Safest Low Budget Doc (Parihar, solomin, Barinov)

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Maybe its just me but Solomin strikes me the wrong way. It seems to me like he couldn't care less about the patient's accommodation planning and is non chalant about making sure they are in a healthy state of mind while in a foreign country. His just like "ok, i'll break your legs and then you'll have to find whatever hotel room you are gonna be in and translate russian to english somehow."

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That was before, now Pavel Kulesh takes care of you, MEDEM clinic offers translation services.

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Quote from: onemorefoot on March 03, 2017, 07:13:32 PMIs good that Parihar recommends Solomin. Do you know why he became more strict with CLL patients?

I couldnt ask much regarding LL with parihar at all. It was like a 3 round meeting..one with a young guy who was an assistant...he checked my stats wrote down my needs.
second with dr ahuja whom i asked stuff about LL, their cases, their techniques and a few other questions..He suggested Dr. Solomin.
With parihar i dint get much to discuss regarding LL.

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Quote from: KiloKAHN on March 03, 2017, 07:39:23 PMHe didn't pinpoint one specific reason, but he said that not operating on a patient that he is not convinced will benefit from surgery is as much a part of his duty as a surgeon as operating on someone who he thinks will benefit. He also said that part of the skill of being a surgeon is knowing when not to do surgery on somebody. He wants to be sure a prospective CLL patient has the right motivation and willpower to get leg lengthening, so I wouldn't be surprised if recommending prospective patients talk to a professional first becomes or has already become routine for him.

No, I doubt if Dr. Parihar would send everyone for a prior councelling with a psychatrist. He said he normally doesnt do it.
 Its just that he felt I could be having a psychological issue as well. He also said that its not that he is refusing to operate on me , but he wants to wants to be first sure that i am suffering from height dysphoria and anything pyschological should be corrected first and then would he decide if i should be operated upon.
He caught me at why i wanted this surgery, which i feel is a normal question for any surgeon doing a cosmetic procedure. Since i dint plan for this question, i probably ended up giving a bad reason. I said i feel low because of my height, get emotional at times as well. From then on he changed his tone i guess

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Quote from: KiloKAHN on March 03, 2017, 07:11:20 PMDr Parihar and Dr Ahuja sometimes respond with slightly different answers from each other to the same question. Dr Parihar told me that with the data available on ATL side-effects there is a certain amount of weakness that happens afterward, but you should be able to get back to recreational sports. I think he'd rather not do ATL if possible but for severe cases of ballerina will do it if the person is going through months of pain and unable to walk as a result of excessive over-lengthening. 

Was his suggestion to see a psyciatrist something he said at the end of the consultation or did he get to that point right away? What kind of things did he ask you?

He told me that he has become more strict with who he accepts as a patient for CLL. It's possible he'd say the same to me if I consulted with him these days.

I got stuck with his first question, which was why i wanted the surgery. He said he belives in a "unsaid mutual bond between a doc and patient" prior to a surgery and he feels that would come from his side once i had the recommendation by a psychatrist.

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I would recommend you to follow his instructuons, if you start a diary here will be great.

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Quote from: onemorefoot on March 04, 2017, 03:33:21 AMI would recommend you to follow his instructuons, if you start a diary here will be great.

I plan to get my LL done this year end/early next year. Currently i am just exploring my options given my budget to fix my doc.
I am kind of particular about the gain, specially after seeing my evening height after yesterdays measure. I was shorter than I thought I measured :/ .
So I am still wondering if Parihar would be the best option for me or if i should save up more and try catagni/aimen peng.
Not that Dr. Ahuja said 6cm is the max limit, he said as long as they feel you are doing fine(which is most cases is till 5cm).
Among the factors that determine the length that could be lengthened apart from tendons/muscles, Dr Ahuja also said the surgical techniques used like oesteotomy and other techniques , could also play a key role.
So i guess technique wise Dr peng/catagni could help me with that extra push, not that i say parihars technique is not good.

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Quote from: onemorefoot on March 04, 2017, 03:33:21 AMI would recommend you to follow his instructuons, if you start a diary here will be great.

Plus i definetly would see a psychiatrist that he would recommend and find out reasons to convience him as well :p . Just that after my travel to mumbai my brain was too tired to think of good reasons.
That way I if I could convience him, I would have a recommendation letter from the psychiatrist regarding dysphoria, which could come handy should any other doc require it.

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Cross off Parihar. He is lying or simply ignorant  regarding ATL.

It is physically impossible to have ATL and not be weaker. Impossible.   Shah said the same exact thing to me before my surgery.   Afterward he told me the surgery would make my tendon  1 grade weaker.

When you do ATL, you are doing 2 things.

1-Lengthening the tendon,  therefore losing tension

2- you are making the tendon thinner, and possibly permanently reducing tendon mass.  If they  use the "slider" technique, they simply slide a piece of the tendon down. If they use the   Z plasty technique, they  cut out small pieces of the tendon in a zigzag shape.. Z plasty  reduces overall   tendon mass

Think of a lever, or a rubber band. There is no way that ATL will not decrease plantar  torque.
Quote from: fivetenneeded2016 on March 03, 2017, 04:15:24 PMHad a meeting with Dr. Parihar, but unlike expected (which i thought would be more LL related), he asked me to consult a psychiatrist first as well, so he could be sure that my situation is nothing other than height dysphoria.

However i did manage to get my doubts clear from Dr. Ahuja. And also i told him(Ahuja) the Docs i have shortlisted and also asked his opinion on Russian Docs, he took Dr. Solomin's name without thinking twice, although he expressed his doubts if Solomin does CLL.

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Quote from: crimsontide on March 04, 2017, 04:31:16 AMCross off Parihar. He is lying or simply ignorant  regarding ATL.

It is physically impossible to have ATL and not be weaker. Impossible.   Shah said the same exact thing to me before my surgery.   Afterward he told me the surgery would make my tendon  1 grade weaker.

When you do ATL, you are doing 2 things.

1-Lengthening the tendon,  therefore losing tension

2- you are making the tendon thinner, and possibly permanently reducing tendon mass.  If they  use the "slider" technique, they simply slide a piece of the tendon down. If they use the   Z plasty technique, they  cut out small pieces of the tendon in a zigzag shape.. Z plasty  reduces overall   tendon mass

Think of a lever, or a rubber band. There is no way that ATL will not decrease plantar  torque.

It was told by ahuja..that too it would be performed under sever ballerina although he would have stopped u fr lengthening before the situation arises.
Safety wise i dont doubt parihar or ahuja. They dont sugar coat things.