Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: ItsMyLife on December 04, 2014, 06:14:30 PM
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I will be flying to Moscow tomorrow, I simply cannot wait. At the same time, I am so nervous.
I will be doing external tibia, but I might be doing external femurs. I will see what doc says.
For external tibias, what is the general recovery time frame? I know everyone is different, but give me a range?
a) walking WITH crutches (not walker)
b) walking WITHOUT crutches, like a disabled, slowly
c) walking WITHOUT crutches, normally
d) frame removal (for 7-9 cm)
My second question: how many mg of calcium do I take everyday? Now I am taking 600 mg.
My third question: How many hours of walking a day should I do? I know as much as possible is probably the answer, but what is the minimal amount? I will try to hit that amount.
Lastly, what painkillers do the Russian docs prescribe? Is it opoids? Tramadol? I heard NSAIDS hinder bone growth (though some studies show otherwise).
At this point, I almost feel like turning back. With lifts I am easily 180 cm, but I really wanna do this; its always so awkward taking off the shoe-lifts :( And once i reach 181-183 cm, and with lifts, I will be easily 185-188cm? :P
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What's the point of consultation then? Ask bagirov all that, btw how tall are u? 175/176?
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What's the point of consultation then? Ask bagirov all that, btw how tall are u? 175/176?
Yes, for pre-op, how much calcium do I take? I'm currently taking 600mg.
I'm 173-174. I'm actually about average for an asian country. With lifts, I'm about 10-15th percentile.
I'm quite apprehensive actually, being Asian in Russia. I look a little mixed, but not that much.
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180cm for a LL patient is quite good, because LL patients at their new height look taller and leaner than their counterparts
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Dont worry, 3/4 of Russia is in Asia so they must be asian right....... ;)
Your starting height is already good, getting to 180cm+ will be great. How long do you plan on staying in Russia for?
Good luck, have a safe trip and LL journey and do keep us posted.
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Hey Itsmylife:
I will be following your diary as I am too considering dr bagirov once I have saved up enough money. I had a question, did you run into any issues in obtaining a russian visa? What is the length of your visa?
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Hey Itsmylife:
I will be following your diary as I am too considering dr bagirov once I have saved up enough money. I had a question, did you run into any issues in obtaining a russian visa? What is the length of your visa?
Nope, I have a visa agent in my country and they handled everything for me. i got a single entry, 28 days visa. i can always fly back to my country and get another visa.
You will NOT be able to get a visa with the letters of invitation provided from the clinic in my country(though someone else managed to get it done... i dont know how)
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oh i didnt get a 3 month visa as i was out of time :)
and i think... i might die .. so long in russia :(
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In the clinic and operating tomorrow.. It's nice place!
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In the clinic and operating tomorrow.. It's nice place!
Good luck ,My friend
Hope you all the best
We all support you.
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My questions to Dr:
Bow leg
do I have bow legs now? Any correction needed?
Ballerina
What are the risks of ballerina foot? (equinos)
What is the cause of ballerina foot?
Is there any disadvantage if I have to do the surgery to correct ballerina foot? Will sports performance be affected?
Removal
What are my options if I want to remove the frames after lengthening? What is the cost of the options?
Tibia or femur?
What is my tibia-femur ratio?
Should I extend my tibia or femur? Which is safer? Which is better for resuming sports activity like basketball and running? I want to lengthen 8-9 cm.
Is it better for recovery of sports function after surgery
• 2 operations (6 cm tibia, 5 cm femur)
• Or 1 operation (8-9 cm tibia)
Anesthesia and pain
I need to have sedation for surgery. Do you have propofol?
What painkillers do you prescribe? Tramadol? Are there stronger painkillers for the later lengthening process?
If I have trouble sleeping, can I take Xanax (alpazolam)?
Do we have to avoid NSAIDs for bone healing after surgery?
Recovery
Can I take these supplements immediately after surgery? I want faster recovery.
How many mg of calcium do I take everyday? Now I am taking 600 mg.
How much vitamin E should I take everyday?
Can I take 2000 mg vitamin C everyday?
Time frames
For external tibias, what is the general recovery time frame? I know everyone is different, but give me a range?
a) walking WITH crutches (not walker)
b) walking WITHOUT crutches, like a disabled, slowly
c) walking WITHOUT crutches, normally
d) frame removal (for 7-9 cm)
Physio
How many hours of physiotherapy should I do everyday? Does walking help for faster recovery? Can you teach me the exercise after surgery?
When can I start physiotherapy?
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Good luck during your surgery man!
remember if you have any thoughts about regret about this surgery, think "going through this is nothing compared to not being the height i want forever".
stay strong and keep us updated :)
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Good luck during your surgery man!
remember if you have any thoughts about regret about this surgery, think "going through this is nothing compared to not being the height i want forever".
stay strong and keep us updated :)
thank u so much:)
i count my blessings i am able to have this opportunity
many people just accept their height.
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I just finished my op! About few hours ago. I'm glad pain is only 1/10! The nurses and doctors are kind and I was wondering if I can get fast food delivery? Is it normal to feel so hungry..?
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did you have external tibia surgery? I was not that hungry right after my surgery, but I was able to eat about 50% of my lunch just a couple hours after surgery. I guess everyone is different.
Good to hear that you are not having much pain. Do you have epidural right now?
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I've no pain at all though i can move my legs, yes epidural but I slept when they injected it as I was under propofol.
Yes ext tibia and four h post op
The nurse told me to tell her if it's pain, strange I can move my toes now n feel my tibia but no pain
My tibia is only about 9 cm shorter than me femur so dr said lengthen 7 -8 cm!
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Update: I've my computer set-up now, and can type better than on iPad.
I am so happy I did this surgery. I can about 5-6 hours after my surgery, and now it is 11 Pm russian time.
I can move my knee and ankle, and I can stretch and do dorsiflexion
I asked the nurse is it OK to do dorsiflexion now she says I'm good.
No painkillers yet..... and the pain isnt really there..
But then again, after surgery most people feel pain but I feel almost nothing!
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Update: I've my computer set-up now, and can type better than on iPad.
I am so happy I did this surgery. I can about 5-6 hours after my surgery, and now it is 11 Pm russian time.
I can move my knee and ankle, and I can stretch and do dorsiflexion
I asked the nurse is it OK to do dorsiflexion now she says I'm good.
No painkillers yet..... and the pain isnt really there..
But then again, after surgery most people feel pain but I feel almost nothing!
Glad to hear your surgery went well..so happy for you!! :D
I want to know are you generally physically active? that could explain the varying degree of pain one feels. I remember when goodfootballer wrote his diary with Dr. Salemah he experienced minimal pain as well.
You have already completed step 1, now stay strong for the next few months and you will be taller in no time!
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Yup I'm physically active!
Does epidural fk up ur bladder? I've no intense urge to urinate but my bladder is full..?
Is it common to get urinary catheter
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Yup I'm physically active!
Does epidural fk up ur bladder? I've no intense urge to urinate but my bladder is full..?
Is it common to get urinary catheter
Ouh, I had the same problem. Ask a nurse if she can help you to transfer to the toilet, maybe you can pee there (I assume you should pee in a bottle?). Maybe you are just not used to peeing in a bottle or the painmeds/anesthesia can cause also that.
An urinary catheter is uncomfortable as hell, I hope you don't have to go through that!
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I just got it.. They say I can get it off tomorrow? I'm healing great! Anyone else here had urine prob? I've got some painkiller but I can't sleep too excited
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Good to hear it went well
Before you said you were apprehensive about being asian in Russia, how is your overall experience so far?
Do you feel you are treated differently or the same being asian?
What are your thoughts on Russia in the short time that you've been there?
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Hey buddy, it's great to read how it goes and moreover it's awesome that you feel almost no pain.
How much money hae you spent so far?
Also where you're planing to stay the time you'll be there and how much it's going to cost?
I'm strongly considering dr. Bagirov for my op and it's just so nice that you can share your experience with us, keep it up bro!
:)
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I had my operation end at 4.15.
The pains start to come about 12 midnight, probably because I was moving my ankles and my knees a lot.I know its insane but the nurse said its good, and it wasn't realy uncomfortable either.
I stayed awake from 4.15pm after surgery until 3-4 am when I felt so horrible, like an impending sense of doom. I guess I was dehydrated or malnourished, though I really ate soooooo much earlier. Or probably I was feeling cold. low grade fever of 37.6 degrees C and apparently low blood pressure.
The nurse was really attentive to me. And I felt so bad to disturb her!
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Feeling better now. I wanna update more to give back to this community. I've learnt quite a lot here.
I heard that they give footholders here in Russia too!
I find it hard to sleep even with no pain.
The doctor advises against taking sleeping pills to sleep!
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I had two epidural shots yesterday and two epidural shots today. The pain is bearable even when the shots ran out, but I thought, why not eliminate all that pain. It will be worse later!
Anyway the epidurals aren't very good for you either. They impede urine! Makes it very tough to urine. i had to think about peaceful thoughts.
Pain is 5/10 when epidural wears off. More of an irritating, annoying, dull pain instead of sharp pain, which is a relief.
Different people have different threshold. I am an athlete so I think I healed faster.
Walked to the toilet and back without any problems today. and I can even stand without holding anything while urinating and stuff.
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Dont worry, 3/4 of Russia is in Asia so they must be asian right....... ;)
Your starting height is already good, getting to 180cm+ will be great. How long do you plan on staying in Russia for?
Good luck, have a safe trip and LL journey and do keep us posted.
I intend to lengthen 8 cm, from 174 to 182 cm (morning height, for 3 hours)
I am thinking, 1-2 cm is not much. Why not just wear shoe-lifts? Anyone has similar thoughts? A 1-3 cm shoe lift will easily make me 185 cm, which is as tall as Obama and many basketballers.
I think the nurses here are really nice but Anna is very curt and business-like, which I find pretty nice too!
So, no asian discrimination. But I am from Singapore, a pretty developed country with a GDP per capita higher than the States, one of the Asian tigers, so to speak!
I don't know how they will react to people of other asian nationalities though. Especially since China and Russia don't really like each other.
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Good to hear it went well
Before you said you were apprehensive about being asian in Russia, how is your overall experience so far?
Do you feel you are treated differently or the same being asian?
What are your thoughts on Russia in the short time that you've been there?
Pretty cool place! I think they are friendlier than Americans though I have never been to America. Russians don't fake anything. If they are unhappy, they just show it. But thank God most of them were friendly to me!
But maybe I have a high nose bridge and asian mixed caucasian features! So they think I am half European/American.
I don't think Russians like Americans or Europeans either, so I think it does not matter so much.
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The night, tonight was so painful. I had to have so many painkiller injections to my epidural line.
LL is NOT for the faint-hearted, and is NOT a stroll in the park. I was prepared for the pain, but I was never prepared for this amount.
I think, the problem is, I try to bear with the pain for the first two days (which according to the nurse is the worst). But once the pain hits 6-8 out of 10, I really have to inject.
Why? The pain is constant pressure, and sometimes it feels as if my leg is cut into two pieces. A very horrible feeling. It is as if, many bugs are feeding on my legs.
It is not a nice feeling. I know, I subscribed to this. I am whining, yes, but at the same time, I am not sure how common is this process? Does everyone have this problem?
I am not whining because once pain med is injected, the pain is mostly gone. But I just try to control, and avoid the injections.
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It turns out that I was not used to peeing in a bottle. I never did well for those kind of things in the army as well. So strange to pee into a bottle. I can only pee in the toilet or jungle. And furthermore, this epidural injection really makes it so difficult to pee! But I believe, once you "get used" to the epidurals, you can actually pee. It is in fact, easier to pee, when the epidural wears out, so do try to do that (ie, before you get the next injection)
I just had an epidural some time ago (it is 7.30 AM here). And the ant-biting sensation is still on my legs, like hundreds of ants :(
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I think I might have been ripped off.
Thr contract says to pay 420,000 roubles
I paid 7500 euro. According to russian banks it amount to 501,000.0 roubles.
Anna said she will return me the change.
Which means I will get back about 81,000 roubles
Now they wanna vary the contract
They got someone to speak to me and Anna doesn't even dare to see me for the past two days
She is very curt and business like, not friendly at all.
I have spoken what I have to say. I hope I will be safe
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(http://)
They told me they don't accept euro and hence have to change to rubles.
I want my money back sigh
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I'm so painful now .... I think they are withholding my pain medicine :( I don't have much painkiller!!!!
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I think I might have been ripped off.
Thr contract says to pay 420,000 roubles
I paid 7500 euro. According to russian banks it amount to 501,000.0 roubles.
Anna said she will return me the change.
Which means I will get back about 81,000 roubles
Now they wanna vary the contract
They got someone to speak to me and Anna doesn't even dare to see me for the past two days
She is very curt and business like, not friendly at all.
I have spoken what I have to say. I hope I will be safe
Be careful with that, just let them keep that money, it's not much. Don't risk worse treatment for some money, I bet they could get really pissed about that.
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if you let them rip you off now they will do it a lot more.
rolling over to a predator does not stop it from feeding on you.
it might be that they were always going to stop giving painkiller as easily after x number of days from the operation.
also your description of tingles as ants on your leg intrigues me, I did monorail so I never got any symptoms like that, but is it normal for the ants on your leg feeling? what could be the cause for this?
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Not tingles, ants eating into your bone, pain is 8-9/10.
Epidural works only for 3-4 hours
And I'm nt given any oral painkillers
Did you guys take paracetamol for any runway pain?
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I never got any oral pain killers, only intravenous pain killers for the first week.
ants eating into the bone sounds scary and painful. ask your doctor why this is happening.
just remember the pain at the beginning will pass, especially after the first week. just hang in there, focus on the end goal here. the pain is temporary, height is forever.
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They don't give you any oral painkillers!!!
It is sooooooo painful!!!!! 8/10 pain!!
The epidural can only be given every 3-4 hours!
Once it wears off, it is HELL!!!!!!!
JESUS CHRIST.
God save me!
I should have brought my OWN PAINKILLERS?!!
I brought Paracetamol with Codeine , 4 tablets, it doesnt' help!
And I am taking all this behind their back.
They are insane. This is bad bad bad bad pain.
how does anyone deal with all this nonsense??!
IT IS SO FREAKING FREAKING PAINFUL.
THIS IS NOT AN UNDERSTATEMENT.
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This is disturbing. I had IV and oral painkillers during my first few days.
Do not overdose on Paracetamol, 4 tablets at once is too much and it seems that it's not having much effect!
You should instantly get hold of another doctor to prescribe you oral painkillers if your current doctor does not.
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I agree, you deserve better pain control.
Where is Dr. Bagirov? Have you talk to him about your lack of pain control?
I hope you start feeling better.
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I just had my final epidural injection.
The pain is now gone.
BUT, the pain will come back again in 2-3 hours.
I try to endure, but I can't. It is severe, like 8 out of 10, many ants eating into my legs.
I do not know how I can survive like this.
I asked for oral painkillers but was rejected.
They said they will inject me intramuscularly.
Sigh, can't I have both intramuscular and oral painkillers???
The pain control is NOT ENOUGH.
This is the first few days. I just had major trauma. I need some pain control.
I can walk, yes. I walk 20 minutes a day, yes.
I walk with pain, yes.
But I cannot lie down and have 8/10 pain, when the epidural runs out!
This is insanity. For this reason, I do not recommend this clinic, unless you can bring your own pain-killers.
Just imagine, I have paracetamol with codeine which I took secretly (my last dose) and the pain is still 8/10. If I do not have this medicine, my pain will be 9.5/10!
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This is disturbing. I had IV and oral painkillers during my first few days.
Do not overdose on Paracetamol, 4 tablets at once is too much and it seems that it's not having much effect!
You should instantly get hold of another doctor to prescribe you oral painkillers if your current doctor does not.
the pain was so bad, I was thinking of getting a private doctor!! this place is insane.
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the pain was so bad, I was thinking of getting a private doctor!! this place is insane.
What did you except? LL is painful, they just broke your bones and drilled a lot of holes in it, of course it will hurt. Just ask for stronger pain meds.
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Jesus
so glad I didn't go to Russia for LL...
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after removal of catheter, now it is about 1.45 am. I removed catheter about 10 PM
Surprisingly, little pain.
http://bja.oxfordjournals.org/content/92/1/146.full
I think my epidural catheter fked up, causing intense pain!
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well im glad you found the probable cause. but that is a seriously sux balls situation, to get such a rare side effect at the start of this long journey.
at least you now look at this surgery in a more serious light. what doesn't kill you makes you stronger.
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well im glad you found the probable cause. but that is a seriously sux balls situation, to get such a rare side effect at the start of this long journey.
at least you now look at this surgery in a more serious light. what doesn't kill you makes you stronger.
Yes! without this problem, I would have thought it was a walk in the park.
it is now many hours since catheter removal, and I don't need to have any injections.
my pain level now is 1 or 2/10.
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Update:
I had intramuscular injection at about 3 AM, when the pain started kicking in, intensity was about 5/10.
The pain stopped totally after IM injection.
The pain came back slowly from 5 AM. So, I popped two paracetamol-codeine pills.
Yes, they are now working, but the pain is around 5 or 6/10. Trying to cope with it.
My body is probably getting used to all this nonsense pain already.
Really, I would whole-heartedly recommend this Russian clinic, if not for the totally inadequate pain management.
I WILL DO MY WORK when I am on pain control. Its not like I will turn lazy. When they did inject me with morphine one time yesterday ( the pain will be gone only 2 hours), I did still walk around and do my stuff.
My question is: Does anyone have such bad experiences with pain for the first few days post-op? When did the pain start to get better? Please help as I am scouring the net for information. I realise only that Chinese and other patients don't feel pain. Russian patients will feel pain, mostly.
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Sorry, can't give you any advice with regards to physical pain. I remember when they ask me if I feel any pain, I said, no.
But hang in there. I heard the pain is the worst within a few days after the operation. After that everything will settle down and you will start lengthening.
But reading your diary thus far, I doubt you have the audacity to make it to 8cm. Don't give yourself excuse and give up at 3-4cm! It will be a waste of money and effort.
Goodluck bro! I will visit Singapore along with Vietnam in January.
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Today, either the pain is less, or I am getting used to the constant pain of 5 or 6/10.
I hope, at least, taking less painkillers is better for me.
how often can one get the intramuscular injections? I don't even know what they are.
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I just finished my op! About few hours ago. I'm glad pain is only 1/10! The nurses and doctors are kind and I was wondering if I can get fast food delivery? Is it normal to feel so hungry..?
you make conclusions way too fast, in the end u will say you were glad u chose that clinic
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perhaps but this is kinda hell :(
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I think more than 4 hours have passed since my last intramuscular painkiller shot.
The pain is getting more bearable.
First, the intensity is less (usually 3 or 4 out of 10)
Second, even when sometimes the pain is more intense (eg, 5 or 6/10), my mind has somehow resigned to the fate. Ie, the pain is just treated as being there. It's there. yes, but its not as unpleasant as before. Kinda conditioned and used to this pain.
All in all, the third day is a great improvement.
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I think more than 4 hours have passed since my last intramuscular painkiller shot.
The pain is getting more bearable.
First, the intensity is less (usually 3 or 4 out of 10)
Second, even when sometimes the pain is more intense (eg, 5 or 6/10), my mind has somehow resigned to the fate. Ie, the pain is just treated as being there. It's there. yes, but its not as unpleasant as before. Kinda conditioned and used to this pain.
All in all, the third day is a great improvement.
like I said, u make conclusions way too fast
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I think so!
The worst is probably over.
Now the pain is mostly 1/10 or 2/10. Sometimes it gets to 5/10.
That's about all.
A Russian girl just did her illizarov surgery for tibia and she is next door. Two days post-op! :)
We were like smiling at each other and I shook my head, all this pain! For the height, haha!
It has been six hours since my last intramuscular injection.
I am trying to avoid getting more injections. Let my body get used to the pain.
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A Russian girl
We were like smiling at each other and
and now some words from yoda (image below)
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3rd day post op, and my last IV painkiller injection is more than 10 hours ago.
I am still on nothing but Paracetamol painkiller (that I brought myself!)
Pain scale: 2/10, transient.
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Post pics of girl no porno's though we have way to many here lolol
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Each day it just gets so much better.
Today, I feel much less pain and discomfort.
I am now post-op Day Four.
Yes, I could walk on the day of the surgery and Post-op day One and I could stand without a walker also.
Yes I could move about on my own quite early on.
But all that was so so so painful. Limb movement results in a pain of scale 7 to 8/10.
For the first few days, as I mentioned, the constant pain was killing me. I don't mind having 7 to 8/10 temporary pain when I am walking or moving my limb. I CANNOT STAND continuous and persistent pain that is there for hours at a time.
Thankfully such persistent pain is gone now, probably what is left is 2/10 discomfort and weird feelings.
I now have weird jerks at my RIGHT side above my knee. Is this nerve impingement? The muscle would contract involuntarily at times. Not painful, but weird! I hope I am fine. I wonder which doctor does the right leg? Dr Fahri or Dr Bagirov?
But both legs are actually fine, just that my LEFT leg doesn't have the weird jerks/contractions. I am hoping all this is merely due to the nerve being pressurised by the swelling.
Doctor parihna (spelling?) of India said that if everything is placed properly the pain shouldn't be that much. Considering I had so much pain for first few days, I really hope everything is placed properly!
The nurses are pretty helpful. Sometimes they are busy and take a very long time to respond but mostly its Okay and they are human too. Its just that, they aren't big fans of pain medicines. Really. It sucks. It was god-send to have a medical officer to get morphine injected into me on day two I think. Felt great for 2 hours. Haha! But when dr fahri heard of it, he was horrified!
I have some bruising, similar to crimsontide, but maybe not as bad as him. I did not notice it until I read his posts.
Now I realise that past members posting is really good for you to be able to Compare your progress.
I think, all things equal, I am doing pretty well :D No issues with the frame tightness like crimsontide, though I must admit it does feel a little tight (ie, you can sometimes feel things going thru' your skin?? is this normal?)
Sensations on my legs are coming back. Which can be good or bad....... Ie, I can feel itching and I can feel a wide range of sensations on my calf dermis.
I cannot wait to lengthen tomorrow!
I was wondering if it is possible to go outside to walk today or tomorrow? I really want to. I feel like I can die staying in this room the whole day and only walking to shower and urine (and trust me, walking.... is so painful.)
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I am now on my post-op day four. It is 12.30 PM in the afternoon.
I am doing very well.
Walking is almost painless now.
I can stand for 10 minutes at a time brushing my teeth and washing my face. I was able to do this the past few days but it was quite uncomfortable.
Today, I feel more comfortable in the frames.
I am sorry my diary is pretty clinical and boring. Haha. But I wanna give back to the community and also see if any questions I have here can be addressed.
Sleep is good, as they give you painkillers before you sleep. I did not reject them last night.
Now my only worry is the pain when distraction begins.
I am now in a state of equilibrium. My legs are very good.
Once I start turning, I am afraid it might be a total different story.
Dorsiflexion is good, and I am able to confidently walk, more than yesterday.
Swelling wise, I do not notice any difference, but there was not much swelling to begin with. No visible ankle edema noted.
I am now so excited, and now with the physical part settled, the mental part is anguishing. Staying in a hospital yourself. This would be really hell if the nurses were horrible, but thankfully they are nice.
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My questions for Doctor Fahri
1) On post op day four, can I walk outside? Staying in the hospital is boring!
2) If I heal well, can I extend at 0.75 mm every day as with other patients?
3) Do I x-ray tomorrow? (Day 5)
4) Can you teach me the exercises I can do now to prevent equinus? I need to play sports next time.
5) Can I do abdominal crunches in bed?
6)Do I really have to eat 6000 calories a day? Can I eat less? Worried about getting fat!
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My questions for Doctor Fahri
1) On post op day four, can I walk outside? Staying in the hospital is boring!
2) If I heal well, can I extend at 0.75 mm every day as with other patients?
3) Do I x-ray tomorrow? (Day 5)
4) Can you teach me the exercises I can do now to prevent equinus? I need to play sports next time.
5) Can I do abdominal crunches in bed?
6)Do I really have to eat 6000 calories a day? Can I eat less? Worried about getting fat!
6000? Thats more than the double a normal Man should eat
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apparently that's the caloric demand when a single long bone is broken
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Make sure those calories are fruits/vegetables mostly
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I lengthened 0.25 mm today. I can already feel the strain oh my god. Haha!
It feels like growing pains! Not really pain, just discomfort.
Jesus. I hope it does not get worse later. But my ROM is more limited.
How were your first days, people?
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Did some PT and walked.
Now the pain is creeping in surely.
Trying to get some oral painkillers.
Otherwise, just endure.
Sigh I can smell very strong cigarette smoke...... This is so bad for healing. Who's smoking...!
I don't know why is smoking allowed in hospital. It is VERY VERY BAD!
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Did some PT and walked.
Now the pain is creeping in surely.
Trying to get some oral painkillers.
Otherwise, just endure.
Sigh I can smell very strong cigarette smoke...... This is so bad for healing. Who's smoking...!
PT alone?
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Yes on the bed.
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Sigh, I told the nurses that smoking will impede wound healing.
And they (or the patients) are smoking again.
This is really bad.
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Sigh, I told the nurses that smoking will impede wound healing.
And they (or the patients) are smoking again.
This is really bad.
Everyone smokes and drinks in Russia don't be shocked if they blow it on your face for asking or your leg lol
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Everyone smokes and drinks in Russia don't be shocked if they blow it on your face for asking or your leg lol
but its a hospital!
and there are trauma victims.
this is the first night, that someone smoked.
I am so shocked.
when I was in the army, yes, they do secretly smoke, but probably in the toilet.
the patients never smell it.
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You were in the Army?
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Hi itsmylife.
VERY VERY good luck with your journey. I have my surgery with doctor salameh 2 on february in Frankfurt, the frames are similar to yours.
Cheers paco.
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You were in the Army?
Yup. It's not allowed to smoke in the army except in smoke-boxes.
My 0.25 mm tensionsal pain is more or less gone now.
Physio is pretty tough u gotta move the stiff joints and coupled with the heavy apparatus
I think having ample thigh muscle and upper arm muscles are v v important else it's gonna be more painful
I'm working out with 2 kilo dumbbells so I hope I don't lose lean muscle mass.
(I don't bulk)
So basically I lengthened at day four, but tomorrow will be my big day, 1 mm!!
No injection painkillers today.
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Hi itsmylife.
VERY VERY good luck with your journey. I have my surgery with doctor salameh 2 on february in Frankfurt, the frames are similar to yours.
Cheers paco.
Best of luck.
As doctor fahri said u just have a fighting attitude it's good !
U will scream and shout and curse.
I wonder if they allow us to buy the injectable painkillers . I can inject myself
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Pain escalating to 6/10. Can't sleep at all. Getting injection from the nurse.
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I took some atarax last night to sleep. couldn't sleep with the discomfort.
I slept like a baby. But was woken up by nurses and doctors in the morning. I kept sleeping. And the nurse scolded me not to sleep! Haha!
lunch is here and its, as usual, bland and weird-tasting. Quick tip: Ask for mayo and it will taste so much better!! :D
hospital food does taste worse and worse the longer you stay here. and I have been here for already 6 days!
today I lengthen 1 mm, for five days. and then doctor suggests to decrease to 0.75 mm a day until I leave Russia.
i hope tonight i can get more burger king when gula is here.. she can go out to buy food for us :) actually once you taste fast food, the more you will dislike the hospital food. can't they make it better tasting or less Russian, whatever it is :(
I need some more fruits too!
So at the end of today it will be 1.25 mm. I used to take glucosamine, and am still doing so, it helps me by 3-5 mm. I am SO HAPPY that if nothing bad happens (touch wood) I will be already more than 5 mm taller permanently. That's like much better than glucosamine!
I am very bullish currently of being able to lengthen at least 5 cm. Yes, once you start the process, you start to downwards revise your targets. I used to think that I wanna do 8 cm +. But now, I might downwards revise to 7-8 cm, or maybe less. I don
t know. Considering all the questions with athletic ability, it makes me wanna do less also. But the main factor is the entire drawn-out process.
Whatever it is, I am here to win, and I will win. I will aim for 8 cm if my body can take it. My main question is if my body cannot take it, and I push realliy hard with pharmaceutical help and sheer willpower to 8 cm, will it be bad for athletic ability, ie, i can never recover 100%?
Dr Fahkri says that I can recover athletic ability if I do PT and stretch and lengthen at 0.6 mm a day. We shall see. He's pretty bullish that as long as you follow instructions, you can still play basketball.
Whatever it is, I hope my diary is of help. When I was lengthening I read many diaries to know what to expect. in terms of pain, what to do, how i do compare to others, etc. It does help to give a clearer picture of the process. And makes u less worried (eg, is my situation now abnormal, or is this normal response).
The doctor is out of town for some time. For a few days. He is back on Wednesday. i don't know if i shd leave this hospital early. But we shall c, i think it will depend on my progress.
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that is a good idea..
but dr fahri says fast food is fine... hes ok with it
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I think lengthening more than 6cm in tibias is bad idea.
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I think lengthening more than 6cm in tibias is bad idea.
dr says up to 8 cm is OK
above 8 cm it is high danger zone
max he did is 12 cm. but he now only does 10 cm.
my dorsiflexion now is still 20 degrees
I've lengthened 0.75 mm.
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The most doctor say in tibias maximun 5cm, if you want to recovery your athletic ability.
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The most doctor say in tibias maximun 5cm, if you want to recovery your athletic ability.
I will decide when I Reach 5-6 cm.
If I am doing well I will go for 8 cm.
Otherwise I will revise downwards to 6-7 cm.
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Yes you can decide when you reach 6cm, but most people have problem around this goal. When they pass more than 5 cm, lengthening is more difficult.
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MANAGED TO WALK WITHOUT WALKERS (distraction now 0.75mm)
RGKey made me wanna try it:
Technically he could walk without crutches right after few days post op. But the pain plus the muscle weekneess and fear to fall will not allow it. The ilizarov frames support around 3 or 4 times your body weight. Is pretty much as if you were walking with healthy normal bones. People do your researches!))
yes you can walk without walkers!:) there is very little pain. you just need to balance yourself!!! but the nurse told me not allowed. I am now checking with dr fakhri if walking without walkers is bad for you.
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Can I walk outside of hospital: yes
Healing is better if 0.6mm a day. can lengthen at any rate, but soft tissue problems.
X-ray will be done before leaving Moscow/CT scan
i have weird creaking sounds in my bones when i move. is this normal? can something be loose inside? this is normal.
and above my right knee, sometimes there is muscle twitching? normal.
based on my x-rays, my growth plates are closed? because i grew about 1-2 cm in the last few years. => he asked my age, and said closed.
Abdominal crunches can be done in bed.
the doctors say to eat much more than normal. Do I really have to eat 6000 calories a day? Can I eat less? Worried about getting fat! > I'm not fat and calories will go to healing.
Exercise of back muscle more important, as lengthening will cause posture changes, so we need build up back muscle.
walk 10 minutes many times a day when lengthening.
no need equal timing before 0.25 mm lengthenings.
no elevation of leg needed.
no cold compress needed.
pin site pain yesterday normal
bruises normal
must endure
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what do you mean back muscle needs to be built up??? don't you think your over thinking this?
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doctor said, not my words
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Wide arm pull ups Chin ups are good the problem is your thing adds weight plus you have to realize that chin ups when you come off the bar if your short also hurts your ankles since most bars aren't really short people friendly like 8 feet off the ground ftl.
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Wide arm pull ups Chin ups are good the problem is your thing adds weight plus you have to realize that chin ups when you come off the bar if your short also hurts your ankles since most bars aren't really short people friendly like 8 feet off the ground ftl.
no no he just says do something like the cobra (yoga pose), from what I saw him demonstrate
he says with lengthening there will be a slouch (ie, back muscles weaken, and posture is hunched)
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Lengthened 1 mm in total (from yesterday's 0.25 mm)
Later I have to lengthen another 0.25 mm.
I blame this pain on myself.
Slept late and woke up at 12 plus. So I have to lengthen every 3 hourly, which was fine, until just now, where one can feel some pain. Now its 10.30 PM.
I will probably have to lengthen again at about 12 midnight. (so that would be 1 mm today!)
Is it normal to feel more strain as you lengthen more into the day? :( :( :(
Its quite bad! My leg feels like its breaking into two.
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Dr has replied.
I can walk without crutches.
Now PO day 5.
He says better to walk without crutches...
Did anyone also walk without crutches at PO Day 5? I walk slowly and gingerly but more or less I can, walk quite fast, to the toilet and back
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Can the mod change my surgery date: it is actually 8th dec
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UPDATE: heres my video of walking, I only lengthened 1.25 mm. Now I lengthen another 0.25 mm.
I can walk twice that distance. Just the room is small :-\
http://www.youtube.com/watch?v=GrLLLNJGI6I
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Day Four : 0.25 mm
Day Five: 1 mm
Day Six (today): 1 mm
Another two more turns (0.25 mm x 2 ) for today!
Slight soreness today when walking without aid.
Walking generally gets better the more you walk unaided.
Range of motion improves greatly when you walk unaided.
But this morning, after being drugged up on Chlorphenaramine (I took them) at 5 am, the nurse kept telling me not to sleep (nyet spoch!!). So funny! She's so cute. I think her name is Lena, young lady.
I was sleeping on and on and on from 5 am until 12. I couldn't really sleep last night as I was so excited and stoked about my progress. I did NOT expect to be able to walk unaided.
I am the second person to be able to do so after this, in the forum!
my dorsiflexion is still 20 degrees. I always stretch my ankles when in bed, haha. kinda paranoid about the ballerina issues!
I will do my exercise at 1.30 Moscow time to 2.30 Moscow time.
* dorsiflexion stretch
* lying on the bed
* back muscles
* arm muscles (2 kilogram dumbbells)
* leg raises
* abs muscles
I think I will use crutches every now and then to train my upper body strength.
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Another 0.25 mm later today!
I feel so good now. I have almost full ROM.
I am such a bad-ass I lengthened 0.25 mm within 2 hours of doing so earlier :)
I think it does not really matter. Just listen to your body!
Dorsiflexion is still 20 degrees.
I am still continuing on my mega-dose of essential vitamins and minerals.
I cant manage to do a sit-up.
Getting into a cobra pose was so painful but I managed! :)
I can still walk unaided :)
A friend of mine can walk unaided until 8 mm, and it was pretty rare to walk unaided. Most need 1.5 months! I hope I can walk unaided for the rest of my LL journey, until maybe 5 cm.
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update my walking video at 2 mm lengthening without aid, and dorsiflexion 20 degrees -30 degrees
http://www.youtube.com/watch?v=-jNZWGanxtY
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Bagirovs fixators look really confortable not like bulky standard ilizarov
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yes and apparently pins don't really break. I trying to read crimsontide and wannabegiant's diaries to see if theirs broke.. I don't wanna walk tooooo much as I am afraid of pin break or bend
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You are the MAN.
Well done so far!!! ;D
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You are the MAN.
Well done so far!!! ;D
Thanks!
Dr said that pins might break. but I must walk. i was wondering if pins break in my home country, will I be able to fix it? at a local clinic/hospital? i need the spare parts and instructions.
I have finally reached 2.25mm. it helps to have an excel spreadsheet. i might want to lengthen an extra 0.25 mm today (cause I will be using Xanax to sleep tonight), and tomorrow I will lengthen 0.75 mm.
has anyone lengthened 1.25 mm/day?
and yes i have more trouble walking now at 2.25 mm. my friend couldnt walk totally at 8 mm he said his legs broke?!?! sounds bad!
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The russians don't like to give medicines.
I asked for antibiotic ointment, they gave some anti-bacterial cream.
Sigh.
And for sleep, I dont think they will prescribe any sleep-aids. (They dont even give paracetamol, or paracetamol with codeine, though these are established drugs for #)
So I brought my own.
Totally unprepared for this situation! I wish I brought more medicines.
So to help me to sleep:
* Paracetamol (to ease any residual pain); I did not get any pain injections today
* Dextrometorphan 60 mg, i brought this for flu and mucus, but it makes painkillers more effective, so I am using it.
* melatonin 3 mg (I know, it can be reduced to 1.5 mg). tomorrow i will take a scissors to cut it. You don't need 3 mg to sleep!
So all drugged up, I am gonna sleep!
I'm saving the Queen of Sedatives (Xanax) for when I really cannot sleep.I only have, like five or six 0.5 mg tablets. Pretty pathetic. Should have brought more.
Then again, there is a kind night nurse, who provides sedative pills (its a soviet union drug, more powerful than Xanax). next time i will ask it from her, just in case :D
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Xanax is the benzo most likely to cause abnormal behavior, including violence and suicide.
but sure a great choice for leg lengthening.
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Xanax is the benzo most likely to cause abnormal behavior, including violence and suicide.
but sure a great choice for leg lengthening.
haha to me Xanax is fine, I only take a few pills.
it is OK for short-term use. just know when to stop!
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Just like when you take ritlian to take a test and you realize the drug is consuming you the same with Xanac. :D
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just got a response from dr fahri that it is normal inflammation.
so I am now on anti-bacterial ointment
if it doesn't get better after a few days, antibiotic will be given.
since it is so uncomfortable I will go back to using crutches.
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Such good sleep of my life.
I literally slept from 12 midnight until 1 pm today (on and off)
Of course, its the dextromorphan.
ANd I don't know they injected some stuff to my buttocks.
THe combination of these..
Mega-zzz.
Feels nice to be awake, but I am behind schedule; I've got to turn 4 times today culminating to the total of 1mm.
Was pretty lazy last night, didn't really wanna walk cos the pin-site was pain and infected (but doctor says its not ); well it seems better today.
Going to the toilet, and then turning.
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Routine for physical therapy
* archilles tendon stretches x 20
* 2 kg dumbbells x20 reps (bicep curls, shouder raise, chest buliding)
* chin up x 2
* semi push -up (legs on floor) x 20
* abd crunches x 50
* knee contracture exercise x 10 each leg.
GREAT! i feel good now 8)
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everyday is making me so happy!
i just lengthened 0.25mm in the morning at about 1 pm
now 2.52 pm, i lengthen another 0.25mm!
what is the minimal time we must wait??
theres no pain!
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archilles tendon stretches x 20
how do you do these? lying down or standing??
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both will do :)
doctor teaches u!
when are you doing lengthening??
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Actually, at 7 days post op now, I think 7 days is more than enough for you to go home and rest.
There's not much to do here and mental aspect bores me out!
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Its become so difficult to walk without aid, at 3.25 mm
http://www.youtube.com/watch?v=GtaFvvhnwOI
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Here I am 4.5 mm taller, I can still walk without crutches.
I wonder when is the pin gonna break!
Not gonna take that chance, so I am gonna (mostly) to use crutches. And every now and then practise walking without crutches.
Walking without crutches now is more difficul because I have a pin-site tenderness and pain, probably infection...
But Russians don't like to prescribe oral or topical antibiotics.
So my advice: PLEASE bring ur own antibiotics.
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That's because antibiotics, when over-prescribed, lead to the creation of superbugs. You should only use them if there's clearly an infection, not because maybe there might be.
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Hey ItsMyLife!!
didn't get the chance to log back on due to exams but good progress bro!!!!
don't worry you will be walking normally in no time :)
and remember pain is temporary, height is eternal
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That's because antibiotics, when over-prescribed, lead to the creation of superbugs. You should only use them if there's clearly an infection, not because maybe there might be.
That's what i thought.
But the korean doctors prescribe topical antibiotics and oral antibiotics like nobodys business.
same with the plastic surgeons worldwide
but i think this is different because LL is a very long drawn-out process so we need to keep our weapons?
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thank u!!
yes i hope to get walking normally
last night, i had the most extreme pain ever in my life!! I endured half an hour before deciding to get a second jab!!
I dont know why.
But I think its cos i lengthen 1.25 mm and maybe the pin site "infection" or maybe inflammation.
From now, I will lengthen 1mm and step down to 0.75 mm as dr suggested after 1-2 days.
Slow and steady is always better.
Thank god nurse natash injected me twice with painkillers (the second injection was stronger and totally knocked out the pain almost completely)
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4 mm now.
It is almost impossible to walk without crutches.
You feel your leg are almost breaking
I think it is because the callus is not as strong as normal bone.
And fixator does not replace normal bone!
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Met a russian girl who is also doing lengthening.
They say doctor is very good. But I am actually paying much more than the russian rate :O
But its okay! We are foreigners after all!
the russians come prepared. they bring all the strongest painkillers you can think of.
Sigh, I wish i were more prepared.
She was kind enough to give me some great painkillers!
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She gave (so kind) to me:
Excedrin
one pill tegretol to sleep
and also Flurpitine.
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She gave (so kind) to me:
Excedrin
one pill tegretol to sleep
and also Flurpitine.
Life don't do anything with the women now...
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shes so sweet shes pretty and added me to facebook
but she has kid and a husband!
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Looking good!
Yeah, pain is usually the worst within a week after the surgery. After this, it slowly recede but it will still be there.
Pain is now a part of your life. As long as you have the metal frame on and as long as you lengthen your leg, you will feel pain. You will adopt a set of favourite pills or a combination of pills that work for you. It's been a long time but I like the muscle relaxant tablet because it helps me fall asleep.
8cm... full external. Expect 8 months or more before you can take the frame off.
Regarding the woman.. has a kid and husband. That's okay. It's hard for a woman to hang on to herself for so long doing this surgery.
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Looking good!
Yeah, pain is usually the worst within a week after the surgery. After this, it slowly recede but it will still be there.
Pain is now a part of your life. As long as you have the metal frame on and as long as you lengthen your leg, you will feel pain. You will adopt a set of favourite pills or a combination of pills that work for you. It's been a long time but I like the muscle relaxant tablet because it helps me fall asleep.
8cm... full external. Expect 8 months or more before you can take the frame off.
Regarding the woman.. has a kid and husband. That's okay. It's hard for a woman to hang on to herself for so long doing this surgery.
shes doing only 5 cm and she says most patients do 5-6 cm.
Yeah I know 8 months or more. I expect 10-12 months.
She is not going to work and staying at home everyday for 6 months. For 5 cm, the time taken is 6 months.
Will pain decrease once i stop lengthening?
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When do we lose dorsiflexion?
I am at 5 mm and my dorsiflexion is still the same, about 20-30 degrees.
Actually I am pretty lazy, i walk only 1 hour a day in total, I think. Mostly going to the toilet! Not walking on purpose.
But I dorsiflex a lot.
Here's a video you can see! :)
http://youtu.be/x0EFwyniU0Q
And here's my questions for Doctor Fahri when we meet today:
Questions for Dr Fahkri
1) If I do not feel comfortable, at 0.75 mm/day, can I do alternate everyday?
1st day 0.75; 2nd day 0.5; 3rd day 0.75; 4th day 0.5
2) I have pin site pain and bleeding sometimes. (show him the sites). Is this normal? Pain at some pin-sites when walking.
3) When do I know there is pin-site infection??
When do we start antibiotics?
Oral
Topical
4) If I want to resume basketball, should I lengthen 6 cm instead of 8 cm?
lengthen 6 cm and then femur 4 cm
lengthen 8 cm and stop
lengthen 8 cm and femur 4 cm
Which is the best for basketball?
4) Do you have any medicines for sleep, in case I really cannot sleep? Can you prescribe me?
5) Can I borrow a wheelchair? Which agency do you recommend? My friend wants to take me around Moscow!
6) When do patients notice a loss of dorsiflexion? What is my angle of dorsiflexion now? Different angle for left and right foot.
7) Will there be more pain after 5 cm? What type of difficulty will I have after 5 cm?
8) I find it difficult to walk without aid. Is it OK?
9) Can you teach me how to clean the pin sites?
10) can I have x-ray now?
What about before I leave Moscow? (3 January)
11) I need the prescription for Katadalon now.
12) Can you give me the intramuscular injections? I know how to inject.
13) If I do 8 cm, how long do I have to wear the frames until?
14) What about 7 cm?
15) Is Knee contracture uncommon? I rarely see this on the forum.
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Dorsiflexion at 5.25 mm (Right leg)
http://www.youtube.com/watch?v=bGxi0_yfPeg&list=UUCZRua7NL8fEt-0itUESzIw
much less dorsiflexion..
what should i do?
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Doctor Responses in Bold
1) If I do not feel comfortable, at 0.75 mm/day, can I do alternate everyday?
1st day 0.75; 2nd day 0.5; 3rd day 0.75; 4th day 0.5
Yes
If no or little pain, continue at 0.75 mm/day
If moderate pain, do alternate.
If pain, continue at 0.5 mm/day
2) I have pin site pain and bleeding sometimes. (show him the sites). Is this normal? Pain at some pin-sites when walking.
Normal
3) When do I know there is pin-site infection??
When do we start antibiotics?
Only at 3-8 days if not cleared with Iodine and antiseptics.
4) If I want to resume basketball, should I lengthen 6 cm instead of 8 cm?
lengthen 6 cm and then femur 4 cm
lengthen 8 cm and stop
lengthen 8 cm and femur 4 cm
Which is the best for basketball?
Answer: He thinks just 8 cm tibia. Athletic function will be restored if I do PT. I ask him why the russians usually do 5-6 cm. he says 8 cm is OK, i am a hero?!
4) Do you have any medicines for sleep, in case I really cannot sleep? Can you prescribe me?
Didnt ask yet :)
5) Can I borrow a wheelchair? Which agency do you recommend? My friend wants to take me around Moscow!
Didnt ask yet :)
6) When do patients notice a loss of dorsiflexion? What is my angle of dorsiflexion now? Different angle for left and right foot.
Notes that my dorsiflexion is good. He says patients develop problem at 5 cm sometimes. If physical therapy, no problem. Walking is important. about 10-15 times going to toilet. and physical therapy.
7) Will there be more pain after 5 cm? What type of difficulty will I have after 5 cm?
Didn't ask yet!
8) I find it difficult to walk without aid. Is it OK?
Didn't ask!
9) Can you teach me how to clean the pin sites?
Nurse will teach you
10) can I have x-ray now?
No need x-ray. Do not prescribe unnecessary inveestigations.
What about before I leave Moscow? (3 January)
Didnt ask
11) I need the prescription for Katadalon now.
will be given.
12) Can you give me the intramuscular injections? I know how to inject.
OK
13) If I do 8 cm, how long do I have to wear the frames until?
Didnt ask!
14) What about 7 cm?
Didnt ask!
15) Is Knee contracture uncommon? I rarely see this on the forum.
yes common!
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Further questions!
Questions for Dr Fahkri (2)
For medicines, can I have a receipt?
Can i have both oral and topical antibiotics just in case?
WILL FEMUR SURGERY WEAKEN MY JUMPING ABILITY? I HEAR THAT FEMUR IS VERY IMPORTANT FOR JUMPING.
CAN I HAVE SOME MEDICINES, FOR SLEEP, JUST A LITTLE.
Can I borrow a wheelchair? Which agency do you recommend? My friend wants to take me around Moscow!
When do patients notice a loss of dorsiflexion? Different angle for left and right foot. What’s the dorsiflexion angle now?
Will there be more pain after 5 cm? What type of difficulty will I have after 5 cm?
X-ray before I leave Moscow? (3 January)
If I do 8 cm, how long do I have to wear the frames until? What about 7 cm?
Would topical cream applied to muscles help? For muscle strains? Avoid diclofenac.
Show him the standing on book exercise. Is it correct?
I need footholders!
Can I walk outside tomorrow for a short distance?
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No matter how much PT you do, you're not going to keep up with the lengthening. What should you do? Just live with it until your muscles and tendons can catch up.
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maybe 0.75mm is too much. im only doing 0.66
the ligaments can only grow/stretch so fast.
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Yup Dr suggests 0.75 mm if I can take it, otherwise just 0.5/0.75 alternate, or even 0.5
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This is walking at 5.5 mm of lengthening! :)
http://www.youtube.com/watch?v=IekJkEpSAL8&feature=youtu.be
Can still walk unaided, but less!
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You make this feel so real with the daily vids, keep it up :)
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I don't think you need to do any more than 7 cm. 180 cm (5'11) is a pretty respectable height, plus most chicks you're 6'1 or taller, anyways (chicks are notoriously bad at estimating height lol).
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I agree its very nice to have a video diary for walking ability :) keep up the good work
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I agree its very nice to have a video diary for walking ability :) keep up the good work
I figured if I can train my ability to walk unaided after surgery, it will be better for healing.
Dr Fahkri is supportive that I can walk without help.
Hopefully this continues into 1 cm , 2 cm, 3 cm.
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Just lengthen slow and steady, and you should be fine.
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Thanks!!
I am now doing 0.75 instead of 1 mm/day as per doctor fahkri's instruction.
And I think it should be much better! :D
I would not recommend staying in the hospital for so long. I've stayed for already more than one week. Frankly, one week is enough for them to monitor you.
This is especially if you know how to administer the pain injections yourself intramuscularly which is pretty easy also.
The intramuscular injections are ketoprofen.
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Even though ketoprofen is an NSAID there are a few studies that show that it (together with Ibuprofen) have limited or no effect on healing of bone fractures.
Also, I was thinking, since bone heals faster than muscles can stretch, it does not matter or have that much importance as regards this issue of bone healing.
Ketoprofen is indicated for injection intramuscular and intravenuously but there is no difference in effect so would just suggest IM: http://www.ncbi.nlm.nih.gov/pubmed/11942868
I am getting my pain medications today. They include the injections as well as several blood thinning agents, paracetamol with codeine, and katadanol. The Russians apparently don't believe in opiates and tramadol.
I've asked for a few sleeping pills to help me as I cannot really sleep here in Moscow.
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Here are doctor's answers:
Questions for Dr Fahkri (2)
How often to clean the infected wound with Iodine?
Как часто для очистки зараженных рану йодом?
Everyday one time
My friend from Singapore bought chlorhexidine. Can that be used?
Мой друг из Сингапура купил хлоргексидин. Может ли это быть использован?
Yes. it can.
For Medicines (лекарства на сегодняшний день)
Can i have both oral and topical antibiotics just in case?
Могу ли я иметь как устные, так и актуальные антибиотики на всякий случай?
Yes.
Могу ли я иметь Katadanol and Excedrin? Могу ли я что-то еще больше? У меня есть много мышечных спазмов
What kind of injections can I buy? What is the name of medicine?
какие инъекций я могу купить? что название лекарства?
Ketoprofen injetion, IM.
For the medicines today, can I have a receipt?
Для сегодняшнего дня лекарства, я могу иметь квитанцию?
Yes.
Sleeping pills just a few are required.
Могу ли я иметь некоторые лекарства, для сна, просто несколько таблеток
Discuss on Friday.
Other questions:
will femur surgery affect jumping ability? how high I can jump? heard that femur bone and thigh muscles is very important.
будет бедро хирургии влияет способность к прыжкам? как высоко я могу прыгать? Слышал, что бедренная кость и мышцы бедра является очень важным.
No effect.
Can I borrow a wheelchair? Which agency do you recommend? My friend wants to take me around Moscow!
Могу я взять инвалидную коляску? Какой орган вы рекомендуете? Мой друг хочет взять меня вокруг Москвы!
There are wheelchair agencies. Contact nurse.
If I do my exercise, will I keep dorsiflexion even about 5 CM? What’s the dorsiflexion angle I have now?
Если я делаю упражнения, и буду хранить сгибание даже около 5 см? Что угол сгибание меня сейчас?
Dorsiflexion will still be OK at 5 cm if do exercises. But it will be more difficult.
Will there be more pain after 5 cm? What type of difficulty will I have after 5 cm?
Будет ли больше боли после 5 см? Какой тип сложности у меня будет после 5 см?
Pain might be there until 4 cm.
After 4 cm, less pain
Finish distraction = pain less!
Can I have an X-ray before I leave Moscow? (3 January)
Могу ли я иметь рентген, прежде чем я покинуть Москву? (3 января)
Yes. OK.
If I do 8 cm, how long do I have to wear the frames (in total) until? What about 7 cm?
Если я делаю 8 см, как долго мне придется носить кадры (в целом) до? Как насчет 7 см?
12 months – 16 months.
Would topical cream applied to sore muscles help? For muscle strains? Avoid diclofenac (NSAID).
• Arnica
• Ibuprofen
• Menthol Будет кремов применяется к боли в мышцах помочь? Для штаммов мышц? Избегайте диклофенак (NSAID).
• Арника
• Ибупрофен
• Ментол
• Метилсалицилат
They can be applied.
I need footholders! How often should I wear?
Мне нужно footholders! Как часто я должен носить?
Provided.
Can I walk outside tomorrow for a short distance?
Могу ли я выйти на улицу завтра на короткие расстояния?
Yes.
Can you give me a prescription for the medicines (katadalon, injections, antibiotics)? So i can go to any pharmacy in Moscow to buy when my Singapore friend comes to Moscow.
Можете ли вы дать мне рецепт на лекарства (katadalon, инъекции, антибиотики)? Так я могу пойти в любой аптеке в Москве, чтобы купить, когда мой Сингапур друг приходит в Москву.
OK.
During surgery, we did not dissect the archilles tendon??
No.
What are the causes of equines?Muscle not long, or tendon not long?
Muscle and Tendon.
Во время операции, мы не проанализируем ахиллова сухожилия ??
Каковы причины, конская? Мышца не долго, или сухожилия не долго?
Do plyometrics help? When can i do them?
http://www.bodybuilding.com/fun/ss5abig.jpg
Плиометрика помочь? Когда я могу это делать?
No basketball and running for how long?
Нет баскетбол и работает как долго?
1 year!
Can i borrow the walkers until the day before I fly? (3 January)
Может я заимствовать пешеходов до того дня, прежде чем я летать? (3 января)
Walkers are provided for me free.
When can I walk unaided after surgery?
Когда я могу ходить без посторонней помощи после операции?
Depends.
Any stretches i can do?? To relax tense muscle??
Любые участки я могу сделать ?? Чтобы расслабиться напряженную мышцу ??
The ones he showed me.
Mj7Need a small gauge needle for injection. When i inject myself. 30 gauge.
Нужна небольшая иглы для инъекций. Когда я вводить сам. 30 калибр.
Speak to the nurse.
Professor says to wrap something underneath to prevent infection? Second layer is cargo pants?
Профессор говорит, что для того чтобы обернуть что-то внизу, чтобы предотвратить инфекцию? Второй слой брюки-карго?
OK.
Need a letter for airport security (metal detectors)
Нужна письмо для безопасности аэропорта (металлодетекторы)
OK.
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I will ask Dr Fahri today whether it is safe to lengthen 0.25 mm every 2 hours!
Some useful russian phrases and words I learnt!
1) Spasi-bah/Spicy-ba: thank you
2) Itz-li-ni-tzia: Excuse me, or Sorry!
3) Ku-reet-sa: Chicken
4) Ry-ba: Fish
5) Ree-ba: Arm
6) Toilat: Toilet
7) Shampun: Shampoo
8) Chas: A moment please
9) Spa-tchz: Sleep
10) Nyet: No
11) Da: Yes
12) Bol: Pain
13) Ochen Bol: Very Pain
14) Ya Ni Panimayo: I don't understand
15) Ang-ga-lese : English
16) Injektion/U-kol: Injection
17) Dobrile Ooo-tra: Good morning
18) Pree-vat: Hello
19) Harasho: Good/ OK
20) Kra-See-Vah: Beautiful
21) Infeksion: Infection
22) Pa-zhal-ulsta: Please
23) Add-miem: Exchange (currency)
24) Kra-see-vee: Beautiful
25) Mala-det: Excellent
26) Spa-see-ba Balshoye: Thank you very much
27) Vee-Cher-Rom: in evening
28) Zavtra : tomorrow
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Final things for doctor
1) I need airport security letter (to clear metal detectors)
2) I need a letter in English to my university to say that I have done surgery (please do not say it is cosmetic surgery)
3) I need a letter to certify that I am fit for volunteering. I intend to volunteer at a hospice. And they want a letter from the doctor to say that I am well enough to help out.
4) Can I take tramadol with katadalon if pain is too severe?
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Hi itsmylife, your diary is very informative.
You are doing very well.
cheers paco.
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thank you!
I did look at crimsontide and wannabegiant diary.
I think crimsontide didn't do enough walking.....at day 10 post op he was barely walking, but I was walking from the first day; that is why he had ballerina, I am taking care it doesnt happen to me! :(
I hope he is better now after his release surgery!
I still have no sleeping pills, ketoprofen injectables and muscle ache gel. Sigh. Problems with transalations at the pharmacy!
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Probably the last video I am uploading on walking without aid:
http://www.youtube.com/watch?v=P86nNtrbBko&feature=youtu.be
read the description for more information :)
I think I am getting fatter, all the junk food I order everyday, hahaha. Today, no junk food, except one instant noodle I had earlier this morning :(
Okay, someone asked me if there was pain. Hell, yes.
If there are Four words to describe this journey: pain, boredom, sleep problems, ill-tasting (most of the time) hospital food!
Pain: Painkillers never relieve 100% of the pain. Sometimes though you have 100% no pain. Pain comes and go, different kinds of pain and different sites of pain. This is the most terrible part of the whole journey perhaps. The first few days was so painful. Now, it is better, but still painful. It is painful to keep my left leg straight. My right knee hurts now. The pin-sites hurt less now. Thank God.
Boredom: pretty much nothing to do, or no mood to do productive stuff. I brought a book but haven't read much of it! So, don't bring medical textbooks expecting you will read most of it. Well, I actually did read a lot about the procedure, what to expect, patient's experiences, about the drugs that they gave to me (more on that later, if anyone cares to ask; its really detailed and I'm not gonna write if nobody's going to Bagirov)
Sleep problems: Yes, even with Chlorpheniramine (at high doses) I have trouble staying asleep. I usually sleep for 5-7 hours. Last night, I woke up at 2 hours with quite bad pain at my legs. I also had stomach discomfort (first time in Russia, besides the diarhooea inscidents recently); I beared with it. Did some hypnotherapy, and took painkillers. Managed to sleep another few hours. I try to get as close to 7 hours of sleep as I can. Our body needs that to heal. (cf: a study says that healing of fractures not affected by sleep deprivation); the hospital environment is not really conducive for sleep, so I lock the door at night; I don't know why but this helps me. I will explore more on hypnotherapy. But hypnotherapy does not really work for me when I tried to sleep again, because there was quite bad pain! You WILL find that sometimes, maybe because of the environment, AND the awkward sleeping positions, you will have trouble sleeping! Today, tomorrow and the day after, I will use benzodiazepines to help me to sleep. After that, I will be back to chlorpheniramine. (using anti-histamines too long destroys their drowsiness effect).
And yes, the hospital food, most of the time, tastes really bland and weird. Even the Russians admitted they have a bit different food. It's a godsend when the nurse buys food from the nearby Burger King. Really. Or when you get pushed out on a wheelchair to buy food :)
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Probably the last video I am uploading on walking without aid:
http://www.youtube.com/watch?v=P86nNtrbBko&feature=youtu.be
read the description for more information :)
I think I am getting fatter, all the junk food I order everyday, hahaha. Today, no junk food, except one instant noodle I had earlier this morning :(
Okay, someone asked me if there was pain. Hell, yes.
If there are Four words to describe this journey: pain, boredom, sleep problems, ill-tasting (most of the time) hospital food!
Pain: Painkillers never relieve 100% of the pain. Sometimes though you have 100% no pain. Pain comes and go, different kinds of pain and different sites of pain. This is the most terrible part of the whole journey perhaps. The first few days was so painful. Now, it is better, but still painful. It is painful to keep my left leg straight. My right knee hurts now. The pin-sites hurt less now. Thank God.
Boredom: pretty much nothing to do, or no mood to do productive stuff. I brought a book but haven't read much of it! So, don't bring medical textbooks expecting you will read most of it. Well, I actually did read a lot about the procedure, what to expect, patient's experiences, about the drugs that they gave to me (more on that later, if anyone cares to ask; its really detailed and I'm not gonna write if nobody's going to Bagirov)
Sleep problems: Yes, even with Chlorpheniramine (at high doses) I have trouble staying asleep. I usually sleep for 5-7 hours. Last night, I woke up at 2 hours with quite bad pain at my legs. I also had stomach discomfort (first time in Russia, besides the diarhooea inscidents recently); I beared with it. Did some hypnotherapy, and took painkillers. Managed to sleep another few hours. I try to get as close to 7 hours of sleep as I can. Our body needs that to heal. (cf: a study says that healing of fractures not affected by sleep deprivation); the hospital environment is not really conducive for sleep, so I lock the door at night; I don't know why but this helps me. I will explore more on hypnotherapy. But hypnotherapy does not really work for me when I tried to sleep again, because there was quite bad pain! You WILL find that sometimes, maybe because of the environment, AND the awkward sleeping positions, you will have trouble sleeping! Today, tomorrow and the day after, I will use benzodiazepines to help me to sleep. After that, I will be back to chlorpheniramine. (using anti-histamines too long destroys their drowsiness effect).
And yes, the hospital food, most of the time, tastes really bland and weird. Even the Russians admitted they have a bit different food. It's a godsend when the nurse buys food from the nearby Burger King. Really. Or when you get pushed out on a wheelchair to buy food :)
Buy an Xbox or play station. That should relieve some boredom.
If you've never played Skyrim, now is the time!
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Skyrim: Legendary Edition, Fallout 3: GOTY, and Fallout: New Vegas really helped me.get through lengthening. Especially on the big HDTV I'm the hotel room.
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HAHAHA you gaming freaks.
I will read my textbooks (or try to) later!
And also watch some movies. Damned it that torrent doesn't work on me in this crucial time. Can't download any movies. And those streaming movie websites are all fake, just trashy ads. Does anyone know of any good place to stream movies? legit? Please!
Watching music videos, reading a book, surfing the net, texting friends, speaking to a LL patient, and doing physio has been taking up most of my time. Its pretty boring!!
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Netflix and Hulu Plus
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Thanks bro, just register? They are genuine?
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Just got my university grades for my fifth semester. NOT GOOD. Sigh. I was too lackadaisical. Totally!
Now, I will study. And read my textbooks. To prepare for my semester after the gap semester.
NO MORE tramadol. I will just lengthen at a slow rate (0.5mm) if the pain is too much!
Does lengthening at a slow rate have any disadvantages?
Tramadol has scary effects on the mind and I am not sure if it is reversible. The same goes for Xanax and benzos.
I need to improve my grades.......!!!
Maybe some Xanax whilst in hospital won't hurt.
But not after I leave the hospital!
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Netflix and Hulu Plus
NOT AVAILABLE in Russia! jesus. any other sites?
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Try Amazon Prime.
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Again! another painful night! God save me.
Just popped one ibuprofen and one katadolon.... :'(
I have to wait at least 30 min to one hour for it to take effect.
If it does not help I will inject painkillers!
Tonight I will take Xanax to sleep. This is bad. Real bad. Pain is 6/10. How to sleep?
Tomorrow I will lengthen at 0.5 mm and 0.75 mm alternately.
Then I will not need sleeping pills.
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Popping another pill of Kata, and Ibuprofen. The Russians should really should learn something about pain management. 1.0 mg Xanax knocked me out only 10 minutes (and that was with help of hypnotherapy). I awoke to pain and urination urge. The doctor does not believe in antibiotics. God save me. If you want to lengthen in Russia, please bring your own antibiotics else you will have endless pain and suffering.
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perhaps you can put your foot in hot salt water.
be strong my friend. you should take painkillers you need.
are you using footholders?
cheers paco.
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As many people have already complained, this clinic is ridiculous.
THe Russians must learn something about proper pain management. Yes I am using footholders.
I am fed up. 2 mg of Xanax, and more pills. This is not going to work out.
I have also used all of my about 5 mg of Xanax. I brought less pain medicines because I THOUGHT RUSSIANS WERE NICE ENOUGH TO GIVE PAINKILLERS AND SLEEP MEDICINE IF WE REALLY NEED IT!
This is..... the worst medical care ever. Not even antibiotics are prescribed for two pin-site infections. At this point of time, I strongly recommend against this clinic unless you have medicine to bring along with you.
I am EXTREMELY FURIOUS and you can tell how furious I am. I am on 2 mg of Xanax, I don't abuse Xanax, I take only a few pills a year mainly for exams.
Tomorrow I will visit another clinic for stronger pain medicine!
I have 3-4/10 pain in the day but AT NIGHT the pain is so bad!!!!
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AND bear in mind the nurse already injected me with sedatives.....
The infection must be sorted out with PROPER MEDICAL CARE.
Not slip-shod medical care.
I CAN ONLY RECOMMEND THIS CLINIC IF YOU HAVE PROPER PAIN MEDICINES WITH YOU AND SLEEPING AIDS. HELL, YOU MIGHT EVEN NEED INJECTABLES!!
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As many people have already complained, this clinic is ridiculous.
THe Russians must learn something about proper pain management. Yes I am using footholders.
I am fed up. 2 mg of Xanax, and more pills. This is not going to work out.
I have also used all of my about 5 mg of Xanax. I brought less pain medicines because I THOUGHT RUSSIANS WERE NICE ENOUGH TO GIVE PAINKILLERS AND SLEEP MEDICINE IF WE REALLY NEED IT!
This is..... the worst medical care ever. Not even antibiotics are prescribed for two pin-site infections. At this point of time, I strongly recommend against this clinic unless you have medicine to bring along with you.
I am EXTREMELY FURIOUS and you can tell how furious I am. I am on 2 mg of Xanax, I don't abuse Xanax, I take only a few pills a year mainly for exams.
Tomorrow I will visit another clinic for stronger pain medicine!
I have 3-4/10 pain in the day but AT NIGHT the pain is so bad!!!!
Well, we are talking about the Russians, the same people whom sent 500,000 men to die in Stalingrad (half of which didn't even have ammunition or a gun on them) during its German occupation in World War II.
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This is the perfect example why LL is nothing for weak people. And people tell me I'm crazy when I tell them not to do it, well you'll all end up like ItsMyLife.
You know what your problem is dude, you can't keep your calm, you are way to anxious, the best idea would be to stop right now with lengthening so you can take the frames off in 1-2 months. Because it will take 8+months if you want to lengthen around 5cm and trust me when I say that the worst part of LL hasn't even started yet...
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Well, we are talking about the Russians, the same people whom sent 500,000 men to die in Stalingrad (half of which didn't even have ammunition or a gun on them) during its German occupation in World War II.
seriously why bring facts from 70 years ago?
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It was mostly a joke. lol
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Weak? I walk 1-2 hours everyday, and physio. I have 8/10 pain sometimes when I walk. Sometimes little pains. I just walk.
2 pin-site infections.temperature is 37.7deg. No antibiotics. How do you want me to sleep?
I wonder if you have actually undergone LL operation.
If I am in Singapore or Korea, all of this will not happen. America too. The doctor admitted. Antibiotics would have been prescribed. and the problem resolved. No pain!
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Well, we are talking about the Russians, the same people whom sent 500,000 men to die in Stalingrad (half of which didn't even have ammunition or a gun on them) during its German occupation in World War II.
as my friend said the russisans are crazy
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Going to another Russian hospital discreetly tomorrow.
I will just say I am going out for a walk.
Taking a taxi L) woohoo..
Still feeling foggy from 2,5 mg Xanax and 2 sedative shots.
I need antibiotics, opiate painkillers like tramadol, diazepam injections.
All this to reserve ONLY for emergencies.
I will just tell them I am in severe pain every night and please help me treat the infections.
Paying by mastercard.
Friend is also bringing 8 tramadol tablets just in case all this nonsense come back.
Don't know how things can get so much worse. First 3 days was hell, yes. But I didn't expect hell to come back!
They said it will get better :(
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note i hav been battling infection for days but i stay positive on exercises UNTIL fever came...
doc refuses to give oral antibiotics.. reluctantly, local antibiotics.
but last night after begging him he agreed to put me on augmentin
if he did not agree i would have found my own antibiotics
haha, if nobody bothers to help then i'm pretty much gone, especially when my friend arrives in moscow..
one of those disappearing LL-ers :D
BUT at least i did contribute to how the journey looks right.
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Why would your doc refuse to give oral antibiotics to combat infection? My doc gave them to me as soon as I got one.
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I have come late to the thread but I am going to do 6cm for each segment but will push for 7 if everything has gone well and I get the go ahead from the doctor.
I would do no more than that. :)
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Good choice. More than 7 cm in the tibias is not well tolerated. 6.5-7 cm or less will allow for a quick return to normal activities, as well as full recovery of athletic ability.
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Why would your doc refuse to give oral antibiotics to combat infection? My doc gave them to me as soon as I got one.
i think he is worried about super-infection???
i have THREE pin-site infections leaking pus. Confirmed by doctor. But he said superficiail.
Insists no anti.
But after taking augmentin 500 mg, immediately or within hours the fever is gone and the pains are mostly gone.
Thank God!
But even if the pain was 6/10 all the thing I will still do lengthening tho i will find better pain control meds.
Infection hurts. Period.
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Update:
I have now committed an immigration offence probably because of Anna's negligence..
She never once checked up on me after we left the clinic..
Well, she forgot to submit my "registration letter" to the immigration service here before 7 day.
she has not done so even now its 18++ days into my arrival!
This is according to my htel staff & the immigration officers.
Luckily I was not locked up, as I was in contact with my Singapore embassy.....
But I still need pay 6000 roubles and be deported.. (hope SG ebmassy can help me)
All this is due to Anna's negligence.
Drbagirov said that no worries. all is solved.
I tried to reply but the server failed.. wonder if he blocked me already?
Did anyone manage to get into contact with Dr bagirov?
I will post a balanced review on this clinic once I am better.
Basically, infections resolved and I am lengthening 1mm/day on some painkilers only.
fastum gel works (if you are in singapore); otherwise, just use any ketoprofen gel, that way you use less oral painkillers.
if you use ketoprofen gel, very little pain, and very little of it gets into the blood-stream. This might potentiate bone healing and reduce the amount of NSAIDs in your bone; so u heal faster!
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(http://)
They told me they don't accept euro and hence have to change to rubles.
I want my money back sigh
Jokes on them the ruble is quite wortless right now.
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Also I've haven't read the whole diary but you are now at about 6CM correct?
If so I advice you to stop I don't believe in lenghtening the tibia more than 5CM.
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Also I've haven't read the whole diary but you are now at about 6CM correct?
If so I advice you to stop I don't believe in lenghtening the tibia more than 5CM.
He aimed for 8 cm for his tibias
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Only 1.3 cm, surgery date is 8 dec...
How do i know if my pins are bending? one red looks bent from outside...
They say pin bending may mean max 3 mm less?
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They forced me to pay 6500 euros, when the rubles price is 420000, i lost more than 1000 USD
and also due to anna's negligence, i committed an offence (hospital failed to register me before 7 days was up)
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They forced me to pay 6500 euros, when the rubles price is 420000, i lost more than 1000 USD
and also due to anna's negligence, i committed an offence (hospital failed to register me before 7 days was up)
OMG!!!!!!!!!!
How would you do now?
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He aimed for 8 cm for his tibias
Perhaps but I will offer my advice for what it's worth: -if I were you I'd stop lenghtening right away, get something for your infections and do everything you can to ensure a good recovery. Eat vitamins, stretch your legs and get plenty of rest. Also go to a doctor in Singapore when you get back -Is health care there free?
Even if not I think it's good to get a second opinion, don't gamble with your health mate.
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Wrong post
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OMG!!!!!!!!!!
How would you do now?
Well i spke to some high-level officer at my embassy and they will accompany me to court.
i will have to pay a fine of 6000 rubles max.
the hopsital will also have t pay a fine of about 40000.
i could risk deportation but that is unliekly.
all this is due to anna's negligence because im told by embassy and hotel that reigstration is done by the hotel/hopsital where you arrive at russia!
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Thanks everyone, despite having four infections (three have since healed), I am fine.
I was started on a course of antibiotics (Amox/Clav aka Augmention1000 mg/day) by Doctor fahri. After 2-3 days, i was not feeling well again. Increased dosage to 2000-3000 mg/day.
Pain is mostly dealable and under control. You don't relaly get used to it. It is just, less.
I am on Katadalon and Ibuprofen (only two drugs) but if there is discomfort I will take Ketorolac (similar to Ketoprofen).
I gave any intramuscular shot of ketorolac to myself last night but i suggest, just take the pills. The injection hurts and even though I think I injected my muscle, my fever just got worse after inj despite sterile technique (maybe something was not done in a sterile way and so my temperature went up).
I would advise anyone not having medical background NOT to self-injct and the needles in russia are also so large (21G).
Fahri does repond to your skype messages, no worries about that.
I am currently lengthening 1 mm/day, with not too much problems.
Anti-histamines are taken at night to sleep amidst all this discomfort.
So far, I have done 13.25 mm. Soon reaching 2 cm mark
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Seriously i feel no kick lenghtneing at 1 mm/day, shall i try 1.25/day today?
SG has top notch healthcare so i probably would go there to get another course of antibiotics.
I almost injected myself with a broad-spectrum antibiotics but the freaking container slipped off my grip, and bye bye to the self-injection.
No sigh of equinius still, and my dorsiflexion is still same as before (though a little less). Once dorsiflexion changes, we know equinus is coming ....
I find that, the more i lengthen, the more weird my legs feel.. i dont know how to explain the feeling.. the more weird it is to walk on walkers, ie my legs feel weaker?
since i am on anti-histamine for sleep these few days and will have femazepam for either tonight or tomorrow night, I will lengthen more... and then 0.75 on days I do not take any drugs for sleep.
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No, stick with 1mm/day, u seem so "dumb", way too excited, you should know by experience from life that the effects aren't always immediate and if every top doctor says no more than 1mm than you better calm down and listen to their advice ;)
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you are taking pain killers. try doing 1mm per day on no pain killers. then tell me you don't feel a kick lol :)
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Tomorrow i will go back to 0.75 mm/day instead of 1 mm/day even though there are no problems, why?
Elongation at 1 mm / day without any problem. Is it bad for athletic ability ?? This is what I asked.
According to dr:
Fahri
1: 58 AM
it is bad for the joints and consolidation
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good lad.
my understanding is that the best lengthening rate for your soft tissue is 0.66mm per day.
its better to do this because you will not develop any micro tears in the soft tissue which will allow a better final outcome in the later stages as your soft tissue will still be in optimal form for being stretched. :)
0.75 is close enough I think.
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I'd agree with him. Between 0.66-0.83 mm a day on the tibias is likely the best. However, I'd stick to the lower end if that range.
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Yup, today I am lengthening 0.75 (and cut down to 0.5 if i need sleep)
Even with painkillers, 1.25 mm/day discomforts!
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Yeah, 1.25 mm a day is simply too fast. Unless you're doctor gives other advice, I'd stick to about 0.75 mm a day.
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i have now lengthened about 1.5 cm without any difficulties....
infections are mostly resolved. (four wound site infections earlier due to getting them wet when bathing)
please learn proper technic now to bathe...
i am around 20 percent done with my lengthening process... so god pls empower me with strength courage and wisdom to go further!
standing at 175.5 now... if pins did not bend
dorsiflexion decreased a few degrees but if i stretch realhard it is back....
i am also on many anti-oxidant supplememts...
some hearsay about LL aging u?...
so im on this regimen
is there any truth to LL aging u
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Anna's negligence caused me to commit an offence. I was not registered as a patient at the hopsital. this is an immigration offence which is very serious!
Now i write my mitigation plea before the court:
1. When I applied to the visa agent, I showed them the medical documents regarding my medical trip. These documents were sent by Anna from the clinic.
2. The visa agent did not inform me of any need to register. They said that, "that is all".
3. Once I reached the hospital, I paid the monies, and did the examinations, and after that, all was done. I asked if anything else needed to be done. They said no.
4. After surgery I was in intense pain and surgery (I arrive in Russia 7 December, and surgery date was 8 December).
5. For the next 7 days or more, I was intense pain. Constant shots of painkillers and sedation. I could not have registered. Nobody told me I had to register.
6. When I was discharged from the hospital on the 22 December, I had infections and I had to concentrate getting antibiotics and medication to keep my infection under control. I was in severe pain.
7. When I arrived at hotel, they told me about registration and immediately once I knew that registration protocols were not followed, I took immediate steps to plan and go to the immigration office the very next morning, to settle the matter.
8. At no point of time, did I show any delay in my actions.
9. I do not wish to commit this offence, and I am sorry for the trouble. But the hospital was totally negligent, and they should be punished severely also, if not totally. Please understand my situation.
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that's hardcore lol
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could have avoided these issues by going to a different clinic....
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I have been exonerated of the charges pressed against me by the district court of moscow. This is all because I was lucky, had a good translator from my embassy and pretty high ranking embassy support. the judge was also very pretty and though she looked stern, i felt she sympathised my situation... she twisted the law backwards and upside down and came out with just conclusion... i am a free man and will have no restrictions against me.
this is very lucky. however, the company may be liable to fine of 40,000 rubles for failing to register me as a patient (they have responsibility to register me as a patient, but failed to do so).
if i had gotten a different judge, i will be put behind bars and be deported from russia thereafter.
also. i wasted one entire day (and in pain)... at the police station, federal migration service and at the russian courts.
thank you Anna ! i will tell doctor bagirov about all these issues. she is very responsible!
this is the code:
Article 18.8. Violation by an Alien or a Stateless Person of the Regime for Staying in the Russian Federation
Violation by an alien or by a stateless person of the regimen for staying in the Russian Federation, manifesting itself in non-observance of the established procedure for registration, or movement, or choice of the place of residence, as well as in failing to leave the Russian Federation on the expiry of a definite term of staying there, or in failure to observe the rules of transit passage across the territory of the Russian Federation -
shall entail the imposition of an administrative fine in the amount of from five to ten times the minimum wage with or without an administrative deportation from the Russian Federation.
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could have avoided these issues by going to a different clinic....
the doctors are ok but Anna is fked up,,,
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Im now lengthening at 0.75 mm/day
sleep is possible without anti-histamines.
dr fahri and dr bagirov and the nurses have been pretty good to me. though the nurses can be unresponsive at the last few days maybe because they are too busy??
besides from my horrible experience due to anna's negligence in failing to register me, I would rate this clinic 8/10, if you bring your own antibiotics and painkillers.
i am still battling a few pin-site infections but i am still doing 0.75 mm/day.
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I am doing very well. Not taken any sedatives for days. Probably anti-histamines for better sleep. I swear that ophendraine relaxes you and your muscles so well.
Here is the letter to my local A&E department once I reach back to my country:
Ski accident in Moscow, on 8 december 2014.
• Sedated and forgot the MOI.
• Illizarov fixation.
Started on Augmentin on 23rd Dec.
• Did not keep proper records.
• But 1000 mg was used.
• Systemic infection signs like fever (37.5) and general feeling of unwellness.
• Pus noted, and pain at infected wound sites.
• Dosage was increased 1-2 days later to 2000 mg.
• Subsequently, dosage was increased to 3000 mg (x3 a day)
Started on ceftriaxone q.d. IM on 29 Dec, for a total of five days (until 2 January inclusive).
• 1 gram = 15 ml dilution (N.S)
• 3 ml = 250 mg was injected Q.D. on Rt. Thigh muscle
• Pain reported post-inj, but resolves in 5-10 minutes
• Sterile technique used & no sign of local infection at site of injection or systemic signs.
• Started on Ceftri because Augmentin did not work well.
Elevated sitting BP 132/64, HR is 98 (before 22nd it was 110/70 continuously) Before sx, BP was about 100/60,and HR = 60-70
• Possible reasons??
• Painkiller Excedrin has caffeine??
Pain Mgt
• Excedrin (2 tablets) 4 hourly, as needed.
• Tramadol (50 mg, by mouth) 2-3 times daily.
o Need more Tramadol
• Oxycodone for rescue analgesia.
Basically just telling them I need more tramadol and oxycodone (even though Russia does not prescribe)
Naughty me, haa.
BUT I have read that katadalon causes liver failure if used more than 2 weeks at high dose in some patients..... I started it on 22nd December. So I have to stop on about 4 January, which is around the date I am going back home)......
I will use Tramadol for about 2-3 weeks before stepping down and switching to a milder painkiller.
Anyway I swear the Russian docs do NOT believe in antibiotic even if you hve pinsite infection and feel so sick. I am on very high dose augmentin and intramuscular antibiotics now. Augmentin prescribed by doctor. But the intramuscular antibiotics, I bought it from the pharmacy myself (without prescription)...
Amazing what stuffs you can buy in Russia; you can also buy the infamous sedative ..... Phenazepam... even the hotel staff knows it.. cardiologist at the hospital says no no no its no good, nurses say no good as well... well its pretty evil as it fks up 5-10% of your short-term memory.
I am VERY tolerant to benzos because I have undergone some surgery in the past..... but this really fks u up and your emotions. I only took 1 or 2 pills about 5-6 days ago. I can function well on this, but I do nt recommend it. It has a looooooong half life of more than 2 days. It is a muscle relaxant too so I would use it, IF and only IF I have unbearable pain. a nice medicine to put into your arsenal.
I am taking all these drugs because I need to do intensive PT. I have not lost ANY dorsiflexion, and I am about close to 2 cm. 1.7 cm to be precise; so now, my height is 174 + 1.7 cm = 175.7 CM, pretty much 176.
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Today and tomorrow I will lengthen 1.0 instead of 0.75, I will be using strong muscle relaxants and do intensive PT!
Because, I don't know if the strong drug Phenazepam will pass customs!
Anyway, here is my video of my walking at 18.5 mm.
Average lengthening rate is 0.9 mm.
Next month, will decrease to 0.75. I want to shock my muscles into recovery!
i am also taking korean prescription anti-scar tissue to reduce any scarring internally and externally.
the patch on my leg is lidocaine (EMLA) cream because later, doing antibiotic injection.
http://www.youtube.com/watch?v=0Y37uoM38d4&feature=youtu.be
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Tomorrow my final consult with doctors before I fly home; here are my Questions! let me know if you wanna know the answers:
Ask about the various types of medicines.
Ask the nurses to teach me how to care for my wounds.
I need to recover my athletic ability totally. If I want that,
• 7 cm tibia
• 8 cm tibia
• (x cm) Tibia + (x cm) external femur
Which is the best choice?
Based on the radiological examinations,
• How is the bone formation?
• Should I continue to lengthen at 0.75, or 1.0?
• Any misalignment?
• Bent pins?
• What is the increase in height observed on the radiological examination? For both legs..
You mentioned my legs have slight discrepancy (bilateral)
• Can I correct and make my tibia length the same only?
• my knees will be the same height. But hip will be different height.
• Can we do this? Is this advisable?
If I lengthen very well and no soft tissue issues, can I do 8.5 cm? What do you think is the limit for my tibia?
I am currently taking NSAID (Ketorolac). This is similar to Ketoprofen. Does this stun bone growth? If I take 3-6 pills everyday, how much longer do I have to wait, before I can remove frames?
I am covered by insurance. If I go to emergency room in my country (just to get 3-4 weeks of pain medicines, after that I will see specialist and tell the truth), will they believe that I am involved in ski accident? The osteotomy sites look clean and symmetrical! There are no external signs of injury, or soft tissue damage.
In your experience, How common is knee contracture? What about equinus?
How is my status for equinus and knee contractures?
I have been very lazy, walking only 30-60 minutes a day. I also stretch maybe 20 minutes a day. Should I increase?
In your experience, is 4 cm external femurs safe? Misalignment problems?? I know the only problem is severe pain.
If I am comfortable and lengthening 1 mm/day, is it OK? Does it increase total recovery time? Does it affect athletic ability??
They say pain is more, when you approach 8 cm, is this true??
I may go for minor cosmetic surgery. Can I stop blood thinning medication and painkillers for 5 days?
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To me 4 femur+ 5/6 tibia
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bro, dont want trauma of a second surgery
i am eyeing 7-8.5 cm of tibia. no more
that puts me at 183 safely:) 6 foot! or very close!
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bro, dont want trauma of a second surgery
i am eyeing 7-8.5 cm of tibia. no more
that puts me at 183 safely:) 6 foot! or very close!
My friend
I dont know exactly about bio mechanic changed for longer tibia over femur .
Is it good for health?
You should ask your doc to double sure before lengthen over safety limit "5-6"cm
and ask him for reason why some doctor have constrast opinion with him?
My point to make you ask doc to double sure for your life long healthy with out compromise too much.
By the way .Wish you best from my truly heart.
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My friend
I dont know exactly about bio mechanic changed for longer tibia over femur .
Is it good for health?
You should ask your doc to double sure before lengthen over safety limit "5-6"cm
and ask him for reason why some doctor have constrast opinion with him?
My point to make you ask doc to double sure for your life long healthy with out compromise too much.
By the way .Wish you best from my truly heart.
bro that is a good question
he know i play basketball and am basketball player
but anyway I will ask him
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Doing 5 cm in tibias and then femurs will result into a better and faster recovery than 8-9cm tibia itself
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Doing 5 cm in tibias and then femurs will result into a better and faster recovery than 8-9cm tibia itself
He dont want to do ll in the second part bc it is very hurt and waste lot of money.
By the way .I dont know .Is it a bet game for cross 5cm?
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yes, ext femur is very painful... n all the trauma does age u.
also, if you lengthen femur, u cant jump so high (loss of athletic ability)- search internet: long femurs = low vertical leap....
and its another $10000... and the down-time.... i can't afford
i rather put in another 1 month of lengthening and 1 month of consolidation.
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my theory... for first 2 cm, if you feeel comfortable, lengthen at 1mm. no problems. here's my spreadsheet... what do u think:
0.25 (4th day post-op)
1
1
1.25
1
1
0.75
0.75
0.5
0.25
1
0.5
1
1
1
1.25
1
0.75
1.25
1
1
0.75 (today)
total= 1.9+ cm
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this is silly.
as an average you are doing 0.86 mm per day.
and by the time you finish lengthening as you get into the later stages it will be an even lower average.
you are only hurting yourself by trying to rush this.
you are building up scar tissue.
why go through all this crap and develop micro tears and buildup of scar tissue which is permanent when in the end your average will be 0.66mm anyway?
why go through all this rubbish of rushing when you will in the end still only get 0.66mm per day as an average.
the only thing you will achieve is less elastic soft tissue when your lengthening is over. your soft tissue changes in fiber type.
let me educate you:
A contracture develops when the normally stretchy (elastic) tissues are replaced by non stretchy (inelastic) fiber-like tissue. This tissue makes it hard to stretch the area and prevents normal movement.
Contractures mostly occur in the skin, the tissues underneath, and the muscles, tendons, ligaments, and joint areas. They affect range of motion and function in a certain body part.
if you lengthen faster you are converting slowly but surely the type of soft tissue structures present In your soft tissue. in the end you will be permanently to a small degree have less biological capability.
and the most astounding thing is that you will still take an average of 0.66, but the ratio of change in the soft tissue to inelastic fiber like soft tissue will be greater.
my god its so annoying seeing people trying to be smart to save time when in the end they don't save time and actually damage their soft tissue.
no your not lengthening to fast as to get major soft tissue damage, but every single day you lengthen more than 0.66mm you are converting ever greater levels of elastic fiber like soft tissue into inelastic fiber like soft tissue.
unless you are in danger of pre consolidation. stick to 0.66mm.
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Do u risk pre consolidation only in the beggining assuming u lengthen 0.66/day
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everyone risks pre consolidation. the slower you go the worse the risk. it depends on you as an individual how fast your bones consolidate.
check with your doctor if they charge you to re break the bone and how much just in case premature consolidation occurs.
make sure you get x rays to prevent premature consolidation. even if you have to check 2 weeks after surgery and 4 weeks after surgery just to be sure.
I do not advise these next methods because I cant be sure of the outcome. but these are some ways to avoid premature consolidation. some pain killers can prevent bone consolidation, you could also take in less supplements, and you can increase your lengthening speed.
the only 1 I can be sure on is to increase the lengthening speed. the other might have unforeseen side effects and interactions.
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if something is going to consolidate I find it very unlikely that it will be your tibia. it will most likely be your fibula. but this also depends on surgical technique.
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this is silly.
as an average you are doing 0.86 mm per day.
and by the time you finish lengthening as you get into the later stages it will be an even lower average.
you are only hurting yourself by trying to rush this.
you are building up scar tissue.
why go through all this crap and develop micro tears and buildup of scar tissue which is permanent when in the end your average will be 0.66mm anyway?
why go through all this rubbish of rushing when you will in the end still only get 0.66mm per day as an average.
the only thing you will achieve is less elastic soft tissue when your lengthening is over. your soft tissue changes in fiber type.
let me educate you:
if you lengthen faster you are converting slowly but surely the type of soft tissue structures present In your soft tissue. in the end you will be permanently to a small degree have less biological capability.
and the most astounding thing is that you will still take an average of 0.66, but the ratio of change in the soft tissue to inelastic fiber like soft tissue will be greater.
my god its so annoying seeing people trying to be smart to save time when in the end they don't save time and actually damage their soft tissue.
no your not lengthening to fast as to get major soft tissue damage, but every single day you lengthen more than 0.66mm you are converting ever greater levels of elastic fiber like soft tissue into inelastic fiber like soft tissue.
unless you are in danger of pre consolidation. stick to 0.66mm.
contracture is prevented by intense PT and use of Tranilast (rizaben)
but my plan is to do 0.75 from 4 Janaury when i return to SGP
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Do u risk pre consolidation only in the beggining assuming u lengthen 0.66/day
acc to doctor, only risk is if u lengthen at 0.5
but doing x-ray will solve and prevent/mitigate this prob
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contracture is prevented by intense PT and use of Tranilast (rizaben)
but my plan is to do 0.75 from 4 Janaury when i return to SGP
actually PT does not treat contracture. it treats the symptoms of contracture.
you are changing soft tissue fiber type. PT can not change it back.
I think you perhaps missed my point. I am not taking about contracture per say. contracture is not important for my discussion. I am talking about lengthening to quickly slowly changes your soft tissue type whether you get contracture or not. you don't go from 100% function to 0% function over night. each and every single day you over lengthen you affect your tissue in micro amounts.
for example if you lengthen for 5 days. (D1= 0.1mm, D2= 0.1mm, D3= 0.1mm, D4= 4.6mm, D5= 0.1mm)
then you will incur massive soft tissue damage on day 4 and no soft tissue damage on the other days. it does not matter that your average is 1mm per day. if the amount lengthened is over you incur micro tearing. even if you don't notice it. at the end of your lengthening the micro tearing builds up over time and will express it self at the end. even if you have "normal function" you will still have a decrease in soft tissue power. in the end you will not have lengthened any quicker but will have a small level of soft tissue scar tissue damage.
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if the over lengthening done each day is smaller (as in only a little bit above the levels soft tissue can lengthen) then it will take a greater amount of time for the damage to occur. but it will be occurring. and you will see it at the end of your lengthening.
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if the over lengthening done each day is smaller (as in only a little bit above the levels soft tissue can lengthen) then it will take a greater amount of time for the damage to occur. but it will be occurring. and you will see it at the end of your lengthening.
I agreed with you and appreciate in your suggestion
I have 2 questions .
Why Dr Guichet lengthen it too much in femur?
1cm first day and 2mm per day?constrast with dr paley and donghoonlee only1mm?
Have you done ll yet?
I want to gather more information bc i will have femoral ll as first section in this july for 6 cm max maybe guichet or paley.and if it not be good for soft tissue i will tell dr guichet lengthen me 1 mm perday
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femur has a greater warmth and blood supply, this makes pre-consolidation far more likely.
as bone consolidation is faster.
in my opinion, and each to his own.......................... 1cm if done during the operation is crazy.
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Has anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?
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Has anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?
Her name is Disobedient, a bit of a nut... well at the time anyway, not sure about now.
Dont think she's recovered all that well and apparently 'lost' some cms during consolidation
Personally I wouldnt do it, way too risky.
If time is limited then do one surgery instead of forcing yourself
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I feel so sick after switching to tramadol is this normal?
either that or i'm infected again... sigh...
I have very very bad pin site pain when I move my right leg....
I don't know what's going on but all these pin sites issues just ruin my day.
otherwise I am perfectly fine and mobile and no loss of dorsiflexion.
Im now at airport transit they took away my spanner and put into carry-in.. so today I lengthen 0.25 mm. never mind tomorrow morning I will lengthen first thing I reach back....
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after stepping down on painkillers, my discomfort is quite signifcant...
i realise without painkillers things will be really hell....
i used to take 6-8 katadalon tablets, and 10 excedrin tablets a day, plus ketorolac (an NSAID) about 4-6 pills.
thankfully despite the NSAIDs my bone is healing well (from X-rays)
But doctor said that katadalon was used way too much and ketorolac only take 1-2 pills a day!
so after stepping down (and since my country has no katadalon, i use it only at night to sleep).....
the pain is bad..
i might stop at 7 cm because my body is telling me to stop....
i am 'fraid of the hardcore painkillers like percocet and oxycodone.. are they that addictive?? are there so bad withdrawals?
i cant seem to be able to take tramadol it drives me crazy, ie, it just makes me feel so nauseated and unwell..
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just take it 1 cm at a time, buddy
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past few days were like hell as i was probably had food poisoning and/or dyspepsia and/or tramadol withdrawals (tho i taken only 3 pills) and/or infection
i am now feeling better and well enough to post a little...
basically had a 1 day plus flight from russia to singapore and it was so so tiring.. i almost died...
when i cme back home needless to say i was so exhausted.
tomorrow i am going back to work..... and going to emergency to get some medicine
can someone shed some light about what pain meds to get??
im thinking of
* percocet/oxycodone (since tramadol makes me feel so ill)
* paracetamol with codeine
* pregablin (lyrica)
* mydocalm (if they have it)
* ophenadrine
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Youre going to work with frames on? What do you do? What do you tell people?
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^ ski accident in moscow.. doctor suggested.. i researched.. really possibe for exfix for complicated fractres..
but it is really tough to move from place to place...!!
update my pain meds
* paracet with orph
* codeine
* arcoxia (NSAID)
* pregablin
to be honest, i am not so afraid of the pain.. im just afraid cos its painful that my frame might break.. pins or stuff break and fal apart and that is the end of me...
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I need Tizanidine (sirdalud) but singapore does not have it... nor do we have mydocalm..
But yes i was prescribed the pain meds as written above..
they stupidly gave me 90 mg of arcoxia instead of 120mg, so i wonder if it is safe to take 90 mg x 2, researching on that.
codeine really helps u to sleep...so i only use it at night.. u sleep like a baby..
i use it only at night because i do not want tolerance to develop
im given 30 mg codeine (pure) which is equivalent to 5 mg of oxycodone.
its a 20 days supply if i take it only at night.
going to see an orthopedic specialist on 12th of this month... i hope he can prescribe similar pills, because i am really afraid of tolerance..
i have already calculated, if i turn 0.5/0.75 alternately, i just have ANOTHER TWO MONTHS of lengthening!
i am doing absolutely fine now, at 2.5 cm (one inch), no ballerina, nothing. just some pains here and there.. but praise the Lord I am mostly in a pain-free state for most of the day :)
emergency room confirmed i have two pin-site infections currently... the airport doctor and the emerjgency room docs both hold the opinion that, they are superficial currently.
it puzzles me why i still have pin-site infections when i have taken 10 days of augmentin, self-injected myself 5-6 days with ceftriaxone, and then switched to ciprofloxacin.
probably its a resistant bacteria, i dont know..........
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Hey@itsmylife u said u wanna watch ad free movies..... Best is u download adblocker to that particular browser(recommend google chrome) then watch tht movies. Also yes there are lot of free movie sites like movie2k and movies 4k,but i mainly use viooz for watching movies.......
........ Also my height and wingspan are pretty much same n by getting my desired height my wingspan wud be 11cm shorter tHan my height...... And its d same wid u, so im eagerly waiting how ud look once you reach ur final height.... Also all d best for d journey mahn!!!
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Hey@itsmylife u said u wanna watch ad free movies..... Best is u download adblocker to that particular browser(recommend google chrome) then watch tht movies. Also yes there are lot of free movie sites like movie2k and movies 4k,but i mainly use viooz for watching movies.......
........ Also my height and wingspan are pretty much same n by getting my desired height my wingspan wud be 11cm shorter tHan my height...... And its d same wid u, so im eagerly waiting how ud look once you reach ur final height.... Also all d best for d journey mahn!!!
thanks bro.... we will be about 180 and wingspan of 169 cm or so..
i have long arms tho (75 cm)
it is so painful today when i extend 0.75 consecutively for two days..
so so painful...
i will go back to alternating between 0.75/0,5 :(
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thanks bro.... we will be about 180 and wingspan of 169 cm or so..
i have long arms tho (75 cm)
it is so painful today when i extend 0.75 consecutively for two days..
so so painful...
i will go back to alternating between 0.75/0,5 :(
My arms are 75CM as well and I'm just under 180 also my dad has 78CM arms+hands and he is 187CM.
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^ yes I know, cos I saw ur comment about arm span..
is arm span really more important than wingspan??
I finally reached 1 inch (2.5+ cm)
I wonder when I will get ballerina; doctor says I wont get ballerina if I follow instructions.
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^ yes I know, cos I saw ur comment about arm span..
is arm span really more important than wingspan??
I finally reached 1 inch (2.5+ cm)
I wonder when I will get ballerina; doctor says I wont get ballerina if I follow instructions.
Yes it is mate, your arms might be short even if you have a wingspan equal to your height and they may look normal even if your wingspan is shorter. My wingspan is only 174CM but like I said my arms are only 3CM shorter than dads -but I'm still worried about how my arms are gonna look, it's my main concern proportion-wise actually.
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Yes it is mate, your arms might be short even if you have a wingspan equal to your height and they may look normal even if your wingspan is shorter. My wingspan is only 174CM but like I said my arms are only 3CM shorter than dads -but I'm still worried about how my arms are gonna look, it's my main concern proportion-wise actually.
Trust me, mate. Very few people care about proportions.
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I am 178 or 179 CM with a wingspan of 185-186 CM. Honestly, my arms don't feel long at all. They're not short either, just normal looking for my height. My big armspan is definitely fromy shoulders, which are very broad. From much experimenting with lifts, 188CM is the max I'll be able to pull off while still looking proportionate/normal. My arms are shorter than those of everyone who is naturally 188CM, but, luckily, not by much. It's so little of a difference that I don't think anyone who isn't a member of the forum would notice. Plus, somebody recently posted here about a basketball player of 188CM and a 181CM armspan that included noticably short arms. Nobody seems to care in his case. If I were to go above 188CM, I'd need AL, but I have no plans or aspirations to exceed 188CM. Honestly, these past few months I've come to realize that my height does not hold me back in life at all. I've just always had a complex regarding my height, as I am one of the shortest males in my family, and I've always wanted to change it. Every time I think of my height I feel disappointment. I want LL for the simple fact that a greater height will make me much happier and proud to exist in my own body.
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why are you always talking about your complex taller, we don't care you know, everyone has a problem with his height here.
i also remember you SAID have been on ll forums for years, so why are you still here, what are you waiting for?
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why are you always talking about your complex taller, we don't care you know, everyone has a problem with his height here.
i also remember you SAID have been on ll forums for years, so why are you still here, what are you waiting for?
LOL, well if it isn't the voice of reason itself?
I'm getting a university degree at the moment and can't financially, academically, or logistically afford to take time off for LL. In a couple of years, I hope I'll be able to, and I'm doing what I can to make that a reality, but, for now, I'm nothing but a dreamer!
ItsMyLife, you are also a student. How did you work of the logistics of your LL journey, if you don't mind my asking?
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LOL, well if it isn't the voice of reason itself?
I'm getting a university degree at the moment and can't financially, academically, or logistically afford to take time off for LL. In a couple of years, I hope I'll be able to, and I'm doing what I can to make that a reality, but, for now, I'm nothing but a dreamer!
ItsMyLife, you are also a student. How did you work of the logistics of your LL journey, if you don't mind my asking?
i took a gap semester from my university..
when im back i am just gonna say i had a ski accident and thats why ive external fixators..
cos i will attend one semester with these fixators.. but that would be consolidation.. very little pains..
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spoke to my ortho today
hes really good..
prescribed me esperidone for muscle relaxing in addition to tramadol. he told me to use arcoxia as little as possible (once a day only).
repeat XR will be done in 2 weeks..
he says that taking NSAIDs is dangeorus for bone formation.. tho my bone callus now is good, the body can choose to stop growing new bone at any time, due to NSAID use.. quite scary eh..
tramadool is fine for bone growth.......
we discussed about stepping up my pain medicines as we approach 8 cm, and he is OK with it, ie, in the last month, we might use oxycodone, hydrocodone, etc..
we will probably repalce tramadol with the opiates..
is tramadl stronger or oxycodone/hydrocodone?
on a sadder note, based on XR, i lengthen only 2 cm, instead of 2.5+ cm based on my spreadsheet... probably due to pin bending..
superficial infection was also noted at Rt leg, two (medial) sites...
other pins are doing well.. granulation tissue at the iodine burn sites..
i looked at the XR and am not sure about the fibula fixation because it is NOT in line........... :(
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Update. At 2.7 cm. (I will update again maybe much later, as things are pretty constant everyday)
Everything has stabilised... i must admit i am in a state of complete analgesia (ie, pain 0/10) for most part of the day. As is expected, walking too much will lead to some pains (which is 3/10 to 6/10), but walking short distances is very good. For some days I was experiencing pains (before I saw the ortho) because I was NOT on any muscle relaxant other than ophenadrine, which was not the most perfect relaxant. I needed something strong like the Russian Mydocalm(or tizanidine), but we don't have it here, so they gave me eperisone which works like a charm.
No signs of ballerina yet. I am always on footholders in bed, and stretch my dorsiflexion angle also.
I might be getting knee contracture... as I was very worried about ballerina instead... but it is not an issue now, because I can still walk properly, and flatten my knees to zero degrees. So I will pay careful attention to this from today onwards.
I am relieved of the burden of taking care of myself, which was pretty dangerous if you ask me, cause if i fell nobody would know for quite a while.. But as my family is not very supportive of my decision, they only help me a little every now and then; but i am fairly independent and can do most tasks with walker.
Sleep wise, I still get my 8 hours at night, but more difficult. Why? its not the pain. I am just getting reliant on sleep medications. Last night was pretty hard to sleep. 30 mg codeine, no sleep. 60 mg codeine (which is 7.5 mg morphine) gave me euphoria for awhile. and when the euphoria went away, i dozed off. woke up, and couldnt get back to sleep. had some discomfort, so popped a tramadol. and there i was, back to sleep, like a baby before i know it (tramadol has weak sedative effects.. very subtle,,. only if you combine with opiates...)
Right, all these drug contortions will possibly not work if you have tolerance... i do not abuse drugs and have never taken opiates before and rarely take benzos, so everything is doing very well for me now. If you have a tolerance, you might wanna speak to your dr to see what can be done...
I am on Arcoxia. This is an NSAID. 90 mg once a day (i stopped 120 mg). Fahri said it was ok, taken once a day. So here I am. We dont have ketoprofen, anotehr NSAID which he prescribes. My local ortho believes that NSAIDs are a risk factor, in line with what most people think (the russians think it may not be adverse to bone growth, because studies always swinging from left to right to left, like ding dong bell)
Whatever it is, my bone formation is pretty good despite being injected regularly with ketoprofen in the hospital. And being on Arcoxia. But, I do not want to risk things and next week (ie, after a few days), I will switch to tramadol (and codeine at night to sleep), and stop arcoxia totally. (now I do not use tramadol)
I'm still worried about my fibula being not in line, which is very obvious on the XR, but fahri said we can discuss this in moscow. I am not sure if it matters, as the fibula is not a very important weight-bearing bone.. but if you are talking athletic functions, mmm, it might well matter (think it does)
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Fearful my fibula wont heal well (theres no callus); so i stopped arcoxia.. and started tramadol. Pretty much most of the day is painless.. Must be the muscle relaxants...
Tramadol does give u withdrawals once stop taking.... its addictive potential is indeed high....
I am now lengthening at 0.5/0.75 alternately instead of 0.75 for the past 1 week.
I realised i am lengthening much faster than crimsontide.. Another patient was lengthening pretty fast too at 0.75 with some breaks of 0.5... he developed ballerina..
I am starting to get some difficulties walking.
I have some loss of dorsiflexion, but not too much. probably have 10-15 degeres now of dorsiflexion.
once it reaches 0, i will start to get ballerina.
tramadol makes me so lazy......................but i try to fight it.
pain and symptoms get much better once u go down to 0.5.
anyway, I have severe pain in my right hamstring tendon (or that area) when I bend or straighten my knees (only when motion).. it feels like something is snapping.. an elastic band is sanpping.. does tibia lengthening affect the hamstring tendon??? only tramadol relieves me of the pain but if I move too vigorous I start to get nerve pains (referred, to my feet)
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Fearful my fibula wont heal well (theres no callus); so i stopped arcoxia.. and started tramadol. Pretty much most of the day is painless.. Must be the muscle relaxants...
Tramadol does give u withdrawals once stop taking.... its addictive potential is indeed high....
I am now lengthening at 0.5/0.75 alternately instead of 0.75 for the past 1 week.
I realised i am lengthening much faster than crimsontide.. Another patient was lengthening pretty fast too at 0.75 with some breaks of 0.5... he developed ballerina..
I am starting to get some difficulties walking.
I have some loss of dorsiflexion, but not too much. probably have 10-15 degeres now of dorsiflexion.
once it reaches 0, i will start to get ballerina.
tramadol makes me so lazy......................but i try to fight it.
pain and symptoms get much better once u go down to 0.5.
anyway, I have severe pain in my right hamstring tendon (or that area) when I bend or straighten my knees (only when motion).. it feels like something is snapping.. an elastic band is sanpping.. does tibia lengthening affect the hamstring tendon??? only tramadol relieves me of the pain but if I move too vigorous I start to get nerve pains (referred, to my feet)
I am glad your doing well I recently read a post saying you want to do 7-8? I think it's a bad idea because you said your fibula won't heal try thinking about how you need to play basketball maybe stop at 6?
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no more hamstring pains... it just resolved itself..
now I am facing and fighting knee contractures (though I can put my knees to zero degree)
in the morning.. really really stiff..
don't get 8 hours of sleep anymore. more of 4 hours, wake up, and another 4 hours.
Now at 3.2 cm. Another 4-5 cm to go...
I think I can do 7 cm without losing much athletic ability tho I suspect I cant dunk anymore. I fear that, but anyways, its okay. height is more important
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7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm
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7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm
186 go with it
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7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm
well u might have short tibia, so u can lengthen less. remember, u can lengthen only 20 percent of ur tibia.
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Yeah I m going with 186 cm
hallijah are you considering bagirov ?
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no more hamstring pains... it just resolved itself..
now I am facing and fighting knee contractures (though I can put my knees to zero degree)
in the morning.. really really stiff..
don't get 8 hours of sleep anymore. more of 4 hours, wake up, and another 4 hours.
Now at 3.2 cm. Another 4-5 cm to go...
I think I can do 7 cm without losing much athletic ability though I suspect I cant dunk anymore. I fear that, but anyways, its okay. height is more important
the hamstring issue and the knee contracture are 2 heads of the same animal. (metaphor :) )
the problem is that you have soft tissue that runs through the entire leg. when ever a person lengthens either the tibia or femur they are actually lengthening this soft tissue throughout the whole leg, but with emphasis on the segment they are actually lengthening. this is also why it is not advised to lengthen the entire leg(femur and tibia) at 1 time. because of this soft tissue limitation.
its possible that the pain in the hamstring was the forceful stretching of your muscle or soft tissues, and now with to much stretching you have a very very very slight muscle tissue type change which is the definition to contracture. under stress the muscle tissue changes as it over extends its stretching capabilities.
this could be the reason why the pain disappeared and you have contracture. it is completely reversible as you know, however you may never be able to change the actual muscle tissue type as it has probably changed to a very very small degree, this new muscle tissue type is less elastic, which means you will get less pain but more contracture.
try not to lengthen to fast. this is not a race, 0.66 is a good safe amount. I am actually lengthening less than this as 0.71mm was to much for me.
im not sure but I think 0.66 is not the average but the limit for safe lengthening but don't quote me on this.
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if you lengthen 7cm you WILL loose function, your exact levels will be 60-70% your athletic function level returned, and you will receive 100% function for daily life activities.
god luck. I pray you will listen to what I have said.
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ForcedPuberty, thanks for sharing your wisdom with us. But, out of curiosity, may I ask what makes you more knowledgeable on the matter, and qualified to give medical advice, than Dr. Bagirov?
I have studied medicine to a decent degree in university, but not orthopedics. I am also nowhere near being a doctor, so I refrain from giving medical advice.
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its your funeral. everything I stated is common knowledge in the medical community.
doctors fk up all the time. just because someone is a doctor does not mean they memorized everything in medical school, especially in regards to limb lengthening for cosmetic cases.
lets play a game: how many hours do you think the medical curriculum studies limb lengthening for cosmetic cases in their degree and all the associated biological sciences in relation to cosmetic cases.
answer: when you learn the truth you will understand why the fk they don't know anything.
millions of people die per year because doctors fk up. and yet their word is still god. your not interested in the information, your more interested in the person who gives it to you.
even basic medline plus states exactly what I just said.
A contracture develops when the normally stretchy (elastic) tissues are replaced by nonstretchy (inelastic) fiber-like tissue. This tissue makes it hard to stretch the area and prevents normal movement.
Contractures mostly occur in the skin, the tissues underneath, and the muscles, tendons, ligaments, and joint areas. They affect range of motion and function in a certain body part.
http://www.nlm.nih.gov/medlineplus/ency/article/003185.htm
A service of the U.S. National Library of Medicine
From the National Institutes of HealthNational Institutes of Health
if you say I am wrong you are saying Medline plus is wrong. let not make this about me, lets make this about medline plus. you cant challenge the information so you challenge the person.
you do this by comparing the doctor to the person in question. how about for 1nce you pay attention to the information. and then you will see its accepted medical information that is not refuted.
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your ligaments don't just wake up 1 day and go......... you know the fk what......... im going to change my entire tissue fibre type today because you over lengthened the last few months.
no its a culminative process. your tissues don't just go. 10th fine, 11th fine, 12fine...............31st fine. ..........3 months later..... 1st fine ...... next day......change the whole fking legs tissue asap!!!!!
but sure the doctor knows everything. according to him SCAR TISSUE DOES NOT BUILD UP if lengthen too fast.
so what he is saying is that everyone with muscle contracture all of a sudden: their leg magically sais lets change the whole leg tissue fibre type today because your now over lengthened. that's preposterous. does he even understand how ligaments break or stretch. how stupid is this statement.
does he even know what a micro tear is.
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Perhaps the rate of lengthening is so slow such that scar tissue does not form.
Perhaps, the reason for the contracture, is that, simply, certain muscle groups are not long enough, not stretched enough so to speak.
But I agree with you that under extreme stresses to muscle, scar tissues will form.
But anyway or how, I will do this slower.
Dr Fahri said that 0.5 mm a day is better than 0.75 mm a day.
I do not agree with the loss of athletic function.
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do you know if dr bagirov has height restriction?
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I think I have already contributed enough to this forum (and repaid the members who have helped me earlier)... I think it is time to put an end to this diary. I might still update when I go back to Russia for a check-up in mid-march, and when I remove my frames. If I disappear suddenly, it is not because I encounter complications or anything. I will update when I remove my frames, unless I was silenced (ie, killed) by somebody :)
Why I decide to stop this diary is because it has also not been very helpful for me, I do not get responses to questions I ask.. So i will instead post my questions elsewhere in this forum. I will still be active in this forum.
Also, I am now working, and thus, I do not have so much time to update this diary. I also think it is unfair to post a review stage-by-stage. It might be unfair to the doctors because when you look back, you might feel that you were not very mature in writing that, and that the doctors actually acted reasonably, or whatsoever.
At this point of time, I would say the nurses and doctors are really great (most of the time). Dr Fahri has been very responsive on Skype.
I am at 3.3 cm, I lengthening faster than crimsontide actually, and I have no ballerina, or whatsoever. Fibula is displaced on one leg, even though the top and bottom are fixated, so things should be fine.
Pain and sleep are currently good. I am not wannabegiant, I do have pains when I stop painkillers, so, yeah. I am not sure if I will make it to 8 cm, just wish me luck.
I also think nobody is really interested in Dr Bagirov now since there are issues with antibiotics and painkillers, but I think if you bring your own painkillers and anti-B it should be really fine. Singapore surgeons are usually skeptical and cynical and critical of other surgeons' work. But, this time,my Singapore surgeon seems really okay with everything.
So, all in all, I will stop this diary at this point of time. I cannot have so much negative energies ruining my mind. Placebo effect is well documented, and I need to keep positive. There are people here who are critical, and discouraging, and scolding you and allthat, when all you are doing is a SERVICE to the community by updating your progress.
This is all I have to say, and at this premature point of time, I would say that Dr Bagirov is a pretty good clinic. The two half rings and one full ring enable full range of motion. Knee contracture and ballerina is at a minimum, though in the morning it can be pretty stiff. By the time its night time, you walk really well. I can even walk to work.
Take care, and I hope the members here are more encouraging (that is why some members do not post diaries, and instead message me directly; you know who you are); then people would post their diaries.
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Another function of the diary is to provide information to people interested in following in your footsteps. Couldn't you post short updates like this every week:
-lengthened amount
-physical state
-emotional state
-general development
Also please, please tell us how you recover you know how much it means to us prospects to hear other peoples experience and recovery is always at the top of the list. We need as much info on this as possible please don't hold that part out on us, it shouldn't take that much effort to have a short Q and A after you've recovered but it would mean the world to us.
Good luck with the rest of the process.
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Hi Itsmylife, Your x-rays looking good - Your bone formation is great. I follow your very informative diary every day. Keep your good work with your legs. Soon you will have great long legs as you want no matter if it ends with 3 or 8 cm - Good luck.
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Alignment and callus formation both look good to me.
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hi MDOW :)
can you please download my x-rays?
on the website, it just does not show the complete picture..
those reading this can also download the image files because the complete picture is not showed because of the large dimensions
download and view in an image viewer...
im actually counting myself lucky no major problems! crimsontide, wannabegiant they are pretty okay. I read horror stories about indian doctors
my Singapore surgeon was very happy with the alignment and consolidation and I just wanna confirm here if theres anything wrong as I see some misalignment??
as an update I am now at 3.6 cm. so far no pin loss. x-ray measurements are same as the device distraction (but different from my spreadsheet as I believe the turns are not totally 90 degrees); when I turn 90 degrees usually it ends up having less than 0.25 mm, maybe 0.2 mm. so the days I actually turned 1mm, I was actually turning close to 0.8 instead.
so I was pretty safe turning extra. but nowadays I turn 0.75.
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Please update dude
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Update, so now I am at about 4.3 cm. The latest X-rays are out, and they show that my bone healing is kinda too fast. I was asked by my local ortho to do at least 0.75/0.5 on alternate days, which is an average rate of 0.625 mm/day.
For a few days (about 1-2 weeks ago), I actually did 0.5 mm a day for a few days because I was having severe archilles strain and hamstring tightness.. After that, I started doing alternate 0.5/0.75. Even now, after doing 0.5/0.75 for almost a week or so, I do not have any archilles tightness or hamstring tightness.
Dorsiflexion is still 20 degrees, and knee contracture is still absent, but I think sometimes my right leg gives problems. and I have to straighten it and stretch it. Walking does wonders to straighten up your knees. My left knee is always straight even without stretching.
I am allowed to sleep with knees flexed but I find that if I keep one leg totally straight and sleep on my side, then in the morning, it is not so bad.
I am able to take food (ie, stand momentarily without holding the walker) , I am still able to walk without any loss of mobility, I am still able to walk properly with walkers, and I am still working a few days in a week (for a few hours, teaching).
I stand and walk for a total of about 30 minutes a day, I occasionally stretch my knees and my archilles tendon.
Sleep is perfect. I am on Lyrica, so I guess it kinda helps as an indication of Lyrica is anxiety disorder and so I guess its sleep inducing. Tramadol is also ... makes you so lazy and sleep inducing. Hence, I did not do much PT, its all because of Lyrica and Tramadol but I am trying to fight the laziness. For the past few weeks or maybe two months I did not use any sleep aids, or anti-histamines, or sedatives. Sleep is just perfect. I guess it is probably since I am doing all this in the comfort of my own home, so I can sleep well.
Pain? Pain is almost zero. Zero when tramadol and paracetamol is in full effect. Some slight discomfort when walking even though tramadol and paracetmaol is 8 hours past the last-dose.
If I can reach 5-6 cm, and stil have no problems with sleep, pain and mobility , I will do 8 cm.
I have many many cards up my sleeve: anti-histamines for sleep. possible increase of dosage of tramadol from 150 mg to 300 mg, Xanax and benzos for sleep, Trazodone for sleep, Phenazepam injection to relax muscles and sleep, many codeine pills, eperisone for muscle pain and spasms, etc . All these cards can be played when I approach 8 cm, because I have not even used them at all. I think I can do this :)
Somehow, dr fahri is right, around 4 cm the pain is zero, and it might get worse as I approach 8 cm. At 4.3 cm, WBG was also doing very well. Crimsontide got problems at 5 cm. Another guy (who strongly protests against and refuses to disclose his identity, for god knows what reason) also has severe ballerina problems at 5 cm. So I might be, I might be doing well enough, to do 8 cm.
Time will tell.
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If your flexibility and dorsiflexion are so good, why don't you walk more than 30 minutes each day? Walking more (I'd say at least 2 hours per day, but I'm just a biomedical student, not a doctor) would be amazing for your soft tissues, helping them adapt better to lengthening. Walking also reduces lengthening pain in the long run, from what I've gathered, and it will make your post-lengthening recovery much, much easier. Walking will probably also make it easier to reach 8CM, since that's your goal.
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Where did you get so many painkiller drugs? Wow. You must be having a lot of fun lol, considering tramadol is used to threat heroin withdrawal here in Russia, and lirika is used to treat tramadol withdrawal. Keep that in mind when increasing the dosage. (Btw can you send me some? ;D)
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If your flexibility and dorsiflexion are so good, why don't you walk more than 30 minutes each day? Walking more (I'd say at least 2 hours per day, but I'm just a biomedical student, not a doctor) would be amazing for your soft tissues, helping them adapt better to lengthening. Walking also reduces lengthening pain in the long run, from what I've gathered, and it will make your post-lengthening recovery much, much easier. Walking will probably also make it easier to reach 8CM, since that's your goal.
As I explained, its laziness due to the medicines. Also, if you did not walk for a few hours, u experience joint stiffness and some discomfort for the first 10 or so steps. This does not happen when I am in my first few weeks of lengthening...
But I understand your point and I am now trying to fight this drug-induced laziness. And yeap, walking does get easier and pain does get easier if you walk more.
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Where did you get so many painkiller drugs? Wow. You must be having a lot of fun lol, considering tramadol is used to threat heroin withdrawal here in Russia, and lirika is used to treat tramadol withdrawal. Keep that in mind when increasing the dosage. (Btw can you send me some? ;D)
Ha ha you stay in Russia? Tramadol ... Dr Fahri is OK with me taking Tramadol but he is unwilling to prescribe it to me. He wants me to get it in Singapore, but he says I can take it, or Katadalon (a Russian drug which is as powerful as Tramadol but not opiate).
I take tramadol 3 times a day. (150 mg in total).
Lyrica is not a good medicine. When I took 75 mg x 3 as prescribed for a few weeks and suddenly stopped, I went into full-blown anxiety (I do not have anxiety issues or history). I could not breathe, had heart palpitations and felt an impending sense of doom. As I ran out of Lyrica (doctor forgot to prescribe), I tried to go cold turkey. The second night cold turkey, I gave up. I was sweating immensely and feeling so unwell and could get only very little sleep. The next day, I went to the hospital, half dead!
Now, I have tapered down my Lyrica to one 75 mg pill and one 25 mg pill a day. I will taper down further. WHen I went cold turkey, I realise Lyrica makes the whole process more comfortable, but not by much. I am actually taking Lyrica now because I am dependant on it. I am eventually planning to cut down to 25 mg x 2 a day, and further.
I am going back to Moscow in mid -March (some of my leg rods have only 3 cm left, and doc says there must be 0.5 cm left, for safety pruposes).I will get katadalon and mydo calm there. These are good meds.
I switched to tramadol cos I was taking 6 x 100 mg katadadolons a day, that was very very bad for liver and katadalon does cause liver failure after 2 weeks. I think I will reduce Tramadol and switch to Katadalon as I approach 8 cm.
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oh, the scar is almost imperceptible. if anyone wants pics, let me know. its a half-inch cut. not the horrible c-cut I dreaded
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I don't know why Dr Sarin was doing that c-cut anyway. I think he said he did it so you get a better look underneath than when you do a straight cut, but the tibia bone is right underneath so there's no real reason you need to get a better look in there.
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I don't know why Dr Sarin was doing that c-cut anyway. I think he said he did it so you get a better look underneath than when you do a straight cut, but the tibia bone is right underneath so there's no real reason you need to get a better look in there.
is it only done by Dr Sarin?
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Hey guys
Anyone actually gained mass after surgery? I thnk I gained like 5-6 kg. I was initially 63-64 kilos, and now I am 71 kilo.
If we discount the weight of the fixators, I am probably heavier by about 6-7 kilograms!
I do not walk much and my femur muscle is getting smaller (quadriceps) but the decrease in size has stopped.
I think I am getting fatter due to the lack of exercise and eating too much? (eating a lot has helped my consolidation though)
Could some of the mass actually be bone and muscle mass? My calf is also much larger than before? Weird.
For every 1 cm of bone growth, how much bone is grown? What bout muscle??
I only read patients lose weight and not gain weight after Sx.
My mass was 64 kilo. 1 month post-op or so I became 69 kilo. Now I am 71. I feel fatter... but peope commented my arm muscles r larger now (must be the walker training)
the measurement is also accurate as I stand without holding the walker.
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I've heard patients talk about their calfs growig faster, MDoW said he barely increased much in weight though but I guess it differs.
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Yeah I think it depends on how much potential for growth a person's leg muscles have.
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Why do I have hamstring pain for awhile when I bend my knees when walking? this usually goes away after a few days (it happened before, and disappeared, now its back)
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Probably because you're stretching it out to the extreme, which is a normal part of LL. I wouldn't worry about that at all.
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Probably because you're stretching it out to the extreme, which is a normal part of LL. I wouldn't worry about that at all.
thanks MDOW. will continue to listen to my body and stop if severe soft tissue problems occur. I am quite scared that some patients suddenly experience problems at 5 or 6 cm. But If I can get even 5 cm, I am happy!
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I am at 4.8 cm and I have a problem on one rod. See pic (I call the screws, screw 1, 2 and 3 in the picture)
Please download the picture as it does not display properly.
Sorry I updated the picture: Screw 1, 2 and 3.
BUt there's an error. the bottom-most screw should be screw 1.
(http://i59.tinypic.com/25sybr4.jpg)
Proper lengthening:
1. Screw 1 will be loosened (turn Clockwise). Screw 2 and Screw 3 would typically be stationary.
2. Now, turn Screw 2 90 degrees clockwise. (The other screws will be stationary)
3. Then, tighten up screw 1 (turn anticlockwise). (The other screws will be stationary)
PROBLEM now:
1. When I turn screw 1 to loosen it, the entire rod rotates! Screw 2 and Screw 3 turn together, making lengthening impossible
How I solved it:
1. I tightened the entire rod at the Screw 1. When I tightened screw 1, I had to make sure other parts did not move using another spanner(s).
2. When I loosen Screw 1, I hold with another two spanners Screw 2 and Screw 3. I hold them tightly to prevent them from moving, so I can distract.
3. Then I turn Screw 2, making sure the other screws (1 and 3) are held tightly with spanners.
4. Finally I tighten Screw 1, making sure all other screws do not rotate together.
Has anyone had this problem?
I messaged Dr Fahri on Skype. And I am waiting for his reply.
Three rods lengthen my leg. The other two rods are distracting perfectly. So I do not think this is premature consolidation??
I think the problem is that Screw 1 becomes so difficult to turn (the threading is spoilt - usually the screw is easy to turn) and so it affects the other screws... So I have to hold the other screws tightly when I turn any of them.
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Sorry I updated the picture: Screw 1, 2 and 3.
BUt there's an error. the bottom-most screw should be screw 1.
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Before tinkering millimetres, ALWAYS measure the lengths.... I might have changed my leg by an extra 0.5 to 1 mm at one time or something. I do not know.
I only measured the distance below screw 1 after some tinkering (stupid me). And It was 3.6 cm. I managed to reverse-turn such that the distance is 3.8 cm. (means I reverse-distracted). And I forward-distracted back to 3.6 cm. (The shorter that distance, the more you have lengthened).
I might well have accidentally turned 0.5 to 1 mm extra, I don't know.
Always measure the lengths before touch the apparatus (I thought I could count the number of turns,but the turns weren't turns cos' other screws moved).
I was experiencing some shooting pain and just to play safe I took codeine 60 mg, and Arcoxia 90 mg and a muscle relaxant Myonal, and Lyrica extra 25 mg. usually I just take Tramadol and Lyrica. I might have a rough night.... thought of getting ready my benzodiazepine injections in case of muscle spasm..... but I cant inject it with tramadol and codeine at such high doses. Just wait it out I suppose
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The threading mechanism on the opposite side of the lengthening screws (1&2) is probably fked, that's the only reason I see why the rod rotates. You can replace screw #1 if it's spoilt with a new one, but I doubt that will solve it.
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The threading mechanism on the opposite side of the lengthening screws (1&2) is probably fked, that's the only reason I see why the rod rotates. You can replace screw #1 if it's spoilt with a new one, but I doubt that will solve it.
Thanks for the reply .. I was kinda in shock and disappointed, but I am OK with 5 cm, really.
I agree that the threading mechanism is spoilt, that was my dad's thoughts. I was at first confused.
Anyway, I can now distract it (though more difficult).
Since I might not be able to turn accurately, I have attached some tape to the rod. The distance between the lower end of the tape and screw 2, that will be distracted amount! (http://i57.tinypic.com/2v1kif4.jpg)
I am going back to Russia in less than one months time, so I will probably change the rod there. I have an extra rod at home, but I don't dare to touch this device....
My bone should be fine since the rod and the entire column is not connected directly to any pin/bolt :-X
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Yeah that frame looks a little complicated, though very compact. If you had a usual "rod between rings" you could then place a temp holding rod, then remove the rod and place new screws. Then you'd remove the temp rod and check for length difference. That's how I got some of my rods replaced.
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Today, an emergency happened. When I was tightening the top screw, suddenly the entire central rod came off! I was so shocked. I used my hands to push the two half-rings apart but the force was too great. That area compressed and the rod went off-centre.
I knew it was a dangerous situation so I refused to move my left leg and I immediately took out another rod to tighten between the left rod and the right rod, so it can stabilise the structure. (It might have been too late, but just In case).
I removed that faulty rod (with spoilt threads) with some difficulty (as the threads are spoilt). I had to turn the nuts like hell. Finally it was out. I replaced the rod with another rod that Dr Fahri gave. I had a calm mind so I knew what I was doing. I measured the length 9 cm between Screw 3 and Screw 2 on the faulty rod before removing it.
Now, I inserted the new spare rod, and turned the nuts until it reads 9 cm between Screw 3 and Screw 2. The new spare rod when turned to 9 cm bent slightly due to the force it had to over-come. Basically, the distance between the two half-rings at the central part compressed to 8 cm when the rod dropped out. Now the distance is back at 9 cm (before the manoeuvre).
I might have moved the bone fragments 1-2 cm at a time... will I be alright?? :o I've took tramadol, lyrica, arcoxia, myonal before all this dangerous manoeuvre..
And I still have some (minor) pain.
I think, after this emergency, It will be best to stay near the clinic during lengthening phase. I was so shocked and it was so difficult Technically (because the doctor didn't demonstrate to me) to put in the new rod.
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Will I be fine?
if there is slight misalignment can this be corrected when I reach Moscow?
My pics:
http://tinypic.com/r/fbhtgo/8
http://tinypic.com/r/3499zpi/8
http://tinypic.com/r/2nreae1/8
I can walk (with some blunt pains) due to the rapid compression and decompression of the area by 1-2 cm.
I can dorsiflex, but now I am experiencing moderate pains (upped my tramadol to 100 mg)
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that's some scary stuff!
im praying for you.
I don't know what your plans are. I know you said your planning a return trip to Russia in like a month or something.
perhaps taking x rays would be a good idea to asses the damage.
I guess the worst case scenario would be consolidation at a wrong angle. however im sure the bone cant become to hard in the next month so as to prevent manual manipulation.
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that's some scary stuff!
im praying for you.
I don't know what your plans are. I know you said your planning a return trip to Russia in like a month or something.
perhaps taking x rays would be a good idea to asses the damage.
I guess the worst case scenario would be consolidation at a wrong angle. however im sure the bone cant become to hard in the next month so as to prevent manual manipulation.
thanks. Noticeable edema is setting in (compared with the right side) near the osteotomy site...... pain is moderate and is better with another 50 mg tramadol and diclofenac gel applied. now its 3/10.
Yes, going to Russia next month (16 march).
I've sent these pics to Fahri.
I think I will schedule an emergency trip to my local ortho for X-rays next week (and more pain meds). I was scheduled for early march but I think its good to do an X-ray to check.
What can be done if there is angulation of the bone fragments?
But if the distance between the two half-rings is same as before, would there be angulation?? (I mean, I shd be fine right if the distance is maintained... basically my bone fragments might have moved some angle or distance but I manipulated it back with the central rod pushed to 9 cm??
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I don't know your device very well I cant answer your questions.
however I can ask you questions to get you thinking about your own device.
What can be done if there is angulation of the bone fragments
doctors normally handle this part.
But if the distance between the two half-rings is same as before, would there be angulation??
how much did the device bend after the rod came out? when the rod came out were there other parts of the device that then had to much pressure possibly bending them slightly causing misalignment.
I think xray is the only way to be sure.
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I don't know your device very well I cant answer your questions.
however I can ask you questions to get you thinking about your own device.
doctors normally handle this part.
how much did the device bend after the rod came out? when the rod came out were there other parts of the device that then had to much pressure possibly bending them slightly causing misalignment.
I think xray is the only way to be sure.
Yes, x-ray soon.....
The device (as seen in the pics) is Rod 1 -- Rod 2(central rod) -- and Rod 3.
Rod 1 and Rod 3 look similar to before the incident.
I was not standing or anything when Rod 2 came out. So I suppose Rod 1 and Rod 3 would support my legs?
Does it make sense that there is muscular and soft tissue tension causing compression at the central area?? Because the distance between the two half rings became like 8 cm. (compressed 1 cm). The central rod came out and when it came out, it deviated to the left.... out of the holding device..
the half rings are not distorted.. they are angulated slightly on purpose (my home ortho also said that)
If the rod breaks when you are standing, I can imagine a more traumatic experience!
I mean I think I shd be more or less fine... I am not anxious now or anything (and how can you be anxious with 75 mg of lyrica which doubles up not just as a nerve painkiller but also anti-anxiety).
Im just wondering if there is some angulation or deviation, can the doctors manipulate the device? or lengthen one rod more than another after I see my doc?? Or.... do I need to go back to surgery and surgical manipulation??
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pain is gone now..i am able to walk/stand for a minute (only some pain when walking/standing)
really wanna thank you guys for the invaluable advice.. it is really helpful.. you guys are so helpful even with crimsontide..
anyway I think my left leg is slightly bent (looks like this <) but it is only very slight!
what can the doctor do when I go to Russia next month? do I need another surgery?? I am so so tired and sick of surgery.. the propofol isn't good for your mind either..
anyway here Is my dorsiflexion pics.. I am at about 5 cm and I don't see ballerina feet coming?
http://tinypic.com/r/14c8upl/8
http://tinypic.com/r/116rjvb/8
people are saying that ballerina will happen etc etc at 5 cm but I don't think its coming anytime soon? or is it a sudden striker :O
anyone had late ballerina?? like at 7cm?
I might abort lengthening once I develop severe ballerina as I really need to walk so I can work..
anyway RGkey hasn't had ballerina at all throughout 9 cm.. but close to it..
p
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How often and fat do you walk on daily basis now?
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How often and fat do you walk on daily basis now?
About 15-30 minutes.. I can walk quite fast (but slow at the first few steps due to knee contracture that straightens after a few steps)....the speed maybe about 1 metre takes 1.5 to 2+ seconds
I just had an accident/emergency (see above). so I don't wanna weightbear tonight. tomorrow I will do 30 mins. and the day after maybe 45 mins
I am lengthening at home. if the rod breaks, it is the end of my leg..... so I don't wanna take chances (I have some rod bending on central right leg that is a little worrying, but it is just very slight and doesn't seem close to breaking point)
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That is a very good approach. I'm so sorry to hear about your emergency. Walking is the number one way to fight ballerina though, so I'd keep walking if you want to reach 8CM. Even the angulation of the bone ends should be easily correctable by your doctor, although worst case scenario, he'll have to use a different frame to do it. But as long as you keep lengthening at a safe but good rate, the bone will be unconsolidated enough to allow just about any correction.
Is it possible for you to go back to Russia sooner? It might be worth the investment. Even if it costs you an additional $2000 to get this major complication sorted out immediately by your doctor and to reach 8CM properly, it is still much, much cheaper than having to pay over $10,000 for a seperate femur legnthening later in life. And since 182CM is the height you want and your doctors can do it safely on just the tibia, I don't see the point of stopping early and doing femurs later.
Of course, if you ballerina , consider stopping, but take all the steps possible (literally haha) to make sure that it never happens.
Good luck!
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That is a very good approach. I'm so sorry to hear about your emergency. Walking is the number one way to fight ballerina though, so I'd keep walking if you want to reach 8CM. Even the angulation of the bone ends should be easily correctable by your doctor, although worst case scenario, he'll have to use a different frame to do it. But as long as you keep lengthening at a safe but good rate, the bone will be unconsolidated enough to allow just about any correction.
Is it possible for you to go back to Russia sooner? It might be worth the investment. Even if it costs you an additional $2000 to get this major complication sorted out immediately by your doctor and to reach 8CM properly, it is still much, much cheaper than having to pay over $10,000 for a seperate femur legnthening later in life. And since 182CM is the height you want and your doctors can do it safely on just the tibia, I don't see the point of stopping early and doing femurs later.
Of course, if you ballerina , consider stopping, but take all the steps possible (literally haha) to make sure that it never happens.
Good luck!
Further update from dr fahri via email: problem of angulation is easily corrected in 5 minutes. no surgery needed.... and I have inserted the rod correctly (sent him many pics). I feel so relieved now...
16 march is not too far away.. I would do a local ortho X-ray and send it over to dr fahri to make sure all is OK. mmm, my flight is booked for 16 march and sure I can expedite it... at a low cost maybe $60-100 administrative fee.... but I think I am fine, really.
Unless I develop some serious problems tomorrow, it is fine. I managed to walk a little just now.... the frame is rigid and stable, rod is inserted properly...
I am considering adding another rod to the frame, which is 1-2 millimetres loose, in case the central rod collapses.. is this a good idea?? I will remove it whenever I lengthen my leg.. the thought of the frame collapsing scares me to death
See my finger (the safety rod I installed as a failsafe measure): http://tinypic.com/r/15pkb9z/8 (I will only use it when I am not lengthening. WHen I am turning the screws, I remove it)
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Fahri noticed the rod was oblique (I thought that was the best)
But this is better: http://tinypic.com/r/29102g7/8 (pretty parallel to the other rods)
He seems to be alright to have a safety rod (fourth rod).
This safety rod is loosened when I lengthen the other three rods.
What do you guys think? Is it ok to have such a safety rod..
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update: I am continuing my lengthening. at 5+ cm. considering using ultrasound machines to speed up regenerate, has anyone used/heard of people using it? apo used it, but claims it wasn't phenomenal.. its FDA-approved for non-union but I wonder what is its effect on such a large bone gap... and for stem cell treatment, you take it from your fat and centrifuge it? anyone did stem cell?
today some nerve pains and tenderness at the osteotomy site due to the accident yesterday.
but by night-time, the pains are gone. still some slight pain when walking.. nothing severe.
I suppose its due to soft tissue edema pressing the nerves.
dr fahri has cleared me, and I am good to go.
I have a spare rod now (the photo is wrong, the nut shd be above the half -ring); I put nuts above and below the half ring now.
so this spare/safety rod is fine according to fahri. and, I just loosen it each time I wanna lengthen my left leg
why this safety rod? just worried that the central rod might come off again (I am sure I nailed it this time, and the lengthening mechanism works perfectly; BUT you can never be too safe).
if anyone wants walking videos, etc, let me know.
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I would love to see walking videos and pictures of your proportions of it isn't too much trouble. Thanks!
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I would love to see walking videos and pictures of your proportions of it isn't too much trouble. Thanks!
Sure, I will try to post walking videos once my left leg is better. Probably in a few days time.
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Pin site infection yesterday and today, resolved with oral antibiotics and topical.. It is very sharp pincing pain which sometimes occur at rest (other pinsites have no pain/discomfort). Also very bad tenderness upon light pressure . Pain goes up to 9/10. Very bad.
Now, almost no pain upon pressure. But continuing antibiotic course (cipro, and tetracycline ointment); going to hospital tomorrow to get more antibiotics just in case I don't have enough at home..
Due to infection and the left leg accident, minimal walking for past few days.. . But no decline in mobility. ( I can walk if I want to)
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Hi Guys why it says Dr Bagirov did the surgery and you guys keep mentioning dr Fahri please let me know i am having my surgery in few month with dr Bagirov in Moscow and they said 10 days after surgery i can go back home and lengthen my self and when the lengthening finishes i have to go back to the clinic to tight all the screw so no lengthening anymore and i have to be with apparatus for ip to 6 month please let me know , is it okay to go back home after surgery and is Dr Bagirov a good doctor i want to lengthen for 7cm and to correct slight bow legs at the same time as the girl in the clinic who works there called Anya said it is possible to straighten the legs and to lengthen at the same time i really don't know much about this please guys if anyone can explain
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As i have russian and british passport Anna said for russian citizens cost will be cheaper which she said i need to pay 340.000rb
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Hi Guys why it says Dr Bagirov did the surgery and you guys keep mentioning dr Fahri please let me know i am having my surgery in few month with dr Bagirov in Moscow and they said 10 days after surgery i can go back home and lengthen my self and when the lengthening finishes i have to go back to the clinic to tight all the screw so no lengthening anymore and i have to be with apparatus for ip to 6 month please let me know , is it okay to go back home after surgery and is Dr Bagirov a good doctor i want to lengthen for 7cm and to correct slight bow legs at the same time as the girl in the clinic who works there called Anya said it is possible to straighten the legs and to lengthen at the same time i really don't know much about this please guys if anyone can explain
I cant comment if Bagirov is a good doc, but I must say I have had little complications and I am at 5.2 cm
Anna is not helpful, she is very negligent. Be careful that your visa is registered if you come on a visa (you need to register with the immigration people). It is the hospital's duty to register your visa. Pls read my diary for more information. These diaries too: crimsontide, wannabegiant.
Can you help us research his qualifications? On Russian Forums? IT would be helpful.
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Update 5.2 cm now.
Walking: Good but worse slightly. (because I did not walk a few days due to infection and the left leg incident)
Dorsiflexion: 10-15 degrees
Infection status: Clinically improved (2 proximal sites infection)
Medicines: Stopped Tramadol. Now on Arcoxia for a few days to prevent Tramadol dependency. Restarting Tramadol in a few days. Codeine for pain (about 2 tablets of 30 mg a day)
Pain: Similar. Mostly no pain. Sometimes, pain is 3/10 or 4/10. Nothing severe. But tramadol is a better and stronger painkiller than Arcoxia. Tramadol also makes you sleepy the whole day.
Left Leg (1 cm compression and re-extension): It is much better now, as if the accident hadn't happened. Nerve hypersensitivity at the osteotomy region is gone.
Prognosis: I think I can reach 6 cm without any (immediate) soft tissue complications. I think WBG should have pushed for more.
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Further discussion with my doctor on Skype today. I asked about the possibility of me stopping at 6 cm and going back to do 3 cm femurs.
He insists that 8 cm tibia is not a problem and promises full recovery. He still insists I should not do femur surgery and do just the tibia.... (they do operate on femurs, externally)
I think (to play safe) and strike a more judicious balance (though it is still insane), I will do 7.5 Cm.
The fact that clinically I am doing very well without pain and with good sleep.. I think supports my decision to do 7.5 cm in the face of overwhelming opinion to the contrary.
I think to do 7.5 cm and recover fully... it is a defensible (though may not be the best) choice?
I remember I had a talk with the Professor during my first visit. 5-6 cm is low risk. about 7-8 cm is moderate risk and (about) 9 cm to 10 cm is high risk.
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I just don't understand why they don't offer nailing or do nailing. I read their website and they do offer nails and internals for trauma cases. And Dr Fahri is trained in orthopedic traumatology (I think he doesn't specialise in limb lengthening, he just learns through experience with Dr Bagirov)
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I feel like this guy when he says "full recovery" he means like yeah you will be able to walk and what not but play physical and rigorous sports/activities? I'm not so sure about that. Honestly i would stop at 6cm and take the 2 n a half inch gain (which is a huge gain) no matter what this guy in a white coat says. He is still just a man playing the role of god and he has nothing to lose.
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Further discussion with my doctor on Skype today. I asked about the possibility of me stopping at 6 cm and going back to do 3 cm femurs.
He insists that 8 cm tibia is not a problem and promises full recovery. He still insists I should not do femur surgery and do just the tibia.... (they do operate on femurs, externally)
I think (to play safe) and strike a more judicious balance (though it is still insane), I will do 7.5 Cm.
The fact that clinically I am doing very well without pain and with good sleep.. I think supports my decision to do 7.5 cm in the face of overwhelming opinion to the contrary.
I think to do 7.5 cm and recover fully... it is a defensible (though may not be the best) choice?
I remember I had a talk with the Professor during my first visit. 5-6 cm is low risk. about 7-8 cm is moderate risk and (about) 9 cm to 10 cm is high risk.
actually 6 cm is the low end of medium risk thus why most who do 6 get away with it pretty well
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Could you ask your doctor for the specific reason they don't offer nailing or plating in cosmetic cases?
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Could you ask your doctor for the specific reason they don't offer nailing or plating in cosmetic cases?
probably the same reason kilokahns doctor pariah does not offer lon for cosmetic patients. (or at least if he can help it)
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probably the same reason kilokahns doctor pariah does not offer lon for cosmetic patients. (or at least if he can help it)
pariha.. you have been calling him pariah so many times. A pariah (if I recall my high school right) is a member of the lower caste in India.
Whats the reason??
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He doesn't wear a white coat, hes always In blue surgical scrub :D Prof bagirov likes to wear a white coat though.
I have repeatedly emphasized to Dr Fahri and Prof Bagirov that I want to retain athletic ability and I play basketball competitively.... In fact, Fahri saw my school team jersey which I was wearing one day and asked if I love basketball a lot.
I have repeated to them before surgery and after surgery, at least 3-5 times. They were referring to recovery of full athletic abilities.
I think I have to take this game one step higher. Instead of accepting their words as golden gospel (they will not suffer much if I lose most of my abilities), I will start to ask them WHY I will not have any permanent impediments in athleticism. Is it due to their clinical experience? Is it due to my bone length? My athleticism itself? My smooth progress so far? Etc.
And yes. @taller I will ask why nailing is not done for CS patients.
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@Moose, can you tell me some members who had athletic function loss after 2 years? I think at the two year mark MDOW is the only one at 7.5. And he said he did not really train extra-hard, and probably he could have improved if he trained plyometrics. Sweden seems to have lost it too, but I think he is 1 year-ish post op? Goodfootballer can still play football but at a reduced level, how many years is he post-op? How much he lengthened and which method? Did he even train back his muscle strength and fast twitch fibres in his legs?
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quote from someone:
I personally asked Dr. Lee what he thought about this (lengthening past 6 cm) and he has told me that from his experience in talking to former lengthening patients (2-3 years post recovery) those that only lengthened 5 cm recovered fully and their previous athleticism returned close to 100% to pre-LL levels. On the other hand, those who chose to lengthen between 6 and 7 centimeters recovered 100% in performing daily functions (walking, light jogging, etc), BUT only recovered about 60-70% of their pre-LL athleticism when engaging in serious sports/strenuous activities (full sprinting, jumping, basketball, rugby, etc..). Additionally, those that lengthened beyond 7 cm saw an ever greater decline in their previous athletic abilities.
ps. Sweden is 2 years post op.
ps. good footballer quit football.
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pariha.. you have been calling him pariah so many times.
Whats the reason??
that's how my brain works. trust me you wouldn't care to understand. its not important.
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how many cm did goodfootballer do and which method?and tibia/femur? doctor?
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ps. Sweden is 2 years post op.
ps. good footballer quit football.
This is what im saying. Is it really worth it to get those extra cms? for what? I'm not a big LL expert as i have been lurking about it for a little while and still have little knowledge of it but if theres one pattern i keep seeing is that doctors recommend no more than 5 cm to retain the best athletic functions. Now you being 5'8 already you probably have longer tibias than the traditional 165cm male so you may lengthen a little more to get away with it. Personally since i am only 5'5 i would only lengthen my tibias no more than 4cm even if my doctor told me the safe range was 5cm. Femurs 5cm for a total of 9cm even though doctors say they don't like going past 10cm for both sections total. My mobility is priceless to me and i simply refuse to be a shell of my former self because i wanted an extra inch on top of the couple of inches i was already getting. That's just retarded.
Like i said though do whatever you want. its your legs not mine.
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This is what im saying. Is it really worth it to get those extra cms? for what? I'm not a big LL expert as i have been lurking about it for a little while and still have little knowledge of it but if theres one pattern i keep seeing is that doctors recommend no more than 5 cm to retain the best athletic functions. Now you being 5'8 already you probably have longer tibias than the traditional 165cm male so you may lengthen a little more to get away with it. Personally since i am only 5'5 i would only lengthen my tibias no more than 4cm even if my doctor told me the safe range was 5cm. Femurs 5cm for a total of 9cm even though doctors say they don't like going past 10cm for both sections total. My mobility is priceless to me and i simply refuse to be a shell of my former self because i wanted an extra inch on top of the couple of inches i was already getting. That's just retarded.
Like i said though do whatever you want. its your legs not mine.
I've a long starting tibial length of 36 cm which is the average American tibia length(my country's average height is about 4 cm+ less than America)
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I developed another emergency..... On my left leg something came loose. I think this is very dangerous as the large pin used to be connected to the half-ring. The large pin is totally unconnected from the frame now.
Pics here:
http://tinypic.com/r/2ppewkg/8
http://tinypic.com/r/iw5eew/8
Plastic cuff I might use... http://www.galls.com/photos/styles/RS067.JPG
So, essentially a metal pin just impaled into my bone and not connected to the half-ring... I wonder if the rest of the mechanism is enough to pull this pin.
I was thinking of using plastic flexi-cuffs to tie the half ring together with the pins...
I am asking Dr Fahri for his opinion... or maybe I will visit a local ortho surgeon who does LL with ilizarov.
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lengthening at home can change from great to dangerous very quickly.
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I have attached a flexi-cuff very rigidly to connect the pin to the half-frame so that they move together as a unit when I lengthen.
http://tinypic.com/r/2uqzolv/8
I have to continue lengthening cause as said by Dr Fahri I will consolidate if I go slower than 0.5mm/day...
I think I have quite decent callus now, but it hasn't formed a bridge so it is useless to the most part.
I hear that if a single pin breaks it is still OK cos there are other pins? how true is this?
I am now resting my body weight on probably 2 or 3 remainder pins... So I will put less weight on my left leg when I walk and stand (I have to walk and stand, but I will use the wheelchair all the time as much as I can).
What is the risk of uneven lengthening with a flexi-cuff? the unit is super-tight and rigid. But even if there is uneven lengthening, i suppose i can correct it in Russia? I mean I am going over in 16 days thereabouts.
I can only see my local ortho about the first week of March. I usually see this guy who is trained in Kurgan: http://www.nuh.com.sg/scripts/WebFormShowProfile.aspx?id=13851
This doc specialises in LL and fitbone (I think he is trained to do fitbone): https://www.practo.com/singapore/doctor/dr-sarbjit-singh-orthopedist But I will only see him as a last resort as I know him...
This doc is trained in 1991 by the university of Maryland to do LL surgery.. but that is too long ago, i don't think he even does this kind of surgery often now: http://www.ortho-intl.com/index.php/dr-liang-te-shan
Dr fahri has seen my pics and asked when I am coming to Moscow. I suppose it is a game-changing situation...
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if the pin is not attached to the frame, my mind calculates it will cause misalignment.
the pin is suppose to move with the device and keep its angle relative to the frame.
?what do you think?
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if the pin is not attached to the frame, my mind calculates it will cause misalignment.
the pin is suppose to move with the device and keep its angle relative to the frame.
?what do you think?
it is a very dangerous situation and i may even have misalignment as we speak.. there might also be risk of the other two pins breaking..
dr fahri wants me to go to Moscow as soon as I can, so i will change my flight to next week (though it will be expensive....)
i am also told not to do any weight-bearing on my left leg (i will avoid as i need to walk and stand ., eg when i use the toilet)
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Did some research on Dr bagirov and he is often recommended In Russian forums.. (my Russian friend told me same thing):
In 2009, there was this post, and it shows some recommended surgeons! It appears Dr Kulesh is the one who works with Dr Solomin
31970. Maska | 03.03.2009, 23:16:47 [2021525995]
Coordinates all doctors
1. St. Petersburg, Dr. Vladimir G. Emelyanov
RNIITO them. Vredena em-vg@inbox.ru
It should be: 80.000 (+ 7 day operation. Stay)
2. St. Petersburg, Dr. Alexander V. Stoyanov
www.rniito.org/clinic25.html
3. St. Petersburg, Dr. Leonid Solomin
4. St. Petersburg, Dr. Pavel Kulesh
Contacts: PNIITO them. PP harm Possii, St. Petersburg, ul.akad. Baykova d. 8
http://www.rniito.org/clinic8.html
5. Moscow, Dr. Bagirov Akshin Beyukovich
www.volynka.ru
www.bagirov-ab.narod.ru
bagirov@hotbox.ru
It should be: Bagpipe cost 115000 (surgery + 7 days. Stay)
private clinic Orthospine - 130000 (surgery + 7 days. stay and any subsequent inspection and removal of devices included in the price).
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As Dr Fahri wants me to urgently go to Moscow, I hvve booked my urgent flight and visa. (paying a few hundred USD more due to the change).
I wonder why WBG and crimsontide and others were so lucky.
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Thats expensive my surgery is due to may with dr bagirov in moscow and the cost is 3.400£. I am a russian citizen they said its half price for russian citizens
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Yes I know about the local price, from a Russian patient who did lengthening there.
And another person said if he/she had USSR/Russian citizenship or status, they could get a lower price.
Is this some government medical-aid thing??
I am continuing lengthening Right leg at 0.5, and left leg is not being lengthened now. I will reach Russia in first week of March.
Posted this in another thread:
I don't understand why my doc would lie to me. He knows I am on these forums and I am writing a review. He also knows I am in the medical field. He knows I am fine with 6 cm. Why would he repeat that 8 cm is fine and just do it in tibias. Don't do it femurs and tibia? perhaps really, a two-staged operation is more traumatic to the body than a one stage 8 cm?
Of course, one staged 6 cm is the best, but what is to say that a one-stage 8 cm will have a more arduous recovery but you still end up fine?
2 cm is not much. But I am in Yellow's situation. I don't wanna end this process being unhappy or whatever, saying that I COULD HAVE got to 182. 182 is above average in most parts of the world. and I think I will be very happy with that (I might immigrate when I am older, to Australia/USA or even Korea); I need a global height.
At least, the clinical parameters are good. I have stopped tramadol for a few days. Just paracetamol and 75 mg Lyrica every night. Pains are at zero, even though I am still lengthening right leg. Equinus status is good, same for knee contracture (Knee contracture is a bigger problem though).
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I was wondering if you could post updated pictures of your proportions and videos of your walking now that you've passed 5CM.
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I was wondering if you could post updated pictures of your proportions and videos of your walking now that you've passed 5CM.
I minimise walking now, because I have a disconnected pin emergency on left leg (so I am left with 4 pins for the proximal tibia). This will be fixed next week in Russia.
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It'smylife, you are everywhere... :D
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I minimise walking now, because I have a disconnected pin emergency on left leg (so I am left with 4 pins for the proximal tibia). This will be fixed next week in Russia.
That's a great idea. Good luck!
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If you lenghthened too long(7-8cm).Do you afraid curl leg or misalignment?
Im just curious.Are you sure the doctor promise?
wish you best of luck and keep going.
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I am not sure at all. I didn't ask my doctor that I definitely want 8 cm. I asked him the maximum length where I will not compromise athletic functions.
If I am 1.82, in order to dunk I need to retain a 60+ cm vertical leap. (That is quite a lot for someone who did LL)
1.82 + 0.68 (reach) + 0.65 (vertical leap) = 3.15 m (15 cm above the basket).
Misalignment not a problem with Russian clinics.
It takes 2 years to learn how to dunk and train your muscles to dunk, so I think I will need a good 4 years before I can dunk again (2 years recovery + 2 years plyometrics)
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Last night and today morning, I am off paracetamol. I slept well, and have minimal pains. (1/10 sometimes, at distal pin sites) . I am off all painkillers. I only take Lyrica at night 75 mg to sleep.
Right leg is distracting 0.5mm/day
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I've decided to stop updating this diary because the members here appear (some of them) to have psychological issues. (See my thread on the ideal male height, and statistical and anecdotal proofs that six feet is ideal, taller isn't). I do NOT want to help people with distorted mindset to accomplish their goals anymore. This will NOT help them. They will come out of the surgery thinking that "I am so sad, I wasted time, money and energy, and I am still NOT happy. I want 195 cm now". This HAS to STOP.
If anyone from Singapore is interested however, you can give me a call. Drop me an email first: plasticsingapore@gmail.com. I will not entertain questions from people outside Singapore.
I have decided that yes, I have gained information and I have taken a lot from this forum. THIS DIARY is MY CONTRIBUTION BACK to the forum. I have decided I have contributed enough.
I have a final comment: I have to add further that Skype consultations with the clinic are very laggy. And that I walk very awkwardly now, and hope that I can walk less awkwardly (My torso bends forward at a 90 degrees angle with each step)
If I have complications or problem, I will post on another Username using my iPad/iPhone. I will not reveal my identity or clues that this was a Russian surgery.
Take care:) And my advice before you embark on surgery, ask yourself whether you have a skewed mindset. Whether you really want 195 m, whether once you get 195 m (etc etc) you want 2.1 m?
I might end up too tall at 182+ m. But I am happy, because I always wanted to be this height (even if Japanese women think I am too tall, and Singaporean women think so), I wanted to be this height to feel tall where I live.
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give this man some testosterone injections asap!
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Anyway I have knee contracture issues and I might stop at 6 cm instead :) so for all those worried for me, thanks. It appears that the ideal height in America/UK is 183 and so by parity of reasoning, ideal height in Singapore should be around 1.80.
It is good to close this diary and it is good to know I have helped some people. But I must move on with my life, and I cannot help mentally ill (Body dysmorphic disorder) go into greater insanity. I am a medical student and I owe a duty to help people, and not destroy their lives.
Those with BDD will never be satisfied with their bodies. 183 cm, they lengthen to 188 cm, they might not be happy. They need psychological help. (psychiatric help if necessary).
Mental illness is cured with pills and/or psychotherapy/CBT/counselling and NOT surgery. If anything, it will transform their lives into something much worse than before (ie, being 188 cm, not happy still. they push to 195 cm and end up crippled or unable to play sports)
It is good to shut up. My friend has borrowed for me 4-5 basketball books and I have wasted so much time idling on this forum I have only read 1/2 of a book. I have also got to earn money. I can earn 5000 /month teaching high school kids and will do so when I am back from Russia with help of mobility scooter.
I am doing well. Adieu :)
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à demain :)
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à demain :)
NOt tomorrow. When I have problems. I have an iPhone/iPad with data plan (not using my home router) so the IP address is different. I will post under different username if I have problem ;)
Bent left leg, horrible visa support leading to immigration offence (anna, thank you), broken left leg frames, poor infection treatment and poor pain control, and also being cheated about the price (6500 euros vs 400,000 rubles or so) think carefully before you do LL. your height is good.
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PLEASE Do not left us.
Why you care some people that discourage or mentally illness?
Just lets they go not you.Dont care any of them.
There are still many people want valueble knowledge from your experience.
By the way im the one who care everyone and ur health it is very good choice that you have choosed 6 cm .it is a very good possibilty statistic for bring back healty and strongly activties.
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You seem to be using too much drugs.
Focus on recovery and get back when you're home again walking unaided.
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Please come back
Keep update
Itsmylife
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I'm honestly amazed at how infantile your behavior is. Enough to repeatedly question my intelligence, my sanity, insinuate I am not educated, and threaten to leave the forum If someone doesn't tell the big bad man meursault to stop hurting your feelings. Posts 6+ posts one after another full of incoherent babble because you're just SO MAD at me for showing that a height you can't reach(and that just tears you up inside in fact, you initially wanted to lengthen to 188cm but now you've changed your story.) isn't too tall. Do I have to remind you that you're the one who started this? You were so enraged because someone on the forum posted an ideal height range that differed from your own, that you immediately started calling me Low IQ and WRONG WRONG WRONG.
> Wants to be 188cm
> Too difficult/dangerous/time consuming
>"All 6'2"+ males are ugly monsters who are shunned by society and can't get girls!"
And all because I pointed out your hypocrisy; you tell people of average height for their countries not to leg lengthen and that they are mentally ill, when you literally did exactly what you told them not to do, lengthened when you were already average height in Singapore. Why do you differentiate between these two identical situations? They have starting heights you would kill for, that's why. But at least you have your University education right? It's the only thing you can come up with when someone outclasses you in a debate. It's a shame even the education you harp on about failed you, because you're still ignorant and sheltered enough to apply the standards of your tiny country to the rest of the world.
This is just a sad, sad tale of bitterness, jealousy, mental illness, mental anguish and an attempt to cope.
Steeped in insecurity, your fragile ego was so shaken up because I absolutely shattered your delusions, that you had a mental breakdown on the forum. Now you whine and cry for attention to try to silence me. Sorry, we're not on the old forum anymore friend. All this backfired though, you just proved that your faulty reasoning can't stand up to criticism. So please, whine and cry more, and destroy your reputation even further, and humiliate yourself until you end up leaving or making an alternate account. 1000+ posts down the drain, and a diary with insight that could potentially save people from being crippled by poor decisions... abruptly canceled, all because you're too sensitive and selfish to admit you're wrong ::) A new freaking account, just to hide from me? That's the most pathetic thing i've ever seen on an internet forum. ;D
How about you apologize to everyone on the forum for your disgraceful tantrum that portrays everyone here on LL Forum in a bad light, and start acting like an adult now?
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Let me address some of ur concerns ;)
1. I wanted to be 190 cm but I backed out because 182+ is already pushing it in my country. I was afraid to be too tall. I will NOT lengthen to 190 cm because of my fear of losing dates (yes, both guys & girls)
2. You called me incoherent. I posted statistics (opinion polls). I posted scientific studies. I posted anecdotes. I posted logical reasoning (eg, Hollywood and K-pop heights). You? You were full of incoherence instead :P where are your sources, my baby?
3. Please address directly my data (opinion polls, studies, anecdotes, and reasoning). Also, I have mentioned and explained the "hypocrisy" which you so speak.
4. I am polite to all members. I fail to see the maturity of reasoning in your arguments. Let members decide for themselves who has more logical and advanced arguments and data.
I ask again: Where is your data? ???
As we speak, I am planning to go to Russia with my girlfriend and we are gonna have a great time :D ;) she managed to change her schedule to come with me. Either way or how, why are you so angry??
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Let me address some of ur concerns ;)
1. I wanted to be 190 cm but I backed out because 182+ is already pushing it in my country. I was afraid to be too tall. I will NOT lengthen to 190 cm because of my fear of losing dates (yes, both guys & girls)
2. You called me incoherent. I posted statistics (opinion polls). I posted scientific studies. I posted anecdotes. I posted logical reasoning (eg, Hollywood and K-pop heights). You? You were full of incoherence instead :P where are your sources, my baby?
3. Please address directly my data (opinion polls, studies, anecdotes, and reasoning). Also, I have mentioned and explained the "hypocrisy" which you so speak.
4. I am polite to all members. I fail to see the maturity of reasoning in your arguments. Let members decide for themselves who has more logical and advanced arguments and data.
I ask again: Where is your data? ???
As we speak, I am planning to go to Russia with my girlfriend and we are gonna have a great time :D ;) she managed to change her schedule to come with me. Either way or how, why are you so angry??
Great answer! Someone needs some anger management here ;)
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How are you now?
Please update
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Hes a butcher and his cut-off height is 170 cm. Solomin messed up someone, too. I wouldn't go to Russia.
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don't listen to spiderman..
bagirov is ok as a surgeon... but his frames are too tight, and aftercare is nonexistent
his cutoff is not 170 either.. i was under 170, and so was another guy i know that went to bagirov
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is spiderman itsmylife, i m not sure whether his signature is really his signature or not
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Hes a butcher and his cut-off height is 170 cm. Solomin messed up someone, too. I wouldn't go to Russia.
Where do take your data from? Based on your statements you don´t seem to be very proficient to me when it comes to LL, so a little explaination might be needed.
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So now that we know Spiderman is really ItsMyLife, does this mean that ItsMyLife officially regrets going to Dr. Bagirov?
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So now that we know Spiderman is really ItsMyLife, does this mean that ItsMyLife officially regrets going to Dr. Bagirov?
He probably expected too much, doing 8cm´s on the tibias is probably just too much.
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i assume so... yes
i think its a combination
1- ll is simply hard..... itsmylife wasnt realistic about it
2- bagirovs frames are very tight.... makes things worse
3- no aftercare and hard to reach.... makes the ordeal exasperating
im not gonna say i told you so.... but ive been telling people this for months... yet people wanted to believe wannabegiant
bagirov is not a bad surgeon... but his frames are primitive, and theres no aftercare... which means patients have a harder time than usual, and might make bad decisions since their surgeon is so far....
i advise everyone getting ll to go to a dr that makes it a priority to be nearby during lengthening/consolidation
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Nope, IML is still studying and will start his semester soon! Check out the thread in "Off Topic" if you are interested in how he is doing now :) He's not going for 8 cm anymore. Doesn't wanna be too tall :)
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thanks iml... i mean doctor girl
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Anyway IML will not update this diary anymore. He says he has crooked legs now. Spiderman has also heard of horror stories from both Solomin and Bagirov. So IML is seeking alternative medical care in his country now (nailing and manual re-alignment). I will keep him in my prayers.
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Anyway IML will not update this diary anymore. He says he has crooked legs now. Spiderman has also heard of horror stories from both Solomin and Bagirov. So IML is seeking alternative medical care in his country now (nailing and manual re-alignment). I will keep him in my prayers.
Oh my god
Hope he get well soon
then if i did tibia ,i would choose lon or latn
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You can still get crooked legs with LON if the surgeon inserts the nail incorrectly.
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crooked legs is just 1 issue
by some miracle, my right leg is ok
my left has frontal plane malalignment(knock knee)
sagittal plane(when viewed from the side) malalignment
consolidation location isnt aligned either... i forget 1 or 2 other things
ive heard a few people say that knock knees or bow legs don't impact walking... i can tell you for sure that they do, especially when combined with other deformities
i scheduled my correction surgery in nyc.... i suggest everyone that has an issue like this get it fixed asap, and not to wait
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How would they correct your crooked legs? Any advice to IML?
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ill go along with this... since i think its a real question
yes... need to have legs corrected by a surgeon... i assume the bone isnt consolidated.... should be under the supervision of a trained orthopaedist, and one hat has had experiene with ilizarov
not hard to correct... even my case will take only 3 weeks to correct gradually... and could be corrected acutely during the surgery
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ill go along with this... since i think its a real question
yes... need to have legs corrected by a surgeon... i assume the bone isnt consolidated.... should be under the supervision of a trained orthopaedist, and one hat has had experiene with ilizarov
not hard to correct... even my case will take only 3 weeks to correct gradually... and could be corrected acutely during the surgery
You mean the doctor can manipulate the bone during surgery? Eg, nail insertion? Your frames are able to correct crookedness problem if there is no consolidation?
Its astonishing to see how this surgery can cause so many complications. I am deeply saddened by IML's complication and it is one big factor which stops me from doing this surgery. He is a bright athlete who has a ruined future cause of this.
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yes... a trained dr can correct during the surgery and keep it in place with a nail
frames should be able to correct if not consolidated
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Thank you, you are very kind. I will tell him about it
How do you know the frame can correct most problems? What if it is an angulation problem? The frames seem too simple compared to Taylor Spatial Frame, for instance, or the typical six-pin Ilizarov frames :O
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well... you're right
might need to get new frame on, instead of the bagirov frame... the bagirov frame is very primitive
need a system like the tsf
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well... you're right
might need to get new frame on, instead of the bagirov frame... the bagirov frame is very primitive
need a system like the tsf
salemfix*
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no.. not the salamaeh fix
the tsf.... tsf is used by paley, rozbruch,etc
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bump how did 8cm go?
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bump how did 8cm go?
He's banned because he went insane unfortunately.
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He's banned because he went insane unfortunately.
What did he do?
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What did he do?
He started posting erratic stuff and he created other accounts that spread misinformation.