LASER FOR DIABETIC ULCERS

Last November we supported an Asia Pacific Congress on Diabetic Ulcer Problems.Experts talked about diabetic foot problems and how to take care of this difficult to treat complication of diabetes meliitus.There were interesting topics of treatments incl.antibiotics,anti-inflammatory agents,physical therapy incl.ozone therapy,low power laser therapy,stemcells to surgical treatment.
Laser treatment will be discussed in the next publication of this interesting topic incl.pictures of the lesions,before and after treatment.

PHOTOTHERAPY WITH RED AND BLUE LIGHT IN ACNE VULGARIS

If you have one of the commonest skin conditions to affect humans named acne vulgaris,you may interested in this article.
Researchers from the Unit of Dermatology,Imperial College of Science,Technology andMedicine,Hammersmith Hospital,.London,Papageorgiou,Kasambas and A.Chu had done study on phototherapy with blue(415 nm) and red(660 nm) light in the treatment of acne vulgaris.
They have evaluated the use of blue light and mixed blue and red light inj the treatment of acne vulgaris.
The combined blue-red light phototherapy was significantly superior to that achieved by blue light(at weeks 4 and 8 but not week 12),benzoyl peroxide(at weeks 8 and 12) or white light(at each assessment).
The results achieved probably by combining the antibacterial and anti-inflammatory action and is effective of treating acne vulgaris of mild to moderate severity,with no significant short-term adverse effect.Consult your doctor for further clarification.
(Source:British Journal of Dermatology 2000;142:973-978)

IN HOUSE TRAINING FOR LASER SURGERY

Date:August 2006
Place:Dr.M.Djamil.Padang,West Sunatra
Laser:Diode 980 nm,ex Biolitec,Germany

To Meet Summit: Outstanding Master Blogging

To Meet Summit: Outstanding Master Blogging
Thank you for outstanding works
Liek Sari Handikin
lshandik@gmail.com.

LASER IN A RARE CASE OF NASOPHARYNGEAL NEUROFIBROMA

I want to describe an interesting case of nasopharyngeal neurofibroma sent to me (at last). This is a very rare benign tumor of the nasopharynx which I operated last week only. She is a young female aged 23 years complaining right nasal obstruction. Biopsy showed a benign tumor named neurofibroma.

I decided to resect the tumor by lateral rhinotomy approach, assisted by carbondioxide laser. A carbodioxide laser tell us: what you get is what you see,I decide to use it. Please enjoy how the case teach us in these pictures.

INSTRUMENTS FOR LASER ACUPUNCTURE

There are some instruments to use for laser acupuncture.First the laser itself:two main types of laser are:Helium Neon (gas)and the solid state diode laser .
The penetration of these two lasers are different , depends on the wavelength.The longer the wavelength, the deeper is its penetration.
Why we use laser,are there advantages of lasers over needles?
First we can say that laser acupuncture is painless and no sensation of numbness in the side of patients.People sometime afraid of needles, especially children.
Secondly it is harmless and does not cause tissue damage.
Thirdly it is completely sterile
The last one it is simple to operate.
I myself prefer to use instrument for laser acupuncture equipped with point detector.
IT'S GREAT TO TREAT AND CURE WITH LASER ACUPUNCTURE!

LASER ACUPUNCTURE AND PRAYERS

Two days ago I have a patient :a Mr.H who suffered from low back pain.
I remember he had been hospitalised for more than 4 weeks,lying on his back like a baby and every time went to toilet on a wheel-chair.
Now he visited my clinic ,walked like a giant without any feeling of pain .He looked very happy with a smile around his face,very nice gentleman with his long grey hair.
He told me that his big boss had called him by telephone to learn his health condition,(he is an engineer by profession in an airline company),of course this is why he looked so happy. Laser had given us more experiences to learn.
Now I'd like to send a good news.If you believe laser will give positive effect for your health then consult your medical doctor,because it should be given by an experienced and competent hand.
I read a report in my red journal:relief of chronic low back pain immediately after one session of low level laser acupuncture therapy.Significant improvement in functional and symptomatic outcomes were revealed.With silent prayers it gives more! Thank you Dr.Dhiya!

PHOTOMEDICINE AND LASER SURGERY

This is a name for a scientific journal dealing with photomedicine and laser surgery.Recently the journal includes more photomedicine and LLLT( shortage for Low Level Laser Therapy).The latest research,technologies, and therapeutic applications of laser medicine and photobiology.
This journal is the Official Journal of World Association for Laser Therapy(WALT),North American Association for Laser Therapy(NAALT),International Society for Laser Surgery and Medicine,International Musculoskeletal Laser Society.
Photomedicine and Laser Surgery is the central forum in the growing fields of phototherapy,low-level laser therapy,photobiology,and biophotonics and the application of these techniques and technologies in medicine.
It covers the latest developments in the areas of photobiomodulation relative to improved understanding of the mechanisms of biostimulation and bioinhibition;and explores the concepts of low-level laser therapies as a means of increasing collagen synthesis,reversing photoaging,and stimulating wound healing.
The journal provides the newest procedures and developments in laser surgery and related biotechnology including:
*Basic and clinical research
*Expanded application
*Prodedures in medicine,surgery,dentistry,and safety
*New instrumentation
*Optical diagnostics
*A broad range of activities related to the understanding and apllications of biostimulation
Please visit www.liebertpub.com/pho to subscribe.

Posted by :Liek Sari Handikin,MD.,President,The Indonesian Society for Laser Medicine

THE LEGEND OF THE LIGHT-BEARERS

I am fortunate enough to have an opportunity to read The Legend of the Light-Bearers,a fable authored by Dr.Joe Rubino.
He is a known motivator and co-founder of The Center for Personal Reinvention, an organization for training and development of leadership and productivity and CEO of Visionary International Partnership.
To know and learn more about this person with the background as a dentist you can surf Google search engine and put his name as a keyword,but I think you may have known him as an icon for personal development program in North America.
One of his books is The Magic Lantern:A Fable About Leadership Personal.
I myself is interested in light especially of laser with its photon as unit of energy.
You can applylaser for several kind of diseases ,you can understand it if you have changed your mindset,so you will have another opportunity to relief human misery.

CHANGE YOUR MINDSET,CHANGE YOUR LIFE

Everything is changing ,your mind, your body and your soul.
You should change your mindset first and then you will be able to run on your own life -track.
You are leader of yourself.
Do not follow anybody who run on the wrong track,you are you.
Focus on what you want to be.
I learn that laser go direct to hit the target.
Its color depends on its wavelength and it is always a single color.
If you have your own "color",you go direct to where you want to go or what you want to be. As shown here in my picture, it is KTP532 laser in the color of green used for cutting laryngeal cancer.

LASER AND THE MYSTERY OF HEARING LOSS

Imagine if you suddenly could not hear when someone calls you. You suffer from sudden hearing loss. I have several studies on my own patients with difficulties in hearing. It seems likely that they want to tell their feelings with their eyes hoping a miracles to come.
I always tell my young friends to send immediately to the emergency room if this is a case with sudden hearing loss.
Sudden hearing loss is a mini-stroke ,so refer the patient immediately!
What can laser do with these cases?You can even try to prevent these cases!

Some cases of sudden hearing loss which were treated with lasers are reported at http://rehab-med.blogspot.com

Further inquiries, kindly send an e-mail to me: lshandik@gmail.com

THE SECRET OF HEALING LIGHT

I think you still remember my recent writings of Warrior of the Light.
Now I introduce you to another interesting book named The Secret Life of Water.The author of the book is a wellknown name: Dr.Masaru Emoto. This book has many illustration of pictures of water crystals..He made it using a high speed photograpgy,and we can see beautiful views of water crystals. You talked nicely to the water and you will have beautiful crystal as reward.
He wrote other books:The Hidden Messages in Water and The True Power of Water.These books are best sellers,according to New York Times.
Now I can tell you that water is well understood as a chromophore that absorp light.I have a carbon dioxide laser in my office to cut,ablate ,excise,coagulate or evaporate the undesired tissues from the body of my patients.The works is done by this wonderful molecules named water.Water and light make a beautiful interaction, a dance of miracles we can imagine!
You may ask an expert to heal your chronic pain using light!

TECHNIQUE OF TUMOR DEBULKING IN THE HEAD &NECK USING Nd:YAG LASER

L.S.Handikin,P.Hasan,Pelni &Husada Hospital,Jakarta-Indonesia

Abstract

The goal of tumor treatment is eradiaction of the disease while maintaining the patient"s quality of life.In saome cases with head and neck tumor we have used Nd:YAG laser for tumor debulking.
Tumor was diagnosed clinically and its pathology was verified through biopsy.Squamous cell carcinoma underwent in vivo staining technique to observe dysplasia,ca in situ,pre invasive carcinoma or second focus of malignancy.
Tumor delineation was done with imaging system(contrast CT scanning,MRI).Whenever possible debulking procedures were done endoscopically,to minimize surgical trauma.Imaging control was done to observe the result.We used knife for skin incission only.Nd:YAG laser was used for cutting,coagulating and evaporating purposes.
For illustration,cases of nasal,paranasal,tonsillar,laryngeal and nasopharyngeal tumors treated with Nd:YAG laser were presented.

Keywords:Nd:YAG laser;Head and Neck Tumor;Tumor debulking

WARRIOR OF THE LIGHT

Warrior of the Light is a short notes on accepting failure,embracing life,and rising to your destiny.I just recently find this book handed to me by my daughter,who endorsed it to me hoping me read the book it,and it was what I have done.
May I quote some words of this interesting book:
What is a Warrior of the Light?....".He is someone capable of understanding the miracle of life,of fighting to the last for something he believes in-and of hearing the bells that the waves set ringing on the seabed."...."He had never thought of himself as a Warrior of the Light.....Everyone is capable of these things.And,though no one thinks of himself as a Warrior of the Light,we all are......(prologue)"He realizes that he is acting as a channel for some higher wisdom"(page 13).......-the Universe is going to help Warriors of the Light and hinder the prejudiced.The Earth's energy needs to be renewed.New ideas need space.Body and soul need new challenges.The future has become the present,and every dream-except those dream that involve preconceived ideas-will have a chance to be heard....(page 17)
PAULO COELHO(the author of this book) has inspired millions worldwide,including me,and maybe you too.

START BASICS JUMP TO BIG OPPORTUNITY IN LASER MEDICINE

Dear colleguae,
There is an exclusive world of medical practice:Laser Medicine.
As President of The Indonesian Society for Laser Medicine,(IKLASI)may I invite you to joint our Basic Training Program in Laser Medicine and Surgery.The training will be dated on Sunday,May 20, 2007 Venue:Auditorium Pelni Hospital,AIP II KS Tubun 92-94,Jakarta Barat 11410.Trainers will be scientist- medical doctors-laser expert-experienced laser clinicians.Topics laser basics:introduction to laser medicine,laser physics,laser tissue interaction,laser safety,how to operate laser,laser application in various medical specialties etc.Live demo will also be demonstrated esp.for skin lesions.We welcome you whether you are a general practitioner or specialist physician.Please contact Riza by phone 62-21-5306793 ,HP/SMS :0817-0136600 or fax:62-21-5306907 e-mail:iklasi_pusat@yahoo.com
Regards
IKLASI(Ikatan Kedokteran Laser Inddonesia)
L.S.Handikin MD (President)

New Generation Lasers & Leading Edge Treatments With CANDELA Technology

A laser workshop was taken place in Gerbera Room, Mulia Hotel, Jakarta, Indonesia on February 28, 2007. There were 2 speakers: Taro Kondo, MD (Tokyo Women Medical University) and Aryani Sudharmono, MD (Division of Aesthetic Dermatology, Dept. of Dermatology and Venereal Diseases, Faculty of Medicine, University of Indonesia).

Taro Kondo talked about “Gentle YAG Treatment in Hair Removal ,Vascular Lesions and Skin Rejuvenation” while Aryani Sudharmono presented “V Beam Experiences in Indonesia”. As an addition to the speakers’ presentations, a live demo was presented by Taro Kondo for Gentle YAG and V Beam Perfecta.

Overall, this meeting was a great opportunity both for doctors and investors. The market is growing even greater and faster with the raising demand and better understanding of individual health as well as the interest to beauty and wellness.

Many doctors are interested in Laser Medicine and Surgery. Recent data shows that more than 400 doctors are now registered as members of The Indonesian Society for Laser Medicine. Training and education are most important and highly critical in the competency development programs in laser medicine.

Let me quote some basic principles on the selective photothermolysis as written by Yacov Domankevitz, a senior scientist at Candela Corporation:

Laser treatment of vascular lesions is based on the principle of selective photothermolysis (Parrish and Anderson). By proper selection of laser system parameters, selective heating of vessels within the skin is possible while producing only minimal damage to the overlying epidermis and adjacent dermis.

The basic elements of selective photothermolysis for the treatment of vascular anomalies are:

1. Selective Absorption -- Laser energy should be preferentially absorbed by blood vessels and not by the overlying epidermis and adjacent dermis.

2. Optical Penetration Depth (OPD) -- Laser energy should penetrate sufficiently deep to reach the larger and deeper situated vessels.

3. Energy Deposition -- Laser energy at the vessel site should be sufficient to heat the vessels to the damaging temperature.

4. Damage Confinement -- The exposure time of the laser energy should be less or equal to the thermal relaxation time of the vessels

5. Epidermal Cooling -- Although this is not a basic element of selective

photothermolysis it is an essential element in many laser therapies.

The Role of Laser in Otorhinolaryngology, Head, and Neck Surgery

A visit to HNO –Praxis Dr.med.F.-P.August, ambulante Operationen.Laserchirurgie

This is a report on my trip to Germany last November 2006. I was delighted to visit a country where actually I should be trained in Stuttgart several years ago. Two younger doctors accompanied me, dr. Bestari and dr. Muh.Abdu from Padang (School of Medicine,University of Andalas).

Before our departure, we have finished the in-house training for them in dr.M.Djamil Hospital (please see our pictures at http://www.flickr.com/handikin). We concentrated on the application techniques of diode laser (980 nm in wavelength) in surgical daily practice. So, we were happy to meet Dr.August, a young doctor who is very keen and a skilled master in laser surgery.

We went to Kleinmachnow, a small area outside Postdam, a well-known city not so far from Berlin, attending small group seminars, discussions, sharing experiences and practical observation in the clinic and hospital. The weather was around 5 degree Celsius so we had to put jackets and ”kopiah” around the clock.

Laser technology was so close even for the rural area like this. We hope that Indonesia, which is an archipelago, will be able to conduct this kind of services.

Laser medicine changes medical services into a practical, very easy to do minimal invasive surgery in one day setting. At last, it should be economical for the patients’ pocket and insurance company as well.

Please find our pictures here, they will tell you many things by themselves! If you wish to have further personal contact with me, you can write an e-mail to lshandik@gmail.com