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Posted on Dec 21, 2014, 9:34 pm
#111

grow up music maker, stop with your conspiracy theories.

any top doctor will tell you it is ludicrous to get both the tibia and femur lengthened. yes it can be done but it will be much harder and you will take loads longer because of the ligament issues. and you will certainly be needing a wheelchair if you get your second surgery 4 months later or even 6 months later.

there is no chance in hell you will not need to buy a wheelchair.

also in my opinion there is nothing wrong with this doctor performing surgery on both femurs at the 1 time(providing we have diaries proving he is good). but my qualms have nothing to do with the doctor but the ridiculous way he does his procedure lengthening 1 leg at a time.

 I call bull  on the issue of him freaking out about fat embolism for doing bilateral(on 2 legs), but then doesn't think fat embolism is a problem if he breaks the tibia and femur on 1 leg at the same time.

it sounds more like he is securing the patient into having to do both surgeries as they cant leave the second leg unfinished.

as for me being jealous. that is hilarious considering I already have frames on my legs.

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Posted on Dec 21, 2014, 10:40 pm
#112

Dear all

Easy there. I am here to read your opinions and concerns, not to be judged.
I don t know what kind of Medical trainning (probably none) and LL experience apart from your own you have so far, but being slightly more respectfull would be far away much better.
I don t know your sources (probably internet) but our protocols are based on hundreds of LL procedures and experiences we share with other doctors. You can ask the TOP guys (with whom i ve been trainned) and they will say exactly the same words.
 
Let me say it this way..one patient died after bilateral simultaneous femur doing intramedullary device (fortunately not one of my patients) and it s not a matter of safety, it is a matter that if surgeons are aware of this, none of them will carry on doing bilateral because of legal issues.

It is unacceptable you say a surgeon bases his protocols trying to secure a second surgery. This confirms me your ignorance (you obviously don t know me) and your malignant spirit. I have performed hundreds of procedures in dwarf kids for free and fortunately my income does not rely in this.
When i do perform cosmetic Limb lenghtening i first want to meet the patient, his family and we do talk a lot with them. I receive lots of emails and patients everyday and i do reject lots of patients. I have been working hard to make people reach their dream. This takes a lot of time to become a LL surgeon, and it is discouraging to read what you ForcedPuberty just wrote.
It is your decision but making a proper use of the forum is trying to help each other and not to throw whatever on it. You probably won t like a doctor like me... I am sure I would never operate someone like you.

You already have frames so good luck, stay with your doctor and stop Messiing with other doctors.
And don t confuse tendons with ligaments..it sounds ridiculous.

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Posted on Dec 21, 2014, 11:11 pm
#113

I don't doubt your knowledge, Dr. Monegal.

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Posted on Dec 21, 2014, 11:31 pm
#114

I agree with Dr Monegal on we all shouldn't disrespect each other. This forum should be a tool of knowledge and help and not to insult or discredit anyone without having relevant facts.

Musicmaker,

Best of luck with your procedure and hope that everything goes well for you. By the way, I'm not from Spain. Spanish is my main language but I'm from the US. What do you mean when you say "Virtual follow-up visits are performed by the doctor"? Does he do it online (virtual) or comes to your place? I went to India this year and changed my mind once there, but definitely would love to lengthen in Barcelona.  Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal

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Posted on Dec 22, 2014, 12:04 am
#115

dr mongeal. no one is calling you a bad doctor in regards to surgical technique, I have no idea how well you perform surgery, I am stating that many doctors think operating on both the tibia and femur at the same time is not a good idea.

your fat embolism argument is irrelevant because your still operating on 2 limbs.

and ps. when we say ligament or tendon we are referring to soft tissue in general, please try to keep up with the slang of a forum, this is not pubmed.

all you have done is go on about some heart felt story about how you donate time to people with achondroplasia, this does not address the issue. its an argument based on emotions.

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dr mongeal I am curious about a few questions?

when you operate on the (tibia and femur simultaneously) on the 1 leg do you use internal for both segments?

and after how many months as an average do you then perform surgery on the second leg?

also how many patients have you performed this unique method of cosmetic leg lengthening (for for both tibia and femur simultaneously on the same leg). I am curious.


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Posted on Dec 22, 2014, 6:47 am
#116

Quote from: musicmaker on December 20, 2014, 05:48:01 PMYeah! The female staff are young and attractive (as well as the male staff). And the meals are fantastic!  Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal
Joking apart, it is true that the attention you receive is above and beyond the norm. Nice people over there.

Hey, I watched the videos . The place really is state of the art. Question I have is ........

Someone mentioned earlier that the doctor was prepared to do LON instead of Fitbone. Would he consider LON or externals for the tibias at a reduced price ? I am shying away from fitbone tibias due to some concern about knee pain and the price.

 

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Posted on Dec 22, 2014, 10:13 am
#117

Hey musicmaker, will you be writing a diary?

Would love to hear about your experiences as Im also planning on going to Barcelona once I have enough for both procedures

Dont worry about ForcedPuberty and his nonsensical bs, clearly an arm chair expert and even I find his comments offensive

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Posted on Dec 22, 2014, 8:18 pm
#118

I wanted to share this interesting article talking about Fitbone in comparison to other nails, and where it says:
 
"The Fitbone system was well tolerated. There was minimal or no pain on lengthening and no case of infection. All patients achieved their lengthening goal except for two who had femoral lengthening, one of whom required an exchange to a larger nail to achieve the desired distraction length."

http://www.bjj.boneandjoint.org.uk/content/88-B/7/938.full

*Remember this article is from 2001 and since then the Fitbone nail has been improved several times.

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Posted on Dec 23, 2014, 3:01 pm
#119


Good luck on your surgery Music Maker.

Please do make a diary if you can manage it. We will be encouraged by your progress  Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal

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Posted on Dec 24, 2014, 5:18 pm
#120


By the way, in case anyone is interested..............on this very same forum a renouned and well respected German Doctor discusses fitbone and doing one leg femur/tibia at the same time leaving the other leg intact to walk on.

http://www.limblengtheningforum.com/index.php?topic=735.0

I am satisfied that it is a medically endorsed method.

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