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Interesting articles from UK NHS
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02/01/2006 23:08
marjorie 
02/01/2006 23:08
marjorie 
NA in UK

I have responded to the email fron the BSSH and suggested that, as we are being left behind by the rest of the world, it is perhaps time some-one was sent for training. I attached before and after NA pics of my hand.
Will keep you all posted.
Marjorie

    02/07/2006 23:43
    Sara 
    02/07/2006 23:43
    Sara 
    NA in UK

    Marjorie,

    Well, good on you, I say! I thought I was tenacious, but you seem to be getting a lot further than I ever have. And you have just confirmed what I already suspected, nobody in the UK can offer exactly the same procedure we receive in France. This means my PCT has either lied to me deliberately or really does not know the difference between the stitch cutter and the needle procedure.

    I think it was a major achievement in itself that you received a reply from the BSSH. Brilliant and good luck. I am going to start my letters again....(groan!)... We'll get there.....thanks to people like you.

      02/15/2006 23:10
      Michael Lukins

      not registered

      02/15/2006 23:10
      Michael Lukins

      not registered

      NA at Chester

      Yes, I got the treatment at the Countess of Chester hospital as an NHS patient, on 9 Feb. I was astonished, no prompting by me, the consultant, Mr Harvey, examined my hand and then pronounced that it looked suitable for treatment via needle and added that he could do it at once if I wished.

      He treated the palm area only. The joint of my little finger is at stage 1 but he advised that he did not see how it could be treated by this method and so it will wait. I found that the local anaesthesia was very good, no sensation at all, and the sound of the parting of fibres was like something soft and soggy, not at all as I had imagined. He laughed when I asked if I might mention his name on this forum and protested: "No! No!" but then gave way.

      In discussion, he mentioned his attendance at a conference on the subject in Dublin. A woman there gave her experience that any problem arising from the efforts of our French heroes is referred to a hand surgeon local to the patient and thus the French results are, in statistical terms, biased.

      Today, 16 Feb, I attended a follow-up clinic and was advised that I must make an effort to straighten my hand. In completing my treatment on the 9th, Mr Harvey had straightened my hand to break any remaining fibre and the skin of my palm had split where it was stretched thin over the nodule. The nurse applied a dressing and I saw nothing more of this but it bled slightly afterwards. (I take daily aspirin as a heart patient and this would contribute to the bleeding.) I had read a posting elsewhere in the Forum in which one of our chums was so excited to spread the news of his treatment that he was typing late into the night and felt he had undone some of the benefit. Consequently I have acted like a wimp for this past week and kept my hand slighly curled so as not to stretch the split in my palm. When I saw it today without the dressing I saw that the split was merely 1/4 inch in length. I am now resolved to mend my ways.

        02/15/2006 23:52
        .

        not registered

        02/15/2006 23:52
        .

        not registered

        BMJ article

        A conference in Dublin? Was it just a passing mention of NA? Can you find out any more?

        .

          02/16/2006 23:36
          Christine

          not registered

          02/16/2006 23:36
          Christine

          not registered

          BMJ article

          See BMJ Clinical review of Dupuytrens, 18 February 2006 (Vol 332, No 7538)
          Passing reference to NA but no meniton of patient preferences.
          You can get views posted on the site. www.bmj.com

            02/18/2006 23:15
            Michael Lukins

            not registered

            02/18/2006 23:15
            Michael Lukins

            not registered

            Conference in Dublin

            I shall ask for details of the Dublin conference at my next clinic on 2 March

              02/19/2006 23:27
              Frances

              not registered

              02/19/2006 23:27
              Frances

              not registered

              NA availability

              I stumbled upon a website that looks promising - www.handclinic.co.uk. It has a bio on a fellow by the name of Grey Giddins who appears to be the sort of person who would be interested in learning NA *and* he is a Councel member for the British Society for Surgery of the Hand. Perhaps some of those letters you've been writing could get a cc to the councel members?

              France

                02/19/2006 23:37
                Sara 
                02/19/2006 23:37
                Sara 
                NA availability

                Michael,

                I got quite excited by your news, until I read that the consultant did not see how your finger could be treated by NA, just the palm. However it may still be a step in the right direction. Was it by coincidence that the person you were referred to did NA or did you specifically ask for him?
                Have you also been to France (or elsewhere) for previous NA treatment to enable you to make a comparison? Sorry, this sounds a bit like an inquisition (not meant to be!), but I could do with knowing before I look into further possibilities of NA here. (It is my fingers which have needed treatment in the past). I just still feel a little uneasy that nobody had trained in France yet.

                  02/23/2006 23:34
                  Garfield

                  not registered

                  02/23/2006 23:34
                  Garfield

                  not registered

                  Commercial Interests

                  Hi Frances,

                  I had my finger operated on by Mr Giddins just over 2 years ago. He did a grand job, and it has held up well since. He did not make me aware of any alternative treatment, although I cannot remember if I specifically asked about any.

                  It would appear to me that he, and other practitioners, are possibly more interested in the three hundred pounds of pre and post op consultations and the fifteen hundred pounds of surgery (of which the surgeon receives over six hundred) than they are about modern alternatives. I would be delighted if he were to take up the challenge, learn NA, and prove me wrong.

                  I am shortly off to France to see about a NA procedure and will post you on the results.

                  Best wishes

                    02/24/2006 23:07
                    Frances

                    not registered

                    02/24/2006 23:07
                    Frances

                    not registered

                    Sara - NA Availability

                    Hi Garfield,

                    Do not dispair, that was two years ago. The good doctor might be more willing to consider NA now that it is spreading.

                    Frances

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