Major complications with LATN/LON

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Quote from: TemakiSushi on December 07, 2019, 01:21:55 AMhttps://www.sciencedirect.com/science/article/pii/S001457931400893X

Abstract
Low-intensity pulsed ultrasound (LIPUS) is used for bone healing in orthopedics and dentistry. It has been shown that LIPUS induces the secretion of extracellular adenosine triphosphate (ATP), a key mediator of osteoblast response to mechanical stimuli. However, the detailed mechanism of LIPUS-induced osteogenesis has been elusive. In this study, we investigated the role of the P2X7 receptor in LIPUS-induced osteogenesis. LIPUS induced the release of extracellular ATP, differentiation of osteoblasts and osteogenesis via the P2X7 receptor, without affecting the activity of alkaline phosphatase (ALPase). These results suggest that LIPUS-induced extracellular ATP promotes bone formation via the osteoblast P2X7 receptor independently of ALPase.

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There are more studies but omit for space

Anyways I hope tibias of Great321 and Jolien will fill up callus with any methods soon
Did Giotikas give you any mechanical treatment? But these mechanical treatments need to be done when callus are still alive especially during lengthening otherwise it won’t work much
Are there any hospitals with 3D X-rays in Germany to see alignments and bone formations  precisely? 

I’ve been watching out and collecting info on the progresses of about 20 actual patients of Donghoon cases I haven’t heard any of his patients with non union or very delayed consolidation, while I get many information regarding problems from patients of other doctors tibia cases

The slowest full consolidation of precice tibia case Ive known from Donghoon patients is 9 months, 6cm precice tibia
Those data I have include much older people like 30s 40s and 50s

I suggest anyone to rely on the latest studies which don't reference disproved old studies. Just be a grown-up and accept facts that you might not like.

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Oh poor boy, you don’t get the point
I’m really worried about your dent in the shin, it’s been over a year now?
Jolien got a similar dent
Did Giotikas give you mechanical treatments during lengthening?
Or any other treatment or medicine like Forteo, teriparatide?
Does he provide BMAC?

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It's pretty obvious that any criticism on Lee hits you hard on a personal level so you try to distract and focus on the other person. This is not healthy. I don't think that you are ready for LL yet. Because if sth happens it might devastate you as you had trusted that doctor 1000%. Patients shouldn't be the best friend of their doctor, friendly but distanced. Accept that with any doctor something can happen, with some it is less likely but not avoidable.

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I wrote I welcome any negative comments if Donghoon
But you aren’t really hitting any
You are only saying ultrasound doesn’t work 😆 with that recent German paper
But medicine doesn’t work like you imagine.
You may be thinking new practice overwrite all the old studies all sudden?
Studies are done and then take some years to check the reliability of it, unless old studies may bring dangers

Ok anyways at least Donghoon is the kind of doctor who pay lots attention to delayed consolidation trying different approaches before it gets too late
But Giotikas seems not
Also did you ask how thick is the nail diameters?
Which one does he use, 10mm, 11mm?
This can affect consolidation

I’m not attacking your personalities
I just worry about your condition and the readers who are prospective patients with some chances to get into traps of CLL

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Quote from: California2 on December 06, 2019, 04:13:43 PM
To be clear--I am NOT saying anything against Donghoon Lee.

I considered him but decided against him primarily because he charges U.S. prices for services in Korea.  If I am going to pay full price; then, I might as well go down the road to Mahoubian who is in my back yard.

When you are deciding among the pool of top leg lengthening surgeons, in order to go out of your own country, you should have a good reason.

For me, I was never willing to pay ANYONE $100K for leg lengthening.  However, when I learned I could go to Saint Petersburg, Russia, and get the services of some of the top level leg lengthening surgeons in the world for $20K rather than $100K; then, the fear, uncertainty, and inconvenience of going to another country for the surgery became worth it for me.

However again, everyone should do his and her own analysis.  Because something was worth it for me does not mean the same for you.

My earlier message was about recommending caution in giving too much weight to posters who have not had the surgery but regularly talk as if they were knowledgeable while making claims about the purported greatness of a particular surgeon.

All of the top-shelf surgeons are about the same in terms of skill set.  Who you select among the top-shelf surgeon deals more with price, the particular technique offered or recommended for your desired goal, and convenience.

I like how you articulate your thoughts. Can you explain why Mahboubian would have been a good choice (apart from being local to you) based on your research?

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Quote from: TemakiSushi on December 07, 2019, 12:14:23 PMI wrote I welcome any negative comments if Donghoon
But you aren’t really hitting any
You are only saying ultrasound doesn’t work 😆 with that recent German paper
But medicine doesn’t work like you imagine.
You may be thinking new practice overwrite all the old studies all sudden?
Studies are done and then take some years to check the reliability of it, unless old studies may bring dangers

Ok anyways at least Donghoon is the kind of doctor who pay lots attention to delayed consolidation trying different approaches before it gets too late
But Giotikas seems not
Also did you ask how thick is the nail diameters?
Which one does he use, 10mm, 11mm?
This can affect consolidation

I’m not attacking your personalities
I just worry about your condition and the readers who are prospective patients with some chances to get into traps of CLL

I'm of course indirectly criticizing any doctor who still offers ultrasound for a better bone growth.
The new study explained exactly why the old studies were not reliable. Science works that way, always looking for the truth and if a new truth is found, that is accepted and seen as the new basis.

If you remember, our conversation started with me asking about Dr. Lee's LON method, you mentioning ultrasound, I gave you evidence that it doesn't work and then you started to distract from Dr. Lee by talking about Dr. Giotikas. It's weird.

I am honest in my diary, I also wrote there that I don't know if my slow consolidation is Dr. Giotikas fault. But future LL patients like you if you ever start a diary will most likely omit problems because you won't be able to admit that even with the best doctor you will face problems. LL is not a walk in the park. No doctor can bring you back to 100%.

I know a Lee patient who said that he wanted to die during his LL path. Aside from numb shins he seems to be ok now. I didn't ask him if he can do all those things that I took for granted before LL though.

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With you on this Great321. Your diary is genuine and you seem like a logical person. I think you will recovery well. I also congratulate you for putting most of LL behind you which is a very difficult thing to start with.

I think it's a bit rude of the other poster to take problems faced by other LL doctor patients just to push a point about Dr Lee. May be it makes him feel optimistic about his decision to do LL if he ever actually does it.

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Oh Great321 I think I know which Lee patient you are talking about
I asked him numerous times if he ever felt unsafe or some even smallest negative thing about Donghoon
But I couldn’t get any from him.  He only said Donghoon is good surgeon
I still ask him though . He gave us very helpful informations
Sure he said skin numbness lasted for sometime
He didn’t have anything like drop foot
LON is supposed to be super painful,
yeah if being very active during lengthening it’s understandable for what happened
You remember what he was telling us right?
Please let me know if there’s something more than I know about the guy or tell him to tell me directly 😊
Or if you talking about someone else warn me WARN me please now🤣

Don’t worry I’m not gonna write a thing about my surgery until after 3 years post surgery to be very fair
I need at least 3 years to see if my surgery really succeeded or not

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Quote from: limewalk on December 07, 2019, 01:07:02 PMWith you on this Great321. Your diary is genuine and you seem like a logical person. I think you will recovery well. I also congratulate you for putting most of LL behind you which is a very difficult thing to start with.

I think it's a bit rude of the other poster to take problems faced by other LL doctor patients just to push a point about Dr Lee. May be it makes him feel optimistic about his decision to do LL if he ever actually does it.

Oh it’s him who started asking about what Donghoon does for consolidation
And started saying Donghoon is not good because he use ultrasounds🤣

Who else is really better then? Giotikas is not better at least

Besides it’s you who many times asked me about Donghoon 😱 in other threads

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QuoteCan you explain why Mahboubian would have been a good choice (apart from being local to you) based on your research?

I am not going to cheerlead for any particular surgeon.  I researched many surgeons the world-over and conclude that only a handful of top-level leg lengthening surgeons exist.  I am not going to set out a list of names because reasonable minds can disagree about who should be on the list.

What criteria did I consider to characterize a surgeon as top-level? 

In general, that the surgeon performs leg lengthening regularly (or exclusively); that is, that leg lengthening is a primary focus of the surgeon's practice.  That the surgeon also conducts research regarding leg lengthening and is published (books or peer-reviewed articles).  That the surgeon performs both medically necessary and elective leg lengthening.  That the surgeon has no public record of discipline or gross malpractice and is regulated by a professional body.  That the surgeon employs a team of qualified professionals.  That the surgeon practices in a first world country with modern facilities.

Though at the time Mahoubian was still a bit new to the game for my liking, Mahoubian ticked all of these boxes as did several other surgeons.

I ultimately decided as I did because, all other things being relatively equal, I could not come close to the value offered by the Solomin/Kulesh team.  But every potential patient must do his or her own analysis and draw his or her own conclusions.

Though I wrote that I was not going to cheerlead, I will add that I was concerned I would get to Russia and be disappointed.  The opposite happened.  Facilities were new and modern and I have never experienced such a high degree of medical expertise, thoughtfulness, and attention.

This is NOT to say that others may not be equally impressed by services offered in other first world countries--but I cannot speak to matters I did not experience.