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Posted on Jul 15, 2015, 6:45 am
#1
have just arrived in serbia, should meet mitkovic today.

starting height: 164.5
goal:                170

but i will have to see if i have a short enough tibia to pull off that gain, so i await my x-rays.
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Posted on Jul 15, 2015, 8:48 am
#2
Hey you made it microman monorail tibias dr. mitkovic Did everything go according to plan when you arrived there? No issues with the pickup or getting to the hotel?
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Posted on Jul 15, 2015, 12:51 pm
#3
nope none at all.



had consultation with dr mitkovic, he did a basic measurment of tibia and femur, apparently i have

tib  33cm
femur 43cm

i was really surprised actually, since i have short legs, but we will get a proper scan tomorow.

he said his recomendation is 4cm, but you can do 5cm, he said 80% of patiens can do 5 safely, and 20% should stop at 4cm, he basically implied to not go over 5cm, i was a little dissapointed by this but my safety is paramount.

He said if you get misalignment say at 4.5cm due to soft tissue you must stop at 4.5cm, for discretesuser it was different, he got misalignment due to pre consolidation, so he could continue lengthening.

so we agreed to be positive and aim for 5cm, at least my proportions will be great both in wingspan and tib/femur ratio, but i may end up 169 post op.

the important thing is my health first, then accepting my height and move on with this issue i have, rather than trying to obtain some sort of good height like 173 or whatever from LL.

he says for consolidatoin i can get x ray every 8 weeks in the UK, that will maek thing much easier for me, he is happy to write an official letter in english for the UK.

he said cleaning pin sites is easy job to do yourself.

interestingly enough he never measured my height or anything, i guess it's immaterial to LL as your starting height has nothing to do with the process.

a words up on mitkovic and the hospital manager, pretty sure these guys are 5 8.5, so you may be taller than them if you meet that at 5 10, actually youd be even taller given the male average in serbia is higher than UK, just be prepared.

for pain level he said 90% of patiens don't use painkillers after surgery, don't know if that's good or not.

in case your wondering why mitkovic did one leg at a time for discreteuser that was because he was develeping a cold so he had to stop after the first leg, its not he was trying some new better way to do it.

upon removal of device at home, he said first you remove device and keep pins in , then walk for 1 week, then you remove pins then send device back, he said there is pain when you remove pin.

while lengthening you turn 4 surfaces a day, example

8 am
10am
12am
2pm

then nothing until next day, each surface is 0.15mm, so that's a total for 0.66

all taxis use dinars here, so you exchange euros for dinars in a local shop away from hotel, the shop says on it manjacima, i would suggest doing this before operation so you can pay all taxi fares for 3 month period.

also the x ray gets done once a month while lenthening, i thought it was weekly, price on that may be about 100 euro a time, but it will be in dinars.

i am to bring passport tomorow morning at 8:30 for my blood test/ phyc test and proper x ray scan, they need id for myself, my hotel has kinda taken my passport as is, my last meal is to be 7pm tonight due to the blood test.

he said during lengthenig beer is aloud, but only 1 per day.

overall i am happy i went with mitkovic rather than barinov, although with barinov using ilazarov i know you can do 6.5cm, maybe with mitkovic i can only do 4.5.cm but it's unknown, i prefer light weight bar and removal of device at home.

i would alway binrg notebook and pen with you to these meetings, very helpful.

taxi to hospital is 200 dinars so you will need that, for retun that is 400 dinars. so x that by 12 to 4800 to get back and forth weekly for cleaning of pin sites.

for x ray it is done elsewhere, i don't know where, but mitkovic will tell me, maybe it's not far, i don't know, that will cost taxi money as well, you go on your own but mitkovic will sms you the details to tell them what you need.

i think hotel accepts euros and dinars for staying.

you stay in the hospital for 6 days, maybe the hotel can keep some of your stuff in the room without you paying the rent, i don't know.
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Posted on Jul 15, 2015, 4:54 pm
#4
With a 10cm difference between femurs and tibia you could do 6cm and still look good.
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Posted on Jul 15, 2015, 5:59 pm
#5
yes i was very relieved, my max goal is 6, id be happy with 5.

microman monorail tibias dr. mitkovic
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Posted on Jul 15, 2015, 8:23 pm
#6
Congrats Microman! I am also from the UK and I will be following your thread closely. I am also planning LL with this dr hopefully in 2016/2017. I was in touch with him a few months. Good luck and I hope you succeed
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Posted on Jul 15, 2015, 8:34 pm
#7
It doesnt seen like 10cm of diference
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Posted on Jul 15, 2015, 8:49 pm
#8
Dr. Mitkovic seems to have gotten more conservative since I was there.  He told me 7cm would be "reasonable".  Did he say why he's only recommending 4-5cm to you?
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Posted on Jul 16, 2015, 3:32 am
#9
yes i was surprised to hear him say that, the other patients here said mitkovic said to them that they can go for 5cm, and if 5cm went well do 6cm maximum.

for some reason he said much less during consoltation for me but i don't know why.

i would be happy with 5cm anyway, we will see how it goes.

discreteuser is very helpful for me in this process, he show me all th exercises and without him i would not be here, likely i would be in russia with barinov as i thought that mitkovic retired this whole time.
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Posted on Jul 16, 2015, 5:55 pm
#10
That's awesome. Even if Dr. Mitkovic is off by a few cm (which I doubt), you still have the potential to do a large amount of lengthening before your tibs get too long for natural function. I wouldn't give his 4.5cm recommendation too much thought though, as he's perhaps just preparing you for the worst case scenario, which is understandable when most LL patients run into difficulty with tightness around the 4cm mark.

Like you, I'm also aiming for 6cm, but 5cm is the minimum I would want to achieve from this.

Did you get a date for your surgery yet?

This information is invaluable to me btw, so keep it coming! microman monorail tibias dr. mitkovic
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