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Posted on Sep 4, 2017, 9:53 am
#51

Quote from: Antonio on September 03, 2017, 12:39:43 PMTo the moderators: Would it be possible to remove all the Monegal opinion posts onto a single thread in Other information and leave the factual info for the Doctor entry? Organizationally, it would help matters. Thank you

Good idea!

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Posted on Dec 12, 2017, 2:50 am
#52

How's your consolidation now?

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Posted on Dec 12, 2017, 2:55 am
#53

dear Antonio,

Your real life foto's look great.. if i didn't know about ur LL i would not have noticed anything.

I have a couple of questions, forgive me if you have answered them before:

- I am hoping to do LL next year at an age of 49/50. Would that be a problem?
- What was the deal with bone spur?
- I see that you started doiing squats only 3 months after stopping lengthening... so the weight is held by the nail and not the bone? Is this correct?
- on may 20 17 you wrote: '..being under the knife with him 4 times now)..'... why 4 times? Isn't 3 times?
- What were the total costs? Was the loose screw an extra payment?

Thx in advance

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Posted on Dec 12, 2017, 11:42 am
#54

I think he took 1 rod out and kept having the other one inside. In regards of squats, Im trying as we speak after 4 months 2 weeks and feels better everyday. I bicycle around normally, walking not 100 % but can walk etc. If you have any questions don't hesitate to contact me as i want to contribute.

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Posted on Dec 12, 2017, 12:19 pm
#55

Quote from: myloginacct on December 12, 2017, 02:50:41 AMHow's your consolidation now?

Consolidation on left leg is complete. X-rays from yesterday: http://hpics.li/4fb9bc6

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Posted on Dec 12, 2017, 12:37 pm
#56

Quote from: Honore on December 12, 2017, 02:55:06 AMdear Antonio,

Your real life foto's look great.. if i didn't know about ur LL i would not have noticed anything.

I have a couple of questions, forgive me if you have answered them before:

- I am hoping to do LL next year at an age of 49/50. Would that be a problem?
- What was the deal with bone spur?
- I see that you started doiing squats only 3 months after stopping lengthening... so the weight is held by the nail and not the bone? Is this correct?
- on may 20 17 you wrote: '..being under the knife with him 4 times now)..'... why 4 times? Isn't 3 times?
- What were the total costs? Was the loose screw an extra payment?

Thx in advance

You are observant and attentive to detail ... I like that. Just from that alone, I know you will do your research before doing LL.

Your age. It depends .... how fit are you? Are you "young" for your age? I believe that age is merely a number. A couple of weeks ago, some friends set me up on a blind date without me knowing in advance. When my date arrived she told me I looked like I was 35, or about 10 years younger. I've always been active, muscular, run 5k in 30 minutes, swim 2k in 25, never smoked, drink alcohol moderately, you get the idea.... nowadays there are lab tests where they take your blood sample, skin sample, CO2 etc and they tell you your biological age. It is the basis of some nature vs nurture experiments. Maybe you can do such a test

The bone spur was to test a hypothesis by my doctor that having a greater surface area of the bone wouold encourage consolidation. It seemed to have worked, or at the least it did not cause any bad effects.

Squats. It depends on how low you go on the squat. At the beginning of the motion, when the weight is over your centre of gravity, all the weight is on the nail. The lower you go the more the force is at an angle to the nail and so the callus is taking the stress. This stress is is what encourages bone consolidation. Also of course your leg muscles are contracting to resist the weight.

4 operations. Yes, again very well observed. I had an outpatient operation to remove the left sensor and cable as it had broken but I didn't post it as it was the time of the Monegal "storm trolls" and I didn't feel like it.

My total costs to date are 38,5k euros, broken down as follows: 18,5k for each implant surgery + 5 days hospitalization, and 1,5k for right rod removal. My doctor didn't charge me anything for the loose screw fixing.

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Posted on Dec 13, 2017, 5:36 am
#57

Thanks for the compliment Antonio.. I will definitely do my research before LL... As most "normal" people/doctors will  tell you not to do it because of the risks(and they are actually right) I have no other choice than minimize the risk by choosing the optimum treatment.

I am almost 49 years but look like 39. I am in good physical health, stopped smoking 8 years ago and work-out several times a week.. So, just like you, I have that working for me.

38,5k eur seems a reasonable price compared to others. But at 165/167 cm I want to lengthen a minimum of 10cm... So I think doing femur and tibia(5cm each).. I reckon I need at least double the amount of euro's.

Monegal seems the only doc to promote the Two stage LL.. do other docs fail to see the risks?

I love your quote.."I have overcome my genetic destiny"... that could have come from my mouth...

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Posted on Dec 13, 2017, 11:08 am
#58

Quote from: Honore on December 13, 2017, 05:36:39 AMThanks for the compliment Antonio.. I will definitely do my research before LL... As most "normal" people/doctors will  tell you not to do it because of the risks(and they are actually right) I have no other choice than minimize the risk by choosing the optimum treatment.

I am almost 49 years but look like 39. I am in good physical health, stopped smoking 8 years ago and work-out several times a week.. So, just like you, I have that working for me.

38,5k eur seems a reasonable price compared to others. But at 165/167 cm I want to lengthen a minimum of 10cm... So I think doing femur and tibia(5cm each).. I reckon I need at least double the amount of euro's.

Monegal seems the only doc to promote the Two stage LL.. do other docs fail to see the risks?

I love your quote.."I have overcome my genetic destiny"... that could have come from my mouth...

Man, be careful to not get greedy. You should do one segment first and see how you feel afterwards, with that new height and all. It'll be better for your health and your pocket.

Also, be very mindful of your age when choosing a LL method.

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Posted on Dec 13, 2017, 12:41 pm
#59

Hi Antonio,

So you just remove the antenna but the nail is still inside ?   

When are you planning to remove the road?

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Posted on Dec 13, 2017, 12:50 pm
#60

Quote from: Honore on December 13, 2017, 05:36:39 AMThanks for the compliment Antonio.. I will definitely do my research before LL... As most "normal" people/doctors will  tell you not to do it because of the risks(and they are actually right) I have no other choice than minimize the risk by choosing the optimum treatment.

I am almost 49 years but look like 39. I am in good physical health, stopped smoking 8 years ago and work-out several times a week.. So, just like you, I have that working for me.

38,5k eur seems a reasonable price compared to others. But at 165/167 cm I want to lengthen a minimum of 10cm... So I think doing femur and tibia(5cm each).. I reckon I need at least double the amount of euro's.

Monegal seems the only doc to promote the Two stage LL.. do other docs fail to see the risks?

I love your quote.."I have overcome my genetic destiny"... that could have come from my mouth...

The benefits of two-stage LL vs. one-stage bilateral are:
1. Significant reduction in risk of fat embolism. Nobody knows exactly why it happens, it can happen during surgery or even a few days after, but it has been shown to be correlated with fracture of long limbs and major injuries. So doing one limb at a time allows for the body to adapt and reduces the risk by more than half (I read somewhere that it was in the order of 3% for limbs but I can't find the source anymore. However this is the incidence, the actual mortality rate is much lower in the order of 5%. So the risk of a fatal fat embolism is about 0,15%)
2. Mobility while lengthening. It is much easier to move around on one good leg and crutches than on a wheel chair.
3. Walking on the fractured leg, if done within safe limits, can aid in bone consolidation.
4. Pain (especially the psychological perception of it) during lengthening is halved.

The disadvantages are:
1. Two operations ie double the risk of cardiac arrest due to anaesthesia (in the order of 0,02%), can be mitigated slightly by using epidural instead of GA
2. Longer time to complete lengthening on both legs
3. Importance of equaling the amount lengthened between legs, but easily achieved with safe amounts of lengthening and doing PT

The choice is yours ...

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