I don't believe Dr Parihar staff would rip off me. I believe it is a communication problem.
I'll have a web consultation with Dr Parihar. You can send me questions
I receveid an answer. It'll be tomorrow.
I had my skype consultation with him. Later I post the question and answer.
I’m curious
Q: When stryde nail will be available. What will be the price? Will it be available in all sizes?
A: Maybe it will be available in august. We don’t know what the price is. It will be available in all sizes.
Q: Price for precise 2.
A: The nail is around $36k and surgery is around U$30k.
Q: How long till I can walk?
A: Usually about 4-5 months you are walking ok.
Q: How much precice cases do you have so far?
A: 3 cosmetic lengthening 3 tibia lengthening. Comestic lengthening both femur. Tibia patient had one side short.
Q: Can I make the payment in 2 installments?
A: No, part of the money go to the company who build the nails.
Q: Do you think 5.5cm lengthening in femur would do less harm to knee joint or unlikely to get arthritis than 6.5cm lengthening after 10-20years of the surgery?
A: He doesn’t believe if lengthening done right and in safe amounts has negative effects on knee or cause arthritis in the future
Q: What is the maximum amount for tibia and femur?
A: Femur: 7.5cm, tibia 6cm.
Q: How do you treat ballerina foot? Do you perform atl?
A: We prevent it with pt and lengthening safe amounts. If it happens, in last case we perform atl but we don’t like it.
Q: Do prefer LON or LATN?
A: My first preference now is the precice and the Lon.
Q: Do you use other internal nail beside precice?
A: No.
I have more questions, I'll post in tomorrow or after. Unfortunatelly, the record I made was not very good and there is echoes.
Q: What the recommended amount of distraction per day for tibia.
A: For tibia more likely .75cm
Q: How the lengthening is measured? By the xray or by precice ERC machine?
A: Both, but mainly by the xray.
Q: For those who want lengthening both segments do you recommend quadrilateral lengthening or doing one segment and one year later doing the other?
A: Doing one segment and one year later doing the other.
Q:What do you recommend non-catabolic (i.e. mostly anabolic) exercising to stimulate arteriogenesis and angiogenesis in the lengthened legs.
A: I can’t understand his answer (record is pretty bad).
Q: Do you ever had a case of non-union? If you had, how did you treat it?
A: I never had a case of non-union but treated 2 other doctor’s patient for that (I don’t understand the treatment part). But this should not happen if it’s done right.
Q: If I smoke, how long should I wait after stop smoking to do the surgery?
A: 4-6 months.
Q: Is fascia lata a problem to femoral lengthening?
A: Yes (he explains something but I don’t understand)
Great Thanks
dear friend it is very helpful 
Thanks for posting the answers.
Surgery alone costs $30k now? It used to be $10-$15k.
Are these all the questions you asked? Sounds like Skype consultations aren't really worth it if they cost so much money.
Are you considering him for surgery?
Quote from: wannagrowtaller on April 27, 2019, 09:36:30 PMQ: When stryde nail will be available. What will be the price? Will it be available in all sizes?
A: Maybe it will be available in august. We don’t know what the price is. It will be available in all sizes.
Q: Price for precise 2.
A: The nail is around $36k and surgery is around U$30k.
I want to make sure I understand your numbers correctly.
The total price for surgery with PRECICE 2.2 with Dr. Parihar is $66,000, not including additional costs for physical therapy, accommodation, food, etc..
If that is correct, the price for STRYDE would be around $80,000, not including additional costs for physical therapy, accommodation, food, etc... STRYDE should increase the price by at least $10,000-$14,000 since each STRYDE nail is $5,000-$7,000 more expensive than PRECICE 2.2.
I may misunderstood what he told about surgery with precice, but if I'm not wrong that's it.
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