Seriously, femur G-nail or Precise? Why is it not obvious?

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Quote from: uponly on April 26, 2023, 09:54:29 PMIt's pretty clear cut. Many doctors and experts have spoken on this, on the record. When Paley, Rozbruch, Thaller, Lee, Gdalevitch, Assayag, Mahnoubian, etc. endorse another nail, and the FDA approves one, please feel free to come back and comment.

But hey, you tell yourself whatever you want to reinforce your deluded thinking. Good luck with your recovery.

Yeah I don't give a toss whether something is "FDA approved". But I don't rely on some faceless committee to tell me what's best for me, as you clearly do. Indicative of a harmless obedient cuckold who is used to being ordered around, I guess.

Of course doctors will prefer Precise because the non weight bearing doesn't impact their life at all, it's you who will have to figure out how to get to the toilet, how to get in a car, and how to live your life during lengthening in a wheelchair. The benefits of the other options come DURING the lengthening process, whereas a doctors metrics are generally judged on overall outcomes so they're not going to give that much of a crap if your life is awful using the Precise nails.

But muh FDA!

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Quote from: p00293 on April 26, 2023, 10:08:34 PMYeah I don't give a toss whether something is "FDA approved". But I don't rely on some faceless committee to tell me what's best for me, as you clearly do. Indicative of a harmless obedient cuckold who is used to being ordered around, I guess.

Of course doctors will prefer Precise because the non weight bearing doesn't impact their life at all, it's you who will have to figure out how to get to the toilet, how to get in a car, and how to live your life during lengthening in a wheelchair. The benefits of the other options come DURING the lengthening process, whereas a doctors metrics are generally judged on overall outcomes so they're not going to give that much of a crap if your life is awful using the Precise nails.

But muh FDA!

Based, but I honestly agree with you on this on the whole Precice vs weight-bearing nails argument.  Doctors will always recommend Precice because their integrity is at risk.  They don't really care if their patients have a lower quality of life during the lengthening process, and, the results that they get.  If you get 0.5cm lengthening done and walk home without complications they'd be happy because they get to pocket your money and there's no hit on their professional conscience.  They literally don't care whether or not you're in a wheelchair for months, or if you get into serious debt because you can't return to work for a long time, or if you can't get as tall as you want to be.

As a consumer you have to understand that at the end of a day it's a business.  You're going in there with your hard earned money and it's up to you to decide what you want out of it.  Benefits to the patient are clearly better with weight bearing nails (higher maximum length can be achieved 10-12cm, no wheelchair, reduced recovery time).  For me, it's a no brainer to go for the weight bearing options regardless of the fact that they're not FDA approved, more painful, and less recommended.

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OP has a good question.  Not sure why people feel the need to be condescending.  Maybe it's so that they can feel better about their decision as if it's the objectively right answer.  The truth is that it's a personal choice.  Quality of life during recovery is not something you should overlook though.  Recovery is a marathon, and if you're miserable, you're more likely to take days off.  So if not going to be able to go in reverse is going to cause someone anxiety that is important regardless of the objective risk.  Likewise, being wheelchair bound for months can get tiering to say the least.  there is no objective right answer. Only the right decision for the individual.  From my experience when people are evaluating the g-nail, they overestimate the pain of clicking but discount the very real risk of the g-nail bending.  These are things you should take into account, especially the latter. 

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Quote from: Confidence on April 26, 2023, 10:39:24 PMBased, but I honestly agree with you on this on the whole Precice vs weight-bearing nails argument.  Doctors will always recommend Precice because their integrity is at risk.  They don't really care if their patients have a lower quality of life during the lengthening process, and, the results that they get.  If you get 0.5cm lengthening done and walk home without complications they'd be happy because they get to pocket your money and there's no hit on their professional conscience.  They literally don't care whether or not you're in a wheelchair for months, or if you get into serious debt because you can't return to work for a long time, or if you can't get as tall as you want to be.

As a consumer you have to understand that at the end of a day it's a business.  You're going in there with your hard earned money and it's up to you to decide what you want out of it.  Benefits to the patient are clearly better with weight bearing nails (higher maximum length can be achieved 10-12cm, no wheelchair, reduced recovery time).  For me, it's a no brainer to go for the weight bearing options regardless of the fact that they're not FDA approved, more painful, and less recommended.

Agree 100%. Precise vs a weight bearing nail is a choice with pros and cons but saying 'the doctors all recommend Precise' means nothing as a doctor will be primarily concerned about their own professional reputation. If you get 4cm with Precise then give up because life in a wheelchair 24/7 is much harder, and recover after with no complications, that goes down as a successful lengthening in the doctors resume even though the patient is probably hugely disappointed with the outcome.

People need to take responsibility for their own health, and not just bow before the doctors opinion or the fking FDA or anyone else. Actually do some research and see what's best for YOU.

There's a time and place for Precise, which is probably a situation where the lengthener can count on family/partner support to help them with all the tasks they can't do in a wheelchair, they can work remotely and/or are independently rich and have no need to work, and their lengthening goals are modest. If all those are true, then sure Precise might be better. If you're going to be doing this surgery by yourself and you can't count on anyone's support, I'd always pick a weight bearing nail since life would be intolerable without it. And if you're aiming for over 8cm you have to pick one of the gnail/betzbone options since Precise only goes up to 8cm.