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Hello again Lanier.  It is interesting that the Chattanooga paper published
an  Article on the gamma knife.  About three months ago I inquired at
Piedmont hospital in Atlanta about the gamma knife procedure and talked to
Kim who sent me an informative package about the procedure.  I have two
phone numbers 1-800-848-7781 and 1-404-351-2828.
I'm pursuing all options with expectations that down the road we all might
have to make a decision regarding STN, DBS, and Gamma Knife or whatever else
might be possible in the future,hopefully the cure will come first.  Best
wishes

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----- Original Message -----
From: plmaddux <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 23, 1999 10:57 AM
Subject: Tremor Relief through Radiosurgery, Part 1


> Hi List members, this article was in this mornings Chattanooga paper. Is
this procedure a viable option for some PWP's, is it known about in the PD
comunity?
> Tremor Relief Through Radiosurgery
> Simple Procedure Enables Parkinson's Patient To Do Simple Tasks
> By Nancy Carney
> Staff Writer
>
> For at least two years, Otto Neuhaus of Eton, Ga., knew he must have
Parkinson's Disease, but he did nothing about it.
> "I just didn't want to hear those words," he explained. "That's why I put
off going to the doctor for so long."
>
> But last year, his self-diagnosis was confirmed by a neurosurgeon, who
recommended brain surgery to treat the severe right-hand tremor that
prevented Mr. Neuhaus, 68, from tying his shoes or buttoning his shirt.
>
> Reluctant to undergo a 10-hour operation, he was mulling things over when
he learned about another option -- radiosurgery with a Gamma Knife, a
noninvasive procedure performed on an out-patient basis.
>
> His hopes were not high, however.
>
> "It was beyond my wildest dreams that anything could make me stop shaking
so bad," Mr. Neuhaus said, while sitting quietly and almost tremor-free on a
sofa in his home.
>
> 'There is no doubt in my mind that the Gamma Knife is a miracle for people
like me. It still amazes me that doctors can reach your brain without
cutting anything."
>
> The technology is not new. Developed in Sweden, the Gamma Knife is
supported by 30 years of well-documented research, evaluation and clinical
use, according to Dr. Michael Louis Goodman of Piedmont Medical Center in
Atlanta.
>
> The specialist and his associates have completed more than 1,200
procedures since radiosurgery was first offered at the hospital 10 years
ago. Piedmont's Gamma Knife, the only one in Georgia, is also used to target
tumors and vascular malformations.
>
> There is no "knife," Dr. Goodman explained. Instead, sharply focused gamma
radiation does the same thing conventional surgery does -- selectively
destroy an abnormal area in the brain.
>
> "In Parkinson's patients, the thalamus, an important switching area, does
not work properly," the neurosurgeon said. 'By damaging part of this complex
circuit, it is possible to permanently provide relief from a debilitating
tremor 85 percent of the time."
>
> He emphasized that there is no cure for Parkinson's, a neurological
disorder that affects 170 out of every 100,000 people, including
television/movie star, Michael J. Fox, whose tremor was treated through
invasive surgery.
>
> "All anyone can do is provide relief from symptoms -- primarily tremor or
abnormal movements associated with long-term drug treatment," Dr. Goodman
said.
>
> "A big advantage of noninvasive surgery is that the problems of infection
and hemorrhage are eliminated when there is no incision. With the Gamma
Knife, our complication rate is well under 1 percent."
>
> Mr. Neuhaus remembers being awake, but sedated, throughout his operation,
which was completely covered by Medicare and his medi-gap policy.
>
> After his head was positioned in a helmet-like device, an MRI scan was
used to map the treatment site and plan the procedure. Guided by a
sophisticated computer program, the Gamma Knife then focused 201 beams of
radiation on the targeted area of his brain.
>
> "I had a swollen face the day of surgery, and a headache the next day,"
Mr. Neuhaus revealed. "The day after that, my headache was gone, and so was
my tremor. That seemed too good to be true, but it was."
>
> Mr. Neuhaus' wife of 15 years, Linda, feels the same way.
>
> "At first I was apprehensive about my husband going home the same day he
had surgery," she said. "Three days later, my primary emotion was one of
astonishment. I walked in the kitchen to cut the meat on Otto's dinner
plate, and he was doing it himself.
>
> "Dr. Goodman told us it might take six weeks to see any noticeable
improvement, but the change in Otto was dramatic within a week. Since his
surgery in April, I've called him 'my tough old Swiss cheese.' "
>
> A native of Switzerland and a naturalized American citizen, Mr. Neuhaus
was an international banker when he decided to leave that stressful job and
pursue an old dream.
>
> "Because I had such fond memories of visiting my uncle's farm as a child,
I wanted to set up a poultry/cattle operation of my own," he said. "I looked
at property in Europe and America for years before an Atlanta Realtor found
a farm for me in North Georgia 20 years ago."
>
> According to Mr. Neuhaus, medication provides tremor relief for many
Parkinson's patients. Since that first-line treatment did not work for him,
he could not be more enthusiastic about the Gamma Knife.
>
> Lanier Maddux 64/3   Chattanooga Tn   Part 2 to follow