Big D is Growing - PRECICE 2 Internal Femurs - Dr. Paley

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F**k a duck! Hope he recovers well.

When a bone has prematurely consolidated, is this mostly the fault of the doctor for not monitoring properly or it's just each patient's uniqueness (unforeseen)?

Quote from: kusop on February 17, 2014, 10:18:18 PMoh.. amatans had his surgery to rebreak the osteonomy site. He also wrote that his leg is now lengthening again but hes knee has swollen and its severely numb to the point he's afraid he wont walk again. He regretted LL.

I believe he is just freaking out or having some kind of mood swing.

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Quote from: mediocre on February 17, 2014, 10:21:22 PMF**k a duck! Hope he recovers well.

When a bone has prematurely consolidated, is this mostly the fault of the doctor for not monitoring properly or it's just each patient's uniqueness (unforeseen)?
I think its both.
In this case Dr.Lee actually spotted upcoming premature consolidation and told him to distract faster. Maybe he should have seen in earlier with more frequent x-rays.

I am sure I read somewhere that the reason girls usually have higher success ration than men in LL is because of their lack of muscle mass in the tigh. Having flexible muslces are good for LL, but having packed too much muscles will cause greater force against distraction meaning internal patients have harder time clicking/precice lengthening.

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Did he actually spotted premature consolidation or unequal distraction?

Yeah, it makes sense about the girls' higher success.

Quote from: kusop on February 17, 2014, 10:26:19 PMI think its both.
In this case Dr.Lee actually spotted upcoming premature consolidation and told him to distract faster. Maybe he should have seen in earlier with more frequent x-rays.

I am sure I read somewhere that the reason girls usually have higher success ration than men in LL is because of their lack of muscle mass in the tigh. Having flexible muslces are good for LL, but having packed too much muscles will cause greater force against distraction meaning internal patients have harder time clicking/precice lengthening.

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Bd,
On your doctors comparison I agree on most part except on dr. Jamal. I do think he has good results. Alihan and one before him are doing well. Emanuel has weak callus formation but that is hardly a surgeon fault. The callus formation are independent to patients variant. He is walking good and I am sure he will do well. Ocean is doing great so far.

In addition he has done over 50, I think 57 to be accurate CLL. Went to same university and practices on same hospital where two late pioneer CLL doctors (bliskunov & dragon) used to work. They both invented IM nails and dr. Jamal upgraded to his own version call jamalov nail. The nail is full weight bearing made of titanium and only requires two nails instead of four. He also did his PhD thesis in internal tibia. I think professor jamal is a great caring doctor and works in institution where they have done over 500 CLL surgeries. Sometime I think he is not getting enough credit he deserves.

His 15 years of experience also speaks for itself. He and dr. Birkholtz are top two up and coming CLL doctors. This is my opinion and wanted to share with you all. I welcome any comments and criticism.

FYI- these are the two doctors I am thinking to go with but still undecided.

Best,
Cooper

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Cooper, I agree wholeheartedly with you.  My major concern is the nail he uses.  He's had a problem twice with the clicker not working properly, which is why emanuel needed a second surgery to correct this issue.  emanuel may have not needed to be in a wheelchair for so long if it wasn't for this second surgery.

Also, Ocean posted recently that his clicker wasn't activating properly which Dr. Jamal has said he will correct in his second surgery.  Those two cases are mostly concerning to me.  I am rooting for Ocean to do really well, because that might make Dr. Jamal a viable option again to me.

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Why do you think that the more extreme leg lengthenings 8cm+ have all been achieved by albizzia clicking type nails while it seems even with precise 2 getting to 6-8 has been a major struggle for so many patients?

I think Leechlet originally wanted Guichet because of the potential for 10cm.

I may be mistaken but it seems Betz has two things in common: 1) the highest lengthenings in the diaries 2) ... the most titanium nail replacements ..

Why hasn't there been as many titanium nail replacements for precise than as for albizzia type nails (gnail, betzbone)?

What are your thoughts on the civil unrest in Ukraine?

Do you believe that going from 5'6 (or was it 5'5...) to 5'8 will be life changing for you?

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Quote from: kneehowguys on February 22, 2014, 12:04:43 PMWhy do you think that the more extreme leg lengthenings 8cm+ have all been achieved by albizzia clicking type nails while it seems even with precise 2 getting to 6-8 has been a major struggle for so many patients?

I think Leechlet originally wanted Guichet because of the potential for 10cm.

I may be mistaken but it seems Betz has two things in common: 1) the highest lengthenings in the diaries 2) ... the most titanium nail replacements ..

Why hasn't there been as many titanium nail replacements for precise than as for albizzia type nails (gnail, betzbone)?

What are your thoughts on the civil unrest in Ukraine?

Do you believe that going from 5'6 (or was it 5'5...) to 5'8 will be life changing for you?
Hi,

Guichet doesn't need titanium replacements. His nail is much superior to the Betzbone. Please don't post misinformation when your don't have actual experience. The titanium nail replacement is a very traumatic surgery. Apart from the cost, patients experience it as more painful than the original LL surgery. With a good nail and a good surgeon nobody needs a titanium replacement.

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Also i forgot to mention that most of the time patients lose a few mm due to the titanium replacement.

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Quote from: kneehowguys on February 22, 2014, 12:04:43 PMWhy do you think that the more extreme leg lengthenings 8cm+ have all been achieved by albizzia clicking type nails while it seems even with precise 2 getting to 6-8 has been a major struggle for so many patients?

I think Leechlet originally wanted Guichet because of the potential for 10cm.

I may be mistaken but it seems Betz has two things in common: 1) the highest lengthenings in the diaries 2) ... the most titanium nail replacements ..

Why hasn't there been as many titanium nail replacements for precise than as for albizzia type nails (gnail, betzbone)?

What are your thoughts on the civil unrest in Ukraine?

Do you believe that going from 5'6 (or was it 5'5...) to 5'8 will be life changing for you?

The distraction mechanism is different. Albizzia nails rotate to distract, precice uses induction or something to distract. Precice is not strong enough to distract against the strength of the muscles when you lengthen 6cm++. Thats the reason.

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Quote from: kneehowguys on February 22, 2014, 12:04:43 PMWhy do you think that the more extreme leg lengthenings 8cm+ have all been achieved by albizzia clicking type nails while it seems even with precise 2 getting to 6-8 has been a major struggle for so many patients?

I think Leechlet originally wanted Guichet because of the potential for 10cm.

I may be mistaken but it seems Betz has two things in common: 1) the highest lengthenings in the diaries 2) ... the most titanium nail replacements ..

Why hasn't there been as many titanium nail replacements for precise than as for albizzia type nails (gnail, betzbone)?

What are your thoughts on the civil unrest in Ukraine?

Do you believe that going from 5'6 (or was it 5'5...) to 5'8 will be life changing for you?

Hmm, the other guys seem to have covered most of your questions.  But in regards to going from my current height (5'5.75") to 5'8, yes, it will definitely be life-changing.  The life changing comes not from how others will treat me, but from how I will view myself and reflect that in my personality.  I won't feel short anymore, and I won't be grouchy as result.  I'll feel taller, more confident in myself, and more outgoing and approachable than before.  I want to reach 5' 10" after 2 surgeries, but who knows, maybe I'll be so content with 5' 8" that I won't need the second surgery.  5' 8" is by no means tall or even average where I live, but 5' 8" is leagues better than being 5' 5.75".

As far as the civil unrest in Kiev, it's a real bummer.  No way I would consider lengthening there in its current state.

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Wanted to share some info, Dr. B sent me the guesthouse homepage that contains pictures: http://www.natanja.co.za/

It looks beautiful, a huge change of scenery for me (right now, I look out my window and all I see is drab grey and snow).  Dreaming about the plush greens in SA!