Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: glenn on June 12, 2015, 03:43:38 AM

Title: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 12, 2015, 03:43:38 AM
"Find out what it is you want, and go after it as if your life depends on it. Why? Because it does!" -Les Brown

It was about two years ago that I first heard a recording of motivational speaker Les Brown (http://en.wikipedia.org/wiki/Les_Brown_(speaker)) by chance. At that time in my career and life I was quite comfortable with everything; I was coasting along and things were "good enough." My career was "ok," my dating life was "ok," my social life was "ok," even my level of contentment was "ok."

I'm sure many of you have also gone through the same thing in your own lives at one point or another. Nothing is wrong, and yet deep down inside you feel an indescribable tinge of restlessness within your soul. I remember having such boundless ambitions when I was young: I was going to do this and do that after finishing my Bachelor's degree and I was going to change the world.

I blinked, and a decade gone by and now I was 34.

Aside from the restlessness of my soul, there was also shame. Shame because I knew I wasn't pushing myself, I knew I wasn't choosing the road less travelled. I had grown too comfortable and was afraid of failing - afraid of getting out of my comfort zone and afraid that people would see through my carefully-crafted self image and see my insecurities for what they were. I had to make a change, or else my only legacy in this "ok" life would be a bucket list of regrets and un-chased dreams on my deathbed.

I had to make a leap; my life depended on it.

For many years I had told myself that, "someday I'll do LL when the time is right." It was like those people that say: "someday I'll go on a diet and start exercising" or "someday I'll quit my job and open that restaurant." But always I had an excuse, "after this project," "after the results for next fiscal quarter," "when I'm less tired." At some point I knew I had to stop giving myself excuses and I began to earnestly pursue my dream of LL.

The day I stopped making excuses and started taking responsibility for my dreams was the day that I started to truly live my life.

I took notes and re-read all the diaries, I started reaching out to doctors and asking questions, I began planning my finances for the surgery, I made it known that I was going to take a yearlong sabbatical at my job. Most importantly, I made a commitment to myself, that no matter what obstacles I'd encounter on this journey, I would never again give myself any excuse to not pursue my dreams.

And that, my dear reader, brings us here, to my diary. Whatever happens I hope this diary will serve as a documentary of the smiles and cries of my journey, and hopefully it can serve as a source of information for future LL'ers.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 12, 2015, 06:12:06 AM
A bit about myself: I'm Canadian, 165cm, 55kg (urrr, let's say 55kg to 60kg :) )

I've been lurking in this forum and the "other one" for many years, but never really could decide on a doctor. As I progressed in my LL journey I begun to email doctors to ask questions. Some were friendly, some were hard to get a hold of, and some didn't even bother to respond. On this forum we spend so much time to debate the merits of different techniques we sometimes neglect to remember that part of a successful procedure depends so much on the human element.

One of the things that is important for me is the doctor's caring and compassion. No matter how much you prepare, you will have to entrust your life to your doctor come surgery time. Technical expertise aside, it will all be in his hands and you must have the confidence that your doctor cares enough to make the right decisions on your behalf. Dude, your doc's gonna be cutting your bones in half in multiple spots - you'd better hope you have a compassionate doctor!

Part of what led me to Dr. Monegal was because I felt he was a really caring doctor. Despite being verbally abused by some juvenile trolls on this forum, Dr. Monegal still returns to help provide info and answer questions. There used to be another doctor here on the forums trying to help and was driven off by baseless accusations. Cynical users will say that doctors coming to the forum are a ploy to drum up business; I would say reread the posts - no amount of money in the world is worth taking the type of sh*t that's been thrown at them. They are not doing it for money, that's for sure. I really feel it takes a special human being, and special doctor to put up with some of the stuff that's been accused in this forum.

Anyways, suffice it to say that I'm quite happy (and grateful!) to have Dr. Monegal as my doctor. I first emailed Dr. Monegal on May 17, and he replied very quickly. He was even nice enough to follow up a few days later when I failed to reply him. I took some x-rays and emailed them. Back and forth our emails went, mostly with rounds of me asking questions and him answering quickly and then patiently waiting for my follow-up questions. At some point all my questions were exhausted and it was time to decide: do or not do? I realized that the only thing holding me back was myself so I made a booking for when Dr. M was free. So now I am scheduled for August 25 at Clinica Diagonal. (Any stalkers please feel free to drop by and wish me luck on my big day! :) )

Below is my schedule so far. I put it together, but Dr. Monegal has already looked at it and said it was fine. However, knowing me, there is a distinct possibility that I've missed something, so I encourage you to question/criticize it.

Oh by the way, I'll be doing internal fitbone for both my tibiae and fermurs. The first surgery will be tibia on one side and femur on the other. And then the second surgery will be for the remaining tibia and femur. I'm aiming for 11 cm or so (in total).

Note: One of the quirky things is that Canadians must spend 3 months outside of Schengen region for every (maximum) 3 months they spend in Spain (http://www.canadainternational.gc.ca/spain-espagne/cultural_relations_culturelles/Advice_Canadians-Conseils_Canadiens.aspx?lang=eng). That's the reason for spending Nov, Dec, Jan in Canada and why the whole schedule is so rigid. Also, the below price for MIC Sant Jordi is for an individual, single room. Hopefully I can bring that number down if I can find someone to share with.

August 20, 2015:
Fly from Toronto to Barcelona (estimated budget 500 euro)

August 20 - 24, 2015:
Arrive in Barcelona, and do banking, transfer money, mobile card, pre-op scans...etc. (estimated budget 600 euro)

August 25 - August 31, 2015:
Surgery, stay at Clinica Diagonal for 7 nights (71,000/2 = 35,500 Euro)

September 1 - October 31, 2015:
(2 months post-op at MIC Sant Jordi, Barcelona)
MIC Sant Jordi (1260 euro/month x 2 months = 2,520 Euro)
PT (every Monday, Wednesday, Friday? estimated 35 Euro x 24 times = 840 Euro)
groceries (estimated 100 Euro per week x 2 months = 800 Euro)

November 1, 2015 - to February 1, 2016:
Fly from Barcelona to Toronto. Recovery in Toronto with family. (estimated budget 500 euro)

February 2, 2016:
Fly from Toronto to Barcelona, Check in one night somewhere. Mentally prepare for surgery. (estimated budget 650 euro)

February 3 - February 9, 2016:
Surgery, stay at Clinica Diagonal for 7 nights (71,000/2 = 35,500 Euro)

February 10 to April 9, 2016
(2 months post-op at MIC Sant Jordi, Barcelona)
MIC Sant Jordi (1260 euro/month x 2 months = 2,520 Euro)
PT (every Monday, Wednesday, Friday? estimated 35 Euro x 24 times = 840 Euro)
groceries (estimated 100 Euro per week x 2 months = 800 Euro)

April 10, 2016:
Fly from Barcelona to Toronto…(estimated budget 500 euro)

sometime 2018:
rods removal (+Clinica Diagonal fees)


What do you guys think; what have I missed?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: theuprising on June 12, 2015, 08:10:53 AM
Hi Glenn I had a few questions

What are your total estimated costs?

Is fitbone weight bearing at all?

Most doctors recommend approximately
1 year between lengthening femurs and tibias. What does Dr Monegal have to
say on this issue?

Are you staying at the same job when you come back from lengthening? What do you plan to
tell people when you are 11cm taller?

Kind Regards
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Alittletooshort on June 12, 2015, 10:29:23 AM
Hey Glenn,
Thanks for doing this, I really appreciate it!
Do you know your wingspan? Do you think your proportions can handle the large amount of lengthening?
You may need some extra budget for some unexpected expenses but I´m pretty sure you are aware of this.
Wish you all the best!
Cheers!

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 12, 2015, 11:22:45 AM
Hi Theuprising,

Thanks for your questions!

What are your total estimated costs?

As you can see from the above itinerary, it already adds up to over 82k euro. I'm thinking it will be closer to 90k when it's all said and done.

Is fitbone weight bearing at all?

Nope, fitbone is non-weight-bearing during distraction phase. According to Dr. Monegal I'll be needing to be in a wheelchair for 2 to 2.5 months after each surgery... (yikes!) I am afraid of this part just as anybody else, but I intend to soldier on and figure it out as best I can as I go along.

Most doctors recommend approximately
1 year between lengthening femurs and tibias. What does Dr Monegal have to
say on this issue?

I don't know what Dr. Monegal has to say on that issue. Maybe if he sees this message he will answer you here? As far as I'm concerned, if he sees no problem with my current itinerary then that's good enough for me.

Are you staying at the same job when you come back from lengthening? What do you plan to
tell people when you are 11cm taller?

I am staying at the same job after lengthening. I don't intend on having to explain myself when I return, nor do I think that anybody will even care.

Ironically, if I do get backed into a corner, maybe I'll just tell them I'm wearing lifts! Wouldn't that be poetic justice?  8)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 12, 2015, 11:51:49 AM
Hi Alittletooshort,

No worries, thanks for stopping by to read my diary in the first place! Funny that you should mention proportions. I actually had the following passage drafted as a future diary entry:

A note about proportions, wingspan, sitting height, etc:
I have no idea about these things, nor do I intend to find out. I'm 34 years old now, and NOT ONCE in my life have I ever looked at my legs and said, "hmmm, my femur's too long" or "hmmm, my tibia's a bit short."
 
For that matter I've never, ever, looked at other people and tried to gauge the proportion of their appendages. I'm insecure about my height, but I've never cared about proportions. It's just not something that was ever on my radar.

I think it was ShyShy that said, "Don't let your height neurosis turn into proportion neurosis." Word.

I can appreciate that other people have proportion neurosis, but's it's something that doesn't affect me psychologically at all. It's just not a big deal for me, and I hope to keep it that way.

...

About the unaccounted expenses. I'd like to try and include everything as best I can. The only thing I think I've missed is transportation costs (traveling to/from airport, or to/from MIC Sant Jordi). I haven't included these costs simply because - well honestly - I'll be in a wheelchair and not quite sure how I'm going to accomplish these feats currently, so I've left them blank for now. Eventually I'd like to re-update this itinerary with more details.

It would help if everybody here would help me brainstorm what costs I've missed that I should include in the budget.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: truthtell100 on June 12, 2015, 01:51:27 PM
A bit about myself: I'm Canadian, 165cm, 55kg (urrr, let's say 55kg to 60kg :) )

I've been lurking in this forum and the "other one" for many years, but never really could decide on a doctor. As I progressed in my LL journey I begun to email doctors to ask questions. Some were friendly, some were hard to get a hold of, and some didn't even bother to respond. On this forum we spend so much time to debate the merits of different techniques we sometimes neglect to remember that part of a successful procedure depends so much on the human element.

One of the things that is important for me is the doctor's caring and compassion. No matter how much you prepare, you will have to entrust your life to your doctor come surgery time. Technical expertise aside, it will all be in his hands and you must have the confidence that your doctor cares enough to make the right decisions on your behalf. Dude, your doc's gonna be cutting your bones in half in multiple spots - you'd better hope you have a compassionate doctor!

Part of what led me to Dr. Monegal was because I felt he was a really caring doctor. Despite being verbally abused by some juvenile trolls on this forum, Dr. Monegal still returns to help provide info and answer questions. There used to be another doctor here on the forums trying to help and was driven off by baseless accusations. Cynical users will say that doctors coming to the forum are a ploy to drum up business; I would say reread the posts - no amount of money in the world is worth taking the type of sh*t that's been thrown at them. They are not doing it for money, that's for sure. I really feel it takes a special human being, and special doctor to put up with some of the stuff that's been accused in this forum.

Anyways, suffice it to say that I'm quite happy (and grateful!) to have Dr. Monegal as my doctor. I first emailed Dr. Monegal on May 17, and he replied very quickly. He was even nice enough to follow up a few days later when I failed to reply him. I took some x-rays and emailed them. Back and forth our emails went, mostly with rounds of me asking questions and him answering quickly and then patiently waiting for my follow-up questions. At some point all my questions were exhausted and it was time to decide: do or not do? I realized that the only thing holding me back was myself so I made a booking for when Dr. M was free. So now I am scheduled for August 25 at Clinica Diagonal. (Any stalkers please feel free to drop by and wish me luck on my big day! :) )

Below is my schedule so far. I put it together, but Dr. Monegal has already looked at it and said it was fine. However, knowing me, there is a distinct possibility that I've missed something, so I encourage you to question/criticize it.

Oh by the way, I'll be doing internal fitbone for both my tibiae and fermurs. The first surgery will be tibia on one side and femur on the other. And then the second surgery will be for the remaining tibia and femur. I'm aiming for 11 cm or so (in total).

Note: One of the quirky things is that Canadians must spend 3 months outside of Schengen region for every (maximum) 3 months they spend in Spain (http://www.canadainternational.gc.ca/spain-espagne/cultural_relations_culturelles/Advice_Canadians-Conseils_Canadiens.aspx?lang=eng). That's the reason for spending Nov, Dec, Jan in Canada and why the whole schedule is so rigid. Also, the below price for MIC Sant Jordi is for an individual, single room. Hopefully I can bring that number down if I can find someone to share with.

August 20, 2015:
Fly from Toronto to Barcelona (estimated budget 500 euro)

August 20 - 24, 2015:
Arrive in Barcelona, and do banking, transfer money, mobile card, pre-op scans...etc. (estimated budget 600 euro)

August 25 - August 31, 2015:
Surgery, stay at Clinica Diagonal for 7 nights (71,000/2 = 35,500 Euro)

September 1 - October 31, 2015:
(2 months post-op at MIC Sant Jordi, Barcelona)
MIC Sant Jordi (1260 euro/month x 2 months = 2,520 Euro)
PT (every Monday, Wednesday, Friday? estimated 35 Euro x 24 times = 840 Euro)
groceries (estimated 100 Euro per week x 2 months = 800 Euro)

November 1, 2015 - to February 1, 2016:
Fly from Barcelona to Toronto. Recovery in Toronto with family. (estimated budget 500 euro)

February 2, 2016:
Fly from Toronto to Barcelona, Check in one night somewhere. Mentally prepare for surgery. (estimated budget 650 euro)

February 3 - February 9, 2016:
Surgery, stay at Clinica Diagonal for 7 nights (71,000/2 = 35,500 Euro)

February 10 to April 9, 2016
(2 months post-op at MIC Sant Jordi, Barcelona)
MIC Sant Jordi (1260 euro/month x 2 months = 2,520 Euro)
PT (every Monday, Wednesday, Friday? estimated 35 Euro x 24 times = 840 Euro)
groceries (estimated 100 Euro per week x 2 months = 800 Euro)

April 10, 2016:
Fly from Barcelona to Toronto…(estimated budget 500 euro)

sometime 2018:
rods removal (+Clinica Diagonal fees)


What do you guys think; what have I missed?

He's not caring with me. He was nice at the beginning, but then I had no good aftercare.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 12, 2015, 02:22:25 PM
He's not caring with me. He was nice at the beginning, but then I had no good aftercare.

Thanks for trolling!

Please stop hijacking my threads unless you're prepared to back up your accusations with facts. Everybody is asking you to back up what you are saying but all you do is keep repeating the allegations.

Goodbye.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: maximize on June 12, 2015, 07:33:17 PM
Congrats on your choice and decision. I'm leaning towards Monegal as well.

I'm curious about a few things.

1) How did you go about getting the needed 3-6 months off of work for this. Do you work in any sort of office? If so, what did you tell your human resources dept or boss (presuming you have one of some sort)?

2) MIC Sant Jordi seems like a great place to stay when recovering. Did Dr. Monegal's staff suggest it? How will you be getting grocery, as well as transport to and from physio?

3) What are your greatest expectations/hopes from the surgery? Where in life do you most hope for benefits and what benefits are you hoping for?



Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: KrP1 on June 12, 2015, 07:55:13 PM
Hope all goes well in your journey Glenn , i will be following your diary
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: G-Man on June 12, 2015, 08:35:35 PM
Hey comrade, great intro!  :)

I was reading on the Canadian embassy and it states: "To visit for longer than 90 days, Canadians must obtain a long-stay national visa."  So I'm curious to why you don't go that way?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 13, 2015, 09:21:01 AM
Dear Maximize,

Thanks for the congrats. Yep, I'm feeling pretty scared (we must be insane to do these things to ourselves :) ) but I intend to put those emotions aside and power forward.

Quote
1) How did you go about getting the needed 3-6 months off of work for this. Do you work in any sort of office? If so, what did you tell your human resources dept or boss (presuming you have one of some sort)?

Yep, I work at an office. I told them I need to take a year off and go on sabbatical to travel and study (which is indeed true. I intend to take some online courses while in Barcelona and to study subjects that I've always been curious about). I told my superior, who is also the boss of the company, that if he was unwilling to give me a year off then I will resign, no hard feelings.

I've been with the same company for close to a decade, so perhaps that was a factor. Of course, to be a little pessimistic, there is a distinct possibility that they only agreed so I wouldn't make a fuss. If that turns out to be true I'm not worried. For me, it's not the end of the world: There will always be other jobs. What is a J-O-B compared to pursuing one's dreams? It will be a new me anyways, ready to start a new chapter in my life.

Quote
2) MIC Sant Jordi seems like a great place to stay when recovering. Did Dr. Monegal's staff suggest it? How will you be getting grocery, as well as transport to and from physio?

During my initial Q&A emails with Dr. Monegal I had mentioned that I intended to stay in Barcelona for a little bit during post-op. Previous info on Dr. Monegal's thread never mentioned providing short-stay accommodations, so I just assumed it was up to me to figure it out on my own.

Dr. Monegal replied my email and and was nice enough to point me in the right direction and recommended MIC Sant Jordi because it was catered to take care of disabled people and the phsyio room was also a plus.

I tried to compare rents in Barcelona, and although it's possible to find cheaper shared accommodations online, there are no guarantees they accept short-stay, nor that the building will have elevators. So after weighing the pros and cons, I currently feel that MSJ is worth the extra premium because it saves you from a lot of other hassles.

I asked about groceries as well; apparently online grocery shopping and home delivery is prevalent over there. Dr. Monegal recommended www.mercadona.es (http://www.mercadona.es) . It's got good prices, and English, but the only thing that irks me is that there's no pictures. You have to buy based on the description of the product. I looked further and I prefer the interface for this grocer: www.alcampo.es (http://www.alcampo.es) . The site seems more polished and easier for English readers to navigate. Another one I thought might be ok is www.carritus.com (http://www.carritus.com) .

Also, I haven't explored the options mentioned on this page (http://barcelona.angloinfo.com/af/500/barcelona-online-food-and-drink-stores.html) yet. But I have a feeling I will find this page useful in the future.

Quote
3) What are your greatest expectations/hopes from the surgery? Where in life do you most hope for benefits and what benefits are you hoping for?

Of course, there are all those petty insecurities and injustices in the world that all of us short people on this forum will know all too well. But for me, what is most important I feel is to die without regrets in this life. LL is something that I've always dreamed about doing. I don't want to be one of those guys that will be regretting about not doing this or not doing that when I'm old and on my deathbed.
 
I suppose I'm trying to say that the greatest benefit I am hoping for will be simply knowing that I achieved something that I've always wanted to do. I hope to explore new depths in my humanity - to know that I dared to challenge the cards that nature dealt me, and that I was not afraid of suffering the hardship to make my dream a reality.

Also, I want to add that during my whole life, I still have this nagging feeling that "I'm not who I'm meant to be yet." I don't know if any of you guys (and girls) know what I'm talking about or if you have the same feeling. It's as if I haven't fully matured yet physically. So it's also my hope that LL will help me "get there" to that stage in my life and help me move one step closer to self-actualization.
 
(I don't know if that answer does justice to your question... let me know if not; also, I'm curious as to how you and others would answer that question yourself?)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 13, 2015, 09:26:29 AM
Thank you KrP1 !

Yes, I do hope people will continue to follow my diary. I suspect that I'll be going through a lot of emotional turmoil during this process. It's kind words like yours and from old forum users that will keep me sane when the pain and stress kick in.

Cheers,
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 13, 2015, 09:51:44 AM
Hi G-Man,

Thanks! I hope my intro strikes a chord with others that are in a rut as well.

Hey comrade, great intro!  :)

I was reading on the Canadian embassy and it states: "To visit for longer than 90 days, Canadians must obtain a long-stay national visa."  So I'm curious to why you don't go that way?

Honestly, it's simply partly because of my own tunnel vision and previous bad impression.

For the longest time I was set on doing Ilizarov in Russia, but difficulties in navigating visa issues really turned me off. Because of this bad impression, I started looking for countries where I wouldn't need a visa, so it was sort of providence that led me to Dr. Monegal.

You're right, I can still apply for a long-stay visa anyway. But the hoops I need to jump through seem like 
too much (http://internationalliving.com/countries/spain/spain-visa-and-residency-information/) of a hassle. I just figured it is easier for me to just fly back home for 3 months and then come back. Lot's of disabled people fly everyday. I'm no more special than any of them, so if they can manage it then why shouldn't I be able to?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 13, 2015, 11:49:30 AM
Maximize, you asked about physio and I forget to answer that part in my previous reply, sorry.  (Admins, does that mean I can only 'modify' my posts once, and then after that they are locked?)

2) MIC Sant Jordi seems like a great place to stay when recovering. Did Dr. Monegal's staff suggest it? How will you be getting grocery, as well as transport to and from physio?

I was told by Dr. Monegal that the physiotherapist can come to MIC Sant Jordi. Cost is 30 to 40 Euro per session for approximately 1.5 hours.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: JConnor on June 14, 2015, 05:47:34 AM
It's too bad you aren't waiting one more year, I would have roomed with you! Just emailed Dr. Monegal myself for potential CLL next year.

Quote
I tried to compare rents in Barcelona, and although it's possible to find cheaper shared accommodations online, there are no guarantees they accept short-stay, nor that the building will have elevators. So after weighing the pros and cons, I currently feel that MSJ is worth the extra premium because it saves you from a lot of other hassles.

I definitely think you're making the right decision staying there instead of somewhere else. Being wheelchair bound is going to be incredibly difficult, and having a bathroom and shower designed to accommodate the disabled will be absolutely priceless, not to mention the in-house PT center!

I found a website that has short term rentals within walking distance of a gym and supermarket near the clinic, so I plan to go that route, but I'd only be doing femurs one at a time.

Good luck! And thank you for starting this diary, it's going to be immensely helpful.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 14, 2015, 07:27:44 AM
Hi JConner,

Good luck on your CLL journey as well! Thanks for the vote of confidence on MSJ. I don't know about you guys, but LL is a scary stuff: There are so many decisions that one has to make, and I suppose it's human nature to be fearful of choosing wrong and constantly second-guessing oneself. Honestly, the only thing I'm trying to do is hang on tight for this rodeo and not make poor decisions.  ;D

That's why I think choosing a caring doctor is so important. You said that you are doing one leg at a time. In fact, one of the things that drew me to Dr. Monegal in the first place was the mention of doing one-leg-at-a-time for simultaneous tibia-and-femur (this was mentioned in Dr. Monegal's thread). I, along with some other users like TomD, would actually prefer to do it this way. I loved the idea of being mobile (urrr, limping :) ) during distraction and negating Fitbone's non-weight-bearing factor. Neither did I have a problem with one leg being longer than the other for a few months.

However, Dr. Monegal said that doing cross-leg procedure is better in my case, because of the lengths involved. I was devastated at first. I even wrote an impassioned plea ("Doc, you're suggesting cross-leg, but I reallyyyyyyyy want to do same-leg").

After I calmed down a bit, I decided to defer to Dr. Monegal's expert opinion and go with cross-leg instead. I realized that my initial concerns for mobility were a result of my own insecurities and subconscious fears: I'm a seasoned travel backpacker (living out of a backpack and touring different cities for months at a time) so you can imagine that I'm the type of guy that's fiercely protective of my freedom and independence. I realized that I preferred same-leg because I was afraid of being tied to a wheelchair, but Dr. Monegal suggested cross-leg because medically a it's better choice in my situation.

That's what I mean about choosing a caring doctor: a caring doctor is going to suggest what's best for you, even if it's not what you want to hear, because he has your interests at heart.

I'm still absolutely terrified at the thought of being immobilized for a couple of months, mind you, but I intend to forge ahead. According to my rough calculations, my legs should be weight-bearing I think after three months (lengthen for two months, and slowly add 15kg/week in the third month). Hopefully my fingers will survive all the nail-biting in those few months  :D


Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 16, 2015, 05:56:38 PM
Just a quick update. I had some questions about living details at MIC Sant Jordi and asked Musicmaker if she knew. Musicmaker was very nice and gracious enough to email them and ask on my behalf. Here are the clarifications:

- Yes, there's wifi in the apartment.
- The kitchen is low enough to cook from the wheelchair. Yes there is a fridge with a little freezer.
- The price of the room includes electricity, water, AC, technical elements necessary for the patient and daily cleaning.
- In the second floor there is a washing-machine and a dryer

Thank you Musicmaker! Hope this helps others that are also considering MSJ.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Aturro on June 22, 2015, 06:36:47 PM
Hi Glenn, I am lying in the hospital in Munich waiting for my surgery tomorrow and reading your postings.
Just wanted to tell you how much I agree with all the things you wrote. Wish I could write as poetic as you do but at least I want to congratulate you to your honest mind. I´ve gone through all the very similar thoughts throughout the last couple of years.

No more regrets!

good luck

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on June 23, 2015, 12:48:35 AM
Dear Aturro,

Thank you for the kind words. I'm glad there are people that also feel the same way as me, doesn't make me feel so weird :-)

I want to wish you good luck on your surgery tomorrow, and a speedy recovery. I will be here if you need me to motivate you if you feel emotional in the next few days after your surgery.

This is the first step in the rest of your life, stay strong!!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Aturro on June 30, 2015, 08:03:03 PM
Dear Glenn, thanks for your kind words and offer. motivation is really key, I can feel that every day now!
I write some regular updates in my posting and will follow yours too.
all the best for the moment!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Adonis on July 17, 2015, 10:33:23 AM
Hi Glenn, I'm a foreigner but living in Barcelona since 2000. I have a consultation with Dr. Monegal next Tue. Would like to meet you (and help you out, if you need it) when you're in town.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on July 18, 2015, 03:11:59 PM
Dear Adonis,

Thank you so much for your kind and gracious offer, I would love to meet you! Most people I know in my social circle are taller than me and most times I suffer in silence so it would be amazing to meet another LL'er in person.

I am arriving to Barcelona August 17 morning and having my surgery August 25. Feel free to let me know what schedule works for you.

Also, I would be grateful if you could share some knowledge with me: How do I move such a large sum of money to Spain within a week? My current plan is to arrive in Barcelona and immediately go to my bank (citibank), open an account under my name and then link it to my overseas citibank online banking.

But I have heard conflicting stories. Can foreigners open a bank account in Spain? Can I just walk into a bank and open a new account with my passport? Do I need an NIE number first? Do I need to register with the local police station first? I've heard that international transfers will take a long time to clear, is that true? I'd be very grateful for any wisdom you give on the issue.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Adonis on July 22, 2015, 02:45:57 PM
The dates you mentioned are good for me. We could meet one day after work in Barcelona. Where will you be staying when you arrive?

Regarding the money transfer, I assume you want to move CAD to EUR in Spain. I think you should ask your bank in Canada (Citibank) about the fees and exchange rates they use (be aware they are hidden fees depending on the rates they use), and then compare with an online agent such as Transfer Wise (regulated by the UK FCA). If you are a good customer of Citibank I guess you could get a good rate with them but I would check and compare anyways. International transfers take at the most 1-2 business days.

Foreigners can of course open a bank account in Spain. In fact, very often it is a requirement before starting school, university or getting a residence permit. All you need is a passport. However, because you will be here for longer than the standard tourist, I would also get the NIE. And yes you will need to go to the local police station first for the NIE. If you need help with the language I can go with you.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on July 25, 2015, 03:20:51 AM
Hi Adonis!

Thank you so much for getting back to me, and with giving me your valuable advice on the banking issue. I'm sorry it took me a while to get back to you.

I've been working on trying to transfer the Euros BEFORE I arrive, so maybe I will not have to arrive so soon; instead I might just arrive a few days before surgery. Nonetheless, I am still very much looking forward to meet you! I will PM you my email right now.

Best,
Glenn
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 24, 2015, 12:01:47 AM
Hey All,

I'm currently waiting at the boarding gate now for my connecting flight to Barcelona. My surgery date was moved to Thursday, August 27, so I changed my flight to arrive on Monday instead. I'll be spending my first three nights in Barcelona at an Airbnb near Clinica Diagonal.

I'm anxious and happy at the same time. It's almost as if I'm dreaming and I still haven't woken up. I've been waiting for years for this and now everything is happening so quickly it seems. There are still a million random things that I'm worried about (what if my debit card doesn't work in Barcelona? what if I run into pickpockets? what if the mobile SIM card doesn't fit my phone? what if I get off at the wrong bus stop? how am I going to get home from the airport when I fly back to Canada? etc etc). But I think for now the best thing for me to do is just take a deep breadth and realize that everything will be ok. I need to just relax and enjoy the process. Barcelona, here I come!

...Boarding now, talk to you guys later. Wish me luck!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Freewill on August 24, 2015, 06:12:06 AM
Hey All,

I'm currently waiting at the boarding gate now for my connecting flight to Barcelona. My surgery date was moved to Thursday, August 27, so I changed my flight to arrive on Monday instead. I'll be spending my first three nights in Barcelona at an Airbnb near Clinica Diagonal.

I'm anxious and happy at the same time. It's almost as if I'm dreaming and I still haven't woken up. I've been waiting for years for this and now everything is happening so quickly it seems. There are still a million random things that I'm worried about (what if my debit card doesn't work in Barcelona? what if I run into pickpockets? what if the mobile SIM card doesn't fit my phone? what if I get off at the wrong bus stop? how am I going to get home from the airport when I fly back to Canada? etc etc). But I think for now the best thing for me to do is just take a deep breadth and realize that everything will be ok. I need to just relax and enjoy the process. Barcelona, here I come!

...Boarding now, talk to you guys later. Wish me luck!

Good Luck pal, be Strong be Brave. trust in God everything will be alright !
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: concernedmom on August 24, 2015, 09:17:20 PM
Hey All,

I'm currently waiting at the boarding gate now for my connecting flight to Barcelona. My surgery date was moved to Thursday, August 27, so I changed my flight to arrive on Monday instead. I'll be spending my first three nights in Barcelona at an Airbnb near Clinica Diagonal.

I'm anxious and happy at the same time. It's almost as if I'm dreaming and I still haven't woken up. I've been waiting for years for this and now everything is happening so quickly it seems. There are still a million random things that I'm worried about (what if my debit card doesn't work in Barcelona? what if I run into pickpockets? what if the mobile SIM card doesn't fit my phone? what if I get off at the wrong bus stop? how am I going to get home from the airport when I fly back to Canada? etc etc). But I think for now the best thing for me to do is just take a deep breadth and realize that everything will be ok. I need to just relax and enjoy the process. Barcelona, here I come!

...Boarding now, talk to you guys later. Wish me luck!
I am sure you will be ok. Good luck. We are waiting to hear from you soon.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 24, 2015, 10:50:08 PM
Thanks Freewill and Concernedmom! Really appreciate the well wishes!

After I sent off my previous post I boarded my flight to BCN. A seven-hour flight and I was sitting directly next to the lavatory :-) The beneficial tradeoff was that the two adjacent seats were empty, though. I made use of them and slept on the whole flight using the three seats as a bed. As I disembarked the plane during landing, I chuckled to myself passing through the business class cabin. Those puny seats were no comparison to what I had, ha!

It was a long lineup to pass through immigration, but the line moved very quickly. I barely had time to utter a warm-hearted "Bon dia!" before the immigration officer quickly thumbed my passport to the last page to give me my entry stamp. It was the most efficient international entry I'd ever been in.

Initially, I was going to get into town first and then buy a prepaid SIM card because it's cheaper that way, but I ended up just getting a 3G card from a mobile reseller called Labera at the airport for just 15 EUR. It had everything that I needed it to do (Vodafone network; 500 minutes I think; 1GB data).
It works like it's supposed to. No complaints so far at all.

At the airport I also bought a T10 ticket to take the #46 bus into the city. If I'm not mistaken I think it's the most cost effective way to get into the city from the airport and drops you off at Placa d'Espanya.

From there I walked to University Hospital where Dr. Monegal was on call at the ER. It was really good to finally meet Dr. Monegal in person. I could really feel his passion as he discussed past cases and the nuances of each case. It totally put me at ease of the upcoming surgery. He talked about the post-op PT with such enthusiasm that it actually made me look forward to the MIC! Even now, I can't wait to get settled into the MIC and start doing PT stretching, biking, parallel bars, pool walking.

He also told me to be mindful of the second to third day after surgery. That's when the anesthesia wears off and you go from 0 pain to alarm bells in your body waking up. (So if I start going a bit crazy a few days after surgery, you guys please be sure to remind me of this!)

After my meeting with Dr. Monegal I walked around a bit more throughout the city. I was mindful to stay out of touristy places because I didn't want to be prey to pickpockets since I was walking around with all my bags. I would have been an easy target, I'm sure.

I bought some simple groceries and made my way to the Airbnb where I'm staying. It's near Can Vidalet station, which is walking distance to Clinica Diagonal. My host family for the next three nights is with Elena and her family. Only Elena speaks a little English and my Spanish is atrocious, so our interaction is mostly based on smiling and pointing. Her young toddler son, Leo, and I have taken to playing a never-ending game of peek-a-boo with each other as as we repeatedly say "Hola!" to each other behind cover.

Anyways, I've got WIFI here, a cool breeze coming from the window and clean sheets. What else does a man need?

Tomorrow I'll probably visit some tourist spots during the day. In the early evening user Adonis has been nice enough to come by my area and hang out for a bit, looking forward to it!

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: TrueSpartan on August 25, 2015, 02:26:24 PM
good luck glenn, I will be keeping close eyes on your thread. I hope you will keep us updated on everything.

What is going through your mind right now? are you more nervous then before, are you anxious or scared. do you dream of things gong bad?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: TrueSpartan on August 25, 2015, 02:34:54 PM
Glenn, when you get second surgery, the first leg will not be fully consolidated. Will u be wheel chair bound?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 25, 2015, 10:29:04 PM
H TrueSpartan,

Thank you for the well wishes! I'll keep updating best I can as long as I know people are reading!

About wheelchair bound.. yep, no way to avoid that. To say it positively, I'm looking forward to taking a break from walking and getting off my feet for a few months ;D ;D ;D ;D 8).  What's going through my mind? I'm more anxious than nervous, I suppose. I'm looking forward to getting settled into the MIC, but not that enthused about the first few days of post-op (I'm told I'll be on a catheter during the first couple of days of my hospital stay. No man looks forward to that experience :o)...

As mentioned last post, I met user Adonis this afternoon. He was nice enough to drive all the way to Can Vidalet to see me. We had a couple of drinks al fresco style on the sidewalk of the bistro. It was the most European thing I've done so far, so relaxing to just chat and watch the people come and go. I think this was the first time I actually had a real offline conversation with another LL'er. It was so refreshing to be able to just open up about my own height neurosis without risking any judgment from the other person. After dinner, we went to the Gothic Quarter (http://en.wikipedia.org/wiki/Gothic_Quarter,_Barcelona) for dinner at a charming and quiet Japanese restaurant.

As we walked to the restaurant from the car, we started to play a game of guessing the height of random tourists ("Psss, what about blue-shirt guy? I bet he's 5'9," "Nah, you're dreaming, strong 5'8 at most!") I would then "inconspicuously" walk up to them and tip toe to see how I measured up to their eye level. It's the most silly and neurotic game two LL'ers can play. Warning though, this game will feed your height neurosis and make you want LL even more ;).  Anyways, my point is that it was really good to be able to talk and joke with another LL'er in real life. Afterwards, Adonis was also very kind and gave me a lift back to my apartment even though he didn't have to. Thanks buddy!

Somebody asked me about fears... Dude, sitting on the passenger side of his car watching Adonis negotiate a roundabout (https://en.wikipedia.org/wiki/Roundabout) is the scariest thing I've had to go through yet ;D. Just kidding. I don't usually have roundabouts in my part of the world, so being in one in Europe was pretty exciting for me. But back to the topic of being scared. I'm not really scared of possible complications (if I was, I wouldn't be here!) since I have full faith in Dr. Monegal. If complications happen we'll deal with them as they come; I've already prepared as best I can. I'm afraid of many logistical things (didn't pack this, forgot to bring that, should have researched X, etc etc) but not about about complications, since I can't control those anyway.

Have to do my best to get some sleep now, doing pre-op tests at Clinica Diagonal tomorrow morning, Bona Nit!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: KrP1 on August 25, 2015, 11:26:20 PM
Nice diary glenn. Hope all goes well in your surgery
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Alittletooshort on August 25, 2015, 11:29:26 PM
Good luck with your surgery!
Keep us updated, your diary is amongst the most well written and informative ones here!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: concernedmom on August 26, 2015, 04:57:05 PM
H TrueSpartan,

Thank you for the well wishes! I'll keep updating best I can as long as I know people are reading!

About wheelchair bound.. yep, no way to avoid that. To say it positively, I'm looking forward to taking a break from walking and getting off my feet for a few months ;D ;D ;D ;D 8).  What's going through my mind? I'm more anxious than nervous, I suppose. I'm looking forward to getting settled into the MIC, but not that enthused about the first few days of post-op (I'm told I'll be on a catheter during the first couple of days of my hospital stay. No man looks forward to that experience :o)...

As mentioned last post, I met user Adonis this afternoon. He was nice enough to drive all the way to Can Vidalet to see me. We had a couple of drinks al fresco style on the sidewalk of the bistro. It was the most European thing I've done so far, so relaxing to just chat and watch the people come and go. I think this was the first time I actually had a real offline conversation with another LL'er. It was so refreshing to be able to just open up about my own height neurosis without risking any judgment from the other person. After dinner, we went to the Gothic Quarter (http://en.wikipedia.org/wiki/Gothic_Quarter,_Barcelona) for dinner at a charming and quiet Japanese restaurant.

As we walked to the restaurant from the car, we started to play a game of guessing the height of random tourists ("Psss, what about blue-shirt guy? I bet he's 5'9," "Nah, you're dreaming, strong 5'8 at most!") I would then "inconspicuously" walk up to them and tip toe to see how I measured up to their eye level. It's the most silly and neurotic game two LL'ers can play. Warning though, this game will feed your height neurosis and make you want LL even more ;).  Anyways, my point is that it was really good to be able to talk and joke with another LL'er in real life. Afterwards, Adonis was also very kind and gave me a lift back to my apartment even though he didn't have to. Thanks buddy!

Somebody asked me about fears... Dude, sitting on the passenger side of his car watching Adonis negotiate a roundabout (https://en.wikipedia.org/wiki/Roundabout) is the scariest thing I've had to go through yet ;D. Just kidding. I don't usually have roundabouts in my part of the world, so being in one in Europe was pretty exciting for me. But back to the topic of being scared. I'm not really scared of possible complications (if I was, I wouldn't be here!) since I have full faith in Dr. Monegal. If complications happen we'll deal with them as they come; I've already prepared as best I can. I'm afraid of many logistical things (didn't pack this, forgot to bring that, should have researched X, etc etc) but not about about complications, since I can't control those anyway.

Have to do my best to get some sleep now, doing pre-op tests at Clinica Diagonal tomorrow morning, Bona Nit!
You are in good hands. We cannot wait to hear from you. By the way, what kind of anesthesia are you going to get, general or epidural?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 27, 2015, 04:13:00 AM
Hey KrP1, thanks man. My surgery is less than 12 hours away. Hope to see you in person soon!

Hi Alittletooshort, thanks for the compliments. I'll do my best to keep it as informative as possible so others can learn from my experience.

Hi Concernedmom. Regarding anesthesia, actually it depends on my meeting with the anesthesiologist tomorrow. If I were to guess, I suppose it would be regional (ie spinal or epidural) + sedative. In any case, I'm knocked out for surgery.

Back to the story:

Remember in my previous post I said I was signing off and going to bed? Well, it turns out I didn't sleep for the whole night. I was too anxious/nervous to rest and I laid awake for the whole night. At 9:30am I walked from my apartment over to Clinica Diagonal to do my pre-op test.

The clinic is quite a large building, and very new. It's so clean that you get the impression that it was just built. I went up to the second floor (careful though, I think in Europe the second story is known as the "first floor", the ground level is the "ground floor" or "zero"). In any case, I went up a flight of stairs to registration and Pepe, the supervisor, pulled up my records to get the process underway. Pepe assigned a young girl, one of the admins, to babysit me. Her name was Berta and I'm so grateful that she was there to help, otherwise I would have been totally lost. Even though Berta was very young (she looks like she just finished school, if I were to guess), and I was visibly older than her, she really went out of her way to explain things to me and made sure I was at ease. This was true with all of the specialists that I met today. I think perhaps they could see the fear and confusion on my face  ;D

The pre-op test is basically three tests: ECG (heart rate monitor), X-rays, and blood tests. For each of the tests you have to go to a different wing of the hospital and get in line (you're not the only one taking those tests, other locals are doing the tests as well for their own reasons). Luckily, with Berta by side, she was able to talk directly with the admins at each station and I didn't have to wait long to do any of the tests. Berta's English was good enough, and I had Google Translate on my phone so we got along fine.

The specialists that conducted the tests though, didn't really speak English. But that was the most fun part of the whole experience, as you'll see..

The first test I did was ECG. The specialist was a stunning young lady. As soon as I walked in she closed the door and said in English, "You, take your T-shirt off." Ha, well she didn't have to tell me twice! I was very willing to comply, and as I laid down on the bed she took my pulse. The test was over far too quickly and I was whisked away to the next station before I could give her my number  :P :P :P :P

The specialist at the blood test station was closer to middle-aged. Although she knew I didn't understand what she was saying, she still continued to talked to me in a very soothing tone to put my mind at ease. I'm guessing, but I could imagine she was saying, "There there, it won't hurt a bit. Nothing to worry about. See? All done." I'm always amazed and in great admiration of those people that go above and beyond their job to help allay another human being. The test only took a minute or two, and she didn't even have to talk to me, but she choose to be nice to me and I'm grateful for that.

For x-rays there was a separate waiting room and I was on my own. As the specialist arrived she started asking me questions without raising her head from her notes. When I didn't say anything she looked up. I just held a goofy grin until it dawned on her that I didn't speak Spanish or Catalan. She crinkled her eyebrows and I surmised that she was trying to ask me if I could please strip down to do the x-rays. I mimed the action and she nodded. I could see that she was relieved she didn't have to ask in English.

After taking my clothes off to yet another beautiful lady, I saw her go back to the control room and begin to refer to a translation cheat sheet (eg "How to tell the patient to stand straight in English"). Again the crinkled eyebrows. It was cute. In the end she gave up on the English and just did the positions herself and I would follow her pose and how/where she wanted me to stand, etc.

The entire pre-op process took about two hours, and by this time it was close to noon. Berta told me to go eat something and come back later since the x-rays would take a while to process.

It was about 12:45ish or so that I met up with Dr. Monegal. He looked over my test results and was satisfied there were no major problems. He also took me to meet user Bohemia (who is two days ahead of me in the process), really cool guy!

...

I want to talk a bit more about fears. For the past day I was really squeamish about the catheter, and I had let it get the better of me. People have been, "aren't you afraid of this" or "aren't you concerned about that", and I will admit, the more I thought about it the more the issue manifested itself. But I spent some time to meditate on it tonight, and I realized (again) that the only thing holding me back was myself.

I had to give myself a mental slap in the face: "Glenn, if you dislike the catheter so much then don't do the surgery." "Glenn, if it's such a hardship for you then just quit and go back to your old self. Nobody is forcing you to do this." I've been fighting to do LL for years, how foolish of me to let these petty concerns take hold of me now!

I believe the problem was HOW I saw the surgery. As I wrote this blog these past few days, I came to see the surgery as a "challenge," something that was wrought with hardship and obstacles. I had diverted from my original perception that LL is an "opportunity" for me to realize my dreams of outgrowing my limitations. Once you see something as difficult, your mind conjures up fears and insecurities. Once you see something as a reward, your mind salivates to possess it.

So what am I feeling now? It's 6am currently and I'm due at the hospital at 1pm. I'm back into a positive mental state and actually looking forward to the surgery (and yes, even looking forward to the catheter!). I want to leave you guys with one of my favorite poems of all time, by Berton Braley. It always pulls me into a positive direction, and hope that it can do the same for you:

"Success"
by Berton Braley (https://en.wikipedia.org/wiki/Berton_Braley)

If you want a thing bad enough
To go out and fight for it,
Work day and night for it,
Give up your time and your peace and your sleep for it

If only desire of it
Makes you quite mad enough
Never to tire of it,
Makes you hold all other things tawdry and cheap for it

If life seems all empty and useless without it
And all that you scheme and you dream is about it,

If gladly you'll sweat for it,
Fret for it,
Plan for it,
Lose all your terror of God or man for it,

If you'll simply go after that thing that you want.
With all your capacity,
Strength and sagacity,
Faith, hope and confidence, stern pertinacity,

If neither cold poverty, famished and gaunt,
Nor sickness nor pain
Of body or brain
Can turn you away from the thing that you want,

If dogged and grim you besiege and beset it,
You'll get it!

Wish me luck guys, I'm here all alone so your support is GREATLY appreciated!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Nightwish on August 27, 2015, 06:37:14 AM
Good luck Glenn! Excellent diary!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: bluebarbie on August 27, 2015, 08:08:32 AM
Keep up the good work..glen. Cheers ;)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Adonis on August 27, 2015, 02:30:42 PM
Good luck Glenn!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on August 27, 2015, 03:03:41 PM
All the best, Glenn. You have a great attitude towards this, keep it that way. :)
Waiting to see how it went.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 27, 2015, 09:47:55 PM
Hi  Guys!

Quick update: Finish about two hours ago. All is well. No pain, but a bit dizzy and fatigued from the drugs. write again later! Thanks all.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: axelf on August 27, 2015, 10:00:34 PM
hey glenn,

nice that everythign seems to have gone well :)

how long will you stay at MIC? you still need that roommate? I will be there in mid october!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: KrP1 on August 28, 2015, 12:44:16 AM
Is nice that everything went well. Now your journey have started!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on August 28, 2015, 01:41:07 AM
All the best! Keep us updated.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: concernedmom on August 28, 2015, 02:10:46 AM
Hi  Guys!

Quick update: Finish about two hours ago. All is well. No pain, but a bit dizzy and fatigued from the drugs. write again later! Thanks all.
Hi,Glenn!
We were worried about it. It is so great that you updated.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: ouroboros on August 28, 2015, 02:56:59 AM
Greetings from a fellow Canuck,
Glad to hear you are recovering.....get some rest and write to us when you feel better....
Thanks for sharing your experience
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: TrueSpartan on August 28, 2015, 10:44:11 AM
Thank you for your response Glen! Good luck and I will pray everything goes well for you! Stay strong.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 28, 2015, 12:11:44 PM
(Sorry for brief one-liners, but I do want to thank each and every one of you individually for your well wishes, because I really do appreciate it. You have no idea what it means to me)

Dear Nightwish: Thank you for the well wishes! It's good to meet you!

Dear Bluebarbie: Thank YOU! Actually, YOUR journey is such an inspiration, despite the complications you had you still endured. I hope I can have half as much resilience and positive attitude you had during my weak moments in these coming months!

Dear Adonis: Thanks bro! Feel free to message or visit me anytime.

Dear Penguinn: Thank you! I will try to maintain this positiveness. Please do feel free to yell at me in public on this thread if you detect that I'm losing my positive attitude. (In fact, everybody is welcome to do that! ;D)

Dear Axelf and KrP1: Hi guys, thank you both for the well wishes! Axelf, I'm willing to share rooms with you, but it depends on KrP1. The reason is because I've already agreed to share with KrP1 from 15 September to 15 October. But if KrP1 chooses to extend because of complications or whatever then I would prefer to stick with him and not leave him stranded. By the way, I am flying to Canada on 31 October.
We don't need to decide now, we can choose to revisit this issue after October. It seems MIC has that flexibility. KrP1, what is your current plan so far?

Dear Concernedmom: Haha, thanks for the concern (get the joke? ;D). To answer your previous question, I had spinal anesthesia with a sedative, so there was lower risk compared to general anesthesia. Besides, I have 120% faith in Dr. Monegal's technical skill.

Dear Ouroboros: Fellow Canuck, eh? ;D Thanks for the well wishes! We Canucks gotta represent!

Dear TrueSpartan: Thank you once more for your prayers and encouragement. I will do my best to stay strong like a Spartan! :-)

I'm truly grateful to each and everyone of you, thank you. Onwards now to our story...

The night before my surgery was also sleepless (I guess I'm still jet-lagged). I napped a bit to get up at noon, took a a quick shower and then said my final goodbye to Elena and her family. Before I left I asked Elena about a folded-up wheelchair in the middle of the corridor. Everybody in Elena's family is able and healthy so I was always thought it was peculiar that she kept a wheelchair in her home. I asked her about it and she said, "Ah, my father.. six months," and then she made a sleeping motion, putting her palms together next to her cheek. I expressed my condolences as best I could and she smiled in acceptance. How short life is! Whatever it is you want to do in this world, do it now.. You only get a limited number of "tomorrows."

After walking to Clinica, I introduced myself to the receptionist on the ground floor. She took me to a small office behind the desk to what I took to be the administrator in charge of admissions. She examined my passport and took the hardcopies of the tests I did the day before. She was really nice and the first thing she told me upon introductions was that her English wasn't that good. No worries, I took out my smartphone and introduced her to the Google Translate app. (If you haven't tried it yet you should. It's really amazing, both parties just SPEAK into the phone and it translates on the fly offline, no need to type!) She was so impressed with the app she asked me what it was.

Afterwards, someone else escorted me to the third floor to what was to be my room for the next seven nights. It's about 30 square meters or so, very clean and modern. It has plenty of closet space, a mini-vault (the type you would find in a hotel), a bench sofa that folds out into a single bed (I suppose if you have relatives coming over to take care of you), a large armrest chair with wheels (not a wheelchair), tv, desk, normal chair, and a very large, accessible, washroom (it's almost the same size as the bedroom).

Then two nurses came in, one young, one old. I presume the younger one was called in because the older didn't speak any English. They did some blood pressure tests, and instructed me to how to use the special soap to shower and change. I had already shaved my legs prior to coming to Barcelona so they didn't have to shave me. When the younger nurse asked me if I had any "conditions or diseases," I made a joke and used Google Translate to tell her that "I suffered from having a broken heart"  :P She laughed loudly and explained the joke to the older nurse, who then began to look at me with softer eyes. It's amazing how jokes about love and heartbreak can break cultural barriers. I guess it's something that speaks to our common humanity, no matter what culture you're from, that we all love and cry and have the same insecurities, emotions and childhoods deep down inside.

After the nurses left I showered and changed as instructed. A male nurse came in to check in on me, I would later come to know that his name was Emilio. After that another young man by the name of Sergio came to pick me up to take me to the OR. I was instructed to get on the bed and he wheeled me to whole way. I was looking straight up at the ceilings and it was really surreal to watch the tube lights come and go, in and out of my line of sight. For some reason I offhandedly thought: "Hmm, so that's what it feels like to be a corpse, when you die they wheel you to the morgue like this :P" Just a quirky observation. Don't read it the wrong way; I was not nervous or anything, it's just a comment (in fact I was quite enjoying the process!). From the hospital bed, I transferred to a gurney and then into the prep room.

Also, I should mention that from the ground level to the nurses, every single person (even the lead admin) made a note to ask me about my allergies and whether or not I had eaten anything during the day (a big no-no for anesthesia). It really put my heart at ease that they were so diligent. It made me feel that they were taking things very seriously and that I wasn't "just another patient."

In the prep room, the anesthesiologist's assistant came over and took her time to explain what was going on and how they were going to do it. She asked me what questions I had and also asked me when was the last time I ate, if I was medication, any jewelry or piercings, etc. She reminded me of my sister and I was instantly put at ease by her demeanor.

The actual anesthesiologist doing me didn't speak English I guess, because everything he said the assistant had to relay it to me in English. For the spinal anesthesia, you have to sit up and arch your back so he can insert the needle correctly. I guess they were afraid of miscommunication so the assistant bent down facing me and put her forearms on my shoulders and pushed down, sort of like a half hug, or a boxing clinch (http://www.global-training-report.com/clinch1.jpg). I don't know if this is standard practice or not, but for me it was a very personal and caring experience. Her head beside mine, she whispered what the doctor was doing and translated his words.

I can't remember too much after that since the assistant also gave me a sedative. I can't remember if it was before or after the anesthesia. I remember prior to being in the OR Dr. Monegal greeted me and introduced me to his assistant, Diaz, but I can't remember if it was at the prep room or not.

I remember waking up and Dr. Monegal was telling me that the operation was a success. For some reason, I spoke to him in French and apologized for taking so long :P . The next thing I remember was back in hospital room at about 10:30pm, I think. Two nurses came in to do some tests and I asked one of them to help plug in my laptop. I woke up don't-know-when and sent my previous forum post update and then passed out again. Finally I woke up for real at about 2:30 or 3:00 and started surfing and working on my laptop up until now. (Yes, it really has taken me HOURS to write this post! ;)) I called for assistance at 4:30am because I felt nauseous and was having hot flashes because the anesthesia was beginning to wear off. The nurses were here within 30 seconds. They gave me an IV specifically to combat the urge to vomit and also gave me a large bottle of water to drink slowly. (It's almost 11am and I've been typing since then.)

I watched the sunrise on beautiful Barcelona from my hospital room window. It was the most glorious sunrise I've ever seen yet. Alone, in a foreign land, I shed a single tear of happiness for all these years of dreaming coming to fruition. It was a new day, and a new chapter in my life.

I can't remember what time, but a nurse named Nalita came to check in on me at daybreak. Aside from her name, I can't remember that exact details of that interaction.

Not long afterward, a tall, young nurse came in at around 7ish. She warmly introduced herself as Martha and asked me what my name was. Martha was the type of person that seemed to brighten up any room with her positive presence. She explained to me that she was here to hook up some painkillers and antibiotics to the IV.
 
Not too long after Martha left, Dr. Monegal came to visit me. I was glad to see him and we chatted about the operation ("Haha, was I speaking French to you after the operation? I can't believe I did that") and he showed me x-rays that they had taken post-op. I learned that my left femur took him about 1.5 hours and my right tibia (which is more complicated) took him about 2.75 hours. I also learned that I have already distracted 5mm as a starting point. Dr. Monegal also checked if I could move my feet and push against his hand. I could only do it a little bit, but now, several hours later after the anesthesia is dissipating, my ankle-ROM is much better, and my toes are at 100%.

Breakfast came soon afterward, served by an old lady that didn't speak any English. She was a bit bumptious with me, but I think it was out of frustration because I couldn't speak her language in her own country. When I used the google translate she warmed up to me (and even helped me plug in my laptop cord when it came loose), so I think she was angry at the situation, and not necessarily at something I did. It was a simple continental breakfast served on a tray. There's a table that allows you to eat at your bed.

By the way guys, a small, important sidebar: BRING AN EXTENSION CORD. The electrical sockets are too far away for an Apple MagSafe cord to reach the bed comfortably. Depending on what part of the world you're from, don't forget to bring a universal adaptor as well.

During the day, Martha came in several times to replenish the IV with more painkillers, since the anesthesia is slowly wearing off.

My sponge bath was at about 10ish, and Emilio and Martha came in to clean me. Guys, I tell you, after today, I have total and complete utter respect for every nurse in the world. I will always look at nurses now with admiration of their compassion; they are such unsung heroes! As they were cleaning me, it became apparent that I had made a mess on my bed spread. I had no sensation and didn't even realized that I did that. Without complaint they rolled me on my side and Emelio went to get fresh sheets. I was so embarrassed, and as Martha held me close and used her body to brace me so I wouldn't tumble over, Emelio switched the bed sheets. I had seen Emelio in the afternoon yesterday (he told me he gets off at 14:30 today), so I suspect he was pulling a 24-hr shift. As Martha was holding on to me I used Google Translate to her I was sorry for the inconvenience. When she heard that she rearranged her position and warmly rubbed my arm and cooed, "Ah no, Glenn, it's ok, it's ok." I hope I never forget such kindness.

At 11:40am, the cleaning crew came to clean the whole room, including the washroom...

At 1:30pm lunch was delivered. Soup and fish. Was ok for me. Dr. Monegal also WhatsApp'd me to see how I was doing.

It's taken me quite a few hours to write this, and by now I'm quite tired. I think I will take a nap guys..

And finally, if Dr. Monegal is reading this, I want to give him a special thank you for making all this possible. If it wasn't for him, none of this dream would be able to come true. Thank you so much for everything.


Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on August 28, 2015, 12:32:32 PM
That was a good read. And good to see you're doing so great. Rooting for you!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 30, 2015, 05:46:40 AM
Thanks Penguinn, appreciate it!!

So it's been a day and a half since I last updated. I'm going to try and be more efficient with my writing.

I'm starting to get into the Clinica routine. Morning is check-up, sponge bath, and breakfast. During the course of the day, the nurses will continually switch your IV and make sure you're doing ok. My only sadness is that I'll never be able to repay the kindness or even communicate my sincere appreciation for all that these nurses have done for me. I haven't been able to keep track of their shift rotations, but I count about a dozen or so different nurses that have taken care of me in the last couple of days.

Martha also dropped by to say hi even though she wasn't on rotation to take care of me today. That was nice of her and I really appreciated that. In the morning also, a different member of the food staff wheeled in a breakfast trolley and asked me what I wanted. I choose croissant and juice. Afterwards, another nutritionist (you can tell because their uniforms are in black; the nurses wear burgundy) came in with a clipboard and took my order for lunch and dinner. This is how it works: each meal comprises appetizer, entree, and dessert. Within these you get to choose from a fixed pool of selections. So for example, for lunch I chose salmon salad for appetizer, chicken thighs for entree and fruit salad for dessert. For dinner I chose vegetables for appetizer, omelet for entree, and fruit for dessert. I'm not sure yet, but I believe the choices you can make are the same for lunch and dinner. My appetite is good and I find myself looking forward to the meals.

Dr. Monegal came in to check on me as well and let me know to do x-rays and PT. Martha was also there to update Dr. M on stuff from the previous day.

For the x-rays, two male orderlies came in and wheeled my bed to the elevators so I could get my x-rays done. It was a only a day or so but it feels like a million years has gone by since I've left the confines of my hospital room. In the hallway there was a frail old lady on a walker. She was taking these mini-steps that would take her forever to walk across the hall, but I could see that she was determined. We exchanged glances, and I was sort of embarrassed that I was being wheeled out like a king while this old lady was fighting to walk. Such strength the human soul has!

After x-rays I was wheeled back to my room to begin my PT. Readers of this forum and other diaries will know the name Hector. I finally met him yesterday, and as described by others is a really nice guy and good at his job. Hector brought over a machine similar to this (https://en.wikipedia.org/wiki/Continuous_passive_motion) (I don't know if it's the exact same type but you get the picture). Basically, you strap your leg onto the apparatus and it has a motor that bends your leg back and forth for you. I loved it. It felt good to feel the blood pulsing in my legs again. We did 30mins per leg, 90 degrees. Later that night Dr. Monegal told me that this was a good result.

Yesterday I also slept for the whole day. The only time I woke up was to eat and when the nurses came in to do stuff. I woke today at about 4:40am. My testicles are a bit swollen, and the nurses have been putting ice packs on it. It's subsided a lot in the past day already.

Currently, it's the morning of my third day, post-op. My epidural was just removed, as well as all my IVs. It's time to man up! Hector said that today we will do the machine again, and also see if I'm able to sit in the chair. I feel pretty good, slight stinging sensation on my left knee and lower back stiffness. Feeling thirsty. Right now just sipping water and admiring the Barcelona sunrise...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: axelf on August 30, 2015, 12:49:34 PM
So  many nurses and youre testicles are wollen?... ;)

Im only there From mid october. That is when youre almost gone then, isnt it?



Vas y Glenn!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on August 30, 2015, 10:27:05 PM
Hi Axelf!

Hahaha.. Actually, sex is the last thing on your mind when there is a catheter sticking out of you. Also, only male nurses will handle your genitals.  :o  At this point, more men have seen my penis than a swimming pool change room. :D
I am flying away on Oct 31, so if you want to share for your first two weeks I am fine with that, as long as it's ok with KrP1.

...

Today a few key milestones happened:

1. I was able to transfer myself from the bed to the wheeled chair. Basically, Hector and a nurse lowered the bed and put the chair next to the bed. I mostly relied on upper body to pull myself into the correct position to sit. Later in the day, I was confident enough to get myself back onto the bed from the chair. I didn't call for any assistance and the nurses were surprised that I was back on my bed without calling them.

2. I managed to finally use the actual toilet and poo. While I was on the chair I asked the nurse to wheel me into the washroom. From there, I again relied on upper body to pull myself onto the toilet seat. After I was settled in, the nurse left to give me some privacy (there's a bell inside the washroom to call them after you're done).

3. Dr. Monegal dropped by to see how I was doing. He said I could try to stand on my feet with assistance. So while I was on the chair he basically picked me up while I hugged him. When I was in a standing position, he told me to let go of him. I was able to maintain a standing position on my own weight for a few seconds. Although this is a far cry from actually walking, I think it really says a lot about the strength of the Fitbone rod.

Currently it's been over half a day since my epidural has been removed. They're only giving me intermittent IVs mixed with water now. Feel pretty ok. There's a stinging sensation near my left knee (pain level 1, it comes and goes...more of a nuisance really), and my outer left thigh is itchy (where the incision was made).
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 01, 2015, 01:19:39 AM
End of Day 4:

It's Monday so the old breakfast lady was back on shift today. We get along fine now since I've learned that she knows the words "croissant" and "orange juice." She gives me a smile and says "Bye" every time she comes pick up and drop off my tray now. Amazing how a simple smile can convey so much intention much more than words.

I had two PT sessions today. One with Hector in the morning, and then again on the same machine with another physiotherapist, Alberto, in the afternoon. Alberto is meticulous and just as nice as Hector. Morning PT session was challenging with stiff muscles. I did 100 degrees on left leg and 110 degrees on the right. Afternoon with the same settings was a breeze.

Dr. Monegal also came by during lunch with new physiotherapist Claudio. I'm looking forward to getting to know him since I can feel that he is going to push me hard. Claudio will be working on me tomorrow.

I asked the nurses to pull out my catheter. Life is better when you're master of your own bladder. I can now use a walker to slowly to make it to the washroom and back. It takes a lot of stamina out of me, but I'm loving the freedom. Standing upright is no problem, but getting in and out of bed is the difficult part that I'm trying to be very, very, careful about. I don't want to do anything stupid and injure myself at this stage of the game.

It's tough to do this several times a day, but my personal feeling is that day-to-day activities like getting out of bed, moving around and going to the washroom is one of the best forms of PT one can do. You guys have no idea how much of a psychological boost this is to be able to clean yourself without any assistance.

( The first time I used the walker was so physically demanding I had to blast the Rocky Song (https://www.youtube.com/watch?v=btPJPFnesV4) just to get myself through it. 
Coincidentally, who does the bass guitarist at 1:36 remind you of?  :P )


On a side note, I had the fortune of running into the anesthesiologist's assistant from a few days ago (the one that was whispering in my ear during the anesthesia). One of the saddest things for me is that I'll never be able to fully communicate my appreciation to all the amazing human beings I've met on this journey. So I was really grateful for the chance to let her know that I didn't take her assistance lightly. Dr. Monegal I think told her I was writing about my experience online and wrote about her. She said, "ah, thank you!" I didn't know how else to express my gratitude so I just clutched one of her hands close to mine. She smiled warmly in response and tousled my hair. I still don't know what her name is, but I don't think it matters. As long as she knows I'm sincerely grateful it's enough for me.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on September 01, 2015, 01:27:36 PM
Hi glenn, great diary so far and glad to hear you're doing well!  really respect your positive attitude and appreciation for everything, which can be tough at the beginning when pain is high and the smallest tasks like going to the bathroom are are so hard.  wishing you the best man

also, another great rocky song if you ever need some more motivation haha

https://www.youtube.com/watch?v=GvQkl7qa6RQ
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 02, 2015, 04:15:12 PM
Hey Goldenegg, good to hear from you again! Thanks for that clip, I ended up following the Youtube suggestions and watched almost all of the Rocky soundtracks, haha :-)

Yesterday, Dr. Monegal showed me how to use the machine to lengthen the Fitbone rods. There's a small box-like machine (about the size of a box of cigars) that plugs into the wall outlet. From the box, there's another wire that attaches to a dongle. Inside your leg, there are wired contacts that are directly connected to the rods (the contacts are skin-deep and you can feel it with your fingers). To lengthen, you place the dongle on top of your skin, above the contact and press a button on the box. The dongle sends a signal to the contact and instructs it to lengthen a predetermined distance (you confirm that it works by simultaneously listening to your leg with a stethoscope. You can hear a distinct motorized whirling sound as the rod extends).

Yesterday Martha also switched my bandages for me. I was a bit naive; I didn't even know that that had to be done! She pulled my leggings off and replaced the bandages one-by-one as I busily played on my phone. I had a flashback of my childhood as a toddler, my two older sisters would braid my hair while I played with my toys quietly by myself.

Elena (my Airbnb host) also came to visit me yesterday! Her husband Jose and their young son Leo also came. It was good to see them again and meet like old friends even though we were total strangers in different parts of the world just two weeks ago! As they left, Leo gave me a hug and kiss on the cheek. This LL journey of mine hasn't just been a physical journey, it's also allowed me to explore my humanity and I'm truly grateful for all the meaningful connections I've been able to make with people I've met on this adventure.

Remember Elena's wheelchair I mentioned previously? I bought it off her for 100 Euro, so now I have a ride ;D. I promised Musicmaker that we would have wheelchair race at the MIC if we were there at the same time. We'll see who's faster  ;D

Emilio gave me a high-five as I passed him in the halls in my new ride. He also came to my room to chat for a bit later in the day. We didn't get very far until he was called away back to work, but I really appreciated him treating me just like a pal and not like a patient. It made me feel like my empathy was reciprocated and that all this meaning-of-life stuff I was feeling wasn't just in my own head.

I made a note to keep my legs warm when I slept last night, and that worked well for me.

This morning was rainy and I was feeling a bit depressed since it's going to be my final full day at Clinica Diagonal. I did my best to warm my legs up and get myself out of that negative state, but I was only back up to speed after the morning PT.

Hector always has this dreamy look when he looks out at the hilled houses outside my room window. Today I learned why. He warmly told me that today he was signing some housing documents and that he would be moving in with his girlfriend. I'm happy for him! In turn, his happiness cheered me up a bit, so I was grateful for that.

Martha was taking care of me again today. I was surprised since she already had a huge shift the day before. I used Google Translate and showed her the translation on my phone. "Who will switch bandages for me when you're not here?" She smiled and typed back bittersweetly, "It's easy, I'll teach you."

Met Claudio today and he told me the PT plan (at minimum, everyday for 2 weeks and then three times a week for the next 6 weeks, extra sessions if necessary for free). At 1,200 Euro it was quite over-budget for me, but oh well, what can be done?

I'm still not sure about the logistics and the schedule for tomorrow. But I'll find a way I suppose. After a person has done LL there really isn't much else that causes fear... ;)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: concernedmom on September 02, 2015, 06:11:47 PM
Hey Goldenegg, good to hear from you again! Thanks for that clip, I ended up following the Youtube suggestions and watched almost all of the Rocky soundtracks, haha :-)

Yesterday, Dr. Monegal showed me how to use the machine to lengthen the Fitbone rods. There's a small box-like machine (about the size of a box of cigars) that plugs into the wall outlet. From the box, there's another wire that attaches to a dongle. Inside your leg, there are wired contacts that are directly connected to the rods (the contacts are skin-deep and you can feel it with your fingers). To lengthen, you place the dongle on top of your skin, above the contact and press a button on the box. The dongle sends a signal to the contact and instructs it to lengthen a predetermined distance (you confirm that it works by simultaneously listening to your leg with a stethoscope. You can hear a distinct motorized whirling sound as the rod extends).

Yesterday Martha also switched my bandages for me. I was a bit naive; I didn't even know that that had to be done! She pulled my leggings off and replaced the bandages one-by-one as I busily played on my phone. I had a flashback of my childhood as a toddler, my two older sisters would braid my hair while I played with my toys quietly by myself.

Elena (my Airbnb host) also came to visit me yesterday! Her husband Jose and their young son Leo also came. It was good to see them again and meet like old friends even though we were total strangers in different parts of the world just two weeks ago! As they left, Leo gave me a hug and kiss on the cheek. This LL journey of mine hasn't just been a physical journey, it's also allowed me to explore my humanity and I'm truly grateful for all the meaningful connections I've been able to make with people I've met on this adventure.

Remember Elena's wheelchair I mentioned previously? I bought it off her for 100 Euro, so now I have a ride ;D. I promised Musicmaker that we would have wheelchair race at the MIC if we were there at the same time. We'll see who's faster  ;D

Emilio gave me a high-five as I passed him in the halls in my new ride. He also came to my room to chat for a bit later in the day. We didn't get very far until he was called away back to work, but I really appreciated him treating me just like a pal and not like a patient. It made me feel like my empathy was reciprocated and that all this meaning-of-life stuff I was feeling wasn't just in my own head.

I made a note to keep my legs warm when I slept last night, and that worked well for me.

This morning was rainy and I was feeling a bit depressed since it's going to be my final full day at Clinica Diagonal. I did my best to warm my legs up and get myself out of that negative state, but I was only back up to speed after the morning PT.

Hector always has this dreamy look when he looks out at the hilled houses outside my room window. Today I learned why. He warmly told me that today he was signing some housing documents and that he would be moving in with his girlfriend. I'm happy for him! In turn, his happiness cheered me up a bit, so I was grateful for that.

Martha was taking care of me again today. I was surprised since she already had a huge shift the day before. I used Google Translate and showed her the translation on my phone. "Who will switch bandages for me when you're not here?" She smiled and typed back bittersweetly, "It's easy, I'll teach you."

Met Claudio today and he told me the PT plan (at minimum, everyday for 2 weeks and then three times a week for the next 6 weeks, extra sessions if necessary for free). At 1,200 Euro it was quite over-budget for me, but oh well, what can be done?

I'm still not sure about the logistics and the schedule for tomorrow. But I'll find a way I suppose. After a person has done LL there really isn't much else that causes fear... ;)
Hi,Glenn!
You have an amazing diary. How amazing is that people in Europe have a different attitude towards each other. Totally different in US. Do you feel pain when you use the machine to start lengthening or during PT?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 02, 2015, 07:46:52 PM
You're having a great experience lol. Hope it stays the same.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 03, 2015, 08:20:31 AM
Do you feel pain when you use the machine to start lengthening or during PT?

Hi!

There is no sensation whatsoever. That's why you have to listen with a stethoscope while you lengthen, the whirring sound is the only way you can discern that it's working.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 05, 2015, 10:28:19 PM
Hi All,

After being discharged from Clinica Diagonal in the afternoon, the MIC ordered a special taxi for me. One that could accommodate a wheelchair. It was basically a minivan with the seats removed, and had a ramp to wheel the person directly in. The driver was a very nice old man, who got out of the taxi and warmly introduced himself, "Hello, Senor Glenn, how are you?" There was no mistaking me since I was the only guy in a wheelchair at the entrance of the hospital. He promptly helped me with my bags and wheeled me up the ramp into the taxi, strapping my wheelchair into the harness. As we got underway, he looked into the rearview mirror and said, "Sorry, my Ingles not so good. In my taxi I have WIFI. Password is..." He didn't have WIFI. He was turning on the mobile tethering for his own phone so that I could use it. What a nice guy!

The taxi ride was uneventful, but I soaked in the local scenery from the car. Every scene looks like art when you've been behind four walls for a week. In reality it only took us only a short bit of time to arrive. The hotel staff wheeled me up to my room and showed me all the amenities. And pretty soon I was alone in my room.

I slept late again. I didn't take any painkillers and the nagging leg pain kept me up until sunrise. I awoke with the hotel staff entering my room. Claudio had alerted the hotel staff when I missed my PT appointment, and they were afraid something had happened to me.

I love my PT sessions, since Claudio pushes me hard and I feel like I am finally taking an active role in my LL process. After that first PT day, combined with medicine that the hospital discharged me with, I slept like a baby the second night.

Aside from that though, the days are quite similar: After a light breakfast, I do my PT with Claudio. After returning I will cook, eat, clean myself, wash some clothes, lengthen, supplements, medicine,do my PT homework, do my work and studies, pick up around the house, etc, etc. Everything takes longer to do when you're in a wheelchair, and usually these chores will take most the day to complete. And then at night, try to get a good night's sleep!

I don't know what else that I will have to update in the next little bit, since I will be continuing this routine for the next two months. If you guys have any specific questions, please feel free to let me know, thanks!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Aturro on September 06, 2015, 11:33:34 PM
Hi Glenn, I haven't been online for quite a while and so I am bit late with congratulations. Very glad to hear that everything seems ok with you and that the surgery went well. The boring daily routine starts now...keep up the positive attitude..

Your diary is great, I guess everybody loves it...all the best for the moment!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 07, 2015, 02:07:42 PM
Hi Aturro!

Good to hear from you. I read your diary update as well and I'm happy to know that you're doing well, too. Yes, the daily routine can be a bit boring. My butt is getting sore from all the sitting around! I have to constantly remind myself to switch positions and stand every so often. :-)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 07, 2015, 02:41:51 PM
Hi Aturro!

Good to hear from you. I read your diary update as well and I'm happy to know that you're doing well, too. Yes, the daily routine can be a bit boring. My butt is getting sore from all the sitting around! I have to constantly remind myself to switch positions and stand every so often. :-)

Good to see you're doing well.
Make sure to do that. Bed sores can be a bitch.
What do you do to pass your time?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 07, 2015, 04:27:29 PM
Hi Penguinn,

Cooking, grooming, and PT homework take up a large portion of my day. As well, through my work I'm actually finishing up my Master's degree. Luckily, I can complete my few final credits online, so doing my course assignments here in Barcelona also takes a lot of my time.

Since my schedule is pretty busy, I don't really feel any boredom. In fact, there is so much more stuff that I want to learn and study I really have to make tradeoffs on my time!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 07, 2015, 04:32:20 PM
It's awesome that you're studying through this. How much time does PT take?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 07, 2015, 07:01:20 PM
Hi Penguinn,

Yeah, it's actually quite difficult to concentrate and hit the books with the nagging leg pain, but I get by.

Right now, PT is 10mins on the elliptical (at 15 kph today), walk about 2 or 3 mins along the parallel bars, and the rest of the time is exercises and stretches while laying down on the bench. The type of exercises evolve over time, getting more and more difficult as you master the previous ones. Total PT time is about 50 mins. And then he gives you PT homework for the day that you're supposed to do when you're at home ..
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 07, 2015, 09:33:11 PM
That doesn't sound bad at all. Anything wrong so far?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 07, 2015, 09:59:40 PM
Nope!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 13, 2015, 04:14:00 PM
Two days ago Dr. Monegal stopped by and removed my stitchings for me. I was happy to see him and we got back to joking around in no time. He was satisfied that things were on track and as he was leaving I asked him if there was anything I could do. "Just be my friend," he says. Funny guy. I still remember the first time we met in person. I think there is a joke he tells everybody when he asks them how many cm they want to lengthen: "Glenn, there is only one rule to lengthening, you can't be taller than me!"   :D :D :D

Under Claudio's recommendation and with Dr. Monegal's permission, I've been told to get off the wheelchair and start using a walker. I must say I'm suffering a little bit of Stockholm Syndrome (https://en.wikipedia.org/wiki/Stockholm_syndrome) towards my wheelchair and missing the comfort of its seat.

So ironic. At the start of my LL planning, I was dreading the wheelchair stage, and now I find that I miss it. It's funny how our perceptions can be so changeable as we broaden our horizons and experience more things with an open mind.

My perception of disabled people has been altered, as well. I now have a better appreciation for what it's like for someone to live in a wheelchair. It takes both inner strength and inner peace to get through the day. Take, for example, something as simple as a piece of paper that has dropped on the floor: It's no one's fault that the paper has fallen, but for the person in a wheelchair that can't pick it up I tell you is one of the most profound feelings of mockery one can feel. From electrical sockets that are just out of reach, to doors that open the wrong way, everything is a constant reminder that the world has passed them by. So the next time you see someone in a wheelchair, don't avert your gaze. Instead, be the first to smile. He doesn't need your help; he just wants to know that he's a participant in this world and that society hasn't forgotten about him.

There was some miscommunication with my booking at the MIC, and they only have double rooms for single use left (no single rooms, I'm told). For Dr. Monegal's patients it's supposed to be 1470 euro but now I'm told it's 1560 euro for some reason. There are other tenants that have been told the same thing so it's not just me. User Bohemia, on the other hand, who is also staying in a double room, is paying 1470 as agreed without any problems. But he paid the day he checked-in, so maybe it's just bad luck for me. I prefer not to quibble too much about it because I don't want it to affect my mood during my recovery.

PT is painful and challenging, but I love it. Claudio is really amazing and I try hard to live up to his standards. It's not a matter of "going through the motions" everyday, because I can tell that he is keeping track of the nuanced progression of each muscle group and pushing my pain envelope ever so slightly each time. It is a tough job, because he must balance the pain inflicted with my own internal pain threshold. ROM is a moving target - if he takes it easy on me now my flexibility will suffer as I distract more and I may not achieve my target height.

I try to put on a brave face each time and say, "Give me more!" Luckily, Claudio doesn't let my bravado influence his judgment and does only what is necessary. I used to think I have a high pain threshold. Not anymore. All it takes is a few more degrees of flex to reduce me to a whimpering baby. I've been through the gamut of pain reactions: from calling out for mommy, to crying, to laughing hysterically, to grunting obscenities, to seeing spots and damn near passing out, to twitching uncontrollably. One thing I am particularly proud of myself though, is that despite the pain I've never asked him to let up or take it easy on me.

It sounds tortuous, but in reality PT is less than an hour everyday. But trust me, you will emerge from every PT session feeling like a real man, and that's just priceless.

As I finished today's PT session I limped back into the elevator, a mass of sweat and quivering legs. I was so dazed from PT I didn't even recognize my friend in the elevator. As it dawned on me, I lighted up and I grabbed my friend's hand awkwardly and we chatted ecstatically. I was originally worried about my friend, but it made me really happy and grateful to see that my friend was in high spirits.

I came back to my room and fell asleep with an ice pack on my leg.

The reason I take so many naps during the day is because I'm not able to sleep very much at night. Nights are purgatory. I average about three hours of sleep per night, waking up after one hour of sleep and spending the next two hours tossing and turning, trying to go back to sleep. I can feel it slowly taking a toll on my mental willpower, but I haven't figured out a way to combat this yet. Dr. Monegal says that sleeping pills require a prescription so maybe I will just have to suck it up. I would really prefer to just sleep for a few hours straight at night, since I'm not getting enough slow-wave sleep (https://en.wikipedia.org/wiki/Slow-wave_sleep) right now, which I personally believe is influential for bone growth. We'll see how much of a difference it makes when I do my x-rays in 10 days...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 13, 2015, 05:29:55 PM
You seem like a really pleasant person. I hope I enjoy my LL experience as much as you're enjoying yours. How many cm have you lengthened so far?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: G-Man on September 14, 2015, 07:56:05 PM
You seem like a really pleasant person.

Of course, he's Canadian!  :P
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on September 18, 2015, 01:15:30 PM
Of course, he's Canadian!  :P

That explains it. :D
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 27, 2015, 08:25:59 AM
Today is the one-month anniversary of my surgery! Although I must admit it feels like a lot longer time has passed than that.

I've lengthened about 31 mm so far. To update a few things:

1. A few days ago, Dr. Monegal took user Bohemia and I to do some x-rays to check our progress. We went to a hospital about 400 meters from MIC. Part of the path towards the hospital is a steep slope, and Dr. Monegal told me to wait at the foot of the hill so he could wheel us up one by one. I didn't listen of course ::) and tried to follow behind Dr. Monegal as he wheeled Bohemia up first. It was a lot more difficult than it looked, but luckily for me, partway up the hill a young man, walking his dog, offered to help. Very nice of him.

Dr. Monegal was very happy with both Bohemia and my x-rays and said the results were "A++" I'm glad to receive Dr. Monegal's expert opinion and it gives me a certain peace of mind that he thinks things are going well so far.

2. Thanks Penguinn and G-man for the nice compliments! Truth be told I'm just a normal everyday guy with the same skepticism, cynicism, fear and doubt as anybody else. I feel very strongly though, that a positive attitude is required for a healthy recovery and I work very hard to keep myself optimistic about everything during this time. LL is tough enough, and inner negativity serves no one.

Also, I've met some really exceptional people here at MIC that have endured so much in their lives, it really makes me in awe of their humanity. There's something very transcendent and beautiful about the human spirit that seizes the day and pursues their dreams despite obstacles and hardships. When you see things like that you automatically become inspired to become more appreciative and helpful with those around you.

3. Sleep is still difficult for me, though. I find myself more and more in "zombie state" during my waking hours. I have to push myself hard to stay focused and concentrate when doing my coursework. Aside from the sleeping pains, I would say this is one of the most difficult things for me at my current stage. Even writing this post has taken more effort than I care to admit. :)

4. Somebody PM'ed me and asked if I feel that LL is worth the pain, money, and effort. I suppose the answer would differ from person to person. For me, it is something that I've wanted for many years so there is no question in mind whether it is worth it. But for others that are only borderline short, their motivation might not be as potent. In the end, I think the only thing a person has to ask is, how bad do you want it?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 27, 2015, 10:04:49 AM
(Loss of focus, forgot to mention some more things...)

5. Remember how I said MIC was charging me extra in a previous post? Well, Dr. Monegal saw that post and talked to the MIC. The next day the MIC came back to me and gave me the original price of 1470 EUR for a double room. Thank you Dr. Monegal!

6. KrP1 and I didn't room together and decided to get our own apartments ultimately. For the better I think since the sleepless nights would have driven both of us crazy  :D Everybody is on their own sleep schedule at the MIC anyway

7. The day after my x-rays I decided to only lengthen 0.81 mm per day (instead of 1.08mm previously). Dr. Monegal is ok with that, he said the only downside is that the number of lengthening days increase proportionally.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: axelf on September 27, 2015, 11:04:03 AM
hey glenn,

nice to hear that you seem to be fine!

can you describe your pain level when:

(1) lying in bed

(2) moving your legs

(3) transfer with the walker

(4) PT


you said it's hard to focus during the day. is it because of your sleep deprivation or the pain or both?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 27, 2015, 04:55:05 PM
Hi Axelf,

For the most part, pain is not too much of a big deal considering the other options. Other Barcelona diaries have also said the same thing.

To put it in perspective, I still have 3 different types of painkillers from when I was discharged at the hospital (entyneum, nolotil and tramedol, for different degrees of pain). I actually haven't even opened the tramedol yet. A few times I thought I was taking tramedol, but it turns out it was just nolotil..just goes to show you the power of the placebo effect (https://en.wikipedia.org/wiki/Placebo_effect_(disambiguation)).

At my present stage, muscle stiffness is more of an issue. I'm not even sure I would call it pain; It's more like a nagging nuisance (like a migraine).

1. Lying in bed: The first inch of lengthening, up to pain level 3 or 4 perhaps? I relied mostly on ice packs and occasional nolotil. Nowadays, there is not much pain (level 2 at most?), but my legs get stiff if I don't move them around for a time.

2. Moving Legs: zero pain, except in the mornings when I wake up and my muscles are cold.

3. Using the walker: There's no sharp pain at all, but there is stiffness pain from all the tightened ligaments and muscles.

4. PT stretches: about 7 or 8 pain when I'm challenged at the extreme end of my flexibility. That is a good thing: If PT doesn't hurt then you're wasting your time and you might as well stretch at home.  :)

Difficulties concentrating during the day are probably due to about 65% lack of sleep and 35% muscle soreness.

....

Interesting thing happened just now as I took my clothes to the laundry room. The "laundry room" of the MIC is actually just a small closet space on the second floor with one washer and one dryer. The space can fit only one wheelchair so I would estimate it's about 2 or 3 square meters.

As I wheeled in, I met one of the staff here at the MIC, who was folding up towels. She introduced herself as Rosa, and we got talking. She was keen on practicing her English but my non-existent Spanish skills made communication difficult. Luckily, Google Translate saved me again.  ;D
 
What I found interesting in our conversation was the lack of discrimination towards LL. The staff here talk about limb lengthening matter-of-factly. "Did you do tibia or femur?" "How many centimeters will you do?" etc. etc.  I didn't feel like I had to give reasons for my decision or make any excuses. It was really liberating to just be myself to a stranger like that. Maybe it's because the staff here at the MIC have seen so many LL'ers by now so it's not a big deal for them.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Aturro on September 27, 2015, 09:23:00 PM
Hi Glenn,
sounds like you are doing just fine! I now how hard it is to sleep. will let you know how it improves after the lengthening phase...
31mm in a month is really good, I couldn't do as much over the whole period but if you are not in a hurry .8 should be sufficient and it makes like easier...

I never went to 7-8 pain level during PT, but I think I should have...more work for me now, but good for you...

keep up your positive attitude, you know its worth the effort...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on September 28, 2015, 04:19:43 PM
Hi Aturro,

Good to hear from you again! I read your diary update and am happy for you now that you've finished your first leg without problems. Please do let me know about your sleep patterns now that the lengthening is over.

Thank you for your kind words again, let's both keep up the positive attitude!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Penguinn on October 10, 2015, 01:27:18 PM
How's it going? No updates?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on October 10, 2015, 02:40:59 PM
Hey Penguinn!

Nothing much to update on. Days are quite uneventful (which is a good thing, I think. Been reading about the different complications experienced by Programdude and Crimsontide..ouch). Every day is eat-lengthen-sleep-study, with PT on Monday/Wednesday/Friday. Basically I just try to stay safe and not do anything excessive that might injure myself.

Just lengthened to 40mm today so feeling pretty good. My tibia is great, no ballerina yet so far. My ankle has better-than 90 degree flexibility still. Femur is good, but I have to constantly work on hyperextension everyday to maintain my flexibility and straight knees. Quadriceps I have 90+ degrees ROM as well. Muscles can be pretty stiff and weak when I first wake up, but everything is fine when I get them warmed up. Soft tissue tension is expected and comes and goes.

Other than that, nothing too exciting really... Honestly, hope to keep it that way! And to all those other users on the forum that are going through issues right now, stay strong and hope you guys sort out those issues!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on October 21, 2015, 07:51:03 AM
Yesterday Dr. Monegal came to the MIC with three prospective patients. It was nice to talk to them and relate my experiences and tell them what to watch out for. People ask me all the time, "what would I do differently, knowing what I know now?" And the answer I give everyone is the same: stretch, stretch, stretch! I stretched like a maniac the months before my surgery, but even now I wish I had stretched even more. I could do standing pike stretches no problem, but maybe I should have stood on some books or something to increase the difficulty.

Also, people ask me if I feel any difference, or if I feel taller. Not really, since I'm always on a wheelchair and all the counters and tables at the MIC are lower anyway. But yesterday, after standing next to Dr. Monegal I was pleasantly surprised to see how much I had grown. That was a good psychological boost for me. Dr. Monegal even joked that he wouldn't complete the second round of surgery for since I was getting too tall (I still remember his joke when we first met: "There's one rule to LL, Glenn. You can't be taller than me!" hahahaha).  So although I'm still considerably shorter than Dr. Monegal (who I estimate at 180), it was cool to see how the gap was lessened.

How tall am I now? I estimate I should be nearing 170 or so. The reason is because I was definitely shorter than user Adonis, who I met days before my surgery. He measured his height on a stadiometer and was 165.5cm, so I was definitely shorter than that before my surgery.
 
Anyways, the three people I met yesterday were great guys. They said they were all on the forum, but I didn't get their contacts at the time. So fellas, if you're reading this, feel free to drop me a message or something. Would love to stay in contact and see how your journey turns out.

In other news, I'm almost done my tibia. It was getting tough and I started losing 90-degree-flexibility on my ankles at about 42mm or so. I've been fighting hard to stave off the ballerina feet, but it's ok since I'm almost done. I am at 47mm today, aiming for 50mm, so things should ease up in another 3 days.

Barcelona is getting cold now. I need to sleep in long sleeves and long pants to sleep comfortably. Mornings are nippy.

Off to physiotherapy now!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: treemonger on October 21, 2015, 09:00:35 AM
Hi glenn, been following your journal and the other Monegal kids. I consider you guys the first wave.

Thanks for your advice in needing to stretch more pre-surgery.

I have plans to come early December for consultation and surgery. Hopefully we can meet when you're back February for the 2nd leg of your journey (pun intended).

Keep us updated with your progress.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on October 21, 2015, 04:27:05 PM
Hi Treemonger!

Actually I think there are few forum guys here that have already went back to their home countries after operation with Dr. Monegal, but I don't think they bothered to do diaries.

Haha, "2nd leg"  ;D ;D ;D ;D  Sounds good! Would be awesome to meet you in February, looking forward to it!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 04, 2015, 04:50:40 PM
Hi All!

So it's been about three days since I arrived back in Canada.

I'm sad to leave the MIC, but it was time to go. Even though I miss all my MIC friends, I was starting to go crazy with all the seclusion.

Susana, the manager at the MIC, arranged for a special disabled taxi to take me to the airport, and even asked the driver to help me carry my bag all the way inside the airport to the disabled counter. The disabled counter is a free service offered by the airport to help disabled people board their planes. The workers will help you check in and get through the security check. This was extremely helpful for me since I was traveling with my own wheelchair. 

Some notes:
They let me bypass the metal detectors on my wheelchair, so I don't know if Fitbone sets off the metal detectors or not.
I put the distraction machine in my carry-on luggage and it passed through the x-ray scrutiny without incident.
I had my x-rays and Clinica Diagonal discharge papers with me, but were unnecessary since nobody asked me to prove my disabled status.

The disabled service was extremely efficient, and within an hour of leaving the MICs I was already in front of the boarding gate waiting for the plane.

For the two months at the MIC I only interacted with a handful of people, and upon getting to the airport I was flooded with new experiences. I probably interacted with more people in two hours at the airport than I did for the past two months! Although I miss my MIC friends, I think it was necessary to move out of the comfort zone and get out there.

I've noticed that people are nicer to you when you're on a wheelchair, but tend not to directly look you in the eyes. Oh well, at least I can use the handicap washrooms without guilt now. :-)

Normal wheelchairs can't fit along the aisles of a plane, so boarding the plane requires that the airport staff transfer you to a small wheeled-chair. From there, two airport staff will drag/lift you to your designated seat. Although I didn't get any special seat considerations, the seat that I chose was right next to the lavatory, which made me going to the washroom a lot easier for everybody. I also made a note to constantly stretch and move my legs as much as I could. After touching down, the airport staff will get you off the plane the same way and then will help you through customs and getting your luggage.

At home, I told my parents and brother about the surgery and answered their questions about the procedure. They were shocked at first, but handled it quite bravely. In the end they were quite supportive of everything, which I am very grateful for. Although I'm quite sad to have to put them through the stress. Sometimes I think it might have been easier on them if I didn't come home and recuperated on my own elsewhere.

It's interesting to note, nobody noticed my height change until after I had told them about the surgery. Then it was, "Oh hey, you're taller now!" 

My home isn't wheelchair adapted, so I'm forced to get by around the house with a walker and crutches. I think this is a good thing to get out of the comfort zone. I was getting a bit too attached to my wheelchair.

Straight out of bed my legs feel weak and unbalanced, so I use the walker. When my legs are warmed up after stretching and working out, I use the crutches without problem. Using either the walker or crutches I feel pressure on both my knees, and also weakness on my left adductors when I left my leg to take a step. I'm not too worried about it and I'm sure it will get better over time.

Getting up from a seated position (like the bed, or the toilet) is difficult, mostly because they are quite low and there aren't any handholds to grab onto. Also, going up and down stairs is laborious, so I try to keep that at a minimum. My current aim is to not do anything excessive risky that might cause injury or a loose screw or something since I am all the way back in Canada now.

Also, in my province of Ontario, I think there is a law that requires a local doctor to refer for x-rays. In other words, I can't just walk-in and pay cash for x-rays. I need to have a requisition by a local doctor to tell me to do it. I don't have a local doctor, or OHIP, so if anybody here on the forum has any advice, please let me know!

Other than that, I'm quite surprised actually at how fast the progress is. I'm on day 65 of my lengthening, and I'm currently at 61 mm for my femur. Seems like a lifetime ago, but in reality it's only been slightly over 9 weeks since I flew to Barcelona and had my surgery!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 05, 2015, 11:21:36 AM

Nice news about you.

Just 2 weeks and the consolidation phase will be over. How many time do you need to start to walk with confidence.

How many cms have you done in your tibia?? the same that in the femur??

Could you do a normal job in a office, just light??

Many thanks and good recovery
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 05, 2015, 12:43:41 PM
Nice news about you.

Just 2 weeks and the consolidation phase will be over. How many time do you need to start to walk with confidence.

How many cms have you done in your tibia?? the same that in the femur??

Could you do a normal job in a office, just light??

Many thanks and good recovery

Hi Yagen,

Well, just over about a week or so I will finish lengthening in my femur (I am aiming for 7cm). My tibias I stopped at 5cm, so right now there is a slight discrepancy already between my two legs.

I think it will take a long time for full consolidation to take place. (I've read papers that say about on average it takes 1 month per each cm lengthened, but I'm not sure). About walking confidently, I don't know.. stay tuned to this diary to find out! :-)

Yes, I think it's absolutely possible to work a normal office job at this stage. The only problem would be mobility (does your office have a lot of stairs? Elevators? Wheelchair access maybe? etc)..

Good luck with your consultation with Dr. Monegal next week!

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 05, 2015, 04:31:31 PM

Thank you Glenn,

My main dilema its about if to do a bilaterial femur in one phase or in two phases. I live to 500 km from barcelona.

Doctor Monegal has recommended me in two phases but I prefer feel the pain just one time.

In my office there are some elevators and its easy to move in crutches, but if I will do the bilateral femur in one operation, I dont know when I could star to work at the office.

In your case, when would you be able to come back at work if you only need stay in the office 4 hours?

Many thanks


Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 05, 2015, 08:01:33 PM
Hey Yagen!

If you are in a rush to go back to work, two stages is the only sensible option. Even in two stages I think you would still need a few weeks to realistically recuperate enough to start going to work. Your body will be in a very frail state after surgery. It's not like a nose job or a boob job; I assure you LL is serious stuff and you really have to give time for your body to recover.

Aside from accessibility of the office you also have to think of transportation. Not just how to get to work everyday, but also how will you transport yourself to and from the clinic after the surgery.

For bilateral femur in one phase, I think one whole month is the barest minimum you would need (if you look at my diary, I was only back up to working speed at about week 7 or so). But one month is only the minimum, I think two months is better. Bohemia and KrP1 both did bilateral femur in one stage, and I think they would say the same thing, that two months is better than one.

Also, I would suggest that you really to have to be serious with yourself and ask yourself about the amount of time you can commit to LL. It's ok to have a recovery timeline, but I know more than a few patients that have had to extend their absence to unpaid leave because they were too optimistic about their own recovery times. Best to have a very conservative timeline in your head.

Hope this helps! Let me know if you have any more questions.

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Deutsch Mark on November 06, 2015, 12:43:40 AM
I think you should do one phase. Doctors disagree about it but this is what Dr Guichet says in his page and it makes sense to me.

"Operating on one leg at a time means two separate procedures. Dr. Guichet's patients have only two to three surgeries in total (including the nail removal surgery) when he operates on both legs at once. By lengthening one leg at a time, you will spend twice the amount of time in surgery, twice the amount of post-operative pain and have a twice as long period of rehabilitation. There are no benefits in treating each leg as a separate case.
 
Studies on bilateral operations have shown that the cumulative risk of a two-step bilateral surgery is a 2 (1+1), while doing the two operations at once lowers the risk to 1.6. In other words, the more surgeries you endure, the greater your risk of complications both during and after the surgeries."
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 06, 2015, 02:13:27 AM
Also, in my province of Ontario, I think there is a law that requires a local doctor to refer for x-rays. In other words, I can't just walk-in and pay cash for x-rays. I need to have a requisition by a local doctor to tell me to do it. I don't have a local doctor, or OHIP, so if anybody here on the forum has any advice, please let me know!

Hey glenn, the US is the same way - you can't get xrays without an order from a US doctor.  I made an appointment with a local family doctor and came clean on what I did to myself and explained that I needed to take regular xrays to send back to the surgeon.  It was awkward at first but she's been fine with writing the orders.  on the plus side, my insurance covers mosts of the xray costs now.  I've heard canada has great health coverage.  I read some other diaries where patients get referred to a local orthopedic surgeon so they have a 2nd person reviewing the case.  My local physician is just an internist so she can't really give a qualified opinion but I don't mind as long as I have the xrays to send to my LL doctor.  hope that helps!   
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 06, 2015, 10:55:51 AM


Deutsch and MusicMaker,

Thank you for you recomendation, On monday I will talk with monegal both options  and the pros and cons.

Glenn,

Your opinnion is very important for me because now you know what things you can do it , and can´t do it, the pain and the problems that you have to solve every day. Yes I think if I will do in two phase i will be rest one month after the surgery till I came back to work, if I will be done in one phase I think like you, Bohemia and Krp1 I will need at least two months.

Good recovery

I am very apreciate for your best opinion.

Thank you.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 07, 2015, 01:22:42 AM
Thanks Deutsch Mark and Musicmaker for your different viewpoints!

My belief is that there are pros and cons between one-stage and two-stage.

My personal opinion is that two-stage is "slightly safer, but takes slightly longer." I say safer because there are less variables to manage at one time, meaning less things can go wrong. Also, in terms of day-to-day mobility, if you lose your balance while moving on your crutches, or in the bathroom, you can always save yourself by putting your weight on your good leg. I'm on crutches now so I realize that this is a big plus.

For Fitbone, there's no need for a wheelchair when doing two-stages. That's not a trivial consideration. For G-nail there is no need for wheelchair either (I think), since it's full weight-bearing. But is the mobility really comparable to two-stage patients? I'm not sure that it would be. 

But the big disadvantage for two-stage is the time involved (both in terms of number of surgeries and recovery time) and more importantly the prolonged psychological stress for the patient. This too, is not something that is trivial.

I guess every patient's value system is different, and it just depends on what aspect is more important to them.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 07, 2015, 01:28:07 AM
Hi Goldenegg, thank you for the advice!

Yep, I think I will have to do the same and find a walk-in clinic. I wonder if I can get away with just telling them that it was to correct axis deviation or valgus?

btw, how's your recovery coming along?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 07, 2015, 01:31:26 AM
Hi Yagen,

No problem at all, my pleasure! Feel free to let us all know how it turns out.

Good luck!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 08, 2015, 04:19:26 AM
Hi Goldenegg, thank you for the advice!

Yep, I think I will have to do the same and find a walk-in clinic. I wonder if I can get away with just telling them that it was to correct axis deviation or valgus?

btw, how's your recovery coming along?

going well- I'm about 2 months into consolidation, but feeling impatient to be able to walk without crutches until the dr clears me hopefully soon.  at first I was so excited to be done with lengthening but didn't realize I I'd still have all the same physical limitations until my bones consolidated enough.  without the daily PT sessions and clicking, I'm really just bored these days since I'm not working and in hiding from my friends and family as long as I have crutches.  once I can walk again I feel like I'll be able to get on with the rest of my life. though, I suppose I should be grateful that's my only complaint right now haha

hope life back home is going smoothly for you.  also, I was wondering if there's been any notable differences in your experience with your femur vs tibia lengthening so far (other than ballerina)? was one more more difficult or painful?  do you expect your tibia to consolidate much sooner since you did less?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: alps on November 08, 2015, 06:18:36 PM
going well- I'm about 2 months into consolidation, but feeling impatient to be able to walk without crutches until the dr clears me hopefully soon.  at first I was so excited to be done with lengthening but didn't realize I I'd still have all the same physical limitations until my bones consolidated enough.  without the daily PT sessions and clicking, I'm really just bored these days since I'm not working and in hiding from my friends and family as long as I have crutches.  once I can walk again I feel like I'll be able to get on with the rest of my life. though, I suppose I should be grateful that's my only complaint right now haha

hope life back home is going smoothly for you.  also, I was wondering if there's been any notable differences in your experience with your femur vs tibia lengthening so far (other than ballerina)? was one more more difficult or painful?  do you expect your tibia to consolidate much sooner since you did less?

isn't Guichet nail completely weight bearing?

what is your weight?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 09, 2015, 03:20:03 AM
isn't Guichet nail completely weight bearing?

what is your weight?

hey SAD, Im ~60kg and have the smaller diameter gnails.  yes the gnail is fully weight bearing in the sense that you can put your full weight when standing or walking with a walker or crutches like glenn pointed out earlier.  however, you can't walk too much unaided unless there's enough consolidation.  I don't believe there is any current nailing method that really lets you walk unaided from day 1. even if the nail was indestructible there are still other weak points in the screws or bone that can break. 

I dont wanna hijack glenn's diary, but if you have anymore questions about my experience with dr. G feel free to PM me
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 09, 2015, 12:34:41 PM
Hi Goldenegg!

I'm really just bored these days since I'm not working and in hiding from my friends and family as long as I have crutches.

I was just thinking: why the need to hide from people when you're in crutches? In fact, I think it would be the perfect time to ease people into your new height, since their subconscious would link the height difference as having something to do with the crutches.

Sure, everybody's family and friends are different, but it might be something you want to ponder. I think a lot of guys just use the "ski accident" excuse or something anyway. And underarm crutches are commonly only used for temporary injuries so there's no stigma attached to it.

hope life back home is going smoothly for you.  also, I was wondering if there's been any notable differences in your experience with your femur vs tibia lengthening so far (other than ballerina)? was one more more difficult or painful?  do you expect your tibia to consolidate much sooner since you did less?

Life back at home is peaceful and lazy. I've been eating too well and sleeping too much. So much so that I've got to cut down on my carbs since I'm gaining weight. I was about 57kg before surgery, now I'm 61 kg. It's not much now, but percentage wise I'm sure that if I'm not careful it can get out of control very easily and really affect my recovery.

Since I'm doing cross-leg, I guess I have a better comparison between femur and tibia since I'm doing both methods at the same time and the experience of both are fresh in my mind. Here's a list of random observations, if anybody wants further clarification let me know:

- It's true what they say, femur is easier than tibia. Your leg is just that much stronger in that segment. I still haven't finished distracting my femurs yet, but even so, my femur side is still more powerful and stable than my tibia side.
- From about 1cm to 3cm, most of the stretching pain was on my femurs. I felt nothing on my tibia side and was loose and fully flexible.
- From about 4cm to 5cm, I hit the ballerina "wall" and my foot started dropping with each millimeter I lengthened and regardless of how hard I pushed myself to stretch it was a losing battle. I felt pretty much nothing on femur side at that time.
- From 6cm onwards, lengthening pains on femur were more noticeable, but nothing compared to the stress of what I endured on tibia.
- When moving around in bed or maneuvering to a certain position, it's more painful on femur side than tibia side. Although I'm not sure if this is because I've finished tibia distraction and the femur side is still lengthening. Or maybe because there is more muscle, nerves, ligaments etc rubbing up against the femur nail compared to tibia?
- For PT, the most painful thing by far is stretching the quadriceps (again, maybe there are more nerves in that area?). Stretching calves and hamstrings were comparatively less painful by far.
- From my experience, it's far easier to "power through" femur discomfort than tibia issues.
- Psychologically, I feel more "fragile" on my tibia side. Maybe because my calves are smaller than my thighs and they have to bear more mass than the femur side. (That is, my tibia segment has to bear the weight of everything above it, including the thighs and body, while my other femur segment on the other side bears less with only the weight of the body).
- With femurs, I have difficulty bending my leg at the knee. With tibia, I have difficulty bending my ankle. In terms of biometrics and gait, it's far easier to (try to) walk normally on femur side than tibia side.
- Going up and down stairs, I rely on the femur side as my strong leg. I honestly don't know if it would be possible for me to go up or down stairs if I had done both my tibia at the same time. Again, you have no idea how important ankle flex is to normal movement until you lose it.
- When I'm in the shower and I look down at my legs, aesthetically I prefer the longer tibia. The side with the longer femur makes me look "stumpy".  This feeling goes away when I put on my underwear. I suppose it's because optically, the underwear will "shorten" the visible length of the femur. When I stand up and look at myself in a full-length mirror, I have no aesthetic preference whatsoever on which side is better. They both look just fine and normal to me (even though the knees are at different heights).

And to answer your final question about whether I expect my tibia will consolidate sooner since I lengthened less... No. my current feeling is that my femur will catch up and recover quicker since tibs are so much weaker. (IMO)

Hope this helps!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 09, 2015, 12:38:56 PM
Also guys, don't worry too much about hijacking my thread or anything like that. I'm happy to have people talk with each other and make conversation here. Feel free to do so; otherwise it's just me posting on the wall and that gets pretty boring.  ;)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Taller on November 09, 2015, 04:07:59 PM
So, based on your post above, you think that just 7CM on the femurs alone will make someone with your proportions look a little odd or stumpy while nked?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 09, 2015, 05:06:41 PM
So, based on your post above, you think that just 7CM on the femurs alone will make someone with your proportions look a little odd or stumpy while nked?

Hey Taller!

In my case, while looking downwards at myself, yes.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Taller on November 09, 2015, 08:26:16 PM
Hey Taller!

In my case, while looking downwards at myself, yes.

Thanks for your reply. Any chance you could post a comparison picture? Not nked, of course  ;)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 09, 2015, 10:15:36 PM
Thanks for your reply. Any chance you could post a comparison picture? Not nked, of course  ;)

Hi Taller... Sorry to disappoint, no pics. Not too comfortable with that at this point. Maybe in the future...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 10, 2015, 02:55:14 AM
awesome... thank you glen for that detailed comparison of femur vs. tibia lengthening.  I've been looking for something like that and it's incredibly more helpful coming from someone who has firsthand experience with both. 

glad to hear things are going well back home.  also, I think it's good you're gaining weight!  dr. G was always yelling at me to eat more since I was losing weight haha.  remember you have longer legs/muscles now and metal rods in your bones so you should weigh more 
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 10, 2015, 12:42:16 PM

Great description Glenn!!! Nice job!!

Yesterday I was with Dr Monegal, he is very funny and is a person close to you.
He showed me pictures and videos of a few patients, we spoke about the people that I knew about the forum like you Glenn and Bohemia.

we have spoken about the pros and contras of the operation in one or two phases. Finally I decided to do in two phases, He showed me a video of a boy the day after he finnished the fisrt leg, and he was walking withot crutches. He can do a normal live.

I am going to do the LL in January and three months after the other leg.
Now, he has to send me the budget.

Do you know how to start a new topic??

(http://i66.tinypic.com/24cd1t0.jpg)

Many thanks
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Taller on November 10, 2015, 02:59:44 PM
Hi Taller... Sorry to disappoint, no pics. Not too comfortable with that at this point. Maybe in the future...

No worries. Totally understand where you're coming from. Glad your experience has been good so far.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 10, 2015, 07:14:40 PM
Great description Glenn!!! Nice job!!

Yesterday I was with Dr Monegal, he is very funny and is a person close to you.
He showed me pictures and videos of a few patients, we spoke about the people that I knew about the forum like you Glenn and Bohemia.

we have spoken about the pros and contras of the operation in one or two phases. Finally I decided to do in two phases, He showed me a video of a boy the day after he finnished the fisrt leg, and he was walking withot crutches. He can do a normal live.

I am going to do the LL in January and three months after the other leg.
Now, he has to send me the budget.

Do you know how to start a new topic??

Many thanks

Hi Yagen,

Great news, welcome to the club!  8) To start a new topic, if you're asking to start a new diary, click here to go into the "Internals" section of the forum:  http://www.limblengtheningforum.com/index.php?board=34.0 (http://www.limblengtheningforum.com/index.php?board=34.0) and click "New Topic" (it's on the right side).

I know it's a challenging process, so allow me to give you some advice... You're doing femurs, right? I see you are asking about pain on the forum. Don't worry about pain, you will be able to manage that with medication. There is nothing more important than flexibility, pre-op. There are only two things you need to do now:

1. Stretch your quadriceps
2. Stretch your hamstrings

The more you stretch now, the easier your life will be during recovery. Keep improving your flexibility until surgery time and you will thank me later.


For quadriceps, do this (as far back as possible, with your foot touching your butt):

(http://media1.onsugar.com/files/2013/07/29/788/n/1922729/c407e6635886ed81_quad-stretch-stranding.xxxlarge/i/Easy-Quad-Stretch.jpg)


and this one:

(http://i.imgur.com/Wfc8e.gif)



For hamstrings, do this (legs straight, no cheating):

(https://i.ytimg.com/vi/HHNttRHDdG0/maxresdefault.jpg)



When you can do this, you'll be in good shape  ;D:

(http://4.bp.blogspot.com/_agHXcORx9eY/SmyKDGchy4I/AAAAAAAACHI/5KLtAPMzh4c/s400/grannystretch.jpg)

Good luck buddy, let me know if you have any questions!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Bohemia on November 10, 2015, 11:57:13 PM
There is nothing more important than flexibility, pre-op. There are only two things you need to do now:

1. Stretch your quadriceps
2. Stretch your hamstrings

The more you stretch now, the easier your life will be during recovery. Keep improving your flexibility until surgery time and you will thank me later.

I confirm this x 1,000!

I strongly recommend you stretch quadriceps and hamstrings prior to treatment, so the follow-up stretching becomes familiar and second nature in advance.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 13, 2015, 09:31:03 AM

Thank you so much Glen and Bohemia for the recomendations.

I have started my streching exercises.

I will have the surgery on 16 January of 2016.

How is the consolidation.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 13, 2015, 10:32:10 AM
Good luck Yagen! I'm sure everything will be fine!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 16, 2015, 01:05:17 PM
That's it! I've just finished lengthening my left femur!

My original goal was 7cm, but I went to 7.2cm just in case there was any mistakes with my counting.

For you stats nerds: I reached 5cm on right tibia on day 54 of lengthening, and reached 7.2cm on left femur on day day 77. I started lengthening five days post-op.

Feels pretty good, but I'm still only halfway done. Can't wait to get started on the other segments in February!  ;D ;D ;D ;D ;D   
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Taller on November 16, 2015, 03:12:32 PM
CONGRATULATIONS GLENN! Wow, it must feel good knowing that becoming taller is actually happening!

I have a few questions if you don't mind:

1. Do you plan on lengthening the other femur 7.2CM as well or 7CM?

2. Do you gain the same amount of height as what you lengthen on femurs, or do you gain slightly less height due to the natural angualation of femur bones?

3. Based on your experience, if you could only do one segment, do you think 6CM femur or 5CM tibia would look more natural/proportionate?

Thanks, and again congratulations on completing the first stage of you lengthening!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 16, 2015, 04:09:10 PM
Congratulation Glen!!! Great job in just 2,5 months.

Now the consolidation stage!!! tell us how is you recovery and what things are easy to do now?

Cheers
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 16, 2015, 04:14:43 PM

A ratio of 0,9 in tibia is awesome!!! just 54 days.

Great job  ;) ;)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 16, 2015, 09:27:43 PM
Hi Taller,

CONGRATULATIONS GLENN! Wow, it must feel good knowing that becoming taller is actually happening!
Thanks! I feel quite relieved that I'm finished this part and that I can concentrate on consolidation. Yeah, being taller, even while on crutches, still rocks! It has definitely improved how I see myself and my general happiness.

I have a few questions if you don't mind:
No worries about the questions, I love talking about myself  ;D ;D ;D 8)

1. Do you plan on lengthening the other femur 7.2CM as well or 7CM?
According to my telemetry x-ray before operation, my left femur was 2mm longer to begin with. As a general guideline I will try to distract the same number of times as my other leg to make sure most of the variables are the same. But it's very tough to lengthen to exact figures, so I think I will take a telemetry x-ray before I finish the second femur and then work according to those numbers to make adjustments at the end and see how it goes.

2. Do you gain the same amount of height as what you lengthen on femurs, or do you gain slightly less height due to the natural angualation of femur bones?

User JConnor wrote a reply to something like this in another thread. I think it's pretty reasonable, so I will just quote him here:
There's no need to speculate. The average angle of the femur from vertical is 9 degrees. From this point it is basic trigonometry. 

If you lengthen 8.00 cm or 6.00 cm along the anatomical axis, you actually gain 7.90 cm and 5.93 cm in height, respectively.

If you lengthen along the mechanical axis, which is 3 degrees from vertical, you'd gain 7.99 cm and 5.99 cm.

So far as lost height goes, it's really inconsequential as the most you stand to lose is 1 mm.


3. Based on your experience, if you could only do one segment, do you think 6CM femur or 5CM tibia would look more natural/proportionate?
Hmmm....  You're like 178cm, aren't you? Honestly I don't think 6cm on either segment for you would make any discernible difference regarding disproportion.

Knowing what I know now, if I could only do one segment, I would do femurs (even though I aesthetically prefer my longer tibs). A few reasons why I say this:

1. Safety. For me, the most stressful thing so far has been worrying about ballerina. There is something very scary about seeing your foot drop millimeter by millimeter and not being able to flat-foot it no matter how much weight you stand on it.

Also, less stuff can go wrong with femurs, compared to tibs.

2. Recovery. The femur segment is stronger and recovers faster.

3. Options. If you reach 6cm on femur and you decide your proportions can handle more, you have the option of going to 8cm. On tibia, it's more likely that your body will dictate how far you can go and not the other way around.

Hope this helps!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 16, 2015, 09:53:03 PM
Congratulation Glen!!! Great job in just 2,5 months.

Now the consolidation stage!!! tell us how is you recovery and what things are easy to do now?

Cheers

Hi Yagen,

Thanks for the well wishes!

Recovery is going well.. Ummm, let's see:

1. I had some lower back pain near my left hip. I read online that it was usually because of improper use of crutches. I believe it was because I was unconsciously relying on my strong leg too much, which led to me avoiding the use of the other side. I adjusted my crutches and made a conscious effort to improve my form by putting equal weight on both legs and now the lower back pain has improved quite a bit.

2. Hyperextension is perfect. Femur side is getting stronger day by day; enough for me to make improvements in my quad stretches. Tibia side is still tight, and not improving as quickly, but I can still feel it loosening up gradually.

3. In terms of general walking around (on crutches), I can feel improvements in strength and stability with each passing day. Haven't had the confidence to test walking balance yet.

4. Stairs I am still very slow and cautious about. I can go up and down stairs (using crutches and the rail) safely, but it takes a bit of time and energy.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 17, 2015, 09:22:11 AM

Thank you so much for all the info  :)

How many times do you do stretching? and how long?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: bluebarbie on November 17, 2015, 12:32:23 PM
Hi, glen
  I read that it is difficult to bend the your knees on the femur side. May i know how?
Which areas are painful and what kind of pains are they? How much can you bend now?
Wishing u fasted recovery.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 17, 2015, 04:27:16 PM
Hi Yagen!

I don't really have a set schedule. I stretch throughout the day whenever I'm on my bed and while I work on the computer. So for example, even now while typing this reply, I'm doing leg raises:
(http://www.runnersworld.com/sites/runnersworld.com/files/styles/article_main_image_2200px/public/rt/images/200912/hip_leg_raise.gif)

I also do a lot of this while I'm watching youtube or whatever:
(http://s3.amazonaws.com/readers/2011/12/05/ham1_1.jpg)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Alu on November 17, 2015, 04:32:54 PM
Glenn,

First off congrats on your gain, it's good to hear you've made good on your goals.

Second, in terms of recovery, do you think this method of lengthening (cross-leg) is faster in terms of recovery overall? I ask because my goal is to just do all segments at once for a total gain of 8 cm, but I'm having a hard time thinking of the best and fastest way to do so. Id love to do what Iamready is doing but at the same time doing it cross leg like you seems to be a much more flexible means to do so

What is the time frame Monegal gave you for this method? Do you think I'd be possible for you to return to normal in exactly a year?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 17, 2015, 04:51:00 PM
Hi, glen
  I read that it is difficult to bend the your knees on the femur side. May i know how?
Which areas are painful and what kind of pains are they? How much can you bend now?
Wishing u fasted recovery.

Hi Blue!

Ok, let me try to describe it.
(http://f.tqn.com/y/exercise/1/S/p/A/1/oneleghamroll.jpg)
When I do this exercise, much like the woman in the picture, my left leg can only bend about 90+ degrees at the knee. It's a similar movement to grabbing your tibia and trying to bring your knee to your chest.

There is no pain when I flex from 0 degrees to 90 degrees, but once I cross a bit more past that threshold I can feel tightness in the middle region of my quadriceps. If I force myself to bend a little further, that tightness begins to turn into pain. The pain stops when I release that pose.

Currently I can bend pretty much exactly like the lady in the picture...about 95 degrees or so?

Hope that helps! Let me know if anything's not clear.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 17, 2015, 06:19:22 PM
Hi Alu!

First off congrats on your gain, it's good to hear you've made good on your goals.
Thanks man, I've been thinking of it for many years, so that's why I'm so grateful for everybody that is helping me make my goals come true.

Second, in terms of recovery, do you think this method of lengthening (cross-leg) is faster in terms of recovery overall? I ask because my goal is to just do all segments at once for a total gain of 8 cm, but I'm having a hard time thinking of the best and fastest way to do so. Id love to do what Iamready is doing but at the same time doing it cross leg like you seems to be a much more flexible means to do so

Hmmm... In purely theoretical terms, I would think the most efficient way to do it is to: first do two segments; wait about a week or two; then do the other two segments; stay in bed for 4+ months while mega-dosing on 6000+ calories per day (taking over the daily limit of calcium/D/protein); at least 2 full PT sessions per day in bed; electro-therapy to prevent atrophy; and maybe even some disputed bone-growth methods like ultrasound or magnets.

But that's just science fiction.  :P

Practically speaking though, I currently believe that cross-leg manages the risk better than same-segment. Like I said in an earlier post, it allows you to stagger your concentration: when you're dealing with femur issues, your tibia is fine; when you're battling tibia issues, your femur is fine.

Also, I want to say that quadrilateral lengthening should be viewed more as a marathon rather than a sprint. Instead of choosing the method that is "quickest," it might be more prudent to pick a method that is "more comfortable for most of the time" since it will be a long grind either way. (You might even consider same-leg, where you have one good leg at all times during your LL... but I don't have any experience with that).

I think Iamready clarified in his post today, he's done tibiae already but he's still awaiting to do femurs. He hasn't done all four segments at once if that's what you're thinking.

Maybe you have proportion concerns, but to answer your question: the quickest way to do 8cm, hands down, is to do bilateral femurs, not quadrilateral. Is it worth it to do quadrilaterals for 3+5 just to avoid proportion neurosis? IMHO not at all.

What is the time frame Monegal gave you for this method? Do you think I'd be possible for you to return to normal in exactly a year?

Dr. Monegal never gave me an exact time frame, he just said the schedule I did in my second post was fine. Too soon to say when I will return to normal, but judging by how fast my legs are getting stronger I'm conservatively optimistic about aiming for less than a year.

To give you another perspective: while I was at the MIC, there was a teenager there that was doing cross-leg quads as well. He did his second surgery on his fourth month, post-op. Before the second surgery, he was able to walk unaided for short distances (albeit unevenly since his knees were at different heights). If I remember correctly he did 4.8+6.2cm. Obviously, younger people heal faster, though.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: bluebarbie on November 18, 2015, 04:26:23 AM
Hi Blue!

Ok, let me try to describe it.
(http://f.tqn.com/y/exercise/1/S/p/A/1/oneleghamroll.jpg)
When I do this exercise, much like the woman in the picture, my left leg can only bend about 90+ degrees at the knee. It's a similar movement to grabbing your tibia and trying to bring your knee to your chest.

There is no pain when I flex from 0 degrees to 90 degrees, but once I cross a bit more past that threshold I can feel tightness in the middle region of my quadriceps. If I force myself to bend a little further, that tightness begins to turn into pain. The pain stops when I release that pose.

Currently I can bend pretty much exactly like the lady in the picture...about 95 degrees or so?

Hope that helps! Let me know if anything's not clear.
Hi glen. Thank u for the answers..they pretty much helped. I see what u mean by pulling the fibs inwards to your chest. I have been not long since i could do that to stretch my quads too. It helped alot for the increase in bending. Do u feel any pain around the knee areas coz...in the early mornings when i feel the most stiffness , i feel pain jist abouve the knees and under the kneecap. Do u have that pain at any time when u try to push further of ur knee bend.
Thank u. And one more thing i need to know is when u sit, lie down straight or walk upright ,is the bending the same as 90 or does it get restrited much lesser. Thanks
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 19, 2015, 10:10:37 PM
Hey Blue!

No problem, I'm glad to compare notes.

Do u feel any pain around the knee areas coz...in the early mornings when i feel the most stiffness , i feel pain jist abouve the knees and under the kneecap.
I don't feel any knee pain on my femur side, but I do feel pain below the kneecap on my tibia side. It happens when I lift my leg during walking. I noticed a bit of improvement compared to last week. Like you, it also improves after I warm up during the day. Is this the same thing you're talking about?

Do u have that pain at any time when u try to push further of ur knee bend.
The pain disappears as soon as I release the pose. If I've done a good stretch then I might have some burning sensation linger on for a while, but in a good way, like how you feel after you've had a good workout.

And one more thing i need to know is when u sit, lie down straight or walk upright ,is the bending the same as 90 or does it get restrited much lesser. Thanks
Yes, there is a difference for me. When I lie on my stomach it seems I can't bend my knees that far. But the difference is negligible. I'm not sure, but I would suspect that it's because it has something to do with how the pelvis is tilted when you're sitting or laying prone that does something.

Also, I saw your gym videos you posted. I wasn't going to say anything since I'm not an expert, but it seems to me that it looks more like "exercising" rather than "stretching." When I stretch I usually hold the pose at the apex of the movement for about 15 to 30 seconds. If it's a dynamic stretch, like a lunge, I'll still hold the pose for a few seconds before completing the action. I'm not saying you should follow what I've said, since maybe your PT has taught you something different. I'm just pointing out something that I noticed, that's all.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Average2Tall on November 20, 2015, 05:57:42 PM
Hey Glenn, very few people get to dream and achieve! Respect!

Can you ask Dr. Monegal the following question if possible? ;)

Which scenario can be favorable for a solid recovery? For a underwear model who is 177 cm tall without affecting the proportions. Assuming cost and recovery time is not an issue!

1. 2-3 cm Internal femur (Fitbone), 2 cm External Tibia or 2cm Internal Tibia (Fitbone) - If guaranteed no knee pain.

2. 4-5 cm Internal femur (Fitbone) If proportions difference won't be visible.

I often climb mountains and kite surf, i don't want to affect my hobbies by lower perfomance. I will take you advice/suggestions as well while we wait for Dr. Monegal.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 21, 2015, 04:57:40 PM
Hey Glenn, very few people get to dream and achieve! Respect!

Can you ask Dr. Monegal the following question if possible? ;)

Which scenario can be favorable for a solid recovery? For a underwear model who is 177 cm tall without affecting the proportions. Assuming cost and recovery time is not an issue!

1. 2-3 cm Internal femur (Fitbone), 2 cm External Tibia or 2cm Internal Tibia (Fitbone) - If guaranteed no knee pain.

2. 4-5 cm Internal femur (Fitbone) If proportions difference won't be visible.

I often climb mountains and kite surf, i don't want to affect my hobbies by lower perfomance. I will take you advice/suggestions as well while we wait for Dr. Monegal.

Hey Average2Tall,

Great questions, thanks! But if you have any questions for the doctor feel free to email him directly at: dralmon1@hotmail.com

Don't worry, Dr. M is really nice and responds emails promptly.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Average2Tall on November 22, 2015, 07:07:28 AM
Thanks!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Average2Tall on November 22, 2015, 04:09:39 PM
Hey Glenn, stupid one here!

Do you feel horny sometimes? i mean now when you have started getting a bit comfortable with LL, do you think of your girl, girls, watching porn or whatever fetish regarding sex?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 22, 2015, 09:49:48 PM
Hi Average2Tall!

No worries. Like one of my favorite professors used to say, "There are no stupid questions…"

When you're in the hospital with a catheter sticking out of you, there is no sex drive, despite the abundance of nice nurses.

Even at the MIC, I was so tired from PT and cooking that I didn't have any strength for a libido. There was a caretaker at the MIC that was pretty flirty, but even then, I couldn't be bothered to make a move.

After coming home, I am feeling more like a normal guy now, with my normal schedule of urges. I think it has more to do with 1) sleeping more 2) better nutrition 3) familiar environment. I'd say my sex drive is pretty much the same as before I had surgery. After all, LL severs bones, not boners  ::)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 23, 2015, 12:36:08 AM
A user that will do LL with Dr. Monegal in January recently PM'ed me about some questions, and it reminded me of the questions that I had before my own surgery. Before flying over to Barcelona, I was always constantly worried about logistics and stressed about forgetting to bring something.
 
It got me thinking, and I decided to write a list of "recommended stuff that you never thought to bring." If you're doing LL in Barcelona, I recommend you bring:

1. At least 1 pair of swimming trunks (which can also double as workout shorts for PT)

2. A universal adaptor (https://www.google.com/search?q=universal+adapter) so you can use your electronics with European-style sockets.

If you need to plug more than one thing in at the same time, you will probably need something like  this (https://www.google.com/search?tbm=shop&q=short+extension+cord+triple+outlet).

3. An electric hair trimmer (http://www.wahl-store.com/products/haircutting/home_kits) so you can cut your own hair. I'm told that the salons are expensive near the MIC.

4. Wheelchair (if you're doing single stage). Where on earth are you going to get a wheelchair when you're all alone in a foreign country and your legs are broken? If you rent one in Barcelona, you will have to figure out how to get to the airport and back to your own country when you leave Barcelona. You can always buy one in Barcelona, but it's less stress to just figure it out before you get here and bring a wheelchair with you, since most airlines transport wheelchairs for free anyway. 

Stuff you DON'T need to bring:
towel
swimming goggles
slippers
crutches or walker
long workout pants (Claudio the PT prefers you to wear shorts so he can observe your form)
cooking utensils or cutlery (MIC has mostly everything you need to cook)

You don't need to bring that many clothes. MIC has free washer and dryer, so you can do laundry constantly.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: bluebarbie on November 23, 2015, 08:30:25 AM
Also, I saw your gym videos you posted. I wasn't going to say anything since I'm not an expert, but it seems to me that it looks more like "exercising" rather than "stretching." When I stretch I usually hold the pose at the apex of the movement for about 15 to 30 seconds. If it's a dynamic stretch, like a lunge, I'll still hold the pose for a few seconds before completing the action. I'm not saying you should follow what I've said, since maybe your PT has taught you something different. I'm just pointing out something that I noticed, that's all.
Hey, glen.
Thank you so much for your answers and opinions. Yes you are right about my gym time. They are just the workout for reganing or improving my strength and balance of the legs.
I was bed ridden for nearly seven months so my body had disfigured alot. My muscles were all atrophied and the whole body changed pretty bad until i hit the gym two months ago. I only do my stretchings at home or in heated pool spending long hours daily just for stretchings. It took me four months to reach 90 degrees of rom no matter how hard i tried. Even if i did external femurs i spend about 80000 for the process and i just cant help from comparing myself with those who did internal. Even my journey had been hard and rough i still want my recovery to be as fast as those of internals.  :-\.Now its ten months and my knees are bending only around 90. And i need my scar removal next month for the scars are huge and horrible. But when people see me they all think i m doing really great or how fast my recovery is for external femurs. Only i can know and tell how hard it is and how frustrating and how hard i had tried. Sorry for sharing my feelings. :-[
Thank you and
Wish you fasted recovery .
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Average2Tall on November 23, 2015, 03:10:29 PM
Hi Average2Tall!

No worries. Like one of my favorite professors used to say, "There are no stupid questions…"

When you're in the hospital with a catheter sticking out of you, there is no sex drive, despite the abundance of nice nurses.

Even at the MIC, I was so tired from PT and cooking that I didn't have any strength for a libido. There was a caretaker at the MIC that was pretty flirty, but even then, I couldn't be bothered to make a move.

After coming home, I am feeling more like a normal guy now, with my normal schedule of urges. I think it has more to do with 1) sleeping more 2) better nutrition 3) familiar environment. I'd say my sex drive is pretty much the same as before I had surgery. After all, LL severs bones, not boners  ::)



Thanks Glenn!

It's good to know the little man will be safe and taking a looooong break :P
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 25, 2015, 08:49:45 PM
Hey Blue,

No worries, this is a safe place to share your feelings.

I think I can speak for many people on this forum when I say that we're very much in admiration of your perseverance and courage. I don't think there are many people on the forum, me included, that could possibly have accomplished what you've accomplished so far. I know that when I was planning my surgery, your diary was a source of inspiration and strength.

It's ok to feel down and frustrated; these are natural feelings. LL is full of ups and downs, smiles and cries, just like life. Someone once told me, "You can't control what happens in your life, the only thing
you can control is how you react to it." Even if things look bleak now, I promise things will be better in the future.

Hope you feel better, soon. And keep fighting!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 27, 2015, 12:42:26 PM

Glenn,

How is the recocery Tibia versus Femur? do you feel more pain or you have more confidence in the leg legngthening with tibia or Femur?

Thank you again  :D
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Average2Tall on November 27, 2015, 09:19:55 PM
Good question! :o
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 28, 2015, 10:23:17 PM
Hey Fellas,

Thanks for the questions. It was my 3-month anniversary yesterday, can you guys believe it?

With LL, pain comes and goes in different spots. Every few days a new place will hurt, and the old pain will go away. Right now there's a new, sharp, pain on my adductor muscles (femur side) during certain movements. I've been crying through my past three workouts because the pain is quite sharp when I move it a certain way. I was a bit lazy last week with my workouts so I can't tell if my current pain is because I've overworked or underworked my left leg, though. Hopefully it will go away in a few days. I'm doing my best to try and not let it affect my mood, but I'll admit it's quite tough.

Tibia is now my stronger leg. I've been doing  these stretches (http://www.cubsbaseball.8k.com/Press%20Box/Exercises/Stretching-WarmUp/Calf%20Stretch.htm) and they seem to help me. When my legs are cold my knee (tibia side) hurts when I lift it to walk. The knee pain pretty much goes away after my legs are warmed up, so I'm not too worried. The adductor pain (femur side) is the one that worries me now.

Aside from the casual stretching I do during the day, this my current workout routine:

1. knee bends with ball, 50 reps/leg
2. leg lifts, 50 reps/leg
3. lateral leg lifts, 50 reps/leg
4. horizontal + vertical leg lifts, 15reps/leg
(For #1-4 I use 2 lb ankle weights on each foot)

5. walk outside 40mins (with crutches), ~ 400meters
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 29, 2015, 01:52:36 AM
hey glenn, is the femur side pain from the lateral leg raises?

I have sharp pain in my abductors when I make lateral movements- literally feels like the tip of the screw is cutting into my muscle. Im hoping the pain will just go away over time, but not sure if it will
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 29, 2015, 02:30:08 AM
Hi Goldenegg!

Sounds about the same type of thing I'm going through, but on the other side of the leg. Mine is on the adductor side (inside groin), so the painful movement is when I twist and close my legs.

I had your type of abductor pain during weeks 3 and 5... If I remember correctly, they went away after a week. If you don't mind: How long has yours been going on? During this pain, have you been working out that area more (hoping to get stronger), or less (hoping to let it rest and recover) ? I'm still not sure what's the best way to ride it out.

Although it's excruciating and "feels" like it's caused by friction against the nail, I'm not entirely convinced that's what it is. If the nail were really digging into our muscles, we'd be suffering from some major internal bleeding within a few minutes, wouldn't we? Maybe the nail is just touching a nerve or something. I'm more inclined to think that it's just natural soft tissue tearing and damage. (I hope! ;))

Yeah, it's hard to be optimistic and believe that the pain will go away soon. I'm having the same thoughts now, I admit. Key is to have faith. Stay strong, brother!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: alps on November 29, 2015, 08:13:22 AM
hey glenn, is the femur side pain from the lateral leg raises?

I have sharp pain in my abductors when I make lateral movements- literally feels like the tip of the screw is cutting into my muscle. Im hoping the pain will just go away over time, but not sure if it will

Hi goldenegg,
did you ask the doctor about it?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: goldenegg on November 30, 2015, 04:24:08 AM
I've had the pain for the last 2 weeks, but I also only started doing lateral leg raises during the same time. Im guessing I would've had this pain since the beginning.  I recently started walking unaided and realizing how important the abductors are for balancing and normal looking walking.

I'm not sure whether working out the area more or less is the better way, but my approach has also been powering through to finish my daily exercise routine.  the pain hasn't gotten much better yet but my abductors are definitely stronger since I can do more reps and my walking is improving.

I think friction like you said is probably accurate.  Dr says its most likely the muscles rubbing on the nail or screw and eventually the muscles will adapt. makes sense at least looking at my own xrays that the muscles would be affected since the screws stick out of the bone a little bit. I used the word cutting cause I think it's more representative of just how sharp the pain feels.  Yeah Im hopeful ours pains will eventually go away for both us just like all the other random LL pains thus far...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on November 30, 2015, 01:10:26 PM
Glenn,

you have told that your better legs is now the tibia. do you think is because that legs stops lengthening 23 days early than femur leg?

cheers with the pain.

Go on with the stretching
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 30, 2015, 09:45:49 PM
Hi Goldenegg,

Yeah, I think you're right. "Power through" is the way to go! Leg pains always seem to be dampened once my legs are all warmed up anyway. Besides, it's only pain.  :D   

Stay strong, bro.

G
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on November 30, 2015, 09:50:51 PM
Hey Yagen,

Yes, I think that's a part of the reason. But another part is probably also psychological. When I say "strong" leg, I guess I mean "stronger than my femur side" since I am feeling some femur pains lately.

Objectively though, I think it's undeniable that femurs heal faster than tibiae..

Are you still deciding between femurs and tibiae? I thought you were set to do femurs?
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Ozymandias on November 30, 2015, 11:19:42 PM
Hey Yagen,

Yes, I think that's a part of the reason. But another part is probably also psychological. When I say "strong" leg, I guess I mean "stronger than my femur side" since I am feeling some femur pains lately.

Objectively though, I think it's undeniable that femurs heal faster than tibiae..

Are you still deciding between femurs and tibiae? I thought you were set to do femurs?

Interesting. When you say that femurs heal faster than tibiae, do you mean lengthening speed? Or do you feel that -overall- the leg with the broken femur is recovering better (less pain, better flexibility, etc) that the other one?

Personally, I am still deciding between tibia and femur, so any info on this will be really useful!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on December 01, 2015, 12:54:36 AM
Hi Ozymandias!

Interesting. When you say that femurs heal faster than tibiae, do you mean lengthening speed?
I mean that, all things being equal, femurs will take less time, compared to tibiae, to recuperate to the same level as the other....

I distracted both segments at the same speed, by the way. Don't know if that helps you or not.

Or do you feel that -overall- the leg with the broken femur is recovering better (less pain, better flexibility, etc) that the other one?
I mean this as well. All things considered, my femur is recovering better than tibia.

When considering recovery time and complications, femur segment is a better LL candidate than tibia. I'm pretty sure medical professionals globally are unanimous in that opinion. Feel free to let me know if I'm wrong.

Personally, I am still deciding between tibia and femur, so any info on this will be really useful!
Unless you have a very specific reason to do tibia, I would suggest femurs without a doubt. As I've stated in some earlier posts, the benefits of recovery time, relative safety, and options far outweigh any proportion or cost concerns in my opinion. I've done both femur and tibia at the same time, and can assure you that they're both very different animals.. It's not like choosing "chicken or fish" on your airline meal  ;D

Hope that helps!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on December 01, 2015, 08:23:37 AM
Hey Yagen,

Yes, I think that's a part of the reason. But another part is probably also psychological. When I say "strong" leg, I guess I mean "stronger than my femur side" since I am feeling some femur pains lately.

Objectively though, I think it's undeniable that femurs heal faster than tibiae..

Are you still deciding between femurs and tibiae? I thought you were set to do femurs?

Glenn,

I have decided that I am going to do femurs, but I want to know how is the tibiae process, maybe in the future I will do tibiae in order to improve my proportion, but just 3 or 4 cm. But I have to evaluate the risk/profit and the time/pain.

Every day I think about your words, that LL is a marathon

Many thanks and good luck
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Deads on December 01, 2015, 03:23:11 PM
Glenn.... You are one inspirational dude. It's like you can read my mind.... You're a very fluent writer. I love your ability to paint a picture so clearly.

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on December 01, 2015, 04:27:51 PM
Hi Yagen,

About doing tibiae in the future, I think it's probably best to just get through femurs first and enjoy your new height for a few months. You will have a new perspective on what's important and what you want after you walk around in your new femurs. :-)
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: yagen on December 01, 2015, 04:40:25 PM
Hi Yagen,

About doing tibiae in the future, I think it's probably best to just get through femurs first and enjoy your new height for a few months. You will have a new perspective on what's important and what you want after you walk around in your new femurs. :-)

I think so, maybe in a year there are other goals.

Many thanks again Glenn
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on December 01, 2015, 04:41:57 PM
Hey Deads,

Thanks for the compliments, man! I really appreciate it. Glad that you're enjoying it. Hopefully I can continue to give users here useful info on the process.

Cheers!
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Ozymandias on December 01, 2015, 09:30:37 PM
Glenn,

Thank you very much for your answers. You seem to be a nice person, so I'm really glad to see that the first stage of your LL journey has been successful.

I have re-read your diary and I found out that you have already explained some of the points I was asking about. My apologies! And well, after reading it it seems that you are probably right that femurs are the first option when doing internals.

Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on December 06, 2015, 11:48:06 PM
Hey Ozymandias,

I'm flattered by your kind words, but thank you, nonetheless. Really, I think I'm just a normal guy that's been lucky enough to have amazing people around me.  :)

A quick update for all. My adductor pain has subsided a lot (or maybe I've just gotten used to it, not sure which). In any case, it doesn't bother me as much as it did two weeks ago. I now have new pain on the other side of my thigh, near the outside. It's not a big deal, since I've felt it before in the same place during lengthening. Soft tissue issues most likely. My mental state is more positive now (mainly because the adductor pain has diminished a bit). I think maintaining activity is key to positive thinking. If I just lay around in bed wallowing it is easy to feel weak and negative.

For the past three days or so, I changed up my routine. I've started doing more reps with less weight, and also eased up by giving more rest in between. That may or may not have been the reason my adductor pain subsided.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: PatientZero on December 11, 2015, 04:06:19 PM
Hola glenn, glad to hear you're doing better.

I'm experiencing some crazy left abductor pain myself. I injured it several months ago stretching too hard and decided to follow through with surgery even though it wasn't feeling 100%. Your first post said some   about blinking a few times then now you're 34, so I figured I'd do it before it took any longer.

I've been going at 0.8mm but wanted to see what the big deal is with 1mm--I did not sleep last night lol. I could see my left leg pulsating for 5 minute bursts from muscle contractions. I snapchatted it to my friends and family  ;D

After our abductors heal, we can mate them for the ultimate leg.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: glenn on December 12, 2015, 04:46:34 PM
Hola glenn, glad to hear you're doing better.

I'm experiencing some crazy left abductor pain myself. I injured it several months ago stretching too hard and decided to follow through with surgery even though it wasn't feeling 100%. Your first post said some crap about blinking a few times then now you're 34, so I figured I'd do it before it took any longer.

I've been going at 0.8mm but wanted to see what the big deal is with 1mm--I did not sleep last night lol. I could see my left leg pulsating for 5 minute bursts from muscle contractions. I snapchatted it to my friends and family  ;D

After our abductors heal, we can mate them for the ultimate leg.

Hi PatientZero!

Yeah, it's amazing the difference between 0.8mm and 1mm. The difference was night and day. Have a good recovery, and feel free to let us know how it's progressing.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: ouroboros on January 07, 2016, 01:35:27 AM
Hey Glenn,
How are things coming along?   Are you able to walk unaided yet?   How is the cold weather affecting your leg pain?
Cheers bud.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Adonis on February 10, 2016, 10:45:11 AM
Spoke in person with Glenn yesterday. He's doing fine, just had his second cross-lateral (femur and tib) surgery done a few days ago. He's now in MIC Sant Jordi. He told me he had his reasons for not wanting to update his diary, but it's not because of injury or complications. I'll respect his decision, but I told him he would be doing the community a great help by updating, as he was always open and honest about his experiences.
-Adonis
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: onemorefoot on July 19, 2016, 08:11:01 PM
very happy to  hear that Glenn is doing it well.
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: Alu on July 19, 2016, 09:12:05 PM
Hey can we not bump any 1+ month threads...
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: onemorefoot on July 19, 2016, 09:43:19 PM
ok
Title: Re: Dr. Monegal - Tibia and Femur - Fitbone - glenn
Post by: aussieboy on July 20, 2016, 12:57:48 AM
How are the scars like now? Thanks.