May 1, 2016 PDI Newsletter
Greetings to all PDI and DCI Warriors,
Welcome to this May 2016 PD Institute Newsletter. I trust all my friends are doing well and working diligently to get good results. Let’s stop thinking for a few minutes about the presidential race and all the wild politics going on across the country, and instead discuss a very important Dupuytren’s contracture and Peyronie’s disease topic.
The topic of this month’s newsletter is one I have wanted to write for a long time. The opportunity arose during the month when I communicated with RBXXXXXX a few times about her questions while struggling to put together an effective DC treatment plan on a limited budget. You will see that RBXXXXXX is a sincere and motivated person who is probably a lot like you, at least in some ways. While the problem she faces is great and she sincerely wants to be rid of it, she must deal with the realities of her life as it is – complicated and at times difficult. How does she treat her hand problem while there is a financial problem going on in her life? Never an easy situation to deal with. Because there is hardly ever a great solution in these cases, the most reasonable solution is some kind of compromise that forces us to become philosophical about how we must proceed.
RBXXXXXXX’s asks a general question – about an extremely common problem – that pertains equally well to both Dupuytren’s contracture and Peyronie’s disease treatment; everything that is said here applies to the treatment of both problems. For this reason everyone should be able to benefit from reading the emails in this month’s newsletter.
I answered RBXXXX’s first email by using my standard method in which I interject my comments and answers between her lines of email, while the subsequent emails were answered in the more conventional way with a free-standing email response. I hope this does not confuse anyone. For those of you new to the PD Institute Newsletter series, in the first email read it like the back-and-forth of two people talking while one occasionally interrupts the other to make an important point or answer a question. In each case when the writer changes, the text color will skip back and forth from black to red and back to black again as the conversation flow switches back and forth between the two of us. To understand the flow of the conversation, keep in mind that the text in black is from RBXXXXX and the text in red is from me.
From: Theodore Herazy <herazy@comcast.net>
To: rbxxxxxxx
Sent: Thursday, April 21, 2016 2:49 PM
Subject: RE: What to buy
Greetings RBXXXXXX,
See below for comments…
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
From: rbxxxxx
Sent: Thursday, April 21, 2016 12:26 AM
To: contact@dupuytrens-contracture.com
Subject: What to buy
Hi Dr. Herazy,
At one time or another I think I bought almost everything. Carnitine, Fibrozym, Arginine and more. Yes, I just reviewed your records and see that you ordered irregularly on four different occasions over a span of about 16 months. You did purchase a wide variety of therapy products, but with many of them you only got one of each product during the entire time you were actively treating your problem – indicating either a light or sporadic pattern of treatment. Your first order was a medium plan in May of 2013, followed by very small re-orders in October 2013, February 2014, and finally August 2014. Based on this usage pattern it seems you did not give yourself a fair chance to recover, nor did you likely follow the concept I recommend of starting slowly and gradually building up dosage until you notice tissue change taking place. It takes a more consistent and aggressive effort to make good things happen in a problem as stubborn as DC.
I feel the Vit E internal and external and DMSO are important but the most important. But I am not educated so I don’t really know if I am right. Your thought here? Here is an interesting way to answer your question about the most important therapy for DC: Let’s say you think the most important player on a football team is the quarterback. What kind of a team would you have if it was made up of 11 quarterbacks? It would be a pretty poor team, because you need the different strengths, talents and abilities of the guards, running backs, tight ends, etc. to make a good team. The same idea applies to the Alt Med treatment of DC. You need all the nutrients that are indicated in DC repair to get the job done. All the therapy items in the DCI arsenal are equally important because when they are used aggressively and with consistency they develop synergy. As explained in the DCI website, synergy is the interaction of two or more substances or forces that when combined tends to produce a total effect that is greater than the sum of the individual elements. A short example of synergy is when you have two good players on a team who play so well together that they each become even better – like “1 + 1 = 3.” It is necessary to have a broad-based plan that supports tissue healing, because this is the way that nature works to assist the healing process. It is not possible to cherry-pick what you might think are the best of the different Alt Med therapies in the DCI lineup and use them like drugs. The “Treatment Outline” sheet that was included with your first order explains the best way I have found over 14 years of work with DC and PD to do this with Alt Med. I cannot make it any simpler than that.
I know the different plans are set by severity of the problem. My hand is not noticeably curling up yet, see the pictures I have attached to this email.
Money is very tight for me and I have a hard time getting money for what I feel are the minimums, two Es and DMSO. Sometimes I go without, like now. Can you suggest, based on a budget, what would be a minimum products to buy? That is always the $64,000 question. I really do not want to give you the wrong idea, because narrowing the scope of treatment is not the ideal way to help your body heal your hand problem, but I sense your financial dilemma. The best limited approach I can say for DC – based on your financial limitations – is a solid combination of external (topical) therapies of DMSO/Vitamin E oil/Super CP Serum along with aggressive use of internal enzymes (Neprinol, Bromelain, Nattokinase etc) in various combinations. I suggest you try an approach like this for perhaps a month or two, and then if you are not getting the results you want you can add in a few more therapy items to round out the therapies until you see something good happen. I do not recommend this approach, but it sure beats doing nothing – which is what you are doing now.
Also I don’t know why I would use one of your DMSO over another? I did read the descriptions and they didn’t help me. Dusa Sal for DC. TRH
Thank you for your help and your website. I have sent other people, including my brother, to you. Unfortunately my brother would rather have surgery every few years. I prefer your natural approach.
Most sincerely,
RBXXXXXXX
From: rbxxxxxx
Sent: Friday, April 22, 2016 6:24 PM
To: Theodore Herazy <herazy@comcast.net>
Subject: Re: What to buy
Thank you so much for your reply.
If I can only buy two enzymes on a regular basis, what would you recommend?
Thank you,
RBXXXXXXXXXX
From: Theodore Herazy <herazy@comcast.net>
To: RBXXXXXXXX
Subject: RE: What to buy
Sent: Sat, Apr 23, 2016 1:10:58 PM
Greetings RBXXXXXXXX,
The best would be Neprinol, but because it is the most potent and concentrated it is also the most expensive. You could consider taking it as the sole enzyme source. But if you wanted to experiment with something different and perhaps less expensive you could consider taking Serretia and Bromelain 5000 as possible options, switching out from Serretia to Inflamazyme later if the combination was not effective.
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
From: RBXXXXXXX
Sent: Saturday, April 23, 2016 3:06 PM
To: Theodore Herazy <herazy@comcast.net>
Subject: Re: What to buy
I will take the Neprinol if that’s what you recommend. Or I would not mind taking the other two, even if they total a little more. At one time when I had more money I think I was taking six supplement plus I think it was called green infusion, a powered drink. The money just got to be overwhelming. Another issues with me is the bigger the fist full of pills I have to take, the more likely I am to not take them regularly. So one, or two is a good target for me from a practical basis and well as financial. So let me know and I will get them ordered so they are home when I get back. Thanks. Where are you based? I fly for a living and if I were ever near you might like to stop in even if just for social reasons. And maybe stock up without a shipping charge ? Oh and that is another reason too many pills doesn’t work because when I’m traveling it was hard to take so many pills plus try to take them several times a day. Thanks so much for your help and your personal effort in this area.
Most sincerely,
RBXXXXXXXX
From: Theodore Herazy <herazy@comcast.net>
To: ‘RBXXXXXXXXXXXXX’
Sent: Monday, April 25, 2016 7:14 AM
Subject: RE: What to buy
Greetings once again RBXXXX,
Thanks for clarifying and expanding on your ideas about your treatment. It seems that money and time/opportunity are the greatest limiting factors for most people when they undergo self-treatment for DC. Everyone seems to have those same limitations to one degree or another, and the overall outcome of care is a reflection of how those problems are dealt with. Perhaps I did not stress this enough previously, but I want to you to understand that these changes to the usual DCI Alt Med treatment ideas I sent in that last email are a compromise to what I really would hope to see you do since they could easily limit your eventual results.
In these emails I am not making any recommendation to you, nor am I telling you what to do about your self-treatment. What you eventually decide to do is your decision; I cannot tell you what to do; I am not your treating doctor; the design and implementation of your self-treatment program should be based on your own study and knowledge, and the advice of your treating doctor. In the most recent email I offered for your consideration a clarification and simplification of a few possible options based on the financial limitations you cite. The only thing I was trying to do was to help you out, concerning your financial situation, by giving you a few ideas to work with that might isolate and trim back your treatment in the hope that a smaller and more restricted plan might still help you. I think anyone would agree that a small or compromised treatment is better than no treatment.
As far as the size of the dosage being a limiting factor with your compliance, you must also understand this is also your decision. As I read your last email I get the idea that taking a large dose of supplements is more objectionable to you than having Dupuytren’s contracture. To the degree that is true, I do not have an answer for that. When I had my own PD I felt differently about the matter; nothing was going to stop me from doing my best to overcome my PD because I made up my mind that I wanted to be normal again. At my height of my PD treatment I was taking from 8-12 pills at a time at six different occasions (between meals and with three meals) during the day, plus all the DMSO, vitamin E oil and Super CP Serum I could work in, along with Genesen pen therapy and a little stretching I could find time to do. I found it to be terribly restricting and a total infringement on my life. I cannot tell you how I hated doing it. But I hated PD more. This higher dosage level went on for perhaps 60-75 days during which time I got my breakthrough when the scar tissue started its reabsorption and reversal. As my internal scars began to disappear and became more difficult to find I slowly reduced the total quantity I was taking. I did all this while treating 30-40 patients per day. I developed strategies to get my self-treatment done in spite of my work load; I carried little bags of pre-sorted pills with me and never left the house without the dosages I needed while I was gone; I had bottles in my office, in my house, and even in my car when the weather permitted it; I had a battery operated timer I kept in the office to remind me to take my between-meal doses. It seemed like I either taking pills or planning the next time I would be taking pills. My life revolved around my PD treatment. That is what I did, and it worked. Many people have since used similar approaches to get to where they wanted to be, while others have had their DC respond with much lighter dosages and less intense programs. The point is: each person must work their program of treatment in such a way to learn what their body requires to support their individual healing response. I have worked with truck drivers, school teachers, farmers, factory workers and others whose freedom of movement and ability to follow their plans is restricted by their work. They make compromises where they have to, and devise alternate strategies so they can continue with the best plan they can follow, in the best way they are able, based on their circumstances and hope for the best possible outcome. Sometimes their treatment is less than perfect, and it is less than what they would like it to be, but it is the best they can do – but they do it – and that is how it is for them.
You say you want to correct your DC, but you also do not want to be inconvenienced or go through the hassle of taking a lot of pills. You have a different mindset about what you want to do for yourself to help your PD. I cannot change that.
Perhaps, as the best advice I can offer, you should decide to be happy doing the very best you can under your circumstances and see what happens. What else can a person do?
Regards,
Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute
From: rbxxxxxxx
Sent: Wednesday, April 27, 2016 9:49 AM
To: Theodore Herazy <herazy@comcast.net>
Subject: Re: What to buy
Thank you so much for your time. I have taken it all to heart.
I appreciate all your efforts.
Sincerely,
RBXXXXXXXXX
That for now is the conclusion of my discussion with RBXXXXXX. I hope there are a few ideas in this discussion that can be of benefit to everyone.
Let me know if you have any questions about what you are doing, please send an email at info@peyronies-disease-help.com
If things are going slowly for you, and you feel discouraged, put that energy into something productive. Write me an email that describes what you are doing, and include questions about those things you do not understand about your problem. I will do the best I can to help you so that you get the kind of results you want.
See you next month. Stay in touch and send your treatment questions to me so I can give you some ideas to work with. Stay focused to your treatment. TRH