ShortyMcShort,
He told me 20 - 40 Euros per session for in-home (they come to your hotel) physical therapy. But he said he could also appoint a PT Center in Barcelona if patient wishes to do outpatient instead. I hope this helps.
Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal
It's 61,200 plus accommodations, food, entertainment, etc. it lists the price on the first page.
Also, I'm pretty sure he makes the lifts for you. It would be awfully strange if he didn't.
Quote from: Leonardo2013 on December 17, 2014, 05:19:51 AMShortyMcShort,
He told me 20 - 40 Euros per session for in-home (they come to your hotel) physical therapy. But he said he could also appoint a PT Center in Barcelona if patient wishes to do outpatient instead. I hope this helps.
Thanks for that, could you tell me more about the things you guys talked about? No personal info needed of course
Pm me if you want to keep it private?
How did you find Dr Monegal in your exchanges?
Quote from: ShortyMcShort on December 17, 2014, 05:06:00 AMSo the cons of the 2 stage procedure is that we'd need an equal amount of lengthening shoe lift on one leg at all times, even when you're in the house and dont want to be wearing shoes you'd have to, otherwise its a 13cm difference, well atleast for me since thats my goal.
Im also starting to rethink my journey, originally I was going to go to India and do Precice 2. Dr Monegal is a lot pricier but its Spain, who wouldnt want to lengthen in Spain 
66,000 Euros + accommodation, food, helper(?), physio
Does anyone know how much he charges for physio? I feel that physio and accomodation are going to bring the price up a lot more
So is it 66,000 Euros or 61,200 Euros? I mean thats a huge difference
I think its fine. I am doing 14 cm and I realize its going to look funny for a while but its not that long. Dont forget it takes months to get to 14cm . Then when you do the other leg it decreases.
If the leg is strong enough after 3 months consolidating then that is all you will have at the maximum 14cm.
I am now going to scout around and see if other doctors will consider this approach. See what they have to say about an internal femur and external tibia to cut down on costs.
Spain is a sneaky country now with its current economic meltdown. Everybody there will have cloud of depression over them and i think that will infect your stay at their facility. Id rather go to china. Always proffesional and calm.
I just thought of something that I think is worth mentioning.
You dont need to walk around with 14 inch lifts all the time .Not even part of the time. You can only put the lift on when you want to exercise the broken leg.
Other than that, walk on your good leg with the crutches and simply bend your leg at the knee pushing your tibia backwards and have something to hold it up in a sling. Then you can go to work or whatnot without this ridiculous lift in your shoe. You can tell folks you busted your leg and cant put any weight on it. They could never figure out its longer that the other one in that position.
That is what I would do if I wasn't self employed.
Reading the first page again, so do we lengthen both the tibias and femurs at the same time or is it one at a time after the first bone(either tibia or femur) is done lengthening?
So is it 3 and a half months to do 6.5cm tibia and 6.5cm femur for a total of 13cms at the same time?
Or is it 3 and a half months to do 6.5cm on say the tibia, consolidate and do the femur 4 months after?
Hey Shorty.
I know its confusing and I sure wish the Doc would come and clarify some things. I think we can all agree none of us want 4 separate surgeries . We want 2 surgeries. Either 2 bilateral or 2 legs one at a time.
I wish he would clarify the prices for 1 leg.(31k?) I think he said 8cm for femurs and 6 for tibs.
I also believe he indicated right after surgery we will be on the crutches putting 20kg weight on the broken leg. Then we keep exercising the leg during the 3 months distraction. I would prefer and hook up with a doc right here in Tampa who can do the xrays but I will drive down to Miami where Paley is if I have to.
I would leave Spain as soon as the doc cleared me to fly. Come home do my phsyio here and go to Paley once a month for the xrays.
Then, 3 months after the consolidation (6 months from surgery) We should be able to be fully weight bearing, easily able to walk on the new leg with crutches without the other leg.
So after 6 months we can return to spain and do the whole thing over again. 62k euros is pricy but for internals that offer 1 leg at a time in a western hospital with no visa hassles?
Easy. Half of us in the US speak Spanish anyways. 
ShortyMcShort,
Well, since Spanish is my primary language, I've been e-mailing this doctor in such a language. Most of the info I gathered I already shared it. As I repeat he seems to be a very conservative doctor and has his own approach for CLL. I personally think that it's a big plus that he doesn't charge extra if unplanned treatment is required and neither for removing the nails 1.5 years later. And to clarify about the price, he charges 18K Euros for one segment, so for instance if you want to do your left leg (tibia + femur together) it will be 36k Euros. Barcelona is a very large metropolitan and tourist destination, so to my understanding English should be widely spoken there. Hope this helps.
Leo
Didnt he give different prices if you do 2 limbs at the same time? Can you ask the doctor to come here and clarify two main points for us
He can do tibia and femur at the same time 1 leg
price of one tibia and one femur.
Thanks.
p.s. Will he let us go home within a week of the surgery if we have a doctor here to take the xrays during the lengthening?
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