BLUE ENDOVASCULAR LASER THERAPY

This picture show multi colour endovascular laser therapy to alleviate acute and/or chronic pain,control blood rheology,stimulate tissue repair in damaged tissue due to inflammation and to promote ulcer healing through increased production of ATP by cellular mitochondria and increased  microcirculation.
Blue laser is usually combined with  other monochromatic (red,green  and others) for specific target tissue/organ,the photon transmission maybe supported by multichannels/ locoregional transcutaneous laser therapy.Technique of acupuncture reveals the bridge of western and oriental medicine.
The colour should be related to the depth of penetration  for the selected tissue/organ to maintain the efficacy of the photonic therapy.

MULTI CHANNELS LASER THERAPY FOR SHOUDER HAND SYNDROME

 Several years ago my colleague (Wyasa Andrianto,MD) had written THESIS  on LASER THERAPY for SHOULDER HAND SYNDROME.
He had been granted specialist in Physical Medicine & Rehabilitation from The School of Medicine University of Indonesia/Dr.Cipto Mangunkusumo Hospital,Jakarta.
This picture show Mr.Warih who is suffering of shoulder hand syndrome and being treated by (multichannels) laser therapy.
The pain was downgraded from 7 to 3  in VAS (Visual Analogue Scale) following 3 session of laser therapy.He needed less insulin to control the blood glucose.
Mr.Warih has voluntarily talked in a public - health info in LITEFM 105,8 broadcasted from its studio in Jakarta recently.(9 th November 2013).
(He had given permission to publish this picture for public health education.)

INTERSTITIAL PDT FOR PRIMARY AND METASTATIC TUMOUR

Photo courtesy of House of Laser

PDT is one of the interesting modalities in cancer treatment.The availability of several photosensitizers and lasers are opening new pathways in photodynamic medicine, leading to a new era in the future of medicine.
(It should be mentioned that PDT will not be an umbrella only in oncology but will cover some areas including infectious and other degenerative processes or diseases as well.)
A technique of interstitial PDT has been offered in conjunction with other modalities in cancer treatment,as shown in this picture.
Selective cancer cells death by apoptosis and necrosis has been proposed to a formation of lysate following cytotoxic process of cancer cells.
Secondly vascular shutdown is another way to the killing of cancer cells.
Positive immune response is another way leading to improvement of patient condition.(see: Immunologic aspect of PDT/Laser therapy,a review by Santoso Cornain,MD,D.Sc, a link in this blog)

LIMFOMA MALIGNUM TONSIL

Tonsil membesar satu sisi mungkin bukan pembesaran tonsil biasa akibat infeksi.Kemungkinan tumor harus difikirkan yaitu limfoma malignum yang melibatkan tonsil dan cincin Waldeyer.
Foto ini menunjukkan limfoma malignum pada tonsil palatina kanan.
Pada endoskopi ternyata dicurigai melibatkan jaringan limfoid nasofaring.
Gangguan menelan diatasi dengan pengangkatan tonsil yang mengandung tumor disusul dengan kemoterapi dan radiasi.

PDT:AFTER 4x24 HOURS

This picture showed tumor condition 4 days after first illumination with laser.
The tumor was seen with prominent parts of necrotic (lower picture)and liquified mass(upper picture) area as result of PDT.
Please view pictures of previous posting.
Posting of PDT cases were also presented in Indonesian language in:
http://cahayamasadepan.blogspot.com