I want to agree with my "critc" that Boston Medical is outrageously overpriced for what they in essence do. I had another MD that would have done this, but I was in the process of moving from Southern California to New Mexico at the time and the MD I needed that I knew to be competent was at the time himself ill and was not going to be back at his practice for several months.
In fact, many of you will be happy to know that I am working with my old MD friend right now to start another chain of clinics to compete against good ol Boston Med.
The abuses in this area are so widespread as to be almost insulting to at least my intelligence.
I also want to point out the duration I had waited for an HMO to even try and get a referral which was totally ignored.
There are many interesting points as one begins to learn what the real truth is.
In the beginning I, like most men was terrified of performing Intra-Cavernosal injections. The thought of sticking a needle in my penis was definitely not appealing. What I learned was that these injections are nearly painless. The easiest way is to use an injecting device which is spring loaded. Used properly zero pain at all!
After I started really doing my homework on this the next fact came to light and this one was what really made me angry. Deducting the cost of the initaial examination from the equation my total cost at Rx renewal time is actually cheaper than any of the three oral medications. It costs me about $850 per year, and this is for Quadmix in jumbo sizes.
When one uses the injectable it does not go systemic as the orals do. The only effect is in the area you want it. The other thing is that I learned that at age 56 I can also if the energy holds out on occasion be multi-orgasmic and go from one right into another.
My elevated prolactin levels will eventually be treated by very low dosages of a drug called cabergoline. The brand name for this is Dostinex. Prolactin in a male is a sex downer and is responsible for the over sensitivity directly after ejaculation in males. Drop the prolactin levels and that ends if the prolactin overproduction is just a result of aging. Prolactin also kills desire for sex completely in some males.
I am in truth very curious to see what happens when I am able to get everything normalized in my blood chemistry. Higher than normal prolactin levels have the ability in and of themselves to interfere with erectile capability as does even slightly elevated estrogen levels in a male. Some will be negatively impacted and some will not.
There are a number of lessons here. The first and most important is to make dead certain that your medical records before age 30 contain complete hormone panels so that you can document change as you age. The reason is that this protects your MD if you finally do find one willing to do male HRT.
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With regards to the financial rewards of the medical field the days of the very rich MD are long gone. The only ones really making the money these days are the drug companies and the insurance companies. The care providers do in fact in the United States charge outrageous fees. The problem is that there is a horrific difference between the net and gross incomes of Medical Doctors.
Insurance carriers trim payments to care providers to such a level that at times the MD's are working for nearly nothing. HMO's such as United Health Care are worse in that they "kick back" insurance claim forms denying payment over 39% of the time no matter how it is billed.
Medical Malpractice Carriers have also contributed to the mess right now. The risk rating of the MD is the guidepost used by the Malpractice Insurance Carrier.
The highest risk areas are Anesthesiology and Neurosurgery. Anesthesiologists in some areas with very busy practices pay well over $100,000.00 each year in premiums for their coverage. The same is true with Neurosurgeons. The moment an MD eliminates surgery from their "menu" rates are cut by as much as 75%.
As a kid growing up, this was the "family business" and when my Stepfather (an MD) passed away I was the one who had to deal with all of the finances and closing records. Most of the family friends and social gatherings were a smattering of people from other walks of life, but there were many other MD's in the picture as well.
One of the ways I earned a great deal of $$ for College was ghostwriting papers for submissions to various Medical Publications.
Medicine has horrific problems right now, but, not all of these problems are what they seem. If anyone really want's to know some of the really nasty issues you can PM me.
The bottom line with the overpriced Boston Med is that they solved the problem!
