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Posted on Mar 3, 2016, 8:13 pm
#731

Quote from: OregonMade on March 03, 2016, 04:53:38 PMI take fentanyl patches mixed with a little bit of Hashish, and I go to sleep, and sleep like a baby.  I have everyday since my surgery.  The hashish was right after I left the hospital though.  I plan on switching to Coconut oil hash oil for sleep.  I am from US, and we believe Marijuana to be a healthier alternative to pain.  And sleep problems.

Weed probably would have helped with pain, but if you do lengthening in Mumbai you'd need some sort of connection to help you get it. I know for sure the hotel management wouldn't get any for me and the hospital definitely wouldn't if you asked them. At most it's some NSAID in the first couple weeks and then you're moved to a light pain medication. It's possible that prolonged use of NSAIDS can negatively affect bone healing and Dr Parihar doesn't like to give out anything that can affect your mental state too much, like norco or morphine. I do like that prescription drugs are very inexpensive in India. Spent maybe $40 on them for my entire stay, IIRC.

Quote from: OregonMade on March 03, 2016, 04:56:52 PMI just start distraction like 4 days ago.  I was able to walk just fine.  But Now when ever I walk, my bones pop right around the area of where the bones broke, so it has made me skeptical about walking, and fearful of it. 

I am doing it with Dr. Dhawan. 

Is Dr Dhawan telling you to walk? When I consulted with him he told me that I should not make myself walk during distraction, but once lengthening is complete he'd encourage gradual weight bearing depending on the bone strength. From my own experience, I don't think forcing yourself to walk early is all that beneficial, and if you accidentally fall (which I did a couple times) it could cause problems. A lot of stretching and physio exercises would benefit, and to help prevent equinus you should wear the foot splints and stand as much as possible with your back against a wall to prevent your hips from sticking back and minimizing the stretch.

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Posted on Mar 3, 2016, 10:23 pm
#732

So I've received a couple messages regarding concern over the shape of my tibiae. I decided to post my response here because it would likely be something others are curious about. Below from left to right is a closeup of my tibiae on my pre-op x-ray, the final x-ray for the right tibia and the final x-ray for the left tibia. I rotated the latter two using lunapic and they may not be perfectly straight up, but it's close enough I think.

No More Mal-Kahn-Tent - External Tibias - Dr Parihar No More Mal-Kahn-Tent - External Tibias - Dr PariharNo More Mal-Kahn-Tent - External Tibias - Dr Parihar

You'll notice that my tibiae are not straight like a nail and have a bend to them. I was a little curious about it after my first x-ray, but I didn't pay much attention to it. After I received more than one message asking about their shape, I started to wonder why neither Dr Parihar or my local ortho, or any of the radiologists who saw my x-rays said anything about something that was clearly noticeable to others. I e-mailed Dr Parihar and Dr Paley about this, pointing out that my tibiae aren't as straight as other people's in x-rays I have seen, and asked if the curves could be an issue later down the line.

The response from both of them is that a bend in the tibia like seen in my x-rays is a normal variation. They do not cause functional issues or increase the risk of arthritis, etc. Tibia alignment is what matters, not the straightness of the tibial shaft. As long as the center of the femoral head, knee, and ankle are in one straight line in a standing x-ray, and the knee joint and ankle joint are more or less perpendicular to the floor, bends in the tibia are no problem. I was sent x-rays of other cosmetic patients with tibiae of similar shape, confirming that it's not uncommon.

A tibia shaped like mine does affect whether or not a patient qualifies for doing LON, however. A tibia with a bend similar to mine is in many instances unable to accommodate the nail used in LON and prospective LON patients have been told for this reason that they can only do externals.

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Posted on Mar 4, 2016, 6:24 pm
#733

Realized above I put "the knee joint and ankle joint are more or less perpendicular to the floor". That's incorrect. I should have said "parallel to the floor".

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Posted on Mar 7, 2016, 12:50 am
#734

I actually just looked at my current X-RAY and your old X-RAYS and compared them both to your new X-RAY and it actually looks fine. I was one of the worry warts who thought it looked bent at first but it's not bent at all from what I can see. And your walking seems fine.

Paley and Parihar definitely would know a bent bone when they see one, so if they say it's fine then it's fine!

Hope you've been recovering well KIlokahn!

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Posted on Mar 7, 2016, 4:23 pm
#735

Normal variation indeed. Nothing to worry about, KK.

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Posted on Mar 13, 2016, 5:50 pm
#736

Going skydiving in a half hour. Will let you guys know if my legs withstand the landing lol.

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Posted on Mar 13, 2016, 6:40 pm
#737

Quote from: KiloKAHN on March 13, 2016, 05:50:53 PMGoing skydiving in a half hour. Will let you guys know if my legs withstand the landing lol.

Sounds great!

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Posted on Mar 13, 2016, 7:35 pm
#738

don't lose any height from the landing.

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Posted on Mar 13, 2016, 8:35 pm
#739

Quote from: KiloKAHN on March 13, 2016, 05:50:53 PMGoing skydiving in a half hour. Will let you guys know if my legs withstand the landing lol.
Good luck man.Where will you do it?Please tell us what it feels like,i really want to do it someday No More Mal-Kahn-Tent - External Tibias - Dr Parihar

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Posted on Mar 13, 2016, 8:40 pm
#740

Quote from: KiloKAHN on March 13, 2016, 05:50:53 PMGoing skydiving in a half hour. Will let you guys know if my legs withstand the landing lol.

no way dude! as per crimson, youre supposed to have a bad outcome. youre not even supposed to be walking. kek  No More Mal-Kahn-Tent - External Tibias - Dr Parihar only elites can do those


anyways goodluck man

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