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[hemhem]

Firstly, Merry Christmas to everyone, Happy New Year and best regards from Hamburg!

Hi Matthieu89, my friend!... I felt the need to respond to you here. Yes, I am German of Turkish origin. But this does not change the facts. While walking around, I noticed that there were people here who were prejudiced and racist towards Turkey. So I had the right to respond:

No, I am definitely not advertising Turkey or Turkish doctors. I just tried to express my own opinion as I saw fit, and to correct the incorrect and incomplete information. Why should I advertise these doctors? What conclusion or benefits can I draw from this? I do not know any of them, and I am not interested in them, why should I advertise? I only speak based on the scientific data that emerged as a result of my research. This topic interests me. So I follow the statistics, news and new developments in Turkey while looking for a suitable place for an operation.

I am not interested in the free advertising of some doctors or others. I just want to focus on my own business. My main goal here is to fill in the missing information. No one paid me for advertising or pressured me to do this. This is just my free will. Also, when I say “we”, I only mean those who represent my opinion. That’s all. Good luck to everyone on this journey! 

[Kv8n11]

23 Dec 2024

Ok, guys…. today I got exactly one year from my first surgery and I am not able to walk normally because many reasons, as I wrote before in detail.
So, I had to come back in Turkey for another complicated surgery, so I can fix all the problems I got.
I live 100 km away from the airport, so I asked a friend to bring me there with his car. In the airport I had to look for wheelchair service, while walking with 2 canes.
I arrived in the  Istanbul airport and another wheelchair helped me to arrive to the main door, but he left me there, not to the minivan…. so I had to walk few hundreds meters with my canes and to take an elevator to the minivan.
And the minivan was late and I had to wait standing on my canes for 20 minutes…
Nice, isn’t it ?... and nobody apologized for that, like usually in Turkey…

Finally, I arrived to doctor’s office to talk details about my surgery. After that they moved me to the hospital where I put again my signatures on many document in turkey, which I never understood what is written there. Then I went to blood test, talking with anesthetist and doing first set of x-rays.

So, five days ago I did the 4-th surgery, for:
1. Removing completely the both tibial nails and screws
2. Mounting 2 plates on each tibia
3. Corrected the Procurvatum and Bow legs
4. Take bone from my Iliac
5. Put graft in both tibias

The graft was taken from the Iliac Spine bone, which is great, because now I can lay back with no pelvis pain. Otherwise, If would have been taken from Iliac Crest, I couldn’t stay on my back. Thank you, doctor !

I underwent the surgery in a lower quality private hospital, named Atlas Medicine, which is much lower than Medicana where I had the previous surgeries. They have stains on walls, scratched furniture, rusted water taps, etc.
Also, the nurses are not as nice as it should be. One of them, maximum 25 years old,  got irritated because I asked her too many details about what she is doing and what she puts in my perfusion. And when I called her on the emergency button later, she not even came to me and I was in a bad moment alone for 1 hour and nobody helped me !!... 
So, this is a shame for a private hospital !
The food in the hospital is ok, but they never give napkins and salt… and the food has no salt. Also, they give spicy soup, and this is not good for people, because irritate the body. If you want to make a tea, you cant, because they bring a small cup of water, which is already warm to cold when it arrives to your room.
I got 2 set of x-rays in the hospital and those technicians not even knows how to take pictures from their display, so are all low quality, taken in a bad angle, from distance and some of them blurred. I had to edit my pictures so I can understand something…

Doctor gave me opioids in perfusion, so these put me again in a bad situation, having dizziness, bad sweat and hard constipation. If I had know that, I would ask to bring me Kefir from the first day, but now I stayed constipated for 6 days !
Also, in the surgery room somebody scratched badly my urethra and urinary sphincter, so I have atrocious pain every time when I pee, plus blood in urine…And they have no medicine for that. I recommended them a capsule that I used in my country, a specific one for urinary tract with Methylene Blue, which reduce very soon the inflammation and pain while peeing… but in Turkey doesn’t exist such thing !!... So I had to suffer extra, on top of the rest of pain and stress, till the urethra will heal by itself  !
I should take with me that medicine from home, but who the f**k would know that they will damage my urethra… because they never did it in the 3 previous surgeries !!

They didnt offered me PT in the money that I paid, so I tried few times to stand up, as doctor asked me, but I couldn’t, because I have bad pain in the back calf muscles which pull the Achile tendon. So, when doctor removed the distal screws which blocked the nail in lower part, he damaged the muscle a bit, so now I have to wait till the muscles heal, so I can stand up and try to walk. But, for sure I need PT, because I need to mobilize and stretch my ankles slowly and supervised by a specialist...

My big concern now is if these plates can support my weight, because doesn’t look to be very strong, so I am scared not to bend them when I will stand up and walk. I am very carefully, like usual, but if these plates bend when I stand up, in my country…I will be f****d

Here you can see the pictures with my new tibial configuration:

Tibia - left frontal
https://photos.app.goo.gl/NiAVWXHyS1dqGfjk9

Tibia - left sagittal
https://photos.app.goo.gl/gy9MJaxqwYQDxtRi8

Tibia - right frontal
https://photos.app.goo.gl/JVXL5ANv1W7AMewP9

Tibia - right sagittal
https://photos.app.goo.gl/kwYGiheYH42dyU6W7

They charged me money for the surgery, hospitalization, hotel and trips… even if all these are not my fault. So, if I didn’t have money, I should have taken a loan or something. so I can go and fix my extra problems !!
Keep in mind guys, you NEVER  START  this crazy adventure if you don’t have extra money left for extra problems !!

I stayed 4 days in the hospital and now, for the rest of 6 days, I moved to the Antwell hotel, which I like it. The food is amazing, they change my bed sheets everyday if I want. I have all conditions I need. Also I met my nurse and nice employees in the hotel. They recognized me right away, wishing me good health.
I fell here almost like home, because I lived here for 5 months before...

They gave me the wheelchair I had before, but the brakes are loose and don’t hold at all the wheels. Also the tires are flat, so I have hard time rolling the wheelchair to go to the food area on the corridor’s carpets. So now I have to adjust brakes but I have no hex wrench and also I have to inflate the tires. ... because I need exercises, isnt it ?
Finally, after 3 days of staying in hotel i received a set of hex wrenches from one of my PT guys and I adjusted my brakes...
They didn’t bring me the rolling walker because they have only one and they gave it to a different patient, so I have to start walking with my canes.

I paid the whole package service for 10 days, to Dec 27, because doctor said will be enough… But as I can see, I cannot walk at all, so maybe I will need to extend few days more… and obviously, to pay more for the hotel !
Now I have 4 days more to stay and I hope I can recover myself a bit, so I can step with my canes and go home…

I know you're worried about being about to weight bear on these plates, did the doctor say you could weight bear?

will these plates be removed later in the future after consolidation?

so, it's been over a year now since your first surgery and you have yet to walk on your own?

have you heard of anyone else having problems with precice screws coming out like that?

sending you positives thoughts and healing for a quick recovery!!!!!!!!!!!!!!!

[Ted68]

Firstly, Merry Christmas to everyone, Happy New Year and best regards from Hamburg!

Hi Matthieu89, my friend!... I felt the need to respond to you here. Yes, I am German of Turkish origin. But this does not change the facts. While walking around, I noticed that there were people here who were prejudiced and racist towards Turkey. So I had the right to respond:

No, I am definitely not advertising Turkey or Turkish doctors. I just tried to express my own opinion as I saw fit, and to correct the incorrect and incomplete information. Why should I advertise these doctors? What conclusion or benefits can I draw from this? I do not know any of them, and I am not interested in them, why should I advertise? I only speak based on the scientific data that emerged as a result of my research. This topic interests me. So I follow the statistics, news and new developments in Turkey while looking for a suitable place for an operation.

I am not interested in the free advertising of some doctors or others. I just want to focus on my own business. My main goal here is to fill in the missing information. No one paid me for advertising or pressured me to do this. This is just my free will. Also, when I say “we”, I only mean those who represent my opinion. That’s all. Good luck to everyone on this journey! 

Hey, HemHem...
are you an ex LL patient, a current one, or a future one ?
What is your height ?

[Ted68]

I know you're worried about being about to weight bear on these plates, did the doctor say you could weight bear?

will these plates be removed later in the future after consolidation?

so, it's been over a year now since your first surgery and you have yet to walk on your own?

have you heard of anyone else having problems with precice screws coming out like that?

sending you positives thoughts and healing for a quick recovery!!!!!!!!!!!!!!!

Hey Kv8...

- Yes, the plates will be removed in about 18 months.
- Yes, I got a year since first surgery and I am not yet walking freely because the popping-out the tibial screws and deformities produced by them... as you already read in my detailed diary
- NO, I never heard somebody with Tibial Precice to have this bad problem with the screws. Nobody could explain me, but my doctor said is because I started to walk and the bones being forced by my weight, they moved out the screws...

Thank you for your wishes !

[Ted68]

AFTER MOUNTING PLATES - post Christmas

I arrived home and now I feel more confident, because for 6 months I was scared about my screws and deformities.
Now I am in my house and I take care of myself carefully, with medicines and every 2-3 days changing with my hands the lower legs patches and dressings. I bought many of them and Betamine too.
I also have a metal pin in my small toe, because I broke my ligament and doctor tried to fix it somehow. I hope it will work. I have to change its bandage carefully, to prevent infection and after 2 weeks I have to remove it with my hand, as doctor let me do it.

The bad things is that I cannot do a shower, so I have to clean my skin with soaped towels and do the same rinsing.
I have to walk, but the pain is very tough, because I take no painkillers, so I mostly move with the wheelchair...
The pain now is very different, I feel it in the region of plates, and is like a sharp burn.
I take Calcium, Vit D3, other Minerals, other Vitamines and Aspirin for 2 weeks more.
I eat normal and I have good apetite.
I drink Kefir against constipation.

Here you can see my new lower egs ...

https://photos.app.goo.gl/VAwcWc6PboSbChqo7

https://photos.app.goo.gl/vdmGNttEVDBcS4hX9

https://photos.app.goo.gl/m67JktfzNuSNESmR9

https://photos.app.goo.gl/uAPUp4DYjhT97Bjw5

https://photos.app.goo.gl/Z68DcnABnmPEvm7Q8

[hemhem]

Hey, Ted68!

No, my friend. I am not a LL patient. However, I plan to do some in the future, but I am not the youngest either. That is why I am looking for a suitable clinic in Europe. It does not necessarily have to be Turkey, but on the other hand, Turkey would be a good option for me because I know the people and the language well. I am between 1.64 and 1.67 cm tall and weigh about 85 kg, fully muscular and athletic. 

[Ted68]

Hey, Ted68!

No, my friend. I am not a LL patient. However, I plan to do some in the future, but I am not the youngest either. That is why I am looking for a suitable clinic in Europe. It does not necessarily have to be Turkey, but on the other hand, Turkey would be a good option for me because I know the people and the language well. I am between 1.64 and 1.67 cm tall and weigh about 85 kg, fully muscular and athletic. 

I got it.
If you are prepared, you can do it at any age, like me...
We'll keep in touch and good luck, man !

[Ted68]

HAPPY NEW YEAR... guys !

               (^_^)

[hemhem]

Happy New Year to all!...

Thank you, Ted68! That's why your diary caught my attention and I think you hit the nail on the head my friend, the rest is history. You just need to be a little more patient, good luck!

[Bob]

Hey Ted68, was it possible to have shorten the tibia instead of bone graft and plating?

[dingdongditch]

Happy New Year Ted! Hope things are on track to get better!

[Ted68]

Hey Ted68, was it possible to have shorten the tibia instead of bone graft and plating?

Hey, man...
Dr Birkholz suggested me to remove nails and put external frames, so i correct all deformities every day, plus graft... and to go back maybe 1 cm and elongate again slowly. The problem is that my right tibia started to get more callus and the right fibula got full callus already. So, was complicated and I should keep those frames for 6 months on my legs, and more scars and infections...

Dr Gokhan decided thta is better to have plates instead, plus graft and to correct everything in one surgery.

Anyhow, the graft was a must, otherwise I could have non union on the frontal size of bothe tibias !

[Ted68]

Happy New Year Ted! Hope things are on track to get better!

I hope for a better New Year for you, man !
Yes, I hope it will be all better from now...
Thank you

[dingdongditch]

Did you go to Dr Birkholtz for a 2nd opinion?

[Ted68]

Did you go to Dr Birkholtz for a 2nd opinion?

Yes, I did, as I explained above...

[rotzputzen]

Hey, man...
Dr Birkholz suggested me to remove nails and put external frames, so i correct all deformities every day, plus graft... and to go back maybe 1 cm and elongate again slowly. The problem is that my right tibia started to get more callus and the right fibula got full callus already. So, was complicated and I should keep those frames for 6 months on my legs, and more scars and infections...

Dr Gokhan decided thta is better to have plates instead, plus graft and to correct everything in one surgery.

Anyhow, the graft was a must, otherwise I could have non union on the frontal size of bothe tibias !

The graft was not a must. You should have tried teriparatide first, which Dr Gokhan probably does not even know exists.

[Ted68]

The graft was not a must. You should have tried teriparatide first, which Dr Gokhan probably does not even know exists.

You always accused somebody, me, doctors, etc... and i always been nice with you. But now is too much !
Are you an orthopedist ?... FOR SURE NOT !... So how you dare to contradict a doctor ?
I said very clear that i was talking with my doctor, with dr Birkholz and with dr Donghoon and they ALL said i need graft, otherwise i will have non-union.

And how you dare to say dr. Gokhan "not even heard about Teriparatide" ?... He knows million things that you never heard about and you will never understand, believe me !
My doctor told me, which i knew already, that Forteo (Teriparatide) doesnt help in building callus. That medicine is good only for strengthening the bone that you have, especially in osteoporosis  cases !... which, obviously, you have no idea about !

So, please, dont bother me anymore !.... Post your incompetency somewhere else !

[Kv8n11]

The graft was not a must. You should have tried teriparatide first, which Dr Gokhan probably does not even know exists.

we're here to follow Ted68's journal to learn something and be prepared for our own. asking questions and phrasing things in a matter of learning is one thing but to speak the way you do is combative and asinine. I've learned a lot reading keeping up with his journal, don't ruin it for us subscribers. go somewhere else with your ego. 

[Bob]

1. How many nights were you at the hospital before you moved to hotel after the bone graft surgery?

2. How many nights were you at the hotel before you travel home?

3. Are you able to weight bear a little bit with a walker/crutches?

[Ted68]

1. How many nights were you at the hospital before you moved to hotel after the bone graft surgery?

2. How many nights were you at the hotel before you travel home?

3. Are you able to weight bear a little bit with a walker/crutches?

Hey, Bob.
I detailed all these after coming back home, but i will repeat for you:

1 - 3 nights
2 - 7 nights
3 - Yes, i can walk with canes and walker, but with big pain. The pain from plates is totally different.

[Bob]

Hey, Bob.
I detailed all these after coming back home, but i will repeat for you:

1 - 3 nights
2 - 7 nights
3 - Yes, i can walk with canes and walker, but with big pain. The pain from plates is totally different.

Thanks Ted68.
Best

[Bob]

Hey Ted68.
What is the name of the hospital that you did your surgery in January 2024, and was it a good hospital?

[Ted68]

Hey Ted68.
What is the name of the hospital that you did your surgery in January 2024, and was it a good hospital?

Sorry, Bob, but i wrote all these details in the 8-th page and i dont like to repeat. All you have is to read it...

[Ted68]

20 Jan 2024 - One month from my 4-th surgery

- My bones looks to be ok
- I have a slight knock knees, but i knew that right after surgery
- I still change my plasters every 3 days, with Betadine
- I can walk with canes and walker, but in the first minute I have an unbearable pain. The pain in plates is so different !
- I take Calcium, D3, Colagen, Multi minerals and Vit C
- My urethra is still damaged and I have sudden peeing sensation. I took for 10 days Metilene Blue when I arrived home... and today I started again. I just hate Turkey they dont have ANY medicine with Metilene Blue for urinary, because I should take it when I stayed in Turkey, right after surgery... not now !
- And something I forgot to tell you is that I broke a ligament to my little right toe, hitting my toe to a table leg... so my doctor put a pin in my toe hoping he will fix it somehow... but I dont know if will be really fixed. Doctor didnt cut my skin to see the ligament, he only pulled from outside the ligament and hold the broken end with the stuck pin.
Here you see few pictures...

https://photos.app.goo.gl/8cjASNbhtDtY3MvB7

https://photos.app.goo.gl/kcnAjdkS35SEwDk3A

https://photos.app.goo.gl/3XyU7xEnUopqN5tH8

I stayed with this pin for one month and I had to be sure i get no infections. Also, was hard to use shoes, slippers, etc.
Now I have to remove it. I will do it with my hand these days...

- Overall, now I am waiting for the callus to develop well and deep on my tibias and I hope the pain will decrease... because it is unbelievable high !... When I stand up, for first steps I am screaming !... and this is happening many times a day and the pain feels to be worse and worse every day, not less...

[dingdongditch]

Oh man, seems like you have been through a lot. Hopefully it will get better in the coming weeks as you recover! Did you join that other chat I told you about?

[Ted68]

Oh man, seems like you have been through a lot. Hopefully it will get better in the coming weeks as you recover! Did you join that other chat I told you about?

Hi, DDD... yes, I am member alaready, but i didnt talk with anybody there.
You'll find me with the same nickname...
Thank you

[rotzputzen]

.

[rotzputzen]

And how you dare to say dr. Gokhan "not even heard about Teriparatide" ?... He knows million things that you never heard about and you will never understand, believe me !

My doctor told me, which i knew already, that Forteo (Teriparatide) doesnt help in building callus. That medicine is good only for strengthening the bone that you, especially in osteoporosis  cases !... which, obviously, you have no idea about !

So, please, dont bother me anymore !.... Post your incompetency somewhere else !

Your doctor, who knows a million things, still told you something that is flat-out wrong.

There is quite some evidence that teriparatide helps in cases of non-union. It does quite often initiate callus formation and does not "just help you with the bone you already have". Dr. Birkholtz started using it a lot on his patients. There is even a diary of non-union (diary name: brickbrains) on the d server. The guy had non-union. 1 month after starting teriparatide the bone started to grow. He is now fully weight-bearing 4 months after starting it. It is a safe drug with no side effects if used correctly. Def. safer and cheaper than mounting plates, which are now causing you all this pain.

Some evidence:

https://pmc.ncbi.nlm.nih.gov/articles/PMC6977176/

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06278-0

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06278-0

https://pubmed.ncbi.nlm.nih.gov/36906529/

https://pubmed.ncbi.nlm.nih.gov/31992929/

https://pubmed.ncbi.nlm.nih.gov/37187628/

https://pubmed.ncbi.nlm.nih.gov/25297667/

But feel free to rest in the illusion that your doctor knows a million things and is highly competent - You should have long recovered by now. Despite my aggressive tone earlier, I am quite empathetic towards you and wish you a quick recovery.

[Ted68]

Your doctor, who knows a million things, still told you something that is flat-out wrong.

There is quite some evidence that teriparatide helps in cases of non-union. It does quite often initiate callus formation and does not "just help you with the bone you already have". Dr. Birkholtz started using it a lot on his patients. There is even a diary of non-union (diary name: brickbrains) on the d server. The guy had non-union. 1 month after starting teriparatide the bone started to grow. He is now fully weight-bearing 4 months after starting it. It is a safe drug with no side effects if used correctly. Def. safer and cheaper than mounting plates, which are now causing you all this pain.

Some evidence:

https://pmc.ncbi.nlm.nih.gov/articles/PMC6977176/

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06278-0

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06278-0

https://pubmed.ncbi.nlm.nih.gov/36906529/

https://pubmed.ncbi.nlm.nih.gov/31992929/

https://pubmed.ncbi.nlm.nih.gov/37187628/

https://pubmed.ncbi.nlm.nih.gov/25297667/

But feel free to rest in the illusion that your doctor knows a million things and is highly competent - You should have long recovered by now. Despite my aggressive tone earlier, I am quite empathetic towards you and wish you a quick recovery.

Hey, ROTZ

I know you are worried and i appreciate that...

The problem is that FORSTEO is a strong medicine and it can turn bad my endocrine system.
As long as no doctor asked me to take it, that means i dont need it.
The graft should be enough for me to build the callus...

And, about the mounting plates, maybe you didnt read my detailed explanation, but i had many problems, not only the non-union. So, the plates or external frames + graft, was the only solution.
Forsteo is only a help, but much slower than graft, which is the ultimate and best way to create callus.

[6footer]

hey ted can you fill us in on what’s happened so far has your walking gotten better have you felt better? let us know i’ve been reading ur diary for a couple days now

[Ted68]

hey ted can you fill us in on what’s happened so far has your walking gotten better have you felt better? let us know i’ve been reading ur diary for a couple days now

Hi, Footer.
I dont really understand what you want to know exactly, extra than I already wrote.
Just ask me clearly every question, so I can answer you...