I would like to ask if the patient can make some preparations before the operation to avoid fat embolism. For example, light diet, vitamin C supplementation, reducing body fat rate and so on. I know that in many ll cases, only a few fat embolism will occur. I don't want to be the unfortunate one. I want to try my best to make myself successful
But I'm still scared. According to the comments on the forum, Dr. giotikas should be a very good and experienced doctor, but the tragedy still happens to his patients, including I heard that some of Betz's patients also die. Is it because their ability is not enough or just because of bad luck? Because Dr. Lee, Dr. Paley and Dr. A, which seem to be more top doctors, have no death cases or even serious consequences
2021 Surgery of Femur Greece GNail Giotikas
Quote from: alwayslucky on December 04, 2021, 04:12:32 AM.... Such a tragedy should not come to such a self disciplined and active person. At the same time, I am afraid that there may not be a specific reason for such a tragedy, such as the hospital or whose fault, but it seems that there is no such reason now, What I fear most is that this tragedy is just because our brother is unlucky, because if so, this tragedy may come to anyone, and it may not be avoided no matter how hard we try. Can someone give us a reassuring explanation？…
Grieve for him again…
Imo, the only reassurance is that it is very rare to happen. Choose a good doctor that you trust, stick to their advice, discuss openly all yourconcerns and symptoms,exercise within reason, eat well and stay hydrated.
I discovered recently that too much exercising or dehydration could also cause clots and PE.
https://www.dailymail.co.uk/health/article-2040580/DVT-I-developed-life-threatening-blood-clot-I-exercised-TOO-much.html
https://www.stoptheclot.org/about-clots/athletes-and-blood-clots/
Quote from: alwayslucky on December 04, 2021, 07:53:06 AMI would like to ask if the patient can make some preparations before the operation to avoid fat embolism. For example, light diet, vitamin C supplementation, reducing body fat rate and so on. I know that in many ll cases, only a few fat embolism will occur. I don't want to be the unfortunate one. I want to try my best to make myself successful
But I'm still scared. According to the comments on the forum, Dr. giotikas should be a very good and experienced doctor, but the tragedy still happens to his patients, including I heard that some of Betz's patients also die. Is it because their ability is not enough or just because of bad luck? Because Dr. Lee, Dr. Paley and Dr. A, which seem to be more top doctors, have no death cases or even serious consequences
If you read previous posts you will see that Paley had his fair share of fat embolisms in the past, which proves that it can happen to anyone. I also think that the more cases you do the more the chances statistically of something going wrong. From that prespective, rare things are more possible to occur in more experienced doctors who do more cases and maybe more complex cases. I dont think that Betz, Lee and A do as many LL cases as Giotikas does, and certainly not as many as Paley!
Yes, I've seen that post, but Paley handled it well and the patient finally recovered. I think it also reflects his good ability.
And thank you for your advice! Although this seems a very disturbing fact, we may all need to gamble with fate
1 in 7000 chance of death from PE. Giochet has done 700 cases and has had 1 known death. Giotikas probably far fewer cases and has had 1 known death. Paley probably way more but no known deaths (I think?)
We should get stats from Betz. If even he has had deaths then maybe the clicking mechanism MIGHT have something to do with it.
Quote from: Arcon on December 04, 2021, 07:35:37 AMHi, I don’t know which doctors you are referring to, but the doctors I know do not present LL as “ unpredictable”. Giotikas said that dying from PE and fat embolism is a rare but real possibility. like 1 in 7000-10000 cases. Now if you think for a moment that that there have been 2-3 deaths from PE and another few cases of fat embolism in the last let ‘say 10-15 years, and there are maybe 1000-1500 LL surgeries done par year then the numbers do add up and make sense. This not unpredictable imo.
You don’t know the type of complains the died patient did. Maybe they were completely irrelevant to PE. Most of Giotikas’s patients say that he is always very responsive to provide solutions to patient’s concerns, problems etc. Afterall PE is not something that you have for weeks in your body before it decides to kill you. It happens within hours or a couple of days.
A verdict of an independent scrutiny would never use words like “very good, excellent, fantastic etc” they use terms like “ satisfactory- non satisfactory/ acceptable non acceptable etc”. You need to interpret these terms literally and binary. If they didn’t find anything I tend to believe that the incident was unavoidable or random or within statistics.
The informed consent process is very important in the West. It is one thing if you have a complication during a treatment as a doctor and a whole different story if you haven’t informed the patient about this possibility when you were discussing the treatment. Giotikas is a UK trained surgeon so this is inside him now.
I understand that you hate Giotikas but systematically defaming him based on your personal explanations of unproved facts is unethical, or at least wrong. I believe that you would be more relactunt to do it if for example giotikas was working in the same country with you and could sue you for professional defamation.
All your points makes sense to me but as you said ,the patient complaint might have not been related to PE as they might have .
I was not there and you were not there either .
Also , former patients said he had no clue of the ratchet mechanism...how do you perform a surgery on people like that ?
Another said the PT damaged him .
Some say something and some the opposite but they all agree that he had not clue about the mechanicm and that the guy complained and no one cared ;not my words but about patients at the hospital .
As I said ,I don't think giotikas did all he could to save him and I think this is kinda clear because he did not dide under treatment but untreated (as far As I read so far) .
I don't hate giotikas but as guichet has a death case and got demonized for the same exact kind of death , I don't understand why giotikas earned a better treatment after the same scenario .
Guichet also crippled a girl and we all agree he is to avoid , but I don't see giotikas any better ;
Several patients said he suggested a lenghetning of 1.33 (one was for fear of pre cons but the other was totally fine and got suggested so and he stated he still did 1mm and ended up fine ,but not thanks to giotikas) .
We are here to speak freely and I always say "my opinion" and I don't put them out there as universal rules ,but facts are facts and the one I mentioned above are not my words but current patients that might be hiding also something because still under treatment .
So it is not correct as well to come at me and say that I have no facts because if u scroll through recent posts and topics all I said has been said by current patients not my assumptions.
You are free to make your choiche , I just don't understand why some of you defend him even if he did not display any particular care or skill out of ordinary .
Quote from: Arcon on December 04, 2021, 08:04:44 AMIf you read previous posts you will see that Paley had his fair share of fat embolisms in the past, which proves that it can happen to anyone. I also think that the more cases you do the more the chances statistically of something going wrong. From that prespective, rare things are more possible to occur in more experienced doctors who do more cases and maybe more complex cases. I dont think that Betz, Lee and A do as many LL cases as Giotikas does, and certainly not as many as Paley!
Giotikas literally became famous this couple past years .
So maybe right now with the wb nail he is doing more but total amount no way he has more then Lee or Paley .not a chance .
And you also proved my point in a certain way :
-Paley and Lee 0 death cases in a long lasting career with lots of CLLs
-giotikas literally just started doing CLL with many patients and look at the outcome he just had .
Am I wrong ?
Was he famous 10 years ago? Or 5 ?
Actuall question cause I saw posts about him literally just 1 or max 2 years ago .
Anyway no way he has more cases then 2 doctors like Paley or Lee , not a chance.
I don't want to start a "beef"with you but I hope this can be a constructive argue even with totally different opinions .
Guys we need to find such statistics from all surgeons before assuming anything. How many cases has each surgeon done, how many cases of PE and then death.
for Betz, Paley, Assayag, Rozbruch, and so on
Quote from: AppleFanBoy on December 02, 2021, 04:27:40 AM@LU213 whatever you do in life, do not become a lawyer. Your interpreting skills and conclusions need some serious work. Leave opinions/emotions aside and stick to logic. Using a dead person comically to raise a point is the most childish thing I’ve seen on this forum by far and overall says a lot about your maturity. This must be the difference between paying for your own surgery vs someone’s parents paying for their surgery. I initially wasn't going to bother but crossed the line like a kid with a tantrum. Do you even read what you write? Jesus
Have you used any of the nurses services? Nurses were mainly with their uniform and extremely competent. You have no idea what you’re talking about if this is the judgement you perceive on the nursing team. Make some money for your self first and then come back to this forum because it’s the only way I see it making you an adult, fellow American.
P.S. We can see your edit.
If by uniform you mean the "Cheap Slutty Nurse Uniform- collection 2021", so yes, they wore the uniform to the letter.
Although again, if you want to have access to those kinds of services while having your bandages changed by a junior college student, the role couldn't be more realistic.
Now, if you are an intelligent person who is conscious about the risks or this surgery, and you're looking for a professional and qualified team and service, with a head nurse who really knows what she/he is doing, then I would look elsewhere.
There is no way in hell I would put myself in the hands of the same team of nurses under whose command a patient has died, for one reason or another. Especially not with the head nurse.
And for the record, if a nursing professional accepts money from her patient to go take pictures of him, or take him to the movies hand in hand, explain to me what kind of nursing job she is doing for him.
If you are looking for escort girls who play being nurses, this is your team.
If you're looking to go home alive after this surgery, is not.
But it's your life, in the end you decide what value you put on it.
Not a patient from here, but I just remember reading in another patient's diary (LU213) that he was asked to turn to the side and throw up on a piece of cloth or something they put on the floor during his hospital stay and his family members helped clean up. That was quite questionable. He even put a photo of this arrangement on his diary.
But commenting on their clothes is not appropriate. If it's the uniform there, then it's the uniform. Cultures are different and we should not comment on such things. It is unfortunate that they don't get to wear comfortable clothing like nurses in the US but if it's the norm, we should not blame the nurses for this.
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