LL with Dr. Becker (successor of Betz) - Instagram Documentary

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Quote from: leonazul99 on October 20, 2022, 03:30:41 AMFrom my understanding, he is a plastic surgeon that had a hair transplant clinic.  He was trained by Dr. Betz but he himself never formally completed an orthopedic residency program and did not do orthopedic surgeries until he began his tutelage with Betz. But I could be wrong. If I am right, in the US he wouldn’t be allowed to do these surgeries.  He is very nice and attentive though and knows his medicine.

Oh so Dr. Becker can do LL surgery, then a hair transplant on someone, then plastic surgery on their face all in one place? I am sort of seeing his strategy, he is making himself an all in one location to make people look better I guess and I can see why he tries to take care of his own appearance, its good for his business

I can't imagine getting plastic surgery on the face yet since I'm still young/don't notice anything yet but I could see how someone wealthy could sort of want to go to him for an all in one solution (especially tibias to be able to walk that fast since its weight bearing and probably less pain than femurs)

I believe that in Athens they recommended waiting at least a 1 month gap between LL surgery and hair transplants (though I would probably recommend do a slightly bigger time gap and to do hair transplant before LL, I felt the hair transplant recovery for FUT at least was uncomfortable especially the first two weeks or so, swelling, wound oozing)

Kinda blows my mind ok so a short guy with a receding hairline and a really big nose bump could walk in to his office and then plan all in one office to get the things done...

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Quote from: maxheight35 on October 19, 2022, 10:59:33 PMI feel like with this surgery you can’t just focus on price but also the quality of the nail. And even then doing the surgery here is more cost effective than most places. Plus the people are really cool as well. I’ve met some other patients here at the hotel / clinic and everyone is really happy with a strong positive mental attitude!

My advice is to schedule a meeting with Becker snd go visit with him and his team. Check out the hotel and physical therapy clinic. You’ll be surprised man!

Right I mean I have no doubt I would be impressed. In Athens, there is sort of an understanding that the buildings/city/pavement/roads/some other things will be sort of old and damaged and we get our x-rays back as CD's but none of us have CD players (a certain late 1990s or early 2000s vibe, though we do get to see them on a screen at the doctor's office). I have to think that Germany will look alot more modern and be a better experience overall for most people if they are willing to pay a bit more

But I just don't yet know how to weigh:

- betzbone tibias -> much better quality of life probably to be able to walk much faster

versus

precise 2 -> can go in reverse and shorten if there is a problem but you're stuck in a wheelchair for a very long time
- better price

And the other thing I'm not sure about is this: I might want (possibly unnecessarily) to stay near the doctor's area until consolidation is complete (not sure how important that is or not) and everything is fine. But that would incur alot of living costs and I haven't thought about Athens vs Germany for this

And then the other things I'm trying to figure out are:

- why aren't the USA doctors using weight bearing tibia nails?

- what are the physical/medical reasons behind the time Dr. Assayag said that stryde had more non union than expected/is this true of other weight bearing tibia nails like betzbone?

The other x factor is that if you are light enough and also your bones are big enough, I heard from an internal tibia patient in Athens that the biggest precise 2 nail can support more weight than some might expect and it might be OK for very lightweight/thin people

I sort of wonder then if Dr. Becker is an option for fatter people. You can ask ozboy-- I don't look fat, but I am pretty sure that I am the heaviest patient in Athens right now at like 80 kg

I feel like right now for femurs that clicking weight bearing nails are probably are best option until stryde comes back, but for tibias I am not completely sure.

precise vs clicking weight bearing nails seems to be one of the biggest decisions LL patients need to make and I wonder why this isn't talked about more

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Quote from: Taller90 on October 20, 2022, 08:02:41 AM
Sorry man but thats wrong. He is a qualified plastic surgeon + orthopedist and trauma surgeon and in addition he holds the German degree "Facharzt" in those two fields which means that he must have been practicing this expertise for at least 5-6 years in a clinic. I personally live in Germany and the combination of both expertise (plastic surgeon and orthopedist) are very rare. Here you go for his CV https://www.aerzte-am-alten-zollhof.de/dr-med-axel-becker

Therefore, I  don´t think that he would not be allowed practicing in the USA...

Yea idk how people can seriously think someone can be allowed to do such a surgery in Germany without qualification wtf. for USA you need to have a different medical license obviously (USML) but I don't know why everybody thinks practicing healthcare in the US is the "top" and more advanced than European or whatever. seems like bias to me, especially considering medical training takes as many years in both countries (Germany at least)

Quote from: SpeedDialer on October 20, 2022, 08:05:15 AM
I believe that in Athens they recommended waiting at least a 1 month gap between LL surgery and hair transplants (though I would probably recommend do a slightly bigger time gap and to do hair transplant before LL, I felt the hair transplant recovery for FUT at least was uncomfortable especially the first two weeks or so, swelling, wound oozing)
 

having LL + other plastic surgery at the same time is impossible.

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Quote from: SpeedDialer on October 20, 2022, 08:14:39 AM- betzbone tibias -> much better quality of life probably to be able to walk much faster

versus

precise 2 -> can go in reverse and shorten if there is a problem but you're stuck in a wheelchair for a very long time
- better price

And the other thing I'm not sure about is this: I might want (possibly unnecessarily) to stay near the doctor's area until consolidation is complete (not sure how important that is or not) and everything is fine. But that would incur alot of living costs and I haven't thought about Athens vs Germany for this

And then the other things I'm trying to figure out are:

- why aren't the USA doctors using weight bearing tibia nails?


I had similar thoughts before doing it so I can give my personal experience for that one.

- being in a wheelchair is killer. I think both mentally and for physical recovery you can't take it that long. I think for up to 6 cm in femur or so it's doable but if you want more than that you just can't sufficiently stretch, you can't walk, etc. Walking is a very important factor. Right now I could not imagine doing this without walking.
- If you really want this I think Athens is better because Mooswald rehab costs 170€/day if you want to stay longer, so it gets expenisve. Yes it has benefits but it also has downsides. I think most people severely underestimate the mental side of LL. It will be very hard no matter where you'll do it. Personally I found that being back home reliefs me a lot psychologically and gives me more motivation than if I would have stayed. If you take your training, PT, stretching, etc serious, like you should be if you decide to do it I think doing it at home after you got the hang out of it is no problem.

- different philosophies perhaps or the sole bureaucratic reason that they didn't get the weightbearing mechanical nails over and approved in the US.

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Quote from: SpeedDialer on October 20, 2022, 08:14:39 AM

And then the other things I'm trying to figure out are:

- why aren't the USA doctors using weight bearing tibia nails?



Its quite easy.... They don´t use it because there is no other weight bearing tibia nail on the market as long as stryde is not coming back.

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Quote from: Taller90 on October 20, 2022, 09:28:32 AMIts quite easy.... They don´t use it because there is no other weight bearing tibia nail on the market as long as stryde is not coming back.

Betzbone is weightbearing and gnail potentially too (potentially because i dont know a surgeon who uses it for tibia rn but its possible)Remember we are writing under a diary of tibia LL patient with betzbone and he walks without crutches 1 month post op 

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Quote from: SpeedDialer on October 20, 2022, 08:14:39 AMRight I mean I have no doubt I would be impressed. In Athens, there is sort of an understanding that the buildings/city/pavement/roads/some other things will be sort of old and damaged and we get our x-rays back as CD's but none of us have CD players (a certain late 1990s or early 2000s vibe, though we do get to see them on a screen at the doctor's office). I have to think that Germany will look alot more modern and be a better experience overall for most people if they are willing to pay a bit more

But I just don't yet know how to weigh:

- betzbone tibias -> much better quality of life probably to be able to walk much faster

versus

precise 2 -> can go in reverse and shorten if there is a problem but you're stuck in a wheelchair for a very long time
- better price

And the other thing I'm not sure about is this: I might want (possibly unnecessarily) to stay near the doctor's area until consolidation is complete (not sure how important that is or not) and everything is fine. But that would incur alot of living costs and I haven't thought about Athens vs Germany for this

And then the other things I'm trying to figure out are:

- why aren't the USA doctors using weight bearing tibia nails?

- what are the physical/medical reasons behind the time Dr. Assayag said that stryde had more non union than expected/is this true of other weight bearing tibia nails like betzbone?

The other x factor is that if you are light enough and also your bones are big enough, I heard from an internal tibia patient in Athens that the biggest precise 2 nail can support more weight than some might expect and it might be OK for very lightweight/thin people

I sort of wonder then if Dr. Becker is an option for fatter people. You can ask ozboy-- I don't look fat, but I am pretty sure that I am the heaviest patient in Athens right now at like 80 kg

I feel like right now for femurs that clicking weight bearing nails are probably are best option until stryde comes back, but for tibias I am not completely sure.

precise vs clicking weight bearing nails seems to be one of the biggest decisions LL patients need to make and I wonder why this isn't talked about more

Debiprasad in his latest interview said a new nail precice 4 can come by end of 2023 which will have same weight bearing capacity as stryde.

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Quote from: overandover on October 20, 2022, 11:13:45 AMDebiprasad in his latest interview said a new nail precice 4 can come by end of 2023 which will have same weight bearing capacity as stryde.

Thank you!!!!!!

Wait precise 4 is coming out? Dr. Giotikas uses precise 2, so does that mean there exists a precise 3 already?

Or is this a windows 10 sort of thing where microsoft skipped from Windows 8 to Windows 10 to distance themselves from the hate that windows 8 got

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Quote from: maxheight35 on October 19, 2022, 10:42:18 PMThere’s not that many in the US, and without me naming names you can do a simple google search  and you’ll see who’s available.

The reason they went back to precise is because the stride was recalled due to technical difficulties.

As stated in the original post, I never met Betz. My dealings have been strictly with Becker!

I'm in the US and reached out to top doctors as well (but only met Rozbruch). I'm just surprised you met with them if you don't want to do precise since it's well known that's what they're doing right now. The main reason you went with Betz is weightbearing? Or there is something else?

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Quote from: SpeedDialer on October 20, 2022, 01:31:53 PMThank you!!!!!!

Wait precise 4 is coming out? Dr. Giotikas uses precise 2, so does that mean there exists a precise 3 already?

Or is this a windows 10 sort of thing where microsoft skipped from Windows 8 to Windows 10 to distance themselves from the hate that windows 8 got

Precice 3 = stryde….