MD's and Incompetence in treating E.D.

Discussion in 'The Healthy Penis' started by FuzzyKen, Sep 30, 2009.

  1. FuzzyKen

    FuzzyKen New Member

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    Incompetence in Treating E.D.

    I am beginning to believe that there are many medical doctors who should be taken out, lined up and shot. This is particularly true when the subject is erectile dysfunction.

    I have witnessed more baloney being given to E.D. patients than most of you would believe. What is very sad and disheartening is that a great deal of the incorrect and misinformation is originating with people who have a license to practice medicine.

    I tried for over three years personally to get a referral from ny HMO to a specialist dealing with this issue. In three years the referral never came. The offers from the MD's at the HMO were prescriptions for inneffective orals and discussion of an implant. These individuals could not get it through their empty heads that a surgical implant is the very last resort and that there are numerous things that can be done between orals and surgery.

    I also had to literally scream and beg to get hormone panels run. At age 56 and having lived in a high stress situation for some years I expected my testosterone levels to be low. When the hormone panel came in the serum testosterone level was low and barely inside the levels considered normal. I asked the MD what the free-floating level was and what were the prolactin and testosterone to estrogen ratios. The answers I got back were literally "Why would you need to know that stuff?"

    To put it mildly I screamed bloody murder and I was again made into a pincushion. As expected by how I felt and what was going on with my body, when that was returned to the MD the levels were totally off. I found my estrogen and prolactin levels to both be elevated. Also as expected my free-floating testosterone level was outside normal levels as well and this one was well below established norm.

    My question to the MD...."What are we going to do to correct this."

    Their answer: "Nothing, supplemental testosterone might increase production of red blood cells and we don't want to do that."

    Every question I asked was answered with a question which had no medical basis in fact and others were answered not with answers but excuses.

    So the concept is that if a 50+ year old male with no prostatic enlargement and no history of prostatic cancer loses the ability to achieve or maintain an erection, starts to grow breasts, and has an elevated prolactin level we do nothing. I was basically told that I was over 50 and if this was my fate I should accept it and their lack of treatment without question.

    I took the matter into my own hands and to deal with the erectile dysfunction went to Boston Medical in Orange County, California. It cost me $2,500 out of pocket to at least get the erectile dysfunction dealt with. That opened up the next can of worms.

    Though I am HIV sero-negative, I have several friends who are HIV sero-positive. Many of the men who have been on protease and reverse transcriptease inhibititors based on drug side effects end up with E.D..

    My E.D. was primarily caused by scar tissue from an injury taking place when I was 17-years-old. This was documented in the testing that was done by Boston Medical.

    Because any MD can treat ED, I sent those suffering to their own MD's because in this manner the only thing they would have to pay for were the cost of the injectable and the syringes.

    This began the next dosage of evidence on medical incompetence.

    Here are the initial lines that some of these men received.

    1. You start with caverject, then go to bi-mix, then to tri-mix, then to quadmix which is by far the most potent and far too dangerous. This is totally incorrect information in that the Caverject is now obsolete, and is an ingredient used in the others. Used alone it tends to make erections painful. Quadmix potency is determined by the concentrations of the igredients in it and not by content of the 4 ingredients. WRONG on the part of the incompetent MD's.

    2. Virtually none of the MD's asked knew of and had knowledge on how to treat ED in their patients and none had working knowledge of how Sildenafil, Vardenafil or Tadalifil (Viagra, Levitra, Cialis) actially worked. To them these were the end solution and if these did not work there was nothing else but an implant.

    - - - - - - - -

    Many of our most well endowed brothers on this board will face E.D. issues before those of far less with regards to size simply because of blood volume and vascular leakage issues that show up earlier in larger penises. That is a simple fact.

    - - - - - - -

    Until you encounter the incompetence that goes with treatment of E.D. it will seem very trivial to many. It is also pervasive in the minds of many that first it will never happen to them and second that it can be prevented by means of diet, exercise and nutrition. Though those factors will play a role, none of them are a guarantee.

    Others will talk about supplements. Sadly there are no supplements which will work in any individual with moderate to severe E.D.. This requires medical intervention and no amount of amino acids or herbals is going to fix it. I know, I tried them all!

    - - - - - - -

    Here are things you CAN do to help yourself if this monster rears it's ugly head at some point in your life.

    1.) When you are in your 20's make dead certain that you have in your medical records complete and accurate hormone panels. An MD is allowed to prescrible supplemental testosterone therapy IF they have proof that your testosterone level has fallen from a previous level. They cannot be accused of steroid Rx's if your records indicate that what they are doing is in fact replacement.

    2.) If you start having E.D. do not let anyone convince you that you need to accept this simply because of age.

    3.) Be aware than many common medications both OTC and Rx can cause ED and most MD's are not aware of this and some are prone to minimize these effects. Propecia for hair growth is one that will do this, and drugs used to treat depresssion, high blood pressure, and even some cough and cold medications can absolutely kill the ability to get an erection.

    If you have had a negative experience trying to get treatment for E.D. this is the place to let your brothers know that this kind of mistreatment is common and let them know how you fought back. The best cure for E.D. is not a medication, but in fact open talk and understanding of what it is and that it is nothing to be ashamed of. We need to drag this one out into the light and by doing so we will force MD's to get updated training in E.D.diagnosis and management.
     
  2. cbrmale

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    I have partial spinal column nerve damage from an illness in my menges, which caused ED. I was initially put on Caverject, I moved to Cialis for a while, but now have returned to Caverject as I find it very effective. Here in Australia, I had no trouble at all getting diagnosis and treatment, and part of my treatment was a full pathology analysis to ensure that nothing was overlooked. This analysis uncovered my diabetes in an early stage, this diabetes was caused by the same illness as the nerve damage.

    I now work in healthcare, and I have researched healthcare systems all around the world. The US has one of the worst, given that it costs twice as much as a percentage of GDP as Australia's, and delivers consistently lower outcomes. When the cost of treatment for an individual is taken out of the equation, doctors are much more inclined to investigate more thoroughly, and also prescribe drugs and medications more readily.

    An example. My pathology if done today in the US would have cost me something like $800, but here it was zero cost to me. It's not free, it would cost the taxpayer around $500 today in Australia, which is still a lot less than the $800 in the US. But given I was not going to be driven to bankrupty by having a pathology analysis, the doctor was quite free to get the full picture of what might be causing my ED. My Caverject costs me $30 for six injections, which is a lot less than the US too, and the cost to the taxpayer for their share is $50, for a total of around $80 for 6 injections.
     
  3. D_Pubert Stabbingpain

    D_Pubert Stabbingpain Account Disabled

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    Thanks for posting this Ken! I have a friend HIV+ 17 years who finally got his doc to Rx him some Testosterone after tons of wasted time on the 3 E.D. drugs.

    Even more sad is that the U.S. medical community, partially constricted by insurance companies and partly by their own ignorance, not only do not use preventative hormone testing in order to establish a baseline at a young age but they continue to use a completely outdated range for Total Testosterone.

    Complaining of a low libido, I could not find a doctor to give me a total workup and then it did not include everything required for a complete diagnosis. I had to hunt down one of those Testosterone docs who charge huge fees that are not covered by insurance. Finally, I just ordered my own testing online and discovered that although my Total T was "normal," my Free T was actually Low and my Estradiol was borderline high.

    The only way for men to get quality medical care in the U.S. is to inform themselves *before* they go to the doctor and if the doctor gives you shit you have to look for another. :banghead2:
     
  4. Gaydoc

    Gaydoc New Member

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    Why do you think those doctors work for HMOs in the first place? If you were all fired up about seeing a subspecialist, for god's sake, you should have paid for the damn visit yourself, and sooner! (Worst yet, you went to Boston Medical of all places! Out of the frying pan and into the fire. They are a known money making factory. Not that I have anything against making money-it's good for the economy. Bet you paid for your Rx over and above your visit, and before you left the building)

    Guys, you don't like the medical care you are getting? Vote with your feet! There are a hell of a lot of good, honest, intellegent medical people out there. But if you insist on "free", you are going to wind up with what you paid for.
     
  5. EL_Duderino

    EL_Duderino New Member

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    there are tons of lousy md's out there. it's really sad how they always want to prescribe something other then investigate further. dr.s think they have to have all the answers and most have big problems admitting they don't know the answer to something. We really need to make dr.s stay current since imo getting your md 30 years ago and not staying up to date doesn't make for a good practicing dr.
     
  6. jason_els

    jason_els <img border="0" src="/images/badges/gold_member.gi

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    Bravo Ken!! Thank you very much for taking the time to share your experience. I wish you many raging hard-ons in the future!
     
  7. Sergeant_Torpedo

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    Making money is good is a simplistic (even simpleton's) view of the economy. The billions bankers and brokers made was not good for the economy nor for society.
    Physicians and surgeons offer you no more than the benefit of their knowledge. An inexpensive medico is no less competent than a one who overcharges. Healing people was once an honourable vocation, now it is a trade like any other.
     
  8. B_dxjnorto

    B_dxjnorto New Member

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    The vast U.S. pharmaco medical complex is in shambles. Case in point: Circumcision. The penis is a vascular organ and good function depends on good blood supply and nerve supply. Docs make money going and coming on circ.

    Most U.S. doctors are millionaires. But, our litigious culture wastes millions up front on malpractice and cover-your-ass tests and procedures and millions more later on lawsuits. Some are good people, but how many good guys would want to be doctors?
     
  9. D_Pubert Stabbingpain

    D_Pubert Stabbingpain Account Disabled

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    Agree that it was once honourable, or at least was treated so by my parents who thought doctors were next to God. However, (and not to intentionally get off topic) but to piggyback on what dxjnorto says below, my parents were told to circ me and did. My point? Even though it was once honourable, they have always been human and therefore subject to their own biased opinions. Being born in a county hospital I doubt there was a profit motive but there sure is now.


     
  10. cdarro

    cdarro New Member

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    I'm glad things seem to be working out for you, Fuzzyken. I had absolutely no problem getting testosterone supplements. My Family Physician referred me to a urologist; eight days later I saw him and went to a clinic to get blood tests for my hormonal profile. His office called me two days later, made an appointment for me the following week, and he prescribed Testim gel for me. (I will soon change to pills as the gel irritates the skin on my upper arms where it's applied). Much better mood now, sleep better, waaaay more energy, and sex life also better. Just a great feeling of well-being.

    From the time I called my Family Physician to the time I got the prescription, it was 14 days, including weekends. 70% of the drug cost is paid by the provincial health plan (to a maximum out-of-pocket cost to me of $25). That's our inefficient, rationed, gone-to-hell, avoid-at-all-costs socialized healthcare system for you.
     
  11. diddy

    diddy New Member

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    you're an idiot, but thanks for playing to the ridiculous stereotype that all physicians are just rich a-holes . . .

    http://www.modernhealthcare.com/assets/pdf/CH50882721.PDF
     
  12. B_dxjnorto

    B_dxjnorto New Member

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    I worked in a hospital for the last seven plus years. There are a lot of nice doctors, but a fair number of assholes. They are just people like everyone else. There have been studies done that people are healthier where doctors are fewer.

    Thanks for the info. The lowest paid is seven times my salary.
     
  13. D_Gunther Snotpole

    D_Gunther Snotpole Account Disabled

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    I don't get your point.
    Why wouldn't you say, 'Quite a few'?


    Well, that website certainly would prove that most docs are rich ... or should soon become rich. Very high salaries over most specialties.
    (Why, oh why, didn't I follow daddy into medicine?)
     
  14. B_dxjnorto

    B_dxjnorto New Member

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    I don't find any more altruistic people in doctor ranks than the general population. And many if not most are guilty of my pet peeve against the whole medical industry. How they are indoctrinated I suppose. Don't agree with it.
     
  15. D_Gunther Snotpole

    D_Gunther Snotpole Account Disabled

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    Well, you sorta made it sound as though most good guys would steer clear of medicine, no?
    If you're saying docs just don't have any proprietary lock on virtue these days, I can sing from that song book.

     
  16. B_dxjnorto

    B_dxjnorto New Member

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    Yes, I think they are more motivated by money than ever, although malpractice eats up a lot of it. A very difficult life, but as I understand it many are fighting health care reform to hang onto their egregious incomes. A quandary and a paradox. Money makes people do weird things. I don't think most doctors have time to spend their own money.
     
  17. D_Gunther Snotpole

    D_Gunther Snotpole Account Disabled

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    There's only one solution: Dermatology.
    Basically, business hours, no emergencies (or very few), very high income ... and more freedom to fly to Tahiti when the mood hits.
     
  18. B_dxjnorto

    B_dxjnorto New Member

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    Yeah, radiology too. Work in a quiet dim room. Have twenty-four to forty-eight hours to make your report and most of the time nothing is wrong at all. Still have to put some needles in weird spots though, breast biopsies and such.
     
  19. D_Gunther Snotpole

    D_Gunther Snotpole Account Disabled

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    Yup, radiology.
    And, come to think of it, pathology.
    Very few arguments over fees and service.
     
  20. B_dxjnorto

    B_dxjnorto New Member

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    Yes, but spend much of your life peering through a microscope. The head of our lab, the person through home our lab is accredited, is a chain smoker. For years, before I knew who he was, I thought he was one of our custodians -- standing out by the ash can smoking his smokies every spare chance. Nope, they ain't any smarter than the average guy or doll. Definitely more driven and persevering with homework.
     
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