Limb Lenghtening with Dr Guichet 2017

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Col92, precice is a nail, if a doctor knows how to insert a nail, there is not much problem(he has done tons of nailings). That is surgery easier that for example an Ilizarov surgery or Ilizarov+nail(LON).

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Yes I agree, and I did think that his experience with other nails counts for a lot. To be honest I think reading so much on this forum about the pros and cons for different doctors starts to make you look for reasons to cross them off the list to try to narrow it down.

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Hi everyone. I arrived to Milan 2 days. Today I met Dr. Guichet and the anesthesiologist. Dr Guichet definitely knows what he is doing. He is very rigorous about all the pre op preparation (training and exams). When he evaluated me, he noticed that I had some orthopedic problems with my knees which unfortunately will limit my lengthening to 6 - 7 CM. He asked me to take an additional exam: a CT of my knees. I will also have to answer a very long "Motivation letter" which more or less requires to explain your reasons for having the procedure and how you will face the consequences of this decision; and also a PreOp Agreement, where he asks your opinion on the many risks and possible situations that may happen. Finally, I had the opportunity to meet 2 of his patients. They were both at about 1 month but were completely different in their lengthening. One had no pain and finished his lengthening in 45 days and the other one had moderate to severe pain with some difficulty to "click".

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Quote from: LLSouthAmerica on January 28, 2017, 09:11:42 PMHi everyone. I arrived to Milan 2 days. Today I met Dr. Guichet and the anesthesiologist. Dr Guichet definitely knows what he is doing. He is very rigorous about all the pre op preparation (training and exams). When he evaluated me, he noticed that I had some orthopedic problems with my knees which unfortunately will limit my lengthening to 6 - 7 CM. He asked me to take an additional exam: a CT of my knees. I will also have to answer a very long "Motivation letter" which more or less requires to explain your reasons for having the procedure and how you will face the consequences of this decision; and also a PreOp Agreement, where he asks your opinion on the many risks and possible situations that may happen. Finally, I had the opportunity to meet 2 of his patients. They were both at about 1 month but were completely different in their lengthening. One had no pain and finished his lengthening in 45 days and the other one had moderate to severe pain with some difficulty to "click".

Can you ask Dr Guichet the following questions?

1) why so many patients have problems clicking?? pain level too high or just mental??

2) like the case of unicorn who got a fracture, is that because Dr guichet is sometimes too over confident with his nail?? and sometimes is not cautious enough?? too rude (violent) with patients ?? push them too hard?? forcing them to click with the risk to break something??

3) seems there is a risk of the nail bending if you are not cautious with it?? what would Dr Guichet do if the nail bend?? another operation to replace it??

4) why many years ago some of his patients can walk unaided 2 weeks after operation and now you have to use a walker??

5) how many flexibility exactly do you need to do for example 8cm and not finish with duck ass??

thanks

by the way when is your operation?

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Quote from: assa13ssin on January 29, 2017, 03:12:26 PMCan you ask Dr Guichet the following questions?

1) why so many patients have problems clicking?? pain level too high or just mental??

2) like the case of unicorn who got a fracture, is that because Dr guichet is sometimes too over confident with his nail?? and sometimes is not cautious enough?? too rude (violent) with patients ?? push them too hard?? forcing them to click with the risk to break something??

3) seems there is a risk of the nail bending if you are not cautious with it?? what would Dr Guichet do if the nail bend?? another operation to replace it??

4) why many years ago some of his patients can walk unaided 2 weeks after operation and now you have to use a walker??

5) how many flexibility exactly do you need to do for example 8cm and not finish with duck ass??

thanks

by the way when is your operation?

1) From what I've seen, most of the patients who have problems clicking, have too much pain and are more likely to miss rehab / stop walking because of it. Will ask him that!

2) Maybe you can rephrase that...

3) Will ask him that

4) According to the patients I have talked with, they only use the walker the first few days. Afterwards, you only use crutches.

5) Will ask him that

My operation will be at the end of February hopefully

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hi south america!!

so if I understood you are starting preOP training in Milan?? how much does the preOP training cost?? is it one month training or two months??

my last 2) question was : a patient from this from named Unicorn (you can read her journal) got a bone fractured/broken during LL maybe because Dr Guichet asked her to do too many clicks... because Dr Guichet has a very army-general like personality and he always pushes his patients to go over the pain is there a risk that sometimes he misjudge the conditions and ask a patients to do too much (like too many clicks) which cause injuries?? I would like to know how he would react to that question

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I will be following your diary closely. I'm also South American living in the US around the same age. Dr Guichet would be one of my top choices but he's quite expensive. I'm surprised you being a medical student and 22yo can afford him, unless you have support from parents of course. Good luck and hope the process goes smooth for you.

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Quote from: assa13ssin on January 30, 2017, 10:22:05 AMhi south america!!

so if I understood you are starting preOP training in Milan?? how much does the preOP training cost?? is it one month training or two months??

my last 2) question was : a patient from this from named Unicorn (you can read her journal) got a bone fractured/broken during LL maybe because Dr Guichet asked her to do too many clicks... because Dr Guichet has a very army-general like personality and he always pushes his patients to go over the pain is there a risk that sometimes he misjudge the conditions and ask a patients to do too much (like too many clicks) which cause injuries?? I would like to know how he would react to that question

Actually, the preOP training is included in the estimate I wrote before. Yes basically, preOP training and appointments (xray, blood tests, psychiatrist assessment, etc). The training is supposed to make you increase your strength by 30% according to CYBEX testing, therefore it is a one month training that may be extended if you are lazy. During that time you learn about the post op management and also do stretching and crutches/walker training.

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Good luck with the training LLSouthAmerica.

I contacted Guichet last week as I would like to have an op with him next year, so I'll definitely be following your progress.

Do you have any intention of doing Tibias after your Femurs? Or are you just going to wait and see? One thing I am curious about is whether Guichet offers any 'package deal' to do both segments (in 2 ops over time).

Cheers,
Chard.

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You shouldn't tibs with him . Precise nail seems way more easy for this . Stay safe and good luck .