Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Doctors => Topic started by: KiloKAHN on July 01, 2015, 07:52:48 PM
-
Doctor information and response from Dr Leonid N. Solomin, located in St. Petersburg, Russia.
Note: Previous Thread Linked Here http://www.limblengtheningforum.com/index.php?topic=844.0
(http://i.imgur.com/e1QpwRl.jpg)
Before we begin to discuss your questions, I ask you kindly to take note of the following.
You should be ready for some inconvenience:
- Our Institute does not provide an official invitation and other visa support. You need to get a tourist visa by yourself. Most we can do: at personal consultation give you an advisory opinion (in Russian!) that you need in the operation and indicate the expected period of stay in Russia.
- The language barrier. Most of the Russian population does not speak English. This applies to the staff of our institute, including administrator and coordinator. All documentation - in Russian.
- The Institute does not have transfer possibilities: from and to the airport, etc.
- The Institute has no hotel.
- Usually Institute cannot provide prolonged stay (because of the large number of patients). Maximum 2-3 weeks. If a longer period is required, it must be booked in advance (without the certainty of a positive decision).
- It would be better to be close to the Institute for whole period lengthening or correction of the deformity. If you cannot extend the period of hospitalization, you should book a hotel or rent an apartment.
Preliminary consultation in outpatient department of our Institute is obligatory! On the basis of this preliminary meeting, we will make a decision about the possibility and expedience of your hospitalization.
Believe me, please - the amount of your questions will be increased after each of my answers. Therefore, after the first three answers I always insist on in-person consultation.
I ask you to kindly understand that our Institute is a federal government organization. First and foremost, we must treat the citizens of Russia. The Institute has a big queue (up to 2-4 months) for hospitalization. Theforefore, I recommend you to order a turn ASAP. To do this, you should tell me about your wish. Within three days I'll let you know the date of your hospitalization. You'll have to come for a consultation 3-5 days before. I work in the outpatient department of our Institute every Wednesday 16.00 - 17.30. If together we will make a decision for surgery, you go to the department in date. If you do not accept the decision, you return home; no penalties for refusing hospitalization.
1) What is the recommended amount to lengthen?
- On average, 3-6 cm for femur and lower leg: depends on the initial extremity length: the longer the initial length, the greater the elongation possible. The optimal elongation is 18-20% of the initial segment length over one stage, which corresponds to 6-7 cm for the lower leg in an individual of height 175 cm.
Unfortunately the more initial length of bone is, the more lengthening can be done. Excessive elongation of the lower legs make the person look like a heron, excessive increase in the length of the lower extremities, even though the segments are in proportion, results in a "short-armed" appearance. Disregard of these considerations leads to unsatisfactory results.
2) What is the total price and LL methods you can perform?
- We can provide Conventional Ilizarov, LON and LATN as well. Possibility of femoral LON and LATN first of all depends on initial mechanical axis deviation.
Cost: Conventional Ilizarov both lower legs (OR femurs) + 3 weeks in the hospital = ~$3-5,000. LON, LATN ~$3-8,000.
If larger lengthening is necessary we use cross-elongation.
Sequential cross-elongation of femurs and lower legs:
1st step: right femur + left lower leg
2nd step: left femur + right lower leg
Cost for each step: Femur and lower leg frame applying + osteotomy + 30 days in four-six bed ward = ~$3-9,000.
Between the steps you should completely restore your gait. It takes usually 3-5 months.
Note: These prices are very provisional, because depends on many parameters. Details can be discussed at personal meeting only. Treatment of any possible complications is not included in this account.
Really you can leave the hospital in 10-14 days after the operation (even in 3-5 days). Then all further care can be given to you in your town hospital.
3) What is the recovery time?
~ 4 months - >12 months - depends on many parameters.
Best Regards,
Prof. Leonid Solomin
Brief Profile (From Website):
1986: Graduated from Blagoveschensky State Medical University
1986-1991: Post-graduate education, specialization in traumatology and orthopaedics
1991-1993: Assisstant of Chair of Traumatology and Orthopedics of Blagoveschensky State Medical University
1993-1995: External Fixation Laboratory Researcher at Irkutsky Research Institute of Traumatology and Orthopedics
1995-1998: Head of Department of Traumatology and Orthopedics at Irkutsky Region Hospital
1996: Doctor of Science
1998-2000: Head of Department of External Fixation at Irkutsky Research Institute of Traumatology and Orthopedics
2008: Full professor of orthopedic surgery
2000-Present: Head of External Fixation Department at R.R. Vreden Russian Research Institute of Traumatology and Orthopaedics (Saint. Petersburg, Russia)
Author of over 350 articles and abstracts, 4 monographs, 46 patents of Russia.
His main field of work is devoted to development, perfection, substantiation and clinical application of external fixation in fractures, non-unions, deformations, defects of long bones, foot and pelvis including congenital and infection problems.
Contact Information:
Leonid N. Solomin, MD, PhD
Professor of Orthopaedic Surgery
Head of ExFix Department
R.R. Vreden Russian Research Institute of Traumatology and Orthopedics
8 Baykova Str., St. Petersburg, 195427, Russia
Phone: +7 (812) 670-8743 / 670-9596
Mobile: +7 (904) 519-3989
Website: http://www.rniito.org/solomin_eng/index.html
E-mail: solomin.leonid@gmail.com
-
Usually after emailing him, he refers you to Dr. kuresh, i will repost the information that i got from him.
The MEDEM Clinic website is here http://medem.ru/en/
Everyone speaks English there and facilities are much higher than standard, it will include single bed ward.
The clinic has good relations with consulate of Britain, for an additional fee they can issue the invitation letter.
Dr. Kulesh will show you the shop to buy the wheelchair from before your operation.
They can put various size of rings on your legs, so they can be thin/small.
You can discuss with the anaesthesiologist about general anaesthesia options.
2-3 weeks after operation patients leave the clinic in a wheel-chair, they rent an apartment near the Institute called Vreden.
You will choose apartment before operation, there you can specify what you want.
While in the apartment you will get a PT trainer; he speaks English to an okay level, he does PT with you 3-4 times per week, the housemaid comes every other day, she cooks and brings food.
Bandages are also changed in the apartment twice a week.
You are better to use a local bank to get Ruble or Euros out.
During apartment you can call Dr. Kuresh with pay per phone if there is an emergency.
For the removal of device, this can be done at MEDEM or Elizabeth, prices will be given soon.
To summarize, the cost of everything.
Pay via UK bank card
Surgery medem clinc: ₽350,000.00/£4000
Removal of device ₽40,000.00/£400 much later on
Pay with Russian Ruble cash or Euro where specified
Rent: ₽90,000.00/£1000 for 3 month stay
Realtor help: ₽20,000.00/£235
Maid: €1050/£700 for 3 months of cook meals etc.
Bandage changing ₽500/£144 £6 per session, twice a week, so £12 a week.
Trainer ₽900/£450 £10 per session, happens 3-4 times a week, so £40 a week.
hope this helps, it seems like a good place but sadly there is only 1 diary and very little is known about this doctor, so he may end up beign like dr. sarin or something you never know, i am suspicious of the incredibly cheap prices though, i have never seen LL as cheap as this.
-
I was PM ing another user about the day to day costs of the op with Dr Solomin vs Dr Barinov.
This has been edited and there are many spelling errors on my part
I am only explaining the day to day to day costs while living in russia with frames during distraction and nails during consolidation. I do not know current prices for surgery at the Clinics, visa costs, nail costs , consultation costs and such.
Here it is he initially asked me:
I calculated the total expense of undergoing primary surgery in MEDEM and then adding the rods in Saint Elisabeth Hospital. In the end, with PT everyday included, LATN in Saint Petersburg ends up being more expensive than LATN in Volgograd -- even if there aren't any complications that would require additional funds (which they cover for free in Volgograd).
Below is my estimate of 6 months stay in either place:
VOLGOGRAD
(EUROS)
EXTERNAL SURGERY 12,500
LATN 2,500
5 MONTH STAY - 5,000
-----------------------------
20,000
SAINT PETERSBURG
(EUROS)
EXTERNAL SURGERY (MEDEM) 5,644
LATN (SEH) 3,788
HOSPITAL STAY (2 WEEKS) 1917
TRAINING (2 WEEKS) 677
ACCOMODATION 2,500
FOOD (HOUSEMAID) 1,750
TRAINING 2,175
BANDAGES: 644
CHECKUP: 805
VISA INVITATION: 290
----------------------
20190
Do you think this is pretty accurate?
Mind you, Volgograd will hike their prices up an additional 2,000 Euro from October.
To which I responded:
ACCOMODATION 2,500
FOOD (HOUSEMAID) 1,750
TRAINING 2,175
BANDAGES: 644
CHECKUP: 805
I Assume this is the total for 5 months.if so then
Accomodation. Budget an extra 50 to 100 eur for utilities per month. May need it may not
I pay 27k rubles per month for apartment and utilities.
food. This is correct (about 14000 rubles per month
training. 600 rubles a day. I use her everyday and that is 320 usd per month. In five months it would be about 1600 usd which is far cheaper than you predicted. That is if you use her every day for the duration of your stay. Due to scheduling, she cant come everyday and I thi k over doing it on my training may have contributed to my complication. In addition to that, during consolidation i will cut back on my time with her drastically. Maybe 2 or 3 times per week. So consider using her alot during distraction only. After thant you will know how to excersicise by yourself, your limits and legs will be stronger so you wont need trainer to guide you.
Bandages. Im not exactly sure how much but during complication (3 weeks) they were abiut 10 to 15 usd per day.
Without complication. Bandage change 2 times per week during distraction at a cost of maybe 10$ per time.
Checkup. During distraction you get a xray every 10-14 days. Cost 1500 rubles plus 500 rubles taxi from apartment. During consolidation every month . Cost same but maybe minus transportation because your more experienced and know the area better.
Budget extra time and money for complication. In my case i have to stay in Russia 1 more month than originally planned because delay distraction. Also spending money on these bandages and medications daily during complication put a not major but still significant dent in my account.
Also depending on type of complication you may need extra stuff. In my case i needed ultrasound 1000 rubles every week and aspiration in my leg in surgery room 3 times (1500 rubles). As you can ssee these examinatikns, medications and small "operations" are not expensive individually but they may be frequent if you have a complocatiion.
Almost 700 euros for 2 weeks training is alot. If anything ask for 600 ruble a day trainer. Maybe Medem clinic has better state of the art trainjng but this trainer that I used got the job done.
I told you I satyed an extra 2 weeks in hospital becuase I was scared to live by myself. I now regret spending that money knowing what I know now. About 1100 usd for 2 wèeks at st elizabeth. As long as you can make your way to the bathroom (in my case with 2 chairs and skilping my ass over them while advancing the chairs to the bathroom little by little) thats all you need. That money could have go e to 2 months rent instead of 2 weeks.
Kulesh should stop by and help you and youll get his number, food lady will stop by with cooked food and hire trainer to come every day if your worried about dying and yiur body not being found for a week..
hospital stay at st elizabeth clinic: 4000 rubles a day
hospital stay at MEDEM: more than 4000 rubles a day.
Is LON not an option for you? You basically get 1 huge surgery forst where they do all the major stuff and the frame removal surgery later you wont even need to be hospitalized saving you money on that and your only paying alightly more on 1 surgery.
I know volgograd 12500 includes 3 months stay but even if you subtract 500 x 3 months your left with 11000 just for externals. The nail prices seem about right.
-
Great info. Thanks for the update.
-
from prof Solomun:
We can provide Conventional Ilizarov, LON and LATN as well. Possibility of femoral LON and LATN first of all depend on initial mechanical axis deviation.
The optimal elongation is 10–15% of the initial segment length over one stage, which corresponds to 4–7 cm for the lower leg in an individual of height 175 cm.
dr kulesh
-
No visa invitation and support! That is real bull ! When you had a traumatic operation and you do not speak any russian. Then the say: Go and get your stay in Russia extended. You dont speak russian? We dont care! You can not walk? We dont give a fk...
This clinic should be banned from getting international patients!
Will the doctors help you? No, they dont give a !
What kind of place is that??? Get some fking visa support and someone to translate in English or just dont offer it for international patients.
-
No visa invitation and support! That is real bullcrap! When you had a traumatic operation and you do not speak any russian. Then the say: Go and get your stay in Russia extended. You dont speak russian? We dont care! You can not walk? We dont give a fk...
This clinic should be banned from getting international patients!
Will the doctors help you? No, they dont give a crap!
What kind of place is that??? Get some fking visa support and someone to translate in English or just dont offer it for international patients.
Visa invitation and support - additional cost
-
Visa invitation and support - additional cost
Not for the other hospital.
-
Not for the other hospital.
As far as I know, there are 3 international patients currently lengthening and all of them choose Elizabeth's hospital, as it's much cheaper. Just ask the doctor I'm sure they know how to help you with it.
-
Also, regaring the language barrier. I'll help you. You won't be talking much really. You just need to learn or save a few phrases.
"bolit, daite obezbol pozhalusta" - hurts, please I need painkiller injection.
"hochu srat, pozhalusta vedro" - I need to crap, please bring me crapbucket
That should be it. I doubt you'll be discussing Dostoevsky with them.
Or you could be even cooler and avantgarde. Open this text-to-speech application http://www.oddcast.com/home/demos/tts/tts_example.php and paste the following:
пожалуйста, не могли бы вы обезболить? сильно болит - please, I need a painkiller injection, it hurt really bad
мне нужно по большому, а ходить не могу. Не могли бы вы помочь? - I need to poop, but I can't walk. Couldn't you help?
Yea, ain't that cool?
-
Guys, do you really think the visa process will be that complicated ? Just go to the Russian embassy, say you wanna go on vacation to St Petersbourgh and you are all set :)
-
Well when they ask you what your duration of stay will be and you reply "5-6 months" they're gonna definitely become more curious and inquisitive. You may also need a clearance for operation consent form from your doctor (preliminary psychiatric evaluation) at home before you are even cleared for the surgery in that foreign country. It would be too easy and thus dangerous if all one was required to do before undergoing a risky and complicated surgery overseas was simply apply for a tourist visa because many people decide to have this surgery on a whim, by having to cross all the red tape and bereaucratic nonsense, it gives the person time to think about what they're getting into.
-
Guys, do you really think the visa process will be that complicated ? Just go to the Russian embassy, say you wanna go on vacation to St Petersbourgh and you are all set :)
That doesn't work in Russia. For China it worked, though.
-
Will the femoral patients really recover after doing only Classic Ilizarov method? 4-5cm, no nailing.
It seems as such a bad idea after speaking to all the doctors that I've met.
My friend did 4cm under one month on his femurs and they ended up fine, even after doing monorails. He put one nail on his left leg and a plate in his right causing HORRIBLE scars.
I'm just speculating of doing 4cm on my femurs to even out my proportions on my femur-tibia deviation.
Could I do 4cm and only be in frames for 3-4 months maybe?
For around 10.000$ and with a doctor claiming his patients are fine it just seems appealing. I could do it now instead of saving for Dr Betz and do 5-6cm.
/Sweden - speculating....
-
Will the femoral patients really recover after doing only Classic Ilizarov method? 4-5cm, no nailing.
There isn't a reason why you shouldn't recover. It's essentially the same thing as doing Ilizarov on tibias, but with the discomfort tripled and also with temporary knee stiffness. I had full ROM 3-4 months post femoral frame removal.
It is a hell though, especially if you want to do bilateral femurs.
-
There isn't a reason why you shouldn't recover. It's essentially the same thing as doing Ilizarov on tibias, but with the discomfort tripled and also with temporary knee stiffness. I had full ROM 3-4 months post femoral frame removal.
It is a hell though, especially if you want to do bilateral femurs.
That's not true. You have no pins in your tibia that cuts through your muscles as in the femurs.
-
That's not true. You have no pins in your tibia that cuts through your muscles as in the femurs.
You're right, with the tibia you can avoid placing pins through the soft tissue. For what I know though, a stable osteosynthesis implies little pin movement. I haven't seen many studies about this also sadly. I think you should worry more about the actual lengthening, which may cause muscle fibrosis:
http://www.boneandjoint.org.uk/highwire/filestream/15545/field_highwire_article_pdf/0/630.full-text.pdf
-
I wonder how much experience with LON they have? I really like the Dr's credentials and of course the price. But It doesn't seem he is the doctor that operates at Clinic Medem anyway and that's the only clinic I would consider.
If anyone has any info I would greatly appreciate it :)
-
I'm not sure exactly how much LON he does. But he's operating at Vreden Russian Research Institute of Traumatology and Orthopedics (http://www.rniito.org/solomin_eng/), which is the main clinic in Russia that does nailing and plating. All the others mainly use exfix.
He doesn't work at Medem indeed, but he can operate there. Medem Clinic is better in terms of comfort and they also offer visa support, that's why he offers it.
-
Dear frends!
You may ask questions to the adress solomin.leonid@gmail.com or kulesh_pavel@mail.ru
Best regards, dr kulesh :)
-
im looking to do femurs and tibias at the same time.. will dr solomin perform this?
im looking at just 3cm on femurs and 4 or 5 on tibias.. for proportion sakes..
-
Hi guys, found the link 4 this site from Russian forum. I m not looking 4 doing LL, I m going 2 do legs correction. Now choosing between several doctors. Dr Kulesh is also in my list. But haven't met any of his patients after LL. Only varus leg correction. The results are fine. But there are other doctors in Russia, didn't find any information about them in your site. Barinov was never in my list, because the patients in Russian forum have very bad results after him and he doesn't care.
In the same Volgograd there is dr Teterin which does LL and varus correction and dr Kaplunov also does LL and correction. Kaplunov also is in my list. If to trust his patients, none of them had orthopedic problems after LL and legscorrection.
What about Kurgan. The people in that site say, that Kurgan is terrible now, and the doctors don't care any more about the results after operation. One of the girls in that site still got bad problems with her foot, can't walk normal.
-
Hi guys, found the link 4 this site from Russian forum. I m not looking 4 doing LL, I m going 2 do legs correction. Now choosing between several doctors. Dr Kulesh is also in my list. But haven't met any of his patients after LL. Only varus leg correction. The results are fine. But there are other doctors in Russia, didn't find any information about them in your site. Barinov was never in my list, because the patients in Russian forum have very bad results after him and he doesn't care.
In the same Volgograd there is dr Teterin which does LL and varus correction and dr Kaplunov also does LL and correction. Kaplunov also is in my list. If to trust his patients, none of them had orthopedic problems after LL and legscorrection.
What about Kurgan. The people in that site say, that Kurgan is terrible now, and the doctors don't care any more about the results after operation. One of the girls in that site still got bad problems with her foot, can't walk normal.
Hello Sandra,
can you tell us more about these russian doctors. In which city/town are they? And what do they charge for LL?
-
Hi jfk,I ll go on their websites later and write here the prices from their sites. Can leave the links here, but the sites r in Russian
So here is the link for dr Teterins site. It's in Russian, English and French.
http://www.cosmcenter.com/en/index.php
There are photos and contacts. In Russian site where the patients share information about LL and legs correction, they say, that Barinov was Teterins student( he teaches in university also), and then Teterin took him to work to his hospital. Then they had some arguments and Barinov left and opened his own clinic. The Russian patients share their photos on their sites and very upset with results. The prices at Teterin are not as expensive as dr Bagirovs. And the patients can stay in the hospital for a long time or rent an apartment somewhere close to the hospital.
Here is dr Kaplunov s website, it's in Russian but u can put it on google translate.
http://www.каплунов.рф
Works with his father, both are very good doctors.Does LL, bow and X-legs correction, and other orthopedic surgeries. There are some photos of his patients on his site before and after LL.
The prises for LL used to be about 200000 Russian rubles with staying in hospital for 6 weeks. If longer u pay 1520 rubles a day or rent an apartment near the hospital or go back home. If I do correction at this doctor I ll go home after 6 weeks and come back later. The prise is for Russia and ex Soviet Union countries, it might b different for other citizens. Need to ask, but I don't think it ll b too much expensive.
Both these doctors work in Volgograd.
-
Dear friend!
Before we begin to discuss your questions, I ask you kindly to take note of the following.
For patients from other countries we may perform the operation of legs lengthening in two clinics in Saint Petersburg: Saint Elisabeth Hospital and Clinic MEDEM.
In-clinic stage
Saint Elisabeth Hospital (municipal clinic)
Website: http://elizahosp.ru/
Address: Vavilovich str., b. 14 (M Akademicheskaya)
Total cost of in-clinic stage (2 weeks in clinic): approximately 194.000 or 201.000 rubles http://elizahosp.ru/pol-price.html
Cost of one day in clinic: 4.100 rubles (single room) or 4.700 (lux room) http://elizahosp.ru/mini-gospital.html
English speaker staff: absent
Visa invitation and support: no
Papers from clinic: only in Russian
Training: 1.000 rubles for 1 training (additional cost)
Transfer: additional cost
Clinic MEDEM (private clinic)
Website: http://medem.ru/en/
Address: Marata str., b. 6 (center of the city)
Total cost of in-clinic stage (2 weeks in clinic): approximately 370.000-500.000 rubles
Cost of one day in clinic: 8.532 rubles (double room), 11.340 rubles (single room), 19.872 rubles (lux room)
English speaker staff: present
Visa invitation and support: present
Papers from clinic: in Russian, in English
Training: 2.970 rubles for 1 training (included)
Transfer: additional cost
It is possible to perform the procedure in Clinic MEDEM and transferee the patient to Saint Elisabeth Hospital in 2-4 days after operation.
Out-clinic stage
Training: 1.000 rubles for 1 training (additional cost).
Change bandages: 1.000 rubles for 1 procedure (usually – 2-3 times per a week).
Professor consultation (every 2-4 weeks) - 4.000-5.000 rubles (examinations included).
We can help to rent the apartments (rent is approximate 20-30.000 rubles per month) and about 17.000 rubles payment for realtor. Food (housemaid) - 300-350 euro per month.
Hotel for the patients after operation (we beg your pardon – site in Russian only): (http://www.atomprof-hotel.ru).
Rooms (daily cleaning and breakfast is included in the price): 135.000 rubles per month -
food (restaurant) - about 600 rubles per a day x 30 days = 18.000 rubles per mont
This list will be relooked every 10th date of the month.
05 November 2015
Thank you for your attention.
Best regards, dr kulesh.
edit: excessive links for hotel.
-
Hi jfk,I ll go on their websites later and write here the prices from their sites. Can leave the links here, but the sites r in Russian
So here is the link for dr Teterins site. It's in Russian, English and French.
http://www.cosmcenter.com/en/index.php
There are photos and contacts. In Russian site where the patients share information about LL and legs correction, they say, that Barinov was Teterins student( he teaches in university also), and then Teterin took him to work to his hospital. Then they had some arguments and Barinov left and opened his own clinic. The Russian patients share their photos on their sites and very upset with results. The prices at Teterin are not as expensive as dr Bagirovs. And the patients can stay in the hospital for a long time or rent an apartment somewhere close to the hospital.
Here is dr Kaplunov s website, it's in Russian but u can put it on google translate.
http://www.каплунов.рф
Works with his father, both are very good doctors.Does LL, bow and X-legs correction, and other orthopedic surgeries. There are some photos of his patients on his site before and after LL.
The prises for LL used to be about 200000 Russian rubles with staying in hospital for 6 weeks. If longer u pay 1520 rubles a day or rent an apartment near the hospital or go back home. If I do correction at this doctor I ll go home after 6 weeks and come back later. The prise is for Russia and ex Soviet Union countries, it might b different for other citizens. Need to ask, but I don't think it ll b too much expensive.
Both these doctors work in Volgograd.
Tetrins or Kaplunov?which is better?
Thank you
-
Please, give more information about other alternative russian doctors. Thanks!...
-
Would it be possible for a 2016 Update maybe :-\ :-\?
-
A 2016 update????
-
2016 Price update after emailing professor Leonid N. Solomin
Preoperative orthopedic examination
professor consultation – 1.200 rubles
x-ray examination – 4.000 rubles
ultrasound examination – 1.500 rubles
Surgery + 3 days in Clinic
Clinic:
in Int. Clinic MEDEM - 278.400 rubles
+ 8.532x3=25.596 rubles (double room) = 304.000 rubles
+ 11.340x3=34.020 rubles (single room) = 312.500 rubles
+ 19.872x3=59.616 rubles (lux room) = 338.000 rubles
in St. Elizabeth Hosp.
142.000 (single room)
149.000 (lux room)
The 3rd day after operation – the 14th day after operation
Location of the patient:
We recommend:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 rubles per a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
We consider admissible:
in hotel (1.000 – 6.000 rubles per a day)
in apartment (25.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week, every other day - 4.500 rubles a week, 2 times a week - 2.000 rubles a week
In case of any complications – emergency hospitalization to hospital.
Additional medicines:
We recommend:
Fraxiparine - 1 injection per a day during 10 days after operation (300 rubles for injection in St. Elizabeth Hosp.; in Int. Clinic MEDEM - free of charge)
Pradaxa – 1 tablets per a day from the 11th day after operation (2.000 rubles a month)
Perfalgan – 1 dropper a day 5-10 times after operation (200 rubles for dropper in St. Elizabeth Hosp.; in Int. Clinic MEDEM - free of charge if it is required)
Linex - 6 tablets per a day during 10-14 days after operation (1.000 rubles a week in St. Elizabeth Hosp; in Int. Clinic MEDEM - free of charge if it is required)
We consider admissible:
Fragmin (instead of Fraxiparine) - 4 injections a day during 10 days after operation in St. Elizabeth Hosp. (free of charge)
Pradaxa (for out-patients) – 1 tablets per a day for out-patients (2.000 rubles a month)
Paracetamol (instead of Perfalgan) – 1 tablets per a day (in St. Elizabeth Hosp. - free of charge if it is required, 200 rubles a week for out-patient)
Amoxiclav (for out-patients) – 3 tablets per a day + Linex 6 tablets per a day during 7-11 days after operation (2.000 rubles a week for outpatient)
-------------
Changing bandages:
We recommend:
Changing bandages by doctor - 2-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
To pay tailoring of a cover on the frame (2.000 for 1 cover). We recommend to buy 2 covers for every frame.
To pay for the foot holders (600 rubles)
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Trainings/physiotherapy:
We recommend:
Training every day or every other day with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
Buy walkers (3.000-4.000 rubles)
Buy wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
Buy crutches (2.000 rubles)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Consultation by professor:
We recommend:
In 5-7 days after the beginning of distraction (in 10-12 days after operation) (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
In 5-7 days after the beginning of distraction (in 10-12 days after operation) (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
Visa support (only for Int. Clinic MEDEM outpatients):
Payment every month - 3.500 rubles, payment for visa prolongation (usually - once every 3 months) – 17.000 rubles
------------------------
The 15th day after operation – completion of manipulations in frames
Location of the patient:
We recommend:
in hotel (1.000 – 6.000 rubles per a day)
in apartment (25.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week, every other day - 4.500 rubles a week
We consider admissible:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
in apartment (30.000-40.000 rubles a month); the housemaid 2 times a week - 2.000 rubles a week
at home
In case of any complications – emergency hospitalization to hospital.
Additional medicines:
We recommend:
Pradaxa – 1 tablets per a day (2.000 rubles a month)
We consider admissible:
Pradaxa – 1 tablets per a day (2.000 rubles a month)
Food supplements
Changing bandages:
We recommend:
Changing bandages - 2-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Washing of covers once a week
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Changing bandages by patient - 3 times a week (for the outpatients at home)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Trainings/physiotherapy:
We recommend:
Training 2-3 times a week with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have a walkers (3.000-4.000 rubles) and crutches (2.000 rubles)
To have a wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have crutches (2.000 rubles)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
--------------------------------------
Consultation by professor:
We recommend:
Once in 10-20 days (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
Once in 20-30 days by e-mail (for the outpatients at home) - free of charge.
The cost of a transfer depends on the place of residence.
Manipulations in frames (distraction and correction):
We recommend:
Lengthening no more than 10% of the initial length of a bone.
After finishing of lengthening – perform installation of the reduction module, to eliminate translation of bone fragments or deformity (setting the reduction module – 3.000 rubles, remove the reduction module – 3.000 rubles, calculations – 500 rubles for 1 frame at once)
We consider admissible:
Lengthening no more than 20% of the initial length of a bone.
After finishing of lengthening – perform installation of the reduction module, to eliminate translation of bone fragments or deformity (setting the reduction module – 3.000 rubles, remove the reduction module – 3.000 rubles, calculations – 500 rubles for 1 frame at once)
The correction is possible only in the absence of contractures of joints and a possibility of the patient to stand on the straightened legs.
In case of hypotrophic regenerate the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
completion of manipulations in frames – removal of frames
Location of the patient:
We recommend:
in hotel (1.000 – 6.000 rubles per a day)
in apartment 25.000-40.000 rubles a month); the housemaid every other day - 4.500 rubles a week, 2 times a week - 2.000 rubles a week
We consider admissible:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
in apartment (30.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week
at home
In case of any complications – emergency hospitalization to hospital.
-----------------------------
Changing bandages:
We recommend:
Changing bandages - 1-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Washing of covers once a week
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Changing bandages by patient - 3 times a week (for the patients at home)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation one or several additional operations are required.
Trainings/physiotherapy:
We recommend:
Training 2-3 times a week with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have a walkers (3.000-4.000 rubles) and crutches (2.000 rubles)
To have a wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have crutches (2.000 rubles)
In case of malunion or non-union one or several additional operations are required.
In case of deep infection, one or several additional operations are required.
Consultation by professor:
We recommend:
Once in month (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
Once in 2 months (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
Once in month by e-mail (for the outpatients at home) - free of charge.
1. To the housemaid the cost of products isn't included in a payment (the approximate cost of products You may look on the website https://www.okeydostavka.ru/spb2)
2. Int. Clinic MEDEM usually provides discounts to the foreign patients. Discount in St. Elizabeth Hosp. is possible too.
3. We assume that it will be cheaper to get a second-hand wheelchair, office chair, walkers and crutches
4. The approximate cost of drugs is specified. You may look on the website http://www.eapteka.ru/
5. We would recommend to assume quantity of money 10-20% more than calculated
6. Surgery + 10 days in Clinic (minimum) in Int. Clinic MEDEM (278.400 rubles + 8.532x10 = 364.000 rubles) in St. Elizabeth Hosp. (142.000 rubles + 4.100x10 = 183.000 rubles)
7. We can perform External Fixation surgery on 2 segments at once
8. In case of complication additional operation costs approximately as much as primary
9. The advance payment is 150.000-200.000 rubles (in St. Elizabeth Hosp.) and 300.000 – 400.000 rubles (in Int. Clinic MEDEM).
-
So for 5 cm LON what would be the total cost(including accommodation)? Doctors change bandages and pin care always?
-
No one speak English even the facilities, hotel on your own. all document in Russian!! why he not just say don't come to us, indeed
-
That is not a problem, in MEDEM all speak english. but what more?
-
Can you do this on a tourist visa if you dont plan to stay - consultation, surgery and then 3 days - then leave?
-
I thought Dr Solomin does speak English. He responded to my emails in English not the best but it seems obvious he's familiar with it.
-
Ok - got a reply back and was adding everything up and i got these totals;
MEDEM CLINIC TOTAL = £4341.33
ELIZABETH CLINIC TOTAL = £3139.72
For Surgery (LON) Plus Nails and 3 day stay - either i got this wrong or this is very cheap?
-
Extremely cheap.
-
I calculated how much a 10 month stay in St Petersburg would cost inclusive of everything- plus extra money- bought me to £15,000. I could probably stay for half that time. Going to Russia looks increasingly tempting... I've also heard mostly good stories about Solomin.
-
I calculated how much a 10 month stay in St Petersburg would cost inclusive of everything- plus extra money- bought me to £15,000. I could probably stay for half that time. Going to Russia looks increasingly tempting... I've also heard mostly good stories about Solomin.
i have only seen dozers(kulesh) and badwolfs diary..could you please post the links to other diaries if you know?
-
As far as I know there are only two diaries form St. Petesburg, but there are a good option, also not expensive.
-
How much did you calculate for just surgery and hospitals stay? I'm hoping we got the same figure or close to - the sheet he sends back on emails is loaded with prices.
-
Not much at all. I can't remember but maybe 500,000 or £6,500? The rest was for other expenses.
Yeah I've only seen those two and another guy who wrote about Dr. Kulesh (who apparently works with Solomin). They seemed happy enough.
Except badwolf (I think) had some problems but they didn't seem to be Solomin's fault.
-
One thing I like about the other russian doc barinov is thay you can stay at the hospital which at 1200 euros is not a lot if I lon for 4 cm. It seems though that solomin he does not want to take that many international patients if he is recomending his student.
-
As far as i know Solomin is on every CLL operation.
-
Yes Kulesh always operates with Solomin as I've been told in this forum.
-
Would a tourist visa be acceptable as I don't plan to stay for lengthening period? I think I'm set on this doctor as they reply and seem competent and within my budget.
-
Dr Solomin is my first choice, Im just worried that I might end up lengthening the fermur and not the tibs
-
I plan on doing it next year with Dr Solomin for 7cm increase, Im 167cm.
I'm pretty sure my upper and lower legs are almost the same length, is there any way to measure it?
Should I do the full 7cm or divide it in cross lengthening?
Femur or tibs?
I got 175cm wingspan and a short torso.
-
External femurs is pure hell, if you can go out of that you Will be a Hero.
-
I did legs correction with dr. Oleg Kaplunov. :)
He's not just a great surgeon he is a great person!
I ll try to make a separate post about my whole experience.
-
Dear frends!
You may ask questions to the adress solomin.leonid@gmail.com or kulesh_pavel@mail.ru
Best regards, dr kulesh :)
Are these e-mail addresses still the ones they use?
-
Are these e-mail addresses still the ones they use?
Yes those are the same ones. It might take them a while to reply as they are very busy at the moment. Im here as well and had my surgery yesterday.
-
Yes those are the same ones. It might take them a while to reply as they are very busy at the moment. Im here as well and had my surgery yesterday.
Thank you, Jim.
-
So he doesn't do precice or internals at all? Any specific reason, is it considered too risky or assumed to havelong term complications?
-
So he doesn't do precice or internals at all?
From their information document:
Unfortunately, at present time we can’t perform internal lengthening: implants (selflengthening nails) are not certificated in Russia.
-
Is it me or has the price skyrocketed? Pretty sure SEH used to charge 140000 now they charge 250000?
-
Price increased suddenly around 1 month ago. There are a lot of patients going there recently,maybe that's why they decided to increase prices
-
Indeed, still very cheap, could do CL for less than £8000 if you only do 3 or 4cm.
-
How much does it cost to extend the 6.5cm tibia over there now? the full cost?
-
Hello Guys.
I am from Brazil, planning to perform the procedure in September/October 2019.
My first option was Dr.Barinov or Dr.Amar sarin, but now i've reading a lot of positive things about Dr Kulesh/Solomin.
Anyone planning perform the surgery at the same time in Russia ?
Please Let me Know.
Sounds like with less than 15k US Dollars you are able to gain 7.5cm, that is my goal.
Starting height: 171.5cm
Goal: 179cm
-
I hear MEDEM has already stopped providing the surgery, does anyone know about this?
-
Any one been to doctor solomin and Kelush to share with us his diary ?
The cost for Lon close between dr sarin and solomin . I been inspired by Arabic man diary he is doing good with dr sarin . The point here we haven’t heard any more about patients to dr solomin . But we been getting lately too many patients to sarin .
-
"I hear MEDEM has already stopped providing the surgery, does anyone know about this?" - really? :)
-
hello, dear friends!
we're happy to inform you that in the nearest future (on September) we will restart collaboration with municipal clinic
(at present time we perform the surgeries in 2 private clinics)
in that case the cost of surgery Conventional Ilizarov should be about 200.000 for foreign patients (cost of 1 day in clinic = 6.000)
pay attention, please: municipal clinic can't provide visa extension
if you assume, you will use this offer, inform us now, please: that's necessary for planning the collaboration with clinic
all details (price-list and patients' cases) let's discuss by kulesh_pavel@mail.ru, please
we will be happy to help you
best regards, dr kulesh
-
... and you may look cases (with calculations!) there: https://www.straightlegs.ru
we will be happy to help you
best regards, dr kulesh
-
Guys save up and get internal LL with Precice or Stryde. In this day and age don't do external methods in Russia. You are already taking risk with LL, so take least risk.
-
... interesting and extraordinary opinion :)
-
... interesting and extraordinary opinion :)
I am glad you agree.
There have been far too many Russian Ilizarov patients here who have had dropped feet, other neurological problems, contractures (both ankle and knee). Most Russian patients end up getting nailing anyway (so they have to deal with frame insertion, frame removal, nail insertion and nail removal - with possible complications from each point). External femur LL seems like torture. You can't do most of the exercises that Precice femur patients do with frame on your femur.
-
"I am glad you agree." - why did you say that I didn't say?
-
It is so tiresome to read from "cena" or "tlannister" or "guichet-chop" or whatever moniker she uses to troll for Donghoon Lee.
Can Donghoon Lee be all that great if he needs to hire trolls to speak negatively about other professionals?
Anybody with half a brain knows that Russia is renown for its technical innovations--Russians invented limb-lengthening.
Russians were also the first to employ field anesthesia and modern field surgery.
Russians developed the theory of chemical structure and the Periodic Table of Elements.
Russians had the first female doctor of medicine.
Russians invented vitamins and discovered the first viruses.
Russians invented the blood pressure cuff, discovered stem cells, and developed the concept of a blood bank.
Russians performed the first human kidney transplant and designed the first artificial heart; they performed the first lung transplant and the first heart-lung transplant.
And they did all of these things before they invented leg lengthening.
It is so tiresome to read the hater's spew.
I have received medical care the world over--the care I received in Russia was stellar.
And yes, I could buy a decent house in the mid-west USA with the money I saved.
Dr. Kulesh is an extremely competent (MD & Ph.D.), kind, and compassionate scientist and surgeon.
Culturally, he does not fully appreciate the concept of trolls or how to best deal with them.
Nonetheless, if you can consider the adventure of surgery in Russia; then, you should.
-
What did I just read?
Why are you defending Russians? I said nothing against Russians. I said to not use old external frame methods for LL. Recovery is much better with internal weight supporting rods.
And because Russians did some stuff 100 hundred years ago does not mean they should be good at everything else. I repeat, I am not saying anything good or bad about Russians but your arguments are plain out right stupid.
I did not troll Kulesh. It was hard to understand what he wrote. He said my opinion was extraordinary and so I thought he was in agreement. Many good doctors agree that if money is not a problem, better treatment maybe sought elsewhere. He is probably doing amazing work for Russian locals for their deformity problems at low costs.
And if you want to save money to get cheap cost LL to buy a house in mid-west US that's your way of life. I would never let money be a factor in this decision of LL. But for you it was clearly a factor was it not? That is why you bring it up. If you had 10 million bucks then your decision would have been different. If not why you bring up money here?
Lastly, nothing beats US in terms of innovation and technology. That is why millions from every country want to migrate here. Some people including Russians indulge in birth tourism to let their children have a great life.
Good wishes to you for your recovery and keep well!
-
Anyone can spout a hostile and uninformed opinion--you prove that point time and again.
Your uninformed opinions are worse than those of the average uninformed person because your posts are designed and intended to mislead.
What is your expertise with limb-lengthening? I will answer for you--none. Your expertise is limited to the 23 posts Donghoon Lee paid you to write plus all the other posts you write on his behalf under other monikers.
What do you know about US innovation and technology? Did they teach you about it in Korea?
Next, you are not very bright if you do not consider the cost of leg lengthening surgery. I wrote before that I could have paid $120K for surgery in the US--I choose not to because I did not see the value in it. Every person who gets elective surgery should consider the costs and the value received for the cost. In terms of cost-benefit analysis, its is hard to beat a good Russian surgical team.
Because Donghoon Lee fears Russian competition, he pays you to write:
There have been far too many Russian Ilizarov patients here who have had dropped feet, other neurological problems, contractures (both ankle and knee). Most Russian patients end up getting nailing anyway (so they have to deal with frame insertion, frame removal, nail insertion and nail removal - with possible complications from each point). External femur LL seems like torture. You can't do most of the exercises that Precice femur patients do with frame on your femur.
As Dr. Kulesh wrote, you offer an "interesting and extraordinary opinion."
That's polite Russian for "you couldn't be more wrong". In fact, your comments show you do not even understand the basics of external fixation or its variants.
Stop trying to sell people on what you are or are not trying to do through your posts. Folks can read what you write. Most are not as stupid as you hope.
-
Anyone even thinking of getting LL in foreign soil like Russia using old external methods please read the diaries of all external patients and compare them to internal patients. Most of these patients report severe complications along the way and then finally disappear. No one comes back and reports and shows a full recovery. It is obvious at this point. Just because multiple people call this out doesn't mean they are all one person.
Compare the Russian external diaries to successful precice diaries like Purushrottam, InFullStryde, MyEvolution, ShyShy, LAGrowin all fast recoveries, no complications along the way and good final result.
As California2 states, saving money is the main reason why people get LL in Russia. Only after doing cost benefit analysis, Russia may seem like a good option.
Again please read California2 diary and other diaries. There is also a member called Android on the board who has had quite sever complications: https://www.instagram.com/p/ByjtKjzHNII/ He only did 5cm lengthening and is in that position. I sure hope he gets back to normal and think he will. But is this long risky route something you want to take? (California2, is Android going through a "normal" process? )
That is why I recommended people to save up money and get LL. It is my opinion. For some, it might be ok to spend less money and recover slowly and not surely for 1 of 2 years but for some that is not acceptable. You will also have to hide from people because of the frames for so long.
(California2, how does "interesting and extraordinary opinion" mean "you couldn't be more wrong" in Russian? Why are you trying to interpret what he wrote? Did he call you tell you this? Please explain how you made this interpretation.)
.................................
Again people please open diaries on California2 and other Russian external LLers and see if that is what you want to go through. Take a book and write down the complications each faced and how long they took to recover and how many posted satisfactory evidence of recovery. No one questions the contributions made by Russian surgeons to LL, but it is time the world moves on to newer and better methods of innovation and technology.
-
I just read Android's posts and it appears he is from California! If only he had saved up some money to get LL in US he could have been leading life like InFullStryde right now. He seems to be a great guy and I wish him good luck! I am positive he will back to normal soon!
This was Android's update 32 weeks ago and he still hasn't completely improved. Source: https://www.instagram.com/p/Brjemh6h_YX/
The bad news is that I have nerve damage from traction on my left leg--which had femur frame--meaning the nerves were not ruptured, but stretched too much (probably too fast). This lead to lots of pain from the nerves regenerating, and more importantly it lead to temporary loss of motor and sensory function. It's coming back, but very slowly. Currently I feel half of my left calf, maybe an eighth of my foot.
The pain is managed with Lyrica (pregabalin). I was taking five 150 mg tablets per day for a while, but I'm down to three tablets. It was very painful a couple months ago, but now it's not bad at all and I have no trouble sleeping either.
I've recovered muscle, and I've purchased a brace that helps to keep my drop foot in a good position while providing flexibility, so now I can walk comfortably with a cane.
I think Kulesh and Solomin are great and experienced doctors. They are experts at what they do and know it inside out compared to newer surgeons on the block. But technology is always a determining factor. The world moves forward not backwards.
-
To Donghoon Lee's Troll:
"Cena" today; "Guichet-Chop" last month; "TLannister" before that; who knows all the monikers you've used in effort to push prospective lengtheners toward Lee.
It is apparent you know very little about external lengthening. It is obvious you know less about the people you write about.
I met "Android" and spoke with him regularly in St. Petersburg while he was engaged in a cross-lengthening process--his challenges have nothing to do with external versus internal lengthening. Also, Android could have afforded any procedure--he chose St. Petersburg.
I also spoke with Dr. Kulesh regarding your comments--that is how I know what he meant--not that his comments really needed to be interpreted--you simply chose to act obtuse as if you did not understand.
You have no knowledge, skill, training, or experience from which to make recommendations to anyone regarding elective leg lengthening.
There is no doubt that internal lengthening presents an additional option for many people. However, to tell people they should or must undergo internal lengthening because the technology is newer is grossly misguided.
Your position is akin to telling everyone that they need a $1500 MRI when a $50 x-ray will work just as well.
Having the option of either process, I am completely satisfied with my choice to do external lengthening and to save $100K.
I am extremely disappointed that disinformation trolling is the new marketing and that you are apparently actively involved in that process on behalf of Donghoon Lee.
-
I met "Android" and spoke with him regularly in St. Petersburg while he was engaged in a cross-lengthening process--his challenges have nothing to do with external versus internal lengthening. Also, Android could have afforded any procedure--he chose St. Petersburg.
His complication is not "normal" according to me. It's not acceptable to me to face such a complication and be out of normal life for so long. It is traumatic for not only you but also to your family and friends. You also lose out on time for making money, traveling, career growth.
I also spoke with Dr. Kulesh regarding your comments--that is how I know what he meant--not that his comments really needed to be interpreted--you simply chose to act obtuse as if you did not understand.
WTF? He literally said my opinion was "extraordinary". How am I supposed to understand that it meant that he disagrees with me? You are losing your mind ;D
There is no doubt that internal lengthening presents an additional option for many people. However, to tell people they should or must undergo internal lengthening because the technology is newer is grossly misguided.
It is an additional and a better option. It is not only because technology is newer but because the results speak for themselves. Especially for upper legs, there is no other alternative in my opinion. The ones who leave US and do externals are the ones who don't want to spend so much MONEY. MONEY is a big decision factor.
Your position is akin to telling everyone that they need a $1500 MRI when a $50 x-ray will work just as well.
I disagree. Readers are free to make their own opinion. They should read diaries and look for evidence of recovery.
Having the option of either process, I am completely satisfied with my choice to do external lengthening and to save $100K.
Yes I know. The $100k you saved is very very important to you. Nothing wrong there.
-
Hi, California2
Are you in Russia right now or just corresponding with dr Kulesh?
If you talk to him again, would you mind asking him if he and dr Solomin have any plans offering Stryde in the near future? If not, why not?
-
To Kotiki:
Please remember that I am not a spokesperson for Dr. Kulesh or for Professor Solomin or for any member of their team. Dr. Kulesh handles most of the team's correspondence; therefore, I encourage you to contact him directly.
Notwithstanding the foregoing, as I understood things at the time I had the discussion (about 6 months ago now), the Russian regulators who regulate such things have not yet approved for use internal lengthening devices.
As I also understand things, the Solomin/Kulesh team trained outside Russia and are able to use them; they are simply not yet allowed to use their training and/or these devices in Russia.
For more current information, please contact Dr. Kulesh directly.
-
This is likely the guy I'll be doing 6-7 cm LON on my tibias with next year (assuming certain financial endeavors don't work out). He's an absolute bargain for his skill, experience, and professionalism.