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Hello everyone: the other day, I recieved this wonderful, & hopeful
letter from my terrificly talented neurosurgeon. I sent it along to Bill
Heitmann & he suggested that it send it to you. Dr. Henderson works at
St. Louis University Schhol of Medicine. I recommend him highly.

--
---
Joan Snyder  (47/8) "Do or do not. There is no try."Yoda
[log in to unmask]
http://www.newcountry.nu/pd/members/snyder/page1.htm


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Date: Tue, 22 Sep 1998 17:12:17 -0500
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To: Stan or Joan Snyder <[log in to unmask]>
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Hi Joan,
Of course I remember you.  One of my most memorable patients! (although
Tom Kelly does win the prize for his constant recital of redneck jokes
during surgery).  I'm sorry to hear that things are continuing to
worsen for you.  Unfortunately, I doubt that deep brain stimulation
surgery is going to be of much help.  The current FDA-approved
indication
is for tremor only, and the target in the thalamus (the brain's relay
station) is pretty much good for just that: tremor.  We wouldn't have
much chance of affecting your other symptoms.  Another type of
stimulation surgery which targets a small area called the subthalamic
nucleus could potentially be of help, but we are just now getting
involved in controlled studies of this technology for which the entry
criteria are very restrictive (i.e., no prior surgery).  Plus, I'm not
convinced that this operation is particularly benign, especially from
a cognitive standpoint.

At any rate, it would be nice to see you and see how you're doing, and
we could talk more about some of the possibilities.  If you feel up
to the trip, you could make an appointment for some Thursday in the
near future.

Talk to you soon,
JM Henderson


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