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Posted on Jun 17, 2015, 10:44 pm
#61

honestly it doens't sound appealing for international patients to go to this hospital.

ill see what MEDEMs prices are, i take it it's the same doctor regardless?

okay so the whole thing would take 9 months total, but you don't recomend, yeah i don't see many patient diaries of people lengthening femurs while tibs are consolodating that's for sure.

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Posted on Jun 21, 2015, 2:51 pm
#62

Had an x-ray few days ago. Been suggested to increase distraction rate on my femur to 1.5mm/day and if possible to tolerate, to 1.75mm. Tibia - osteotomy wasn't full and my tibia broke completely and disconnected after I started lengthening, so I had to compress 4 mm and temporary stop lengthening. You can see valgus on the tibia x-ray, Kulesh explained it's because of the fibula resistance, I've been given instructions for correcting it, turning the screws on the left, fibula side one more time.

One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
One Step Closer - External tibias, femurs, humerus - Petersburg, Russia

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Posted on Jun 21, 2015, 4:18 pm
#63

I may have missed something but Dozer is just the new acount name of exclide? 

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Posted on Jun 23, 2015, 12:51 am
#64

for MEDEM the price is 350,000.00, about £4000 for me.

I think he has done about 10 international patients before, I don't know if it is MEDEM clinic but i would assume so since they speake english there apparently.

after being in hospital they rent appartments near Vreden, i think people come out to them, trainer, change bandages, housemaid etc.

i think with MEDEM they can send you visa support letter as well.

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Posted on Jun 24, 2015, 2:11 am
#65

okay got a new e-mail from him.

I talked to the representative of department of clinic, It was told that the clinic has good relations with consulate of Britain, For an additional fee they can issue the invitation letter.

I can ask several realtors to try to look for the apartment for you, I've done it for some patients, rent of the apartment will cost about 20-30 thousand rubles a month
the help of the realtor - 15-20 thousand

"and it is external yes, not LON/LATN." - O'k

you can go home for consolidation, It is possible to write out the paper from clinic with recommendations to perform an X-ray examinations every month

Is it possible to remoove the devices in your city? - you should ask about it surgeons in clinic in your city

so yeah seems okay, I just wish there was more than one patient diary really.

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Posted on Jun 24, 2015, 4:52 am
#66

Microman,

So they don't offer LON?

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Posted on Jun 24, 2015, 4:52 am
#67

Dozer,

Are you still considering lengthening your forearms?

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Posted on Jun 24, 2015, 5:02 am
#68

no they do, both LON and LATN, i just meant that I only wanted external.

he also said i should buy a wheelchair before the operation, maybe he means I take one with me in my own country, I don't know.

here is price run down of externals

Surgery medem clinc:     350,000.00/£4000
or
Surgery in St. Elizabeth:      230,000.00/£2700

Rent:                   30,000.00/£350 a month
Realtor help:               20,000.00/£235

Removal of device   40,000.00/£400

in medem clinic they speak English and can write invitation letter.

also dr. Kulesh mentioned about a 'trainer' coming in 3-4 times per week, is this a PT trainer, so does that mean I get assistance for that, if so that would be great.

I change bandages twice a week, the trainer trains them 3-4 times per a week and the housemaid comes once per 2 days.

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Posted on Jun 25, 2015, 9:19 am
#69

Okay I have gathered all the information about the operation from Dr. Kulesh, here is what I have found out.

The MEDEM Clinic website is here    http://medem.ru/en/
Everyone speaks English there and facilities are much higher than standard, it will include single bed ward.
The clinic has good relations with consulate of Britain, for an additional fee they can issue the invitation letter.
Dr. Kulesh will show you the shop to buy the wheelchair from before your operation.
They can put various size of rings on your legs, so they can be thin/small.
You can discuss with the anaesthesiologist about general anaesthesia options.
2-3 weeks after operation patients leave the clinic in a wheel-chair, they rent an apartment near the Institute called Vreden.
You will choose apartment before operation, there you can specify what you want.
While in the apartment you will get a PT trainer; he speaks English to an okay level, he does PT with you 3-4 times per week, the housemaid comes every other day, she cooks and brings food.
Bandages are also changed in the apartment twice a week.
You are better to use a local bank to get Ruble or Euros out.
During apartment you can call Dr. Kuresh with pay per phone if there is an emergency.
For the removal of device, this can be done at MEDEM or Elizabeth, prices will be given soon.

To summarize, the cost of everything.

Pay via UK bank card
Surgery medem clinc:    ₽350,000.00/£4000

Removal of device   ₽40,000.00/£400   much later on

Pay with Russian Ruble cash or Euro where specified
Rent:                        ₽90,000.00/£1000    for 3 month stay
Realtor help:             ₽20,000.00/£235
Maid:                         €1050/£700       for 3 months of cook meals etc.
Bandage changing      ₽500/£144      £6 per session, twice a week, so £12 a week.
Trainer                      ₽900/£450      £10 per session, happens 3-4 times a week, so £40 a week.

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Posted on Jun 25, 2015, 10:14 am
#70

Quote from: Taller on June 24, 2015, 04:52:34 AMDozer,

Are you still considering lengthening your forearms?
Nope, I'll pass on that one. Too spooky for me and also I don't feel it's necessary anymore, and I've wasted too much time already. No way. I spoke about it with Dr. Kulesh however and he was willing to do it, although he warned me about bone regenerate being bad when lengthening forearms.



Good job, microman. I'm not sure, does the surgery cost include the stay in the clinic? Because the stay is quite expensive like 10 000 rubles a day. I'd consider St. Elizabeth hospital, it's not that shiny, but you won't be staying there for long anyways. Medem is just overpriced.

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