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Author Topic: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update  (Read 5201 times)

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KiloKAHN

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Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« on: January 29, 2016, 07:26:22 PM »

Doctor information and response from Dr Jamal A. Nemer, located in Kiev, Ukraine. Contact for specific information and latest updates.
*Previous Discussion Thread: http://www.limblengtheningforum.com/index.php?topic=62.0
Note: Please refer to our disclaimer about The Doctors Directory http://www.limblengtheningforum.com/index.php?topic=55.0




1) How many patients have you operated for cosmetic limb lengthening so far and how many patients do you operate yearly on average?
I have over 25 years of experience in this field and I use the technique of intraosseous osteosynthesis, applying driving devices for femurs (hips) and tibias (shanks) using the latest Jamal Nail (JN) developed from the Bliskinov Nail and Dragan-Bliskinov Nail. Limb lengthening programs (pairwise lengthening) by internal methods provide a solution for patient’s social-adaptive problems (relative stunting). The nails have been implemented in over 90 patients by Jamal Abu Nemer M.D., Ph.D. The numbers of patients year to year greatly vary, but recently it has been around 12 a year.

2) What is the estimated total cost?
Bi-lateral femur lengthening with 3 months room & board starts from $46,500 USD.
Bi-lateral tibia lengthening with 3 months room & board starts from $52,000 USD.

The prices shown include 3 months stay at the recovery center which includes all meals, transportation, medication, assistance and any complications that will need additional surgery. Our pricing is designed to be clear and allow the patient to not worry about finance throughout the lengthening period.

Prices may vary depending on the bespoken program for each patient. A Skype or in person consultation will be provided to prospective patients to diagnose and provide a more accurate estimate of the costs and requirements before surgery.

3) What kind of physical therapy is assigned to the patient at your center?
Since the Jamal Nail is fully weight bearing, this allows the patient to move freely with crutches. I promote my patients to stay active on a stationary bike, stand for brief periods throughout the day on a walker, and practice moving on crutches. A physiotherapist is also assigned to each patient so muscle flexibility and strength is thoroughly maintained.

Walking (on crutches) is vital for a quick recovery. The nails are fully weight bearing so it can handle normal daily activities such as walking, light yoga, and general activities to remain independent that require short walking distances. My opinion is to have a fun activity each day socialising and taking part in activities such as cooking with friends and going on short trips with a driver to enjoy fresh air and keep spirits high. This is just as much a psychological recovery as a physical one.

4) What are your most important priorities for your patients?
My most important priority is for my patients to be: safe and minimize risk as much as possible; keep scars to an absolute minimum; and keep the comfort and well-being of the patient for fast regeneration and recovery.

5) What is the difference between the Bliskinov Nail and the Jamal Nail?
Dr Bliskinov and I have always developed the internal nail for strength and comfort. My Jamal nail reduces the incision sight of the hip area, and has a smaller construction to make the internal device much more comfortable in the hip area but at the same time being more stable.

6) How often will you follow up with patients during lengthening?
I visit very regularly – almost every day, and make sure everything is in the best condition.

7) What maximum amount of lengthening do you recommend per segment, regarding patient safety? What is the daily rate of lengthening?
Optimum value of the lengthening: 6.5-7 cm for femurs and 4.5-5 cm for tibias. Maximum "hard" program: 10-11 cm for femurs and 6-7 cm for tibias. There is a big resistance of Achilles tendon after 4.5-5 cm of tibia lengthening and there is a big resistance of the hip muscles after 6 - 7 cm of femurs lengthening.

8 ) How fast can patients return to normal life (walking without support)?
The period of basic recovery after the lengthening (lasts for 6.5-7 months after the devices were disconnected). The period is characterized with gradual restoration of the stretched muscles functions and regaining the stereotype of walking. At this point, bone regenerative process reaches the level which makes it possible to expose the legs to some load (forces) without using any outer supports (such as crutches, walking stick). At the beginning of this period, the patient can drive a car.

Toward the end of the period, the patient can resume his/her work (study) if it does not involve putting excessive forces (load) on the patient’s legs. The period of sufficient recovery is from 7 months up to 14-15 months from the moment of disconnecting the devices. The period is characterized with further bone consolidation and restoration of muscle functions to the condition which would allow to remove the devices from the bones and expose the legs to usual (not sports training) load (forces).

Contact Information:
Website
http://www.orthopedicjamal.com/

E-Mail
OrthopedicJamal@gmail.com

Office Address
Solomianska Street, 11A,
Kiev, 03110,
Ukraine
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Surgery performed by Dr Mangal Parihar at Mangal Anand Center for Limb Lengthening & Reconstruction. http://www.limblengtheningforum.com/index.php?topic=634.0
Pre-surgery height:  164 cm (Surgery on 6/25/2014)
Post-surgery height: 170 cm (Frames removed 6/29/2015)

Deads

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #1 on: January 30, 2016, 01:49:23 AM »

Wow. Actually sounds good... Phenomenal prices. The fact that everything is included is definitely a load off of anyone's mind.. The best part is the weight bearing aspect.

Are there any diaries with Jamal?
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KiloKAHN

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #2 on: January 30, 2016, 02:16:12 AM »

I think there are four on the old forum. 5 if you count one who did it with Dr Dragan and Dr Jamal in 2007.
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Surgery performed by Dr Mangal Parihar at Mangal Anand Center for Limb Lengthening & Reconstruction. http://www.limblengtheningforum.com/index.php?topic=634.0
Pre-surgery height:  164 cm (Surgery on 6/25/2014)
Post-surgery height: 170 cm (Frames removed 6/29/2015)

Deads

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #3 on: January 30, 2016, 03:21:12 AM »

I think there are four on the old forum. 5 if you count one who did it with Dr Dragan and Dr Jamal in 2007.

Okay. I dont want to join the old forum. 1 forum is enough for me haha.. In a nutshell, do you recall the overall satisfaction of his patients?
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Alittletooshort

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #4 on: January 30, 2016, 03:27:24 AM »

Okay. I dont want to join the old forum. 1 forum is enough for me haha.. In a nutshell, do you recall the overall satisfaction of his patients?
Some people struggled with recovery or a non-union (Emmanuel was his name if I remember correctly). I read that it has something to do with the materials used to produce the nail, apparently they slow down the bone growth.
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Dr.Jamal.A.Nemer

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #5 on: January 31, 2016, 10:45:45 AM »

Thank you for the update, KiloKAHN!

Dear Alittletooshort, regarding the non-union situation, I would invite all my former patients to write candidly about their experience and recovery. In the case of Emmanuel, his recovery was indeed slow, however it was was not considered non-union in any way. Although, because I care about my patients mentality and psychological recovery also, I provided a free bone graft to ease any doubts about regeneration. I promise all my patients my best personal care, and at no extra cost.

Dear Deads, thank you for commenting on my prices which I think is important. Since I have now my own independent establishment, I am in much more control over patient experience quality as I want my patients to all have the best experience.

One of my goals is to make sure external limb lengthening is a thing of the past as I feel it is antiquated technology causing unnecessary burdens on the patients (especially external LL for femurs causes far too much suffering). I would invite members to open up a discussion about if my price of 46,500 USD for internal limb that includes 3 month room and board, makes external lengthening obsolete for patients with money concerns?

Best regards,
Dr Jamal A. Nemer

edit: repeated website url/email
« Last Edit: January 31, 2016, 01:07:05 PM by Admin »
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Nightwish

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #6 on: February 06, 2016, 09:28:52 PM »

One of my goals is to make sure external limb lengthening is a thing of the past as I feel it is antiquated technology causing unnecessary burdens on the patients (especially external LL for femurs causes far too much suffering). I would invite members to open up a discussion about if my price of 46,500 USD for internal limb that includes 3 month room and board, makes external lengthening obsolete for patients with money concerns?

In my opinion no.

Whilst you are offering good rates in comparison to other internal LL options, $46,500/ £32,000ish is still a hell of a lot to pay in real terms. Average UK wage is around £26,500 and for younger people (20s - early 30s which I get the impression is the main demographic for LL) that wage will be less - doesn't include tax either. It's a hell of a monetary commitment which is why you have people making questionable choices in regards to their destination for surgery. If someone has money concerns but is dead set on this I would imagine external would always be the more attractive option unless there was a crazy large crash for the price of internals.

I also have a question about point 8.

You say work/ study can be resumed towards the end of the period of basic recovery, providing there were no complications, what is the reason this can not be achieved sooner?
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insearchofanswers

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Is Dr Jamal honest?
« Reply #7 on: November 03, 2016, 01:33:14 AM »

Is Doctor Jamal honest? Some people say one of his patients here Purrfection was a fake. Is that true?
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onemorefoot

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Re: Is Dr Jamal honest?
« Reply #8 on: November 03, 2016, 04:03:52 AM »

Yes, he is honest, but price will raise the coming years, so is not very affordable. You can see, 3 years before it was like 38 k usd and now 46 k usd, it has raised a lot.
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Budget will determine my future.

BiggestProblem

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Re: Is Dr Jamal honest?
« Reply #9 on: November 03, 2016, 09:20:41 AM »

Sweden said he doesn't let you meet other patients, so I am not sure.
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I am no longer sure of what my plan is. Surgery will happen summer 2017 tho.

onemorefoot

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Re: Is Dr Jamal honest?
« Reply #10 on: November 03, 2016, 07:42:23 PM »

I read two of his patients had problems with bone healing, is very strange, I mean is a possible complication but two that almost did the surgery at the same time??? Maybe full-weight-bearing is not good during bone growth or can be just a coincidence, at this point I hardly believe in coincidences.
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insearchofanswers

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Re: Is Dr Jamal honest?
« Reply #11 on: November 03, 2016, 08:41:58 PM »

Bone healing depends on the surgeon and the device but also on the patient. I don't know who is to be blamed in these cases.
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insearchofanswers

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Re: Is Dr Jamal honest?
« Reply #12 on: November 03, 2016, 08:42:34 PM »

It's the fake diary issue which worries me
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insearchofanswers

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Re: Is Dr Jamal honest?
« Reply #13 on: November 03, 2016, 08:48:22 PM »

Bone healing depends on the surgeon and the device but also on the patient. I don't know who is to be blamed in these cases.

Doing my homework

http://www.limblengtheningforum.com/index.php?topic=1140.0
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Whimsical

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #14 on: November 14, 2016, 01:11:05 AM »

This surgeon seems a good choice for me. I would like to have LL in Europe. Would you recommend him? 46k is not very expensive since it includes accomodation, all meals, transportation, medication, assistance and any complications that will need additional surgery. He seems to care about his patients.
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onemorefoot

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #15 on: November 14, 2016, 05:53:18 AM »

I would recommend you saving more money and go for precice2 with Birkholtz or Parihar.
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apoxyomenos

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #16 on: November 14, 2016, 03:18:04 PM »

I can not disagree with onemorefoot. It's your health, man. There are, as stated by KiloKAHN, only 4 diaries regarding dr. Jamal, and with some kind of problems as above indicated. If the numbers of diaries were higher and with good results, it would be an option to evaluate.
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onemorefoot

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #17 on: November 14, 2016, 08:43:07 PM »

Yes, there are problems with bone healing with most of them, genetics??? Hmmm. Make a choice not for price if not for safety.
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Bander72

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #18 on: November 14, 2016, 09:10:13 PM »

Safety is always the most important thing, even if it hurts us in the wallet.
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Whimsical

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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #19 on: December 12, 2016, 04:37:39 PM »

Dr Jamal is my best internal option money-wise but if you think he isn't good enough... I will think twice.
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Re: Dr Jamal A. Nemer (Kiev, Ukraine) 2016 Update
« Reply #20 on: May 19, 2017, 04:44:04 PM »

Why does nobody update information about this doctor?
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