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Author Topic: Yardbird's Bilateral Tibia Lengthening w/ Dr. Shahab Mahboubian, D.O. CA, USA  (Read 14919 times)
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Yardbird
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« Reply #80 on: October 31, 2016, 04:33:58 AM »

Update:

Had x-rays taken on Friday. My tibias and fibulas are now consolidated. I could probably start walking unassisted now, but I'm still on crutches until I get the go ahead. Looking back, this really didn't take that long. The whole experience is kind of a blur. I've never once regretted doing it. If I had it to do over again, I certainly would. My only regret is that I didn't lengthen even more!
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mgibson77
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« Reply #81 on: November 17, 2016, 08:30:13 AM »

I've not been on here for a while but I'm really glad to see you got through it. I thought a lot about the setback you have and the eventual second surgery but great to hear that you got to 6.5cm, very well done.
5'9 is respectable especially where you started from.

The body is remarkable in healing itself so most of the recovery challenges will go away eventually. You're now a champion of this procedure and should probably speak about it to people when you start moving around and travelling. I remember how I was devastated most days with my old height and now I don't even think about height. Kudos!!
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gurj86
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« Reply #82 on: November 18, 2016, 09:27:13 AM »

Quote from: Yardbird link=topic=8015. msg108095#msg108095 date=1464110684
Hello all,

I have just returned home following bilateral tibia lengthening with orthopedic surgeon Dr.   Shahab Mahboubian, D.  O.   performed at Providence St.   Joseph's Hospital in Burbank, California U.  S.  A.   The surgery took around 6 hours to complete, and was followed by a two day stay in the hospital before being discharged.   I have a follow up appointment with the doctor this coming Friday.   There is a lot of information to share.   As is the custom, I will begin with some basic stats:

Age: 33
Gender: Male
Location: southwest USA
Pre-operative height: 170 cm (this is my second limb lengthening.   I was previously 163.  5 cm before lengthening my femurs)
Lengthening goal: 6.  5 cm
Method: Internal lengthening of tibias/fibulas using the Pecice II internal nail

I will post a more detailed discussion of the steps involved in setting up this procedure in the coming days.   I also need to read more about how to post pictures to this thread.   I have many photos that I'd like to share.   Many thanks to the members of this forum for providing the courage and inspiration necessary to undertake this life-changing procedure!






Hi Yardbird,

Can you please let me know how much was the cost of the operation?

thanks
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Yardbird
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« Reply #83 on: November 19, 2016, 11:54:08 PM »

Update:

I had the ankle screws removed this past Thursday in a short, outpatient procedure. It has definitely made a difference. There is noticeably less pain and greater flexibility in the ankle joints. It feels good to start taking hardware out of my body. I need to remove my femur rods as well. I plan to visit Dr. Betz this summer if time permits.

@mgibson77
Thanks for your post. Because you had strong consolidation on your femurs, you will want to address this if you lengthen your tibias in the future. Dr. M mentioned that he is experimenting with different methods of reaming to prevent pre-consolidation in patients with strong bone growth. You will likely want to distract at 1 mm/day and I would also discuss the possibility of an initial distraction to be performed during the surgery to establish a gap and prevent early fusion. Distracting at 1 mm/day throughout strains the soft tissues around the tibias. If you want a large gain (greater than 6 cm), stretch your tendons as much as possible to prepare (particularly the Achilles). I'm glad that you are no longer preoccupied with height neurosis. Enjoy your new life! You worked hard for it!

@gurj86
Although Dr. M's office quotes 65K for femur lengthening and 69K for tibia lengthening, he provided a promotional discount of $2500 off. In addition, both the surgeon and hospital fees will be discounted if you pay them directly in cash (cashier's check). Typically, these discounts are around 10% off ... which amounts to several thousand dollars in combined discounts. You will want to contact the hospital directly (Providence St. Joseph's, Burbank ... billing department) to inquire about a cash discount for the facility fee.
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GrowthSpurt
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« Reply #84 on: December 16, 2016, 08:03:41 PM »

I do still experience heightism at 170 cm, but not nearly to the extent that I previously did. If I really examine my motivation for doing this though, I must admit that ... really I just want this one thing for myself. I have an image in my mind of what I want to look like. I know that being 176 or 177 cm will just look and feel right for me. I will be who I should have been always, but wasn't. Also, I do think that lengthening both bone segments a moderate amount produces a better aesthetic result than does lengthening a single segment an extreme amount. Of course, this is all subjective. Each person must decide what is best for himself/herself.
I agree about the heightism. I was 162.5 cm and wanted to get to 170 cm, but I had a nerve complication on the right side so we had to stop at 168 cm. It doesn't seem like 2 cm is that much difference, but it pained me that I couldn't max out. It's weird, sometimes I think about doing a tibia to add another 2.5 or 3 cm, but unfortunately it isn't worth the risk, time or money. I do feel better at my height, but there's always that niggling annoyance when someone describes me as short, or sometimes even when I see tall people!
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GrowthSpurt
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« Reply #85 on: December 16, 2016, 08:09:39 PM »

That's good! Use all resources at your disposal. My job did not provide paid sick leave ... it is an excellent benefit to have!
You should be able to get state disability I believe
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Yardbird
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« Reply #86 on: December 18, 2016, 12:28:15 AM »

I agree about the heightism. I was 162.5 cm and wanted to get to 170 cm, but I had a nerve complication on the right side so we had to stop at 168 cm. It doesn't seem like 2 cm is that much difference, but it pained me that I couldn't max out. It's weird, sometimes I think about doing a tibia to add another 2.5 or 3 cm, but unfortunately it isn't worth the risk, time or money. I do feel better at my height, but there's always that niggling annoyance when someone describes me as short, or sometimes even when I see tall people!

It's said that, "Height is like money ... it's only unimportant to people who have it." However, I've found that (for some people) it's like money in another respect ... the more you get, the more you want.  Wink
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PaprikaLeapt
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« Reply #87 on: January 13, 2017, 07:00:05 PM »

Quote from: Yardbird link=topic=8015. msg108920#msg108920 date=1479599648
Update:

I had the ankle screws removed this past Thursday in a short, outpatient procedure.  It has definitely made a difference.  There is noticeably less pain and greater flexibility in the ankle joints.  It feels good to start taking hardware out of my body.  I need to remove my femur rods as well.  I plan to visit Dr.  Betz this summer if time permits. 

@mgibson77
Thanks for your post.  Because you had strong consolidation on your femurs, you will want to address this if you lengthen your tibias in the future.  Dr.  M mentioned that he is experimenting with different methods of reaming to prevent pre-consolidation in patients with strong bone growth.  You will likely want to distract at 1 mm/day and I would also discuss the possibility of an initial distraction to be performed during the surgery to establish a gap and prevent early fusion.  Distracting at 1 mm/day throughout strains the soft tissues around the tibias.  If you want a large gain (greater than 6 cm), stretch your tendons as much as possible to prepare (particularly the Achilles).  I'm glad that you are no longer preoccupied with height neurosis.  Enjoy your new life! You worked hard for it!

@gurj86
Although Dr.  M's office quotes 65K for femur lengthening and 69K for tibia lengthening, he provided a promotional discount of $2500 off.  In addition, both the surgeon and hospital fees will be discounted if you pay them directly in cash (cashier's check).  Typically, these discounts are around 10% off . . .  which amounts to several thousand dollars in combined discounts.  You will want to contact the hospital directly (Providence St.  Joseph's, Burbank . . .  billing department) to inquire about a cash discount for the facility fee. 

1.  What is the promotional discount? Did you need to promote him?

2.  Did you notice any other negative effects on your body aside from ballerina? Such as accelerated hair loss?

3.  If an employer asked you about what you did during this time of your life, what would you tell him?

4.  If a cousin or non immediate family member asked you about your height, what would you say?
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Yardbird
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« Reply #88 on: January 14, 2017, 06:01:03 AM »

1.  What is the promotional discount? Did you need to promote him?

2.  Did you notice any other negative effects on your body aside from ballerina? Such as accelerated hair loss?

3.  If an employer asked you about what you did during this time of your life, what would you tell him?

4.  If a cousin or non immediate family member asked you about your height, what would you say?

Hi, Thanks for your post

1.) No, by promotional discount I mean that it was a special discount offer I received through email. You can be added to an auto-generated email list through Dr. Mahboubian's website. You will receive periodic updates about new treatments and procedures (such as limb lengthening, stem cell injections, etc.) and you may also be offered promotional discounts for these procedures. I was never asked to promote him. However, he is aware of the forum and encourages patients to share their experiences with others.
2.) I avoided all the major complications associated with tibia lengthening (compartment syndrome, chronic knee pain, drop foot/nerve paralysis). Ballerina foot was a challenge to recover from. Although Dr. M prescribed physical therapy during the lengthening period, I thought I could handle it myself. In in hindsight, I recommend going for therapy sessions if you can, especially since it will likely be covered by your insurance plan. I did not experience hair loss as a direct result of lengthening.
3.) Tell them that you enjoyed your work, but that you always wanted to travel ... and that you took time off to experience more of the world.
Then add that it was, "A period of personal growth."  Wink
4.) I told a cousin of mine recently. In my experience, people you know well seem to take it in stride. I think he understood my motivation. He's almost 6' and the last time he saw me I was 5'4.'' Seriously ... which one would you rather be? I think that as it becomes more mainstream, there will be less stigma surrounding it. It's strange ... everyone knows intuitively that there are real advantages to being tall but ... for the time being ... the procedure still rubs certain people the wrong way. Wanting straight, white teeth is acceptable, but wanting a few extra inches of height is ... still a little out there for some.
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imshort
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« Reply #89 on: February 01, 2017, 07:08:56 PM »

Congrats Yardbird!!!! 

I thoroughly enjoyed reading your diary.   It was very informative.

Would you mind telling us what your weight is?

Thanks,
imshort
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Brb6ftTall
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« Reply #90 on: May 18, 2017, 06:15:16 AM »

Sorry to post on someone else's diary, but would anyone be interested in another Dr.  M diary? I'm having surgery tomorrow and want to make one of my own, but looks like no one has posted in this section for months. .
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« Reply #91 on: May 19, 2017, 12:39:59 AM »

Sorry to post on someone else's diary, but would anyone be interested in another Dr.  M diary? I'm having surgery tomorrow and want to make one of my own, but looks like no one has posted in this section for months. .

Of course. Please do tell.
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Brb6ftTall
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« Reply #92 on: May 21, 2017, 03:05:51 PM »

Okay so I have been lurking this forum for a couple of years now, looking at my profile register date will confirm that.  My height was never really a concern when I was younger, I was always on the "shorter side" of the class but I was never the smallest, so I didn't think too much of it.  But one day when I suddenly became height aware (somewhere during maturity I gues?) I knew there was something I had to do, and that I ccouldnt be short forever.  I was mainly inspired to do Bilateral Femurs with Dr.  Mahboubian from Femur2014's diary, with him seemingly making an actual full recovery.  I also didn't have enough money for Paley (the "safest" option), but reading through his diary convinced me that it was worth getting it done soon with Dr.  M rather than later with Dr.  Paley.

I will not be giving out too many personal details because I want to remain as anonymous as possible, so unfortunately that means no stats or pictures that could reveal myself.  I will say the following, however.

Age: 22
Height: 174. 8 cm (~5'9)
Goal: 182. 86 cm (~6'0) [+7. 6 cm]

I know my height may not be short to a lot of you, but I have been around athletes my entire life (as I was one of them. .  didn't continue in college though) and honestly being referred to as "the small one" made me a tad depressed.  With that said, I realize these heights are "rounding" but hey, I highly doubt anyone will call me out for not being 6 ft at my new height when they don't call me out now for saying 5'9.  I also realize I could add 8cm instead of 7. 6 (like femurs did), but after reading many, many posts throughout the years it seemed like going over 7. 6 cm was above the safe limit as far as athleticism is concerned.  Anyways, without further ado, here is my own diary!

Day 1 - 5/18/17

After what seemed like forever waiting in the hospital room, I was finally wheeled off to see Dr.  M.  I was admittedly a little nervous about it, but I just kept focusing on what my new height would look like after to keep me going.  Upon saying hello to all the surgical staff, the next thing I knew I was out cold from anesthesia. 
When I woke up I couldn't feel much, but immediately noticed I couldn't move/rotate my legs anymore! That was pretty scary.  I don't remember much of this part because I was still coming off from the anesthesia, but I mainly remember all the staff walking in one by one to say the surgery was successful and they wish me the best.  Most of that day was a blur, but I remember eating hospital meals, getting poked for blood drawings, getting squeezed for blood pressure etc.  throughout the night.  I was given pain meds through an IV, so that was keeping me at bay.  Dr.  M reassured me everything went well, but that there were many incisions in my leg muscles so it was crucial that I rest then today and start therapy the next day.

Day 2

This day technically starts somewhere around 3 am I think? It was very difficult to sleep through the night due to all the nurses checking up on me and making other commotion while walking through the room.  I think the longest amount of sleep I could get was 2 hrs or so before I was woken up again or something.  It got kind of annoying after a while for nurses to be coming in and waking me up, only to ask if I needed some water.  My caretaker could have done that for me if I needed it! I tried to remember these people were just doing their job so I wouodn't get too frustrated. 

Now this day was probably the hardest so far.  My meds from the initial anesthesia were wearing off, so the pain came rushing in.  It definitely hurt but not too bad, probably a 3 or 4 out of 10.  What seriously hurt though was freaking PT.  They came around 8 am, and I had neve and felt so much pain in my life just trying to stand up.  Getting to the edge of the bed was hard enough, but actually pushing up to get on the walker was one of the hardest things I've ever done.  We had to retry a few times due to the PT's pulling me up but me screaming No! and pushing back down.  Eventually I made it up, but the pain continued through the entire walking process.  I'm talking like 9-10 out of 10 for the whole duration, I was screaming so bad that nurses from the hallway had to check up on me.

After laying back down, I'm at the point where I'm regretting doing the surgery and telling myself my previous height was just fine and all that.  I keep thinking I'm so stupid for willingly putting my body through all of this.  These negative thoughts are soon interrupted by the arrival of Dr.  M, who made me feel sooo much better.  After recounting everything, he assured me I was doing great and every day would get easier and easier.  He also told me I had already officially lengthened 1 mm, yay! The rest of the day wasn't nearly as difficult.  The food tasted as bad as hospital food usually does, and the nurses still wouldn't let me sleep.  The PT however got A LOT better, with the pain only being a 6-7 this time around.  Dr.  M took me off the IV pain meds and I switched to Norco, it was really weird falling asleep with it in my system but it sure did help the pain.

Day 3

Not a whole lot to say about this day, it was the day I got released! Dr.  M saw me first thing in the morning, and he made me happier as ever.  However, he stretched me out much worse than PT ever did, and I hadn't taken my pain meds yet.  7-8 pain levels came after he left, and that was truly a hard 30 mins to get through for the pills to kick in.  PT came and it was the best I had ever done, pain was only a 2 or 3 and I was getting off the bed and walking no problem.  I couldn't believe the difference only 1 day did.  Not much else happened that day, I had breakfast and lunch and PT came one more time (easy yet again), and that was pretty much it.  All my blood tests checked out, and around 5 pm I was dressed and ready to go.  It was somewhat difficult transitions from wheelchair to walker to car, but I managed it rather quickly and I was back in my hotel before I knew it.  Getting me into my bed wasn't that bad, and after taking some more Norco I passed right on out.  At this point, I also took Xeralta for blood thinning.  I woke up a few times throughout the night randomly, due to being in a weird position or being too hot or needing more Norco etc, but after I went back to bed at 3 AM I had the best sleep I've had since before I checked in to the hospital.  It was sooo much better sleeping without all the nurses and tests going on, I was so relieved.

Day 4

Not much to say here either, this is where I am now! I'm scheduled to see Dr.  M next Friday so he can teach me how to lengthen using the machine.  Pain is even better than it was in the hospital, probably due to a combination of me recovering more as well as being in a better atmosphere.  I'm only taking 1 Norco now instead of 2! I can also finally pee again, I have been able to since yesterday but I forgot to mention that was a challenge.  It's okay though, basically just nasty catheter stuff that no one wants to hear anyway! I'm eagerly awaiting the first time I can go No.  2, I haven't done that in a few days due to Norco causing constipation. 




So that's it, I will mainly be chilling, stretching out, and playing video games till the next time I can see Dr.  M.  I realize I didn't include lots of details like where I live, I didn't think it was important but if anyone wants to know those questions feel free to ask and I will answer as best as possible.  Will try to keep my diary updated as soon as anything major happens, thank you for reading !
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Brb6ftTall
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« Reply #93 on: May 21, 2017, 04:39:56 PM »

Quote from: Brb6ftTall link=topic=8015. msg109347#msg109347 date=1495379151
Okay so I have been lurking this forum for a couple of years now, looking at my profile register date will confirm that.   My height was never really a concern when I was younger, I was always on the "shorter side" of the class but I was never the smallest, so I didn't think too much of it.   But one day when I suddenly became height aware (somewhere during maturity I gues?) I knew there was something I had to do, and that I ccouldnt be short forever.   I was mainly inspired to do Bilateral Femurs with Dr.   Mahboubian from Femur2014's diary, with him seemingly making an actual full recovery.   I also didn't have enough money for Paley (the "safest" option), but reading through his diary convinced me that it was worth getting it done soon with Dr.   M rather than later with Dr.   Paley. 

I will not be giving out too many personal details because I want to remain as anonymous as possible, so unfortunately that means no stats or pictures that could reveal myself.   I will say the following, however. 

Age: 22
Height: 174.  8 cm (~5'9)
Goal: 182.  86 cm (~6'0) [+7.  6 cm]
Weight: 130 lbs

I know my height may not be short to a lot of you, but I have been around athletes my entire life (as I was one of them.  .   didn't continue in college though) and honestly being referred to as "the small one" made me a tad depressed.   With that said, I realize these heights are "rounding" but hey, I highly doubt anyone will call me out for not being 6 ft at my new height when they don't call me out now for saying 5'9.   I also realize I could add 8cm instead of 7.  6 (like femurs did), but after reading many, many posts throughout the years it seemed like going over 7.  6 cm was above the safe limit as far as athleticism is concerned.  I also weight around 145 lbs prior to surgery, however I stopped working out and getting heavier to make sure I didn't go over 150 lbs (the weight limit for precise).   Anyways, without further ado, here is my own diary!

Day 1 - 5/18/17

After what seemed like forever waiting in the hospital room, I was finally wheeled off to see Dr.   M.   I was admittedly a little nervous about it, but I just kept focusing on what my new height would look like after to keep me going.   Upon saying hello to all the surgical staff, the next thing I knew I was out cold from anesthesia.  
When I woke up I couldn't feel much, but immediately noticed I couldn't move/rotate my legs anymore! That was pretty scary.   I don't remember much of this part because I was still coming off from the anesthesia, but I mainly remember all the staff walking in one by one to say the surgery was successful and they wish me the best.   Most of that day was a blur, but I remember eating hospital meals, getting poked for blood drawings, getting squeezed for blood pressure etc.   throughout the night.   I was given pain meds through an IV, so that was keeping me at bay.   Dr.   M reassured me everything went well, but that there were many incisions in my leg muscles so it was crucial that I rest then today and start therapy the next day. 

Day 2

This day technically starts somewhere around 3 am I think? It was very difficult to sleep through the night due to all the nurses checking up on me and making other commotion while walking through the room.   I think the longest amount of sleep I could get was 2 hrs or so before I was woken up again or something.   It got kind of annoying after a while for nurses to be coming in and waking me up, only to ask if I needed some water.   My caretaker could have done that for me if I needed it! I tried to remember these people were just doing their job so I wouodn't get too frustrated.  

Now this day was probably the hardest so far.   My meds from the initial anesthesia were wearing off, so the pain came rushing in.   It definitely hurt but not too bad, probably a 3 or 4 out of 10.   What seriously hurt though was freaking PT.   They came around 8 am, and I had neve and felt so much pain in my life just trying to stand up.   Getting to the edge of the bed was hard enough, but actually pushing up to get on the walker was one of the hardest things I've ever done.   We had to retry a few times due to the PT's pulling me up but me screaming No! and pushing back down.   Eventually I made it up, but the pain continued through the entire walking process.   I'm talking like 9-10 out of 10 for the whole duration, I was screaming so bad that nurses from the hallway had to check up on me. 

After laying back down, I'm at the point where I'm regretting doing the surgery and telling myself my previous height was just fine and all that.   I keep thinking I'm so stupid for willingly putting my body through all of this.   These negative thoughts are soon interrupted by the arrival of Dr.   M, who made me feel sooo much better.   After recounting everything, he assured me I was doing great and every day would get easier and easier.   He also told me I had already officially lengthened 1 mm, yay! The rest of the day wasn't nearly as difficult.   The food tasted as bad as hospital food usually does, and the nurses still wouldn't let me sleep.   The PT however got A LOT better, with the pain only being a 6-7 this time around.   Dr.   M took me off the IV pain meds and I switched to Norco, it was really weird falling asleep with it in my system but it sure did help the pain. 

Day 3

Not a whole lot to say about this day, it was the day I got released! Dr.   M saw me first thing in the morning, and he made me happier as ever.   However, he stretched me out much worse than PT ever did, and I hadn't taken my pain meds yet.   7-8 pain levels came after he left, and that was truly a hard 30 mins to get through for the pills to kick in.   PT came and it was the best I had ever done, pain was only a 2 or 3 and I was getting off the bed and walking no problem.   I couldn't believe the difference only 1 day did.   Not much else happened that day, I had breakfast and lunch and PT came one more time (easy yet again), and that was pretty much it.   All my blood tests checked out, and around 5 pm I was dressed and ready to go.   It was somewhat difficult transitions from wheelchair to walker to car, but I managed it rather quickly and I was back in my hotel before I knew it.   Getting me into my bed wasn't that bad, and after taking some more Norco I passed right on out.   At this point, I also took Xeralta for blood thinning.   I woke up a few times throughout the night randomly, due to being in a weird position or being too hot or needing more Norco etc, but after I went back to bed at 3 AM I had the best sleep I've had since before I checked in to the hospital.   It was sooo much better sleeping without all the nurses and tests going on, I was so relieved. 

Day 4

Not much to say here either, this is where I am now! I'm scheduled to see Dr.   M next Friday so he can teach me how to lengthen using the machine.   Pain is even better than it was in the hospital, probably due to a combination of me recovering more as well as being in a better atmosphere.   I'm only taking 1 Norco now instead of 2! I can also finally pee again, I have been able to since yesterday but I forgot to mention that was a challenge.   It's okay though, basically just nasty catheter stuff that no one wants to hear anyway! I'm eagerly awaiting the first time I can go No.   2, I haven't done that in a few days due to Norco causing constipation.  




So that's it, I will mainly be chilling, stretching out, and playing video games till the next time I can see Dr.   M.   I realize I didn't include lots of details like where I live, I didn't think it was important but if anyone wants to know those questions feel free to ask and I will answer as best as possible.   Will try to keep my diary updated as soon as anything major happens, thank you for reading !

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