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Dupuytren's NA Surgery Planned with Dr. Benhaim
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09/25/06 02:07
Marjorie

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09/25/06 02:07
Marjorie

not registered

NA surgery planned

Hi folks,
I find it very concerning that patients are not fully awake for PIP joint release. There are many nerves in the area of the PIP and the whole point of NA is that patients are able to comment on any discomfort. The practitioner depends completely on the patient being able to say 'that hurts' which tells him to work away from the area in question. I have had PIP release and was told to report immediately if I felt any pain.
It does appear to me that NA in the USA is far more complicated than in Europe which is very surprising as all US surgeons have been taught in Paris. Perhaps this is why the cost is so much greater in the US than in Europe.
Marjorie

09/25/06 02:05
Carmen

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09/25/06 02:05
Carmen

not registered

NA surgery planned

Marjorie:

Please do not misundersand, in my last post I did not mean to suggest that any doctor here is doing PIP dup surgery while the patient is not conscious. I did not have PIP NA done. As I understand, most about whom I have read are fully awake for PIP NA. My NA was done on the palm where there are very few nerves. All went extremely well. I did learn, however, that Dr. Benhaim also does the palm NA release while patients are fully awake. As I stated in my last post, he may have done mine differnetly since I have RSD.

Carmen

09/25/06 02:28
No Name

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09/25/06 02:28
No Name

not registered

Carmen

Carmen,

Please stop posting to this site. You are a fake. Your posts have gone from newcomer with questions to a medical authority and enough is enough. I don't know who you are, but these are fake postings. Its gross - please stop.

09/25/06 02:43
Randy H.

not registered

09/25/06 02:43
Randy H.

not registered

???????????

No Name,

Really? You are *convinced* that Carmen is making this all up, isn't really a patient of Dr. Benhaim, and knows a lot more about treatment options than she let on at first? And why would she do this?

Have you considered that *maybe* she has devoured info on this Forum for weeks now, read everything on Eaton's' site, and that Dr.Benhaim might be the kind of doctor willing to kindly explain everything?

Yes, there is some trickery on the Form from time to time, but you seem a little trigger happy at times with the fakery accusation.

I mean, we've all read what you've read. How can you be so completely sure?

09/26/06 02:15
Carmen

not registered

09/26/06 02:15
Carmen

not registered

NA surgery planned

Thank you, Randy, for your support. I wish I could say that I was not hurt by No Name's accusations, but I can't. However, I will ignore his comments and continue to post from time to time when I feel I can share something with all of you. I have learned a great deal from this site which I have been following for the last year.

Carmen

09/26/06 02:31
Randy H.

not registered

09/26/06 02:31
Randy H.

not registered

NA surgery planned

Carmen,

I am glad you have a surgeon in LA who is doing everything he feels comfortable with to avoid RSD. And thanks for the clarification. No, we don't tell our doctors what to do. All we have is the power to choose our doctors biased on their reputation and what *they* are willing to do. Next to NA, a limited open procedure to release the PIP would be the next least invasive, not even close to a full limited Fasciectomy. You have a careful and conservative surgeon.

Unless there is more to the story it would appear that Dr. Benhaim is only comfortable with NA in the palm area, which rules out PIP if not MCP. There is a very strong influential and conservative CHS culture at UCLA, so I was surprised to hear that Dr. Benhaim was doing NA in that academic environment. So, it's really no surprise to learn that he actually *isn't* at this point in time, at least not in the traditional French approach, and only in a very limited way. For the sake of accuracy and clarity, any info to the contrary would be helpful.

09/26/06 02:32
Carmen

not registered

09/26/06 02:32
Carmen

not registered

NA surgery planned

Randy:

As I will be seeing him tomorrow, I will ask more. I am only recounting what I remember from my initial visit back in August and, of course, the actual procedure performed last week. I was not aware that there were certain criteria necessary to be deemed *French method.*

Also, I may have a chance to talk to another of his patients at my OT's office--should our paths cross. I will ask about his NA surgery.

Maye I should post under a new topic, as the surgery is no longer in the *planned* stage.

Carmen

09/26/06 02:36
Mark D.

not registered

09/26/06 02:36
Mark D.

not registered

No Name - No Brain

Carmen:

I think there is a reason this joker's moniker is "no name."

His posts are so inane & inconsiderate that he is probably afraid to give any indication whatsoever of his real identity.

Unfortunately, we have to put up with these ignorant & arrogant posters.

The rest of us are deeply appreciative of your sharing your experiences.

Hang in there!

Mark

09/26/06 02:36
Randy H.

not registered

09/26/06 02:36
Randy H.

not registered

Carmen:

The name "Needle Aponeurotomy" (NA) was coined by a French MD (Lermusiaux) who developed the procedure over 30 years ago. The key element was the introduction of just the right kind of hand numbing agent so that the patient doesn't feel the direct pain of the needle but can still detect needle proximity to a nerve. At which point the patient says "STOP!"

That is not what Benhaim is doing. He apparently prefers to "see" any nerves to be avoided by "opening" the finger and seeing directly what he is doing. It will accomplish the same result, though obviously somewhat more invasive than using a 25 gauge needle but *far* less invasive than the full open surgery that removes *all* the diseased tissue.

It will be in and out with a minimum of intrusion.
It's called a "fasciotomy", rather than a fasciectomy which *removes* underlying tissue rather than just cutting it. Similar spelling, but a *big* difference. Actually NA is a form of fasciotomy called "percutaneous" fasciotomy, with the twist of patent feedback I mentioned earlier.

(Sean was the first to mention "fasciotomy" on this sight and inform us of the difference.)

All that to say.......God Speed Carmen. This should not be a big deal.

12/06/06 01:32
Ronnie

not registered

12/06/06 01:32
Ronnie

not registered

dr eaton

had left little finger done on 11-30, right little finger done on 12-1. wonderful results, very little pain, total bill was 1300. dr eaton is no 1 in my book. thanks for n/a , for me it the only way to go.

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