Out of curiosity, why choose Parihar over Giotikas?
It seems like they are the same price? Not sure how to convert the Lakh to USD in his link. Or is India cheaper for reasons I'm not factoring?
Earlier I was all in for Dr Parihar but shocked to see so many misleading information on the site such as 1) 200 USD would be deducted from the surgical costs, for patients who come to the surgery. 2) Stryde is available.
Also,200 USD for 30 min consultation? Whereas it's under 30 USD MAX for offline or local consultation... Don't know what's up with them... Looks like the cost of the surgery is now same as in European countries... To me, Dr Parihar does not seem to a reasonable option anymore.
Quote from: 2020hope on December 16, 2020, 06:23:26 AMhttps://sites.google.com/site/cllrpatients/faqs/cosmeticlengthening
There you go, Stryde is available.
No details on blood thinners added though, probably because it's not that frequently asked.
If it's on his own FAQ that he offers Stryde and it's available in country, then it's clearly a case of miscommunication in this consultation and there'd be no reason why one couldn't use Stryde with him.
Quote from: SpeedDialer on December 16, 2020, 08:34:46 AMOut of curiosity, why choose Parihar over Giotikas?
It seems like they are the same price? Not sure how to convert the Lakh to USD in his link. Or is India cheaper for reasons I'm not factoring?
There could be many reasons. Maybe ethnic Indians would feel more comfortable with an Indian doctor, local Indians who could afford external/Lon/Precice and want to stay in the country, one who met both may like Dr Parihar's demeanor better, etc. More viable options are better than fewer.
Quote from: AnotherShorty on December 16, 2020, 08:56:02 AMEarlier I was all in for Dr Parihar but shocked to see so many misleading information on the site such as 1) 200 USD would be deducted from the surgical costs, for patients who come to the surgery. 2) Stryde is available.
Also,200 USD for 30 min consultation? Whereas it's under 30 USD MAX for offline or local consultation... Don't know what's up with them... Looks like the cost of the surgery is now same as in European countries... To me, Dr Parihar does not seem to a reasonable option anymore.
If info is coming from multiple users then the factual information can get jumbled and it isn't the fault of the doctor. $200 for a consultation is steep but it's likely done to deter the spike of inquiries into CLL that he's received, as he even says before mentioning the consultation info "rather than endless q&a to and fro" or something to that effect.
External, external with hexapod correction (their version of a Taylor Spatial Frame)/LON are still $15,000, add maybe $5,000 for accommodation and it's still very reasonable and less expensive than any European doctor. For equivalent with Giotikas it'd be 22,500 European not including accommodation.
Dr Parihar is a very viable option and 200 bucks is a drop in thr bucket for the total cost of lengthening.
Quote from: KiloKAHN on December 16, 2020, 10:22:21 AMIf it's on his own FAQ that he offers Stryde and it's available in country, then it's clearly a case of miscommunication in this consultation and there'd be no reason why one couldn't use Stryde with him.
There could be many reasons. Maybe ethnic Indians would feel more comfortable with an Indian doctor, local Indians who could afford external/Lon/Precice and want to stay in the country, one who met both may like Dr Parihar's demeanor better, etc. More viable options are better than fewer.
If info is coming from multiple users then the factual information can get jumbled and it isn't the fault of the doctor. $200 for a consultation is steep but it's likely done to deter the spike of inquiries into CLL that he's received, as he even says before mentioning the consultation info "rather than endless q&a to and fro" or something to that effect.
External, external with hexapod correction (their version of a Taylor Spatial Frame)/LON are still $15,000, add maybe $5,000 for accommodation and it's still very reasonable and less expensive than any European doctor. For equivalent with Giotikas it'd be 22,500 European not including accommodation.
Dr Parihar is a very viable option and 200 bucks is a drop in thr bucket for the total cost of lengthening.
Greece is not comparable with India but with Italy or even Germany etc.
So that price different between a first world country and India is mimimal for anyone who want the best result he could get compared to the money he'll give.
If someone wants to risk because he has extremely low budget (not a good choice to begin with but anyway) he could go to Rusia for external only for 6-7k euros or in Vietnam which is very comparable to India and still much cheaper.
But I really believe it is nonsense to give 45k dollars which is a big amount to do precise (not even Stryde!) in the third wirld India while with almost the same money you can do stryde on Greece or Italy.
And also, Parihad seemed to be a respectable doctor but I stopped believing that after he said he doesn't give blood thinners which is, together with antibiotics, the most important and easy thing to avoid major risks and even death.
So in a few words, LLers should do the right choices to help the competition and have better prices or more extras (facilities, food etc) and going to India with almost the same prices as EU don't help a healthy competition between doctors.
LL'ers should be wise consumers at the same time as doing the best for their future health.
Blood thinner is not required in full external method.
yea jus about every surgeon gives blood thinners for internal methods. risk of embolism is gonna stay for months after surgery. all surgeons agree on this. seems like a big deal.
Stryde Availability
Just received this reply from Dr Ahuja when asking about Stryde availability at Mangal Anand Center for Limb Lengthening and Reconstruction:
"Stryde nail is indeed available with us, don't know where the miscommunication is coming from.
Anyways, both the Precice 2 & Stryde are available - it takes 6-8 weeks to finish the paperwork and import process for the nails since a special license has to be obtained for the patient from the Ministry of health & welfare.
Hope that clears the air."
About Blood Thinners
Also, as to Dr Parihar saying that no blood thinners are given with the nails, I was sent yesterday Dr Paley's Stryde pamphlet from a user that inquired with Dr Paley about CLL. Here is what it says about blood thinners in Dr Paley's own approved FAQ:
Blood thinner to prevent blood clots: Since you have the STRYDE nail and are allowed full weight bearing
as tolerated we only use 81mg aspirin twice a day for
prophylaxis. If you are on the birth control pill and
do not wish to stop or if you have other known risk
factors, then you will be started on Xarelto 10 mg daily
(approximately $313.99 per month)...
We use baby aspirin (81mg) twice a day after surgery both
in the hospital and as an outpatient until the end of
the distraction phase...
All of our patients are placed on an anticoagulant, either aspirin or Xaralto for higher-risk patients.
I know for a fact that NSAIDS are given by Dr Parihar after surgery, and before you are approved a series of tests are given to determine if you are a high-risk patient. That combined with close monitoring by him and his staff, no, you're not at higher risk of death getting Stryde with Dr Parihar.
Quote from: KiloKAHN on December 19, 2020, 05:43:22 PM
We use baby aspirin (81mg) twice a day after surgery both
in the hospital and as an outpatient until the end of
the distraction phase...
Strangely enough, I just got an email clarifying a lot of these things. I honestly find it very strange that this email came today. It took a month to get my consultation and the majority of the responses were unenthusiastic 1 or 2 sentences from Divya Ahuja. I send an email after consultation and there was absolutely no response for almost a week.
Now out of the blue, Parihar himself answers me for the first time and gives me a detailed response that is 3 paragraphs long. Also, he changes his policy so that the consultation fee is adjusted to the surgery fee.
I mean, I'm not complaining. I wanted to go with Parihar all along. But it feels like someone linked him to this thread or something because I don't understand the sudden change in mood.
Quote from: REBORN on December 16, 2020, 12:13:13 PMBlood thinner is not required in full external method.
It does because breaking the bone and rimming it with nails can cause embolism, especially because you don't walk for the first days.
Also I really don't care what Paley said about aspirin after internals instead of blood thinners.
Giving anticoagulants is the easiest and most risk free thing after a major surgery like LL.
Doctors who don't give them must be joking and I really don't care if Paley is one of them which is very sad though.
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