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[Activatedxx]

Hey guys, I had surgery last week. I had bowed legs which was genetic and unrelated to my femur surgery, but I was able to use insurance for a high portion of the cost. I can’t get into the specifics, but they paid for the codes which involved correcting my bowed legs, so that they don’t cause knee pain as I get older. This is my second rodeo after doing femurs, and I told myself I would only do it in the USA. It’s actually funny because I had my nail removal done at HSS a couple months ago and that’s when I was told I had bowed tibias and they asked if I wanted to correct it. I would have never found out if they did not mention.

I ended up emailing all the doctors and ended up going with Assayag. Initially I was going to pay for the nails out of pocket (genu varum correction would cover some of procedure) but I haven’t kept up with the prices, and thought they would be around 30k ish. Recently they went up by alot so that was not in my favor. I ended up just going with TSF. Also the HP house is a cripples paradise, and saved me so much cost. It’s a non profit housing that is nicer than a hotel and is across the street from Assayag and my PT. It’s very cost efficient to stay. I booked 3 months here and it was what I would pay for one months of rent in my apartment. My biggest expense will be food but they also have a kitchen here, I’m just lazy. I see other LL patients with meal preps. Keeps saying upload to big so will split

[Activatedxx]

My surgery was Thursday, and honestly after doing femur externals it’s been kind of a cakewalk compared. It’s still been very tough, mentally and physically, but nothing in the realm of monorail external femur. I’d say TSF is a quarter or third of that difficulty.
The 4-5 days were definitely the worst. That’s probably also because I would only take Tylenol and no oxy, so after the hospital medicine wore off I was having depression and trouble sleeping and bad anxiety. I remember in Turkey everyone was on prescribed Xanax, lyrica, and tramadol through their femur LL period (including me). This is definitely manageable without. Today I felt much better, mentally and physically. I went to my first PT session and seeing the sun for the first time in about a week felt really good. Also my swelling is slowly going away. I did a couple hundred steps with a walker today, but when the inflammation medicine wears off I can’t do much. It’s really swollen and probably takes a couple weeks to go away. Even my feet look inflated.

I’m shooting for 2’ give or take. I did an ATL release as well. God willing it goes okay, and honestly I’ve never felt so comfortable than with Assayag. He has a larger than life personality, and feels more like your friend than your surgeon. I have his personal cell in the event I have any urgent situation, and he’s just overall a great surgeon and an awesome guy. Continues-> (comment to large)

[Activatedxx]

HSS are great surgeons but  felt more like robots, Assayag treats you like his best friend. This is just my personal opinion. Also the directors of HP house bill and amy treat me like their children. They gave me a donor electric scooter to borrow and it’s made my life so much easier. The PT handle a ton of LL patients so it wasn’t awkward. I honestly have nothing but positive things to say about the people at Sinai.

Attached is a photo of my frames and me scootering back to my room after picking up an Uber eats order. https://imgur.com/a/FWwbTd0
 I am a firm believer that no one should put themselves through this. However, a lot of us are mentally ill. After femur LL I was relieved of this, and it wasn’t necessary. I just had a good amount of savings and thought this would make me happier than buying a new car or being richer etc, but it ended up being extremely cost efficient as well which is great. I’m just trying to thug it out now for the next few months, where I will probably insert a nail and remove the fixators, since I don’t want to keep them on for 7-8 months.

[Activatedxx]

Lastly wanted to add pray for me through this process. I feel so much in good hands now compared to that butchering cash grab operation sedat has in turkey. I read now they’re charging like double for femur LON which is insane. The only selling point to that nightmare was the cost savings at the time. We should always remember to be grateful, even pre-LL I have to admit I was not grateful to not be born a cripple or something. I feel this is vanity none the less, best of wishes to all of us.

[Activatedxx]

One week post-op. https://imgur.com/a/UW6lexG I am still very swollen. I took a cold shower today to try to help the swelling. I probably stagnated it with the hot showers the last couple of days.
Today was my first day of turning the struts (lengthening). The print out for lengthening & correction is really simple. Assayag is very conservative and wants me to do .5mm a day. I may ask if I can bump it up to .75mm as I am scheduled to see him every two weeks (next Thursday). I clean and bandage my pins after every shower and am extra careful not to cross contaminate between any of them (so that if one gets infected I do not spread it to the others). In the event they did it should be completely fine with a normal antibiotic treatment. I forgot to mention I also did gastro release (aside from Atl). My lower calf and Achilles area is very sore. I can stand unassisted now and manage a few baby steps unassisted. I have the unhumanly clicking in my right tibia, which isn’t painful at all just feels super uncomfortable. It’s natural with any LL, but you never get used to it.
Pins https://imgur.com/a/vQUrALN

I’m doing good enough now, but I’m a little salty about missing Halloween weekend and will miss new years celebrations. My friends are all having a great time on social media, which makes me a little jealous. It’s become a waiting/patience game at this point. My pain is pretty low through out the day and my discomfort is manageable. I just can’t really get comfortable with these fixators.

[DanishViking]

1. What does it cost to do tibia lengthening with tsf frames with Dr assyag?

2. How many days does 1 cm take to get? 45 days?

3. How long will you have to wear the frames, with and without inserting a nail after the lengthening?

4. Would you be able to fully weight bear, if your body was strong enough?

5. Before when you did 8 cm on your femurs, how did walking feel like afterwards? Like before or more clunky?

6. Did your proportions feel okay after doing femur lengthening?

Sorry for the many questions, but your're the perfect person to ask, since our starting height is the same, and 10 mm precice max will be an option in EU in the future and I can't do tibia internal precice

[Activatedxx]

I don’t believe they offer it anymore unless you have some sort of deformity. Even one that does not affect your functionality (such as bowed tibias in my case). You would need to have X-rays done and send during a consult probably. If you’re paying out of pocket in the US there is no point to save 10-20k compared to internal, it’s definitely not worth the comfort sacrificed for months unless you can get insurance to cover a large portion of TSF.

Frame removal depends on how fast bone consolidates. Probably like 7-8 months for 5cm which I don’t want to do, so I’ll probably ask to remove and insert a trauma nail after lengthening. I’m weight bearing now. I feel this will bring my biomechanics into a my pre-ll range, as after femur they did change. I was still walking and running normal to the nked eye, but things just felt different and my center of gravity was in a different spot when getting up from sitting. It wasn’t significant to me and I didn’t really care, you get used to it 

[Activatedxx]

Just updating, I had my follow - up last Friday, but forgot to take a picture on my phone of X-rays. I’ll upload once medical records sends me them.

I’ve lengthened close to a centimeter now, it’s still very early on. Assayag said everything looks good at this stage, but it’s so early on that he can’t really see much.
The second x-ray is the most important as you can see the regeneration and make an opinion on it. Most of the time I don’t have above minor pain, but I had a pinsite infection that was very painful for a couple days until the antibiotics kicked in. When I wake up I have inflammation especially by knees that is somewhat painful but once I take medicine it mostly goes away. Inflammation is what presses on the muscles/joints and gives you those weird/sharp pains, so I try to keep it at a minimum, also by walking assisted. The worst part about all this is not being comfortable when trying to go to sleep. It compounds day after day and makes you anxious, like being a passenger on a long road trip. No matter how you toss and turn you can’t get comfortable.

I walk with crutches, and for longer distance I use an electric scooter. The first 2 weeks of tibias give you balloon feet from the swelling, once that goes away it’s much easier to walk.

[Activatedxx]

https://imgur.com/a/vaUL1Vu
I’m close to 4 weeks post-op. Walking with crutches video above
I try to cycle a little every now and then
https://imgur.com/a/vaUL1Vu

I’m a little antsy for my xray appointment this Friday, as I’ll know if everything is going okay or if there are any issues. I went to PT today and they noticed I still have slight swelling. Pushing their finger into my foot, it leaves an indent that takes a little bit to go away. I have full ROM and no tightness yet, I don’t really anticipate much since the releases.
Assayag advised .5mm a day but honestly after the first xray /followup I started doing .75mm which is the max safe range for tibias, but bad as this is against his orders/advice. I’m hoping there’s no issue, as you cant tell much about bone formation from the first xray so I should have stayed in the conservative range. I just really want these fixators off. During the day I am busy so it’s not bad, but at night I cannot relax at all, and it’s so tough to sleep. I started taking my oxys to sleep a couple nights ago, and also due to pain. I’ve been getting a throbbing pain in my left knee at night, that’s bearable but like a 4/10. It’s not nerve or muscle pain, but I think inflammation pressing on the joints. If I push on the area it’s painful, and it doesn’t fully go away even with Tylenol and inflammation medicine. It’s normal from what I’ve read, as you adjust the TSF. I’m not worried about getting addicted, as I was on xanax and opioids for a few months with my femur fixators, and although it was hard I quit them cold turkey after fixator removal. At this point it’s whatever helps, and I’m just trying to stay patient. Sometimes I feel really down and sometimes I feel okay. Whenever I feel down I try to remember how much worse the femur fixators were and I pushed through that. I’m just praying my formation is good and I’ll ask if I can maintain .75mm. That will allow me to hopefully get these off in around a month and a half, which seems like a short time for a regular person, but with fixators it’s a big hill to climb over. A few months total is not long at all, but you get slightly detached from society during this process and I miss my social life and friends.

[Activatedxx]

https://imgur.com/a/JiidiOY
X-rays^ . I’m barely above 1cm. My bone regeneration is good but not great/excellent. I’m doing everything right as far as nutrition but my calorie intake isn’t enough. I’m eating around 2k a day but to support faster broken healing I need to probably bump it up to 3k at least, but I get full very easily. I broke it to Assayag I was going a little faster (.75) some days and he wasn’t too happy about it. I promised to slow back down to .5mm for now, hoping he bumps me up in the future if I heal faster. Mentally it’s still a rollercoaster, mainly at night when I try to sleep is when It hits me. I just can’t shut off & get irritated and anxious due to lack of comfort, and I also have lower back pain from sitting most of the day.

There’s a guy here that got bumped up to 1.25mm per day on femurs because his healing/consolidation is insanely fast. He also eats half a dozen times a day. He’s connaways patient however, not assayags. I’m sure part of it is also genetics, as they are twice my age and a different ethnicity.
Pain is uncommon and 3/10 max when it comes. By far the toughest part is the mental patience

[Bob]

Did your surgeon fix your fibulas with screws or was that not necessary?

[I want 8,07 cm]

Hello Activated one question. How are you? I wanted to ask you a question: After the lengthening period, does the doctor place an internal nail to help with consolidation?

[Bob]

You write your surgeon prefer to do .5 mm lengthening for tibia per day. How many mm lengthening for femur per day does he prefer?

[Allen99]

Hi, activated xx. I did external tibias recently, and now i am at consolidation phase. Did not do ATL, but wish i had. Sometimes the pins cause pain near the knees. They are uncomfortable, the fixators. And yes, this procedure is challenging in all levels. It challenges your patience, how bad you want to be taller, and sometimes it challenges our sanity. What helped me was a friend and a family members ' support, also praying, and mostly, thinking that I wanted that for so long, and i am blessed enough to be able to do it, and i feel grateful inspite of all the pain i had , and still have sometimes. Time passes quickly. I have done 6cm , and what helped me to reaching it, without any complications of whatsoever is going slow, i started lengthening at 0.8mm/ day, after i reached 2.4cm, dr. Suggested i go to 0.75mm, i was disappointed cause xrays showed very good callus. But trust me when i tell you, going slow is much more comfortable. I am glad i listened to my Dr.
Stretching is like magic, it is your loyal friend and best painkiller. Please, keep stretching. If you need someone to talk to, i am here for you. Dr.Assayag is a great surgeon and human. Happy thanks giving !

[Activatedxx]

Did your surgeon fix your fibulas with screws or was that not necessary?

Yes I saw in my X-rays they did

[Activatedxx]

Hello Activated one question. How are you? I wanted to ask you a question: After the lengthening period, does the doctor place an internal nail to help with consolidation?

It’s up to the patient. I personally want to have a trauma nail so I can have these fixations off, but Assayag allows you to wear them until consolidation as well.

[Activatedxx]

You write your surgeon prefer to do .5 mm lengthening for tibia per day. How many mm lengthening for femur per day does he prefer?

.75 to 1mm depending on bone formation. Doing it faster(1mm) doesn’t really matter with internal nail, because either way the consolidation time for the bone will be the same. Also being conservative saves you a lot of pain. When he slowed me down to .5 I noticed a lot of inflammation around the fixator pins disappeared. The only reason to go faster is if your consolidation is fast or if you’re wearing externals to have them off faster (if your consolidation is good, to insert a trauma nail).

Assayag is conservative but all his patients do exceptionally well except the ones that don’t follow his instructions. Like there was a guy that did 2mm for a few days and had really bad nerve pain. If you follow his instructions and give your body the nutrients and calories it needs, you’ll have a smooth journey. Assayag is by far the most compassionate doctor. There was someone who was 6 months post-Op that fell while standing, and Assayag personally came and visited him. He also checked his ER xrays at no cost. Another patient here had a weird nose coming from the ERC machine and he offered to come on thanksgiving day to check it.

 This is a man with a family at home and an extremely busy schedule, aside from LL patients he’s always doing surgeries back to back for actual deformity/injury trauma patients. No other LL doctor is going to do that for you, I honestly would prefer him over any other doctor. You can sense that he is a genuine doctor of medicine that just wants to practice medicine to improve lives. I felt this when we saw my bowed legs were kind of corrected and he got a little excited about it. He’s always excited and passionate about his practice and any one of his patients will tell you that

[Activatedxx]

Hi, activated xx. I did external tibias recently, and now i am at consolidation phase. Did not do ATL, but wish i had. Sometimes the pins cause pain near the knees. They are uncomfortable, the fixators. And yes, this procedure is challenging in all levels. It challenges your patience, how bad you want to be taller, and sometimes it challenges our sanity. What helped me was a friend and a family members ' support, also praying, and mostly, thinking that I wanted that for so long, and i am blessed enough to be able to do it, and i feel grateful inspite of all the pain i had , and still have sometimes. Time passes quickly. I have done 6cm , and what helped me to reaching it, without any complications of whatsoever is going slow, i started lengthening at 0.8mm/ day, after i reached 2.4cm, dr. Suggested i go to 0.75mm, i was disappointed cause xrays showed very good callus. But trust me when i tell you, going slow is much more comfortable. I am glad i listened to my Dr.
Stretching is like magic, it is your loyal friend and best painkiller. Please, keep stretching. If you need someone to talk to, i am here for you. Dr.Assayag is a great surgeon and human. Happy thanks giving !

Thank you, best of wishes on your recovery! You are completely right, this challenges everything, and a hidden gem of doing with Assayag is the Hackerman-Patz house where you can stay in a housing with other LL patients. If I was alone this whole process it would have been harder mentally. I’ve made friends here and we have fun sitting down and talking and venting to each other. One of them leaves this week and I am sad about that, but the people that do LL alone have a much harder time mentally than those who don’t have anyone around. The other day I was feeling down and I went into the lobby and hung out with some of the other patients and they were cracking jokes for a couple hours. If I just had an airbnb or hotel and was completely alone without any social interaction, I’d probably feel depressed a lot of times

[Allen99]

Hi, I am happy for you ,for having company. A good company makes the hardest things in life ,much easier and tolerable!

[Activatedxx]

Hey guys, checking in.
Everything pretty much is going the same it seems, I hope it doesn’t become more difficult. I’m not tight yet and I’ve retained my muscle so far. I’m close to 2cm now.
https://imgur.com/a/Wjz9wV1
I can pretty much get around unassisted anywhere in my room. The camera is zoomed out iPhone .5 so might look weird/fishbowl. They did move me to a room that was smaller also, since they needed the bigger one for a family. I shower and do everything unassisted, and use crutches or scooter for long distances. My swelling has went away except for around the mid and upper tibia, pressing on it leaves a dent that takes a little while to fill in.

It’s been getting freezing here in the 20’s, so scootering to PT has been rough. That one minute commute is short but feels forever in that blizzard wind. I didn’t really pack any puffer or heavy jackets either. It’s pretty surreal being here, because I’ve met people at the HP house that have been following my diary for years, and I’ve met people that I read there diary 4-5 years ago. It’s such a weird coincidence seeing them in person.

[Activatedxx]

Went to my follow up last Friday, but forgot to take pictures of my X-ray on my phone. Everything looked normal at that point, and my regeneration is much better since I slowed down. I am something like 35-40% of the way there. The closer I get, the better I sleep at night. When I was at square 1 it just seemed like a mountain to climb. Now that I’ve made some progress, you can see the light at the end of the tunnel. Still a long way to go however.

Since the process started I haven’t been In much pain really. Nothing that was not manageable. The sheer boredom, and discomfort is what makes it a miserable existence. Although it would be more comfortable with internals, it still applies. I’ve only been gone for like a month and a half but feel detached from reality. I go out to see the sun and get some air once a day shortly, or otw to PT because it’s so cold out. Aside from that I’m in my room most of the time, and even if it’s by choice after a while you start to feel trapped here. It’s all in your head of course, but it influences how you feel. The lack of social interaction and change of environment. Even just driving to the store and saying have a nice day to cashier is somehow almost necessary to the human psyche. I don’t know how hermits do it. Staying in one place all alone. I’ve already experienced all these things during my first LL, but you kind of just forget about it felt exactly. I just want things to be normal again

[Activatedxx]

https://imgur.com/a/YYwYkkw
Xray ^
I am at 3.3cm so I have slightly over a month left hopefully, the surgery scheduler said he will give me a fixator removal date this monday. He said he should be able to get me in around the 28th of January. Man am I ready to get these fixators off. Once I get the date I will be counting down.

This week I started feeling like I’m losing a little flexibility. Assayag and PT both said I am still above average but it is definitely a chunk less than in the beginning. They said some people around this stage already have ballerina foot and have to fight to get to neutral, and my heel goes well above neutral. I have full knee flexion also. Those are the only two you have to worry about really with tibias. My hamstrings are getting tight but that unrelated to lengthening, that’s just because I’m not moving around as much. My bowed tibias are almost completely corrected as well. I still have a little more to squeeze out. I will probably update once again at removal, and then a couple more times in recovery until rod removal.

[too short]

Hello Activatedxx!
I will be checking into the HP on the 5th of Jan to have quadra with Assayag (surgeries Jan 7th and 21st).  I'm soooo excited/scared. I look forward to meeting you there. BTW, why did he do external fixators for you? Is it the cost?

[Activatedxx]

Hello Activatedxx!
I will be checking into the HP on the 5th of Jan to have quadra with Assayag (surgeries Jan 7th and 21st).  I'm soooo excited/scared. I look forward to meeting you there. BTW, why did he do external fixators for you? Is it the cost?

Insurance covered most of it because of my bowed tibias, since the fixators correct. It’s genetic. Awesome, I’ll be here. Don’t be nervous, I don’t know if medicine evolved or if people were fear-mongering, but I felt little pain after my tibia surgery. A lot of the femur patients here said the same thing. Probably their anesthesiologist is just better than the one I had in turkey  😂

[Activatedxx]

Well guys, I heard back and I’m set for removal & nailing for the 28th of January. I’m counting the days till I get these things off. I wish I had the patience and willpower to keep these on, so I can skip having to put a nail in and take it out later, but I want to get back to regular and social life and comfort. Mentally I wouldn’t be able to stand keeping the fixes on until may/june. Idk how you did it KiloKahn but you have some nuts my friend.

[Activatedxx]

Hey guys, I’m right around the 4cm mark and the last couple days have been tough. It felt free up until this point, but now my legs feel like that second week after surgery. I have muscle tension/pain, throbbing, and knee joint pain. It’s all manageable under 4/10 but constant. It goes away with pain medicine of course, but I was up every few hours of sleep and have to take medicine again to fall asleep because of the discomfort/pain. Bending for extended time hurts, but so does straightening my legs, so I have to alternate. Elevating my legs does miracles for inflammation/pain.

I don’t have any tightness except for my hamstrings, which have got really tight from the reduced movement and prior femur LL. It will take some work to loosen them up again. When I go to PT I can measure around a CM more just because of posture improvement from stretching everything.

I thought having a surgery date and being at the end would improve things, and it did a little bit mentally, but it’s also making time go by so slow now that I am thinking about it. Also my online class ended so I have nothing to do, and I can’t bear to binge watch stuff anymore. I’ve already watched way too many movies and anime’s. Everything is so dreadfully boring. I just need to make it past this last stretch. When I warm up and stand straight I feel taller, and feel like I’m in that range where I’m not under average at all anymore. There is a Chaplin here who is 6’1 and I feel that my eye level is not to far to his and although he’s noticeably inches taller, he doesn’t tower over me. Pre-ll he would have looked twice my height lol. I’m satisfied with my height at this point. I’m not obsessed with becoming tall, but to just be in an average range and feel normal feels amazing. It’s not something I care about anymore. I have a 6 figure job, an exotic car, and good facial features. I feel I can finally be happy, as I was satisfied with everything else going on in my life except my height. When I did my first surgery it did wonders for me, and took away 70-80 percent of my dissatisfaction. I felt a want for a little more, but it wasn’t major and something I could live without. I wasn’t short anymore but a little below average. Now that Im close to average I’m truly content and comfortable with my height.

Having neurosis now would be like not being happy because I make 6 figures instead of 7 figures, or that I live in a nice house and not a mansion instead. The happiness cutoff is truly mental and differs between people and this has fixed mine. It’s all in our heads. There are people who just want legs that work, and I couldn’t be happy because I had a mental prison that I created myself. This quad journey has been long and brutal, but it feels crazy that i am just now almost able to live my life carefree and comfortably. The weight of insecurity and lack of confidence has truly been lifted from my shoulders.

[badgerbrocktree]

30 days left. You've got this. You've come so far, you're almost there man. The light's there at the end of the tunnel. 178 cm, that's 5'10, that's *real* man height. That's the same height as James Bond (Daniel Craig), Matt Damon, Johnny Depp, Jason Statham, and (my favorite) Batman Beyond.

[bid133]

Hey guys, I’m right around the 4cm mark and the last couple days have been tough. It felt free up until this point, but now my legs feel like that second week after surgery. I have muscle tension/pain, throbbing, and knee joint pain. It’s all manageable under 4/10 but constant. It goes away with pain medicine of course, but I was up every few hours of sleep and have to take medicine again to fall asleep because of the discomfort/pain. Bending for extended time hurts, but so does straightening my legs, so I have to alternate. Elevating my legs does miracles for inflammation/pain.

I don’t have any tightness except for my hamstrings, which have got really tight from the reduced movement and prior femur LL. It will take some work to loosen them up again. When I go to PT I can measure around a CM more just because of posture improvement from stretching everything.

I thought having a surgery date and being at the end would improve things, and it did a little bit mentally, but it’s also making time go by so slow now that I am thinking about it. Also my online class ended so I have nothing to do, and I can’t bear to binge watch stuff anymore. I’ve already watched way too many movies and anime’s. Everything is so dreadfully boring. I just need to make it past this last stretch. When I warm up and stand straight I feel taller, and feel like I’m in that range where I’m not under average at all anymore. There is a Chaplin here who is 6’1 and I feel that my eye level is not to far to his and although he’s noticeably inches taller, he doesn’t tower over me. Pre-ll he would have looked twice my height lol. I’m satisfied with my height at this point. I’m not obsessed with becoming tall, but to just be in an average range and feel normal feels amazing. It’s not something I care about anymore. I have a 6 figure job, an exotic car, and good facial features. I feel I can finally be happy, as I was satisfied with everything else going on in my life except my height. When I did my first surgery it did wonders for me, and took away 70-80 percent of my dissatisfaction. I felt a want for a little more, but it wasn’t major and something I could live without. I wasn’t short anymore but a little below average. Now that Im close to average I’m truly content and comfortable with my height.

Having neurosis now would be like not being happy because I make 6 figures instead of 7 figures, or that I live in a nice house and not a mansion instead. The happiness cutoff is truly mental and differs between people and this has fixed mine. It’s all in our heads. There are people who just want legs that work, and I couldn’t be happy because I had a mental prison that I created myself. This quad journey has been long and brutal, but it feels crazy that i am just now almost able to live my life carefree and comfortably. The weight of insecurity and lack of confidence has truly been lifted from my shoulders.

Congrats on finally making it to the end. We shouldn't compare ourselves to someone with no legs or someone even worse off, because there's ALWAYS someone worse off in some way. That doesn't make our struggles any less real or important. We got dealt a crappy genetic hand and are fortunate enough to be able to do something about it, and we have to earn every centimeter with what is probably the most brutal cosmetic surgery that exists. You've been through hell and made it out the other side at an average height instead of being forever short. It's true that you'll never be first, but at least now you'll no longer be last. Again, congratulations.

[Activatedxx]

Thanks for the support guys. My removal date is exactly three weeks away, but it doesn’t feel close still. It turned out I had an infected pin, so I’ve been cycling antibiotics the last week but a lot of the pain was from that, I didn’t catch it at first. However, I’m very limited on pain medicine as my insurance won’t cover anymore and the pharmacies won’t allow out of pocket payment for narcotics. American doctors are very  conservative  also because they are reviewed yearly by how many opioids they prescribe, I got about a 2 1/2 week supply prescribed (each day is 5 pills) in total and I’m at the end of the line so I have to stretch whatever I have left now until removal date. This equates to about one pill a day for me until my removal date, and I save it for night as that is when I have more pain and trouble sleeping. Honestly this is more than enough for precice patients, most of them barely touch their pain medicine, but with fixators it’s a must have for pin site infections.
It’s not like turkey where you’re prescribed as much as you ask for.

The main issue now is there is some Indian family that moved into the room next to mines whose child throws tantrums day and night. It’s literally impossible to sleep. At this point I am considering leaving and getting a hotel. Yesterday he woke up at 2am and started crying and screaming. Even people 2-3 rooms away are complaining about it. I don’t think I could stay here if I was paid to. This place was amazing up until they came. I need to ask how long they are staying. Hoping they leave this week or something.

Edit* I just got my room moved thank God, will be moving tomorrow. If you book at the HP house the second floor is much quieter. It has an elevator obv

[Lennys]

How much is it man?

[Activatedxx]

Currently 15$ daily which is about a third of what my apartment costed