So we submitted it to another journal, where it underwent peer review. We got some comments back which asked for some minor changes, and some more detail. We had chosen to restrict the data to the quantitative thinking that adding the qualitative data might make the paper too long, but the reviewers are very keen to have that too, so I have spent the past three weeks adding in the qualitative sections and tweaking the main paper. I'm pleased to say that it is ready for resubmission now so I hope to have a publication date soon.
The other news is that I went along to a meeting of national clinical lymphoedema specialists where I presented the results of our study.
I spoke with a lymphoedema specialist who is currently involved in the scanning of limbs of lymphoedema patients to track the lymphatic channels very precisely. The reason this is done is to establish whether patients are suitable for an operation on their limb to repair the damaged lymphatic channels. We are talking super micro surgery here, as the vessels concerned are often the size of a human hair. ( you may remember a previous post which made reference to this ground breaking initiative)
I went along to a scanning session to check it out. It was a fascinating process whereby the patient is injected with a dye between the webbing of toes or fingers and the progress of this luminous dye is tracked via a hand held scanner. The pathways are then identified so that a decision can be made about their suitability for surgery. Unfortunately for this patient group, only 1 in 5 is suitable for micro-surgery which is where we come in. There is a possibility that the four in five who are rejected might be able to come and have Reflexology Lymphatic Drainage and maybe get some good results. We can't know this until we try, so I am currently getting funding together to run a feasibility project, after which….who knows.
It may be possible to create new pathways for the lymph via the RLD process ( which is what we guess might be happening already), if this is so, then the necessity for surgery might be removed altogether. Secondly we may be able to create an environment within the arm or leg which allows someone to be more suitable for surgery.
Currently wrestling with the usual mountain of forms and ethical processes to make it happen.