Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: wannagrowtaller on February 07, 2019, 04:30:50 PM

Title: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on February 07, 2019, 04:30:50 PM
It will be probably in the next month, but I already paid for it. Smart questions are welcome.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: raku on February 07, 2019, 05:30:39 PM
It will be probably in the next month, but I already paid for it. Smart questions are welcome.

friend do you remember the pm I sent you? That question is good.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on February 07, 2019, 09:38:33 PM
friend do you remember the pm I sent you? That question is good.
Ok I remember, about arthristis right?

You may PM if you want.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: ok on February 19, 2019, 01:37:04 AM
Hey,

When are you having this consultation?
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: myloginacc on February 19, 2019, 01:53:12 AM
Ask him what he considers the best ways to deal with equinus contracture, and also what are some possible complications resulting from the stretching of veins and arteries during CLL. Additionally, you could ask him if he recommends non-catabolic (i.e. mostly anabolic) exercising to stimulate arteriogenesis and angiogenesis in the lengthened legs.

Thanks.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: totallyred on February 19, 2019, 06:46:06 PM
When in Stryde coming to India?
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 18, 2019, 03:49:07 AM
It'll be this week or next. Sorry, but the forum deleted most of my messages in inbox. Send the questions again if you sent a long time ago.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: darkmatter on April 22, 2019, 07:25:11 PM
Hi,

I am also planning on doing my surgery from parihar. Would you please ask him following questions:

1. Is stryde available to parihar, if not when it is available.

2. What is the current cost of sergery with precice 2 and with stryde (if availabe).

3. What is the recovery period of sergery, I mean after how many months I will be able to walk again.

4. Can I pay the amount in two installments.

 
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 26, 2019, 04:48:25 PM
I already paid for it, but now I'm having a problem with communication. info@bonedocs.in Dor Diviya is not answering my e-mails. Can someone try to e-mail them and check if they answer?
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: GrowTow on April 26, 2019, 05:38:51 PM
Just sent an email. I'll let you know if they reply.

Hopefully you haven't been ripped off
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 26, 2019, 06:17:56 PM
I don't believe Dr Parihar staff would rip off me. I believe it is a communication problem.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 26, 2019, 06:32:08 PM
I receveid an answer. It'll be tomorrow.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 27, 2019, 11:33:41 AM
I had my skype consultation with him. Later I post the question and answer.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: Knik on April 27, 2019, 01:59:06 PM
I’m curious
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 27, 2019, 09:36:30 PM
Q: When stryde nail will be available. What will be the price? Will it be available in all sizes?
A: Maybe it will be available in august. We don’t know what the price is. It will be available in all sizes.

Q: Price for precise 2.
A: The nail is around $36k and surgery is around U$30k.

Q: How long till I can walk?
A: Usually about 4-5 months you are walking ok.

Q: How much precice cases do you have so far?
A: 3 cosmetic lengthening 3 tibia lengthening.  Comestic lengthening both femur. Tibia patient had one side short.

Q: Can I make the payment in 2 installments?
A: No, part of the money go to the company who build the nails.

Q: Do you think 5.5cm lengthening in femur would do less harm to knee joint or unlikely to get arthritis than 6.5cm lengthening after 10-20years of the surgery?
A: He doesn’t believe if lengthening done right and in safe amounts has negative effects on knee or cause arthritis in the future

Q: What is the maximum amount for tibia and femur?
A: Femur: 7.5cm, tibia 6cm.

Q: How do you treat ballerina foot? Do you perform atl?
A: We prevent it with pt and lengthening safe amounts. If it happens, in last case we perform atl but we don’t like it.

Q: Do prefer LON or LATN?
A: My first preference now is the precice and the Lon.

Q: Do you use other internal nail beside precice?
A: No.

I have more questions, I'll post in tomorrow or after. Unfortunatelly, the record I made was not very good and there is echoes.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 27, 2019, 09:59:10 PM
Q: What the recommended amount of distraction per day for tibia.
A: For tibia more likely .75cm

Q: How the lengthening is measured? By the xray or by precice ERC machine?
A: Both, but mainly by the xray.

Q: For those who want lengthening both segments do you recommend quadrilateral lengthening or doing one segment and one year later doing the other?
A: Doing one segment and one year later doing the other.

Q:What do you recommend non-catabolic (i.e. mostly anabolic) exercising to stimulate arteriogenesis and angiogenesis in the lengthened legs.
A: I can’t understand his answer (record is pretty bad).

Q: Do you ever had a case of non-union? If you had, how did you treat it?
A: I never had a case of non-union but treated 2 other doctor’s patient for that (I don’t understand the treatment part). But this should not happen if it’s done right.

Q: If I smoke, how long should I wait after stop smoking to do the surgery?
A: 4-6 months.

Q: Is fascia lata a problem to femoral lengthening?
A: Yes (he explains something but I don’t understand)
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: raku on April 28, 2019, 01:07:18 AM
Great Thanks  ;D dear friend it is very helpful 8)
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: ok on April 28, 2019, 05:01:22 AM
Thanks for posting the answers.

Surgery alone costs $30k now? It used to be $10-$15k.

Are these all the questions you asked? Sounds like Skype consultations aren't really worth it if they cost so much money.

Are you considering him for surgery?
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: Leggs on April 28, 2019, 12:35:33 PM
Q: When stryde nail will be available. What will be the price? Will it be available in all sizes?
A: Maybe it will be available in august. We don’t know what the price is. It will be available in all sizes.

Q: Price for precise 2.
A: The nail is around $36k and surgery is around U$30k.

I want to make sure I understand your numbers correctly.

The total price for surgery with PRECICE 2.2 with Dr. Parihar is $66,000, not including additional costs for physical therapy, accommodation, food, etc..

If that is correct, the price for STRYDE would be around $80,000, not including additional costs for physical therapy, accommodation, food, etc... STRYDE should increase the price by at least $10,000-$14,000 since each STRYDE nail is $5,000-$7,000 more expensive than PRECICE 2.2.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 28, 2019, 04:18:45 PM
I may misunderstood what he told about surgery with precice, but if I'm not wrong that's it.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 28, 2019, 04:19:45 PM


Are these all the questions you asked? Sounds like Skype consultations aren't really worth it if they cost so much money.
Yeah, I think person-to-person consultation is better.

Are you considering him for surgery?
I'm considering Dr. Giotikas.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: ok on April 28, 2019, 04:50:26 PM
This is unusually expensive then. Not sure why surgery alone should cost 30k USD in India.
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 28, 2019, 05:28:12 PM
https://youtu.be/eJsx4yb1TFE
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: ok on April 28, 2019, 06:19:34 PM
Ah it's $13k  :D You misheard them :)
Title: Re: I'll have a web consultation with Dr Parihar. You can send me questions
Post by: wannagrowtaller on April 28, 2019, 06:42:03 PM
I'm embarrassed right now. I really understood 30 thousands dollars.
So 36+13=49k usd surgery with precice.