Eager. I am a medical student. I have educated myself in limb lengthening to the maximum extent. I got his other patients contacts and have already contacted and spoken with them. The doctor is very sympathetic, caring, visits every patient every week, charges only for the services to be provided at reasonably manageable cost to pay the hospital, operating theatre, X-rays etc. What ever is included in his packages is provided as per his patients.
Regarding bullying, I think he has to arrange payments to provide services. I think no doctor would like to loose his patients and credibility for such minor issues. One of his patient from Canada, she mentioned that he has provided accommodation for her full family in the same package, an attendant full time, all utility bills, internet and all required furnishings for her mother, brother, sister in law, an auntie and a child were provided. She and other patients were satisfied with packages and the medical care. According to the doctor, his policy is to have physio every six hours with once a week support from a physiotherapist. The full time attendant assists in every six hourly physio. One of his patient did mention about iTall, that he was not regular in self physio and got his muscles wasted, in spite of regular doctor and physiotherapists visits every week and repeated reminders.
During my research, I know that every patient in every center would get ankle contracture if he goes beyond 7.5 cm of leg stretching, which can only be minimized and not prevented totally with physio. Most of patients would go for tendon lengthening and rings adjustment to give more space to the stretched tendons.
More over according to my enquiry from his patients and the doctor him self, he does not provide guest house arrangements, he rents a house which some times become difficult to find as per his standards and he does shift his patients to better places on availability.
I have calculated all the costs my self and inquired from available regular guest houses in Islamabad, with his packages he is not saving much.
I asked the doctor myself, how come he is managing all this with such a low cost and having all the medical needs of patients to be fulfilled. His answer was that most of the stuff he is doing himself just to be sure that he beats other international high costs and develop this specialty there.
I think regarding ethical issue you raised, he does recognize that to fulfill his ethical duty he is in contact with his patients and provide them both medical and non medical help with in the resources available to him as per the packages and local circumstances.
I do feel very sorry for iTall that because of his fund shortage, he could not availed the full facilities. My advise to all prospective height increase candidates would be that, they should think twice before going for limb lengthening with limited funds.