Dr Nigam agrees to doubling slick NW6/NW7

[One]

What happened with Mr. Joshi?

We did not have to get new photos?

Thanks

[Arashi]

What happened with Mr. Joshi?

We did not have to get new photos?

Thanks

Supposedly he'll start with Joshi this weekend, so that will be the last chance to get good pre-op photo's. He has already taken a few new ones, they were are lot better than the previous ones but not all of them were good enough, especially the donor photo's were a bit out of focus. It seems he's trying and he might get to a decent enough quality, but still ... I honestly don't get it why he's not getting a professional to shoot them.

On the bright side, Joshi seems to be a very interesting case, I can tell by the photo's that there's no way this guy is going to get a full head of hair with traditional FUE.

[Arashi]

Actually, I just sent him a new email, suggesting again to hire a professional. It's hard to tell where there's hair and where he's really bald, even by the best pictures he's shot so far.

Again, the photo's he's sent me are good enough to demonstrate that this guy is not going to get a decent coverage with traditional FUE, so from that standpoint the photo's would be good enough already: if he can get this guy to a NW1-NW2 level with 50 grafts * 2.5 hair/cm2, then he has proven his technique beyond reasonable doubt. But if you're going to make a showcase out of it to prove your technique, then just do it right and get great photo's, that show every graft on his scalp, so we get a accurate and honest idea about his current donor density for example

[Arashi]

@Hellouser: if you want, then please send Dr Nigams an email to ask if he wants to send you the photo's too. I have this feeling he's just not going to hire a professional and wants to take the photo's himself. I've suggested a few things that I think would improve his photo's, but you're much better at that, so maybe you can take a look at the photo's and suggest how he can improve them.

[jay woo]

If Dr Nigam has ignored previous requests and advise on photos, it is unlikely he will change now. People are most likely going to have to use the photos provided to decide if the treatment is a success or failure. It will also require the patients to complete the treatment and not disappear. I imagine the treatment will be long and painful and the though of multiple treatments would not be nice thought.

It has been a few months since Dr Nigam has posted about a new treatment method that is an improvement on the last. Is he only posting in the invite only forum now?

[UK_]

Look can we not just wait for Dr Mwambas feedback? All the photos in the world are still going to be questioned - I think Nigam has recognised this which is why he has asked Dr Mwamba to review his work.

[gc83uk]

Look can we not just wait for Dr Mwambas feedback? All the photos in the world are still going to be questioned - I think Nigam has recognised this which is why he has asked Dr Mwamba to review his work.

I don't see any harm in doing dual tests. It doesn't actually matter too much either way. Surely you can understand that?

It's worth noting, there is a possibility that Mwamba will take a while to publish the results and it's also possible that he will be unhappy with his first batch of tests and want to repeat the test with some alterations to perfect it. This could take a year.

So why not run another test?

It's not going to kill anyone.

This ain't aimed at you 'UK', but some people need to relax and just enjoy the progress we're making and run as many tests as we can get away with.

[crafter]

so whats the latest on this? this thread has gone quiet.

[drnigams]

GC,
I did donor doubling on a forum viewer from uk yesterday.
He will back after 45 days for his HM injections.

As you all are aware, we have extracted grafts, from Mr joshi's beard for multiplication of hair stemcells and 3d culturing.
Will start his doubling procedure shortly.

I am open for any number of 50 graft patch tests, as i am doing atleast one donor doubling everyday.
But it will be taken as proof ,only if there is a third party monitoring the same, or else all the efforts will go waste.

Tom's monitoring and the monitoring of dr mwamba's staff patch test, is being done by dr mwamba and tom.

Just to let you all know,mwamba/nigam clinic at brussels for doubling should be operational by 2014 at brussels,in most probability,unless some technical obstacle comes.
Apart from, these test cases,how do we prove.
Even publishing clinical study in journals, is also not 100% proof.

Many research and study papers are being published,claiming to have partially solved various issues related to MPB cure..
still, no clinic has cliamed of even having solved (small issue like) scar or white dots of fue(except us and hst,may be partially by dr cole,may be wesley )

Another option would be, have a slick bald guy from forum,on whom we can do a patch test of 50 grafts,at a particular area of his scalp....and to motivate him,we would do free doubling on his rest of the scalp...
this approach will not interfere with the patch test area.

As on today, the best approach is denovo..as you have explained in your earlier post.

Arashi,
Jahoda mentioned partial success with his 3d culturing to grow human neo follicles,as the epithelial component was missing.

Just to remind you,we do not miss the epithelial component in our HM protocol,as we culture epithelial hair stemcells separately and 3d dp cells separately..and inject both.

The issue in 3d dp culture in spheroids which need to be overcomed is ..mass scale production and supply of oxygen,nutrients at the core of the spheroid.

Which will be taken care of shortly n coming months...with pva coated 96 well tubes, PDMS arrayed in a TCPS culture plate,
and with few other ways of co culturing epithelial and mesenchymal hair cells in layers...and/or with various scaffolds.

Also remember ,we also use freshly isolated dp cells..which are trichogenic for atleast 1week,if injected within this period..there are around 1000 dp cells per hair follicle.

Also remember the 3d spheroids to fully trichogenic ,needs SHH signalling for activation...we have partially solved this issue of 3d spherid activation by SHH.

I don't see any harm in doing dual tests. It doesn't actually matter too much either way. Surely you can understand that?

It's worth noting, there is a possibility that Mwamba will take a while to publish the results and it's also possible that he will be unhappy with his first batch of tests and want to repeat the test with some alterations to perfect it. This could take a year.

So why not run another test?

It's not going to kill anyone.

This ain't aimed at you 'UK', but some people need to relax and just enjoy the progress we're making and run as many tests as we can get away with.

[censur]

I don't see any harm in doing dual tests. It doesn't actually matter too much either way. Surely you can understand that?

It's worth noting, there is a possibility that Mwamba will take a while to publish the results and it's also possible that he will be unhappy with his first batch of tests and want to repeat the test with some alterations to perfect it. This could take a year.

So why not run another test?

It's not going to kill anyone.

This ain't aimed at you 'UK', but some people need to relax and just enjoy the progress we're making and run as many tests as we can get away with.

You are absolutely right.
I can't understand people who DON'T think more tests are a good idea.

For alot of people out there the need for an effective treatment is truly urgent and putting all eggs in one basket and waiting for a single doc to come up with a conclusion is just unnecessary. Why take the risk of having to wait longer than required to come up with at least some preliminary answers?

[UK_]

You are absolutely right.
I can't understand people who DON'T think more tests are a good idea.

Dr Nigam has already stated he has a time limit to develop his procedure before legal constraints collapse his work, so I hope now you understand why people "DON'T" think constantly bothering him about super-HD photos with a $50,000,000 camera and Spielberg director will help any of us in the long-run.

[censur]

Dr Nigam has already stated he has a time limit to develop his procedure before legal constraints collapse his work, so I hope now you understand why people "DON'T" think constantly bothering him about super-HD photos with a $50,000,000 camera and Spielberg director will help any of us in the long-run.

You do have a point, I'll give you that.

But as you know, the need for answers is somewhat desperate among many hair loss sufferers that have been waiting year after year after year for a superior treatment or cure.
Perhaps it's rational to let him focus on his work and not bother him too much.

But on the other hand I agree with Arashi and others that it would help alot to do our own 50 graft test as well.
And I really can't see how making one test like that could drain his time and energy to the extent that it actually affects his progress.

It has been too much discussion about the quality of the photos. The reason for that is that it is actually very hard for me and others to understand why he just doesn't hire a professional photographer. I mean, I'm pretty sure a photographer in India won't charge an insane amount of money for a job like this. To not shoot quality pictures in what could actually be the worlds first test that proves some kind of hair loss cure is just beyond comprehension for me and others.
If Nigam proves success he will quickly become one of the richest HT-surgeons in the world. And then he has really deserved every penny - and the photographer as well.

[UK_]

I agree with Arashi and others too but I am more concerned about suddenly Dr Nigam coming on here and saying sorry guys I ran out of time and Indian authorirties have closed me down... I mean if that ever did happen (touch wood it doesnt) - what would we have left? Just Histogen?

[gc83uk]

Dr Nigam has already stated he has a time limit to develop his procedure before legal constraints collapse his work, so I hope now you understand why people "DON'T" think constantly bothering him about super-HD photos with a $50,000,000 camera and Spielberg director will help any of us in the long-run.

How is this relevant? We're talking about doing a test at Nigams with our own photos. Nigam wouldn't need to take any photos. It would just be any other normal day for Nigam. So what's the problem?

[UK_]

How is this relevant? We're talking about doing a test at Nigams with our own photos. Nigam wouldn't need to take any photos. It would just be any other normal day for Nigam. So what's the problem?

This is what I hear a lot of... a lot of talk and pestering yet never any action... so when are you going to take pics? Have you booked your flight? Or are you like everyone else here... just bombarding the thread with useless suggestions about taking better pictures but not ready to really do something yourself.