Idk if things would be different if I was healthier/thinner/even younger but somehow the thought of doing quadrilateral lengthening like some people are doing my mind keeps thinking "man screw that, I am having difficulty just dealing with two nails in me, how would 4 feel?"
Then again, if you are thin, flexible, healthy, have a strong upper body I sort of feel it could be quite doable..
I believe though that if you do that, there is a point in time where you will actually be lengthening all 4 nails at once in a day, which frankly sounds pretty rough. I believe if you do quadrilateral they will do all 4 as precise and no gnail, I can't remember the reason. I can't remember but if you have 4 nails in you, I don't think you can walk with a walker for very long with the walker anyway so I'm not sure the use of gnail in that situation. I also wonder how clicking would feel if you have four broken segments and four nails in you so maybe it makes sense they just use precise for quadrilateral, not sure the actual reason though
I see why they encourage g-nail femurs, its just easier for everyone. Except clicking maybe. But I'm pretty happy Dr. Giotikas convinced me to just start with gnail for now, its easy mode compared to what I've seen other patients experience. I don't believe that gnail tibias is an option I don't know the scientific reasons for this
I remember the fear I felt the days after surgery whenever I was being asked "shall we do some clicking now?" "oh god no" and now I'm glad its much easier than before
Observations/tips two days ish after LL surgery
Right shin numbness seems to be affecting something
when the right shin is itchy, I scratch it, yet feel not much, unsure what is a good solution?
nevermind, waited it out, itching feeling left, right shin still numb ish though, its an odd feeling. You touch your shin and you can tell you are touching your shin but the feeling is alot more numbed on the surface
I've gone back to my older technique for clicking for the right leg, seems to be working better, kind of what nurses show except I lean my whole body to the left on some pillows and have my whole body go completely limp, but I start off w/ leg a bit closer to clicking position w/ pillow and angles and-> then I just let that right arm weight do the work and relax
The clicking was alot less painful today for the right leg
It wouldn't look like much in a video, not much to show, basically would look like a corpse sitting but flopped over to his left on some pillows with a click eventually coming after the arm weight/light pressure on top of his right knee pushes the knee down enough
I sort of just feel the resistance and then exhale and let the whole body go limp/relax more and then the knee moves a bit more towards the clicking position and then rinse and repeat until the click comes
I think my wounds healing has helped to make this more possible, I can really lean towards my left without hurting myself by squishing open wounds or anything
Quote from: LothLorien on October 07, 2022, 05:21:25 PMDreaming to be tall as like an elf..
Quote from: SpeedDialer on October 07, 2022, 05:50:32 AMFound out some things
Internal tibias precise:
- you can walk very short distances with the walker
- but they still ask you to bring the wheelchair with you to physical therapy
- Trying to find out about staying in Athens 3 months vs 6 months
- I'm under the impression there is greater risk of complications but in the short term it is less pain for the patient, am I wrong?
- still don't know what stretches they do for internal tibias at physical therapy, maybe I'll observe it later. I have to think that physical therapy they probably do more than just calves stretches, I mean I would think they would want to stretch the others just in case? If the patient is there anyway for physical therapy and needs to walk again eventually? I keep missing it and not seeing it, maybe I'll see it next time when I go to physical therapy
If it's a femur precice, you can't walk with a walker even for a short distance, right?
Don't precice patients and g-nail patients usually train together? Or are there so few precice patients that you have trouble observing them?
Thanks!！
Quote from: kio1165 on October 08, 2022, 05:22:29 AMIf it's a femur precice, you can't walk with a walker even for a short distance, right?
Don't precice patients and g-nail patients usually train together? Or are there so few precice patients that you have trouble observing them?
Thanks!！
I only know of one femur precise patient, the girl
She walks short distances with the walker
that being said, based on her size, I have to think her total body weight is very low
I don't know if things would change for someone like me who is like 170 pounds and I don't think precise can support that as well as her weight
we all train together sort of, our times at PT are staggered but we still bump into alot other patients at PT
there may be more precise femur patients who I just don't realize are precise femur patients but I've met alot more gnail femur patients
What are your thoughts on Novotel vs Montaza? Still not sure what I do want to do if I do internal tibia someday, the hotel choice is one of questions to figure out
OH WAIT nvm I do know a second femur precise patient so I know at least two
I forget his reason for choosing precise over gnail, but he did that choice intentionally.
He looks very young, thin, and healthy but I'm under the impression from seeing him that he is in quite a bit of pain. But hey at least he avoids clicking I guess. I will say though that generally clicking with my left leg is no problem at all, and I am improving my technique for right leg clicking and I think hopefully clicking will eventually become a non issue
The thing about clicking is it sort of like adds two additional stressful sessions each day (morning clicks and evening clicks)
I'm sympathetic to the male nurse's view of preferring gnail because of the additional independence you have
So by far the main thing I wish I knew when I started is this:
- don't spend most of your bed time leaning on the back bed rest, its too far from the edge of the bed
- imo spend more of your time closer to the edge of the bed where it is easier (just a few movements) to get your legs to be dangling off the edge of the bed. Use pillows to get comfortable there
why?
- easier to do the quad stretch where you just sit at the edge of the bed with legs dangling off the bed and tuck feet in -> a low effort quad stretch that doesn't require any upper body strength
- easier to do the hamstring stretch where you just lift one leg and put it on a chair or your locked wheelchair right next to the bed -> don't need to mess around with using arm strength with straps to hold up your hamstrings
- the edge of the bed is the best way to do the hip flexors stretches imo, just go to the edge of the bed, lie on your back, tuck one leg in -> the other leg gets a hip flexor stretch
Why tire out your upper body more than you need to? Need that strength for walker usage/etc
- if your'e closer to the edge of the bed -> easier to go from bed to walker transfers to practice them more frequently early on
at the start its just harder to move, its better to be closer to the action and not have to move around so much in the bed
also I know the first day the doctor will tell you to do 3 different stretches involving stretching your legs using your arm strength -> I'd say don't tire out your arms too much, it depends how fit you are at the start, but you're gonna need that upper body strength the coming days. And frankly the hamstring stretch he shows you the first day on your back using your arms/quads to hold up your leg-> that stretch inherently ends up tightening the quads alot from its positioning/needing to use the quads to hold up the legs which I feel can have consequences the following days if you overdo it
I mean one thing I like about Montaza is maybe one morning, I'll check whatsapp and be pleasantly surprised that Evi says she will come to check in on me that morning (along with making her round checking in on the other patients). And so maybe she helps me shower or practice the transfer to the shower, which is a bit more complicated in the tiny montaza shower spaces in the non-handicap rooms
I am hoping that more patients go to novotel and then they also end up doing that at Novotel (regularly going, giving semi-surprise visits to patients to check up on them)
but right now I think there are just two novotel patients, and as internal femur patients with some experience, they don't need anyone to regularly check up on them. even the precise femur patient seems really independent
I'm away from the strip club noise but both Hyatt and Montaza are near two really busy roads and there is always like at least one a-hole driver per night who will intentionally crank up his motor to be extremely loud on the road or some bikers will make alot of noise
earplugs help alot
I had gotten a hair transplant before and was awake during the surgery and it was rough during the surgery, my body was constantly hiccuping strongly and each insertion of a graft was a painful needle prick/stabbing feeling
For leg lengthening if you are curious, you won't feel a single thing during the surgery itself
They sort of put a gas mask on you, you doze off.
During the surgery, I had a dream where I was calmly talking to the anesthesiologist in her office (you meet her the day before, I think she has worked both in Athens and in the United States, her English is good). In reality, probably it was the anesthesiologist talking to the doctor instead that caused this dream
They do things like stick a tube down your throat and ream your bones during your surgery, and somehow I felt none of this at all during the surgery and just enjoyed my pleasant dream. I also somehow did not even like hear anything related to what they were doing, I think I may have heard the anesthesiologist speak early on but that's it
When you wake up, you'll feel great, I forget if they give you morphine? not sure. the next day, your throat will hurt because they stuck something down your throat during surgery
Quote from: SpeedDialer on October 08, 2022, 05:31:00 AMI only know of one femur precise patient, the girl
She walks short distances with the walker
that being said, based on her size, I have to think her total body weight is very low
I don't know if things would change for someone like me who is like 170 pounds and I don't think precise can support that as well as her weight
we all train together sort of, our times at PT are staggered but we still bump into alot other patients at PT
there may be more precise femur patients who I just don't realize are precise femur patients but I've met alot more gnail femur patients
What are your thoughts on Novotel vs Montaza? Still not sure what I do want to do if I do internal tibia someday, the hotel choice is one of questions to figure out
OH WAIT nvm I do know a second femur precise patient so I know at least two
I forget his reason for choosing precise over gnail, but he did that choice intentionally.
He looks very young, thin, and healthy but I'm under the impression from seeing him that he is in quite a bit of pain. But hey at least he avoids clicking I guess. I will say though that generally clicking with my left leg is no problem at all, and I am improving my technique for right leg clicking and I think hopefully clicking will eventually become a non issue
The thing about clicking is it sort of like adds two additional stressful sessions each day (morning clicks and evening clicks)
I'm sympathetic to the male nurse's view of preferring gnail because of the additional independence you have
Thanks!!This information is so useful.The 10.7/12.5mm precice only supports 50lbs so I guess you lose a lot of independence... Maybe Montaza would be better choice if you need more help from a nurse 
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