Penguinn- Precice II internal femurs with Dr. Parihar

Edit Post

Quote from: Mtall on September 28, 2016, 06:03:16 PM3-4 times a day is a lot, yeah.
How many sessions per day once lengthening starts? And is the physio going to come home everyday, or only once in a while to give you a new routine of exercises?

If you go hard with pain killers the three months during the lengthening, sure you might damage your liver a bit but wouldnt your liver repair itself over time once you finish taking pain meds for consolidating? Like isnt the slight reversible damage worth the pain reduction?

Edit Post

Recommended 4, each taking 1/2 hour to 45 minutes but 3 is the minimum.

Edit Post

Quote from: frank on September 28, 2016, 09:41:54 PMIf you go hard with pain killers the three months during the lengthening, sure you might damage your liver a bit but wouldnt your liver repair itself over time once you finish taking pain meds for consolidating? Like isnt the slight reversible damage worth the pain reduction?

Some liver damage from using painkillers is irreversible.

Edit Post

Also I doubt your liver just washes out the issues but even if it does, what about your body developing resistance to painkillers? Imagine having excrutiating pain but nothing works cause you took strong pain meds for physio.

Edit Post

Yes you body can easly "get used to" painkillers.

Even Ketoprofen that i take from time to time can be a problem, both for liver and building up "addiction".

Edit Post

hey penguinn, thanks so much for posting the diary

-for the pain killers, definitely best to limit it as much as possible but if you're doing oxycodone or an equivalent it's usually prescribed every 4-6 hours so if you're doing it only 3-4x per day (esp if at a reasonable dose like 5mg or so) you'd be in that window; definitely can build up tolerance though so trying to find a balance and reducing intake over several weeks would be huge! over 1-2 weeks though as you go through the worst part you'd be unlikely to cause major damage or develop severe tolerance (though, would depend on the exact dose/med they've given). i'm not sure if they encourage using heat/massage or non-medical therapy but would be good to maximize that and tylenol if possible

-i scanned through the diary but hadn't seen and please forgive me if they're duplicate questions! 1) how flexible were you before the surgery (any pre-op conditioning, able to touch the floor, etc?). 2) i haven't seen other internal diaries, but did dr parihar say if he'd done previous non-publicized cases before you? from what i read it does seem reasonable since the insertion of the nail is a common procedure and he's a total expert in lengthening in general, but just wanted to check!

thanks for any feedback and godspeed, so excited for you!

Edit Post

Update
Started lengthening Day 9. Funnily I couldn't feel anything while lengthening in my right femur with the Precice 2(Ellipse representative asked if I could feel anything and I said "no") machine, and for the first 0.15mm or so of the left. Then from 0.15mm or so to 0.33mm I felt a funny, sliiight "zzt" feeling in my left femur every 2nd turn/rotation/machine sound. It's pretty cool. Doesn't matter though.

Thanks to the lengthening my discharge was also postponed and I'll leave for home Thursday morning, Day 10.

Also, turns out the hospital's being renovated.
http://imgur.com/Vpbxux5
http://imgur.com/7AA7OWh

Still at no pain without painkillers. Quads are still weak so I'm going to have to put serious work into physio 4 times a day. The physio does make home visits at about Rs. 1200 a session, but he said I shouldn't have to keep paying and will learn to do exercises on my own. He can only come 1 out of 3-4 sessions a day anyway, so I have to do most on my own.

Edit Post

Quote from: ll3ll on September 29, 2016, 02:20:08 AMhey penguinn, thanks so much for posting the diary

-for the pain killers, definitely best to limit it as much as possible but if you're doing oxycodone or an equivalent it's usually prescribed every 4-6 hours so if you're doing it only 3-4x per day (esp if at a reasonable dose like 5mg or so) you'd be in that window; definitely can build up tolerance though so trying to find a balance and reducing intake over several weeks would be huge! over 1-2 weeks though as you go through the worst part you'd be unlikely to cause major damage or develop severe tolerance (though, would depend on the exact dose/med they've given). i'm not sure if they encourage using heat/massage or non-medical therapy but would be good to maximize that and tylenol if possible

-i scanned through the diary but hadn't seen and please forgive me if they're duplicate questions! 1) how flexible were you before the surgery (any pre-op conditioning, able to touch the floor, etc?). 2) i haven't seen other internal diaries, but did dr parihar say if he'd done previous non-publicized cases before you? from what i read it does seem reasonable since the insertion of the nail is a common procedure and he's a total expert in lengthening in general, but just wanted to check!

thanks for any feedback and godspeed, so excited for you!

-I feel no pain besides very minor muscle aches while chilling. I'm not going to take painkillers unless I need to so I get a good effect when I need it. I'm only at 2.33mm of lengthening as of writing this so there's long ways to go before abusing painkillers.

-
1) I could touch the entire length of all four fingers and 1/4th of my palm to the floor without bending my knees. My quads were great, I don't know what muscle it is but when I flexed there was like a box there lol. Now it's all gone.

2) He might have done internal nails for accidents because if I remember Cure Surgicals says he does tons of nails. This is his first Precice case. But I agree, he's a pro and I'm not worried(although stuff can go wrong with any doctor). What I do fear is my own laziness cause if I don't do PT properly and get my deflated balloon quads(ok not that bad) back up I'm gonna suffer.

Edit Post

Quote from: Penguinn on September 29, 2016, 03:42:39 AMFunnily I couldn't feel anything while lengthening in my right femur with the Precice 2(Ellipse representative asked if I could feel anything and I said "no") machine, and for the first 0.15mm or so of the left. Then from 0.15mm or so to 0.33mm I felt a funny, sliiight "zzt" feeling in my left femur every 2nd turn/rotation/machine sound.Happens every time, weird phenomenon. Only while lengthening 0.11 to 0.33 on my left leg I get the "zzt" feeling and sound of the nail.

Edit Post

Hey pengium, sorry if it has been said previously but how much do you intend to lengthen if your body allows it?