I thought the point of a weight-bearing nail is so that you can exercise frequently after surgery and keep the blood flowing. Shouldn't this mean there's a much smaller chance of DVT/PE?
Quote from: thankscience on November 10, 2021, 02:55:18 AMI thought the point of a weight-bearing nail is so that you can exercise frequently after surgery and keep the blood flowing. Shouldn't this mean there's a much smaller chance of DVT/PE?
I don't think walking can substitute blood thinners.
Quote from: overandover on November 10, 2021, 03:03:28 AMI don't think walking can substitute blood thinners.
I agree. I just know that technically there should be a much smaller chance with a weight-bearing nail of this happening.
Anyway, Giotikas is currently at the top of my list so I'm curious as to whether he will change his protocol (assuming it's related to not prescribing Xarelto for long).
Quote from: LU213 on November 09, 2021, 04:42:29 PMIt is not about trust, you have to manage your own health to an extent (be proactive) and doctors are human. Also, the doctor cannot know everything. No one on earth can. I don't put complete faith in man only our creator. For example, if my father says he is going to pick me up from University, I trust him because he always comes and has five days a week for the last 3 years but I keep taxi money just in case because he is human and events beyond his control can stop him from coming or even his own negligence in running a light and getting into a car accident.
I just saw an interview with Cyborg4Life last week and Betz also gives blood thinners the whole time. So I am not sure it has anything to do with weight bearing but maybe it does. Anyway I flew home for 14 hours total (2 flights) and the other guy didn't and I am doing well. So I don't think staying in Athens is the key. If you aren't having any problems clicking, they won't suddenly arise. Clicking only gets easier. I left at 5 weeks, and never was unable to click.Although clicking was always the worst part while I was there. Almost all of Betz's patients fly home after 2-3 weeks.
Trust is both trust in intent and trust in ability/competence. My point was that we are talking about the latter.
Anyway it's just a choice of words. All I meant to say was that the surgery itself requires enormous trust in the surgeon and one should trust that the surgeon is knowledgeable to enough to keep the patient safe after surgery. In your case if you are consulting with another US doctor near you then it's fine. But taking blood thinners over the counter isn't (the other poster was talking about this).
As for flying, flying is known to be a danger after any ortho surgery. Mobility reduces chances of PE and if someone is terrified of PE they shouldn't fly long flights ideally.
As for clicking difficulties, they can arise as the bone grows. So even if it is easy today it can become difficult in the future.
Quote from: two on November 10, 2021, 08:06:25 AMTrust is both trust in intent and trust in ability/competence. My point was that we are talking about the latter.
Anyway it's just a choice of words. All I meant to say was that the surgery itself requires enormous trust in the surgeon and one should trust that the surgeon is knowledgeable to enough to keep the patient safe after surgery. In your case if you are consulting with another US doctor near you then it's fine. But taking blood thinners over the counter isn't (the other poster was talking about this).
As for flying, flying is known to be a danger after any ortho surgery. Mobility reduces chances of PE and if someone is terrified of PE they shouldn't fly long flights ideally.
As for clicking difficulties, they can arise as the bone grows. So even if it is easy today it can become difficult in the future.
I don't trust any doc in the world it doesn't mean I shouldn't get treatment. It just means I'll do my own research and will be skeptical of the doctors. Also, who is stopping someone to walk in the plane. Book first class and keep walking in the area back and forth.
As a former LLer, I absolutely recommend booking first class or extra leg room and walking every hour. I even used compression socks during my first flights.
Quote from: LLSouthAmerica on November 10, 2021, 11:09:28 AMAs a former LLer, I absolutely recommend booking first class or extra leg room and walking every hour. I even used compression socks during my first flights.
Would you say this is still necessary even after three months has lapsed since surgery? My understanding is the risk of blood clots is almost zero after three months.
Necessary? No, but I strongly advise it. The risk of blood clots may be closer to your baseline (depends on many factors: age, mobility, etc), definitely not zero. However, if you remain in the same position you may be uncomfortable and maybe stiff. You need space. Even after 3 months, you may experience pain and other problems.
Quote from: overandover on November 09, 2021, 02:06:26 PMRead the raaz diary he did stryde with Assayag also you can read Assayag interviews. Paley said in many conferences and on his website that he gives blood thinner irrespective of the nail (stryde or otherwise).
Can you share links? I had asked Assayag via message once and he had said he gives it only for 2 weeks or so. Maybe LU213 can help confirm this.
While I was in the hospital, i was given blood thinners and then I was provided a little over 2 weeks of blood thinners when I left, so it is probably about 3 weeks of blood thinners total. Dr. Assayag only provided me with enough blood thinners for my flights to and from Baltimore. On my next appointment I will ask him about his protocol but he doesn't perform surgery with these nails developed off of the original Albizzia nail. I will say that we cannot jump the gun and say anyone is to blame. Certainly I go over and over in my head how someone can show up to PT telling them he has pain and then receive the full, difficult PT and then have a heart attack on his way out waiting for a taxi without it coming to the PT's head that perhaps this patient needs to be seen by a doctor. However often the main PT owner/specialist was not there and still I don't know if the PT employees were told how to identify the signs of DVT or PE. The incapacity of the person that had surgery the same day as I did haunts me. However, it doesn't mean that Dr. Gio is not a good doctor. Go in knowing the risks. If you are considering him, talk to him and tell him your concerns and what you heard. If he addresses your concerns and you feel comfortable, you can use his services. Doctors cannot speak in terms of names/PII but they can speak about publicly known information and address real situations without names/PII.
Also remember you pay the doctor, he or she does not pay you. Do not be afraid or intimidated to ask questions tactfully and respectfully (as you should do any human) no matter how they react. Do not be afraid to call for emergency or call the doctor, who gives everyone his phone number, --who cares if it happens to be a false alarm? still call. You paid for this service.
If you have someone with you, you get help right away and you don't need to wait for someone to find you. I know that option is not available for everyone.
Do not do any special diets. Eat well-balanced meals. Don't consume protein to the exclusion of the other things such as carbs and fats. (this I learned from Dr. Assayag - stay away from keto diets while LL)
As far as clicking, I can do my clicks while riding in a car safely confined in a seatbelt. It has not been a source of stress and anxiety for a number of weeks. I saw a message in ab608's diary that distraction with the magnet was extremely painful with precise in her left leg. So painful that it was a level 8 for hours and she skipped it altogether one day. Everyone's body is different. So I believe my choice of the GNail with Giotikas was the best choice for me. Still I have a lump in my throat.
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