Bd,
Did you ask if precise malfunction than what will be immediate solution. Do you get free nail and surgery or you have to pay entirely everything again. I hope it's not the latter.
Thanks
Quote from: kneehowguys on March 13, 2014, 03:22:36 AMDear Dr Fanz,
These questions below are a bit hypothetical. I don't mean it literally, and I do not mean to be disrespectful to people involved in CLL but I am curious what your thoughts on it are.
1. What is the motivation for LL surgeons to ever perform CLL? It seems like not much of the money from the surgery actually goes to the doctor, and I wonder with the very long process and hours spent that perhaps it is not financially worth it compared to doing other operations?
2. Could they not improve their profitability just by rejecting every CLL patient or only charging for a consultation and then rejecting every candidate?
3. People on these forums report greatly improving their outlook on life/feeling better about themselves after becoming taller. Do doctors find this outcome to be smaller/more of a nuisance compared to fixing someone with an actual physical deformity? I look at hair transplant surgeons and I know the comparison is not perfect but they are in some ways mainly treating the mind, not a physical body part. And they believe, or at least say they do, that their work and mission helps people and is worthwhile.
And
4. Why 165cm upper limit? And do you think if the year was 1800 the limit would be more like 155 cm? Or if you were from the Netherlands it would be a higher limit like 170cm? I remember Dr Paley in one of his writings at first resisting to operate on a man from the netherlands because the man was still taller than the average male height.
I hope I asked these in respectful ways. I am just musing.
Thanks. With regards to points 1&2. Personally I believe there is merit in this surgery. See my post on the ethics of CLL elsewhere. This is a small part of most respected LL surgeons' practice and is certainly not as lucrative as other pursuits. On average around 10-15% of th cost of CLL ends up in the doc's practice and the profit margin on this amount is around 25% in most practices.
This means that for a 50K CLL, I personally take home 2K. Probably not worth it. Unless you count the fact that you're helping someone.
Point 3: it is certainly worthwhile. Changing height is almost like science fiction and fundamentally changes peoples lives. It is definitely life changing.
Yes, the limit is arbitrary. Consensus has it that CLL is worthwhile for individuals more than 2 standard deviations shorter than the average. This means 165 in most western societies. Is this acceptabe? I dont know.
[quote author=Franz link=topic=237.msg7056#msg7056 date=
Point 3: it is certainly worthwhile. Changing height is almost like science fiction and fundamentally changes peoples lives. It is definitely life changing.
[/quote]
Great point Dr. F. I am forever grateful for your input and opinions. I am always excited to read your comments and get some invaluable information plus always great to hear the REAL doctor opinion.
I was cracking up when you commented...THIS FAKE DOCTOR HAS 8 operation to perform tomorrow on other thread with smiley face.
Your contribution is overwhelming and I truly hope and praying you will stay with us for a looooooong time.
Holy ... I'm scheduled with Dr. Paley for May 29th!!!!!! 
This is becoming a reality fast! Also booked my stay for one of Paley's recommended extended-stay hotels (because shuttle between hospital and hotel runs here so that way I don't have to rent a car). Rate wasn't bad and it includes all handicap accessible amenities with also a kitchen within the room.
Congrats dude! All the very best! 
Keep a detailed diary!
Quote from: short_and_depressed on March 20, 2014, 05:31:36 PMCongrats dude! All the very best!
Keep a detailed diary!
Will do I think there's a severe lacking of videos for LL patients doing physical therapy so I'm going to film a lot!
Congrats BD... Looking forward to your diary.
Quote from: Cooper on March 20, 2014, 07:47:43 PMCongrats BD... Looking forward to your diary.
Thanks Cooper! I look forward to seeing the doctor you choose as well, it's been hell getting to this point. 
I am not able to focus on anything. So frigging difficult and I suppose should be that way. After all this can make or break a life and well being. You should be fine with Precise and especially with dr. Paley tutelage.
Congrats, BD!!
It's getting more and more real for you 
I'll be leaving Florida by the end of May, so probably would be only able to wish you luck here.
Anyway, best of luck, you r gonna be in goods hands all way long and I sure you are not going to regret your choice.
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