Thoughts on going with Dr. Parihar?

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Quote from: Scarface on November 10, 2020, 11:19:51 AMThe Stryde nail is available now and the cost and accomodation would be very convenient for me given it's pretty close to where I live but the lack of number of cases done (zero in Stryde yet) is a little concerning despite Dr. Parihar's good reputation, although he does undertake a lot of deformity cases.

"Stryde nail is available - has only recently been available in India, so we haven't done any with the Stryde yet. However the technique is similar to the Precice 2, which we have done 6 in Femur & 2 in Tibia.

The cost for the Stryde nails is INR 23,50,000/- and additionally the hospital cost is around INR 9,00,000/-

The removal is done minimum after 2 years  -  the cost can therefore vary - the current price for the removal is around INR 2.75-3,00,000/-

The stay in Mumbai for the lengthening period (should plan for 140 days stay in Mumbai) can vary from INR 5000-15000 per day, depending on the type of accomodation one chooses.

Please have a look at
Cosmetic Lengthening:

 http:// bit.ly/CosLen "

If you plan to do it in India Dr. Parihar is one of the better options. Although the accomodation prices you quoted below seems way off the chart 15k rupees = 200 USD those are the prices for staying in a 5 star hotel

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Quote from: Infinity on November 10, 2020, 09:37:57 PMIf you plan to do it in India Dr. Parihar is one of the better options. Although the accomodation prices you quoted below seems way off the chart 15k rupees = 200 USD those are the prices for staying in a 5 star hotel

Not surprising. In Delhi in 2014 it was 115 a night at a standard hotel with nothing special. There are some amazing hotels in Mumbai that might be worth 200 a day, but many hotels will give discounts for long-term reservations. I stayed at Hotel Maharana a few blocks away from Dr Parihar's clinic and they gave me a deal of $50 a day.

Quote from: Infinity on November 10, 2020, 09:35:36 PMHi Kilo, I am aware you have first hand experience of doing surgery with Dr. Parihar, who i also believe is a a competent doctor. I have visited him few years back and did some research on him.

I am still curious to know your reasons for rating him higher than Dr. Lee, is it mainly due to your personal experience?

Aside from my personal experience bias, I also think that even if South Korea is a more appealing destination than India for most everyone, certain things make me favor Dr Parihar:

1) He's $30,000 - 40,000 more inexpensive compared to Dr Lee for internal methods.

2) His criteria for patients is more strict and the patient-doctor relationship seems more personal than being one of Dr Lee's assembly line cosmetic cases.

3) http://www.limblengtheningforum.com/index.php?topic=64486.msg176547#msg176547

"Oh yea.. I just remembered haha, he doesn't like people asking too many questions. I got yelled at by Dr Lee when I was questioning my x rays too much...

He basically said "something something... trust him hes the doctor" which is true, but in my opinion its my legs and I am the type of person that likes to understand so it wouldn't hurt to help me do so."

A doctor yelling at someone for asking questions doesn't sit well with me. Cosmetic patients are naturally going to be more concerned/demanding over pain or what have you as opposed to a deformity correction patient, and a doc who heavily caters to a cosmetic market should have the patience and understanding for that.

4) Most of the highly regarded doctors such as Paley will tell you to only go to surgeons at the top of the pyramid for cosmetic lengthrning for the reason that you want a doctor who can not only prevent complications, but also has the experience to deal woth the ones that arise. Both Dr Parihar and Dr Lee definitely have the experience to deal with potential complications, but Dr Parihar's location has him treating more patients with complex, gnarly birth deformities and bone injuries from road accidents and bomb blasts, etc, so I'd have that extra bit of confidence that he has seen just about everything that can go wrong and knows how to respond accordingly.

5) He did his residency with Dr Paley 19 years before Dr Lee did his. Maybe it means nothing, but that extra 20 years of experience doesn't hurt.

6) Dr Parihar is also a knee replacement specialist, I'd hazard a guess that if permanent knee pain is something you're worried about, a specialist in both fields is a good person to talk to.

The one advantage Dr Lee has over Dr Parihar that is significant to most people is the location. Dr Lee's location is much nicer than Dr Parihar's, but at least for me personally it doesn't matter because when youre in the hospital for a week, you're practically bed ridden and just eating light meals while watching TV and doing small movements. After that, the location factor can be mitigated by staying at a hotel in Mumbai. Could probably use that extra amount Lee would cost to stay at one of Mumbai's 5 star hotels for the lengthening period.

Just my 2 cents, don't take it as an absolute fact.

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Quote from: Scarface on November 10, 2020, 07:39:52 PMYes, I am Indian. If I go to Parihar I can do the surgery next year or so and my parents can pay for it but if I resort to my original plan of going with Paley that sort of sounds like a distant pipe dream and I will have to save up for it and do it in a few years.
I'm inclined to go with Dr. Parihar.

ya paley is very very costly. but I Hope you are taking my word of caution. I saved money to go to south korea dr lee and get lon procedure. I even closed some of my bank deposits and began making all arrangements to go. thats when I was told by lee's team that I need to go on a tourist visa, get surgery and then get medical visa. I was shocked!!! how can I take such big risk? what if medical visa is rejected after surgery? and should I tell lie while entering south korea?? then even giokitas team said the same thing!! come on 2 week tourist visa and then try to extend it after surgery!! wtf.

then I found out for Indians we cant go to any of these countries USA, south korea, germany, greece other than with short term tourist visa (2 weeks max usually). no doctor is willing to arrange medical visa from the start.

so money is not the only problem. its very hard to get long term visa for Indians. if you have USA passport then you can go to most countries and stay of 3 months with no visa. thats why think this through. or LL is long term goal ? then immigrate to some other country like canada thru job and as canadian you can go anywhere but this will take 5 years atleast.

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Quote from: foreign on November 11, 2020, 07:28:07 AMya paley is very very costly. but I Hope you are taking my word of caution. I saved money to go to south korea dr lee and get lon procedure. I even closed some of my bank deposits and began making all arrangements to go. thats when I was told by lee's team that I need to go on a tourist visa, get surgery and then get medical visa. I was shocked!!! how can I take such big risk? what if medical visa is rejected after surgery? and should I tell lie while entering south korea?? then even giokitas team said the same thing!! come on 2 week tourist visa and then try to extend it after surgery!! wtf.

then I found out for Indians we cant go to any of these countries USA, south korea, germany, greece other than with short term tourist visa (2 weeks max usually). no doctor is willing to arrange medical visa from the start.

so money is not the only problem. its very hard to get long term visa for Indians. if you have USA passport then you can go to most countries and stay of 3 months with no visa. thats why think this through. or LL is long term goal ? then immigrate to some other country like canada thru job and as canadian you can go anywhere but this will take 5 years atleast.

I see, I'll definitely take caution. LL initially was a long term goal but now Parihar as an option I can see myself doing it earlier and financed by my parents and I'm probably going to go with him now.

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Quote from: KiloKAHN on November 10, 2020, 11:14:30 PMNot surprising. In Delhi in 2014 it was 115 a night at a standard hotel with nothing special. There are some amazing hotels in Mumbai that might be worth 200 a day, but many hotels will give discounts for long-term reservations. I stayed at Hotel Maharana a few blocks away from Dr Parihar's clinic and they gave me a deal of $50 a day.

Aside from my personal experience bias, I also think that even if South Korea is a more appealing destination than India for most everyone, certain things make me favor Dr Parihar:

1) He's $30,000 - 40,000 more inexpensive compared to Dr Lee for internal methods.

2) His criteria for patients is more strict and the patient-doctor relationship seems more personal than being one of Dr Lee's assembly line cosmetic cases.

3) http://www.limblengtheningforum.com/index.php?topic=64486.msg176547#msg176547

"Oh yea.. I just remembered haha, he doesn't like people asking too many questions. I got yelled at by Dr Lee when I was questioning my x rays too much...

He basically said "something something... trust him hes the doctor" which is true, but in my opinion its my legs and I am the type of person that likes to understand so it wouldn't hurt to help me do so."

A doctor yelling at someone for asking questions doesn't sit well with me. Cosmetic patients are naturally going to be more concerned/demanding over pain or what have you as opposed to a deformity correction patient, and a doc who heavily caters to a cosmetic market should have the patience and understanding for that.

4) Most of the highly regarded doctors such as Paley will tell you to only go to surgeons at the top of the pyramid for cosmetic lengthrning for the reason that you want a doctor who can not only prevent complications, but also has the experience to deal woth the ones that arise. Both Dr Parihar and Dr Lee definitely have the experience to deal with potential complications, but Dr Parihar's location has him treating more patients with complex, gnarly birth deformities and bone injuries from road accidents and bomb blasts, etc, so I'd have that extra bit of confidence that he has seen just about everything that can go wrong and knows how to respond accordingly.

5) He did his residency with Dr Paley 19 years before Dr Lee did his. Maybe it means nothing, but that extra 20 years of experience doesn't hurt.

6) Dr Parihar is also a knee replacement specialist, I'd hazard a guess that if permanent knee pain is something you're worried about, a specialist in both fields is a good person to talk to.

The one advantage Dr Lee has over Dr Parihar that is significant to most people is the location. Dr Lee's location is much nicer than Dr Parihar's, but at least for me personally it doesn't matter because when youre in the hospital for a week, you're practically bed ridden and just eating light meals while watching TV and doing small movements. After that, the location factor can be mitigated by staying at a hotel in Mumbai. Could probably use that extra amount Lee would cost to stay at one of Mumbai's 5 star hotels for the lengthening period.

Just my 2 cents, don't take it as an absolute fact.

Hi Kilo,

Thanks for sharing and detailed reply i am sure it will be helpful to many of the undecided.

50 USD a day seems more like a reasonable price of a budget hotel or if you are a local, like OP is, than perhaps it is possible to do a short term rental for circa 1000 USD month at good standard apartment.

Regarding the point you mentioned all valid points. I would just add something which Dr. Parihar mentioned himself (and i agree) that there is a difference between the expectations of a trauma patient and Cosmetic one. In the former's case the patient is grateful for whatever the surgeon can do for him to salvage his limbs and will be an improvement on his current condition but in the later case the surgeon is basically breaking perfectly healthy limbs to enhance the patient's life from psychological point of view where the margin for error is relatively smaller and expectation much higher. Hence experience of Dr. Parihar as a trauma orthopedic surgeon although very relevant and helpful, i wouldn't hold that against Dr. Lee as he is doing a lot of cosmetic cases which brings the added pressure and expectations. So far from what i have seen (and read) his patients seems to be quite satisfied.

Lastly i agree that the clinic setting and the facilities of Dr. Parihar can be a little off putting but if one can look beyond that, Dr. Parihar is a very good option specially at that price point as you also mentioned in your post.

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Quote from: Skyisthelimit on November 10, 2020, 06:24:25 PMHey KiloKhan,
After 6-7 months post op were you able to do some light weight leg exercises? Or were you not allowed to do any type of physical activity until the frames were removed? I’ve had my mind set on doing LON with dr. Parihar for a while now, but I’m debating whether fully externals would be better for me since I’m worried about the risk of getting permanent knee pain and also my tibias are very thin, but if fully external means living as a cripple for a year or more than I think I’ll be sticking to LON.

@KiloKhan

Quote from: Scarface on November 11, 2020, 08:45:50 AMI see, I'll definitely take caution. LL initially was a long term goal but now Parihar as an option I can see myself doing it earlier and financed by my parents and I'm probably going to go with him now.

Honestly, from what you explained, I don’t understand why you would be considering going to another doctor. After listening to most of the conferences he spoke at, I knew he was one of the doctors I would want to go to. You have the advantage of being close to one of the most experienced doctors in this field, the opportunity to have your parents pay for the operation and save your money, and being able to do it much sooner than anticipated. If I were you, I would be arranging the surgery as we speak. The sooner you do it, the more time you’ll have to enjoy your new height. Hope this helps clear some doubts you might be struggling with.

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Quote from: KiloKAHN on November 10, 2020, 11:14:30 PMNot surprising. In Delhi in 2014 it was 115 a night at a standard hotel with nothing special. There are some amazing hotels in Mumbai that might be worth 200 a day, but many hotels will give discounts for long-term reservations. I stayed at Hotel Maharana a few blocks away from Dr Parihar's clinic and they gave me a deal of $50 a day.

Aside from my personal experience bias, I also think that even if South Korea is a more appealing destination than India for most everyone, certain things make me favor Dr Parihar:

1) He's $30,000 - 40,000 more inexpensive compared to Dr Lee for internal methods.

2) His criteria for patients is more strict and the patient-doctor relationship seems more personal than being one of Dr Lee's assembly line cosmetic cases.

3) http://www.limblengtheningforum.com/index.php?topic=64486.msg176547#msg176547

"Oh yea.. I just remembered haha, he doesn't like people asking too many questions. I got yelled at by Dr Lee when I was questioning my x rays too much...

He basically said "something something... trust him hes the doctor" which is true, but in my opinion its my legs and I am the type of person that likes to understand so it wouldn't hurt to help me do so."

A doctor yelling at someone for asking questions doesn't sit well with me. Cosmetic patients are naturally going to be more concerned/demanding over pain or what have you as opposed to a deformity correction patient, and a doc who heavily caters to a cosmetic market should have the patience and understanding for that.

4) Most of the highly regarded doctors such as Paley will tell you to only go to surgeons at the top of the pyramid for cosmetic lengthrning for the reason that you want a doctor who can not only prevent complications, but also has the experience to deal woth the ones that arise. Both Dr Parihar and Dr Lee definitely have the experience to deal with potential complications, but Dr Parihar's location has him treating more patients with complex, gnarly birth deformities and bone injuries from road accidents and bomb blasts, etc, so I'd have that extra bit of confidence that he has seen just about everything that can go wrong and knows how to respond accordingly.

5) He did his residency with Dr Paley 19 years before Dr Lee did his. Maybe it means nothing, but that extra 20 years of experience doesn't hurt.

6) Dr Parihar is also a knee replacement specialist, I'd hazard a guess that if permanent knee pain is something you're worried about, a specialist in both fields is a good person to talk to.

The one advantage Dr Lee has over Dr Parihar that is significant to most people is the location. Dr Lee's location is much nicer than Dr Parihar's, but at least for me personally it doesn't matter because when youre in the hospital for a week, you're practically bed ridden and just eating light meals while watching TV and doing small movements. After that, the location factor can be mitigated by staying at a hotel in Mumbai. Could probably use that extra amount Lee would cost to stay at one of Mumbai's 5 star hotels for the lengthening period.

Just my 2 cents, don't take it as an absolute fact.

I just read the diary link you posted. I think now i have a better understanding of the point you were making, the assembly line approach and treating patients just as paying customers doesn't sound good.

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Btw, why do people keep mentioning only hotels as an option? Are there no Airbnb rentals available in India?

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Dr Parihar is an amazing option, far better than Dr Lee because he won’t try to extortionate money at every possible opportunity as dr Lee do. Also, Parihar has far better work ethics than many top CLL surgeons ... if we had like 6-7 Parihar dairies, I would have considered him for sure.

People who say Mumbai is sub-standard - if you are willing to spend, you will see class 1 service... but bcz people don't want to spend too much on rent, they end up taking an Okish accommodation.
Mumbai has every kind of option for you- cheap, reasonable, nice and amazing ... it depends on how much you willing to pay. Just check out Airbnb or Oyo app.

Regards

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Quote from: AnotherShorty on November 11, 2020, 11:13:35 AMDr Parihar is an amazing option, far better than Dr Lee because he won’t try to extortionate money at every possible opportunity as dr Lee do. Also, Parihar has far better work ethics than many top CLL surgeons ... if we had like 6-7 Parihar dairies, I would have considered him for sure.

People who say Mumbai is sub-standard - if you are willing to spend, you will see class 1 service... but bcz people don't want to spend too much on rent, they end up taking an Okish accommodation.
Mumbai has every kind of option for you- cheap, reasonable, nice and amazing ... it depends on how much you willing to pay. Just check out Airbnb or Oyo app.

Regards

I think Dr. Lee is a very good option specially for Asian patients, if price is not an issue as he provides one stop shop and everything is cutting edge. Parihar is a great option if you are considering India, which i believe is not everyone's cup of tea for various challenges it presents. It has nothing to do with Dr. Parihar's ethics or skills, which i believe to be quite good rather certain issue related to general hygiene conditions of the environment.