he said it includes 2-3 weeks stay, it was kind of hard to tell exactly from him.
but i can confirm i wont be charged any extra outside that amount, no longer how long I was going to stay there as long as it was within 2 weeks or something.
I was thinking maybe most of his international patients go to MEDEM, the operation is so cheap anyway it barely matters, maybe food, bed an medication is better, I don't know i can't asses that i haven't seen both places, its £1000 more but the whole thing is costing about £7000 anyway due to rent and flights, my LL budget is £10,000.
also what general anaesthesia options were you given, what was your recomendation.
where did you buy your wheelchair.
did you have a single bed ward when you were in elizabeth?
did you rent apartment, or were you lucky enough to have your home very near the hospital for lengthening. I would like to know what his PT and maid is like, are they attentive? does maid wath your clothes weekly as well?
One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Quote from: microman on June 25, 2015, 10:24:29 AMalso what general anaesthesia options were you given, what was your recomendation.
General, epidural and spinal. I chose epidural, they offered me some fancy pump-like thing. They leave it in your spine after the surgery and you can choose levels of pain-killing, so I didn't feel much pain after the surgery. I removed it 5-6 days later. But I had my surgery at hospital #4 and they don't accept international patients. However it's also goverenment hospital and the anaesthesiologist probably works closely with Dr. Kulesh. Not sure. Oh and... you sleep regardless of the method you choose, as they sedate you to sleep.
Quotewhere did you buy your wheelchair.I don't use my wheelchair. But I bought it some years ago in an ortho shop.
Quotedid you have a single bed ward when you were in elizabeth?I had single bed, yes, but it was hospital #4.
Quotedid you rent apartment, or were you lucky enough to have your home very near the hospital for lengthening. I would like to know what his PT and maid is like, are they attentive? does maid wath your clothes weekly as well?I live very close to the hospital. Both hospitals and Vreden clinic also. And I didn't get a maid, I have relatives. PT also I didn't get, I do it by myself, as I'm a LL expert.
you are so lucky to live right next to a cosmetic LL clinic, hopefully one day that will be a reality for us all.
and yeah as it was mentioned elizabeth will prioritize russian patients I belive, so I think it would be best sticking to medem clinic for myself, i don't think you could compare elizabeth for yourself and elizabeth for me, they maybe put me in a worse hospital # you never know.
that pain killer thing sounds cool, I never heard of that before, is it a button you press or something?
great to hear about less pain after surgery, i hear the first few days can be the worst as in screaming out in pain!
Can you tell the difference between the anaesthesia, advantages and disadvantages.
General vs. epidural vs. spinal.
what do you do for washing durgin lengthening, I was thinking you just rub your body in with a wash cloth that had soap and water in it, do you avoid water on your frames.
Quotethat pain killer thing sounds cool, I never heard of that before, is it a button you press or something?I think they call it 'epidural pain pump' or 'patient-controlled epidural analgesia (PCEA) infusion pump'. You choose a pain killing level and the pump adjustes drug delivery rate. It's got a lot of pain killing potential, like you can make your legs completely numb. I don't recommend that though as your penis will also go numb and you won't be able to urinate unless you get a catheter. But ask Dr. Kulesh if they offer it in other clinics, I'm not sure.
QuoteGeneral vs. epidural vs. spinal.General is when they completely knock you down with a lot of medications and insert a breathing tube in your throat. Then they can cut your arm off and you won't feel a thing.
Epidural and spinal are very similar. They both deliver some pain killing medications in your spinal cord, resulting in your legs going numb. Most of the time they're combined with general so you'll be asleep anyways, but the drug dosage is much lower in this case, just enough to put you at sleep.
Quotewhat do you do for washing durgin lengthening, I was thinking you just rub your body in with a wash cloth that had soap and water in it, do you avoid water on your frames.Yeah that's what you do. You also can put some bags on your externals to block the water from flowing in and take a bath.
okay thanks for that information, i guess the washing up advice would also apply to the consolodation period as well.
did you feel the pain level of external femurs was the same as external tibia.
overall how would you rate the difficulty of the whole process of external tibia and external femur, example
external tibia: 6/10
external femur: 9/10
i just hardly see external femur diaries, but sadly all the internal femur prices are 4x that of external tibia and i can't accept those prices for extra height if i want it one day.
exactly what is your wingspan as well, how do you feel about your proportions, I wouldn't mind seeing what someone looks like 10+cm taller than wingspan.
I myself am 164.5, wingspan 167, so i was thinking 174.5 would be my maximum choice given my wingspan, maybe you can show me that being much taller than wingspan wont look bad, in which i can think of 6+6 and not 5+5.
Femur is much worse for me in terms of both pain and discomfort. I'd rate tibia 2/10 and femur 8/10. Lengthening tibias externally is easy in my opinion, and rather comfortable also, well at least when compared to external femurs. If you can afford, do femurs internally. Lengthening femurs externally isn't a walk in a park. Have you ever played Call of Duty? You know it has a difficulty level called "You will not survive." - that's about external femurs.
My arm span is 170 cm and to be 176-178 cm after AL. No pics, sorry.
If you don't plan lengthening your arms, 174.5 cm would indeed be your maximum choice. It would also be safer, so I recommend sticking to that.
Wow, okay didn't realize it was so bad. sadly i will never be able to justify the expense of internal femur prices, i guess i wont be getting a 2nd LL then, i will simply have to accept that, or somehow put up with maximum difficulty in CoD hehe, if its only 5cm maybe it wont be as hard a journey as you had?
ah so you are 182 with wingspan 170!
I thought you said you weren't going to do AL now anyway?
yes i think 174.5 would be best for me, maybe one day interal femur would be a similar price to external tibia, but currently it's almost 4x the price!
do you think femur lengthening could be made more tolerable if you do LON on them, and maybe did it one leg at a time, so when left femur is consolodating and the frames removed you then do right leg LON femur.
Obviously this would take longer than internal methods, but since its the difference is £5000 for LON femur and £40,000 for internal femur then id be okay for it to be longer.
it would be great if you could advise me on AL a little, just what solomin or kuresh has told you, what your mobility would be like, i can only imagine it would be much easier than LL but I can't really tell, maybe you could do femur LL and AL at the same time? i don't see why not they are not related at all but as i said i wouldn't really know.
if you could let me know what you think of my proportions in this thread that would be helpful.
http://www.limblengtheningforum.com/index.php?topic=2230.36
Thanks.
Quote from: microman on June 26, 2015, 07:53:58 PMdo you think femur lengthening could be made more tolerable if you do LON on them, and maybe did it one leg at a time, so when left femur is consolodating and the frames removed you then do right leg LON femur.
Obviously this would take longer than internal methods, but since its the difference is £5000 for LON femur and £40,000 for internal femur then id be okay for it to be longer.
LON will make it easier in the end indeed.
AL is easier than LL, but if you do it at the same time with LL it will obviously double the trouble. You need your arms during LL.
And you look better in 5 cm mockup.
You must be logged in to post a reply.