Quote from: Yau on April 23, 2023, 01:09:25 AMI am living in Canada. Therefore, I will live nearby the hospital/institute after surgery. Maybe 6 months after consolidation phase. I have 6 months travel visa to stay local. Yes, Dr Paley has a dedicated center and LL PT, and living cost in WPB is so far OK.
If you prefer to stay local rather than go back to your home, it's hard to justify Rozbruch over Paley.
Precise 2.2 CLL (femurs) with Dr. Rozbruch - February 2023
Quote from: hippo60 on April 23, 2023, 01:47:27 AMIf you prefer to stay local rather than go back to your home, it's hard to justify Rozbruch over Paley.
For oversea patients, Dr Paley would be better although Dr R is as good as Dr Paley.
Quote from: Yau on April 23, 2023, 02:34:40 AMFor oversea patients, Dr Paley would be better although Dr R is as good as Dr Paley.
I wasn't looking to make a generalized rule here. You asked about Rozbruch and PT at HSS, and sounds like you rather stay local, so I gave you my feedback (as his patient).
Dr. Rozbruch is definitely "just as good", and when you're his patient - you're actually interacting with him throughout the entire process. With Paley, you're going to meet him once during consultation and he'll do your surgery (one leg). That's pretty much it. Everything beyond that is done by other people.
Quote from: hippo60 on April 23, 2023, 02:39:32 AMI wasn't looking to make a generalized rule here. You asked about Rozbruch and PT at HSS, and sounds like you rather stay local, so I gave you my feedback (as his patient).
Dr. Rozbruch is definitely "just as good", and when you're his patient - you're actually interacting with him throughout the entire process. With Paley, you're going to meet him once during consultation and he'll do your surgery (one leg). That's pretty much it. Everything beyond that is done by other people.
Yes yes
I rather stay local.
After I read many many diaries and talked with LLers. I definitely think that Dr Rozbruch is great and I won’t go wrong with him. But staying local nerarby HSS is an issue for a foreigner. I don’t know more details about his PT team. I am not sure they have enough experiences with CLL patients. I know Dr Paley is crazy busy, he doesn’t have time to follow up. But his overall package is good for a foreigner. Maybe Dr Assayag is another good choice. He is a good surgeon and the hospital and colleagues are advantages. I am also considering Dr Donghoon Lee.
If you have recent imaging data please put it at this thread. Redact any information that could be used to dox you.
Yesterday, my ERC device read "Goal Complete!" after I hit 8 CM on both femurs. Having started at (depending on stadiometer, as stated either here or on another thread) at 178.5 - 179 CM, I measured at 187.3 or so after last lengthening.
It seems that I may have gotten some additional benefit from my legs straightening out a bit by the Precice nails being implanted by a highly experienced Dr. I didn't even know this was possible until Dr. Marie mentioned it in the interview. Either that or the measurement was generous that time of day. Who knows
. But I got my 8 CM, I'm incredibly happy, I'm done lengthening and onto consolidation.
My last set of x rays continue to show amazing bone growth. Out of sheer precaution, as one of the nails show a bit of ever so slight bending, Dr. Rozbruch is recommending not progressing from wheelchair/walker for another 4 weeks or so. I'm completely fine with that.
I literally could not have hoped for a better outcome. I have no side effects, no drop foot, duck ass, ballerina foot, nerve pain is gone, legs feel very strong. Absolutely nothing. My ROM (range of motion) has decreased by about 35%, but as I was incredibly flexible before starting lengthening, my ROM is still above that of the average person, according to my PT. He expects me to get it all back in 6-12 months. He expects me to regain close to my previous levels of athleticism, etc. if I work hard (this will take 2-3 years). I'm not really concerned. Fitness wise, he said there will be no difference. I'm giving up some sports and starting others. Everything worked out as it should.
Overall experience: Aside from the first 3 weeks of the procedure (and the first week was sheer hell), I was mostly pain free aside from the 4-5 CM period where nerve pain hit, because I controlled my pain pretty well with the right meds. I flew through the rest of it, especially the last 2.5 cm because I was sped up instead of being slowed down. The lengthening process itself never hurt once, which is the biggest benefit of Pecice aside from the ability to reverse. In fact, I'd choose Precice 100 times out of 100 just for that, and I hear that soon the new Precice full weight bearing nail will take care of the mobility part. It's inconvenient to not have mobility but certainly not to the point where it's a total life blocker. I got around in my wheelchair and walker just fine for the most part. I slept 10-12 hours every day, like a kid growing, and had some of the best sleep of my life. I ate really well - I'm keeping my new diet.
Overall, this is the best life decision I ever made. I feel absolutely AMAZING with my new height, and most important, the proportion of my femurs is no longer so skewed that I'm embarrassed to wear shorts because my femurs are so short. I'm actually more proportionate now than before. I would not change a thing if I had to do it again, and I'm incredibly grateful to have a world-class surgeon like Dr. Rozbruch perform the operation to get to such an awesome outcome.
Parting words for those looking at CLL and hoping for a similar outcome. Below are from my experience and believe to be good advice, but can be taken as my opinion only. Take what's useful to you, leave the rest. I just hope it's helpful.
- Sleep, nutrition, supplements, rigorous PT, exercise bike, pool, sauna. The first 4 are absolute requirements. If you can, hire a PT and/or do PT every day. A list of supplements and the diet I took to get to the bone growth I got is somewhere on this thread. I'm keeping my PT every day for at least another 2 months to ensure I get my gait and ROM back as quickly as possible.
- Don't do this on a budget. Just don't. I know the feeling of wanting to do this so bad as soon as possible. The theorem of "Good, Fast and Cheap - you can only pick two" applies here. Your desired outcome is not height, that's a preferred benefit, it's to safely walk again and get fully back to normal. Do this with an experienced Dr., in a country with a great medical system, where not only the procedure but any complications that arise can be swiftly handled.
Save your money, work a side gig, hustle. I could afford Dr. Rozbruch or Dr. Paley, but I would have done it in LA or Vegas for 70-80K all inclusive if I couldn't instead of Turkey or Greece or wherever. Be smart and give yourself the best and safest possible outcome.
- Be patient and listen to your doctor. This procedure will either teach you patience or put you back in the hospital by breaking a nail. Be OK to sacrifice a few months for a life-changing outcome. Protect your investment, because that's what this is, so you can enjoy it for the rest of your life.
- Have a support group, and do this with a friend. I was honest with people about what I was doing. It's a personal decision, but I didn't see any point in hiding what would become the obvious. I found that people were curious, supportive, mostly non-judgmental, and two are now signed up for surgery. My neighbors and friends have been rooting me on and are throwing me a party
.
I could not have done this without the support and friendship of hippo06. Find someone who is doing the procedure and befriend them. We talked every day, encouraged each other, traded tips, got each other through tough times. This is now a lifelong friendship and I'm so grateful I made another close friend. Thank you so much brother for everything you did to help.
Best of luck, and farewell!!
Quote from: ThirdSpace on May 31, 2023, 08:22:19 PM^The post above is why this forum is going to garbage. I'm about to be a Paley patient and I want to give back to the forum but absolutely not. The moderators are absolutely terrible on this forum. I will be making a diary instead on Cyborg's d which is better moderated.
With that being said, Uponly, please ignore the person above and please know that we are so happy for you and for your salient contribution to this forum. You worked hard for this and I hope you enjoy your height!
Do you have a link to Cyborg's d?
Quote from: uponly on May 31, 2023, 05:12:27 PMYesterday, my ERC device read "Goal Complete!" after I hit 8 CM on both femurs. Having started at (depending on stadiometer, as stated either here or on another thread) at 178.5 - 179 CM, I measured at 187.3 or so after last lengthening.
It seems that I may have gotten some additional benefit from my legs straightening out a bit by the Precice nails being implanted by a highly experienced Dr. I didn't even know this was possible until Dr. Marie mentioned it in the interview. Either that or the measurement was generous that time of day. Who knows
. But I got my 8 CM, I'm incredibly happy, I'm done lengthening and onto consolidation.
My last set of x rays continue to show amazing bone growth. Out of sheer precaution, as one of the nails show a bit of ever so slight bending, Dr. Rozbruch is recommending not progressing from wheelchair/walker for another 4 weeks or so. I'm completely fine with that.
I literally could not have hoped for a better outcome. I have no side effects, no drop foot, duck ass, ballerina foot, nerve pain is gone, legs feel very strong. Absolutely nothing. My ROM (range of motion) has decreased by about 35%, but as I was incredibly flexible before starting lengthening, my ROM is still above that of the average person, according to my PT. He expects me to get it all back in 6-12 months. He expects me to regain close to my previous levels of athleticism, etc. if I work hard (this will take 2-3 years). I'm not really concerned. Fitness wise, he said there will be no difference. I'm giving up some sports and starting others. Everything worked out as it should.
Overall experience: Aside from the first 3 weeks of the procedure (and the first week was sheer hell), I was mostly pain free aside from the 4-5 CM period where nerve pain hit, because I controlled my pain pretty well with the right meds. I flew through the rest of it, especially the last 2.5 cm because I was sped up instead of being slowed down. The lengthening process itself never hurt once, which is the biggest benefit of Pecice aside from the ability to reverse. In fact, I'd choose Precice 100 times out of 100 just for that, and I hear that soon the new Precice full weight bearing nail will take care of the mobility part. It's inconvenient to not have mobility but certainly not to the point where it's a total life blocker. I got around in my wheelchair and walker just fine for the most part. I slept 10-12 hours every day, like a kid growing, and had some of the best sleep of my life. I ate really well - I'm keeping my new diet.
Overall, this is the best life decision I ever made. I feel absolutely AMAZING with my new height, and most important, the proportion of my femurs is no longer so skewed that I'm embarrassed to wear shorts because my femurs are so short. I'm actually more proportionate now than before. I would not change a thing if I had to do it again, and I'm incredibly grateful to have a world-class surgeon like Dr. Rozbruch perform the operation to get to such an awesome outcome.
Parting words for those looking at CLL and hoping for a similar outcome. Below are from my experience and believe to be good advice, but can be taken as my opinion only. Take what's useful to you, leave the rest. I just hope it's helpful.
- Sleep, nutrition, supplements, rigorous PT, exercise bike, pool, sauna. The first 4 are absolute requirements. If you can, hire a PT and/or do PT every day. A list of supplements and the diet I took to get to the bone growth I got is somewhere on this thread. I'm keeping my PT every day for at least another 2 months to ensure I get my gait and ROM back as quickly as possible.
- Don't do this on a budget. Just don't. I know the feeling of wanting to do this so bad as soon as possible. The theorem of "Good, Fast and Cheap - you can only pick two" applies here. Your desired outcome is not height, that's a preferred benefit, it's to safely walk again and get fully back to normal. Do this with an experienced Dr., in a country with a great medical system, where not only the procedure but any complications that arise can be swiftly handled.
Save your money, work a side gig, hustle. I could afford Dr. Rozbruch or Dr. Paley, but I would have done it in LA or Vegas for 70-80K all inclusive if I couldn't instead of Turkey or Greece or wherever. Be smart and give yourself the best and safest possible outcome.
- Be patient and listen to your doctor. This procedure will either teach you patience or put you back in the hospital by breaking a nail. Be OK to sacrifice a few months for a life-changing outcome. Protect your investment, because that's what this is, so you can enjoy it for the rest of your life.
- Have a support group, and do this with a friend. I was honest with people about what I was doing. It's a personal decision, but I didn't see any point in hiding what would become the obvious. I found that people were curious, supportive, mostly non-judgmental, and two are now signed up for surgery. My neighbors and friends have been rooting me on and are throwing me a party
.
I could not have done this without the support and friendship of hippo06. Find someone who is doing the procedure and befriend them. We talked every day, encouraged each other, traded tips, got each other through tough times. This is now a lifelong friendship and I'm so grateful I made another close friend. Thank you so much brother for everything you did to help.
Best of luck, and farewell!!
Congratulation! I am glad to see every LLer is going well. Please ignore the provoking post and keep to update your post. I support u💪!
Any update?
(breaking rule to post as hopefully my experience will help some folks)
I'm 6.5 weeks post distraction. Bone growth continues to be "astonishing", per Dr. Rozbruch. I was in the wheelchair for a month as a precaution since the x-ray at 8 cm showed some possible bending of my left nail, and Dr. R was worried about me overloading the nail. At 4.5 weeks, I took another x-ray, and the nail was fine. Dr. R said he had seen this before given the slight flexibility of Precise 2.2.
X-rays at 4.5 weeks were amazing. Dr. R told me to go directly to crutches for one week, then one crutch/cane alternating sides for another week or so, then walking unassisted. No jumping or running for 3 months. If bone growth continues at the same rate, he expects to clear me for all activities at the 3 month mark and schedule nail removal.
Flexibility and ROM are literally almost back to pre-surgery levels - and I was SUPER flexible before surgery. I still do PT every day and I'm so grateful to have found one of the best orthopedic PTs in the world completely out of the blind.
After a week on two crutches, I am now one one crutch/cane indoors and two outdoors just out of precaution until I get stronger. I sent a video to Dr. R and that's what Maxine (one of Dr. R's PAs) advised, which makes sense. Zero waddle, literally none. No pain other than muscle soreness. I expect to be walking unassisted with my normal gait back in 1-2 weeks per my PT. He said he can barely notice a difference as is.
I'm cleared to do leg press, leg extension and leg curls with basically zero weight and progress gradually. I do hip flexibility and hip strength exercises with my PT and alone, and pool squats and pool lunges, assisted. Today I got another exercise from my PT to strengthen my lower front quads and calves, that's done assisted, as my body doesn't yet trust my quads and my foot is hitting the ground a bit planar.
My keys to success, aside from doing surgery with Dr. R - I cannot be more grateful for choosing him for this procedure:
- Slow distraction and patience at .8 mm/day
- Maniacal and regular dedication to nutrition and supplements (see my other post)
- LOTS of sleep and rest. Lots and lots of sleep.
- PT every day, which I still do, with a specialized Physical Therapist
--- This bears repeating. Invest in 7 days a week with a specialized PT. You will not be able to get the leverage to perform the ROM exercises needed on your own, and your PT will be able to feel muscle and body response in a way you do not.
- Pool walking and pool exercises and rehab
- Focus on hip flexibility during distraction and after. Both my PT and Dr. R said this is the absolute key to walking normally again and thus far it turns out they've been right
- Keeping a positive attitude every day and bantering with hippo06 the entire time
.
- Listening to my Dr., PT and other health professionals that treated me
If you're thinking about this surgery and planning ahead, I'd recommend:
- Stop smoking, drinking, drugs at least a year in advance. I'm a lifelong nope for all of those, and it helped to have a healthy body to recover from such a tough surgery
- Come in as flexible as possible. Work on this every day, every part of your body, obviously legs and hips specifically
- Eat an incredibly healthy diet and take Vitamin D, calcium and a great multivitamin supplement daily for a year
Good luck to those going through this. I'm off crutches/cane in a week to 10 days.
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