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[IgnoredByMods]

Dr Paley has made a great deal of breakthroughs in the Limb Lengthening community. However, just because he is a legendary figure doesn’t mean that there shouldn’t be any criticism.

On the 5th of March, Dr Paley announced that Globus Medical was having supplier issues which led to pulling back the nails from the market temporarily. You can find the post here: https://www.instagram.com/reel/C4JsV8jsVLW/?igsh=NTRhNnZ5a3IycnFk

When I saw this I had a few suspicions. Why would you pull the nail at such short notice if it was a supply issue? Surely if it was indeed a supply issue they wouldn’t have to pull the nails for 3 weeks right after launching them with so much hype?

Dr Dror Paley has direct ties to the PRECISE MAX nails as he worked on its development. If complications arose it could look back for him. There is a conflict of interest between his patients and his financial incentives for concealing the truth regarding issues for the PRECISE MAX nails.

It is extremely disappointing that such a surgeon would decide to downright seemingly lie and ruin his reputation rather than simply say nothing if he didn’t want to be truthful.

Dr Assayag today has taken a jab at Dr Paley today in his instagram video with the description “Hint: it’s not because the implants were custom made ”

Dr Assayag has made an announcement which makes much more sense. Nuvasive released an Alpha batch and once it identified issues it took the Precise Max nail out of the market until it can fix the issues with the nail.

Essentially, Dr Paley has stated that it was a supply issue as nails are custom (which wouldn’t make sense, there are only 3-4 sizes as per the FDA clinical trials report, and I personally find it dubious that a commercial nail would take this approach. One PMax patient at the Paley Institute (goldas) who had his implant on the first day has stated that his nail was actually not custom.

This leads to the conclusion that Dr Paley has chosen his financial incentives and contracts with Nuvasive over informing the patients of the truth. This nail has some issues and is not yet 100% safe which is why Nuvasive pulled it off. Going forward we should analyse Dr Paley’s comments critically as it appears that he prioritises profit by hiding issues over transparency. If he is ok with hiding this, is it possible that he has hidden patient complications or not talked about cases which didn’t go as well? Something to think about.

A former patient called Julian Prégent (also known as the extremely toxic d Mod JP in a LL server) has commented “That’s cap” in Dr Paley’s post and they deleted his comment. He has since posted this comment again. Why is the Paley Institute in the USA trying to shut down debate regarding Dr Paley lying? Seems extremely suspicious.

P.S. The name of the user above is public and can be found in a CTV News article called “What’s driving limb lengthening surgery — a radical procedure making men taller”

[IgnoredByMods]

Dr Assyag’s post can be found here: https://www.instagram.com/reel/C4Not8BMroE/?igsh=MWVyMnJucmpkZnN3Nw==

[Kintaeryos]

If it turns out that even Dr. Paley is shady I am 100% done considering this surgery.

[Beemer m3]

Dr paley is trying to make a big deal out nothing. We want them nails out now. We ain't getting any younger too. Lol

[Marie_Bard]

Dr Paley has made a great deal of breakthroughs in the Limb Lengthening community. However, just because he is a legendary figure doesn’t mean that there shouldn’t be any criticism.

On the 5th of March, Dr Paley announced that Globus Medical was having supplier issues which led to pulling back the nails from the market temporarily. You can find the post here: https://www.instagram.com/reel/C4JsV8jsVLW/?igsh=NTRhNnZ5a3IycnFk

When I saw this I had a few suspicions. Why would you pull the nail at such short notice if it was a supply issue? Surely if it was indeed a supply issue they wouldn’t have to pull the nails for 3 weeks right after launching them with so much hype?

Dr Dror Paley has direct ties to the PRECISE MAX nails as he worked on its development. If complications arose it could look back for him. There is a conflict of interest between his patients and his financial incentives for concealing the truth regarding issues for the PRECISE MAX nails.

It is extremely disappointing that such a surgeon would decide to downright seemingly lie and ruin his reputation rather than simply say nothing if he didn’t want to be truthful.

Dr Assayag today has taken a jab at Dr Paley today in his instagram video with the description “Hint: it’s not because the implants were custom made ”

Dr Assayag has made an announcement which makes much more sense. Nuvasive released an Alpha batch and once it identified issues it took the Precise Max nail out of the market until it can fix the issues with the nail.

Essentially, Dr Paley has stated that it was a supply issue as nails are custom (which wouldn’t make sense, there are only 3-4 sizes as per the FDA clinical trials report, and I personally find it dubious that a commercial nail would take this approach. One PMax patient at the Paley Institute (goldas) who had his implant on the first day has stated that his nail was actually not custom.

This leads to the conclusion that Dr Paley has chosen his financial incentives and contracts with Nuvasive over informing the patients of the truth. This nail has some issues and is not yet 100% safe which is why Nuvasive pulled it off. Going forward we should analyse Dr Paley’s comments critically as it appears that he prioritises profit by hiding issues over transparency. If he is ok with hiding this, is it possible that he has hidden patient complications or not talked about cases which didn’t go as well? Something to think about.

A former patient called Julian Prégent (also known as the extremely toxic  Mod JP in a LL server) has commented “That’s cap” in Dr Paley’s post and they deleted his comment. He has since posted this comment again. Why is the Paley Institute in the USA trying to shut down debate regarding Dr Paley lying? Seems extremely suspicious.

P.S. The name of the user above is public and can be found in a CTV News article called “What’s driving limb lengthening surgery — a radical procedure making men taller”

It is clear that there are problems with Pmax and Paley seems to speak more like a company spokesperson, explaining without really explaining anything. Imo, this withdrawal seems to be unplanned and ominous. You do not just launch a new product without having a plan about its production and supply for the following months; And how can you claim problems in supply when the demand is known to you from before (pmax was alaways meant to be available ony to Paley a few others at this phase; it's not like there was a tsunami of orders that the production could not handle and crushed!). I think we should just wait longer and be cautious until we are sure that a new implant is safely tested and available.

[kkmkm]

Yeah strange indeed. Why would they suddenly realise there is a lack of supply lol.

I think it's silly that some patients volunteered to get bilateral LL with a new untested nail in the first place. It should first be used on discrepancy cases and then on healthy cosmetic cases.

[CLLvet]

If I am not mistaken, Paley invented Precice.

Does that mean he receives royalties (from Precice and now Precice Max) every time a nail is sold?

I have a lot of respect for him also. Think he is a great surgeon and a pioneer with regard to limb lengthening. But that sort of financial motivation could lead to bias (we are all human, after all). 

And yes, this sudden supply shortage immediately after this new hyped-up product roles out is "strange" to say the least. Plus the fact that there seems to be a lot of controversy on whether the nail is fully weight-bearing or not. Paley says it is, but FDA has stated that it needs more testing.   

[Acemace86]

Are you deleting your profile now?

[IgnoredByMods]

If it turns out that even Dr. Paley is shady I am 100% done considering this surgery.

He has commercial interests, as someone pointed out he most likely earns royalties so it makes sense that he wouldn’t want another PR disaster like Stryde.

[IgnoredByMods]

Dr paley is trying to make a big deal out nothing. We want them nails out now. We ain't getting any younger too. Lol

I just stopped waiting and went for the biggest Precise 2.2 nail, it’s more weight bearing than the thinnest 2 Precise Max nails. Pretty good

[IgnoredByMods]

It is clear that there are problems with Pmax and Paley seems to speak more like a company spokesperson, explaining without really explaining anything. Imo, this withdrawal seems to be unplanned and ominous. You do not just launch a new product without having a plan about its production and supply for the following months; And how can you claim problems in supply when the demand is known to you from before (pmax was alaways meant to be available ony to Paley a few others at this phase; it's not like there was a tsunami of orders that the production could not handle and crushed!). I think we should just wait longer and be cautious until we are sure that a new implant is safely tested and available.

Agree. Anyone who works in business knows that with controlled supply you don’t just suddenly run into “supply issues” or are able to predict them. If they saw supply issues coming they would’ve pointed it out right before its release. Or they could say that it was an initial batch and further ones would take a while to arrive. Very strange as surgeries were already booked, no one would do this if they knew that supply was short.

It’s just disappointing that the most respected LL surgeon turned out to do this, it does not damage his medical knowledge but it does put his honesty and patient safety into question. If one is ok about possibly lying about this, what else has been covered up?

[IgnoredByMods]

If I am not mistaken, Paley invented Precice.

Does that mean he receives royalties (from Precice and now Precice Max) every time a nail is sold?

I have a lot of respect for him also. Think he is a great surgeon and a pioneer with regard to limb lengthening. But that sort of financial motivation could lead to bias (we are all human, after all). 

And yes, this sudden supply shortage immediately after this new hyped-up product roles out is "strange" to say the least. Plus the fact that there seems to be a lot of controversy on whether the nail is fully weight-bearing or not. Paley says it is, but FDA has stated that it needs more testing.

It is very likely that royalties are involved hence the position of speaking like a spokesperson rather than a surgeon when it comes to Precise nails. The bias is pretty disappointing as patients may struggle to make an informed decision. The FDA report may indicate that this nail didn’t have enough testing. This theory is supported by this sudden “supply shortage”.

[Hldrive]

Someone's nails were defective and didn't lengthen.

Nothing bad happened, nails got replaced for the guy