toM,

What are you talking about and why are you calling me names?

This string of messages began when I asked Randy to provide some additional information to support his statement. That's all I asked and as I said in my last post, all of a sudden we're off topic and this spring is now repeating a common theme where anyone who asks a question is attacked as being non NA. That's nonsense. I support it and will consider for future treatment, so let that go.

I am concerned that it is very, very important to state facts and when stating facts, provide your references and where possible, facts.

By the way, my dupes went from zero degrees to over 90 degrees in less than four months and that's pretty aggressive. I felt surgery was right and after about two years, you can't tell. I also have dupes in every finger and both palms and I think NA is a good option for the minor spots.

SO, BACK TO THE QUESTION: RANDY, WHO IS THE EXPERT CHS YOU REFERENCE. HONESTLY, I'M NOT TRYING TO PICK A FIGHT - JUST WANT TO KNOW IF ITS REAL. IF IT IS, CONGRATS. IF ITS NOT, WELL, I DON'T REALLY CARE, BUT WE'LL KNOW.

toM, please let go of the pitbull tactics. I'm only asking questions.

*Sigh* the forum lunatic is up to their old tricks - nitpicking to harass.

I personally do not care who the mystery CHS is, nor do I expect that individuals name to be devuldged. Why? Safety. Unfortunately this forum has at least one stalker and another person who is simply crazy, so we must all be careful with personal information, nicknames, email addresses, and.... the use of other peoples names - which is what Randy did. I would expect no less - particularly since it is obvious that our friend is still active.

Gosh it will be nice when we get past this.

Frances

Golly gee Ellie May I think I've been ignored.

Dr. Keith Denkler:

"I have been thrilled with the results of NA so far. The current offering for Dupuytren's surgery is a *radical* one, fasciectomy, by essentially all hand surgeons. NA offers a simple, expeditious, procedure with dramatic improvement under local anesthesia as an office procedure.........Surgery itself, has nerve damage rate of about 2-3% and a much higher rate, perhaps 15-20% in surgery for recurrent disease."

Orthopedic surgeon Dr. Jonathan Cluett:

........the greatest complication <of OS> is that the condition will return. Also concerning, is that the Dupuytren's contracture can envelop the small nerves of the hand and fingers. These nerves can be easily damaged during surgery.

Dr. Charles Eaton:

<After NA> "The finger may be temporarily numb at the end of the procedure from additional anesthetic or stretching the nerve, but statistically, permanent nerve damage is *less* likely than for traditional surgery." *emphasis mine*

Statistically Less Likely? Eaton is being understandably modest on his web site, but personally he told me he was *very* excited that he had avoided nerve damage altogether. Now approaching 1,400 *consecutive* NA procedures with Zero nerve damage.

If that were just 140, one might say he's just been lucky. Not with 1,400. He has disqualified *very* few cases, so his results can be compared directly to OS. Or perhaps it's just the fact that he uses Magic Needles buried by Druids, later unearthed by the French. But they found a bunch. 100 million of the little suckers.

As numerous posters have argued, anyone in my position would be foolish to publish the name of my surgeon. Nothing positive can be gained from doing so. And besides, what possible motivation would I have to *lie* as it has been strongly suggested by one person I've done here? Make up a conversation that never happened? Falsify a copy of a letter I've sent to Dr. Eaton?........Really? That's pretty outrageous.

Most proponents of NA on this board are not *against* Open Surgery for Dups. How could we be? Some of us may eventually need it. We simply question the current medical wisdom of moving directly to a "radical" invasive procedure (fasciectomy) before exhausting a *far* more benign option. In fact, that's why this site was created by BioS in the first place: to promote Collagenase as a viable less invasive *option* to fasciectomy. Apparently some folks think such an option is needed.

But we've been *over* and *over* and *over* all this 100 times. That's fine. Eight US NA Surgeons and growing.

Jey / Randy / et. al.

It was only about nerve damage and trying to be sure that information is objective, fair and balanced.

Randy - thank you for your post. It clears up a lot. First, there is no statistical difference between NA and surgery. I think Dr. Denkler is quite correct that surgery has a roughly 2-3% rate of nerver damage and since NA cannot be zero (nothing can), it must be about the same. Nothing I have read suggests it's worse. So, in the end its not a big deal and no-one can say that NA results in far less nerve damage than NA. How far below 2% can you go?

I'd prefer not to get any more smart-ass responses as all I was interested in was "just the facts" as the good Sgt. Friday used to say.

As to the mystery doctor, well Randy answered that as well: he went to a routine followup with his hand surgeon who expressed a positive response to his NA outcome. That's really all he said. It was wrong of Randy to make it sound like so much more to impress others. Shame on you - that's very immature, but congrats on the good outcome on your NA. That's really all that's important. Just don't play it up so much.