Hospital stay is 2200 rubles/day (55$) with one-bed room. You can stay in 5-bed room with everyone else, it's much cheaper. Plus, you only have to stay in hospital for one-two weeks after the surgery, you can then leave and rent an appartment, that will also be cheaper.
I'll start a diary on my second cross-lateral surgery, there's just nothing to write atm, as I'm consolidating.
Like I always said, external femurs are very uncomfortable, right after the surgery your ROM goes down by 90 degrees, as you can't bend your knee due to the pins going through your muscles. And it gets worse while lengthening and doesn't get much better until you remove the fixators. Sitting is also a trouble. Sleeping is hard. So I'd suggest doing LON femurs, so you'll only have to take it for 2-3 months of lengthening.
If I were to start from scratch and wanted to lengthen both of my lower leg segments, I'd get internal femurs and right after I'm done with distraction, do external tibias. But if you don't have the money for internals, you can do LON bilateral femurs instead. Keep in mind that bilateral femurs is twice as hard and uncomfortable, but you should be OK after you lengthen and remove the fixators.
Dr Leonid N.Solomin (St. Petersburg, Russia)
Quote from: exclide on October 07, 2014, 12:35:02 PMHospital stay is 2200 rubles/day (55$) with one-bed room. You can stay in 5-bed room with everyone else, it's much cheaper. Plus, you only have to stay in hospital for one-two weeks after the surgery, you can then leave and rent an appartment, that will also be cheaper.
I'll start a diary on my second cross-lateral surgery, there's just nothing to write atm, as I'm consolidating.
Like I always said, external femurs are very uncomfortable, right after the surgery your ROM goes down by 90 degrees, as you can't bend your knee due to the pins going through your muscles. And it gets worse while lengthening and doesn't get much better until you remove the fixators. Sitting is also a trouble. Sleeping is hard. So I'd suggest doing LON femurs, so you'll only have to take it for 2-3 months of lengthening.
If I were to start from scratch and wanted to lengthen both of my lower leg segments, I'd get internal femurs and right after I'm done with distraction, do external tibias. But if you don't have the money for internals, you can do LON bilateral femurs instead. Keep in mind that bilateral femurs is twice as hard and uncomfortable, but you should be OK after you lengthen and remove the fixators.
crosslateral with Lon on femurs 5+5 and external only Tibias. What about this 50 days to lengthen 5cm on each femur so lets say 2 months lengthening and another 2.5 for tibias. Does it sound good?
Sounds good Exclide, would love to read your diary once you start your second surgery when ever that maybe 
While we're still on the topic, how hard was it to go to the toilet with frames on your femurs? And sitting down, would you need some kind of cushion/pillow under it?
Quote from: Greek-Semidget on October 07, 2014, 01:19:45 PMcrosslateral with Lon on femurs 5+5 and external only Tibias. What about this 50 days to lengthen 5cm on each femur so lets say 2 months lengthening and another 2.5 for tibias. Does it sound good?
Yeah. The only problem is that at some point, you'll be left with 3 externals at the same time 2 on just one leg.
Quotewhen ever that may beLol, I hope to remove the fixators in about two months.
Quotehow hard was it to go to the toilet with frames on your femurs? And sitting down, would you need some kind of cushion/pillow under it?It depends on the external composition. My frames didn't go too long up my ass, so I could sit fine on the toilet and also everything else, but you can't sit any deeper obviously. Plus, as one of your legs is almost straight (you can't bend it), it's hard to sit straight.
Overall, cross-lateral LON femurs and external tibias seem like a good idea to me. I probably shouldn't have refused LON. Not sure. I think with LON you need 3 surgeries - first one to place the nail and install the frame, second one to lock the nail at the end of lengthening, and third one to remove the nail. It turned me away. Plus, I really wanted to just lengthen and forget about it everything, didn't want to be reminded by the nail in my bones, that I'm still not done. But I've been too optimistic about my consolidation times.
Quote from: exclide on October 07, 2014, 12:35:02 PMHospital stay is 2200 rubles/day (55$) with one-bed room. You can stay in 5-bed room with everyone else, it's much cheaper. Plus, you only have to stay in hospital for one-two weeks after the surgery, you can then leave and rent an appartment, that will also be cheaper.
I'll start a diary on my second cross-lateral surgery, there's just nothing to write atm, as I'm consolidating.
Like I always said, external femurs are very uncomfortable, right after the surgery your ROM goes down by 90 degrees, as you can't bend your knee due to the pins going through your muscles. And it gets worse while lengthening and doesn't get much better until you remove the fixators. Sitting is also a trouble. Sleeping is hard. So I'd suggest doing LON femurs, so you'll only have to take it for 2-3 months of lengthening.
If I were to start from scratch and wanted to lengthen both of my lower leg segments, I'd get internal femurs and right after I'm done with distraction, do external tibias. But if you don't have the money for internals, you can do LON bilateral femurs instead. Keep in mind that bilateral femurs is twice as hard and uncomfortable, but you should be OK after you lengthen and remove the fixators.
Hey exclide. Where do you get this price of 2200 rubles/55$ a day for a one bedroom? He messaged me and said ~50$ a day but the price is comfirmed at the consultation even though i am not sure what factors would change the price of room. Do you think there is a separate price for international patients? If thats the case ill take it as it is but i would like to kniw the reasoning behind that.
Robinking44 you emailed him. Can you tell me what price he quoted you for daily rate of room?
Its hard to get a clear picture of the total financial cost when the price appears to be so volatile.
Thanks both of you
I want to do external tibia and length back home
Quote from: tx1111 on October 08, 2014, 12:52:53 AMIts hard to get a clear picture of the total financial cost when the price appears to be so volatile.
I agree.
We need a breakdown of the original prices in rubles. People can then convert them to their own currencies and figure out the total costs by adding the cost of the surgeries to the length of time they expect to spend at the hospital.
External tibias surgeries = ... rubles
External femurs surgeries = ... rubles
LON tibias surgeries = ... rubles
LON femurs surgeries = ... rubles
LATN tibias surgeries = ... rubles
LATN femurs surgeries = ... rubles
Daily rate for staying in a single bedroom = ... rubles
Daily rate for staying in a 6-person ward = ... rubles
Quote from: tx1111 on October 08, 2014, 12:52:53 AMIts hard to get a clear picture of the total financial cost when the price appears to be so volatile.
Thanks both of you
It mostly comes down to conversion rates. If ruble keeps dropping in value, you'll need less and less $. I'm not sure about all the prices, honestly, it costs like nothing, so I don't see a reason counting every ruble or so. Just get extra few thousands and you should be fine. Also you can't really demand fixed numbers from the Dr., he's not in charge for it all and he can only give you an estimate. Prices are also dynamic.
it would mean a lot to the people planning to go there if you could post the ruble amount.
because not everyone will have more than enough money when they go over and if they are cutting it close financially those few rubles might make all the difference.
my opinion. never underestimate accuracy. and when planning LL from a financial point of view. accuracy is VERY important.
Quote from: GROWtalORdieTRYING1 on October 08, 2014, 12:25:38 PMit would mean a lot to the people planning to go there if you could post the ruble amount.
because not everyone will have more than enough money when they go over and if they are cutting it close financially those few rubles might make all the difference.
my opinion. never underestimate accuracy. and when planning LL from a financial point of view. accuracy is VERY important.
I really wanna know if dr Leonid uses smaller frames like dr bagirov.Exclide do you know?
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