?*

It's not scientific...just a personal account...so I figure it's his body that is affecting the DC...not the NA....and since there is well documented/unexplained remission with other diseases...there is no reason not to expect it with DC.

That's why I think it's important not to associate a pause in progression with surgery or NA...it's the body...not the scalpel or needle that caused it to happen. After all...we do know people who have had their DC return shortly after both surgery and NA...so it's the body...not the needle or scalpel that is making it happen.

Anon

03/27/2005 23:09
Sean 
03/27/2005 23:09
Sean 
Surgery

Anon,
Your logic escapes me. But that is OK because it is a sideshow. It WAS THE SURGERY that stopped the contraction in my finger. It wasn't a coincidental dormant period that showed up on the day of my surgery. Without the surgery, contraction would have continued. I have no nodules or dermal pits or any indication of a cord developing. Actually, no indication that I even have DD.
I understand that Dupuytren's goes into dormant periods for unexplained reasons. My "dormant period" was induced by surgery.

03/27/2005 23:42
Randy H.

not registered

03/27/2005 23:42
Randy H.

not registered

Just the Spark Plugs

Anon,

The rapid progression of my left pinkie PIP (0 to 45 in *less* than 12 months) was stopped *cold* by OS. 24 months later, no recurrence. However, for me, my hand is worse than before surgery, so I'm not too impressed with those statistics. (My results are not typical). OS usually does what it's designed to do.

That doesn't mean that the same biology that started the Dups in the first place isn't still in place and ready to have another go at it. But it's starting from *scratch*, not from remaining Dups Tissue left by NA. But for many of us, that trade off of a lower predicted rate of recurrence is not worth having one's entire engine rebuilt (OS) verses having a simple tune up (NA).

03/27/2005 23:20
Senor Ultimo

not registered

03/27/2005 23:20
Senor Ultimo

not registered

I am not a general

neither am i a newbie, and what i 'ought' to do will be decided by me, respectfully. NA is the answer for now. Oh my, my 'graffiti' is getting long-winded. Be that as it may, there may be other sub enzymes along with collagenase that help it do it's job. # of mys - 2, # of mays - 2. *bows*

03/28/2005 23:58
marynell

not registered

03/28/2005 23:58
marynell

not registered

DC

I had painful nodules appear in both hands at the same time in 1994. The pain was so severe, inflamitory drugs tore my stomach up so I had shots in my hands for pain. Eventually the nodules lengthened and attached. I have never had surgery but do feel that it does lay dormit at times and then they feel so sore and tight for awhile.
If I place my hands as flat as I can which I cant flatten very much, on a copy machine, the print really shows the disease. I have trouble holding items some days worse than others, have burned myself because of this many times.My right little finger feels throbbing and tight at times like it would feel if one had a ring on too tight.
When they thought of surgery they said my hands were like volcanoes and they felt it would only irritate and create more problems. The tops of my knuckles were even inflamed and swollen. They say it is rare for the topside to be affected.
I do beleive it can lay dormat for quite some time and then take off again.

03/28/2005 23:05
Sean 
03/28/2005 23:05
Sean 
Dupuytren~sq~s

Marynell,
You didn't mention Dupuytren's. Is that what has been diagnosed? Generally there is very little pain as you have described. Do you have other health problems in your hands? Is arthritis also in the picture?

03/28/2005 23:22
Senor Ultimo

not registered

03/28/2005 23:22
Senor Ultimo

not registered

DC

Yes, there can be pain with DC.

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degrees   uids=3968392&dopt=Abstract   fasciectomy   progression   contraction   rate-of-progression   Dupuytren   treatment   rate-ofprogression   different   Surgical   procedure   Collagenase   cmd=Retrieve&db=PubMed&list   recurrence   procedures   ID=140&topcategory=Hand   because   surgery   fasciotomy