Dr Mangal Parihar (Mumbai India)- Mangal Anand Hospital

Quote from: Kilokahn on April 04, 2014, 06:45:11 PMMy friend in India told me the other day that he e-mailed Dr Paley asking him about what Indian doctor he should go to, and Dr Paley's reply was to go to either Dr Chaudhary or Dr Parihar, so apparently Paley would back Dr Parihar as one of the best surgeons for lengthening in India (kind of surprising he apparently said Dr Chaudhary is a good choice based on all we've heard, but I guess Dr Chaudhary is technically a good surgeon but his attitude about his patients is where the real problem lies.)

Just as an update to this, my friend in Delhi sent me a screenshot of the e-mail he sent to Dr. Paley asking about which doctor he would advise to go to over there for limb lengthening. I blocked out the majority of the e-mail so his personal info is kept private of course, but you can still see that Dr Parihar is one of the limb lengthening surgeons Paley suggests in India.

(Click to enlarge)

Just received an email from Dr. Parihar regarding his weight bearing philosophy and the availability of the PRECICE nail in India!!

Weight Bearing
we do allow touch down weight bearing, and weight bearing to the extent required to prevent equines.

on externals weight bearing can be done, because the frames are stronger -

on LON, we are a little more careful as the frames in comparison are lighter and less complicated.

should not have subsidence more than a couple of mm (if at all)

yes you can get in touch with us when you are ready for surgery.

the precice nail is now also available as an option in india, (rules which allow special access to implants to particular patients), and so you could have an option on the tibial lengthening too.

PRECICE Nail
we have not implanted the precice yet. the distributors for india, just met me couple of weeks ago. (i will have to check with them though whether they were talking of the precice or precice2)

however, the insertion of the implant in itself is a standard procedure which is routinely done for trauma cases.

there are some additional points to be taken care of when a nail is used bilaterally for lengthening, which we do when we insert nails for the LON technique.

therefore, i do not foresee any issues in relation to inserting the nail.

overall, in the lengthening (postoperative), there would be a certain learning curve, but i do not anticipate any trouble there, as we have been regularly adopting newer methods / technologies such as six axis fixators without too much of a problem.

much of the supportive treatment such as physiotherapy, exercises etc, are the same, whatever the method. especially when we are talking of reasonable amounts of length.

so yes, if you were to choose to do an internal lengthening, i believe we would be able to carry it out for you.

regards

dr mangal parihar

Sweet news about PRECICE. I'll ask Dr Parihar about it when I have a consultation with him. Of course I won't be ready for internal femur lengthening for a couple years, but that would give Dr Parihar practice with it as well.

That is sweet news about precise, but with the nails costing $30kUSD themselves you're still probably looking at a 45-50k surgery price. So you might as well go to an American doc like Mahboubian... I wish Parihar would design a cheaper nail for use. I'd trust his engineering ingenuity and manufacturing arrangements since he is so well versed in this procedure. Internals in the sub-$25kUSD would be revolutionary.

In the meantime maybe it would be better to go to Dr M, but after Dr Parihar has had access to the PRECICE for a little while I think he'd be the better option so long as you had the money to cover the expense of accommodation there (and if you can afford the PRECICE fees then an extra $5,000 shouldn't be out of the question). I think Dr Parihar has the superior credentials in Ilizarov.

And this won't apply to everyone, but I just decided to never go to Dr M because not only are his advertisements offensive to me personally (that one with the little guy looking desperately at the tall woman in heels http://heightlengthening.com/wp-content/uploads/home_1.jpg), but he also markets CLL so heavily. I just prefer the doctors who have patient requirements for suitable candidates or who don't seek out CLL patients but will accept them if they come to them. It gives me the sense that the surgeon is more doctor than salesman.

Yeah that ad is just messed up.

Quote from: DREAM on April 12, 2014, 05:43:39 PMYeah that ad is just messed up.

Yep. I can't imagine how he or anyone else thought that kind of degrading marketing tactics would be a good idea. I don't think it's that hard to get CLL patients after all. In many other countries those ads/billboards would probably be borderline illegal simply because of their content and presentation. Imagine if someone advertised in that fashion for breast implants or liposuction by playing on flat chested or overweight women's insecurities and portraying them as hopelessly unattractive... they would risk going out of business immediately because of the subsequent public outrage.

That is a shameless ad. No wonder Mahboubian and Apotheosis get along so well. They share the same sense of inane humour.

Quote from: Polycrates. on April 12, 2014, 04:48:18 PMThat is sweet news about precise, but with the nails costing $30kUSD themselves you're still probably looking at a 45-50k surgery price.

For that price, I think you'd be better off going to South Africa and do it with Dr Franz for 52K USD (internals with Precice), which is a package price with everything you need already set up.

For such a small difference in price, you should weigh in the following:

- Dr Parihar has never used the Precice
- You'll have to find accommodation, a physio therapist and catering yourself
- Do you trust the Indian legal system?
- After all the horror stories we've heard about LL in India, do you really still want to go there?

There's also New Born in South Korea, where they're currently offering ISKD for 48k USD including all you need for 90 days. South Korea is an advanced country and they're really into cosmetic surgery. New Born seems to have a lot of experience.

Just wanted to add from my experience. You won't need to find a physiotherapist on your own while staying in Mumbai. While in the hospital you will have physio twice daily. They had 5 physiotherapists there, three who are there all the time and two who visited. They all have experience with physio on people wearing frames so they know the proper exercises (Dr Parihar chooses all his staff so he makes sure they know how to handle lengthening patients).

If you want phsyiotherapy at your place of stay, then Dr Parihar will arrange for them to come see you on certain dates. Otherwise you will have a physiotherapy session once every two weeks in the hospital's physiotherapy room after you get x-rays taken and Dr Parihar does a checkup. I haven't been charged anything for physio sessions so I think it's included in Dr Parihar's fee.