| Lost password
645 users onlineYou are not loggend in.  Login
Getting RT on both feet at OU Oncology!!
 1 2 3 4
 1 2 3 4
01/06/2011 23:14
drumhead 
01/06/2011 23:14
drumhead 

Getting RT on both feet at OU Oncology!!

Members and friends: Well, I finally got everything ironed out. I am meeting with Dr. Terrence Herman at Oklahoma University's Oncology unit Monday, January10th at which time I am scheduled for RT for one week (seven total treatments) on both of my feet. I am bilateral (have nodules in the same areas on both feet), I am moderate to severe, years of new growth and some are in the progressive stage (getting bigger). Pain = I have taken pain meds because it hurts now just too much, but I have the growths from under my middle toes, down the tendon in the arch, and even a couple in the heel area.

As far as pain goes, the more you do, the more sore my feet are the next few days. I am not in misery, but I cannot do certain things (ladders, running for long distances, anything that requires pivoting and twisting on the nodule area). All of you know exactly what I am talking about. So, here's what I am going to do:

I am going to report on this forum daily from the time I meet with Drs. Herman and Matheson, until I am finished which will be on Friday, January 14th. I will give a detailed description of the treatment, how it is done, how I feel, everything that I would want to know about RT. I will probably be the most advanced case they have treated. My expectations are optimistic, as I know this is experimental and new = it is not surprising that NO ONE, except the Dr's and their assistants know what the hell I am talking about = it took about 8 months and hours of talking with doctors and insurance company to finally agree to pay for this treatment. I will tell you the cost(s) once i know = they can't tell me yet until diagnosed fully.

I have had several surgeries on my hands with a very good hand Dr. in the Dallas area, Dr. Richard Burkett. Thank you Dr. Burkett for jobs well done. Hands are good now. So, check back with this forum every day if you are interested and I will update for those interested. This is cutting edge, but I think Dr. Seegermeister has been doing this in Germany for a few years. If the progression can be stopped, that will be A+ and even some of them disappearing would be even better. I will keep you all updated on this RT procedure. I know what you are going through. It really does feel like hell sometimes, and what makes it worse, is that not even the experts, doctors, or ANYONE can help you. Surgery is just bad = period. If you are reading this? NO NO NO NO NO to surgery. This stuff can come back with a vengeance. RT may stop this re-occurrence, stop the progression of nodules getting larger. Who knows? It is my best chance, IMHO.

So, if you have ANY questions, I'll be reporting everything to you as I find out and if you have any questions, fire away. I will do my best to answer you. I will say this = I don't know the exact cost yet, but I was told that insurance is almost always necessary, unless you use your feet for business and can write off the costs somehow.

Remember = check back = I will be updating a couple of times a day - from the procedure to how I feel to anything I feel that I personally would want to know about this RT. Also, as far as being dangerous? It is so low, that it is considered moot. Really no chance of getting cancer or getting sick from radiation like cancer patients. A low, repeated dose on the areas affected.

Hang in there, I'm excited and I am excited to be able to relay my experience and results to you who suffer = believe me, I understand your pain, sadness and frustration 100%

Talk to you all on Monday!!!!

Steve Crabtree
drumhead on this forum

01/07/2011 15:07
Sentinella 
01/07/2011 15:07
Sentinella 
Re: Getting RT on both feet at OU Oncology!!

Good Luck Steve! I hope this does the trick for you. I'll be watching for your posts.
Terry Sentinella

01/08/2011 06:22
debrr 
01/08/2011 06:22
debrr 
Re: Getting RT on both feet at OU Oncology!!

Good luck Steve!! I will be watching your posts daily as well!! Thanks for taking the time to keep us informed!
Debbie

01/08/2011 18:01
Larry 
01/08/2011 18:01
Larry 
Re: Getting RT on both feet at OU Oncology!!

7 days in a row radiotherapy sounds pretty high dose to me !

I know that Prof. Seegenschmiedt in Hamburg has published
his Dupuytren-trial with 7 x 3Gy in one arm but over 2 weeks ...

Please keep us updated on costs and treatment success in your
situation. Wish you good luck, Larry

Edited 01/08/11 20:02

01/11/2011 17:35
drumhead 
01/11/2011 17:35
drumhead 

Re: Getting RT on both feet at OU Oncology!!

Day 1 and 2

After meeting with Dr Herman, he determined I would be getting one week of RT treatment on both feet. They draw an area, make a mold for the RT machine, then you come back later in the day for your first dose, which last about 15 seconds. The time consuming part is checking in, meeting Dr, getting area determined. The actual RT is easy, painless, and fast. It works like this: Day One all that I mentioned plus one RT session. Day two is TWO RT doses, six hours apart - this is because of the fluid in the skin that needs to 'regroup' before another round of RT

The third day, one dose, that's it. Day Four, same as Day Two, one dose, then another six hours later, then the the last day, One RT and you are done. No real side effects at all, only keeping your feet mostly dry and avoidance of hot or cold water, only lukewarm after two weeks. The US uses electron beams, low dose, as opposed to Europe which I believe uses X Ray RT.

Dr Herman is doing a study to be published on the results he has compiled and the data suggests much success with this RT method. I was told I would see how it affects me within about two months. Very few have an issues and very few require a second round of RT.

As for the costs, I am still not sure, but my insurance has agreed to pay for their portion. So, once it is determined you have Ledderhose Disease, the decision for RT is made immediately, no waiting. Dr Herman said my case is classic and typical, though moderate. The worst case - the RT would do nothing, which is only about 2% of those treated, then a better result is all progression is stopped and the best case, all is killed and over time, the body dissolves, absorbs the broken down nodules.

I hope this helps, more later,

Drumhead

01/11/2011 20:45
Larry 
01/11/2011 20:45
Larry 
RT concept at OU Oncology ??

drumhead:


.... actual RT concept ... works like this: Day One all that I mentioned plus one RT session. Day two is TWO RT doses, six hours apart - this is because of the fluid in the skin that needs to 'regroup' before another round of RT

The third day, one dose, that's it. Day Four, same as Day Two, one dose, then another six hours later, then the the last day, One RT and you are done. No real side effects at all, only keeping your feet mostly dry and avoidance of hot or cold water, only lukewarm after two weeks. The US uses electron beams, low dose, as opposed to Europe which I believe uses X Ray RT.


What is your single dose per treatment session and what is the total dose ??

How many patients have been treated sofar with this concept ?

Sounds a lot of radiation in a short period of time ...

01/12/2011 04:22
debrr 
01/12/2011 04:22
debrr 
Re: Getting RT on both feet at OU Oncology!!

Thanks for keeping us posted Steve!! Positive thoughts going your way!

01/12/2011 15:43
drumhead 
01/12/2011 15:43
drumhead 

Re: Getting RT on both feet at OU Oncology!!

I will find out exact dosage, they told me, but I don;t remember because it is very low and affects only the cells in the radiated area. My understanding is that Dr Herman has been following the German Dr. Seegerschmidt? and his publications for a few years. He provides this as a service and has collected data which will be published soon. Most of the Dup=Led patients have had success and most do not need a 2nd round of treatment. The RT goes very shallow into the foot, not thru the entire foot. It affects only the cells to a certain determined depth. Most of my issues, the nods are just below the skin around the tendons in the arch area.

My concern, too, was the radiation amount, but after talking with the doctors and the techs, the amount is very, very low but enough to be effective to stop the progression of cell replication which is the major cause of these nodules returning (as most do with surgery). My hands are now fine after several "pip knuckle" surgeries, two which returned, one that may be returning now, has not grown in a long while. I'll find out the dosage of each round. I will say I am the only person at the RT center that doesn't have some sort of cancer and my entire time from signing in until I leave is about 10 minutes total. It is fast, easy and I've had NO signs of anything, nothing affecting me at all. Avoiding any water on my feet is about it. I'm four treatments done and only three left, so any redness will show up next week and according to the Drs, will last only about 7-10 days. As far as how effective it has been, I should see noticeable difference in about two months. At the worst, it stops the cell progression with what I already have. To me, that would be a good thing. Again, I will find out the exact dosage and depth of RT and get back.

Drumhead

01/12/2011 18:16
Bleu 
01/12/2011 18:16
Bleu 
Re: Getting RT on both feet at OU Oncology!!

Hi Steve,

Thank you for posting about your experience at OU. I will be heading up there too from the Dallas area for treatment in the next few weeks. I have been waiting for an open wound to heal from the surgery that took out my first nodule. I had a second one pop up almost immediately on my foot. Did they do an MRI? I wish you well and hope the treatment is successful for you.

Where are you staying while you are there and is there anything interesting to do up there on the "off" time?

Thanks!

Jane

01/13/2011 04:39
debrr 
01/13/2011 04:39
debrr 
Re: Getting RT on both feet at OU Oncology!!

Hi Steve,

Why do you have to avoid water on your feet? Did you see the posts suggesting the cream with urea in it?

I had surgery on almost all of my pip knuckles about 10 years ago with a plastic surgeon. He diagnosed it as "dermal collagen fibrosis". I had no knowledge of DUP back then. Unfortunately a lot of them have grown back now....but it sure was a relief for a LONG time!!!

Anyone know why you don't get RT on knuckle pads?

So the doc says you will know how effective all has been in a couple of months? I'm with you, Steve, if I can just get this to stop growing, it would be a blessing!

Keep us posted!
Debbie


drumhead:
I will find out exact dosage, they told me, but I don;t remember because it is very low and affects only the cells in the radiated area. My understanding is that Dr Herman has been following the German Dr. Seegerschmidt? and his publications for a few years. He provides this as a service and has collected data which will be published soon. Most of the Dup=Led patients have had success and most do not need a 2nd round of treatment. The RT goes very shallow into the foot, not thru the entire foot. It affects only the cells to a certain determined depth. Most of my issues, the nods are just below the skin around the tendons in the arch area.

My concern, too, was the radiation amount, but after talking with the doctors and the techs, the amount is very, very low but enough to be effective to stop the progression of cell replication which is the major cause of these nodules returning (as most do with surgery). My hands are now fine after several "pip knuckle" surgeries, two which returned, one that may be returning now, has not grown in a long while. I'll find out the dosage of each round. I will say I am the only person at the RT center that doesn't have some sort of cancer and my entire time from signing in until I leave is about 10 minutes total. It is fast, easy and I've had NO signs of anything, nothing affecting me at all. Avoiding any water on my feet is about it. I'm four treatments done and only three left, so any redness will show up next week and according to the Drs, will last only about 7-10 days. As far as how effective it has been, I should see noticeable difference in about two months. At the worst, it stops the cell progression with what I already have. To me, that would be a good thing. Again, I will find out the exact dosage and depth of RT and get back.

Drumhead

 1 2 3 4
 1 2 3 4
non-participating   because   treatment   experience   another   life-threatening   progressing   progression   drumhead   Getting   nodules   Germany   previously-treated   treatments   insurance   Seegerschmidt   Seegenschmiedt   radiation   success   Oncology