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Posted on Oct 2, 2017, 9:47 pm
#741

Quote from: Bleda on October 02, 2017, 08:19:51 PMIs it just me or does it look like a little tendril of callus reaching down from the top on your right leg?

Hi Bleda,

Yes, I've stared at it for so many hours, I ended up seeing a dolphin jumping over a rainbow.

I think there could be improvements, so I'll continue to work hard.  The problem with non-union is even a 1cm gap is not healed enough, hence, any doc who sees this will tell me, there's nothing there  UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

I even measure the length of wispy fingers like stalagmites and stalactites and they're actually growing longer each time.  Practically, a doctor will say it'll never join because it's too far apart as getting 1cm to join is already challenging.  As in, risk of fracturing and nails cannot be removed.

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Posted on Oct 2, 2017, 11:43 pm
#742

Why you took aspirins Unicorn???
Do you know that this may be the real reason for your non union?
Aspirin and antiinflammatory drugs prevents bone healing. It was a huge mistake to use aspirin! Did Guichet told you to ?

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Posted on Oct 2, 2017, 11:45 pm
#743

My God, Guichet is really a disaster. If you hadn't had his awful nail and were allowed to lengthen slower, I bet your situation now would be completely opposite. I'd say 0.5 is ideal for a women. Do you agree?

I have low blood flow due to sedentary life and my flexibility is abysmal. So, I really need a gigantic amount of exercise to gain the right flexibility. I will focus on yoga for legs flexibility, and I guess this is what I need to reach my goals.

I also think that taking natural supplements to enhance blood flow, during the lengthening phase, could be very helpful, since the pace of the flow is so important for the recovery of the bone.

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Posted on Oct 2, 2017, 11:51 pm
#744

Quote from: Body Builder on October 02, 2017, 11:43:21 PMWhy you took aspirins Unicorn???
Do you know that this may be the real reason for your non union?
Aspirin and antiinflammatory drugs prevents bone healing. It was a huge mistake to use aspirin! Did Guichet told you to ?

He prescribes a high dosage of aspirin up to 1,200mg throughout the entire lengthening period, and even after that, during the consolidation/recovery period.  He believes that thinner blood helps healing better.  So we all have to follow.  I already got screamed at in November because I stopped aspirin after I stopped lengthening.

I was always under the impression that aspirin prevents bone healing like NSAIDS and if there's a blood clot situation, heparin/warfarin can be used for a short period.

Again, we don't/didn't know enough to disobey our doctor.  It's only during my second left leg lengthening when I was so desperate that I began experimenting a little since nothing had worked for the right leg, so I literally had nothing left to lose.

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Posted on Oct 2, 2017, 11:53 pm
#745

Quote from: Annalisa on October 02, 2017, 11:45:51 PMMy God, Guichet is really a disaster. If you hadn't had his awful nail and were allowed to lengthen slower, I bet your situation now would be completely opposite. I'd say 0.5 is ideal for a women. Do you agree?

I have low blood flow due to sedentary life and my flexibility is abysmal. So, I really need a gigantic amount of exercise to gain the right flexibility. I will focus on yoga for legs flexibility, and I guess this is what I need to reach my goals.

I also think that taking natural supplements to enhance blood flow, during the lengthening phase, could be very helpful, since the pace of the flow is so important for the recovery of the bone.

Annalisa, you're absolutely right.  When I consulted the Chinese top orthopaedists, they recommend using Tienqi (a kind of ginseng) during bone healing because it's good for vascular circulation.

So I guess, no matter where you are in the world, or with which doctor you go, there are certain traditional wisdoms UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

I bet the indigenous peoples in the Amazon jungle would know how to lengthen and fuse beautifully UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016  They can't even imagine why we're all so ignorant  UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016   

If they can do this, they can probably fix me in a jiffy!  But maybe they'll eat me for dinner too.

UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

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Posted on Oct 2, 2017, 11:59 pm
#746

Quote from: dream_catcher on July 14, 2016, 09:44:46 AMDr.G actually prescribed aspirin for us to take twice a day since the 10th day after the surgery.

Quote from: Unicorn888 on July 22, 2016, 07:41:21 AMHi Dream_Catcher,

How are you doing?  I got to the bottom of all these blood thinners and aspirin.  It's because Doc G doesn't want the bone to fuse/heal too fast.  That makes absolutely sense.  He also prescribes Xaralto, in case fusion comes too soon.

So depending on how each of our bodies react to broken bones, it's either slow down healing or speed up healing UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016 UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016 UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016


Actually, another patient had told us before surgery too that they were prescribed aspirin during lengthening.  So after asking his physio, I was told it was to avoid pre-consolidation and in my case, either monitoring was slack or there's some other reason.

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Posted on Oct 3, 2017, 12:20 am
#747

Extremely valuable info, thank you. Even though i'd be considered young i am being very cautious now when Im 5 cm + and 2 months in due to posts here. I will stop at 6 or 6.5 and regarding proportions/athleticism that's where i think the threshold is unless you're born in a yoga barn and had even smaller femurs pre op than me. Why not stop 1-2 cm less - decrease your risk by a lot and if you're not content do tibia 4 cm some years down the road? We live in a virtual world where literally half of google's staff work from "home" and this will just increase almost exponentially, guess i am lucky that pure financially&time (essentially the same thing) i can do this without stress. I haven't felt any pain or stress since 2-3 weeks op, no pain meds..nothing. Now when Im close to 6 cm i definitely start to feel tension though, feels weird..def adding 1 more cm after 5 adds 3 months + complications to your recovery it feels like.

Now i am definitely not as experienced as the rest, but one thing is i am a firm believer in never giving up and continue to find solution / crack the code. Don't give up, i am quite certain if you continue to push your leg and body you eventually reach cloud formation and within time be in a much better state. JUST DONT GIVE UP!! You can only look forward, not backwards. I can help you with anything when i visit London next time. Best Regards

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Posted on Oct 3, 2017, 12:27 am
#748

Quote from: The Dreamer on October 02, 2017, 09:01:03 PMVery clear,thanks Unicorn.Interesting also your intuition on the effect of bloody pressure.Probably it is because less pressure=less speed of blood flood and as for consequences slower healing.Just my 2 cents
Yes,it is true that for young people the risk of preconsolidation is more worrying about.
At first sight I would say you have a small formation on your bottom of your right leg,but now that i'm paying more attention maybe Bleda is right.However the gap is still noticeable in my opinion
I would ask you if you know what happens exactly(biologically speaking) when you reduce the gap by shortening the nail
Why this is supposed to enhance callus formation ?
I read this statement in a lot of diaries but never understood the concept behind it

Hah!  Unfortunately, I myself do not know and I don't think it's much explored whether it's the kebab grafting of 10cm using a mixture of my hip bones + cadaver bones, switching to trauma nails or changing to Precice.

All the docs I speak to treat it like an experiment.  Hence, if I had to draw lots and take another surgery risk, I'd prefer to change to Precice.  At least, at this point I know I can reverse and stop, and it's less traumatic doing remote controlled lengthening.  An invasive bone graft would not even guarantee that my body will accept and consolidate.

Also, because I was given a 13mm nail and my femurs were reamed to abt 15mm, my NHS doc says my cortices are very thin, so I don't really even know if new nails can be replaced.  Perhaps kebab is the only way to go UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

Most docs basically say you need to re-injure the area and create hematoma again for it to begin the process of fracture healing.  Hence, all 3 procedures above will achieve that. 

However, remember that Guichet had done a marrow injection with the objective of injuring the gap too, but that didn't work either.  Regardless, bone aspirate doesn't fuse 10cm.  It could work on smaller fractures.  I wish I had known before.

Nobody has yet explained to me the consequences of shortening because even when my left leg gap crushed abruptly from 3cm to 0cm during the fracture last year, there was a GIANT LUMP of extra skin/soft tissues hanging out. 

So you can imagine if I shorten to 5cm.  Not sure what kind of soft tissue/nerve damage that causes aside from gross aesthetics.

See xray of the 3cm crush and how flesh was compacted.  At first, I thought my ass fell down, and didn't understand why it was hanging so low until I realized it's loose flesh... gross!!!

UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

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Posted on Oct 3, 2017, 12:32 am
#749

Quote from: InferiorityComplex on October 03, 2017, 12:20:49 AMExtremely valuable info, thank you. Even though i'd be considered young i am being very cautious now when Im 5 cm + and 2 months in due to posts here. I will stop at 6 or 6.5 and regarding proportions/athleticism that's where i think the threshold is unless you're born in a yoga barn and had even smaller femurs pre op than me. Why not stop 1-2 cm less - decrease your risk by a lot and if you're not content do tibia 4 cm some years down the road? We live in a virtual world where literally half of google's staff work from "home" and this will just increase almost exponentially, guess i am lucky that pure financially&time (essentially the same thing) i can do this without stress. I haven't felt any pain or stress since 2-3 weeks op, no pain meds..nothing. Now when Im close to 6 cm i definitely start to feel tension though, feels weird..def adding 1 more cm after 5 adds 3 months + complications to your recovery it feels like.

Now i am definitely not as experienced as the rest, but one thing is i am a firm believer in never giving up and continue to find solution / crack the code. Don't give up, i am quite certain if you continue to push your leg and body you eventually reach cloud formation and within time be in a much better state. JUST DONT GIVE UP!! You can only look forward, not backwards. I can help you with anything when i visit London next time. Best Regards

Yes, I had the same 6cm sensation, everything was sooooooooo stretched.  I thought I'd burst like in one of those medieval torture instruments where you're pulled apart by 4 horses.
UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

Also, do not forget, there are tons of people who after healing from the first 5-6cm, several years later, they undergo another osteotomy and lengthen a bit more on the same nail. 

That can be done actually and one of the patients I met did 10cm in the end.  Seated, he looks like a praying mantis though, so it's not actually recommendable for people who're sensitive to proportions and I think over time it'll hurt his athletic abilities and stress out his knees.
UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

YAY Long Legs!  UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016 UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016 UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016
UNICORN - Dr. Guichet Internal Femurs 8cm - Summer 2016

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Posted on Oct 3, 2017, 1:19 am
#750

In response to lengthening on the same nail, i use Fitbone. I met Guichet personally but promised myself to trust my gut and never go with him. I definitely do not feel like Im in a medieval torture instrument, but going from 0 stretching feelings or any tension at all to definitely feeling something.

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