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Posted on Jul 25, 2017, 12:54 pm
#591

Having had LL with him myself...I don't think Guichet is a bad doctor or surgeon. When I did my LL, I saw many patients who had fantastic results, including a guy who did 9cm in one go and was walking fairly normally about 8 months post-op. Granted, he was super young (young 20s), but he was doing fine. I saw many female patients who did really well, including two who were on their second femur LL (to re-break the femur, and get more height)! He has had many success stories, and I think is still among the best (Guichet, Rozbruch and Paley). I'm not sure about Rozbruch (but he removed a screw for me, and I love him personally), but I know Paley has been seen as arrogant and has had complications as well.

All that said...I definitely do think he is arrogant, impatient and disorganized/scatterbrain-ish. The main issue with him I think is that he operates in two different countries. I remember I wanted to stay in Milan, but after the pre-training, had to do the actual surgery and recovery/clicking in London. He visited me a few times, but I'd be lying if I said I didn't feel abandoned by him at times. I know I was under the care of the isokinentic center (and the doctors and PTs there were fantastic), but it wasn't the same not having the actual surgeon who did the surgery on you readily available.

I still don't regret going to Guichet. The weight bearing nail was what enabled me to do what I did and get back to work ASAP without effing up my career. However...if American doctors start using a weight bearing solution...then it would be a lot harder to recommend Guichet, unless one lives over near where he operates.

I said it once a while back and I'll say it again...LL is like a box of chocolates...you really never know entirely what you're going to get. The more prepared you are and the better doctor you go with minimizes the probability of issues...but never entirely. And people need to remember that. Some doctors are better than others, but no doctor is immune from complications, and sometimes patients themselves screw things up (which isn't the case of Unicorn, but just saying). You are never guaranteed an easy ride, and most doctors (including Guichet, who you have to give credit for the fact that he makes you read about the risks and really know what you're getting into) will straight up tell you this. Even Paley says to have like $30K extra saved in the event of complications/follow-up surgeries, etc.

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Posted on Jul 25, 2017, 8:27 pm
#592

The saddest thing is all surgeons who do CLL have loose ethics: Guichet and others. All nails have disadvantages but Precise seems the best option so far. Fitbone doesn't allow reverse lengthening either, a big problem in non union. After LL my advice is don't do LL because you can be lucky but most people have problems and some people are truly unfortunate and will suffer sequels for life.

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Posted on Jul 25, 2017, 9:18 pm
#593

Why do you Think that ? Did you have bad outcome ? Alot of People Are Happy with ll

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Posted on Jul 25, 2017, 11:36 pm
#594

I had a bad outcome and I met many people with bad outcomes and some crippled for life. Some of them don't accept it. I'm happy Unicorn888 is the good direction

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Posted on Jul 26, 2017, 12:48 am
#595

Quote from: YellowSpike on July 25, 2017, 12:54:00 PMHaving had LL with him myself...I don't think Guichet is a bad doctor or surgeon. When I did my LL, I saw many patients who had fantastic results, including a guy who did 9cm in one go and was walking fairly normally about 8 months post-op. Granted, he was super young (young 20s), but he was doing fine. I saw many female patients who did really well, including two who were on their second femur LL (to re-break the femur, and get more height)! He has had many success stories, and I think is still among the best (Guichet, Rozbruch and Paley). I'm not sure about Rozbruch (but he removed a screw for me, and I love him personally), but I know Paley has been seen as arrogant and has had complications as well.

All that said...I definitely do think he is arrogant, impatient and disorganized/scatterbrain-ish. The main issue with him I think is that he operates in two different countries. I remember I wanted to stay in Milan, but after the pre-training, had to do the actual surgery and recovery/clicking in London. He visited me a few times, but I'd be lying if I said I didn't feel abandoned by him at times. I know I was under the care of the isokinentic center (and the doctors and PTs there were fantastic), but it wasn't the same not having the actual surgeon who did the surgery on you readily available.

I still don't regret going to Guichet. The weight bearing nail was what enabled me to do what I did and get back to work ASAP without effing up my career. However...if American doctors start using a weight bearing solution...then it would be a lot harder to recommend Guichet, unless one lives over near where he operates.

I said it once a while back and I'll say it again...LL is like a box of chocolates...you really never know entirely what you're going to get. The more prepared you are and the better doctor you go with minimizes the probability of issues...but never entirely. And people need to remember that. Some doctors are better than others, but no doctor is immune from complications, and sometimes patients themselves screw things up (which isn't the case of Unicorn, but just saying). You are never guaranteed an easy ride, and most doctors (including Guichet, who you have to give credit for the fact that he makes you read about the risks and really know what you're getting into) will straight up tell you this. Even Paley says to have like $30K extra saved in the event of complications/follow-up surgeries, etc.

He can be as agorant as he wants but his technical skills should have alerted him that something was going wrong. This is not a recent issue it has been a ongoing one with unicorn. And of course he would have good cases theres nothing proven with that. If a doctor had a 100% reputation of fning up eveyone no one would go. As said before though for the money he charges, more attetion to detail should be expected from him.

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Posted on Jul 26, 2017, 1:21 am
#596

Quote from: realpatient on July 25, 2017, 11:36:09 PMI had a bad outcome and I met many people with bad outcomes and some crippled for life. Some of them don't accept it. I'm happy Unicorn888 is the good direction
Who was your doctor? I think you should take the risk, Many people have good outcomes.

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Posted on Jul 26, 2017, 1:58 am
#597

Guichet is spread thin so he caught the fracture late but if you look at her x-rays, you have to give him credit for not having to plate her or screwing her latter surgeries up further. His nail is another story and maybe should be discontinued from the pain and trauma it causes pts but I still believe he has too many yrs of experience under CLL to be a bad surgeon, that is what is meant "technically". He did afterall present her with a viable solution to the initial fracture after the problem was revealed. It just took him long to execute it, which is a bad judgment on his part. This doesn't mean I'm vying for anyone to hop onboard to do LL with Guichet or his nail, I don't think anyone with any ounce of sensibility and research will go to him after knowing what Unicorn had to endure in her journey.

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Posted on Jul 26, 2017, 4:00 am
#598

Quote from: cobalt on July 26, 2017, 01:58:09 AMGuichet is spread thin so he caught the fracture late but if you look at her x-rays, you have to give him credit for not having to plate her or screwing her latter surgeries up further. His nail is another story and maybe should be discontinued from the pain and trauma it causes pts but I still believe he has too many yrs of experience under CLL to be a bad surgeon, that is what is meant "technically". He did afterall present her with a viable solution to the initial fracture after the problem was revealed. It just took him long to execute it, which is a bad judgment on his part. This doesn't mean I'm vying for anyone to hop onboard to do LL with Guichet or his nail, I don't think anyone with any ounce of sensibility and research will go to him after knowing what Unicorn had to endure in her journey.

Precisely why he should not have acted late if he was using his "technical skills".

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Posted on Jul 26, 2017, 4:10 pm
#599

I think in the new version of Fitbone you will be able to reverse lengthen.

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Posted on Jul 26, 2017, 4:13 pm
#600

Quote from: realpatient on July 25, 2017, 11:36:09 PMI had a bad outcome and I met many people with bad outcomes and some crippled for life. Some of them don't accept it. I'm happy Unicorn888 is the good direction
So you actually are a real patient, realpatient?
Would you tell us which doctor?
You are talking a lot about Monegal, but it could not be him, because every person who had a surgery with him, talks very positively about him, including Musicmaker.

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