Unfortunately neither LL doctors nor regular ortho doctors are willing to have a detailed conversation about the science behind all this. They will tell you you're a layman and so you won't understand. You are on your own at researching the science behind the surgery. And finally you have to choose to trust one side.
I have consulted Paley and he doesn't like patients questioning the validity of his answers. You either trust what he says or you leave basically.
We'd have to see if LL doctors do cosmetic LL on their own family members. That's one way of building trust.
distrust in LL in orthopedic community
Quote from: skeptic on March 31, 2021, 07:10:02 PMUnfortunately neither LL doctors nor regular ortho doctors are willing to have a detailed conversation about the science behind all this. They will tell you you're a layman and so you won't understand. You are on your own at researching the science behind the surgery. And finally you have to choose to trust one side.
I have consulted Paley and he doesn't like patients questioning the validity of his answers. You either trust what he says or you leave basically.
We'd have to see if LL doctors do cosmetic LL on their own family members. That's one way of building trust.
I wouldn't be surprised if they don't even know the molecular biology behind their work. Orthopedic surgeons tend to be the 'bruisers' of the medicine field and aren't known for their scientific or medical knowledge.
This systematic review supports CLL:
https://online.boneandjoint.org.uk/doi/full/10.1302/2046-3758.97.BJR-2019-0379.R1
Bone & Joint ResearchVol. 9, No. 7 Systematic ReviewOpen AccessOpen Access license
Cosmetic stature lengthening
systematic review of outcomes and complications
Yousef Marwan, Dan Cohen, Mohammed Alotaibi, Abdullah Addar, Mitchell Bernstein, Reggie Hamdy
Published Online:3 Jul 2020https://doi.org/10.1302/2046-3758.97.BJR-2019-0379.R1
QuoteConclusion
Cosmetic stature lengthening provides favourable height gain, patient satisfaction, and functional outcomes, with low rate of major complications. Clear indications, contraindications, and guidelines for cosmetic stature lengthening are needed.
Some doctors doesn't know the latest information, reading every article about orthopedic science is difficult, bear with them.
Quote from: Going-For-Three on March 31, 2021, 10:49:18 PMI wouldn't be surprised if they don't even know the molecular biology behind their work. Orthopedic surgeons tend to be the 'bruisers' of the medicine field and aren't known for their scientific or medical knowledge.
Wait this is blatantly not true, there definitely stereotypes about orthos as with every specialty, but it’s in the top 3 most competitive specialties to get into. So after your 4 years medical school you need to be a top student.
Quote from: Sambollio on April 01, 2021, 12:45:06 AMWait this is blatantly not true, there definitely stereotypes about orthos as with every specialty, but it’s in the top 3 most competitive specialties to get into. So after your 4 years medical school you need to be a top student.
But once you're a practicing ortho, you don't really keep the same proximity to medicine as someone in IM/medicine. I didn't say they weren't smart, they are generally just more procedure-driven, like all surgeons.
This procedure is no doubt insane. Which is why I am hesitating so much on doing it. And the lack of patients returning to document their healing years post op is unsettling. There could be some patients with cognitive dissonance who convince themselves that they are better off where in actuality they are still suffering with post op trauma which may never heal properly.
Quote from: Jason125 on April 01, 2021, 05:35:28 AMThis procedure is no doubt insane. Which is why I am hesitating so much on doing it. And the lack of patients returning to document their healing years post op is unsettling. There could be some patients with cognitive dissonance who convince themselves that they are better off where in actuality they are still suffering with post op trauma which may never heal properly.
That doesn't happen, you can read this document (I have linked it before):
https://online.boneandjoint.org.uk/doi/full/10.1302/2046-3758.97.BJR-2019-0379.R1
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