Diario della sorella di un ragazzo morto a causa dell'intervento di allungamento degli arti

si è operato in Italia ma da Guichet?

His research directed him to Dr. Jean-Marc Guichet, a French surgeon who developed a special surgical limb-lengthening technique that yielded faster, but presumably less painful, results. Though the surgery is also performed in the United States, where it can cost upwards of $100,000, Yush believed Dr. Guichet was a world expert. “This procedure is pretty safe, with no recorded patient (of thousands) having ever been handicapped,” Yush’s email continued. “I insisted on seeing the stats with the doc.”

However, according to the website for the New York-based Institute for Limb Lengthening & Reconstruction, the development of a pulmonary embolism is a rare, but possible, risk: “Pulmonary embolism and deep vein thrombosis... are rare with [limb lengthening] surgery, but they can occur and could lead to sudden shortness of breath, chronic leg swelling and even death.” The Paley Orthopedic and Spine Center in Florida says on its website that “prevention is key” and that it sends “each patient home with a prescription for an anticoagulation drug” to prevent deep vein thrombosis and pulmonary embolisms.

Guichet told me that the surgery he provides is safer, and leads to fewer complications, than traditional limb-lengthening procedures. “99% of patients worldwide are operated on with external fixators, but I developed 33 years ago the only fully weight-bearing nail in the world at that time,” Guichet wrote via email. “Of course, it benefits a lot of patients and like all surgical procedures it has implications or complications, but far less than external fixators.” His website touts the ability to “recover walking, right after surgery,” among several success stories. Nowhere does it mention that one of his patients died from a pulmonary embolism during the recovery period, nor does it list pulmonary embolism as one of the potential risks of the procedure. Citing privacy concerns, Guichet declined to discuss any aspect of Yush’s procedure or recovery with me unless I met him in person in Milan, but wrote in an email that patients “are obviously informed” about the risk of pulmonary embolisms and their symptoms. Guichet also said that he generally prescribes preventative medication to lessen the risk of pulmonary embolisms and informs patients what to do if symptoms of a pulmonary embolism occur. (I do not know how aware Yush was of such a risk, whether he was prescribed any medications to prevent its onset, or whether he knew what symptoms to identify should it develop.)

Yush, then a college freshman, during a cross country race.
Yush, then a college freshman, during a cross country race.
Photo: Courtesy Prachi Gupta
Clark, along with my parents and his friends, tried to talk Yush out of the surgery, but he refused to reconsider. “There’s a huge social stigma in our culture against body modification. Basically, if you change yourself through what sound like ‘extreme’ measures to change yourself or whatever, it comes off like you’re just really insecure,” Yush wrote in the email. “In the future, it’s probably going to be totally normal for people to get body modifications like cybernetic implants and stuff. At that time, getting longer legs is going to seem like a pretty mundane thing to do. I just don’t hold the same stigmas that other people do on how I should behave.”

Yush attempted to convince Clark that his decision was based on logic and not on insecurity. But in the medical industry, his relationship with his height could have been characterized as “height dysphoria,” a “dissatisfaction with one’s stature that affects a person’s mood and thoughts about themselves,” according to Ellen Katz Westrich, a clinical psychologist at New York University’s Langone Medical Center who assesses candidates for limb-lengthening surgery at the Institute for Limb Lengthening & Reconstruction. Because of the risks associated with limb-lengthening surgery—which includes long-term damage to nerves, limitation of joint motion, chronic pain, and in rare cases, pulmonary embolisms—Westrich cautions that “although the procedure is performed for cosmetic reasons, it is not in the same dimension as other cosmetic procedures such as facelifts, breast augmentation and nose jobs.”


Westrich said that she sees many more men with height dysphoria than women. Men she’s counseled, she said, often “feel like they’re at a disadvantage. They feel like they’re not taken as seriously in terms of work environment. They feel like romantic partners don’t see them as being as attractive as they could be if they were taller,” she said. If that dissatisfaction becomes a fixation, however, in which a perceived lack of height turns into “an unhealthy obsession and preoccupation with a perceived physical imperfection,” a candidate might suffer from a form of Body Dysmorphic Disorder, making them a poor candidate for surgery. The condition is “on the spectrum of Obsessive Compulsive Disorder, and surgery is not going to correct that,” she explained. “It’s a psychological problem, and surgery is not going to address the fundamental problem.”


Guichet’s website acknowledges that patients like Yush, who pursue limb lengthening for purely cosmetic reasons, “are really asking the surgeon for a solution to their psychological issue or insecurity,” and “This means that we have to carefully evaluate and coach the patient psychiatrically to ensure their informed decision will have the best possible results.” Yush passed Guichet’s evaluation, and he arranged the surgery in Italy.

Ora dovrebbe fare sconti però alla luce di sto fatto

l'ho letto, anche ho saltato alcune parti e questa è una di quelle che ho saltato.
cazzo, Guichet è il secondo che ammazza negli ultimi anni.
e nei primi anni 90 aveva operato un italiano che però era rimasto zoppo.

comunque, nella parte che ho letto diceva che si è operato in Italia.
Qui parla di Guichet.
Non capisco il collegamento.