December 1, 2012 Newsletter
Greetings to all PDI and DCI Warriors,
Welcome to this December 2012 PD Institute Newsletter. The tragic aftermath of Hurricane Sandy drags on in the Northeast. As the weather continues to turn against those poor souls, especially as we enter the Christmas season, I trust that anyone who can offer material support to them will do so. “There but for the grace of God, go I.”
December 2012 Special
For United States customers only, free shipping during the month of December on any PDI or DCI order of $100 or more. Just enter promotion code FREESHIP at checkout to receive the shipping credit. The promotion code FREESHIP must be used at the time of checkout. Credits will not be given after an order has been submitted.
Let’s get started with two important topics.
Ultrasound (US) treatment for Peyronie’s disease and Dupuytren’s contracture
Apparently there is great interest in Peyronie’s treatment with ultrasound (US) therapy. I mentioned in the last issue of this newsletter that several people recently asked me about using ultrasound as a way to increase their level of treatment for Peyronies and Dupuytren contracture, and perhaps get better results. When I asked if anyone in the newsletter readership would be interested in learning more about using US in this way, I had no idea so many people would respond.
For this reason over the last few weeks I reviewed the available research information that has been done using ultrasound for treatment of Peyronie’s disease and Dupuytren’s contracture, and found something that should be of great interest to everyone, and it astounded me: They used the wrong frequency ultrasound therapy in the research that was cited!!!
Many websites make only a passing reference that ultrasound has been attempted to treat Peyronie’s disease, but no reports I have found mention the type of US machine that was used in their research – except one. I have found the research report, “Ultrasonic therapy in Peyronie’s disease,” conducted by R W Heslop, D J Oakland, and B T Maddox, published in the British Journal of Urology 39(4):415-9 (1967), PMID 6054667 to be the only one that mentions that a 1MHz ultrasound machine was used in their research. This just happens to be the very type of ultrasound machine that would not get the best results, as you will soon understand.
I was not able to find any reference in regard to ultrasound treatment for Dupuytren’s contracture in which the all-important frequency of the ultrasound wave is mentioned. All of them simply state that “ultrasound” was used to treat DC.
What this tells me is that there is a good suspicion the MDs who conducted this research did not know there is a huge difference in the effects of ultrasound on living tissue when it is delivered at higher (3MHz) and lower (1MHz) frequencies. Given that several people who have used US seem to report good results with it, and the lack of information about good medical research in this area, I decided that it would be appropriate to enter ultrasound therapy into the lineup of available therapies from the PDI and DCI website. During this time I will be collecting data from all those who begin to use this therapy to determine its level of effectiveness for PD and DC.
There are several basic things to keep in mind about US as we begin this discussion:
1. Since this is new territory for most everyone in the audience of readers, let me begin by saying that 1MHz and 3MHz are not a brand name or a model number of a particular ultrasound (US) machine. There are many companies making 1MHz US machines, and a few that make 3MHz US machines. These two terms, 1MHz and 3MHz, refer to frequency or rate of sound vibration that a particular US machine will produce. 1 MHz means the sound is being produced at 1 million sound waves a second. 3MHz means the sound is being produced at 3 million sound waves a second.
2. Ultrasound therapy is just super-high sound that when directed into the body can shake the cells and heat them up. This terribly high sound cannot he heard, and it cannot travel through air; it can only travel through solids and liquids. Most therapeutic US machines are made to generate sound at 1MHz. These one million sound waves are created each second and can be driven deeply into the tissue (several inches) where they bounce around and create heat by producing friction between the cells the sound waves strike against. In addition to producing heat, this cellular vibration also increases metabolism of the cells, especially the healing process. That is how and why US therapy works.
3. The higher the frequency of US – meaning the more rapid and more powerful it is – the less it can penetrate into living tissue. The slower and less powerful waves of sound get down deeper into living tissue. It seems contradictory, but that is what happens.
4. Since there is three times the amount of sound waves created in a 3MHz machine compared to a 1MHz machine, the greater number of sound waves get “jammed” together as they enter the tissue. For this reason the greater frequency of sound waves cannot penetrate very deeply into the tissue, so the sound wave energy tends to stay near the surface where it creates heat, rather than deeper down. So: the greater the number of sounds waves of a 3MHz US machine is more powerful and faster, but this greater amount of sound also prevents the sound from going down into the tissue.
5. The reason we want to use the 3MHz machine for treating these two conditions that interest us is not because it is more powerful, but because at this frequency range the higher vibration tends to penetrate less deeply. This is the reason we need to use a 3MHz US machine, and not the more common 1MHz unit, for treatment of the Peyronie’s scar or the Dupuytren nodules and cords. If you wanted to treat a painful arthritic knee or deep low back pain you would want to use a 1MHz unit.
Almost all US machines sold on the internet are 1MHz units; they are so popular and common on the internet because they are designed to treat deeper tissue joint pain that are covered with many layers of heavy tissue (knees, hips, shoulders), whiplash neck injury, most kinds of arthritis, and heavy muscle pain problems. By contrast, Dupuytrens and Peyronies are relatively superficial soft tissue problems that are much closer to the surface of the body. So you can see that the 1MHz machines penetrate too deeply to be most effective for tissue problems that are close to the skin surface like PD and DC. For this reason the US used to treat Dupuytrens and Peyronies must be designed for a particular frequency range to keep the therapeutic effect closer to the skin surface where the PD and DC problems are located. This is where the 3MHz US machines come in. The 3MHz units are designed to be used for superficial tissue problems and cosmetic problems like facial wrinkles and skin discoloration. These more powerful 3MHz machines are desirable for treatment of superficial problems like DC and PD, but they are not as popular, fewer companies seem to make them, and because they are not as common and the beauty industry is involved they therefore tend to cost more to purchase.
I have talked to several companies that make 3MHz US machines. After looking at all the information available I have found one that is well designed and simple to operate, which is a key concern. This manufacturer is the only one that uses stainless steel on the sound head rather than aluminum. In addition, this is the only portable 3MHz ultrasound machine that has FDA clearance. You will be able to purchase this machine from PDI and DCI for less than anywhere else you can find on the internet. It normally retails for $180, but we will sell it for $160 each – the lowest price on the internet.
In addition, I have been worked with three men who have PD and one woman who has DC for the last few weeks, who already were using medical grade ultrasound machines. Together we have refined and improved how they use US for their PD and DC problems, so that I now have a very specific set of ultrasound therapy instructions that are specific for Peyronie’s disease and Dupuytren’s contracture treatment. Just as we provide detailed instructions for the use and application of any therapy you might purchase from us, the complete ultrasound therapy instructions will be included with any 3MHz US unit PDI and DCI sells.
An important problem and question that arose for PD and DC treatment is the ultrasound coupling media (conduction gel) that will be used to treat these problems, and it prompted an additional research project for me. You see, sound waves at this ultrahigh frequency cannot pass through a gas (like air), but can only travel through a solid or a liquid (like living tissue). Even if you press the sound generating head or US applicator firmly against the tissue, there always is a gap of air between the metal sound head and the skin; you cannot press the head hard enough to make the necessary contact with the tissue; you must connect the metal sound head to the body tissue being treated by means of a special US coupling gel. If there is no gel used the sound waves will not pass into the tissue, no matter how hard you press. My idea was to use either PMD DMSO gel or Dusa-Sal DMSO gel as the coupling media for this purpose. A few weeks ago I contacted Dr. Stanley Jacobs the medical researcher who still teaches at Washington State University School of Medicine, and is the man discovered and pioneered the use of DMSO for human use, to pose my idea to him. He did the necessary lab testing and confirms that PMD DMSO gel and Dusa-Sal DMSO gel are an effective US coupling method. As I suspected, he agreed that either of these two will have the added value of providing a synergistic or combined therapeutic effect simply because DMSO can also soften fibrous tissue even when used alone. Since I assume everyone who is treating his or her DC or PD problem is already using the DMSO gel it will make it convenient for everyone to not be required to purchase a separate US coupling product to use, and to have a gel that is actually therapeutic at the same time.
Of course, how to use the DMSO gel as an US coupling agent will be covered in the instructions that will come with each unit.
The instructions for use are slightly different for PD treatment compared to DC treatment, Therefore, please do not order from PDI if you have Dupuytren’s contracture – order from DCI. And please do not order from DCI if you have Peyronie’s disease – order from PDI. Lastly, if you have both problems send me an email at the same time you place your order from either site and I will make sure you get instructions for using US for both DC and PD.
Anyone who is interested in adding ultrasound therapy to their current plan, please click DCI ultrasound machine or click PDI ultrasound machine.
Email exchange about Peyronie’s treatment
The second part of this newsletter will once again use the familiar and popular format of presenting a simple exchange and blending of emails between one of your PD brothers and me. For those of you who are part of our DCI readership, please simply apply the ideas expressed here about Peyronies treatment and dosage to what you are doing to treat your Dupuytren hand problem.
Read this series of combined emails like the back-and-forth of two people talking while one occasionally interrupts the other to make an important point or answer a question. To understand the flow of the conversation, keep in mind that the text in black is from BAXXXXX and the text in red is from me.
—–Original Message—–
From: baxxxxx
Sent: Monday, October 15, 2012 10:02 AM
To: DC LAc Theodore Herazy
Subject: most recent update
From: baxxxxx
Sent: Monday, October 15, 2012 10:02 AM
To: DC LAc Theodore Herazy
Subject: most recent update
On Oct 16, 2012, at 7:00 PM, Theodore Herazy, DC LAc wrote:
Greetings again,
See below for comments …
Regards,
Theodore Herazy, DC, LAc
Dear Doc
You asked me to let you know what my dosages and plan is at the moment.
It has been exactly a month since I started treatment.
So at present it goes something like this :
Internal
Vit E 400/400 x 2 Keep at this dosage rate
Vit E Maxi Gamma x 1 Keep at this dosage rate
Natural C x 3
What about C ? You could think about going up a bit with vitamin C, but this increase is not as important as others you could make, especially in view of more important therapies that could be considered low at this time. MSM Sulfur x 6 Consider increase to 8/day
Shall I schedule as per the other enzymes ? No. That particular method of loading more enzyme intake toward the end of the day is pertinent only the various systemic enzymes, and not other therapies like MSM, PABA, etc. Fibrozym x 6 Consider taking teh same 6/day on this schedule: 1 in AM, 2 in PM, and 3 at bedtime. Notice that this is still the same 6/day, but they are taken on a more favorable distribution when you are less likely to have competition from proteins you have just eaten
Natto x 8 Consider taking the same 8/day on this schedule: 1 in AM, 3 in PM, and 4 at bedtime. Notice that this is still the same 8/day, but they are taken on a more favorable distribution when you are less likely to have competition from proteins you have just eaten
External
DMSO + Super CP Serum + topical vit E x twice a day Keep at this usage rate
Scar -x x twice a day Keep at this dosage rate
Nei Gung x twice a week Can you increase this, even double it?
Kegels x 3 times a week Try to find time during day (while watching TV or driving) to do daily
abdominal massage x twice a week Try to find time during day (while watching TV or driving) to do the lower abdominal massage at least once daily
At present there is no change in the curvature but there is no pain in erection, so something is happening. By now you should know I do not really care about the appearance of the curvature since it is only a reflection of the real culprit – the PD scar. You need to define the your peyronies scar and work from that information as the basis to determine your success or failure of treatment.
At present there seems no change in the scar. Keep a close watch on the size, shape, density and surface features, please. Use this information to guide your treatment; if these findings do not change, then every 7-10 days increase some element of your treatment plan. TRH So I’m sure we can up something here but your advice of course would be most helpful.
Kind regards
BAXXXXXXX
From: baxxxxxx
Sent: Thursday, October 18, 2012 1:44 AM
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
Sent: Thursday, October 18, 2012 1:44 AM
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
Hi Doc
Just wanted to say that on waking this morning I’m pretty sure the two nodes at each end of my scar seemed smaller and the whole thing seemed softer?
Regards
BXXXXXXX
On Oct 18, 2012, at 10:27 AM, Theodore Herazy, DC LAc wrote:
Good morning, sir,
So happy to hear you believe changes are already taking place after making the first significant dosage increase in your treatment plan. Congratulations.
Please, can you tell me the size, shape, density and surface features of the scar as it was two days ago, and how those same physical features now compare this morning?
In other words, what exactly has changed? When you say smaller, you must have a reference point for comparison. And when you say softer, you must know what the density was prior. I have no sense or understanding for what changes are going on with you when you mention you believe these nodules are now smaller and softer. Smaller than what? Softer than what? What are you comparing to when you say they are softer and smaller? Standing by themselves these words tell me very little, and not nearly enough compared to what I need to know. It is critical that I have a better understanding of your improvement if I am to continue working with you making suggestions how you should manage your treatment plan.
Please describe as best you can so I will clearly understand what the two nodules at each end of your scar are like.
Regards,
Theodore Herazy, DC, LAc
From: baxxxxxxx
Sent: Thursday, October 18, 2012 7:19 AM
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
Hi Doc
I will do my best.
Ok the whole scar is about 3 cm long at either end there are two nodules about 5 mm in diameter. So I always see it as a bone shape. O obviously when there is blood in that region it is very hard to ascertain shape size and density. The connecting tissue between the nodules is about 3 to 4 mm in thickness and connects onto the nodules.
The density of the nodules has always been very hard and the connecting tissues softer.
This morning the nodules just felt a bit smaller, still hard though.
The connecting tissue feels less dense.
The nodules are the hardest area.
Hope that makes some sense
Regards
BAXXXXXX
On Oct 18, 2012, at 1:47 PM, Theodore Herazy, DC LAc wrote:
Greetings BAXXXXXX,
Thanks for the prompt reply.
However, once again I must remind you that “softer” “smaller” and “hard” are not adequate concepts or words to help you know for sure where you are at currently or when you have made progress. These words are entirely subjective terms that cannot be used to gauge progress. At this point, if you re-read your 1:44AM email from today to me you will see there is indecision in your mind as to what is going on with your scar. This is not the way it should be. You need to know for a fact and be able to boldly stop increasing your plan because you are confident you are making definite progress or boldly increase therapy again in 7-10 days since your last increase because you are just as confident you are not progressing. Otherwise, you are forced to guess and this leads to poor therapy results.
There is a long explanation and discussion in “Peyronie’s Disease Handbook.” I suggest you get an eBook version of the book to help you know how to determine size, shape, density and surface features of the scars you are working so diligently to eradicate. The book also goes into diet and a multitude of other topics. I am confident it will help you in more ways than you can imagine right now.
Regards,
Theodore Herazy, DC, LAc
On Oct 19, 2012, at 2:33 PM, Theodore Herazy, DC LAc wrote:
Greetings BAXXXXXX,
Please see below…
Regards,
Theodore Herazy, DC, LAc
From: baxxxxxxx
Sent: Friday, October 19, 2012 2:37 AM
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
Hi Doc
I have about a week’s supply left of my enzymes and at this point is it worth thinking about getting Neprinol ? As always, I can only offer opinions for your evaluation and personal consideration. Never think I am telling you what you are to do. If you are not having any gastric distress (meaning not having diarrhea that is unusually aggressive and extremely foul smelling) it indicates your therapy plan is being received well by your body. For some reason when I experienced this putrid kind of diarrhea when I was treating my PD many years ago, I always thought of it as “Dragon Diarrhea.” I think this term came to mind one time as I was going through that nasty experience, that this must be the kind of poop that comes out of a fire-breathing dragon. So much for what someone with an over-active imagination thinks while stuck on the pot. Anyway, not having this kind of diarrhea means that your body is handling the enzyme therapy portion of your current therapy plan well. In that case it would appear that increasing the level of enzyme intake by switching to Neprinol makes sense. As Neprinol has all and more of the current enzymes that I am taking it would seem to make sense to shift over to Neprinol when the others run out. That is what most men do at the stage of therapy you are working at. What about MSN ? Shall I continue with that ? Now that you are beginning to show clear signs of scar reduction, I caution you to be careful about significantly modifying your plan in a direction of reduction. That would be like the general saying to himself, “Now that we are winning the war, I think I will reduce the number of soldiers going into battle.” If anything I suggest you simply consider to keep doing what you are doing. Having said that, I will contradict myself. I could also imagine that same general saying to himself, “Now that we are winning the war, I think I will increase the number of soldiers going into battle so we can finish this war. The enemy is weakening and I want to conquer him once and for all with increased forces on the field.” This seems to be a strategy that many men use when they start to see some good results; they increase their plans to try to push it along for faster results once they see it is finally working . Or does Neprinol have sulfur in it ? Neprinol does not supply available sulfur; that is not what Neprinol is intended to do as a systemic enzyme product.
It would also seem the cheapest way to obtain your book is by the download. Correct. TRH
I won’t order anything yet until I hear from you
Regards
BAXXXXXX
From: baxxxxxxx
Sent: Friday, October 19, 2012 10:03 AM
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
To: Theodore Herazy, DC LAc
Subject: Re: most recent update
Dear Doc thanks for your reply
Ok, I will re order the MSM and get the e book and the Neprinol.
Now I will keep the MSM at the same rate but what do I start the Neprinol at, considering what I am taking of Natto and Fibrozym ?
Many thanks.
BAXXXXXX
Greetings,
I see you are taking 6 Natto and 8 Fibrozym daily. You might consider starting Neprinol at 3 or 4/day and working up from that point using the same 7-10 day evaluation schedule if there is no positive change in the scar size, shape, density and surface features. Every 7-10 days take one more Neprinol if you see no additional change in the scar structure. This continues until you make those changes happen.
You are a good man. Stay focused to your plan.
Regards,
Theodore Herazy, DC, LAc
Well there you have the little discussion that went on over a few days between BAXXXXX and me. I hope you found this issue of the PDI Newsletter interesting and informative so you can do a better job of helping your own Peyronie’s disease or Dupuytren’s contracture problem.
Let’s all hope that BAXXXXX continues to do well with his PD after he increases his plan. He is highly focused and determined to beat his problem by increasing his ability to heal and repair the PD scar tissue.If you want to contact me with questions about your problem, please send an email.
If you have questions about the use of ultrasound for your Peyronies or Dupuytrens problem, just send an email my way and I will do my best to help you.
Merry Christmas, Happy Hanukkah and Season’s Greetings to all PDI and DCI Warriors.
Enjoy your holiday with those you love. Remember to do something for those in the NE corner of the country who are hurting right now – besides helping them it will make you feel good inside. Keep warm and stay focused on your treatment plans.
Regards, Theodore R. Herazy, DC, LAc
