GNail with Giotikas 5 Weeks in Athens

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Quote from: LU213 on November 11, 2021, 10:52:47 PM... 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... 

Hi @LU213, as far as I know the heart attack happened before the PT session when the poor guy had just arrived there and the taxi driver called everyone out to help.

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I think LL patients are quite tired, anxious, feeling a bit sick, etc all the time and it is probably hard to tell the difference between early onset of PE and just usual fatigue.

All that really matters now is whether the protocol for dealing with PE needs to change. But we just heard that even Assayag doesn't give blood thinners even for Precice cases after the initial couple of weeks.

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I have not been feeling fatigued or sick since the first 2 weeks.  I felt pain during clicking for sure for probably 4 weeks after surgery but when I was not clicking, I did not feel sick. Most days, the other guys at PT did not look sickly when I saw them, although dealing with serious pain. We had a good time laughing and talking during PT.  One of the guys even has a great voice and sang for us.  I have slept well this entire process but I started with melatonin and ZMA based on previous experiences of others.  I have a month left and I do feel tightness in one leg or the other but I feel okay. My PT is focusing on my Frankenstein walk.  I flew to visit family this weekend and they definitely noticed I was taller.

I spoke to Dr. Giotikas and he said it was a unique case with rare background factors affecting it.  He said he evaluated his protocol and is not going to change it.  These are the signs of a PE that he provided:

The symptoms of PE usually are shortness of breath or shallow or quick breathing, cough, pain in the chest. Symptoms may be subtle in a mild incident of PE.

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I am now at 6.8 cm. I have not felt any more difficulty since 5 cm.  I can walk to kitchen and bathroom without crutches.  Otherwise, I always use the forearm crutches. New at this length is Dr. Giotikas said not to walk more than 1-1.5 hours even with the crutches so as not to put too much stress on the implant. As we know the more you lengthen, the more stress is placed on it because you are getting closer to the edge of the thick part of the implant.   X-ray below

https://imgur.com/fQtlnOE

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Quote from: LU213 on November 25, 2021, 08:43:30 PMI am now at 6.8 cm. I have not felt any more difficulty since 5 cm.  I can walk to kitchen and bathroom without crutches.  Otherwise, I always use the forearm crutches. New at this length is Dr. Giotikas said not to walk more than 1-1.5 hours even with the crutches so as not to put too much stress on the implant. As we know the more you lengthen, the more stress is placed on it because you are getting closer to the edge of the thick part of the implant.   X-ray below

https://imgur.com/fQtlnOE

Thank you for sharing your x-rays, the regenerate looks very good.

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I appreciate that. I am 7 days away from 8 cm.

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Quote from: Arcon on November 09, 2021, 01:58:49 PMThey give xarelto full time now in the US because they are only using precise, which is non weight bearing; they didn't do the same when they were using Stryde, which was full weight bearing. I wrote elsewhere: It is the weight bearing limitation of Precise which makes the difference here and I don't think giotikas suddenly went nuts

You are 100 percent right. When Giotikas does precise he does give Xarelto for the full time of Lengthening.

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any updates

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Can I ask what the nails look like externally?
I've been trying to Google for pictures of the G-nail on patients and all I've seen are the nails on their own or an x-ray, but I can't see what they look like on a person normally. Like do the nails come out of your thigh so your wounds are basically exposed all the time?
Would be great if you can post a picture (and censor your privates of course).

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wow so you basically have done 8 cm in about 3 months. g nail is really fast compared to other methods it seems!
i am curious about the recovery period of g-nail too. since most gnail patients are still in the consolidation phase or lengthening phase there is not much detail about when to expect normal walking and athletic recovery for gnail patients. i have yet to read a diary of a gnail patient about nail removal