Hands Team

You believe the local press? Or the West bank nosy neighbor? The media never make mistakes or leave out details. Right...?!

In my experience, most people get back to activities like tennis within 2-3 weeks, only limitation would be your pain post-procedure. Minimal swelling and no incision to wait for healing. Wearing the night splint as long as possible definitely correlates with recurrence prevention.

Unfortunately, there are no medications that are helpful for Dupuytren's.

The nonsurgical option mentioned above and in commercials is Xiaflex. See my previous post for details about that one. I was doing the most xiaflex in the state at one point, but stopped completely due to the reasons I gave. Can't remember the last time I recommended that option.

The most cost effective method with the best long term results is needle aponeurotomy. That's where you numb the hand and use the sharp edge of the needle tip, called the bevel, to cut the cord in several places along its length through 3-4 small poke holes the size of the needle itself. Small soft dressing with an ace wrap for a few days. Then a splint at night that fits on the palm and fingers for several more weeks after that.

Happy to discuss the science behind that recommendation if you would like to talk specifics, rather than your thoughtful response. I'm just here to dispel rumors and misinformation. By all means, don't let facts get in the way of YOUR recommendation.

Let me guess, you're a rad tech? Radiation oncologist?

You've come to the right place. We are looking for people just like him!

Thanks

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I read that book along with "Mafia Kingfish"

Lots of overlap between the two.

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Does anyone here have experience with either Vistage small groups or Goldman Sachs 10,000 Small business programs? Goldman program was recommended by a trusted friend who is familiar with both. So far I have received minimally helpful advice/teaching from my three Vistage one on one meetings. Asking about New Orleans area specifically, but of course advice from those of you in other locations is always welcome too.

Vistage is not cheap, whereas GS is free. Vistage seems to be dependent on the members of your small group, versus the GS groups being larger in size and more diverse in their makeup. Not sure of the time commitment of either.

For context, I am the "heir apparent" to become the new managing partner of our medical practice once my senior partner retires this time next year.

Any advice is appreciated.