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Six and counting in the USA.
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08/07/2005 23:54
Randy H.

not registered

08/07/2005 23:54
Randy H.

not registered

New England too?

NA's inventor, Dr. Lermusiaux, is a rheumatologist by training. As such, most of those he has trained in NA are also rheumatologists, including Dr. Badios. They have *no* surgical training at all. (Imagine being originally experimented on by Lermusiaux who himself had never opened up a human hand.) That being the case, I would think any good surgeon with the proper training can do this. I'm going to guess Dr. Kline was trained by Dr. G. Press. I believe Eaton mentioned that Press was willing to train. (I don't see Dr. *Press* on the French List either, and that was Updated 07/15/05).

On the other hand, the French study of < 1,000 hands reports 29 minor nerve injuries and 2 Flexor tendon ruptures. Now at >1,000 Eaton has *Zip*. I'll bet his training as a CHS has something to do with that record.

08/07/2005 23:59
Frances

not registered

08/07/2005 23:59
Frances

not registered

New England too?

Hi all,

Sorry my post was so abrupt this morning, I work at 9:30 and was rushing to get it in. I have to admit, it warms my heart to have a DC patient as a DC practitioner because I think such a person could really see things from a patients point of view. But....I would also like more clarification as to Dr. Klines training. Who has he trained with and for how long? I believe it is a patients right to know such things so they can make an informed decision and as an advocate of the NA procedure it is important to me to know that NA is the same everywhere it is practiced...and for that to happen there must be continuity from doctor to doctor with regards to training.

Take care for now,

Frances

08/09/2005 23:57
BobN 
08/09/2005 23:57
BobN 
New England too?

Hi all,
I called a New England major hospital today and asked for the hand surgery clinic. I asked if they do Percutaneous Fasciotemy procedures and they said they'll check with the doctors and call me back.

An hour later, they called and said YES, one doctor does. So I asked how long he'd been doing it, where was he trained and how many hands he'd done. They have to call me back with those answers...

I explained that it is a fairly new procedure in the US and a New England CHS doing Needle Aponeurotomy would be of great importance to the Dupuytren's community.

Although I don't really believe them yet, I think everyone should call regional large metropolitan hospitals in their area and pose the question. Maybe the awareness rate will increase at a faster rate.

I'll post what I hear for answers to my questions.

Bob

08/09/2005 23:29
Randy H.

not registered

08/09/2005 23:29
Randy H.

not registered

Percutaneous Fasciotomy

Heads Up BobM

It's not too surprising that they said *someone* could do a "Percutaneous Fasciotomy", as it has a CPT Code of 26040. I believe I have read that years ago this "puncture" entry was done with a small *knife* to cut the Dups tissue. It's not done much today, expect in it's new incarnation (which is NA). I doubt that in the doctors mind "Percutaneous Fasciotomy" equates to NA. It will be interesting to hear if you made a dent!

08/11/2005 23:42
BobN 
08/11/2005 23:42
BobN 
New England too?

So far, no call back. I finally called this afternoon, but it was after 4:30PM and they were gone. I'll call again Monday. I have a sinking feeling they looked it up and...

Bob

08/11/2005 23:14
Randy H.

not registered

08/11/2005 23:14
Randy H.

not registered

Situation Normal

BobN

There are only 6 surgeons in the US who will not tilt their heads from side to side as if the sound of "Needle Aponeurotomy" were a dog whistle and they were beagles. Sometimes they will bark slightly too.

08/11/2005 23:15
Hammer head

not registered

08/11/2005 23:15
Hammer head

not registered

NA

We need more folks like Bob. Thank you, Bob. We should all call local major hospitals hand units to see if they do NA. Who knows? There may be more NA Drs. than we expect. We know the number of NA Drs will grow rapidly one day. Why not now?

08/12/2005 23:33
Randy H.

not registered

08/12/2005 23:33
Randy H.

not registered

Ground Zero

Hammer,

I'm amazed at how well US CHS know of each other. It's "Charlie" to them, not Dr. Eaton. I don't think there a whole lot of them, and it would seem that their yearly convention is *very* significant. As a rarefied specialty I would expect there to be a certain amount of "group think". The "what's new in the field" comes from within.

However, every bit helps. While I'm still planing to show my personal CHS the NA I had, the main reason is to prepare him to consider going to Eaton's presentation during the 2006 CHS convention. I don't think we can overestimate the importance of that presentation. He's going to get *one* shot at this, which is why he is waiting until 2006. Nerve damage will *not* be spoken of after that. He'll have the goods.

More than anything else, NA needs *legitimacy* in the eyes of CHS. That legitimacy, I'm afraid, will only come from one of their own. If Eaton can really raise some eyebrows and a lot of interest, the tide will really start to turn. Once a bunch of CHS get excited abut NA, it's all over. Though our word of mouth continues to push this along slowly, I see 2006 as Ground Zero.

08/12/2005 23:55
jim h

not registered

08/12/2005 23:55
jim h

not registered

A matter of Time

Right you are. Years ago I told my CHS about the French MDs performing NA and he was totally dismissive - he actually used the word "cavelier" to describe what the Europeans were doing.

I think the reason conventional surgeons are so biased is that they don't see much of you after the surgery - in those months of misery during which you're basically trying to recover from the damage done by the surgery itself.

08/14/2005 23:44
Randy H.

not registered

08/14/2005 23:44
Randy H.

not registered

A matter of Time

Jim,

Actually "cavalier" is not too far from the truth in reguard to the French in Eyes of American CHS. Eaton himself, who is a *big* fan of Lermusiaux for inventing the procedure, still has little respect for their scientific record keeping........"Yea, there was a guy down there in the south of France that fixed a finger and he used a needle" Eaton's words. Not mine. This simply does not cut it here.

In a word......the French are disrespected. Big Time. If NA had been invented my some English hand surgeon we'd be a lot father than we are. That's why Eaton's enthusiasm, success with the procedure, and sense of mission to see this procedure accepted, is so important.

I knew when the reports proved true that a FL CHS had actually adopted NA we were in a new era that would soon speed up NA's acceptance. And for one important reason.....Legitimacy. W. Stagner had worked so hard and for so long. When his DVD got it Eaton's hands, the torch had been passed. Now we had a respected CHS that had picked up the cause.

2006 Baby!!!!

How does about 25 more "Eatons" around the country sound???

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