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[Lucy Fae]

there is no way you should do that, your height is perfectly fine, most males are taller than you and your height is considered a model height so you only could get benefits for that, long legs in womens are beautifull

I don't think most males are that taller than I am. I want to wear heels without looking too tall. I always want to be shorter than men. And I want a long torso and short legs. I like it that way. I know it sounds weird.

[KrP1]

I don't think most males are that taller than I am. I want to wear heels without looking too tall. I always want to be shorter than men. And I want a long torso and short legs. I like it that way. I know it sounds weird.

you are shorter than the average man in most occidental countries, obviously not if you wear high heels , you should wear médium or low heels and thats fine.

[Lucy Fae]

Hello guys, thank you so much of your input. I have decided against limb lengthening surgery. I have to accept what nature gave me and appreciate what I have. At least none of my limbs are shorter than each other. After lengthy research about the complications of limb lengthening and the lengthy time of lengthening and recovery. I don't want to undergo any trauma. But thank you all for taking the time to add valuable input.

[Franz]

We have started an educational platform with some video material you may find interesting.

https://walkamile.pivotshare.com

[Franz]

Hi guys,

We've looked at the numbers again. There is currently a lot of volatility in the international currency exchange rates. For this reason we have decided to change our costing model so that the quoted price is in South African Rand (ZAR). We pay the subcontractors in Rand so it makes sense to peg the price locally. This will obviously make our prices more competitive to some people and less so to others.
Secondly, we have started a second office at the brand new state of the art Mediclinic Midstream Hospital with fantastic facilities. We will be offering our CLL services at this hospital. It is more upmarket and discreet. The price quoted is for a private room in this facility (flat screen tv, private bathroom etc).
Remember that although we are getting progressively more known for internal lengthening with Precice, we have had many years of experience with the Ilizarov method, Taylor Spatial Frame, Truelok and Truelok Hex frames as well as other techniques. Therefore we can offer a high level of expertise and care should you require external fixator based treatment.
Lastly, we have decided to include all medical related costs into our package price estimates, but to leave accommodation costs out for now. The issue with accommodation is that the cost can vary widely depending on the option chosen. We can however put you in touch with relevant facilities that provide accommodation services.
The package includes:
- all hospital fees
- surgeon, assistant and anaesthetic fees
- prosthesis (implant) fees
- multidisciplinary team support
- physio daily in hospital and 3-5 days per week as outpatient
- regular doctor and nursing follow ups
- xray follow ups
- walking frame and wheelchair rental

For Precice 2 femorals it works out to 550K ZAR. Current exchange rate = 45800 USD.
Externals only: 300K ZAR. Current exchange rate = 25000 USD.
LON/LATP: 400K ZAR. Current exchange rate = 33000 USD.

I hope this clears up some confusion.

Price update: Current rand/dollar exchange rate means our prices are adjusted as follows:

Precice 2 femorals (above package): 42000 USD
Externals only: 22000 USD
LON/LATP: 28500 USD

[kneehowguys]

Price update: Current rand/dollar exchange rate means our prices are adjusted as follows:

Precice 2 femorals (above package): 42000 USD
Externals only: 22000 USD
LON/LATP: 28500 USD

Still a 165 cm upper limit? I thought I was 5'7 but in my last doctor visit, they measured me 5'6.5 though both are slightly above 165
In American feet/inches

[Franz]

Still a 165 cm upper limit? I thought I was 5'7 but in my last doctor visit, they measured me 5'6.5 though both are slightly above 165
In American feet/inches

The upper limit of 165 is a general safety guideline, but is not an absolute limit. It depends on each individual.

[aspirant185]

Hello Dr. Franz,

Just out of curiosity, you have mentioned that the price of Precise is 550k ZAR. That translates to around $ 37k. Why is the case that the newly quoted price is $ 42k ?

Thanks !

[Franz]

Hello Dr. Franz,

Just out of curiosity, you have mentioned that the price of Precise is 550k ZAR. That translates to around $ 37k. Why is the case that the newly quoted price is $ 42k ?

Thanks !

It is because the nails are from the US and as the Rand weakens, the price to access them in rands increases. Remember that around 25-30k alone goes towards the price of the nails.

[aspirant185]

Yes, that makes sense. Just out of curiosity, why is the case that the South African currency depreciates so much in the recent months ?

[PatientZero]

Yes, that makes sense. Just out of curiosity, why is the case that the South African currency depreciates so much in the recent months ?

I thought you said you were educated at a top German business school.

http://lmgtfy.com/?q=why+is+the+south+african+rand+depreciating

Let's keep pertinent questions related to LL for Dr.Birkholtz?

[theuprising]

I thought you said you were educated at a top German business school.

http://lmgtfy.com/?q=why+is+the+south+african+rand+depreciating

Let's keep pertinent questions related to LL for Dr.Birkholtz?

Spoil sport I was planning to ask Dr Birkholtz about his ideas for resolving conflict in the Middle East.

[Franz]

No worries.

I am no economist - thank goodness! But currencies in the developing world are volatile. Mostly issues of confidence in the politicians and their policies. Couple that to global concerns and people moving money to safe havens. Lastly, if the politicians do stupid things like firing a perfectly good finance minister, things sometimes go a little pear shaped.

Peace in the Middle East? Now that might take a little longer...

[aspirant185]

No, I don't think peace in the Middle East is ever happening. There have always been wars over there, and the constitution of the countries there (that is, the Quran), calls for more war and violence.

Anyway, I sent you an email to (franz.birkholtz@walkamile.co.za) regarding the surgery that I am seriously considering with you and I look forward to discuss the details

[LLuser1]

Good honest doctor. Not a salesman like many others in this forum. He tells the truth, he is honest and caring
It's a pity he works so far..

[farewell]

Hello Dr. Franz,

I have sent you two emails with regard to internal femur lengthening. Have you received it yet? I really want to get it done, but I need those question answered first. Please let me know, it's been two weeks. Thanks

[Franz]

Hi,

We have been in contact I believe?
Anyway, if we haven't, please send another mail.

Rgds,

F

[Franz]

I was asked by some members to update our prices as the exchange rate make it more favorable than before.

We are now able to provide self-catered accommodation in addition to the other services for the following prices:

Precice 2 femoral lengthening package 42K USD
External fixators only 20K USD
LON/LATP 28K USD

This includes hospital, surgeon, aneasthetist, implants, physio in and out of hospital, accommodation after surgery, wheelchair, crutches/walker, medication within reason, follow-up xrays etc. Ie full package, only food is excluded outside of hospital.

There has to be benefits to a weaker currency!

[axelf]

"medication within reason" I love it 

Could you elaborate a bit further on what kind of accommodation that is?

[LLuser1]

IMO people considering the doctor in Spain for his price should consider Birkholtz instead. He is in the same price range. Monegal's price is a little cheaper but doesn't include very expensive physio out of hospital, very expensive accommodation after surgery, wheelchair, medication and Xrays. IMO Birkholtz is a very good option because he is honest, professional and caring and has a very nice personality. It's a pity he works in Africa.

[Franz]

"medication within reason" I love it 

Could you elaborate a bit further on what kind of accommodation that is?

It would typically be a selfcatering apartment (ground level) in a safe and secure gated community close to the hospital.

[aspirant185]

It's a pity he works in Africa.

What do you mean with that comment.?
SA is his country and thats where he works. Simple as that. You do realize that part of the affordable price is the fact that the SA currency is weak. Accordingly, his price would have been much higher had he worked in another country. He could probably work in the Netherlands, do you think if he goes there it would be the same price ?

As I wrote at the thread about Dr. Mitkovic, there are historic and economic and social factors why a country is..well fked up. And that does not mean that brilliant people are not born in these countries every day. In the choice of doctors, what is important is the experience and the technology of the doctor. If these are top, unless the country is in very bad situation, like in a civil war where it is dangerous to go, I see no problem. And I dont think SA is in such shape I went there for the World Cup 6 years ago and I felt totally safe and had the time of my life.

[Deads]

Hi guys,

We've looked at the numbers again. There is currently a lot of volatility in the international currency exchange rates. For this reason we have decided to change our costing model so that the quoted price is in South African Rand (ZAR). We pay the subcontractors in Rand so it makes sense to peg the price locally. This will obviously make our prices more competitive to some people and less so to others.
Secondly, we have started a second office at the brand new state of the art Mediclinic Midstream Hospital with fantastic facilities. We will be offering our CLL services at this hospital. It is more upmarket and discreet. The price quoted is for a private room in this facility (flat screen tv, private bathroom etc).
Remember that although we are getting progressively more known for internal lengthening with Precice, we have had many years of experience with the Ilizarov method, Taylor Spatial Frame, Truelok and Truelok Hex frames as well as other techniques. Therefore we can offer a high level of expertise and care should you require external fixator based treatment.
Lastly, we have decided to include all medical related costs into our package price estimates, but to leave accommodation costs out for now. The issue with accommodation is that the cost can vary widely depending on the option chosen. We can however put you in touch with relevant facilities that provide accommodation services.
The package includes:
- all hospital fees
- surgeon, assistant and anaesthetic fees
- prosthesis (implant) fees
- multidisciplinary team support
- physio daily in hospital and 3-5 days per week as outpatient
- regular doctor and nursing follow ups
- xray follow ups
- walking frame and wheelchair rental

For Precice 2 femorals it works out to 550K ZAR. Current exchange rate = 45800 USD.
Externals only: 300K ZAR. Current exchange rate = 25000 USD.
LON/LATP: 400K ZAR. Current exchange rate = 33000 USD.

I hope this clears up some confusion.

I searched and couldn't find the post, but the accomodation included is 90 days (3 months) right?

[Franz]

Jip, couple of day before. 5 days in hospital and the rest of the 90 days until the visa expires.

[Deads]

Jip, couple of day before. 5 days in hospital and the rest of the 90 days until the visa expires.

Is food included for 3 months? If not, what are food prices like in SA?

[ub40]

Dr Birkholtz, I am interested in doing this with you.

I have the funds at the time but I just need to know, is Precise 2 a faster way of doing CLL and is there a risk of knee problems still?

I want to know how long this would take from beginning to end so that I can walk relatively normal through the airport to fly to  Canada.

Is it easier to get visas for medical reasons if I'm Canadian.

Would I be able to stay in the guest house for the consolidation phase as well?

Thanks for your time, I am very impressed by you regularly answering everyone's questions.

[Franz]

Dr Birkholtz, I am interested in doing this with you.

I have the funds at the time but I just need to know, is Precise 2 a faster way of doing CLL and is there a risk of knee problems still?

I want to know how long this would take from beginning to end so that I can walk relatively normal through the airport to fly to  Canada.

Is it easier to get visas for medical reasons if I'm Canadian.

Would I be able to stay in the guest house for the consolidation phase as well?

Thanks for your time, I am very impressed by you regularly answering everyone's questions.

The Precice also has the potential to cause knee pain. Healing times will be similar. The big advantage of Precice lies in eliminating the need for external fixation.

Walking unaided after LON may take somewhere between 4 and 6 months after surgery.

A general visitors visa is valid for 90 days. It can usually be extended upon request with medical reports.

Yes accommodation is around 10K zar per month. Breakfast and dinner can be provided at around 170zar(10usd) per day.

[Nightwish]

Hi Dr Birkholtz, I've had a browse through the thread but I couldn't see anything, so apologies if I'm asking repeated questions! Also apologies if this should be in the general question thread, but I decided on here as these are specifically towards your practice as I'm 70% certain if I do decide this is right for me, I would like it to be with you - despite a fear of flying!

So I arrive in South Africa and have the operation on my femurs with Precise installed.

- Is 6cm the maximum you would be willing to do for this, and on average what would be the time taken to lengthen 6cm?

- At what stage would it be possible to weight-bear (presuming under 140lbs) after the operation, what level of functionality would be expected during lengthening, and would pre operation fitness levels have any impact on this?

- After lengthening, presuming there are no complications, what would the best and worst cases be for the recovery period to take in order to be able to:
a. walk unaided?
b. return to fairly sedentary work?
c. partake in strenuous activity, e.g. long distance running, contact sports, weight lifting etc.

- If the Precise device was to fail for any reason, what would the protocol be?

[Stadiometer]

[toafrica]

There's where I do my physio and mostly everything that needs to be done. I was obviously operated there also

[justdoit]

Thank you Dr. Franz,
My question is what do you think about salamehfix?