Quote from: jbc on July 16, 2016, 11:11:37 PMwhether they were 4'6" or 6'4". But others do.
True, I would judge the hell out of a 6'4 person doing this. Since you want a reputable surgeon in India, I'd say Parihar based on my research so far cause that's who I'm going with. But if you can afford Paley or Guichet that's whom you should go with.
Quote from: Penguinn on July 18, 2016, 10:54:10 AMTrue, I would judge the hell out of a 6'4 person doing this. Since you want a reputable surgeon in India, I'd say Parihar based on my research so far cause that's who I'm going with. But if you can afford Paley or Guichet that's whom you should go with.
Hell, I judge anyone 5'9 or more that wants this, lol.
Quote from: jbc on July 18, 2016, 09:16:14 AMTo update the thread - I've received a response from Dr. Lee's assistant, who seems very nice. I also spoke on the phone with Dr. Guichet, who basically said he is completely overwhelmed by email. I'm making travel arrangements to Florida, Italy and Milan. I will consult with each doctor before deciding, I am hoping to have the procedure done during the later part of this year.
Thanks to everyone who took time to respond to my question!
Regards,
--jbc
Watch your back in West Palm Beach, Florida. I'm serious. Especially at night or early morning. Keep your wallet in your front pocket, don't carry lots of cash. Highly recommend against public transportation too. Use Uber, or a taxi. (be careful not to get hustled by the taxi driver though)
It's not a real bad area of Florida, but it can be...interesting.
Quote from: jbc on July 16, 2016, 11:11:37 PMTBike, I just want to avoid the debates and judgment, that's all. This is a very personal decision and something I'm doing for me. I would never judge anyone for doing something like this, whether they were 4'6" or 6'4". But others do. So it's really to minimize noise, that's all.
I'm gonna go ahead and say you're in the ballpark of 5'8-5'11
Quote from: Alu on July 19, 2016, 04:28:49 AMI'm gonna go ahead and say you're in the ballpark of 5'8-5'11
5'7~5'8 is my guess 
Thanks CCMidwest - I've been to West Palm Beach before, and I must admit I concur with your assertions 
. I generally just Uber and don't carry cash, and I'm planning to stay confined to the security of my hotel room at night .
Quote from: Alu on July 19, 2016, 04:28:49 AMI'm gonna go ahead and say you're in the ballpark of 5'8-5'11
5'9 fits best I think.
Trips to West Palm Beach, Seoul and Milan booked. Consultations through end of September.
Process so far
Dr. Guichet: very responsive once we contacted via voice. Had to fill out a very lengthy questionnaire and submit copies of my passport. He sent me a very lengthy email about the prospects of the surgery, what to expect, recovery times, and addressed some of my concerns regarding going back to high intensity sports.
Dr. Paley: have not spoken to him yet, only his "new patient concierge". Paid $750 for the consultation up-front, there is an additional $300 at the time of visit. Sent lots of very informative literature about his practice and the Precise 2.2. He also mentions that under full weight-bearing without consolidated bone support any nail will break, no matter what other doctors tell you.
Dr. Lee: exchanged emails with his assistant, who seems very nice. Very surprised at the rates for surgery in South Korea. Dr. Lee seems to be more expensive than both Dr. Guichet and Dr. Paley. Not much in the way of literature. I will visit South Korea as well, since I've never been there, but not certain why I would choose Dr. Lee over Dr. Guichet and Dr. Paley, given their track record and experience.
At this point I have questions about the Guichet nail, given Dr. Paley's comments - I am hoping for an accelerated recovery, so Dr. Guichet's "fast track" program seemed very appealing, but keeping safety in my mind first and foremost. Will post again once I consult with all 3 doctors.
Quote from: jbc on July 27, 2016, 02:48:21 AMTrips to West Palm Beach, Seoul and Milan booked. Consultations through end of September.
Process so far
Dr. Guichet: very responsive once we contacted via voice. Had to fill out a very lengthy questionnaire and submit copies of my passport. He sent me a very lengthy email about the prospects of the surgery, what to expect, recovery times, and addressed some of my concerns regarding going back to high intensity sports.
Dr. Paley: have not spoken to him yet, only his "new patient concierge". Paid $750 for the consultation up-front, there is an additional $300 at the time of visit. Sent lots of very informative literature about his practice and the Precise 2.2. He also mentions that under full weight-bearing without consolidated bone support any nail will break, no matter what other doctors tell you.
Dr. Lee: exchanged emails with his assistant, who seems very nice. Very surprised at the rates for surgery in South Korea. Dr. Lee seems to be more expensive than both Dr. Guichet and Dr. Paley. Not much in the way of literature. I will visit South Korea as well, since I've never been there, but not certain why I would choose Dr. Lee over Dr. Guichet and Dr. Paley, given their track record and experience.
At this point I have questions about the Guichet nail, given Dr. Paley's comments - I am hoping for an accelerated recovery, so Dr. Guichet's "fast track" program seemed very appealing, but keeping safety in my mind first and foremost. Will post again once I consult with all 3 doctors.
Good stuff JBC.
I never talked to Guichet. Can you share what he said about sports?
And with the nail breaks, Dr. Paley told me the same thing. Said if it doesn't break, it can bend. The extra $300 with Paley is for xrays if I remember correctly.
Edit: One of the reasons Dr. Guichet can lengthen so quickly is that he lengthens you 1cm or so at the time of surgery. That actually concerns me, as it seems like a lot of lengthening all at once. Have you asked about that?
Quote from: CCMidwest on July 27, 2016, 12:34:52 PMGood stuff JBC.
I never talked to Guichet. Can you share what he said about sports?
And with the nail breaks, Dr. Paley told me the same thing. Said if it doesn't break, it can bend. The extra $300 with Paley is for xrays if I remember correctly.
Edit: One of the reasons Dr. Guichet can lengthen so quickly is that he lengthens you 1cm or so at the time of surgery. That actually concerns me, as it seems like a lot of lengthening all at once. Have you asked about that?
Regarding sports - from Dr. Guichet's email to me:
"Intensive sports can be resumed after full fusion, which occurs generally approximately twice faster than in other teams (count 4 months for a 6-7 cm gain). Some patients resumes professional sports and won international competitions. Gradual lengthening have been performed since 1906 and there is no long term effect provided the flexibility and early full functional recovery are secured."
I believe this is why he insists on a high level of fitness and preparation pre-op, which makes sense. This is elective surgery, but it is incredibly invasive.
I'm not certain about the 1cm lengthening at time of surgery, nor whether it's a concern. He has an excellent track record. Dr. Paley's statement about any nail breaking does give me pause - logically, the statement makes sense. I'm reserving judgment until I meet with both Dr. Paley and Dr. Guichet.
I think I'm going to rule out Dr. Lee, I really do not see a logical reason to have the surgery done in S. Korea, given the two excellent physicians located in countries that have world class medicine and great track records of same. I know a lot of plastic surgery is done in S. Korea, Gangnam district specifically, but for some reason I trust the US and Europe when it comes to doctors .
You are 100% right about the xrays CC, that's what the extra $300 was about. I have spent real money at this point (close to 5K on booking the flights and trips and $750 for Dr. Paley's consultation) so this is nearing reality. I am totally willing to look at this as throwaway money if for whatever reason, safety included, this becomes a non-starter.
I do have a concern about the Guichet nail and related level of pain with the clicks - there seems to be consistency in the diaries about this. Would love to hear about this from other folks, this is another question I'll have for both doctors. The fast track plan appeals to me in terms of time, certainly, an insane level of pain does not .
JBC,
I am really glad to hear that you are doing your due diligence in finding the right surgeon, and not going too far with your desired gains. I am a year or more behind you in my thoughts about this surgery, and am glad that we have these forums to learn from each other's experience.
My ideal goal is to gain 4 cm in femurs and then 3.5 cm in tibias a couple years later This is ONLY IF I am able to return to acceptable function after the first operation.
I would be interested to hear your thoughts on recovery likelihood with this plan.
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