Quote from: maxheight35 on October 22, 2022, 03:49:48 PM if the patient did aggressive clicking you would definitely feel the pain.
Yeah I'm doing clicking with gnail femurs now and you're right for certain. For gnail femurs, 15 clicks = 1mm ish but it might be different for betzbone. I'm down to 10 clicks per day (about 0.66 mm per day for gnail) and my quality of life (less tightness, less pain) is muuuch better than when I had to do 15 clicks per day. I'm gonna ask Dr. Giotikas to let me go down to 9 clicks per day (0.6 mm per day) this week but I hope I'm not making an error (ex: premature consolidation risk) by wishing for something like this. I'm staying in Athens extra long. My bone growth has been pretty slow and I'm trying to do more crutches walking to improve it.
I've heard that clicking for tibias is not so bad so I have a feeling you'll have a good experience
Its nice you had this diary, I almost forgot about Betz and clicking weight bearing tibia nails before you posted but I actually wonder if betzbone tibias might be the least miserable/most enjoyable version of LL in terms of pain now that stryde is gone
I'm not sure what Guichet in France does for internal tibias
LL with Dr. Becker (successor of Betz) - Instagram Documentary
Quote from: maxheight35 on October 22, 2022, 02:40:51 PM
I know with most other docs, you get sent home a few days later with some instructions etc. Paley Institute I know makes you stay local during the whole duration of the lengthening process.
With Becker post surgery, he’s told me that moving forward it’s recommended for patients to stay at least 30 days post-op to get in a good routine. And tbh this place is amazing, I’m still mind blown at how luxury the hotel and clinic is. The staff here are very cool as well.
Honestly it's still unclear to me what is so different with Becker but sounds like you made the right decision for you so that's great!
Absolutely stretching and cardio daily right now. Thanks! Im excited. Rooting for you man.
Quote from: maxheight35 on October 22, 2022, 03:49:48 PMYes my cost is higher due to personal adjustments like first class but you don’t need to spend that much. The surgery itself for tibias is only 56k euro and everything else you can budget along the way.
If you want to do tibia I would recommend contacting Becker and doing a call with him. It’s fully weight bearing and you actually can’t do too many clicks because you’re maxed out 12cm with this nail and if the patient did aggressive clicking you would definitely feel the pain.
I start clicking tomorrow so will share my experience on this as well.
When you were researching doctors, what are some factors that made you choose Betz over Guichet for internal clicking tibia nails? I'm assuming Guichet using the old albizzia or something for tibia, not sure but I'm assuming from the diary that you calculated that Betz should be cheaper overall?
I ask because it seems like once someone decides on a weight bearing clicking nail, betz vs Guichet is their natural next question
People have had issues w/ both I think (unicorn on this forum had problems w/ Guichet, there were more problems w/ Betz in the old forum)
Quote from: lessthanavg8300 on October 22, 2022, 06:06:05 PMAbsolutely stretching and cardio daily right now. Thanks! Im excited. Rooting for you man.
Awesome man, and thank you 🙏
Love it
Quote from: maxheight35 on October 22, 2022, 03:13:49 PM
It’s called Dorint hotel. Here’s the link:
https://hotel-freiburg.dorint.com/de/
No personal caretaker, but everyone here is super helpful and anything I’ve needed I’ve gotten.
Food can get delivered to the room via room service, but it’s kinda nice to go down and talk to the people. Helps time pass lol.
Daily activities are pretty routine now, here’s mine:
8am wake up
shower, meditate, stretch
9am
go down for breakfast buffet, hang there and chat with people for about an hour
10am
hit the clinic, 1 hour massage on legs, train
12pm noon
Lunch at clinic side, hang out with the other LL patients
1pm
back to the room, stretch, ice my legs 20 min rotation for 1 hour
3pm
back to the gym, train upper body, cardio bike session
5pm
dinner at hotel or clinic, I rotate
6pm
back to the room for an ice session
730pm
back to the gym for more stretching and exercise
830pm
back to room. if hungry I do room service
1030pm
read my books, sleep
It’s a cycle but it’s chill. This is my first week here as well so the routine might change up as time goes on but I feel busy and peace of mind with this current flow.
Quote from: maxheight35 on October 22, 2022, 03:13:49 PM
It’s called Dorint hotel. Here’s the link:
https://hotel-freiburg.dorint.com/de/
No personal caretaker, but everyone here is super helpful and anything I’ve needed I’ve gotten.
Food can get delivered to the room via room service, but it’s kinda nice to go down and talk to the people. Helps time pass lol.
Daily activities are pretty routine now, here’s mine:
8am wake up
shower, meditate, stretch
9am
go down for breakfast buffet, hang there and chat with people for about an hour
10am
hit the clinic, 1 hour massage on legs, train
12pm noon
Lunch at clinic side, hang out with the other LL patients
1pm
back to the room, stretch, ice my legs 20 min rotation for 1 hour
3pm
back to the gym, train upper body, cardio bike session
5pm
dinner at hotel or clinic, I rotate
6pm
back to the room for an ice session
730pm
back to the gym for more stretching and exercise
830pm
back to room. if hungry I do room service
1030pm
read my books, sleep
It’s a cycle but it’s chill. This is my first week here as well so the routine might change up as time goes on but I feel busy and peace of mind with this current flow.
How can you get your buffet breakfast as you cant walk without support?
Quote from: Bagga on October 24, 2022, 04:00:04 AMHow can you get your buffet breakfast as you cant walk without support?
The hotel staff instantly offers to help which is really great!
Also, started clicking and wow it’s very weird and feels crazy lol. I setup a timer and will record every few days on each leg. Check the new IG story / highlight!
The hotel looks awesome. I wasnt sure what to expect, now I'm really excited. Im doing the same as you with first class tickets. The process is intense, might as well make the whole experience as comfortable as possible.
I was thinking for people who can afford first class tickets and want to do internal tibias, basically the decision is sort of between
Guichet vs Betz(Becker) vs Paley vs a doctor closest to you
And the issue with Paley is that your option is Precise 2 and the 5 cm limit that Dr. Paley recommends (unless you want to do 4 then rebreak and do 4 later) and the long amount of time in being in a wheelchair. Not sure if Paley lets people do more than 5cm on tibias in one go?
If you go with Guichet, well I don't know what option he does for internal tibias. The thing really confusing me is that in Athens, they told us that the G- nail cannot be used on tibias and they don't let us do that here.
However, on guichet's website, it says he uses G-nail on tibias
https://drguichet.com/article/11071/guichetr-nail/?lan=en
"The femur, tibia and humerus are the bones in which it is possible to use the nail Guichet®"
If you go with tibias Betzbone in Germany, I believe (correct me if I'm wrong) its cheaper than Paley tibias or Guichet tibias and you can do more than 5cm on tibias on in one go if you want to attempt that. And you still get the ability to walk sooner and less pain than femurs probably.
And then there is the question of "should I even want to do more than 5-6 cm?" People using the clicking tibia nails seem to do more than 5 cm more often, but I do not understand the medical/biomechanical reasons why this is achieved more often with clicking tibia nails. I wonder if the ability to walk more early for them helps with ballerina foot alot ---but I wonder if that guess is incorrect and if there is a totally different reason
I sort see why Apotheosis of the old forum went with Betz. I can't remember what the controversy over Betz was years ago though
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