Lengthening with Dr Bagirov in Moscow (9th December surgery date)

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i have now lengthened about 1.5 cm without any difficulties....
infections are mostly resolved. (four wound site infections earlier due to getting them wet when bathing)
please learn proper technic now to bathe...
i am around 20 percent done with my lengthening process... so god pls empower me with strength courage and wisdom to go further!
standing at 175.5 now... if pins did not bend
dorsiflexion decreased a few degrees but if i stretch realhard it is back....
i am also on many anti-oxidant supplememts...
some hearsay about LL aging u?...
so im on this regimen
is there any truth to LL aging u

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Anna's negligence caused me to commit an offence. I was not registered as a patient at the hopsital. this is an immigration offence which is very serious!

Now i write my mitigation plea before the court:

1. When I applied to the visa agent, I showed them the medical documents regarding my medical trip. These documents were sent by Anna from the clinic.

2. The visa agent did not inform me of any need to register. They said that, "that is all".

3. Once I reached the hospital, I paid the monies, and did the examinations, and after that, all was done. I asked if anything else needed to be done. They said no.

4. After surgery I was in intense pain and surgery (I arrive in Russia 7 December, and surgery date was 8 December).

5. For the next 7 days or more, I was intense pain. Constant shots of painkillers and sedation. I could not have registered. Nobody told me I had to register.

6. When I was discharged from the hospital on the 22 December, I had infections and I had to concentrate getting antibiotics and medication to keep my infection under control. I was in severe pain.

7. When I arrived at hotel, they told me about registration and immediately once I knew that registration protocols were not followed, I took immediate steps to plan and go to the immigration office the very next morning, to settle the matter.

8. At no point of time, did I show any delay in my actions.

9. I do not wish to commit this offence, and I am sorry for the trouble. But the hospital was totally negligent, and they should be punished severely also, if not totally. Please understand my situation.

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that's hardcore  lol

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could have avoided these issues by going to a different clinic....

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I have been exonerated of the charges pressed against me by the district court of moscow. This is all because I was lucky, had a good translator from my embassy and pretty high ranking embassy support. the judge was also very pretty and though she looked stern, i felt she sympathised my situation... she twisted the law backwards and upside down and came out with just conclusion... i am a free man and will have no restrictions against me.

this is very lucky. however, the company may be liable to fine of 40,000 rubles for failing to register me as a patient (they have  responsibility to register me as a patient, but failed to do so).

if i had gotten a different judge, i will be put behind bars and be deported from russia thereafter.

also. i wasted one entire day (and in pain)... at the police station, federal migration service and at the russian courts.

thank you Anna ! i will tell doctor bagirov about all these issues. she is very responsible!

this is the code:
Article 18.8. Violation by an Alien or a Stateless Person of the Regime for Staying in the Russian Federation
 
  Violation by an alien or by a stateless person of the regimen for staying in the Russian Federation, manifesting itself in non-observance of the established procedure for registration, or movement, or choice of the place of residence, as well as in failing to leave the Russian Federation on the expiry of a definite term of staying there, or in failure to observe the rules of transit passage across the territory of the Russian Federation - 
 shall entail the imposition of an administrative fine in the amount of from five to ten times the minimum wage with or without an administrative deportation from the Russian Federation.

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Quote from: crimsontide on December 28, 2014, 09:46:24 PMcould have avoided these issues by going to a different clinic....

the doctors are ok but Anna is fked up,,,

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Im now lengthening at 0.75 mm/day

sleep is possible without anti-histamines.

dr fahri and dr bagirov and the nurses have been pretty good to me. though the nurses can be unresponsive at the last few days maybe because they are too busy??

besides from my horrible experience due to anna's negligence in failing to register me, I would rate this clinic 8/10, if you bring your own antibiotics and painkillers.

i am still battling a few pin-site infections but i am still doing 0.75 mm/day.

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I am doing very well. Not taken any sedatives for days. Probably anti-histamines for better sleep. I swear that ophendraine relaxes you and your muscles so well.

Here is the letter to my local A&E department once I reach back to my country:

Ski accident in Moscow, on 8 december 2014.
•   Sedated and forgot the MOI.
•   Illizarov fixation.
Started on Augmentin on 23rd Dec.
•   Did not keep proper records.
•   But 1000 mg was used.
•   Systemic infection signs like fever (37.5) and general feeling of unwellness.
•   Pus noted, and pain at infected wound sites.
•   Dosage was increased 1-2 days later to 2000 mg.
•   Subsequently, dosage was increased to 3000 mg (x3 a day)
Started on ceftriaxone q.d. IM on 29 Dec, for a total of five days (until 2 January inclusive).
•   1 gram = 15 ml dilution (N.S)
•   3 ml = 250 mg was injected Q.D. on Rt. Thigh muscle
•   Pain reported post-inj, but resolves in 5-10 minutes
•   Sterile technique used & no sign of local infection at site of injection or systemic signs.
•   Started on Ceftri because Augmentin did not work well.
Elevated sitting BP 132/64, HR is 98 (before 22nd it was 110/70 continuously)  Before sx, BP was about 100/60,and HR = 60-70
•   Possible reasons??
•   Painkiller Excedrin has caffeine??
Pain Mgt
•   Excedrin (2 tablets)  4 hourly, as needed.
•   Tramadol (50 mg, by mouth)  2-3 times daily.
o   Need more Tramadol
•   Oxycodone for rescue analgesia.

Basically just telling them I need more tramadol and oxycodone (even though Russia does not prescribe)
Naughty me, haa.

BUT I have read that katadalon causes liver failure if used more than 2 weeks at high dose in some patients..... I started it on 22nd December. So I have to stop on about 4 January, which is around the date I am going back home)......

I will use Tramadol for about 2-3 weeks before stepping down and switching to a milder painkiller.

Anyway I swear the Russian docs do NOT believe in antibiotic even if you hve pinsite infection and feel so sick. I am on very high dose augmentin and intramuscular antibiotics now. Augmentin prescribed by doctor. But the intramuscular antibiotics, I bought it from the pharmacy myself (without prescription)...

Amazing what stuffs you can buy in Russia; you can also buy the infamous sedative ..... Phenazepam... even the hotel staff knows it.. cardiologist at the hospital says no no no its no good, nurses say no good as well... well its pretty evil as it fks up 5-10% of your short-term memory.

I am VERY tolerant to benzos because I have undergone some surgery in the past.....  but this really fks u up and your emotions. I only took 1 or 2 pills about 5-6 days ago. I can function well on this, but I do nt recommend it. It has  a looooooong half life of more than 2 days. It is a muscle relaxant too so I would use it, IF and only IF I have unbearable pain.  a nice medicine to put into your arsenal.

I am taking all these drugs because I need to do intensive PT. I have not lost ANY dorsiflexion, and I am about close to 2 cm. 1.7 cm to be precise; so now, my height is 174 + 1.7 cm = 175.7 CM, pretty much 176.

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Today and tomorrow I will lengthen 1.0 instead of 0.75, I will be using strong muscle  relaxants and do intensive PT!
Because, I don't know if the strong drug Phenazepam will pass customs!
Anyway, here is my video of my walking at 18.5 mm.
Average lengthening rate is 0.9 mm.
Next month, will decrease to 0.75. I want to shock my muscles into recovery!
i am also taking korean prescription anti-scar tissue to reduce any scarring internally and externally.
the patch on my leg is lidocaine (EMLA) cream because later, doing antibiotic injection.

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Tomorrow my final consult with doctors before I fly home; here are my Questions! let me know if you wanna know the answers:

Ask about the various types of medicines.
Ask the nurses to teach me how to care for my wounds.
I need to recover my athletic ability totally. If I want that,
•   7 cm tibia
•   8 cm tibia
•   (x cm) Tibia + (x cm) external femur
Which is the best choice?
Based on the radiological examinations,
•   How is the bone formation?
•   Should I continue to lengthen at 0.75, or 1.0?
•   Any misalignment?
•   Bent pins?
•   What is the increase in height observed on the radiological examination? For both legs..
You mentioned my legs have slight discrepancy (bilateral)
•   Can I correct and make my tibia length the same only?
•   my knees will be the same height. But hip will be different height.
•   Can we do this? Is this advisable?
If I lengthen very well and no soft tissue issues, can I do 8.5 cm? What do you think is the limit for my tibia?
I am currently taking NSAID (Ketorolac). This is similar to Ketoprofen. Does this stun bone growth? If I take 3-6 pills everyday, how much longer do I have to wait, before I can remove frames?
I am covered by insurance. If I go to emergency room in my country (just to get 3-4 weeks of pain medicines, after that I will see specialist and tell the truth), will they believe that I am involved in ski accident? The osteotomy sites look clean and symmetrical! There are no external signs of injury, or soft tissue damage.
In your experience, How common is knee contracture? What about equinus?
How is my status for equinus and knee contractures?
I have been very lazy, walking only 30-60 minutes a day. I also stretch  maybe 20 minutes a day. Should I increase?
In your experience, is 4 cm external femurs safe? Misalignment problems?? I know the only problem is severe pain.
If I am comfortable and lengthening 1 mm/day, is it OK? Does it increase total recovery time? Does it affect athletic ability??
They say pain is more, when you approach 8 cm, is this true??
I may go for minor cosmetic surgery. Can I stop blood thinning medication and painkillers for  5 days?