Wow thats really cheap. So thats for the physio to come over to your hotel and do it in your room? Ooops that sounds kinda wrong 
And thats for a one hour session?
No More Mal-Kahn-Tent - External Tibias - Dr Parihar
Yep.
Hey Kilo, just reread your diary again and seems like you've changed my mind regarding LL in India 
Regarding Precice in one of your earlier post you said that you'd have to pay Ellipse the $30,000 first before they ship it to Dr Parihar. As I'd like to go to India first and look around at the place, the facilities, what Dr Parihar is like I'd rather not want to pay the $30k upfront incase I back out and lose that money. I know Dr Birkholtz patients didn't have to pay upfront before the nails get shipped and only paid for them on arrival and after their consultations(I think). Can a patient pay after a consultation with Dr Parihar and not have to wait for it to arrive? Could you ask Dr Parihar about this when you can?
Also I dont think you've said anything regarding showering unless I missed it, are you allowed to shower fully as in get the frames wet as well? Or do you need to cover them up before showering?
How is the equinus Kilokahn? Has your therapy been of any relief yet?
Quote from: ShortyMcShort on September 17, 2014, 10:07:50 AMHey Kilo, just reread your diary again and seems like you've changed my mind regarding LL in India 
Regarding Precice in one of your earlier post you said that you'd have to pay Ellipse the $30,000 first before they ship it to Dr Parihar. As I'd like to go to India first and look around at the place, the facilities, what Dr Parihar is like I'd rather not want to pay the $30k upfront incase I back out and lose that money. I know Dr Birkholtz patients didn't have to pay upfront before the nails get shipped and only paid for them on arrival and after their consultations(I think). Can a patient pay after a consultation with Dr Parihar and not have to wait for it to arrive? Could you ask Dr Parihar about this when you can?
Also I dont think you've said anything regarding showering unless I missed it, are you allowed to shower fully as in get the frames wet as well? Or do you need to cover them up before showering?
I believe Dr Parihar has to contact Ellipse first and request the nails for a patient before they ship them and then from there the payment to Ellipse is worked out and everything. I see Dr Parihar again next Thursday and I'll ask for more details on how it all works. The process for him should be the same as the one for any of the other doctors here, like Dr Shah for example.
Once the stitches are removed from the osteotomy sites you're allowed to bathe. You leave your dressings on and wash your legs as normal, getting the fixators and the dressings wet, and right after bathing you dry the fixators with a towel and replace the wet dressings with new ones.
Quote from: Taller on September 17, 2014, 01:33:15 PMHow is the equinus Kilokahn? Has your therapy been of any relief yet?
There's been solid improvement. My right leg has it almost all the way sorted out but my left leg has always been tighter and it takes a little more time and force to get the heel to the ground. Still also have knee flexion but after some time I'm able to get my legs fully extended. I'm not really worried about them anymore, but my quads have taken such a hit from atrophy that I can no longer fully extend my legs while sitting or lift my legs up high from a lying down position. I've been doing electric muscle stimulation on my quads twice a day to try and get that strength back. My physiotherapist is hopeful though and he thinks based on my progress that I can get all my issues sorted by next Thursday.
Update: 9/19/2014
I spoke with Dr Divya again and have decided that I'll continue lengthening .75 mm per day until I see Dr Parihar again on Thursday, at which point I'll stop. I've currently turned 5.8 cm and I'll stop turning at 6.3 cm. Due to the discrepancy between my turning amount and lengthening amount in prior checkups I'm expecting the actual distraction to be 5.7 cm at the end of it. I figure that even though Dr Parihar recommends 6 cm as the safe maximum it doesn't mean I need to stretch to that limit as it's close enough. Looking at my legs now and judging from how I feel battling equinus and ankle tightness currently, I'm going to call it a day at the next check up and let the bone consolidation commence. If any misalignment is present they'll replace the rods with hexapod struts. The good thing is that Dr Divya told me correcting misalignment with the hexapod should only take a few days because I don't have to lengthen as well. He told me that hexapod will be no extra charge, which was nice to hear.
Not much more going on now. My left leg is still tighter than my right one and it's made me have pain right above where the top of my foot begins when I have the straps on. Also trying to figure out how I'll manage at the airport and flying home. I was watching videos about the Twin Towers a week ago and that's got me nervous about flying again, too.
Hi kilokhan, can you ask to doctor parihar if he know doctor salameh was in congress of india, beacuse he wasn't in the programe but
i talked with him by email and he told me that he was in india in a congress. THAN YOU.
Cheers, paco
Quote from: paco1 on September 26, 2014, 09:48:55 PMHi kilokhan, can you ask to doctor parihar if he know doctor salameh was in congress of india, beacuse he wasn't in the programe but
i talked with him by email and he told me that he was in india in a congress. THAN YOU.
Cheers, paco
Hi,
He attended ASAMI 2014.
Update: 9/26/2014
Got my x-rays again on Thursday and afterwards had to wait for two hours to see Dr Parihar and Dr Divya because they were still in the OT and then had to see patients who arrived before me. They spent quite a while looking at my x-rays before calling me in and Dr Parihar told me that depending on the angle of the x-ray and factoring in magnification, I have lengthened somewhere between 5.4 and 5.6 cm. However, to get to my goal of 6 cm it's not going to be a matter of just lengthening for a few more days. The x-rays show that I have some bending in the bones and the right one has more bending than the left, which is why the equinus is not as bad in that one because the bones don't stretch the tissues as much. This means that my bones are not aligned properly and I'll need to correct them. But in order to correct them he may have to compress the legs a little. Because of this, in order to reach my 6 cm goal he wants me to distract another centimeter to around 6.5 cm. After the distraction is done I will need to be admitted to the hospital once again for two days so he can add two pins to the middle of each leg for added stability and then change my frames to a hexapod.
Originally I was supposed to leave for home in the first or second week of October but now he wants me to stay until October 23, just 5 days before my visa expires. I'm continuing my physio and am supposed to practice standing barefoot against the wall as long as possible every day so I can prepare for my full length standing x-ray for the final measurement before I get the pins added. My legs are feeling sore each day and the pin sites and wires are getting more uncomfortable. I still wake up with ankle stiffness in the mornings that I have to alleviate each day with ankle movement exercises, too. Around this amount of distraction is where many patients end up having these sorts of complications which is why Dr Parihar has his 6 cm limit, but he says these can all be corrected and is just one of the things you have to expect to come across in cosmetic lengthening.
Latest X-Rays

Do u know ho much he will charge you for that?
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