Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: 6FeetSoon on January 16, 2017, 09:42:07 PM
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Hey everyone, just wanted to create a thread to document my impending LL journey.
About me: 25 y/o male, height: 175 (5'9), looking to add 8cm and reach 6'0.
Happy to answer any questions about the process.
Good luck to all who plan to embark on a similar journey.
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How much did u paid for it?
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I thought Rozbruch had a height limit of 5'5 max for males no?
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75k
How much did u paid for it?
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I thought Rozbruch had a height limit of 5'5 max for males no?
Back in 2013. I think he views height dysphoria as a relative rather than absolute thing now.
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what does the cost of 75k$ include and doesnt include?
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btw, when is your surgery date?
Good luck and have a safe lengthening
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what does the cost of 75k$ include and doesnt include?
all surgical aspects including ITB release, use of equipment, etc.
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btw, when is your surgery date?
Good luck and have a safe lengthening
Few weeks, and thanks very much.
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So no PT included? How much is overall estimated cost? I was communicated about 140k$ when i exchanged e mails with him.
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So no PT included? How much is overall estimated cost? I was communicated about 140k$ when i exchanged e mails with him.
PT doesn't necessarily have to be a separate cost. Most of his patients perform the exercises at home on their own to maintain range of motion, flexibility, etc.
Hospital costs (depending on your coverage) will be taken care of by insurance.
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wow, that's a great price to do the surgery in the US and I had no idea insurance could cover the hospital costs. best of luck!
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wow, that's a great price to do the surgery in the US and I had no idea insurance could cover the hospital costs. best of luck!
Actually, yeah how is that possible?
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Actually, yeah how is that possible?
Because the hospital stay in and of itself, is not an elective procedure. Its a standard medical expense that one is expected to incur for one reason or another over time. Same reason insurance covered the x-ray and technician costs at the initial consultation. Obviously the actual procedure falls outside of that category.
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What is your flexibility like?
And are you doing Precice 2?
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What is your flexibility like?
And are you doing Precice 2?
Extremely flexible.
Affirmative on PRECICE 2
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I'm having a very hard time believing that the pricing you are quoting for Dr. Rozbruch is accurate. Something seems way off to me. Do you have anything that proves $75,000 covers all medical expenses except rehabilitation? You must have at least been provided an official cost estimate from Dr. Rozbruch in person or via email.
I have never heard of medical insurance in the United States covering any kind of costs incurred during a cosmetic procedure. Usually insurance companies in the United States do everything humanly possible to avoid paying costs even when they are necessary to saving a persons life.
Let me just say I want what you are saying to be correct. I really really want what you are saying to be correct. It just seems way too good to be true.
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I'm having a very hard time believing that the pricing you are quoting for Dr. Rozbruch is accurate. Something seems way off to me. Do you have anything that proves $75,000 covers all medical expenses except rehabilitation? You must have at least been provided an official cost estimate from Dr. Rozbruch in person or via email.
I have never heard of medical insurance in the United States covering any kind of costs incurred during a cosmetic procedure. Usually insurance companies in the United States do everything humanly possible to avoid paying costs even when they are necessary to saving a persons life.
Let me just say I want what you are saying to be correct. I really really want what you are saying to be correct. It just seems way too good to be true.
Don't know how to upload images here, but yes i have a breakdown of the medical expenses summing to 75k. (There's an additional 10k for removal naturally)
And as i said, insurance has already started covering expenses. The X-rays cost $800 but my out of pocket portion was only $100.
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Don't know how to upload images here, but yes i have a breakdown of the medical expenses summing to 75k. (There's an additional 10k for removal naturally)
And as i said, insurance has already started covering expenses. The X-rays cost $800 but my out of pocket portion was only $100.
Wow! I can't tell you how excited I am to hear this!
To upload images on this forum is easy. Simply use any of the tons of photo uploading websites out there like tinypic, or imgur. Once you upload the image to one of those websites, simply copy and paste the link then click the insert image icon located underneath the Bold icon.
You can message me and I will do it for you if you can't figure it out. Everyone needs to see this. Dr. Rozbruch is easily one of the top LL surgeons in the world, but has always been way too expensive, even more expensive than Paley. This changes everything!
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The one thing i will say though, people considering this need to remember that Dr. Rozbruch has you evaluated by a psychologist completely independent of him. So even if he thinks you're a good candidate, if she says no, it's a no. And people do get turned away often so be mindful of this.
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I have just watched video on this Doctors site. He says he aims for 3 inches(8cms) but from everything else I have seen on this site this is when complications get a lot worse, 5 to 6 is what people should be aiming for. Has this Doctor changed his opinion on the 3 inch aim in recent times?
Also, is he considered to be better than Paley as I had not heard much about him. It always seems to be about Paley when people talk about the best in the world and the guy to go with.
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I have just watched video on this Doctors site. He says he aims for 3 inches(8cms) but from everything else I have seen on this site this is when complications get a lot worse, 5 to 6 is what people should be aiming for. Has this Doctor changed his opinion on the 3 inch aim in recent times?
Also, is he considered to be better than Paley as I had not heard much about him. It always seems to be about Paley when people talk about the best in the world and the guy to go with.
Youtube the video "Dr S Robert Rozbruch-stature lengthening" on youtube on watch the story about Sam. 8cm is what they aimed for and achieved. And yes, on these forums people don't talk about him because their number one focus is affordability. Rozbruch is 75k+10k+in-patient fees which can be prohibitively expensive if it's out of pocket. You've got to remember he works at HSS in NYC. That place is no joke. NBA and NFL players go there as their first choice for rehabilitation from orthopedic injuries.
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The one thing i will say though, people considering this need to remember that Dr. Rozbruch has you evaluated by a psychologist completely independent of him. So even if he thinks you're a good candidate, if she says no, it's a no. And people do get turned away often so be mindful of this.
Have you had your consultation with that psychologist yet?
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Have you had your consultation with that psychologist yet?
Yes, otherwise my surgery date wouldnt be set for February.
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I posted instructions on how to upload images to the forum. Are you going to upload the image you said you have that shows a breakdown of the $75,000 in fees from Dr. Rozbruch?
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I did watch the video with Sam but wondered if it was an old video. I know that 8cms can be achieved but at what cost to future health and mobility. If this doctor had seen a lot of complications from going as far as 8 since making this video he may have changed his mind about what he advises patients. I assume he hasn't if you are going for 8cms and he is happy for you to do that.
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I did watch the video with Sam but wondered if it was an old video. I know that 8cms can be achieved but at what cost to future health and mobility. If this doctor had seen a lot of complications from going as far as 8 since making this video he may have changed his mind about what he advises patients. I assume he hasn't if you are going for 8cms and he is happy for you to do that.
Sam did his surgery in sep 2015, and this was 10 months post op (july 2016), so not old at all. Also important to note that additional length is all relative. If someone had 20cm long femurs and you tried to add 8cm, that's a lot more stressful on the body than someone who has 40cm long femurs... nothing is absolute
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I posted instructions on how to upload images to the forum. Are you going to upload the image you said you have that shows a breakdown of the $75,000 in fees from Dr. Rozbruch?
Haha ill figure out imgur later and post. Or you can just email me and ill send them to you.
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Haha ill figure out imgur later and post. Or you can just email me and ill send them to you.
What is your email address?
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Thanks for reply. I hope it all goes well and look forward to following your progress.
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Yes, otherwise my surgery date wouldnt be set for February.
Without going into too much detail, how did you describe your reasons for wanting this surgery with the psychologist? Did you say you suffer because of how you look compared to other men, because your relatives are taller, because of bullying during childhood, for example? What reasons did you give her?
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Without going into too much detail, how did you describe your reasons for wanting this surgery with the psychologist? Did you say you suffer because of how you look compared to other men, because your relatives are taller, because of bullying during childhood, for example? What reasons did you give her?
I don't really want to go into details of what i told the psychologist, but i can give an example of a scenario that probably gets approved vs one that doesn't:
5'9 guy with a great job and does very well on the dating scene, but still wants the additional height because of a fundamental dissatisfaction with his stature thats nagged at him for years
Vs
5'3 guy with an ok job and doesn't do that well with the ladies, wants the height to "fix" those issues.
The 5'9 guy likely gets the surgery approved, the 5'3 guy does not, even though from a height distribution standpoint, the 5'3 guy would seem like the one who should be first in line.
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Explain further, because I can see the nuance of it that distinction, but I'm curious about what exactly the psychologist is looking for
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I can also see the nuance but I think that most people who want this surgery have an issue with how women view them , especially if they are 5'5 or less. If the psychologist rejects someone because they are honest enough to admit this, then in my opinion she is not very good at her job. It is very easy for people who don't suffer the discrimination every day to judge and think that you should judge be a stronger person but real life is not like that.
Of course if you think that a few extra inches is going to transform your life and take away all of the many issues that come with just being alive then you are not right for this surgery, but having the guts to admit that women, not all women but a lot, do not want to date guys who are 5'5 or under should not be held against you.
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I can also see the nuance but I think that most people who want this surgery have an issue with how women view them , especially if they are 5'5 or less. If the psychologist rejects someone because they are honest enough to admit this, then in my opinion she is not very good at her job. It is very easy for people who don't suffer the discrimination every day to judge and think that you should judge be a stronger person but real life is not like that.
Of course if you think that a few extra inches is going to transform your life and take away all of the many issues that come with just being alive then you are not right for this surgery, but having the guts to admit that women, not all women but a lot, do not want to date guys who are 5'5 or under should not be held against you.
I agree with you that it doesnt have any sense... A 5'9 who just feels bad about his height for no apparent reason is a good candidate but a 5'3 guy, who is well aware that many women will reject him solely based on his height, and is therefor willing to change his height is not a good candidate?
Btw OP, not attacking you but the psycologist
I think that a psycologist should rather search for any signs of BDD rather than anything else. Of course if a 5'9 or 5'7 (like me) would come and say "I have almost no success with women and it's solely because of my height so I want to add inches" he should also me dismissed. a 5'3 guy though? A very reasonable reason.. Even a 5'5
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I can also see the nuance but I think that most people who want this surgery have an issue with how women view them , especially if they are 5'5 or less. If the psychologist rejects someone because they are honest enough to admit this, then in my opinion she is not very good at her job. It is very easy for people who don't suffer the discrimination every day to judge and think that you should judge be a stronger person but real life is not like that.
Of course if you think that a few extra inches is going to transform your life and take away all of the many issues that come with just being alive then you are not right for this surgery, but having the guts to admit that women, not all women but a lot, do not want to date guys who are 5'5 or under should not be held against you.
I think the line they are trying to draw is, "we are not performing this surgery for people who think it's going to get them laid"
That's not to say that if you go in there saying, "i'm short and women reject me", they'll say no to you... it just cant be the ultimate justification for enduring this. What if you end up going from 5'3 to 5'6, and still cant attract women... are you going to do additional lengthening? Thats what they are trying to avoid
She's phenomenal by the way, as is he.
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That is good to hear, I agree there is a lot more to a person than their height, Unfortunately, the reality is that if women won't even talk to you in a club or at a party because of your height then you don't get the chance to dazzle with your sparkling wit etc. if the extra inches gets you the chance to show your personality then the rest is up to you. If you are a horrible person that won't change with the surgery.
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Wow! I can't tell you how excited I am to hear this!
To upload images on this forum is easy. Simply use any of the tons of photo uploading websites out there like tinypic, or imgur. Once you upload the image to one of those websites, simply copy and paste the link then click the insert image icon located underneath the Bold icon.
You can message me and I will do it for you if you can't figure it out. Everyone needs to see this. Dr. Rozbruch is easily one of the top LL surgeons in the world, but has always been way too expensive, even more expensive than Paley. This changes everything!
If you are excited about the, you might be even REALLY excited about this:
Fitbone nail is an internal nail at least as good as Precise and Dr. Baumgart from Germany was the first doctor to use it but nowadays he charges almost as much as Dr. Rozbruch.
But since several years, Dr. Monegal from Barcelona Spain is using Fitbone and offering the whole procedure at much ower price!. Fitbone manufacturer Wittenstein, say Dr. Monegal is one of their best surgeons!
Dr. Monegal offers limb lengthening, including everything except post op x-rays, physiotherapy and removal for less than 40,000 USD.
I am in Barcelona right now and about to finish lengthening.
Physiotherapy cost less than 40 USD per hour.
2 X-rays cost less than 70 USD.
Removal of implant is around 2500 USD.
Rehab residency costs 1700 USD for a double room, but 24 hour caretaker, pool and gym and metro station literaly 3 yards aways with lines to the mountains or to the beach.
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How much are you getting paid to advertise like that?
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How much are you getting paid to advertise like that?
Most likely what threats did he got if he wouldnt
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If you are excited about the, you might be even REALLY excited about this:
Fitbone nail is an internal nail at least as good as Precise and Dr. Baumgart from Germany was the first doctor to use it but nowadays he charges almost as much as Dr. Rozbruch.
But since several years, Dr. Monegal from Barcelona Spain is using Fitbone and offering the whole procedure at much ower price!. Fitbone manufacturer Wittenstein, say Dr. Monegal is one of their best surgeons!
Dr. Monegal offers limb lengthening, including everything except post op x-rays, physiotherapy and removal for less than 40,000 USD.
I am in Barcelona right now and about to finish lengthening.
Physiotherapy cost less than 40 USD per hour.
2 X-rays cost less than 70 USD.
Removal of implant is around 2500 USD.
Rehab residency costs 1700 USD for a double room, but 24 hour caretaker, pool and gym and metro station literaly 3 yards aways with lines to the mountains or to the beach.
Very few Dr Rozbruch diaries exist, i'd appreciate if you don't clutter this forum with shameless plugs for others. Thanks
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6feetsoon,
Do you have any idea on how many patients did Dr.Rozbruch has done this procedure using the precice 2 nails? Did you ask him/did he tell you?
Just curious about his expertise regarding cosmetic bilateral femoral internals
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Because the hospital stay in and of itself, is not an elective procedure. Its a standard medical expense that one is expected to incur for one reason or another over time.
Sorry guys this just doesn't make sense to me. some insurance is going to cover an $80,000 hospital stay because they expect to incur that cost for one reason or another.... um no if they expected that for all their insured they would be out of business. I am in the insurance field. also can you explain why Paley nor any other CLL doctor in US can get insurance to cover the hospital fees, but Rozbruch can? what insurance company and plan do you have? also you said you were going to upload the quote Dr. Rozburch gave you ,can you do that now?
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Sorry guys this just doesn't make sense to me. some insurance is going to cover an $80,000 hospital stay because they expect to incur that cost for one reason or another.... um no if they expected that for all their insured they would be out of business. I am in the insurance field. also can you explain why Paley nor any other CLL doctor in US can get insurance to cover the hospital fees, but Rozbruch can? what insurance company and plan do you have? also you said you were going to upload the quote Dr. Rozburch gave you ,can you do that now?
Colleague of mine already had this done and AETNA (also my provider) covered part of the hospital stay. I'm over this part of the discussion. I sent the breakdown to Lubak via email. Shoot me a PM if you want it. I've heard of people not getting their xrays and expenses covered (very unfortunate). As i said though, mine have already been partially covered in this process.
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6feetsoon,
Do you have any idea on how many patients did Dr.Rozbruch has done this procedure using the precice 2 nails? Did you ask him/did he tell you?
Just curious about his expertise regarding cosmetic bilateral femoral internals
Yeah he's done a ton of these. His clients are usually a bit wealthier by virtue of his location. (Upper East Side Manhattan). You really should do your own research on him if you want to convince yourself he's the best in the business. All i'd end up doing is regurgitating his resume to you (professor of ortho surgery at weill cornell, chief of complex reconstruction at HSS, etc.)
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As for why insurance might cover rozbruch and not others, the cosmetic part of his practice isnt his primary focus like some of these other guys who make it their selling point. Also his process is super rigorous, which means the chances of you being turned away are pretty high, ie. People aren't lining up at his door to do this.
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Could lubik post the breakdown please because, as I said in another post, I contacted Dr Rozbruch and it was around 130k.
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pm sent
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Could lubik post the breakdown please because, as I said in another post, I contacted Dr Rozbruch and it was around 130k.
Pretty sure he gave you the breakdown for everything assuming insurance covered nothing (which is obviously the prudent and conservative thing to do since he doesnt want you caught off guard). But HIS expenses are what I'm referring to, anything else is between you and insurance.
Tiny tim i sent it
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Ohh I have done alot of research.. Only that usually, no top doctor seperates between the Cll and normal LL (not cosmetic LL) procedures... Even when talking with Paley, it was a general answer of "one CLL per week an average".
Also, Rozbruch along with Paley are the best surgeons in the field who both arent doing mainly cosmetic LL but get their money from fixing congenital and other traumatic problems....
You chose wisely to go to him. Anyone who can afford should either go with Rozbruch or Paley (too bad herzberg doesnt do CLL as well though...).
Again wishing you the best of luck :)
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thanks got it! also from this document how do you know the hospital fees will be covered? did you talk to the insurance or did the doctor assure you they would cover it? cause it looks like he might have hospital fees quoted on the bottom portion. just a question
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thanks got it! also from this document how do you know the hospital fees will be covered? did you talk to the insurance or did the doctor assure you they would cover it? cause it looks like he might have hospital fees quoted on the bottom portion. just a question
Lol sent u the second part discussing insurance.
One day we'll move on from this part of the discussion haha
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I now bow and tip my hat to you my good sir! lol you are right, but I am sure your insurance wont cover the whole thing and you will have to cough up maybe 20-30k for hospital fees. probably looking at $100k total like paley but never the less a great deal. how much was your colleague's total?
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I now bow and tip my hat to you my good sir! lol you are right, but I am sure your insurance wont cover the whole thing and you will have to cough up maybe 20-30k for hospital fees. probably looking at $100k total like paley but never the less a great deal. how much was your colleague's total?
Also, thanks to Stadiometer for posting this
http://www.limblengtheningforum.com/index.php?topic=4151.msg64095;topicseen#msg64095
I expect my credibility in here to skyrocket after all this haha
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Btw did your colleague give you a grand total? This is starting to sound like a good option
~TT
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If you are excited about the, you might be even REALLY excited about this:
Fitbone nail is an internal nail at least as good as Precise and Dr. Baumgart from Germany was the first doctor to use it but nowadays he charges almost as much as Dr. Rozbruch.
But since several years, Dr. Monegal from Barcelona Spain is using Fitbone and offering the whole procedure at much ower price!. Fitbone manufacturer Wittenstein, say Dr. Monegal is one of their best surgeons!
Dr. Monegal offers limb lengthening, including everything except post op x-rays, physiotherapy and removal for less than 40,000 USD.
I am in Barcelona right now and about to finish lengthening.
Physiotherapy cost less than 40 USD per hour.
2 X-rays cost less than 70 USD.
Removal of implant is around 2500 USD.
Rehab residency costs 1700 USD for a double room, but 24 hour caretaker, pool and gym and metro station literaly 3 yards aways with lines to the mountains or to the beach.
I am sorry but this plug is shameless. Are you a staff member or the doctor himself? It seems this type of self promotion has been going on for a long time with this doctor: http://forum.bodybuilding.com/showthread.php?t=150409443&pagenumber=4 ...scroll down and you can see that the Dr himself was posting and luring. And why would anyone not go to Rozburch in US for only $35k more?! If you are a REAL patient as you say, why do you feel the need to spam this site with promotions? Do you get paid or a discount, because I have seen similar post by you on other diaries.
~TT
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I am sorry but this plug is shameless. Are you a staff member or the doctor himself? It seems this type of self promotion has been going on for a long time with this doctor: http://forum.bodybuilding.com/showthread.php?t=150409443&pagenumber=4 ...scroll down and you can see that the Dr himself was posting and luring. And why would anyone not go to Rozburch in US for only $35k more?! If you are a REAL patient as you say, why do you feel the need to spam this site with promotions? Do you get paid or a discount, because I have seen similar post by you on other diaries.
~TT
It's pretty obvious that Monegal is exactly like Sarin and Saringari... People should stay away from this doc.
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If you are excited about the, you might be even REALLY excited about this:
Fitbone nail is an internal nail at least as good as Precise and Dr. Baumgart from Germany was the first doctor to use it but nowadays he charges almost as much as Dr. Rozbruch.
But since several years, Dr. Monegal from Barcelona Spain is using Fitbone and offering the whole procedure at much ower price!. Fitbone manufacturer Wittenstein, say Dr. Monegal is one of their best surgeons!
Dr. Monegal offers limb lengthening, including everything except post op x-rays, physiotherapy and removal for less than 40,000 USD.
I am in Barcelona right now and about to finish lengthening.
Physiotherapy cost less than 40 USD per hour.
2 X-rays cost less than 70 USD.
Removal of implant is around 2500 USD.
Rehab residency costs 1700 USD for a double room, but 24 hour caretaker, pool and gym and metro station literaly 3 yards aways with lines to the mountains or to the beach.
(http://i.imgur.com/YZXFJE0.png)
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LMAO!
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Btw did your colleague give you a grand total? This is starting to sound like a good option
~TT
6feetsoon anyway you know the grand total of your colleague with insurance? I am definitely leaning towards Dr Rozbruch and I am only a few hours away. One thing, what don't you like about your starting height cause that would be my ending height?
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(http://i.imgur.com/YZXFJE0.png)
This is why I love this forum. Serious and worthy discussions for most part, but every now and then somebody sneaks in a troll here n' there. Absolutely brilliant. :D
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6feetsoon anyway you know the grand total of your colleague with insurance? I am definitely leaning towards Dr Rozbruch and I am only a few hours away. One thing, what don't you like about your starting height cause that would be my ending height?
A little over 90k.
As for my starting height.. sure 5'9 is perfectly average. But we all know that height dysphoria is relative, not absolute.
Life is pretty great, at least now i can move from face modeling to apparel modeling. (Of course thats not the ultimate reason, but an additional perk)
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A little over 90k.
As for my starting height.. sure 5'9 is perfectly average. But we all know that height dysphoria is relative, not absolute.
Life is pretty great, at least now i can move from face modeling to apparel modeling. (Of course thats not the ultimate reason, but an additional perk)
So were there any non internal reasons for it? My post LL height will also be your height (maybe half an inch more). Like, were you called short, got refused by women etc?
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So were there any non internal reasons for it? My post LL height will also be your height (maybe half an inch more). Like, were you called short, got refused by women etc?
Nah, no issues with women or people in general. But I just felt shorter when all your male model colleagues are 5'11-6'1
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I am sorry but this plug is shameless. Are you a staff member or the doctor himself? It seems this type of self promotion has been going on for a long time with this doctor: http://forum.bodybuilding.com/showthread.php?t=150409443&pagenumber=4 ...scroll down and you can see that the Dr himself was posting and luring. And why would anyone not go to Rozburch in US for only $35k more?! If you are a REAL patient as you say, why do you feel the need to spam this site with promotions? Do you get paid or a discount, because I have seen similar post by you on other diaries.
~TT
All I want to do is help other potential patients who want to go through the procedure.
For most of the potential LL candidates it is a considerable expenses. For that reason there are still people, I would actually expect the majority of patients, who are doing lengthening with an external device!
On the issue: I have done a lot of research before deciding on the procedure and it was clear I was going to do internal and I was doing it in North American or Western Europe. Thus the options were:
Rozbruch, New York
Paley, West Palm Beach
Baumgart, Munich
Guichet, London or Milan
Betz, Frankfurt
Monegal, Barcelona
There was a lot of contradictory and unreliable information our there. But I could not find a clear indication that Rozbruch and Paley, who are most expensive, were better than Baumgart, Guichet or Betz, or that those were better than Monegal, who was least expensive. So I admit, that the decision between the above doctors was mainly based on price.
However, I have also talked to rich US patients here, that say they did not decide on Monegal because of the price, but because of the expected quality as well as the higher anonimity being outside the US.
I am using my time for the benefit of all of you and seem to receive only "negativity" in return. :-(
So I won't be posting here anymore.
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Betz, Frankfurt
Monegal, Barcelona
One of the worst option you can get in europe.
I am using my time for the benefit of all of you and seem to receive only "negativity" in return. :-(
So I won't be posting here anymore.
If you can't take any negative criticism(which limits the discussion btw) then well... good riddance.
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Just an update. Surgery scheduled for March 20th at 11am. Sorta weird to think about the exact time at which you're legs are essentially broken.
-Spinal epidural rather than general anesthesia
-3.5 hour procedure at HSS, 2-3 nights in-patient care.
-ITB release as well as rod insertion
-lengthening will begin on day 4
-4x a day for the first week, then 3x a day after that (1mm per day)
-no formal PT, just the exercises Rozbruch wants me to perform daily
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That is awesome man! Did you get final cost numbers from insurance? Also how much did consultation cost?
~TT
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That is awesome man! Did you get final cost numbers from insurance? Also how much did consultation cost?
~TT
350 for the consultation.
I don't know final numbers from insurance because fees haven't been submitted to them yet.
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Congrats man! Please keep this experience updated throughout lengthening and after. Don't just fade away on us.
Will you be awake during surgery since they use spinal anesthesia? That's pretty bad ass if you are!
I like the no formal PT with Rozbruch. I think formal PT is overrated when it comes to internal femur lengthening. As long as you are sincerely doing the exercises every single day, multiple times a day, on your own. That's one of the reasons I switched away from Dr. Guichet. His whole pre op and post op training with professional trainers is a waste of money in my opinion.
I'm with tinytim on being very anxious to know the final cost numbers from your insurance. Good for Dr. Rozbruch in getting some of these costs to be covered by insurance companies. We already pay an insane amount for health insurance and then they try to reject every claim they can. Its about time they started to pay up!
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Great thnx.... I have same insurance as you and would love to know the final cost :) was
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Congrats man! Please keep this experience updated throughout lengthening and after. Don't just fade away on us.
Will you be awake during surgery since they use spinal anesthesia? That's pretty bad ass if you are!
I like the no formal PT with Rozbruch. I think formal PT is overrated when it comes to internal femur lengthening. As long as you are sincerely doing the exercises every single day, multiple times a day, on your own. That's one of the reasons I switched away from Dr. Guichet. His whole pre op and post op training with professional trainers is a waste of money in my opinion.
I'm with tinytim on being very anxious to know the final cost numbers from your insurance. Good for Dr. Rozbruch in getting some of these costs to be covered by insurance companies. We already pay an insane amount for health insurance and then they try to reject every claim they can. Its about time they started to pay up!
I'll be asleep, just breathing on my own.
I will definitely keep posting. There isn't a single rozbruch patient experience diary on here (start to finish), so i think it'll be extremely valuable for the forum.
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Looking forward to seeing how you go, man. All the best!
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First of all, good luck with the surgery!
Can you do me a favor and post a post-surgery picture of just your scars or can you PM them to me? It will not give away your identity, but will help me decide whether to choose Dr. Rozbruch for my rod removal. His rod removal fees are less than Paley's, and I'm considering getting him to do it, even though Programdude rebroke his femur after getting his rods removed by Dr. Rozbruch. I am curious to see how Dr. R's scars compare to Paley's.
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Pre-op! Will post sporadically.
First thing i didnt know but think is super cool is that your guests can visit you 24 hours while you're an inpatient.
http://imgur.com/Ju2UiCo
HSS looks like fkin NASA space station. Extremely high tech and very efficient. There are more employees here than patients!
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Excited to see how this diary goes. Dr Rozbruch appears to be in the upper echelon of doctors performing limb lengthening. If you can take pictures of the hospital that would be awesome - best of luck.
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A little light reading before bed for us:
http://imgur.com/7nUFcZy
Its really neat to have a handful of doctors on your case though. You feel like you're the only patient they are taking care of. In addition to Rozbruch, you've got the rheumatologist who will focus on your joints to make sure your recovery (as far as range of motion is concerned) is smooth. You've got a second orthopedic surgeon, anesthesiologist, the chief nurse, nurses assistant. All of whom you get to meet. Super friendly group.
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A little light reading before bed for us:
http://imgur.com/7nUFcZy
Its really neat to have a handful of doctors on your case though. You feel like you're the only patient they are taking care of. In addition to Rozbruch, you've got the rheumatologist who will focus on your joints to make sure your recovery (as far as range of motion is concerned) is smooth. You've got a second orthopedic surgeon, anesthesiologist, the chief nurse, nurses assistant. All of whom you get to meet. Super friendly group.
Wow. It all looks so professional and standardized, medically sound and above board. It's treated as a complex medical procedure (which it is) in the same way reconstructive or deformity correcting surgery would be by an elite, qualified team compared to the often less glamorous side we see of doctors who should not be offering this surgery in 3rd world countries who are performing this surgery as if it were a science project or an experiment where anything could occur. After seeing this and hopefully good results in your diary - I believe Rozbruch will be held in the same regard as Paley, from everything I have seen he is an absolute professional and possibly one of the best qualified in the world for this surgery.
Best of luck my friend - you have made the decision so no need to be afraid as you have chosen to undergo this procedure in the absolute best circumstances possible, you deserve this! Just concentrate on your recovery and in extension, your future. This diary will be invaluable to prospective patients in the future so in advance, thank you for providing it.
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Does the psychologist have to be one he recommends or can it be one that I have been using for a decade? (In relation to the insurance thing)
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Does the psychologist have to be one he recommends or can it be one that I have been using for a decade? (In relation to the insurance thing)
You have to see Dr. Westrich, no questions asked.
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Okay.
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Now we are in March meaning your surgery is scheduled for the latter end of this month, how are you feeling? Are you doing anything specific in the lead up to the surgery? How is your mindset - sure/nervous?
On a side note, Dr Rozbruch seems very professional and qualified, how would you describe him now that you have met with him?
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Now we are in March meaning your surgery is scheduled for the latter end of this month, how are you feeling? Are you doing anything specific in the lead up to the surgery? How is your mindset - sure/nervous?
On a side note, Dr Rozbruch seems very professional and qualified, how would you describe him now that you have met with him?
I've met him a few times now. He's super chilled out and friendly. He's sort of a celebrity at HSS and when you talk to him you can see why. His confidence and candor are reassuring. I feel good. Not nervous at all. There are a dozen people on my case so I'm not remotely worried. Not doing anything in particular in preparation, I've always been extremely flexible so I'm just relaxing and getting all the necessary things in order to be home for 6 months.
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At what rate will you be lengthening over the 6 month period to achieve the full 8CM? That seems a realistic and safe time frame in my opinion, I don't believe rapid lengthening is good for soft tissue or consolidation.
6 months until you are a 6 feet tall male model, I imagine you are looking ahead with eagerness. As I said in my past comments, this is the right way - no worries about the procedure and surrounded by the best professionals in the field.
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At what rate will you be lengthening over the 6 month period to achieve the full 8CM? That seems a realistic and safe time frame in my opinion, I don't believe rapid lengthening is good for soft tissue or consolidation.
6 months until you are a 6 feet tall male model, I imagine you are looking ahead with eagerness. As I said in my past comments, this is the right way - no worries about the procedure and surrounded by the best professionals in the field.
I'm lengthening at the standard 1mm/day. So that part will take 3 months, then 2-3 months of consolidation before i'm fully weight-bearing. We're a little less worried about soft tissue and muscle tightening with me given my flexibility and due to the fact that my legs are already long (relative to other patients who undergo CLL)
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I'm lengthening at the standard 1mm/day. So that part will take 3 months, then 2-3 months of consolidation before i'm fully weight-bearing. We're a little less worried about soft tissue and muscle tightening with me given my flexibility and due to the fact that my legs are already long (relative to other patients who undergo CLL)
Long because of your initial height which is above the average person considering LL or just that you have somewhat long legs for your height?
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Long because of your initial height which is above the average person considering LL or just that you have somewhat long legs for your height?
The former. 8cm for me at 175cm starting height is a lot different than 8cm to someone starting at 160cm
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I'm lengthening at the standard 1mm/day. So that part will take 3 months, then 2-3 months of consolidation before i'm fully weight-bearing. We're a little less worried about soft tissue and muscle tightening with me given my flexibility and due to the fact that my legs are already long (relative to other patients who undergo CLL)
Yeah, initial height does play some effect on what you can safely lengthen as it's all relative - 5CM to somebody with an initial height of 150CM is different that 5CM to somebody with an initial height of 180CM.
One question I did wish to ask; what is Rozbruch's opinion on limb lengthening, its safety and on recovery afterwards and athletic potential returning or being possibly diminished?
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Might be a wierd question, but what is your pants' inseam?
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Yeah, initial height does play some effect on what you can safely lengthen as it's all relative - 5CM to somebody with an initial height of 150CM is different that 5CM to somebody with an initial height of 180CM.
One question I did wish to ask; what is Rozbruch's opinion on limb lengthening, its safety and on recovery afterwards and athletic potential returning or being possibly diminished?
He stands by the practice of CLL. He's done a lot of them and has seen the vast improvement in people's self-confidence. As you saw in the documentary about Sam, he went from 5'4 to 5'7 and was back on the court shooting hoops with his friends without limitations in 10 months. His exact words to me were, "if you were an NFL player, i wouldn't expect you to be an elite player after the surgery, but if you were a decent athlete before, i expect you to be afterward"
So yeah not overly concerned about diminished ability.
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Might be a wierd question, but what is your pants' inseam?
Haha i never actually measured. But i wear 31x32 guess jeans if that helps?
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What is your sitting height, future 6 feet?
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What is your sitting height, future 6 feet?
Measured for you. About 89cm
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You're slightly leggy for your height but I'm sure you will look good proportionally.
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You're slightly leggy for your height but I'm sure you will look good proportionally.
Haha need to be a bit legg-"ier". My 185cm co workers sit at 91cm.. Will need the extra legginess if i'm going to be marketable for all types of contracts.
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i am going guichet. But is robrucht worth it?
Guichet is 60.000 eu
WHATS THE PRICE FOR ROBRUCHT AND HOW MANY INTERNAL SUCCESFULLY HAS HE DONE. Pictures please of internal femur
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i am going guichet. But is robrucht worth it?
Guichet is 60.000 eu
WHATS THE PRICE FOR ROBRUCHT AND HOW MANY INTERNAL SUCCESFULLY HAS HE DONE. Pictures please of internal femur
I'm tired of explaining this. People need to understand it's not just that Rozbruch is a top ortho surgeon... it's that he's the director of LL and CRS at fcking HSS in New York City. To keep that job, you have to be consistently at the top of the charts among your peers otherwise you're out. Its almost laughable that his reputation needs justifying in comparison to your alternatives.
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The reason i suspect you won't find any of his patients on here is because they are usually wealthier American males in their late 20's - early 30's who will pay top dollar for the best care and move on with their lives. This forum isn't frequented by that client base. These forums seems to attract younger people (teenagers/early 20's) looking for the cheapest possible way to grow (even if they sacrifice quality) and that's fine, we all have our priorities. But understand that Rozbruch probably isn't the guy for you.
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Haha need to be a bit legg-"ier". My 185cm co workers sit at 91cm.. Will need the extra legginess if i'm going to be marketable for all types of contracts.
I assume this is the desired model look - a slim body with longer limbs compared to body. It makes sense, all of the big fashion brands model their clothes on men who fit this description. Proportions are so varied, on this forum there is a user with a 36" leg at a similar height to you yet there are men who are 6'6" plus with a 30" inseam which truly makes me believe that as long as somebody isn't already at an extreme and doesn't lengthen a ridiculous amount, their proportions won't be any different to those found naturally.
i am going guichet. But is robrucht worth it?
Guichet is 60.000 eu
WHATS THE PRICE FOR ROBRUCHT AND HOW MANY INTERNAL SUCCESFULLY HAS HE DONE. Pictures please of internal femur
Yes. Please research who Robrucht (Rozbruch!) is, his accomplishments in the field of orthopedics and the Hospital for Special Surgery to see why the expense is completely worth it if you have the finances and why those who can choose to undergo procedures their including top athletes.
I'm tired of explaining this. People need to understand it's not just that Rozbruch is a top ortho surgeon... it's that he's the director of LL and CRS at fcking HSS in New York City. To keep that job, you have to be consistently at the top of the charts among your peers otherwise you're out. Its almost laughable that his reputation needs justifying in comparison to your alternatives.
I don't think people quite understand the difference between a doctor in India or Russia performing the procedure as a way to earn extra money on the side compared to one of the most accomplished and qualified orthopedic surgeons in the world as a whole who deals with deformities, injuries and the musculoskeletal system as a whole every single day while remaining one of the best in their field in one of the most advanced hospitals worldwide. They see 'limb lengthening' and think there are just different levels of doctors between a Russian/Indian doctor and quite literally the best in orthopedic surgeon in their field when in fact they aren't really comparable in the slightest. It's like comparing a guy in the local gym to a world class athlete.
While Dr Rozbruch may charge up to 10 times the amount for the procedure, you are receiving much more than that in experience, expertise, predictable outcome and doctor competency and of course he will not then appeal to those who don't have the finances and wish to lengthen their limbs at the cheapest price possible at any cost and disregarding their own personal safety.
The reason i suspect you won't find any of his patients on here is because they are usually wealthier American males in their late 20's - early 30's who will pay top dollar for the best care and move on with their lives. This forum isn't frequented by that client base. These forums seems to attract younger people (teenagers/early 20's) looking for the cheapest possible way to grow (even if they sacrifice quality) and that's fine, we all have our priorities. But understand that Rozbruch probably isn't the guy for you.
I completely agree. Most here are in their late teens-early twenties and wish to spend as little as possible on the procedure regardless of what that realistically entails in terms of the surgery, recovery, support etc. and then are shocked when they suffer dreadful complications. Those choosing Rozbruch are looking for the best in the field and yes, that entails a much higher fee - whether a person is willing to pay that much is down to their priorities.
I have posted multiple times in this thread, I am thrilled that there is finally a diary from a patient of Dr Rozbruch as if I were considering undergoing this procedure, I personally would never consider a doctor any less qualified and wish to see the results possible of undergoing the procedure with the one of the best doctors as thus far, the results of limb lengthening surgery with other doctors as a whole (apart from very few) have been less than inspiring or desirable. This is the first and only diary so far and unfortunately it's already been infested with advertisements for other doctors and repeated questions that could be answered with very little research or have already been answered.
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People should go to the top tier ones (And they should get their names through other top tier orthopedics)
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People should go to the top tier ones (And they should get their names through other top tier orthopedics)
I completely agree TIBIKE200, it isn't sensible trying to be 'economical' in regards to this surgery as you don't want to go in perfectly fit and healthy and come out with nagging, serious issues and possibly unable to walk. There is a reason some of these doctors are so cheap and people must ask themselves why. The surgery is a game of risk/reward - is it worth risking your health to such a high degree by trying to pay as little as possible by going to the cheapest doctor possible when you can mitigate much of that risk by paying more? Only they can answer that question, if I were to consider the procedure, no it wouldn't be.
6FeetSoon, I forgot to ask - I'm assuming you requested 8CM of femoral lengthening to hit 6 feet tall. Did Dr Rozbruch comment on the amount and feel comfortable in achieving the amount (I know you said that your legs were longer therefore can lengthen more? Does he have any hard and fast rule to the amount lengthened and any comment on tibia/femur lengthening if one is preferable?
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Are you 175 in the afternoon, 6foot?
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I completely agree TIBIKE200, it isn't sensible trying to be 'economical' in regards to this surgery as you don't want to go in perfectly fit and healthy and come out with nagging, serious issues and possibly unable to walk. There is a reason some of these doctors are so cheap and people must ask themselves why. The surgery is a game of risk/reward - is it worth risking your health to such a high degree by trying to pay as little as possible by going to the cheapest doctor possible when you can mitigate much of that risk by paying more? Only they can answer that question, if I were to consider the procedure, no it wouldn't be.
After speaking literally to half the world, the names of three docs always came up as top tiers and are regarded as the best of the best. One of them is Rozbruch. The other two I won't name as this is a Rozbruch diary and also because I don't want to make any pubblicity to any doc.
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6FeetSoon, I forgot to ask - I'm assuming you requested 8CM of femoral lengthening to hit 6 feet tall. Did Dr Rozbruch comment on the amount and feel comfortable in achieving the amount (I know you said that your legs were longer therefore can lengthen more? Does he have any hard and fast rule to the amount lengthened and any comment on tibia/femur lengthening if one is preferable?
He very much dislikes tibial lengthening these days. He calls the healing process far less predictable. So he really only does femoral lengthening for the cosmetic patients.
He was the one who said 8cm based on my flexibility and x-rays. That's his default length though unless there are circumstances that warrant caution.
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Are you 175 in the afternoon, 6foot?
176 first thing in the morning.
175 most of the day.
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I completely agree TIBIKE200, it isn't sensible trying to be 'economical' in regards to this surgery as you don't want to go in perfectly fit and healthy and come out with nagging, serious issues and possibly unable to walk. There is a reason some of these doctors are so cheap and people must ask themselves why. The surgery is a game of risk/reward - is it worth risking your health to such a high degree by trying to pay as little as possible by going to the cheapest doctor possible when you can mitigate much of that risk by paying more? Only they can answer that question, if I were to consider the procedure, no it wouldn't be.
6FeetSoon, I forgot to ask - I'm assuming you requested 8CM of femoral lengthening to hit 6 feet tall. Did Dr Rozbruch comment on the amount and feel comfortable in achieving the amount (I know you said that your legs were longer therefore can lengthen more? Does he have any hard and fast rule to the amount lengthened and any comment on tibia/femur lengthening if one is preferable?
What do you think about docs that don't charge as much but still charge over 40k?do you think they are not as good?
Docs such as Birkholtz or Guichet or others?
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Anyone notice how the supposedly best docs in this field (Guichet, Rozbruch) say they avoid tibia lengthening because, essentially, they're harder to get right than femur lengthening? Tells me that their reputation is overrated.
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He very much dislikes tibial lengthening these days. He calls the healing process far less predictable. So he really only does femoral lengthening for the cosmetic patients.
He was the one who said 8cm based on my flexibility and x-rays. That's his default length though unless there are circumstances that warrant caution.
That's interesting and from my research seems accurate - tibial lengthening just doesn't recover at the same rate as femoral lengthening, if I remember correctly it's because of the copious amounts of blood supply found in the upper leg. It's great that the amount gets you to your desired height and I'm sure Dr Rozbruch feels confident enough to successfully lengthen to that amount. Thank you for the reply.
What do you think about docs that don't charge as much but still charge over 40k?do you think they are not as good?
Docs such as Birkholtz or Guichet or others?
I'll reply in a private message. I don't want to derail this thread entirely.
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Anyone notice how the supposedly best docs in this field (Guichet, Rozbruch) say they avoid tibia lengthening because, essentially, they're harder to get right than femur lengthening? Tells me that their reputation is overrated.
Think it has more to do with the fact that since they aren't trying to correct a deformity, all else equal you pick the bone that heals better if your ultimate goal is total height increase.
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After reading a few other posts on various threads, I've seen a lot of concerns about how difficult scheduling an appointment/consultation can be. Thought i'd just show you how streamlined (at least with our ortho legend Rozbruch) the process can be.
Great web interface, you can create a new profile and request an appointment, they'll be back to you in 12-24 hours max.
http://imgur.com/AEBzNi9
Once you're up and running you can see how organized and efficient every thing is. Billing info, appointment reminders, test results, letters from your doctors. It's all here.
surgery
http://imgur.com/Uyy8Ptk
appointments
http://imgur.com/0VCuaao
billing
http://imgur.com/GNHw8dA
it's basically like online banking. No hassle, super efficient, the least of your worries is handling the logistics of everything.
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Wow, that really is optimized, professional and efficient. It's good that it's so straightforward and with no confusion so less chance for mistakes. That being said, I expect no less.
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hey 6feet, its almost time and i am excited for you. Did you find out how much insurance will cover and how much you have to pay? how much did you budget for this?
~TT
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Measured for you. About 89cm
Are you sure that you measured correctly? I'm asking because its quite unusual :)
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hey 6feet, its almost time and i am excited for you. Did you find out how much insurance will cover and how much you have to pay? how much did you budget for this?
~TT
Hey, don't really have a budget. Whatever it is, it will be paid. Won't know how much is covered until claims are submitted.
Are you sure that you measured correctly? I'm asking because its quite unusual :)
Eh, not that unusual.
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Are you sure that you measured correctly? I'm asking because its quite unusual :)
89/175=51%
Looks just about the mean.
(http://adc.bmj.com/content/90/8/807/F2.large.jpg)
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Any update on the run up to the surgery? It isn't long now, how are you feeling?
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I thought Rozbruch had a height limit of 5'5 max for males no?
minimum is 5'5 any under he won't do if your not a dwarf.
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Any update on the run up to the surgery? It isn't long now, how are you feeling?
Super excited. Ready to get this show on the road! Did my final photoshoot at 5'9! Next one will be at 6'0! ;)
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minimum is 5'5 any under he won't do if your not a dwarf.
Haha he has no height limit. Case by case basis. He'll reject some 5'2 candidates and accept some 5'9 ones.
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minimum is 5'5 any under he won't do if your not a dwarf.
Are you sure?
Because it makes no sense to not do LL to a 5.4 man who has every right to want this surgery and do it on a 5.11 man who maybe has mental problems and wants this surgery
I think that what you said about Rozbruch's requirements is wrong, otherwise I don't know what's this doctor's criterions are for a patient.
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Are you sure?
Because it makes no sense to not do LL to a 5.4 man who has every right to want this surgery and do it on a 5.11 man who maybe has mental problems and wants this surgery
I think that what you said about Rozbruch's requirements is wrong, otherwise I don't know what's this doctor's criterions are for a patient.
Maybe you should watch his video first before commenting.
https://youtu.be/PdT_lKUH1cw
Rozbruch has candidates talk to Dr. Katz-Westrich and the psych evaluation determines who qualifies. So as i said... a 5'4 candidate can easily fail the psych evaluation while a 5'9 man could pass with flying colors. And given I'm having surgery with him next monday and have communicated with him at length in person, i think i have a pretty good handle on what his philosophy is. And i can promise you that starting height isn't even top 3 on his list of criteria
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I just read the anesthesia part - so you're going to be awake with only an epidural? I know you won't feel anything but man, you're very strong mentally.
Is there anything Dr. Rozbruch told you or you discussed with that goes against what people on this forum say? A lot of the advice here is from an echo chamber of non-doctors, it'd be interesting if you thought anything that he cleared up for you.
Lastly, are you comfortable with the idea of an ITB from the start? I read this and it kinda turned me off to the idea, makes sense from my anatomy classes too, did you discuss with Dr. Rozbruch? http://www.regenexx.com/iliotibial-band-itb-release-surgery/
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I just read the anesthesia part - so you're going to be awake with only an epidural? I know you won't feel anything but man, you're very strong mentally.
Is there anything Dr. Rozbruch told you or you discussed with that goes against what people on this forum say? A lot of the advice here is from an echo chamber of non-doctors, it'd be interesting if you thought anything that he cleared up for you.
Lastly, are you comfortable with the idea of an ITB from the start? I read this and it kinda turned me off to the idea, makes sense from my anatomy classes too, did you discuss with Dr. Rozbruch? http://www.regenexx.com/iliotibial-band-itb-release-surgery/
I'll be sedated. So i wont be aware of what's happening
As for ITB: Short answer- you HAVE to do the ITB release if you're lengthening more than 5cm. Not up for debate. As with all procedures, it can be done properly or poorly. Even things as "simple" as osteotomies can be done carelessly.
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As with all procedures, it can be done properly or poorly. Even things as "simple" as osteotomies can be done carelessly.
Completely right. I think people overlook the little things and how doing them 'right' can make all the difference when you add up all the small things that can go wrong.
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Hey 6feet
I think your surgery is on Monday March 20th right?
Good luck man! You are in excellent hands!
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About to eat my last meal. Surgery is scheduled for 8am so i have to be at the hospital for 5:30am. Post-op I'll probably wake up around 1pm, and i'll write an update then.
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Good luck! I hope everything goes smoothly!
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I'm sure everything will go according to plan. The best of luck and I look forward to your post later on today.
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So me and a friend of mine left my upper east side apartment and took a 2 minute uber ride down to the hospital at 5:30 am. When you arrive, there's a patient check-in area. You give the gentleman your last name, he types it an ipad, and sits you down at one of the registration cubicles to go over last minute details like emergency contacts, etc. They give you a wrist band and send you up to the family atrium where your friends can wait for you if they wish. No more than 3 minutes later, a nurse calls my name and whisks me into a room where i remove all clothing and put on a gown. You can have a friend in the room with you so he comes with me. Soon after, another nurse enters, takes my height (5'9), weight (170), bp (123/77). Then the nurse inserts an IV in my hand that's dripping saline.
A little later, two of Dr Rozbruch's assistants come in to chit chat and make you feel comfortable. Then a nursing assistant comes in to shave your legs. Then the anesthesiologist comes in and reassures you that the worst part of your day has already passed (he’s referring to the IV in the hand… We’ll come back to this to see if he was right). He shakes my hand and heads out.
Fast forward to 7:45, the legend himself (Rozbruch) comes in to see you. We catch up and go over the procedure, he tells my friend he’ll personally give him a call when it’s over. He reassures me that this will be a smooth procedure and heads out as well. Then an army of nurses and assistants come into the room, give me a cap, and wheel me out on the bed towards the OR. As we get there, I hear awesome music playing. One of the assistants is DJing in the OR! Hahah. I give him a high five and compliment him on the playlist. I transfer myself to the table. Then my friend the anesthesiologist reappears at 8am and says he has a cktail for me. He puts it in the IV, I laugh at a joke he made…..then I wake up, it’s almost 1pm.
I’m in a bed, my right leg is on a machine that’s moving my knee from full extension to bent position (and toward my chest) in slow motion (its pretty cool). 5 minutes later, a nurse brings in my friend and he asks how I feel. Honestly I felt great, a little hungry and a little stiff, but no discernible pain. A few nurses then move my bed to the room I’ll be staying in. The nurse then switches the extension device to my left leg.
A few minutes later, a lady comes in to take my dinner order. I chose the grilled chicken with basmati rice, Caesar salad to start and apple crumble and vanilla ice cream for dessert. This place is like a hotel. I’m lying in bed, in no pain (spinal epidural is in feeding me painkillers), catheter in (it’s not uncomfortable), exercising my legs and chatting with my friend. I’m in a good place.
One of Dr Rozbruch’s assistants comes in to check on me and says the procedure was fantastic. He explains that I’ll have 24-hour supervision by the nurses so whatever I want, just ask. As he’s speaking, one of the nurses comes in to give me my first dose of Dr Rozbruch’s post-op medical regiment (calcium, vitamin D, etc). I’m taking that and now we’re just waiting for dinner. The anesthesiologist was right, worst part of this day was a needle between my wrist and knuckles.
Will update later.
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very cool, congratulations!! looking forward to keeping up and reading this journey with you.
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Nice! Congratulations 6feet!
I would say that great part of this whole process is the decision to do it which takes months if not years of research,, scariness and convincement of yourself and others like family and friends. That's the pre- psicologial "pain" . The process after the surgery can be dificult, but if it's planned carefully, it can be much less painful than the "pre-surgery" decision process. Congrats! I hope you stay well.
I'm anxious to learn with your diary.
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Very glad to hear the procedure went well and that you're in good spirits! Enjoy the epidural :). Quick related question - were you under general anesthesia for the procedure or combination of spinal and something else?
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Very glad to hear the procedure went well and that you're in good spirits! Enjoy the epidural :). Quick related question - were you under general anesthesia for the procedure or combination of spinal and something else?
Spinal epidural and sedation. He doesn't use general anesthesia for this procedure.
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Continuing from last night, dinner was great. More importantly, I slept pretty well. Went to sleep around midnight, they woke me up at 3am because they have to check vitals every 3 hours, but I went right back to sleep again until 6am. When I woke up they had my meds ready for me as well as supplies to brush my teeth, wash yourself off, etc. Breakfast was a ham and egg wrap with juice and fruit. They took my lunch order at the same time. Around 9am, an assistant brought in the precice device to walk me through how to use it (it’s pretty straightforward really).
Around 11am, the physio guy came in with my walker so I could start taking some steps. Went pretty smoothly because I’m still in no real pain. It was fun being able to get out of the bed and move around on my own. We did some of the stretches as well. Sitting on the edge of the bed, i can straighten my knee to the full 180 degrees (parallel to the floor), i can also bend my legs 120 the other way (90 degrees is perpendicular to the floor, so about 30 degrees more). So it's quite good.
In the early afternoon, Dr Rozbruch stopped by to see how I was doing. He heard from the physio assistant that my range of motion (ROM) was very impressive so that was encouraging to see. He said the adjustments will begin 4 days post-op. Other than that, I’m just hanging out chatting up the nurses and eating well and trying to stretch as often as possible. Pain is 0-1 out of 10, stiffness is much less than yesterday.
Will report later.
-6FS
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Last night, they started weening me off the spinal epidural meds and switching over to oral painkillers. Woke up this morning and the pain went from barely discernible (0-1 out of 10) to mild (3 out of 10), but still pretty good overall. The catheter's out so went to the bathroom like a normal person today. Physio also cleared me for discharge because i'm able to get around quite well on my own, so i'll be leaving this afternoon. Just waiting on my wheelchair to be delivered to the room. Tonight I sleep in my own bed. That's a win.
-6FS
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6FS - I'm so impressed and pleased for you (but not surprised) at how brilliantly your journey is going even at such an early stage. To know you're in such good hands means that half of the worries which pose such problems most have due to limb lengthening are non-existant - I'm shocked at how little pain you are having, is it comparable to anything as to give a guide?
You say you're going home tonight which I assume is because you live relatively close (whereas other patients stay in guest houses etc.), your way sounds much more pleasant. Does that mean you will be lengthening with precice device yourself at home? Will you go back to HSS/Rozbruchs office for intermittent check ins and how often will you be doing this? What will your daily routine look like?
It's really great of you to share your journey with your Rozbruch experience, I've been following it closely from the journey and have been anticipating March 20th, though probably not as much as you!
Take it easy man. 682.
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6FS - I'm so impressed and pleased for you (but not surprised) at how brilliantly your journey is going even at such an early stage. To know you're in such good hands means that half of the worries which pose such problems most have due to limb lengthening are non-existant - I'm shocked at how little pain you are having, is it comparable to anything as to give a guide?
You say you're going home tonight which I assume is because you live relatively close (whereas other patients stay in guest houses etc.), your way sounds much more pleasant. Does that mean you will be lengthening with precice device yourself at home? Will you go back to HSS/Rozbruchs office for intermittent check ins and how often will you be doing this? What will your daily routine look like?
It's really great of you to share your journey with your Rozbruch experience, I've been following it closely from the journey and have been anticipating March 20th, though probably not as much as you!
Take it easy man. 682.
I appreciate that a lot man.
I'd compare the pain to going for a hard sprint without stretching, pulling your quad muscles pretty aggressively, and having the resulting soreness.
Yup, all lengthening is done by the patient. I check-in at his office every 2 weeks.
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It's interesting that you describe the pain as soreness, that sounds much more manageable than what I had envisaged. How is the sleep? Has the lack of pain actually surprised you? I can't imagine you'd have thought it as this pain free. I assumed their would be a marked and distressing increase of discomfort after the epidural wore off. Though I imagine with Rozbruch's expertise and proficiency is responsible for much of it, I can imagine he causes a lot less damage during the surgery than other doctors, with clean osteotomies and efficient performance, with no time wasted. The fact is, you're at a level where most patients take months to get to after surgery without having to go to those painful lows prior and there has to be a reason why.
Being able to be at home during lengthening will be much more comfortable being somewhere familiar without the complete disconnect of normal life than what most people experience which I find one of the more off putting aspects (foreign hospitals away from home, different language, external uncomfortable devices surrounded by strangers etc.), I imagine this will keep your outlook and spirits much higher and make the whole process so much easier and more enjoyable. You start lengthening tomorrow right? I've seen a video on the Precice device lengthening, it looks like a futuristic gadget and sounds like a hydraulic press right? It's truly amazing how far technology has come.
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You're right about his osteotomies. Dr Rozbruch is very good at them and this means his patients have a better recovery and less pain. It's a pity he's so expensive.
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Certainly a win!
I hope the pain keeps under control.
Someone told me that the most important in the next days is to stay ahead of the pain. Good luck and congrats again for going home.
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It's interesting that you describe the pain as soreness, that sounds much more manageable than what I had envisaged. How is the sleep? Has the lack of pain actually surprised you? I can't imagine you'd have thought it as this pain free. I assumed their would be a marked and distressing increase of discomfort after the epidural wore off. Though I imagine with Rozbruch's expertise and proficiency is responsible for much of it, I can imagine he causes a lot less damage during the surgery than other doctors, with clean osteotomies and efficient performance, with no time wasted. The fact is, you're at a level where most patients take months to get to after surgery without having to go to those painful lows prior and there has to be a reason why.
Being able to be at home during lengthening will be much more comfortable being somewhere familiar without the complete disconnect of normal life than what most people experience which I find one of the more off putting aspects (foreign hospitals away from home, different language, external uncomfortable devices surrounded by strangers etc.), I imagine this will keep your outlook and spirits much higher and make the whole process so much easier and more enjoyable. You start lengthening tomorrow right? I've seen a video on the Precice device lengthening, it looks like a futuristic gadget and sounds like a hydraulic press right? It's truly amazing how far technology has come.
Sleep is good. I'm generally out for 6-8 hours continuously. If it's only 6 hours, i'll wake up stretch a bit, then take a nap later in the day. The lack of pain has surprised me to be honest. But as you say, when you're a top orthopedic surgeon, i guess you sorta get the hang of it after awhile haha.
I start lengthening Friday.
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That's great, sleep as much as possible. There are usually many complaints with sleep during lengthening from tight and sore muscles, it will be interesting to see how this affects you when you begin. And yes, this is like tying your shoes for Rozbruch... in fact, probably easier as I leave mine tied and force them on ;D! So the lengthening begins tomorrow, you must be excited - I imagine that it will feel odd to use the Precice device and then suddenly you're that bit taller.
Have you decided on how you will organize your diary? If not, take a look at Iamprepared's diary and use it as a template if you wish, I believe it's one of the best organized, easily readable and easiest ways to record your experience. It starts from day to day, then into updates by the CM with subheadings for specific issues he wants to discuss - http://www.limblengtheningforum.com/index.php?topic=4221.0 - of course it's just a suggestion, if you're comfortable with updating in a diary format that's good too as I will be following it with much interest either way. On an unrelated point to that diary, he suggested massage during lengthening, it might be something to consider as supple muscles lead to much easier lengthening.
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How much painful is to remove the spinal epidural and the catheter 6FS?
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How much painful is to remove the spinal epidural and the catheter 6FS?
Removing the epidural is literally painless. I didnt know they took it out. As for The catheter, nurse tells you take a deep breath, then exhale, and she pulls it out as you exhale. Small discomfort, but nothing notable.
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One of my colleagues from work had kidney stone last week. I'll tell that so far his pain has been much much worse from 6fs experience. LL might not be so bad with all the technological and cirurgical improvements.
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Day 3 (March 23rd)
Woke up in my own bed. Bit of stiffness so i did my usual stretches and felt relatively loose again. I've cut down the oral painkillers to once a day.
They sent a nurse to visit my home early in the afternoon to check up on me. Was pretty straightforward and we agreed she doesn't need to come back. I'm pretty mobile and can do most things on my own.
They also sent a physiotherapist to help me do stretches and walk around. He said "yeah, i don't think i need to come back either, you've got this covered". So that's the last i'll be seeing of him.
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What about the pain level? Still under control? 0-3?
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What about the pain level? Still under control? 0-3?
Yeah that's why i've reduced it. Its a 1 when i'm on it and a 3 when i'm off. Pretty sure i'm gonna stop all together in a few days.
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So whats your day consist of now? How do you get around?
Are you living in your apartment alone or with someone else who is helping you? Or are you living on Seamless?
Lastly, about your level of pain, what else is considered a 3/10 pain for you? You might just have a high tolerance to pain.
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So whats your day consist of now? How do you get around?
Are you living in your apartment alone or with someone else who is helping you? Or are you living on Seamless?
Lastly, about your level of pain, what else is considered a 3/10 pain for you? You might just have a high tolerance to pain.
I described it earlier as doing some sprints without stretching, pulling your quads, and having the resulting soreness (that's a 3/10 for me)
There are a lot of good shows i'm catching up on. I have friends that come by and cook a meal or help move things around. But other than that, can't really beat seamless.
And i get around in the walker and wheelchair pretty efficiently.
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cool stuff. glad its good. i think you will be 100% good after LL ! do all your friends know you do this ?
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cool stuff. glad its good. i think you will be 100% good after LL ! do all your friends know you do this ?
I saw a video of a guy who did LL with rozbruch and did 3" and he seemed like he was almost 100% normal after.
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Day 3 (March 23rd)
Woke up in my own bed. Bit of stiffness so i did my usual stretches and felt relatively loose again. I've cut down the oral painkillers to once a day.
They sent a nurse to visit my home early in the afternoon to check up on me. Was pretty straightforward and we agreed she doesn't need to come back. I'm pretty mobile and can do most things on my own.
They also sent a physiotherapist to help me do stretches and walk around. He said "yeah, i don't think i need to come back either, you've got this covered". So that's the last i'll be seeing of him.
You're flying through this. How has the lengthening gone?
Yeah that's why i've reduced it. Its a 1 when i'm on it and a 3 when i'm off. Pretty sure i'm gonna stop all together in a few days.
It's astounding how little pain you have, I've already explained in my other post that I believe this is down to Rozbruch's technique but compared to other diaries it's like night and day - people were saying it's like a pain they have never experienced, agony, etc. A well experienced surgeon clearly makes the difference.
cool stuff. glad its good. i think you will be 100% good after LL ! do all your friends know you do this ?
I too think he will have one of the most positive outcomes we have seen.
I saw a video of a guy who did LL with rozbruch and did 3" and he seemed like he was almost 100% normal after.
Sam? Yeah, that was really impressive. What confuses me is that after that lengthening he had better strength, mobility, normal gait etc. and no particular issues in half the time most do and lengthened more than most people normally do - what this says to me is there is more than just lengthening amount and rate that impacts recovery and that the surgery itself as well as an experienced team watching for complications can ensure a satisfactory outcome.
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i think the old process was painful. The internal nail changed everthing. Also a good doctor that has been improving his cirurgical process for the last 2 decades is key to get a much less painful LL. In my opinion Rozbruch is the best one. I had my first conversation with him last year and I'm planning to do the surgery in august, but one leg at a time. Learning with 6FS diary helps a lot to understand steps that don't come up with the conversation with the doctor.
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congrats and this might be invasive but how are you paying for the surgical fees out of pocket if you only work as a model? they get paid crap unless ur doing campaigns. Also do u think u'll be able to do runways after full recovery?
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congrats and this might be invasive but how are you paying for the surgical fees out of pocket if you only work as a model? they get paid crap unless ur doing campaigns. Also do u think u'll be able to do runways after full recovery?
Haha your question is valid. The answer is i've always had family money. Modeling is just a fun gig with a lot of perks. And yes, there won't be any limits on the kinds of gigs i can do once this is over. 6'0 and 180 lbs is prototypical.
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Congrats on your ll man. Wish you a great recovery.
If you don't mind me asking how much were Dr Rs fees and how much of that did your insurance end up covering?
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Congrats on your ll man. Wish you a great recovery.
If you don't mind me asking how much were Dr Rs fees and how much of that did your insurance end up covering?
Won't know for a week or so, takes a bit for insurance to process everything.
Nothing really to report on day four other than i lengthened for the first time today. It's fairly routine and you don't feel it happening. Pain holding steady at 3/10.
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Congrats on getting the surgery. All the best with recovery, i'll keep an eye on your journal. I'd considered both Dr Rozbruch and Dr Paley but Florida and New York are a looong way to travel from Sydney whereas i can get a direct flight straight to Seoul for Dr Lee.
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Hey 6FS
How's your lengthening going? Is everything all right?
Hope you could pass through the first week intact!
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Hey 6FS
How's your lengthening going? Is everything all right?
Hope you could pass through the first week intact!
Yup, everything's going smoothly. Fairly simple routine of eat, stretch, lengthen, sleep and repeat. I'm off the painkillers now, at about 2/10 on the pain scale. P.S. There are some really great shows on tv.
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Thanks for sharing your experience. I'm curious about how you position yourself for taking a bath or shower. It seems like a risky situation when you don't have full use of your legs. Also, what about brushing your teeth and those daily grooming activities? Do you set up stool in front of the vanity so you don't have to stand?
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Thanks for sharing your experience. I'm curious about how you position yourself for taking a bath or shower. It seems like a risky situation when you don't have full use of your legs. Also, what about brushing your teeth and those daily grooming activities? Do you set up stool in front of the vanity so you don't have to stand?
Yea I also wonder how people shower and take baths while lengthening.
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Thanks. I'm glad you are having a very very smooth and nice recovery.
I'm getting much more confident about finally scheduling my surgery with Dr Rozbruch in August...
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Thanks for sharing your experience. I'm curious about how you position yourself for taking a bath or shower. It seems like a risky situation when you don't have full use of your legs. Also, what about brushing your teeth and those daily grooming activities? Do you set up stool in front of the vanity so you don't have to stand?
I have a shower chair that i sit on. Getting from that to the walker is very easy. I do all the grooming on that chair in the shower (brushing teeth, etc).
Its basically taking a bath sitting down, its not overly complicated.
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Hey 6FS
I hope you are doing well
How's everything? pain whitout the painkillers stabilized? How was your worst moment so far? Pre-surgery anxiety or after surgery immobility and/or pain?
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Thank you for logging this; I'm 5'8 myself and handsome enough to model but broke AF. I guess I have a few years to save up and think about the procedure
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Hey 6FS
I hope you are doing well
How's everything? pain whitout the painkillers stabilized? How was your worst moment so far? Pre-surgery anxiety or after surgery immobility and/or pain?
Things are great. Honestly i can't even say what the worst moment was because it's all been so seamless at this point. Pain is between 1 and 2 out of 10 holding steady. Lengthening going well, will have a check up with Dr Rozbruch next Wednesday. Not much more to report, sometimes i forget i had the surgery and try to stand on my own before i catch myself haha. That's how little i feel it.
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That's awesome. thanks!
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Things are great. Honestly i can't even say what the worst moment was because it's all been so seamless at this point. Pain is between 1 and 2 out of 10 holding steady. Lengthening going well, will have a check up with Dr Rozbruch next Wednesday. Not much more to report, sometimes i forget i had the surgery and try to stand on my own before i catch myself haha. That's how little i feel it.
Are you using crutches or walker?
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Are you using crutches or walker?
Walker and wheelchair
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try to keep your walker quite height to work on your posture. I had it too low and got a duck ass even though i was doing tibias.
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hi everyone, this is my first post on the forum. notable milestone i guess..
6feet, if you're reading this, wsup, sorry for both private messaging you and writing here. i just don't know which of the two would be better for reaching you. will of course not bother with both messages and posts once i figure out which line of communication you prefer. just on a kind of high right now from learning that something has fallen into place that will make my lengthening a lot easier and more doable, although i've been on track to do it in january of 2018 for a few months now. so i couldn't resist posting and messaging u
so, i'm torn between rozbruch and paley. if rozbruch offers an essentially painless experience as you're saying, 6feet, and 8 cm is realistic for me, and i pass the psych eval and everything else... he's the one for me. the pain experienced by paley patients sounds seriously challenging.
as people have pointed out, no one's really journaled about rozbruch. he might be definitively the best ever (if you're lucky enough to not have to worry about money, which is a position i'm incredibly grateful, if undeserving lol, to be in)
anyway, i don't know the conventions of the forum cause i'm new, so feel free to on me if i've fked up, but be goodhearted at your core and please try to help me understand the differences betweeen paley and rozbruch so that i can make the right call.
i'll hear from anyone i guess but to u, 6ft, hope you're doing well, your journal has been heartening
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hi everyone, this is my first post on the forum. notable milestone i guess..
6feet, if you're reading this, wsup, sorry for both private messaging you and writing here. i just don't know which of the two would be better for reaching you. will of course not bother with both messages and posts once i figure out which line of communication you prefer. just on a kind of high right now from learning that something has fallen into place that will make my lengthening a lot easier and more doable, although i've been on track to do it in january of 2018 for a few months now. so i couldn't resist posting and messaging u
so, i'm torn between rozbruch and paley. if rozbruch offers an essentially painless experience as you're saying, 6feet, and 8 cm is realistic for me, and i pass the psych eval and everything else... he's the one for me. the pain experienced by paley patients sounds seriously challenging.
as people have pointed out, no one's really journaled about rozbruch. he might be definitively the best ever (if you're lucky enough to not have to worry about money, which is a position i'm incredibly grateful, if undeserving lol, to be in)
anyway, i don't know the conventions of the forum cause i'm new, so feel free to crap on me if i've fked up, but be goodhearted at your core and please try to help me understand the differences betweeen paley and rozbruch so that i can make the right call.
i'll hear from anyone i guess but to u, 6ft, hope you're doing well, your journal has been heartening
There's no gaurantee with either that you will be pain free., low pain. We will all react differently from this surgery but a doctor's skill will play a part. You are more likely to have a smoother journey with paley or rozbruch than say a quack doctor from India. Although this user Morriset went to Sarin a Indian doctor who is infamous for bad results and he said he was able to gain 8 cm without big complicatons but his age was 19 which could be a reason he was able to lengthen pain free and quickly.
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Even if it's not totally pain free it's still much better than it used to be. Rozbruch is maybe the best one today. I think my biggest challenge now is to decide if I'll tell the truth to everyone one or not. I will do one leg at a time, so I'll bee irking while lengthening. For instance, If you are fat and have a stomach surgery you just tell the truth. My brother in law did it 10 years ago and in the beginning I honestly found it weird. Today he ishappy an everyone forgot about it. Why It should be different with LL?
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You are more likely to have a smoother journey with paley or rozbruch than say a quack doctor from India.
totally, and that's why i'm certainly going with either paley or rozbruch. what i'm trying to get clarified now are the critical differences between them, which is ultimately the better call. i'm most curious about 6feet's saying the experience has been basically painless and if that's emblematic of most rozbruch patients, cause that's in stark contrast to paley's patients reaching level 10 pain, even if they come out of it eventually. additionally, paley doesn't require guichet-level pre-op physical therapy, but his in-house physical therapy team is a big part of it... whereas it seems like all rozbruch asks is that you do some stretches on your own. if rozbruch is basically pain-free and u don't have to do grueling physical therapy but come out like full weight bearing 4-5 months after surgery... that's incredible, and better than what paley offers, right? i'm a little incredulous that rozbruch is so ideal but if he's really that good, he's certainly my top choice. so yeah i'm curious what you all think about paley v rozbruch
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If you are fat and have a stomach surgery you just tell the truth. My brother in law did it 10 years ago and in the beginning I honestly found it weird. Today he ishappy an everyone forgot about it. Why It should be different with LL?
right, i mean what's considered abnormal vs normal, that shifts over time, and in a kind of superficial, arbitrary way. sucks. but, you should just do whatever is safe and that you're comfortable with. i know it's easier said than done cause we're inculcated to follow social norms. hopefully u have a good support system of family and friends. if that's the case, you needn't be worried about telling them. personally, i'd rather confine the news to my family, but i think that's great that people would be more forthcoming about it. i just want it to be a new part of me and move on in a sense, but there are tons of different approaches
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I have been talking to Rozbruch for more than a year now. He always mentioned that pain is not the problem. I also talked to one of his patients and the feedback is the same as 6fs: excellent doctor, very responsive and low pain especially if taking the pain killers as prescribed for 2to 4 weeks. I have the clearance to do the surgery but different from 6fs my insurance didn't approve it, so I'll pay it from my pocket.
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Problem is people will realize you are taller and will ask. When you let everyone know, you just relax...again as you said, easy to say it but hard to do it. Let's see...
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Problem is people will realize you are taller and will ask. When you let everyone know, you just relax...again as you said, easy to say it but hard to do it. Let's see...
Most people don't even know this surgery exists so you can literally make any excuse.
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I have been talking to Rozbruch for more than a year now.
have u had to wait because you've been saving up, or scheduling problems, or some other less concrete reason? y'all are convincing me that rozbruch is ultimately a cut above paley i guess, so i'm hoping to go with dr. r. going in for a consultation over the summer would allow me to have the surgery in january, right? he doesn't have a massive waiting list or anything like that?
and if anyone has anything to say, because i'm still floored by this, about why rozbruch is so painless and why he thinks, unlike paley, the physical therapy only need be some stretching on your own, i'd love to know. gonna ask rozbruch myself during consultation but interested in what y'all have to say.
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Problem is people will realize you are taller and will ask. When you let everyone know, you just relax...again as you said, easy to say it but hard to do it.
this isn't much of a concern for me because i've been wearing 2-inch lifts and shoes with a bit of heel since i was 17 and a half––i'm 22 now. i still imagine some people will notice, in which case... idk, i'll say that i had really bad posture for a while and have been seeing a specialist who's helping me correct it. seems believable enough, lol.
also, ppl have talked about age... i'm 22, is that young enough so that i'm at an advantage? my only exercise is walking 10,000 steps a day, but i'm disciplined about it. and i think i'm generally healthy, had my annual physical in august and everything looked good.
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damn, i'm just wondering where 6feet is. my worry is he said some setback and that's why he hasn't been active here for a few days
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damn, i'm just wondering where 6feet is. my worry is he said some setback and that's why he hasn't been active here for a few days
lol calm your tits i'm right here. I just feel like posting less and less because this forum has become a breeding ground for trolling and pointless discussion. I was trying to have a serious thread to give everyone some insight on a doctor very few have done this with. Just seems like anything of value gets drowned out by the white noise.
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totally, 6feet, i know i'm being overeager and, yeah, that the forums can be hellish and useless much of the time. like i said, something recently fell into place that's making this more of a sure thing for me, so i want to take advantage of that and secure this before things change. that's why my tits are not so cooled! anyway, could we message though? no pressure but would be super helpful. not a troll, just an earnest LL hopeful. promise not to spam or overload u, just would go a long way getting some detailed answers from someone who's really equipped to speak on the subject
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totally, 6feet, i know i'm being overeager and, yeah, that the forums can be hellish and useless much of the time. like i said, something recently fell into place that's making this more of a sure thing for me, so i want to take advantage of that and secure this before things change. that's why my tits are not so cooled! anyway, could we message though? no pressure but would be super helpful. not a troll, just an earnest LL hopeful. promise not to spam or overload u, just would go a long way getting some detailed answers from someone who's really equipped to speak on the subject
to answer:
1) the wait time between consultation and surgery is probably 4-8 weeks. You just have to schedule the psych exam, have dr. westrich discuss the results with dr Rozbruch and then schedule a surgery date.
2) it'd be silly for me to objectively compare Paley and Rozbruch because i've never done a procedure with Paley and i dont know what he does differently. all i can say is, i'm not surprised that the Hospital for Special Surgery's Chief of LL and Complex Reconstruction has managed to give his patients a relatively pain free experience. I'm sure Paley is a fine doctor, but let's be real, he has his own "institute" in west palm beach, whereas Rozbruch is in New York fckin City repairing NFL and NBA players. I maintain that the crux of pain management comes down to the quality of the osteotomy: if someone cuts your bone poorly, you're going to feel it more. If they cut it well, you'll feel it less.
I'm going to see Dr Rozbruch tomorrow for post-op check up. Will let you know how that goes.
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thanks, buddy, and i hope your post-op checkup goes well. u rule, looking forward to hearing more whenever you're ready
also, does anyone have anything to say about finastride and LL? i don't have bdd, i'm not obsessed with balding and other cosmetic disadvantages. i wouldn't really mind being bald, it's just that ultimately yeah i'd rather keep my hair, and finastride / rogaine are generally thought of as safe and easy, so i've been using them for 3 months now, after my dermatologist verified that i'm showing the first signs of baldness.
probably more of a question for a doctor but... should i stop finastride? it raises your estrogen levels a bit, would that make the lengthening and consolidation difficult for bones? i hope it's not too late, because i'd much prefer height increase over precluding balding. like i said, balding hardly bothers me, but the finastride / rogaine regimen isn't like LL, it's inexpensive (relatively at least) and essentially risk-free. doesn't take 5 months either. so i've been doing that, but will forget about it if it interferes with LL
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ah, when u get a chance 6feet, i also have a question about the psych eval.
were you supposed to put rozbruch's psychiatrist in contact with therapists you've worked with before? i ask because my mom, who was very much so against my getting the surgery for a while because of her motherly paranoia regarding the potential risks, was adamant about my seeing a bdd specialist. her idea was that if i had bdd and just treated it with cognitive behavioral therapy and SSRIs, i wouldn't be bothered by my height anymore, thus precluding the surgery.
bdd specialists are categorically against cosmetic surgeries like this. it's in their best interest career-wise, because someone could undergo a cosmetic surgery rather than working with a bdd theraprist. the one i worked with acknowledged that a select few people will benefit from these surgeries, but that in her experience the vast majority of people have something like bdd and will return for other cosmetic surgeries. anyway, as expected, the bdd treatment didn't work for me. i was open to it and approached it with real effort, but i have dysphoria, not dysmorphia. the woman i worked with was thoughtful and very nice, but she works within the bdd framework exclusively, which makes no room for someone like me who has sex partners, career prospects, a good life generally, but quite wants the surgery as long as it's safe and legit.
i have a regular therapist whom i have a great relationship with, and she agrees with me that i don't have bdd, and that lengthening isn't a bad idea as long as i know it's what i really want. my parents like her too, and that's largely why they've come around. she's a doctor, has done her research, and acknowledged that while it's not without risk, if you work with the right surgeon, you'll be good.
anyway, i'm sure rozbruch doesn't much like the bdd people either, as like i said, they categorically reject cosmetic surgeries like his. but the idea of having to get back in contact with thd bdd specialist i met with and her like thwarting my shot at surgery is a total bummer. so i wanted to check with you that you just see rozbruch's psychiatrist. i mean, before rozbruch's psychiatrist could talk to any of my former doctors, i'd have to give them explicit permission. but i'd rather not lie to rozbruch of course, or withhold info about me that he asks for, i want to be totally forthcoming with him.
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I honestly don't know because i've never spoken to a therapist. But i don't think he cares. Dr Ellen Katz-Westrich is the only gatekeeper.
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sounds good, thanks for replying! looking forward to update on your post-op. i'll have some more questions, lol, hope that's ok
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how'd the post-op checkup go?
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checkup go well, 6feet? promise not to b a bother from here on out, lol. just have had a slow few days school-wise and am feeling good about rozbruch... last i'd checked before a few days ago, he only did cosmetic on super short people, so it's been cool knowing i might be a good candidate, cause ultimately he seems much better than paley.
anyway, hope i haven't scared u off, like u said yourself, the forum is mostly pointless, so to find someone like u has been really cool and helpful. i'm a "chill" guy tho, lol, just super curious about all this cause part of me is still saying rozbruch is too good to be true, but all that you've said has checked out ultimately. anyway, hope checkup went well and that u report back on it, but i guess no worries if you're completely done with the forum tho
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Update:
Post-op visit went well. Distraction currently at 16mm. Good callus formation at osteotomy site on both legs. Very impressed with flexibility and range of motion.
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Update:
Post-op visit went well. Distraction currently at 16mm. Good callus formation at osteotomy site on both legs. Very impressed with flexibility and range of motion.
that's so good to hear, man! i hope, and i guess predict, that your recovery will continue to go smoothly. you've been super helpful these last few days. i can't think of any other questions that can't just wait for my eventual consultation with rozbruch himself. but i may think of something along the way and ask here in the thread.
would be really cool if you continued to update us, even if it's mostly just slice of life, daily routine stuff.
and if u want any movie, tv, music, or book recommendations, let me know and i'll reply with some good stuff
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Update:
Post-op visit went well. Distraction currently at 16mm. Good callus formation at osteotomy site on both legs. Very impressed with flexibility and range of motion.
Good to hear, it seems the lengthening is going easily and complication free, it must be encouraging to hear Rozbruch confirm it. I assume the pain is as muted as it has been throughout - are you still taking pain medication? Any concerns of pre-consolidation before reaching your goal of 8CM?
Thanks for the update, wishing your lengthening carries on as well as it has.
682.
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Hi 6fs
I'm Happy that everything is ok with you.
When are you going to move to crutches? After 3 months only?
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Hi 6fs
I'm Happy that everything is ok with you.
When are you going to move to crutches? After 3 months only?
I don't need to move to crutches. The walker is fine. I'm not really putting that much weight on my arms, 30 lbs approx. I have the largest diameter rod in so my legs can bear most of my weight. I'm walking pretty quickly around the apartment now.
Dr. Rozbruch expects me to be walking unaided between month 4 and 5.
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6feetsoon,
Were you able to find out how much insurance covered?
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Is the amount lengthened the same as the amount gained or there is a Lost for the curvatura of the fémur?
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6feetsoon,
Were you able to find out how much insurance covered?
Insurance basically covered all other fees.
anesthesiologist, hospital fees, room cost, etc. totalled about $35,000. i paid $300 out of pocket.
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Is the amount lengthened the same as the amount gained or there is a Lost for the curvatura of the fémur?
Depends on the individual person. some people's femurs are closer to 90 degrees than others. In my case, basically nothing will be lost.
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If a person weights over 80kg which should be the protocol for moving to the bathroom And that stuff.
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thanks, buddy, and i hope your post-op checkup goes well. u rule, looking forward to hearing more whenever you're ready
also, does anyone have anything to say about finastride and LL? i don't have bdd, i'm not obsessed with balding and other cosmetic disadvantages. i wouldn't really mind being bald, it's just that ultimately yeah i'd rather keep my hair, and finastride / rogaine are generally thought of as safe and easy, so i've been using them for 3 months now, after my dermatologist verified that i'm showing the first signs of baldness.
probably more of a question for a doctor but... should i stop finastride? it raises your estrogen levels a bit, would that make the lengthening and consolidation difficult for bones? i hope it's not too late, because i'd much prefer height increase over precluding balding. like i said, balding hardly bothers me, but the finastride / rogaine regimen isn't like LL, it's inexpensive (relatively at least) and essentially risk-free. doesn't take 5 months either. so i've been doing that, but will forget about it if it interferes with LL
I took finesteride through all 3 lengthening and consolidated quicker than just about anyone.
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Hi 6fs
How are you doing? I hope you are doing well and lengthening well!
For those who are going to do the surgery with Rozbruch, what do you suggest? Anything you have been learning from your experience that is worth sharing? I'll schedule for the end of July ...
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Sometimes, i feel sorta bad writing updates here. The experience continues to be relatively painless, but all i've come across lately on the forum is anguish and misery in other LL patient experiences. My heart goes out to them.
Reached an inch (2.5cm) of distraction today. Rozbruch had me on a slightly accelerated course for a few days. Can proudly say i'm now 5'10. Have another check up in 2 weeks to see how we're looking. Pain holding steady at 2/10. What i find myself doing a lot is stretching and moving all the time to keep myself loose. So even though i stretch religiously 4 times a day, i'll still find myself doing the exercises when i'm just laying in bed, it's helped quite a bit as flexibility and range of motion have been maintained throughout.
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I think its just the nail that's why most doc now prefer precise. Anyway im glad everything goes well, keep stretching and stay positive. In next 60 days you will be 6' feet. Hopefully you will show off with some photos. Keep up.
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Sometimes, i feel sorta bad writing updates here. The experience continues to be relatively painless, but all i've come across lately on the forum is anguish and misery in other LL patient experiences. My heart goes out to them.
Reached an inch (2.5cm) of distraction today. Rozbruch had me on a slightly accelerated course for a few days. Can proudly say i'm now 5'10. Have another check up in 2 weeks to see how we're looking. Pain holding steady at 2/10. What i find myself doing a lot is stretching and moving all the time to keep myself loose. So even though i stretch religiously 4 times a day, i'll still find myself doing the exercises when i'm just laying in bed, it's helped quite a bit as flexibility and range of motion have been maintained throughout.
You shouldnt feel bad at all. If anything, this is a perfect example of what LL should be like. Great results with minimum pain. And maybe it will teach many of us that you cant put a price on a surgery like this. There are exceptions but for the most part, you get what you pay for.
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hey 6f,
already 5'10 wow! :) So your out of pocket cost was only $40k? or was it $75k out of pocket and $35k insurance for a total of about $110k?
~TT
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hey 6f,
already 5'10 wow! :) So your out of pocket cost was only $40k? or was it $75k out of pocket and $35k insurance for a total of about $110k?
~TT
Total out of pocket cost was about 50k USD.
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Total out of pocket cost was about 50k USD.
So insurance covered 50 thousand?
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So insurance covered 50 thousand?
He mentioned earlier that he paid 75k, if you are from another country you have to pay everything because your insurance wont cover anything And accommodation; pt can be done for yourself easily, It Will help if you are as flexible as 6'. 100k- insurance is 75 k.
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He mentioned earlier that he paid 75k, if you are from another country you have to pay everything because your insurance wont cover anything And accommodation; pt can be done for yourself easily, It Will help if you are as flexible as 6'. 100k- insurance is 75 k.
No, what i'm saying is:
Dr Rozbruch fees: 75k (insurance paid 25k, i found this out today)
Hospital fees: 35k (insurance paid all of it, except for like $300)
Total cost to me: 50k
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No, what i'm saying is:
Dr Rozbruch fees: 75k (insurance paid 25k, i found this out today)
Hospital fees: 35k (insurance paid all of it, except for like $300)
Total cost to me: 50k
Wow that's not as much as I thought it would be. I assumed it was 100k at least and all of it out of pocket. Good to know insurance covers a good chunk of it for American citizens. I'm not that far from New York but I live in Canada so no coverage of any kind for me.
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Really amazing prices for American citizens with one of the best doctors
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No, what i'm saying is:
Dr Rozbruch fees: 75k (insurance paid 25k, i found this out today)
Hospital fees: 35k (insurance paid all of it, except for like $300)
Total cost to me: 50k
This is amazing.
Would they be able to tell me beforehand how much my insurance will cover and what it will cover?
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6FS, I've been following your experience and progress with enthusiasm, and I'm glad you're progressing so well!! I have a few questions, if you would indulge me:
- What was your weight before the surgery? If memory serves, you stated somewhere in your journal that you are near weight bearing, at least in some cases. I'm 150 lbs, and will probably lose a bit due to the surgery. The current Precise nails support up to 75 lbs per leg, so I'm hoping I can rely more on the walker/crutches than a wheelchair, at least during the latter part of the process.
- What is Dr. Rozbruch's approach to physical therapy? How many days a week are you doing PT, and do you do additional stretching exercises, unaided or assisted?
Hope you continue to recover well and with zero complications. I'm scheduled with Dr. Paley this summer myself.
Best,
-jbc
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This is amazing.
Would they be able to tell me beforehand how much my insurance will cover and what it will cover?
I doubt it, claims are processed after fees have been sent from the provider to policy writer. Anything they tell you beforehand would just be speculation and doesn't necessary mean that's how it will play out.
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6FS, I've been following your experience and progress with enthusiasm, and I'm glad you're progressing so well!! I have a few questions, if you would indulge me:
- What was your weight before the surgery? If memory serves, you stated somewhere in your journal that you are near weight bearing, at least in some cases. I'm 150 lbs, and will probably lose a bit due to the surgery. The current Precise nails support up to 75 lbs per leg, so I'm hoping I can rely more on the walker/crutches than a wheelchair, at least during the latter part of the process.
- What is Dr. Rozbruch's approach to physical therapy? How many days a week are you doing PT, and do you do additional stretching exercises, unaided or assisted?
Hope you continue to recover well and with zero complications. I'm scheduled with Dr. Paley this summer myself.
Best,
-jbc
I was 170 lbs the day of surgery. His view is you can do the required stretches on your own daily. No need for a dedicated PT session with a therapist.
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Jesus 50 k for Rozburch. How much you pay for your insurance?
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I must ask. What kind of 3 inch shoes did you wear?
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Second check up today with Dr R. We're at 3.6cm. Still great range of motion and flexibility (honestly i'm stretching like a maniac as often as i can, and its helping a lot). Good callus formation, he wants to speed it up a bit though. About 5'10.5 now... i can start to see the difference.
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I must ask. What kind of 3 inch shoes did you wear?
Honestly it doesn't matter as long as it goes above your ankle. Then you can conceal any of the lifts on Amazon.com inside and you're good to go.
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Second check up today with Dr R. We're at 3.6cm. Still great range of motion and flexibility (honestly i'm stretching like a maniac as often as i can, and its helping a lot). Good callus formation, he wants to speed it up a bit though. About 5'10.5 now... i can start to see the difference.
Hi 6feetsoon, I am thinking of getting 5cm of surgery with Rozbruch, what kind of complications can I expect through the surgery and actual lengthening process. By the way you are writing the diary it seems like your operation has been flawless so far.
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6feet, feel like sharing any slice of life details about tv you've been watching or snacks you've been enjoying? lol, absolutely no obligation to do this, i'd get a kick out of it though
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6fs
By your experience how long does it get to reach 5cm/2inches? 50 days? Are you going to get to it faster? Also, how many times per day do you lengthen? Do you need a minimum time between lengths?
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6fs
By your experience how long does it get to reach 5cm/2inches? 50 days? Are you going to get to it faster? Also, how many times per day do you lengthen? Do you need a minimum time between lengths?
Just under 50 days, i'll be at 5cm next week.
3 times a day, i do it 7-8 hours apart.
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Is the change at almost 5cm noticable? Do you feel much taller?
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Is the change at almost 5cm noticable? Do you feel much taller?
Oh it's definitely noticeable. The friend who came to the initial surgery with me is about 5'10.5 and we're looking each other dead in the eye. He jokingly begs me to stop the process at this level. But we're not stopping until we clear 6'0.
Everything else is as it was in my previous updates: good range of motion and flexibility has been maintained.
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Oh it's definitely noticeable. The friend who came to the initial surgery with me is about 5'10.5 and we're looking each other dead in the eye. He jokingly begs me to stop the process at this level. But we're not stopping until we clear 6'0.
Everything else is as it was in my previous updates: good range of motion and flexibility has been maintained.
I like your determination my friend.
I see more and more people here who want to lengthen some ridiculous amounts like 3-4cm while you are determined to reach 6ft.
Even if you don't reach it (which I truly believe you will) your determination to your aim tells that you were a true candidate for this surgery.
I wish you everything to go as well as it gets.
Keep strong!
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I see more and more people here who want to lengthen some ridiculous amounts like 3-4cm while you are determined to reach 6ft.
Stop endlessly attacking and belittling other people's goals to justify your own. You've done this endlessly since joining and it's becoming tiring. If you want to lengthen whatever amount, cool, best of luck, why can't you give the same respect to others?
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Here at Dr Rozbruch's office this morning. We've hit 6cm. Less than 3 weeks left ladies and gentlemen! Flexibility still great, no duckass, and minimal pain. good callus formation is also evident. Things are going so well we just sat there and talked about all things not related to the procedure and progress. He's honestly a really funny guy lol
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It's a middle point, doing too little cm in LL maybe doesn't satisfy you and you might want another surgery which is more risk. But doing crazy amounts like 8 cm and above and in tibia you end up ruining your life. Some people here are so vain and stupid that they want to sacrifice running and a lot of mobility only to get women...
6FeetSoon have you stood up without any support, how can you tell you have no duckass.
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It's a middle point, doing too little cm in LL maybe doesn't satisfy you and you might want another surgery which is more risk. But doing crazy amounts like 8 cm and above and in tibia you end up ruining your life. Some people here are so vain and stupid that they want to sacrifice running and a lot of mobility only to get women...
6FeetSoon have you stood up without any support, how can you tell you have no duckass.
Not sure why we're talking about tibias, and 8cm isn't a "crazy" amount of femoral distraction if the candidate is right (hint: i was extremely flexible and my starting height was 5'9).
Yes, rozbruch had me stand up to have a look at posture and muscle tension while fully erect. (you really think he's going to go all the way through the lengthening process without looking at me stand?)
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happy for u, 6ft, hell yeah, and thanks for another update.
i'm consulting with dr. rozbruch in a few weeks... i'm wondering if u think it'd be best for him to test and assay my regular flexibility instead of coming in having done stretching in the weeks leading up to the consultation? let me know if you have an opinion on that, it's getting so close that idk if anything would even make a difference now, but asap i'd start stretching daily (more than the regular getting out of bed stretches i do like involuntarily) if you think that'd b wise.
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happy for u, 6ft, hell yeah, and thanks for another update.
i'm consulting with dr. rozbruch in a few weeks... i'm wondering if u think it'd be best for him to test and assay my regular flexibility instead of coming in having done stretching in the weeks leading up to the consultation? let me know if you have an opinion on that, it's getting so close that idk if anything would even make a difference now, but asap i'd start stretching daily (more than the regular getting out of bed stretches i do like involuntarily) if you think that'd b wise.
Just come as you are. Nothing you do between now and your surgery date is going to materially affect your flexibility for this.
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I don't mean 8 cm in femur is crazy , I was talking about tibias. The thing is because Precise 2 isn't full weight bearing, so the first weeks after surgery you are in a wheelchair. These weeks, how does Dr Rozburch know your posture when standing ? Do you have to perfectly balance your weight in a flat surface?
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Freaking hell I did 4 cm and it has a huge, positive impact on my life. I can only imagine how great it is to be 8.5 cm taller. Enjoy it!
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Freaking hell I did 4 cm and it has a huge, positive impact on my life. I can only imagine how great it is to be 8.5 cm taller. Enjoy it!
8.5??
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he has passed 6 cm and in 25 day will be 8.5 cm taller to reach 183 cm. What cant you understand?
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he has passed 6 cm and in 25 day will be 8.5 cm taller to reach 183 cm. What cant you understand?
Precice 2 only can lengthen 8 cm, no 100
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Precice 2 only can lengthen 8 cm, no 100
Yhh..U are definitely right!
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Precice 2 only can lengthen 8 cm, no 100
soz I forgot youre a LL dweller ;)
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Stop endlessly attacking and belittling other people's goals to justify your own. You've done this endlessly since joining and it's becoming tiring. If you want to lengthen whatever amount, cool, best of luck, why can't you give the same respect to others?
Because if someone breaks his legs, give a huge amount of money and go under all these risks (infections, malunions etc) for only 3-4 cm in reality doesn't need this surgery as this height really make a very small difference.
I don't encourage 8-9 cm of lengthening, especially in tibias, but still I understand the reasons for someone to try to lengthen as much as his body let him.
But doing all these for 1-1.5 inch simply is a joke and I can't respect someone who does it.
Finally, my goal is 6cm lengthening in femurs which is far from risky so there is no reason to justify anything.
5cm are very safe even for tibias so anything beyond that is unacceptable for me except you face complications and you need to stop. But not as an initial target.
6feetsoon congratulations, you are doing very smooth until now. I hope you'll do so good until the end of your ll journey.
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6FeetSoon...
This is my first post, you've inspired me. ha!
I've been following this forum for some time and have read through your entire thread. I am very impressed with the professionalism of Dr Rozbruch, his team and the hospital he works at; the cost; and the whole post-op process. I am looking forward to hearing the rest of it.
I personally am a 30yr male, standing at 5'1 and weighing 57kg. I don't believe myself to have many complications with this procedure shall I decide to go through with it due to 1) shorter femurs 2) lighter load bearing on the precise devices 3) high pain tolerance 4) Being an S&C coach and exercise physiologist myself. My only downfall is I live in Australia and doubt I'd get insurance (and finance) to cover a operation taking place in the US. However, that being said shall I go through with it... I'm convinced I'll only do it with Dr Rozbruch.
Please keep us posted with the rest of your recovery as you very well have. Stoked for your success through it all so far.
P.s. If there are any Aussies in this thread that have done research on Dr Rozbruch, please pm me.
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wish u the best of luck, gingerbeard. and i just watched this movie about infamous australian serial killer couple david and catherine birnie! spooky...
i will admit, though, i was disappointed when i saw a big reply was up but that it wasn't from 6feet, lol. 6feet, favor us with an update as this month rounds out?
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Sorry Ion, sadly this response was from 5feet. LOL!!
Have not watched the movie... Will put it on my todo list.
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6FeetSoon,
How are you holding up? Do you have any updates for us?
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We are finished ladies and gentlemen! 8cm achieved, and 6 feet tall! When he said the words "you're finished" after looking at the x-rays, a feeling of sheer triumph came over me. He did the usual exercises to check my range of motion and flexibility: all stellar. He said maintain the weight bearing restrictions for another month but on the next visit, he expects me to be able to start walking at near full-weight. We're at just under 3 months post-op. It's a been a great day guys!
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Congrats man! Can you post a fully body photo?
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Coming from R , successful patients are almost 100/100, Hope you can enjoy your new Life more than before, should forget about this place.
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We are finished ladies and gentlemen! 8cm achieved, and 6 feet tall! When he said the words "you're finished" after looking at the x-rays, a feeling of sheer triumph came over me. He did the usual exercises to check my range of motion and flexibility: all stellar. He said maintain the weight bearing restrictions for another month but on the next visit, he expects me to be able to start walking at near full-weight. We're at just under 3 months post-op. It's a been a great day guys!
I did over 7cm and also did full weight bearing around the 4 month mark. That is to say that Albizzia variants (G-nail, Betzbone) are outdated and overrated.
Stick with Precise or Fitbone if you can afford them.
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I did Albizzia and I stood up immediately after surgery, started walking without support 2 months after surgery and now Im walking normally ay 3 months post op
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I did over 7cm and also did full weight bearing around the 4 month mark. That is to say that Albizzia variants (G-nail, Betzbone) are outdated and overrated.
Stick with Precise or Fitbone if you can afford them.
And how well did you recover?
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I did Albizzia and I stood up immediately after surgery, started walking without support 2 months after surgery and now Im walking normally ay 3 months post op
For 1 month difference the pain of clicking and the slower bone consolidation doesn't worth this minor difference in time.
Albizzia is worse compared to precise 2 and fitbone and there is no real reason for someone to do LL with that.
Being weight bearing for 1-2 months sooner really is nothing compared to pain and risk of nonunion or slow consolidation that come with this outdated nail.
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Body Builder he said 4 month until weight bearing, that does not mean 4 months until walking but 4 months until standing up and walking with crutches. That is 4 months in wheelchair for me it is too much.
I didn't have pain in clicking and my consolidation is as good as the rest or better though I will take an xray in one month which will settle whether or not I'm good for running.
There are a lot of reasons, I cannot simply tolerate months in a wheelchair and 6 months without walking normally. It is the fastest recovery, as I've seen other patients like me who are my friends they are back to work 3 months after surgery.
Why would there be more risk of nonunion or slow consolidation? Where are the studies that say so, because when I decided to have LL I did not find any difference between intramedullary nails in bone healing.
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Body Builder he said 4 month until weight bearing, that does not mean 4 months until walking but 4 months until standing up and walking with crutches. That is 4 months in wheelchair for me it is too much.
Um no... i mean 4 months until i'm walking on my own (full weightbearing) . Ive been standing and walking on crutches/walker from the day i left the hospital
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6FeetSoon how? I thought with Precise you couldn't support your own weight until a few months when your callouses grow stronger. Are you saying that you could walk on a walker days after the surgery? To have full weightbearing, it only means that the nail is strong enough to support your weight without you having to relieve it of a little weight by using your hands.
So you spent no time on a wheelchair? that's great! Very unlike Fitbone users which I thought were like Precise in terms of weight bearing.
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6FeetSoon how? I thought with Precise you couldn't support your own weight until a few months when your callouses grow stronger. Are you saying that you could walk on a walker days after the surgery? To have full weightbearing, it only means that the nail is strong enough to support your weight without you having to relieve it of a little weight by using your hands.
So you spent no time on a wheelchair? that's great! Very unlike Fitbone users which I thought were like Precise in terms of weight bearing.
Yes, before you even leave the hospital, a physiotherapist comes with a walker to get you out of bed and walk up and down the hallway. When you use a walker you aren't putting full weight obviously, so of course its possible.
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I'm sorry I don't understand completely. So you use a walker ok? you put weight in your arms and you do a step. after you finish said step you can let go of your hands? or you have to keep holding with your arms never letting go of the walker?
No time on a wheelchair at all?
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Yes, they don't put full weight on their legs. That's why it's recommended to work on your arm strength before the surgery. I heard of many people that did 5 cm that did full weight bearing walking in 3 months with precise as well so Guichet torture device is not all that grand.
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Body Builder he said 4 month until weight bearing, that does not mean 4 months until walking but 4 months until standing up and walking with crutches. That is 4 months in wheelchair for me it is too much.
I didn't have pain in clicking and my consolidation is as good as the rest or better though I will take an xray in one month which will settle whether or not I'm good for running.
There are a lot of reasons, I cannot simply tolerate months in a wheelchair and 6 months without walking normally. It is the fastest recovery, as I've seen other patients like me who are my friends they are back to work 3 months after surgery.
Why would there be more risk of nonunion or slow consolidation? Where are the studies that say so, because when I decided to have LL I did not find any difference between intramedullary nails in bone healing.
I don't know the exact reason but all the patients with albizzia have a much slower bone consolidation that precise-fitbone users.
It has something to do with the way of clicking or the size of the nail but I am not sure.
Also, the real difference of walking completely unaided is about 1-1.5 month between albizzia and precise-fitbone which is minimal compared to the drawbacks of albizzia I mentioned before.
So paying huge amounts of money to a greedy doctor like Guichet for an outdated nail is simply a joke.
Betz is cheaper but still when you can use precise in europe for the same money or fitbone with even less he is still a bad option.
Generally speaking the only reason to use albizzia is to save at least 10k euros from doing lengthening with precise or fitbone.
But from the moment that you pay more, this nail is really a bad decision and the main reason that some doctors still use it is to gain more money as they charge a lot of money with a cheap nail so if they used the other two more expensive nails they would have had less profit.
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Yes, they don't put full weight on their legs. That's why it's recommended to work on your arm strength before the surgery. I heard of many people that did 5 cm that did full weight bearing walking in 3 months with precise as well so Guichet torture device is not all that grand.
That's good. It's faster than I thought previously. How do you advance the walker if you can't stop putting your weight on it?
Like I told you, for me it was not torture at all but I know patients have a lot of pain on average indeed. However, to be able to be off the wheelchair and recover normal walking like I did, it's worth every amount of pain. Just the first point was a selling point for me. I don't know if you have done LL bander but being in crutches is hard man, and I imagine it's harder on a wheelchair.
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I don't know the exact reason but all the patients with albizzia have a much slower bone consolidation that precise-fitbone users.
It has something to do with the way of clicking or the size of the nail but I am not sure.
Also, the real difference of walking completely unaided is about 1-1.5 month between albizzia and precise-fitbone which is minimal compared to the drawbacks of albizzia I mentioned before.
So paying huge amounts of money to a greedy doctor like Guichet for an outdated nail is simply a joke.
Betz is cheaper but still when you can use precise in europe for the same money or fitbone with even less he is still a bad option.
Generally speaking the only reason to use albizzia is to save at least 10k euros from doing lengthening with precise or fitbone.
But from the moment that you pay more, this nail is really a bad decision and the main reason that some doctors still use it is to gain more money as they charge a lot of money with a cheap nail so if they used the other two more expensive nails they would have had less profit.
I don't know where that comes from, never before have I read that difference in bone consolidation in any paper when I researched about LL. I think a lot of people here do hearsay, I want to know if what you say is the truth. Not only for me but for all limb lengtheners. What I know if that I've seen all my friends walking upstairs and sitting without crutches less than 1 month after lenghtening and returning to normal life 3 months after surgery.
I don't support Dr Guichet nor his decisions, but I had no shortage of money and I think I made the best decision. Say what you will but who of you started walking in 2 months and normally in 3 months? 1 month in a wheelchair is not a lot? For vain, height obsessed people it's not but for normal people it is a lot. The atrophy is not good for muscles especially after a certain age where myogenesis is at the lowest point.
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That's good. It's faster than I thought previously. How do you advance the walker if you can't stop putting your weight on it?
The walker has wheels, you roll it forward
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The walker has wheels, you roll it forward
Brilliant I don't know why in my mind I pictured the wheelless walker haha
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g nail advantage is weight bearing, but I would look for a nail that better offers reverse mechanism ,And the only one is precice, not even fitbone or ISKD. If It were possible in Unicorns case It would be a different thing. Going to betz is simply a joke, after talking a look to his rate of complications And his romance with Apo, at least Guitchet is better Technically.
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And how well did you recover?
First off, not going to mention my doctor because of all the uneducated trolls. And sorry for thread takeover.
I am almost 2 years post-op and feel 90%. I admit I am one of the lucky ones, almost zero pain throughout the process and full consolidation in both femurs. I did no stretching pre-op and little to no physio post-op, relying on everyday movement to stretch--my ROM is still bad, but gets better every month.
On day 3, I was able to use a walker to use the restroom. A wheelchair was required for the first month, but I slowly phased it out for a walker then crutches. Around the 4th month mark, 2 weeks after I stopped lengthening, I started doing full weight bearing--without permission from my doctor. I literally drove to restaurants and walked 50 steps inside, which made all the difference in the world and makes you feel normal in the most wonderful way.
In my opinion, Precise > Fitbone > G-nail > Betzbone. Never would I ever consider doing externals--how barbaric.
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g nail advantage is weight bearing, but I would look for a nail that better offers reverse mechanism ,And the only one is precice, not even fitbone or ISKD. If It were possible in Unicorns case It would be a different thing. Going to betz is simply a joke, after talking a look to his rate of complications And his romance with Apo, at least Guitchet is better Technically.
In my humble opinion, it is indeed true that the reverse mechanism would have helped a lot in Unicorns case. However I think she was cared poorly because she was an asian lady, and she lengthened at a rate which of course could have been alright for a white young male but in her case it was not for the best. And also, because with a close follow up x ray at 15 days post op and definitely at 30 days post op you KNOW if you are going well or badly in terms of consolidation. If someone had seen her xray at that time and said, the bone is not healing she would have stopped then and there or at least lengthen very very slowly.
PS Sorry for the thread hijack 6FeetSoon if you want me to stop posting just tell me so
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I don't know where that comes from, never before have I read that difference in bone consolidation in any paper when I researched about LL. I think a lot of people here do hearsay, I want to know if what you say is the truth. Not only for me but for all limb lengtheners. What I know if that I've seen all my friends walking upstairs and sitting without crutches less than 1 month after lenghtening and returning to normal life 3 months after surgery.
I don't support Dr Guichet nor his decisions, but I had no shortage of money and I think I made the best decision. Say what you will but who of you started walking in 2 months and normally in 3 months? 1 month in a wheelchair is not a lot? For vain, height obsessed people it's not but for normal people it is a lot. The atrophy is not good for muscles especially after a certain age where myogenesis is at the lowest point.
Helloworld returned to normal (playing sports and jumping easily) at 5 months after lengthening with fitbone which is less weight bearing than precise.
So be in wheelchairs for 2 months (doing of course pt to avoid muscle weakness) is really nothing. After all if you walk when you are in the lengthening phase with internals you are in danger to fall down amd break the nail.
But yes, weight bearing from the begining is a benefit but not bigger than avoid pain and have a faster consolidation.
And from all x rays I've seen from albizzia users, the bone consolidation 4-5 months after surgery is much less than users of precise and fitbone. Maybe the weightbearing capability puts less pressure to bone when walking and that doesn't help consolidation.
I don't know the reason, but I know that with albizzia the consolidation is slower, thatcs a fact.
Furthermore, the way of clicking in albizzia makes it prone to accidental lengthening (see Unicorn's case) that can't happen with the other two nails.
Albizzia is outdated and that's why it is much cheaper than precise and fitbone.
I respect you a lot as an LL'er my friend but I don't think that you did the right choice of doctor if you had plenty of money.
Guichet is not the best choice of LL doctor at all, on the opposite I think for his money is the worse choice taking in mind that he uses an outdated nail, he makes his patients lengthen at a fast rate, he doesn't do IT band release (which causes no real problems and helps a lot to knee rom) and he is money greedy as we saw from Unicorn.
So you were lucky that everything went fine with your surgery but of course Guichet is not a good choice while for the same about money you can even go to Rozbruch or Paley which are absolutely the best choices right now for LL.
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Helloworld returned to normal (playing sports and jumping easily) at 5 months after lengthening with fitbone which is less weight bearing than precise.
So be in wheelchairs for 2 months (doing of course pt to avoid muscle weakness) is really nothing. After all if you walk when you are in the lengthening phase with internals you are in danger to fall down amd break the nail.
But yes, weight bearing from the begining is a benefit but not bigger than avoid pain and have a faster consolidation.
And from all x rays I've seen from albizzia users, the bone consolidation 4-5 months after surgery is much less than users of precise and fitbone. Maybe the weightbearing capability puts less pressure to bone when walking and that doesn't help consolidation.
I don't know the reason, but I know that with albizzia the consolidation is slower, thatcs a fact.
Furthermore, the way of clicking in albizzia makes it prone to accidental lengthening (see Unicorn's case) that can't happen with the other two nails.
Albizzia is outdated and that's why it is much cheaper than precise and fitbone.
I respect you a lot as an LL'er my friend but I don't think that you did the right choice of doctor if you had plenty of money.
Guichet is not the best choice of LL doctor at all, on the opposite I think for his money is the worse choice taking in mind that he uses an outdated nail, he makes his patients lengthen at a fast rate, he doesn't do IT band release (which causes no real problems and helps a lot to knee rom) and he is money greedy as we saw from Unicorn.
So you were lucky that everything went fine with your surgery but of course Guichet is not a good choice while for the same about money you can even go to Rozbruch or Paley which are absolutely the best choices right now for LL.
Again man, we have to agree to disagree on this one. Being in wheelchairs for 2 months is a HUGE deal for me and I think also for a lot of people (especially for those who are on their own). That's true you are in danger of falling but fortunately if you are careful you shouldn't have a big risk.
So what you were saying about faster consolidation is what you've seen from the diaries in the forums. Sorry if I say so, but I can't agree with you that consolidation with albizzia being slower is a fact until I see some reviews / publications comparing the nails. I can't just take your word for it. Later this week I'll research the topic and come back at you.
I have no love for Dr Guichet (because of Unicorn) as for any doctor, but I think for me it was the best choice. It was hard times, but I always kept my mobility, walked with crutches, zero days on a wheelchair and just after 2 months walking without crutches at all is a selling point to me. Of course I lengthened at conservative rate (the fastest I reached was around 1.3 mm for 2 weeks, then 1mm for another 2, then even slower 0.6 and 0.5 mm). I'm also glad I didn't do any IT release as I think it's unnecessary for 6 cm (I regained pre LL rom around the time I lengthened at 0.5mm). So if I could go back in time, for these reasons, I wouldn't choose differently.
So finally I'm not saying this is the case for all, but my recovery was much better than if I had gone to Rozbruch or Paley. Because who of the others can say they can walk at 2 months after surgery? So maybe it could have gone badly with me, but it didn't and because of this I recovered even better than people who go to the top doctors.
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What body builder is saying is that in the long term a faster consolidation will help you more than weight bearing faster. And the whole procedure is one big mind fk so being in a wheelchair if that happened from complications should not be making you so depressed.
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We've been cleared to walk ladies and gents. Rozbruch gave the thumbs up because consolidation really accelerated since we reached our goal a month ago.
It feels great to parade up and down the hallway unencumbered. My agent called me and asked how i was, when i told him i'm ready to get back to work, he told me he's lined up a few shoots. I'm going to ask for a weigh-in and re-measure. They'll notice the height has changed, but ultimately, they wont care.
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Would you be so kind and give a list what kind of medication you exactly took?
And did you experience side effects like hairloss?
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Would you be so kind and give a list what kind of medication you exactly took?
And did you experience side effects like hairloss?
Everything was over the counter except for the painkillers.
Vitamin c
Vitamin d
Calcium
Oxy
Thats basically it. And no, no hairloss lol
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Hi 6FeetSoon,
Are you going to post a picture of your proportions?
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I figured now that i'm out and walking around NYC, i'd give an update on the psychological aspect of all this.
Short answer: it's amazing.
On paper you know 8cm is a significant height increase, but to be out in a busy city and seeing how you stack up to everyone really adds an air of confidence. Honestly, i haven't stopped smiling. Macy's was super busy on saturday, i had to go there and restock my closet with pants that are the proper length. But the looks you get from the sales ladies at their make up booths trying to sell overpriced mascara to tourists, is flattering. They all sort of gaze up at you and smile. As you all know, i did this as a career move because ladies were always easy to come by, but the added benefit standing up here... yeah i wouldn't give it up for anything: a lovely added bonus.
So what do i think went so right in my procedure.
1) i was flexible, healthy and my starting bone length was sufficient that 8cm wasnt as daunting an amount as it might be for others
2) i stretched early and often post-op. Basically if i wasn't sleeping, i was stretching. All. The. Time.
3) i walked as often as possible with the walker. I really wanted to get my feet under me as soon as i was done, so i put a lot of pressure on myself to make sure i took 100-150 steps daily.
4) i took all the supplements and followed all doctors orders. I'm not the expert, he is, so why would i use my own judgment? Be smart.
Back to my excursions on saturday. I wasn't tired at all, and i was walking around for a good two hours. Again i think this is a result of walking a lot during the distraction process. Even when i was tired back then, i walked. Taking the subway is a more fun experience too. In such close quarters, it's annoying if during rush hour you're in a crowd of people breathing on you because they're all around your height. Now, the air is fresher nearer to the ceiling of the subway car lol.
First photo shoot is friday. Really happy to get my career going again at 6'0+.
-6FS
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Will you post a full body pic?
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Will you post a full body pic?
not gonna post in the thread, but if you really want to see, send me a pm and i'll send you a link.
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Nice job 6ft.
I hope my LL would be as smooth as yours. I see myself in your words, I know that with 6-7 cms more I would be a very happy person and I'd love to walk in crowded places.
LL is a really lifechanging experience for people who know what they want.
For miserable guys with bdd and mental problems, LL will even make them worse if things don't go completely well.
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Thanks for the update 6ft, that is amazing that you recovered so quickly and so smoothly! I recently had a consultation with Dr. Rozbruch and will have one with the psychologist in a couple of weeks, hopefully things will go well and I can begin my own journey.
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Hey 6fs, congrats on your successful lengthening. I am wondering if Dr. R allows patients to go to their home city during the distraction phase once he knows things are progressing smoothly?
I saw that Dr. Mahboubian allows patients to do so, which is why I ask the question.
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not gonna post in the thread, but if you really want to see, send me a pm and i'll send you a link.
Congratulations mate on a very successful LL! I want to do the same operation with the same length and the same doctor when i have the means to do it one day. My question to you is if also i can see how your proportions look? The reason for that is that im 175+( if i havent measured wrong) and im very worried about the proportions with 8cm increase in my femurs. And thank you for taking your time to write about your journey!
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Just an fyi, I'm meeting up with some curious potential LLer's over the next few weeks in the nyc area. If anyone is in the area and wants to see first hand what an awesome job Rozbruch did and ask some questions in person, happy to meet you as well.
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This is a fake diary guys.
I have contacted Dr. R before (about 2 months ago)
He will not operate on a 5'9 individual.
6FeetSoon is a fraud and needs to be banned from this forum. Mods can PM me for proof. I will be sending Dr. R an email as well to ask if he operated on a 5'9 individual in 2017, because he told me he only does cosmetic LL on well below average individuals and that is why he denied me.
(http://i68.tinypic.com/2d9qxle.png)
@6FeetSoon I don't know why you did this? Attention? Like what is wrong with you? No wonder there were no pictures posted in this diary.
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MirinHeight-
Hey conspiracy theory wack job, first of all 5'9 and 5'10 are not the same height. But, that's neither here nor there because Dr. Rozbruch does not have a height limit. He does however have a process of weeding out patients he does not want to deal with, and when some idiot emails him and says he is 5'10 and wants 3.5cm of lengthening and how much does it cost. Well, his ears perk up and he says to himself, get rid of this jackass right now cause he's only going to be a nightmare to deal with later on.
How do I know all this you might ask. I'm 5'10 and emailed him about surgery. Before you ask, yes, my email included my height. I however was very professional in my email, thoroughly explained my reason for lengthening, and the extensive research I have done. My appointment with Dr. Rozbruch is scheduled after the holidays.
BTW: I find it hilarious the way he just totally dismissed you with "Sorry ur too tall for me to do this." In other words, take a hike buddy cause only a tin foil hat wearing nutbag would email me the way you just did. Go be somebody elses problem. I only want smart, articulate, well researched, mentally stable, emotionally mature patients. Love it!
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(http://i65.tinypic.com/4idh15.jpg)
Here are my payments as an example..
Don’t really know why im justifying this to you, ive helped quite a few people on this board
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I've met 6Feetsoon today in person and he showed me his pictures
Before and after the sugery and the x-rays.
He walks very normal and told me that he does sports too.
Rozbruch has done an excellent job and I will see him soon.
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Awesome! Would love to meet whenever im in NY if that's fine with you? Same age and no problems with girls either pre op...if you want to go to Le Bain. I am 183-4 with sneakers (bad posture still, just finished lengthening and walking with a way to small walker lol).
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hey 6ft
i've messed you a few times, would love to talk. if you've gotten the messages and ignored for whatever reason, i guess i'll just have to accept that and won't bother you further... but if you can talk and want to help out some, please let me know. thanks
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This is a fake diary guys.
I have contacted Dr. R before (about 2 months ago)
He will not operate on a 5'9 individual.
6FeetSoon is a fraud and needs to be banned from this forum. Mods can PM me for proof. I will be sending Dr. R an email as well to ask if he operated on a 5'9 individual in 2017, because he told me he only does cosmetic LL on well below average individuals and that is why he denied me.
(http://i68.tinypic.com/2d9qxle.png)
@6FeetSoon I don't know why you did this? Attention? Like what is wrong with you? No wonder there were no pictures posted in this diary.
any updates... this makes me lose hope tbh... i am 177.5cm and wish to add 6-7 cm.
my younger brother and my family members are all giants and i am here stuck as a manlet...
I tried to gain muscle but that only made me look shorter...
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any updates... this makes me lose hope tbh... i am 177.5cm and wish to add 6-7 cm.
my younger brother and my family members are all giants and i am here stuck as a manlet...
I tried to gain muscle but that only made me look shorter...
Seems you need to add a little maturity, and a whole lot of respect to your tact first, instead of inches. You're basically coming in here calling many LLers manlets after enduring a tough surgery to get to a respectable new height.
Those who feel like "manlets" and need more height to feel more fulfilled in life when they're ready 175+ have other issues needing to be addressed first.
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Seems you need to add a little maturity, and a whole lot of respect to your tact first, instead of inches. You're basically coming in here calling many LLers manlets after enduring a tough surgery to get to a respectable new height.
Those who feel like "manlets" and need more height to feel more fulfilled in life when they're ready 175+ have other issues needing to be addressed first.
+1.
He's just another teenager falling prey to all the internet memes "anything under 6 feet is manlet status".
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+1.
He's just another teenager falling prey to all the internet memes "anything under 6 feet is manlet status".
So true myloginacc! So frustrating...
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I figured now that i'm out and walking around NYC, i'd give an update on the psychological aspect of all this.
Short answer: it's amazing.
On paper you know 8cm is a significant height increase, but to be out in a busy city and seeing how you stack up to everyone really adds an air of confidence. Honestly, i haven't stopped smiling. Macy's was super busy on saturday, i had to go there and restock my closet with pants that are the proper length. But the looks you get from the sales ladies at their make up booths trying to sell overpriced mascara to tourists, is flattering. They all sort of gaze up at you and smile. As you all know, i did this as a career move because ladies were always easy to come by, but the added benefit standing up here... yeah i wouldn't give it up for anything: a lovely added bonus.
So what do i think went so right in my procedure.
1) i was flexible, healthy and my starting bone length was sufficient that 8cm wasnt as daunting an amount as it might be for others
2) i stretched early and often post-op. Basically if i wasn't sleeping, i was stretching. All. The. Time.
3) i walked as often as possible with the walker. I really wanted to get my feet under me as soon as i was done, so i put a lot of pressure on myself to make sure i took 100-150 steps daily.
4) i took all the supplements and followed all doctors orders. I'm not the expert, he is, so why would i use my own judgment? Be smart.
Back to my excursions on saturday. I wasn't tired at all, and i was walking around for a good two hours. Again i think this is a result of walking a lot during the distraction process. Even when i was tired back then, i walked. Taking the subway is a more fun experience too. In such close quarters, it's annoying if during rush hour you're in a crowd of people breathing on you because they're all around your height. Now, the air is fresher nearer to the ceiling of the subway car lol.
First photo shoot is friday. Really happy to get my career going again at 6'0+.
-6FS
any updates?
any pics?
What is your wingspan?