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[Rectifying_Genetics]

So in the last week I have had consultations with both Dr Guichet & Dr Giotikas. Upon looking around this forum I see comments like "Stryde is a game changer", but as far as I get tell (I have asked 100000's questions) they are very similar. I understand Stryde is using magnets to lengthen and in theory is safer because it can be reversed. I know Guichet gets a bad rep round here since Unicorn but all LL doctors get mixed results, but ultimately the Guichet nail is far more proven (at this point in time) than the Stryde nail.

Quick summary of my consultation with Guichet. Before the consultation I had almost discounted him because of what I had read on here (from superstar to butcher in 12 months), so the consultation it's self was in London and was not that exciting covered off my medical questionnaire and took some body measurements. At the end of the consultation I asked if I could see some patients (expecting the answer to be no) but he said he was doing a surgery later that day and if the patient was happy with it I could see him tomorrow. Surely enough the next day I get a message from Dr G with a time and a location to meet, upon meeting him I got to see a patient who was 16 hour post surgery. I have seen the video's on his website of people on the bike and doing stairs after waking up, but assumed it was a myth until I seen it with my own eyes.

After this he told me he has a few consultations in the afternoon with patients at different stages of lengthening from just post surgery to nail removal. I joined him for the afternoon and was incredibly impressed by the results and how his patients (I talked to them after) spoke about Dr G. One patient had a major complication due to low bone density and had to have a second surgery but his walking was almost perfect.

The reason I'm saying this is because I know the haters are going to go hard on this post and Dr G, but could he still be one of the best choices, I mean look at the numbers, he has been doing fully weight bearing internal nails for over 10 years. No other doctor has his kind of experience and do we need to accept every doctor will have bad outcomes at some point if they do enough surgeries? (Dr G has probably done the most of any doctor on earth)

Thanks for reading

RG

[Ghostfish]

but ultimately the Guichet nail is far more proven (at this point in time) than the Stryde nail.

The reason I'm saying this is because I know the haters are going to go hard on this post and Dr G, but could he still be one of the best choices, I mean look at the numbers, he has been doing fully weight bearing internal nails for over 10 years. No other doctor has his kind of experience and do we need to accept every doctor will have bad outcomes at some point if they do enough surgeries? (Dr G has probably done the most of any doctor on earth)

Thanks for reading

RG

Hi RG

I feel you are pretty much determined at this moment.  I just want to make a couple of comments on your opinion.
You said "No other doctor has this kind of experience." That is not for Dr. G and should be for Dr. Paley. In terms of number of CLL patients and experience time, no doctor can be even close to him.  He is also a developer of Precice and Stryde nails.

"but ultimately the Guichet nail is far more proven (at this point in time) than the Stryde nail."
How can you come up with this conclusion?  Find any patients coming out with bad results using Stryde nails.  It is also very hard to find any one without bad outcomes using Precice nail as well. Precice and Stryde nails are essentially same except for the material.

It is your choice though.

[PANDA:BEAR..]

So in the last week I have had consultations with both Dr Guichet & Dr Giotikas. Upon looking around this forum I see comments like "Stryde is a game changer", but as far as I get tell (I have asked 100000's questions) they are very similar. I understand Stryde is using magnets to lengthen and in theory is safer because it can be reversed. I know Guichet gets a bad rep round here since Unicorn but all LL doctors get mixed results, but ultimately the Guichet nail is far more proven (at this point in time) than the Stryde nail.

Quick summary of my consultation with Guichet. Before the consultation I had almost discounted him because of what I had read on here (from superstar to butcher in 12 months), so the consultation it's self was in London and was not that exciting covered off my medical questionnaire and took some body measurements. At the end of the consultation I asked if I could see some patients (expecting the answer to be no) but he said he was doing a surgery later that day and if the patient was happy with it I could see him tomorrow. Surely enough the next day I get a message from Dr G with a time and a location to meet, upon meeting him I got to see a patient who was 16 hour post surgery. I have seen the video's on his website of people on the bike and doing stairs after waking up, but assumed it was a myth until I seen it with my own eyes.

After this he told me he has a few consultations in the afternoon with patients at different stages of lengthening from just post surgery to nail removal. I joined him for the afternoon and was incredibly impressed by the results and how his patients (I talked to them after) spoke about Dr G. One patient had a major complication due to low bone density and had to have a second surgery but his walking was almost perfect.

The reason I'm saying this is because I know the haters are going to go hard on this post and Dr G, but could he still be one of the best choices, I mean look at the numbers, he has been doing fully weight bearing internal nails for over 10 years. No other doctor has his kind of experience and do we need to accept every doctor will have bad outcomes at some point if they do enough surgeries? (Dr G has probably done the most of any doctor on earth)

Thanks for reading

RG

I'm ...sorry ... but I don't agree with you...  the G nail was good...back in time ..
But now the Stryde is the new game changer ...  In comparison to all the internal nails ..
The Stryde has to be the Rolls Royce of all nails !!!!

[Rectifying_Genetics]

Hi RG

I feel you are pretty much determined at this moment.  I just want to make a couple of comments on your opinion.
You said "No other doctor has this kind of experience." That is not for Dr. G and should be for Dr. Paley. In terms of number of CLL patients and experience time, no doctor can be even close to him.  He is also a developer of Precice and Stryde nails.

"but ultimately the Guichet nail is far more proven (at this point in time) than the Stryde nail."
How can you come up with this conclusion?  Find any patients coming out with bad results using Stryde nails.  It is also very hard to find any one without bad outcomes using Precice nail as well. Precice and Stryde nails are essentially same except for the material.

It is your choice though.

1, In response to why I think the G nail is more proven is because it's been in use for longer and I have seen many patients with my own eyes who have succeeded with it.

2, When I said "No other doctor has his kind of experience" I mean with fully weight bearing nails, I would say no way Paley with the Stryde since last year has done more than Guichet, but I take your point Paley is an outstanding option.

3, All doctors have complications .... http://www.limblengtheningforum.com/index.php?topic=9118.0

I'm ...sorry ... but I don't agree with you...  the G nail was good...back in time ..
But now the Stryde is the new game changer ...  In comparison to all the internal nails ..
The Stryde has to be the Rolls Royce of all nails !!!!

When you say game changer you can only be referring to the mechanical vs magnet lengthening process? I mean the material is very similar they both come in variable diameters and are fully weight bearing, happy to be corrected if any of that is wrong?

[hanshi]

Any doctor who is selling his own products to patients is untrustworthy. And also a criminal in most jurisdictions.

[Rectifying_Genetics]

Any doctor who is selling his own products to patients is untrustworthy. And also a criminal in most jurisdictions.

This is what I find fascinating about this forum. The guy more or less invented the fully weight bearing nail, he didn't have the option to buy something like the Stryde as it didn't exist. So he makes his own (and helps many people in the process) and then he gets called a criminal for selling it.

I'm not a Guichet fanboy and am still on the fence between Guichet and Giotikas, but I do feel some of the criticism is mildly unfair.

[InFullStryde]

Having gone through the process myself, I can say that one great thing about the Stryde nail is that it is painless and simple to do the actual lengthening function.     I could not imagine having to awkwardly bend my leg and listen for clicks in order to lengthen. That would be unsettling for me.

[hanshi]

This is what I find fascinating about this forum. The guy more or less invented the fully weight bearing nail, he didn't have the option to buy something like the Stryde as it didn't exist. So he makes his own (and helps many people in the process) and then he gets called a criminal for selling it.

I'm not a Guichet fanboy and am still on the fence between Guichet and Giotikas, but I do feel some of the criticism is mildly unfair.

It would be unfair only in case he wouldn't make money with it. However as soon as he makes additional money by prescribing his own products it becomes illegal by law.

[PANDA:BEAR..]

1, In response to why I think the G nail is more proven is because it's been in use for longer and I have seen many patients with my own eyes who have succeeded with it.

2, When I said "No other doctor has his kind of experience" I mean with fully weight bearing nails, I would say no way Paley with the Stryde since last year has done more than Guichet, but I take your point Paley is an outstanding option.

3, All doctors have complications .... http://www.limblengtheningforum.com/index.php?topic=9118.0

When you say game changer you can only be referring to the mechanical vs magnet lengthening process? I mean the material is very similar they both come in variable diameters and are fully weight bearing, happy to be corrected if any of that is wrong?

I'm a bit puzzled... why you a promoting ... the G Nail ?
Do you work for him ?

[Activatedx]

Compared to stryde it has a higher risk of complications from what I’ve read, is nearly the same price, and weird to use. Anyways, go with stryde. Just trust me on this one, and for anyone reading this. It is much more reliable

[InFullStryde]

I have read of people "accidentally" clicking with G-nail.  Could you imagine? Scary.

[Ghostfish]

1, In response to why I think the G nail is more proven is because it's been in use for longer and I have seen many patients with my own eyes who have succeeded with it.

2, When I said "No other doctor has his kind of experience" I mean with fully weight bearing nails, I would say no way Paley with the Stryde since last year has done more than Guichet, but I take your point Paley is an outstanding option.

3, All doctors have complications .... http://www.limblengtheningforum.com/index.php?topic=9118.0

1. Used for longer doesn't mean it is still better.  Generally speaking, older one is not as good as newer one.  New one means generally improvement, correction, or innovation.  I don't want to stick to the old techniques while there are newer and better technologies available.  Plus, you probably have not visited Paley institute.  Go there and see for yourself.

2. Experience with full weight bearing nails is not as important as overall experience of all kind of lengthening processes.  Dr. Paley has done so many different kinds of lengthenings and corrections for all spectrum of patients from deformities, accidents, complications, etc.

3. Yes, all doctors have complications.  But look at a couple of Guichet's cases.  His cases are more serious.  I can't even imagine how possibly Unicorns' complications can be solved. The case in your link.  It is a sad story but can be fixed at least.  Plus, I am not so sure how that happened.  The description is unclear to me.  Perhaps distraction was not complete?  But normally a patient should take X-ray and show it to Dr and decide to stop lengthening and start consolidation.  I can't understand how possibly Dr. R could allow hamza to stop lengthening if lengthening was not finished?  If the lengthening didn't work, they should have realized the problem before consolidation.  If distraction was done right but somehow hamza lost distraction or lengthening during consolidation, that would be possible.  However, in that case, it is also possible that he/she was not careful enough to avoid dedistraction or loss of distraction before full consolidation or that he/she forgot about the fact that Precice nails are not fully weight bearing.  Anyhow, it is sad to see his/her case but still it is fixable.