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Posted on Jul 20, 2018, 10:55 am
#1

Introduction: Am from Malaysian of Indian origin, trying to increase my height by 7 to 7.5 cms. I have already done 3 cms as of today. Please keep your advice flowing as it would be of great help.


The day before Surgery:

So I knew I had to get admitted to the hospital today for my surgery which is set for tomorrow so that all my procedural tests and pre-ops can be done.  Visited temple for blessing and started my journey for the Hospital via Mr.  Harry's clinic.
Had my mum and pa with me, still was a bit scared of everything now that I was on the other side of the knife.  Being a doctor myself could understand the procedure and everything but still, you do need luck.  As you all know like any other surgery CLL too can come with its own surgical complications. 
You know every human being has a different pharmacokinetics and thus we all react to the treatment somewhat differently. 

So what I had planned for myself was LON considering all the pros and cons of all other procedures.
Got admitted to the hospital around 7 pm.  Had my tests done and after having my dinner slept off.

Day of Surgery:

I was taken for surgical pre-op around 9:30 am and to OT around 11:00 am.  Surgery went normal and everything was fine by God's grace. 
An important piece of knowledge: I chose general anesthesia against doctor's advice and didn't use epidural.  So my first night after surgery was very painful even after use of most potent opioids.
I was really IIIIIn pain, but what kept me from crying out loud was a very caring staff in I. C. U and their constant consoling.  It really helped me overcome my pain.  The most important plank in all this were my parents.

Next day my pain had come down to almost half and was much more bearable.  Thus I was shifted to my private room for my post-op care.  One thing again that I should mention here is that the staff of the hospital was so good to me and my mum, that it made my stay seem more like holidays rather than for CLL.

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Posted on Jul 23, 2018, 2:43 pm
#2

One thing that I found was that having your mother by your side during the initial phase of the surgery has really helped me.  It has really increased my pain threshold to anything like 75% of my normal pain threshold.
Key point is that if you want to avoid using unnecessary painkillers than having someone who really cares for you really hurts a lot.
Whenever I had pain my mother would rub my feet for hours and hours and that really helped in relieving my pain.   So here I want to find the opportunity to thank my super mom really for this and everything.  She is my favorite superhero, so all my pain would be gone just like that.  Love you mum.  I know a child can never repay for all our parents do for us, but still would try my best.  Thanks mom and dad.   Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 23, 2018, 2:52 pm
#3

All this while keeping in mind that pain is a subjective feeling and thus changes from person to person.  It is also a textbook definition.  For example, I might rate a painful stimulus differently than you all or anybody else.  I didn't use any patch after the fourth day of my surgery though I was using iv pcm TDS and Dynapar BD.   
I used Fentanyl pump only for my ICU time.  After being discharged from hospital I used signoflam BD which is quite a general analgesic combination.  Here I want to mention that some previous LLers post their surgeries have used fentanyl patches for a prolonged period of time, which I don't believe is a good strategy but because they don't belong to the Medical fraternity they make such bad choices.  But doctors having a limited choice in their patient's pain management therapy especially in case of CLL and patients being too stubborn to let their doctor take lead here does make for such lousy decisions.  Remember these drugs really take a heavy toll on your liver and kidney which are hugely involved in drug metabolism.  So corporatization can be blamed for this which favors good reviews, even at the cost of patient well-being.   Doctors are led into making such decisions because one bad review which might not be medically true or relevant can destroy your economic prospects.  Thus patients should be more trusting and doctors should be more concerned.

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Posted on Jul 23, 2018, 2:58 pm
#4

Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA



Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 24, 2018, 7:47 am
#5

DAY 3: Today I again met Dr.  Pradeep Sharma and thanked him for his good work.  Also, thanked him for keeping my well-being before any fear of any bad review.  Also met Harry who has helped us a lot during the last 3 days.  He truly is a blessed soul.  It's not mere a financial transaction that plays out here, rather more than that it is the true concern and sincere effort that matters for patients and on that, I would give Harry a 10 on 10.
Now comes evening and with evening comes bladder problem Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA: I had my catheter removed this afternoon but my urine would not just come out.  So they had to insert a thin feeding tube which allowed my urine to pass through.  Had almost 1000 ml of fluid taken out which is huge.

Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 24, 2018, 12:11 pm
#6

Another pic from the hospital.


Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 24, 2018, 12:13 pm
#7

Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 25, 2018, 7:35 am
#8

Day 4: It came with an even bigger bladder problem along with no stool passage.  My bladder was full and full as in 1450ml ml full/ I was afraid it might burst.  I had to go for feeding tube once again.  In the evening I had to ask for an enema to be performed.  Now since it was a Sunday and doctor Sharma had already told me a day before that he might not be available for Sunday morning and if needed I can contact him or duty doctor if any problem occurred.  I now talked to the duty doctor and asked him to consult with doctor Sharma regarding my stool and bladder problem.  Now my duty doctor after consulting about my problem with doctor Sharma came to the conclusion that a feeding tube should be used to empty my bladder for now and later a urinary catheter should be placed until next morning by when my case shall be discussed with specialists of the concerned departments and a final solution should be found out.  Now on my request, my duty doctor permitted me for an experiment which came as an idea during our mutual medical discussion regarding my problem which was that it might just be a simple postural problem.  And guess what it was? Yes, you are right I passed my first stool and much more importantly I urinated all by myself without any tube and believe me the feeling was of an extreme pleasure.    Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA One thing good that came well out of all this was that it kept me from thinking about my surgical pain.  Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 25, 2018, 7:46 am
#9

Actually, I have some relatives in India who did research for me. He has been the lead surgeon on many of Dr. Singari's patients. Plus Harry was a very important factor. I talked to many doctors in India and outside but he understood the process of recovery well. Because after surgery recovery is what matters the most. Not many Physiotherapists understands the needs of an LL patient. Since I am from medical fraternity and understand the insiders deal well thus I came up with this decision.

I have already extended more than 3 cms now, so pain isn't much of an issue now.  Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA
I mentioned about this at the beginning of my diary. Thanks for all the support Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA

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Posted on Jul 25, 2018, 7:23 pm
#10

In total, I paid USD 14000 for surgery and three months stay inclusive of X-rays and food.

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