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Author Topic: Dryani - External Tibias - Dr. Sarin - 2012 - Taking the Plunge with LON  (Read 67692 times)
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Dookieman
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« Reply #800 on: August 20, 2012, 02:02:37 AM »

Dryani It's so good that you are back to regularly contributing to your diary. We really missed your acerbic with and candor. You're almost done my friend. I'm beyond proud of you. You are a true warrior!
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The Mdragon
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« Reply #801 on: August 20, 2012, 11:25:51 AM »

Congrats warrior..enjoy the cakes,you deserve them big time.. Smiley
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Parmis
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« Reply #802 on: August 20, 2012, 05:11:01 PM »

I don't know why u wrote NA on ur cake. . i just know that in persian language NA means "NO" :)
Hope u a very good time dear!
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Dryani
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« Reply #803 on: August 23, 2012, 07:03:34 AM »

Update:

     Current pain level
     

     
     Pain - The nerve pain in my leg near the knee has ended, but I am having tight muscle stretching pain and some minor nerve pain in my left leg.

     Lengthening - By tonight, I will have reached 7.7cm in my left leg and 7.8cm in my right leg. These numbers are extrapolated from my latest x-rays (about 3 weeks old).

     Frame removal - I will have my frames removed tomorrow, and am very excited.

     Synthes nail - I have confirmed that Sarin does use Synthes (he spoke to us for a while last night). He has mentioned before that the internal rods he uses are the highest possible quality.
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26 year old male in West USA
Was 170cm (5'7"), now 177cm (~5'10")
Currently about 150lbs
Had surgery with Dr Sarin in India on April 24rd
Dookieman
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« Reply #804 on: August 23, 2012, 08:01:32 AM »

Dryani - You did it buddy! I had the pleasure of communicating with you before you took on this journey and it was one hell of a ride. I am beyond proud and happy for you. You are one of the good guys out there and deserve every bit of happiness that you can get in life. Congratulations!
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Ankit
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« Reply #805 on: August 23, 2012, 12:41:53 PM »

Dryani, you're the man. Cheesy We all have been waiting for this day. Just wanted to ask what about that .1 cm gap? Is this negligible?

Good Luck for tomorrow buddy. Smiley

Cheers.
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Arche
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« Reply #806 on: August 23, 2012, 01:19:15 PM »

I found some well-written product literature on the Synthes nail:

1) http://www.synthes.com/MediaBin/US%20DATA/Product%20Support%20Materials/Technique%20Guides/SUSA/SUTGTibNailEXPERTJ6471D.pdf

2) http://www.synthes.com/MediaBin/US%20DATA/Product%20Support%20Materials/Technique%20Guides/SUSA/SUTGTiCannTibPrxBendJ7740D.pdf

External Fixation:

1) http://www.synthes.com/MediaBin/US%20DATA/Product%20Support%20Materials/Technique%20Guides/SUSA/SUTGDORingLengthCorrectJ7730B.pdf
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'"There is evil in your bones, Equality 7-2521, for your body has grown beyond the bodies of your brothers." But we cannot change our bones nor our body.' - Anthem, by Ayn Rand.
6ftby2014
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Current height 171.5cm (5'7.5")


« Reply #807 on: August 23, 2012, 01:34:19 PM »

Good job man. I hope you still update us on how you are doing with recovery and give us plenty of pictures and anecdotal experience on how your life has changed.

Don't forget the little people ( pun intended). Grin
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" Whatever you want, you shall have. Whatever you search for, you shall find ".
Dookieman
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« Reply #808 on: August 23, 2012, 02:42:56 PM »


Good stuff Arche!
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Infinity88
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« Reply #809 on: August 23, 2012, 03:27:28 PM »

Congratulations Dryani!! You must be feeling top of the world.

On another note does anyone knows how a set of synthes tibial nail costs or can anyone ask Dr. Sarin about this.

Thanks.
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The Mdragon
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« Reply #810 on: August 24, 2012, 08:34:57 PM »

congrats big time dryani
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balzakin
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« Reply #811 on: August 25, 2012, 04:00:26 AM »

Congratulations Dryani!! You must be feeling top of the world.

On another note does anyone knows how a set of synthes tibial nail costs or can anyone ask Dr. Sarin about this.

Thanks.

hells yeah, with the full set of pdf instructions that Arche gave, I've decided to do limb lengthening myself at home Smiley
I might get my Dad to help out in his shed. Congrats again Dryani.
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6ftby2014
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« Reply #812 on: August 25, 2012, 04:51:31 PM »

hells yeah, with the full set of pdf instructions that Arche gave, I've decided to do limb lengthening myself at home Smiley
I might get my Dad to help out in his shed. Congrats again Dryani.


You will be disappointed since the PDF was for the titanium rod and not a lengthening nail or frame. Wink
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" Whatever you want, you shall have. Whatever you search for, you shall find ".
Dookieman
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« Reply #813 on: August 25, 2012, 05:14:35 PM »


You will be disappointed since the PDF was for the titanium rod and not a lengthening nail or frame. Wink

Who needs a doctor? Get the homies pookie and junebug to do it for a pack a smokes!
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Dryani
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« Reply #814 on: September 02, 2012, 03:15:06 PM »

Update:

     Current pain level
     

     Surgery - My frame removal surgery was carried out August 24th (about one week ago). When I awoke from anesthesia I experienced moderate pain, and asked for a painkiller, which I was given. For some reason, my right thigh muscle was in a state of convulsion, and I was not able to relax it for nearly an hour. After the short observation period following the surgery, I was moved to my private room and I began to relax. Knowing ahead of time that the regular IV painkiller injections did not work for me, I had brought along some mild opiates, and took them at four hour intervals for the next 16 hours. In this way, I managed my pain and got some sleep. The next day, I felt much better and returned to the guest house.

     IV troubles - I have very prominent and easy to find arteries, but the nurses had some trouble inserting my IV this time. It took them three tries to get the needle situated. I suspect that the final successful attempt was not situated properly, because when the anesthesia was injected it felt like my arteries were full of pressurized fire. I was writhing in pain, but only for a couple of seconds as the anesthesia is extremely fast acting. I was asleep in less than 10 seconds. The next day, many painless injections later, an injection hurt in the same way but worse. It was assumed that I had a blood clot, so a blood thinner was injected. The thinner hurt, but then the following antibiotic injection hurt worse than the first time. I had to yell at the nurse to make her stop injecting; I knew something was wrong. Why did I have to yell at the nurse? I suspect the reason is due to her miscalculating my pain tolerance and assuming that I was just whining. At any rate, she placed a new IV in my other arm and the rest of the injections were completely painless. Now, more than a week later, a 6 inch length of my artery (from the 1st IV) still gives me pain to the touch. The moral of this story is that painful IV injections mean the IV should be changed. The nurses say that it is normal for antibiotics to hurt, but it is not. Real pain means real problems in my experience.

     Pain - After I returned to the guest house, I no longer needed opiates to handle the pain, and got a good amount of sleep using only muscle relaxers and NSAIDs. After about two or three nights, I no longer needed any drugs to deal with the pain or to sleep. I will no longer be posting regular pain updates in my diary, so just assume that aside from the physical therapy pain, that I am not in any notable pain unless otherwise mentioned.

     Returning home - In 8 hours from the time of this posting I will be boarding a plane to London. From London I will travel to Arizona, and from Arizona I will be traveling home. The entire process will take 26 hours, and I am not looking forward to it. I will be taking aspirin to help prevent my feet from swelling due to being in a seated position for so long (as my legs are no longer accustomed to that situation). I will be taking some benzos to make the flights as pleasant as possible. As a side note, my research has yielded that this is the proper use of benzos; it can be dangerous to use them on a long-term basis, so don't do it.

     Nightmares - This past week has given me a relentless amount of intense emotional nightmares. I'm not sure why this is happening. The nightmares will typically emphasize the things in life that I am most disturbed by, meaning that when I wake up there is no relieving realization that the dream was a complete illusion. I wish I never had to sleep.


This concludes the lengthening portion of my diary


     Ballerina foot (ankle range of motion) - After stretching, I have a little less than 2cm of ballerina. This is a pretty negligible amount, and I am not at all worried about it. I expect the ballerina to be eliminated within a month or so.

     Leg straightening - Leg straightening is going to be the largest issue for me. I have about 35 degrees of bending that will not straighten. I am hoping to lower the amount of bending to at least 5 degrees in less than two months, but that may be too optimistic.

     Testosterone - I will be increasing my testosterone when I return home, which should have the effect of increasing the speed of bone consolidation. Also, the increased testosterone will speed up the rate at which my leg muscles strengthen. Additionally, more testosterone means more estrogen, which has the effect of increasing soft tissue elasticity based on my research. I am hoping that higher estrogen levels will aid in my leg straightening. Raising ones testosterone can be done legally or illegally. Let's not talk about how to raise testosterone on this forum; just know that mine will be increased and it will likely have a minor to moderate effect on my recovery. If you choose to raise your testosterone as well, please be safe, use a PCT for methods that do not exclusively involve aromatase inhibitors, and research your path carefully (somewhere else).


Special Notes (about piss and poo):

     Proper pissing protocol - Of all the patients I have spent time with during this process, I would estimate that 95% of all urinations are done in "piss bottles" (pictured below). These piss bottles are emptied daily by Suitcase - a job he does admirably (I believe he has become immune to the smell). To piss, simply elevate your knees while laying down or sitting up in bed, and place your blanket over them. You will look like you are in labor to any onlookers, but in reality you are taking a piss. Next, place the urine bottle into position and flip the lid open. After you urinate, return the bottle to its place on the floor, and go back to what you were doing. If you notice your roommate urinating, it is considered respectful to look deeply into his eyes until he finishes.



     
     Constipation - It is very important to not underestimate the bowel-slowing effect of opiate painkillers. This means that prior to surgery, after surgery, or when using opiate pills, it is crucial to drink a lot of water, eat high-fiber foods (prunes can be found at aaramshop), and take laxatives if needed. While most people do not have any serious issues, there are some (like myself) who develop painful persistent problems. Don't ask; the answer is worse than you want to hear. Just stay on the safe side and heed my warning.

     Pissing difficulty - Another effect of opiates can be difficulty urinating. This can be alarming to someone not expecting this effect, but relax and realize that it is natural and it will pass. If this issue is plaguing you, then you will feel the urge to urinate, but it will simply not come out. It is as if you can not relax the muscles that hold your bladder shut. To combat this, I find that it helps to relax completely, gain privacy if possible, take as long as you need, and think of something funny enough to make you laugh (like urinating on a confused and frustrated Mickey Mouse). If the pressure builds in your bladder to the point of pain, and you are completely unable to urinate, then ask for a catheter. It will most likely not come to that point.


Hospital pictures:

Waiting for surgery



A first person perspective of lengthening



Left leg



I appreciate the surgeries sirs



7.5cm pls + Happy pig (w/cock and balls)



A polite request to not be molested during the surgery









The ankle and heel pins always looked really gruesome, but they hurt the least and caused me no trouble






The closest thing to a proportion shot so far



The day after surgery - the white stuff is residue from the mold they placed on my legs to create my braces (more on the braces later)
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26 year old male in West USA
Was 170cm (5'7"), now 177cm (~5'10")
Currently about 150lbs
Had surgery with Dr Sarin in India on April 24rd
6ftby2014
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Credibility 35
Gender: Male
Posts: 1287


Current height 171.5cm (5'7.5")


« Reply #815 on: September 02, 2012, 03:19:55 PM »

You did it man. Awesome! I am really awaiting the updates that tell how awesome you feel and how great it is being back home and 3 inches taller!
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" Whatever you want, you shall have. Whatever you search for, you shall find ".
pattymatty
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« Reply #816 on: September 02, 2012, 07:16:08 PM »

Great post Dryani! Congratulations! Great photos! Very handsome! Your scars don't look bad at all. Dr. Sarin and his staff did a great job. Amazing! Welcome home!

Proper pissing protocol - Of all the patients I have spent time with during this process, I would estimate that 95% of all urinations are done in "piss bottles" (pictured below). These piss bottles are emptied daily by Suitcase - a job he does admirably (I believe he has become immune to the smell). To piss, simply elevate your knees while laying down or sitting up in bed, and place your blanket over them. You will look like you are in labor to any onlookers, but in reality you are taking a piss. Next, place the urine bottle into position and flip the lid open. After you urinate, return the bottle to its place on the floor, and go back to what you were doing. If you notice your roommate urinating, it is considered respectful to look deeply into his eyes until he finishes.


On a side note, I hope no one looks deeply into my eyes while I pee... LOL.
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AL4N
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« Reply #817 on: September 02, 2012, 07:43:40 PM »

congrats on your lengthening sucess. thanks for sharing your diary. goodluck on your rehabilitation at home Wink
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Kaizen
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« Reply #818 on: September 02, 2012, 08:46:10 PM »

Congratulations man, I had been waiting to see how things went for you with the frame removal. I know how much the IV sucks...it's pretty much the only pain I remember now haha. My hard vein just barely went away like a week ago. Finally gonna be out of f*cking India! Niiice...The flight sucks balls, but good idea with the aspirin for the swelling. My feet almost looked as bad as yours when I first met you after I got home lol. Well good luck, sh*t was actually kinda fun hanging out with you, sam, and a few others there.

P.s.- Bring enough drugs for the flight. I definitely did not bring enough to last 23 hrs lmao.
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SysOp
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« Reply #819 on: September 02, 2012, 08:51:04 PM »

Congrats on getting your frames removed and heading home. I've given you a boost to your credibility for all of the photos, and upgraded you to LL Veteran. Smiley
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