Archive for the ‘circumcision’ Category

Risky 57 year old seeks circumcision and doctors are rubbing their chin

Saturday, April 2nd, 2011

(editorial comment: proscribe means prohibit, condemn, denouce or forbid)

Thank you for providing a forum for discussion on this issue. I am 57 year old male int the Chattanooga, TN area, who has recently been diagnosed, by my GP, with phimosis and he proscribes circumcision as remedy, comically referring to it as my, “sex change operation”. I’m still looking for the humor. He has arranged an appointment with a urologist in Chattanooga but I am uncertain how best to assure myself that I have received the best opinions before I make my final decision.  I’m not sure what specific help you might offer but any referrals to information or anything that you might offer as general guidelines would be most appreciated to say the very least.

I have only lived in this area approximately 3 years so have no local network nor history to draw from and frankly I have been frightened by such frivolous attitudes as that described above.  Since being in this area I have been prescribed anti-inflammatory meds which specifically state “not to be prescribed for persons with heart conditions”, I have had two heart attacks and house six stents within my chest.  This prescription came from the same GP referenced above.

Specific to the circumcision issue I understand that some bleeding is to be expected and can be excessive.  I take Plavix daily as well as low dose aspirin and have been refused orthoscopic surgery to deal with a simple torn miniscus in my left keen because of this.  How much additional risk does this present in circumcision?

I am floundering right now Doctor and would just like to try to assure myself that I fully understand my options and possible repercussions.  I have undergone three previous out-patient surgeries which were described as, “common”, “standard”, even, “a cake walk”.  All three have left me with life-altering after effects so if I sound a bit neurotic or paranoid, maybe I am.

With sincerest thanks,

Mac

April 1, 2011

Good afternoon Mac,

Thank you for your interest and excellent clinical presentation.
Several thoughts come to mind.

After reading the attached, if you believe I am the doctor
for you, please initiate a consultation over the phone with our office
by sending us your name, address, and telephone number
in an envelope along with a check for 250.  We’ll
get started ASAP.  We’ll have a lot to talk about.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

15 year old seeks circumcision

Saturday, April 2nd, 2011

April 1, 2011

Hi, I am 15 and am looking for a circumcision that would look similar to that of a boy who was circumcised after birth.  Basically I prefer not to have a bad scar. And a normal look.  I have also had sex, will this affect my circumcision?
Thanks,  Amos

Good afternoon Amos,

Thanks for visiting our web site

In that my license does not permit me to counsel or treat minors routinely without parental consent, I would welcome a conference call with you and your parents on the line.  I’m sure we’ll have a lot to talk about.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

Legally blind man wants cosmetic circumcision

Saturday, April 2nd, 2011

March 31, 2011

Thank you for your speedy response.  You said Most insurance companies pay a doctor about 300 for circumcision.  I can handle 300 with no problem.  Is that the max that it would cost for the surgery alone?
You listed some reasons for having it done.  Surprisingly you mentioned a problem that I have, uncomfortable sex.

I was married for 25 years and sex was not enjoyable. My wife had passed away 6 years ago. If I re-marry, I don’t want to go through the same experience again.  Why other guys have no problem with their sex lives being uncircumcised is beyond me.  I did.  Go figure.

You didn’t reply to my transportation question. If transportation is not readily available and near by  I  can’t come.  I am legally blind and can’t drive. How far is the hotel from your clinic where I would spend the night?

Also you did not reply to my question for after the surgery, do I have to follow up with my doctor?  Yes that one doctor did laugh at me that’s why I don’t want to tell my present doctor.  I called the urologist some time ago here in Saginaw and asked if they did adult circumcision.  She said yes.  After answering my other questions I heard the receptionist laugh as she hung up.

Was she laughing at me or of something else I don’t know but due to my past experience I took it personal. Oh by the way I am 58 years old.
And one last question for now that you didn’t respond too, how much discomfort is there after the medicine wears off?

Thanks again,

Ernie

Good afternoon Ernie,

Our fee is 250 for the consultation and 1750 for circumcision .

That alone is 2000 and transportation and hotel room for 3 nights could
be another 700 more.  Is this affordable for you. 

If not, then please have you circumcision done locally.  Hate to say this
but if you are legally blind, you may not be as fussy if you have a
standard circumcision.

Mean no offense but let’s be practical and economical as well,

Harold M. Reed, M.D.

Getting Elton off to a good start with many questions about circumcision

Saturday, April 2nd, 2011

March 31, 2011

Hello Dr. Reed, Thank you for your phone response. I have several questions to ask you. You had mentioned on the phone that this circumcision is considered cosmetic surgery. Will my insurance cover that? If not what would be the total cost to me. Do you require cash or can I make payments? You had mentioned different types or styles of circumcisions, is there a difference in price depending on what type/style I choose. I would want the full circumcision if there is such a thing. You had mentioned that you don?t have an office here in Mich but suggested that I contact a urologist here in my area. I have to be referred to them by my doctor. I was laughed at once before by another doctor and now I am embarrassed to approach my new doctor. Also I don?t have a good reason except that it is a preference that I have and my doctor will probably tell me (as did the first doctor) that the insurance won?t cover it. What kind of a reason can I give for having it done? Do any of your patience have this
contact: Email
how: Just stumbled across it. Elton

Good morning Elton,

Taking your thoughtful questions in the order posed…

You had mentioned on the phone that this circumcision is considered cosmetic surgery.

Whether it is done for medically valid reason which include but not limited to recurrent tears, hygienic problems with inflammation, tightening with limited ability to retract, bleeding from sexual trauma, uncomfortable sex, etc, we will perform it as cosmetically a we can.

Most insurance companies are reasonably liberal with indications.  Typically they will require that the specimen be sent off to pathology for examination.  We cannot tell a lie nor should you, as that would be medical fraud.

Please confer with a representative of your carrier and pose the question directly based upon your indications.

Will my insurance cover that? If not what would be the total cost to me. Do you require cash or can I make payments? You had mentioned different types or styles of circumcisions, is there a difference in price depending on what type/style I choose.

Please confer with your insurance company for “out of network” provisions.  That refers to when a doctor is not contracted or does not agree to accept your insurance, the insurance company will make out a check to you directly.  Most insurance companies pay a doctor about 300 for circumcision and that’s why some doctors don’t spend as much time as we do.   If you wish us, you do have to be prepaid by surgery and usually make a 50% non-refundable deposit to schedule.

I would want the full circumcision if there is such a thing.

Of course.

You had mentioned that you don?t have an office here in Mich but suggested that I contact a urologist here in my area. I have to be referred to them by my doctor. I was laughed at once before by another doctor and now I am embarrassed to approach my new doctor. Also I don?t have a good reason except that it is a preference that I have and my doctor will probably tell me (as did the first doctor) that the insurance won?t cover it.

Laughing at you.  Really?

Hope that gets you off to a good start.

Harold M. Reed, M.D.
305-865-2000

My 18 year old nephew needs a circumcision

Saturday, April 2nd, 2011

March 30, 2011

Specific_Questions: I have an 18 yr/old nephew that would like to get circumcised. I had contacted you in the past for information & would like to request it again. He is a senior in high school & has been on the swim team for 3 yrs. He was not able to consider the surgery during swim season & he would like to move forward with it at this time. Kindly forward the necessary information so that he can become more informed as to the type of cuts/procedures available as well as possibly scheduling a consultation. I look forward to hearing from you. Sincerely, Jeanne

Good morning Jeanne,

Thank you for your continued interest in what we do.

Please show this to our nephew.

Your penis is one of the most important cosmetic and functional features
of your body.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years!  This is your circumcision and we do it the way you want with respect to 4 parameters.
 
Please don’t be like the patient done elsewhere who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)
 
Be assured we will show you every courtesy,
 
All the best,
 

Harold M. Reed, M.D.
305-865-2000

How do I know I will not have loss of sensation in my glans

Saturday, April 2nd, 2011

March 29, 2011

How do I know that I will not lose sensation in the glans penis?

Cameron

Good afternoon Cameron,

Thank you for your interest in what we do.  Your penis is one of the
most important cosmetic and functional features of your body.

Most of my patients are already circumcised and not one
has complained of loss of sensation in their penis.  If this is of
great concern to you and you do not medically need a circumcision
then remain uncircumcised.  Nature cannot be all that wrong.

We have performed over 6000 cosmetic circumcisions in the past 35 years
and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions,
men who have not seen the heads of their penis for 20 years! This
is your circumcision and we do it the way you want with respect
to 4 parameters.
 
Please don’t be like the patient done elsewhere who writes: “Dr. Reed I just got
circumcised two days ago and my result was not what i expected. I was wondering
when i recover can i get a consultation with you.” Photos sent
and received (unspoken comment “disaster zone”)
 
Be assured we will show you every courtesy,
 
All the best,
 

Harold M. Reed, M.D.
305-865-2000

Is 80 too old for a circumcision?

Saturday, March 26th, 2011

March 25, 2011

Would like to be circumcised.  My age is 80 is that too old, Ted

Good afternoon Ted,

At your age best to do it only for a justifiable medical reason.

You will need a letter of medical clearance by a cardiologist, and the procedure should only be done in a hospital setting with ancillary care provided by the department of anesthesia.

We have put a penile implant in a man in his early 90′s who still drives, has all his faculties, owns 2 homes.  Safety first.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Hydrocortisone still used for chronic foreskin inflammation but seldom a cure

Saturday, March 26th, 2011

March 25, 2011

Dear Dr. Reed,

After suffering from chronic inflammation kept sort of in check with regular application of Hydrocortisone for some six years now, I think it is some sort of allergy, I decided to consider circumcision surgery option. I am 49 year old male, born in eastern Europe. Just wonder how much it would cost the whole procedure without health insurance? Thank you very much for your time, sincerely, Zafir

Good afternoon Zafir,

Thank you for your interest in what we do.  If you come to circumcision with us, please do not apply any hydrocortisone ointment for a good two or three weeks as it may interfere with wound healing.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  Our fees are posted on our web-site.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years!  This is your circumcision and we do it the way you want with respect to 4 parameters.
 
Please don’t be like the patient done elsewhere who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)
 
Be assured we will show you every courtesy,
 
All the best,
 

Harold M. Reed, M.D.
305-865-2000

“The Donald” wants a free consultation and circumcision to follow the same day.

Wednesday, March 23rd, 2011

March  23, 2011

For adult circumcision, is the $250 evaluation fee waived if the procedure is performed?  Can I schedule a consultation and procedure for the same day? 

The Donald (this one from Miami Beach, a little south of Atlantic City).

Good afternoon Donald,

Thank you for your interest in what we do.  Consultation fee is always applicable and never waived.  Your penis is one of the most important cosmetic and fucntional features of your body.   Please review our informed consent which is posetd on our web-site, especially if you seek to have a circumcsion the day you arrive.  Call me with any questions or concerns before scheduling.

We have performed over 6000 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your circumcision and we do it the way you want with respect to 4 parameters.
 
Please don’t be like the patient who writes: “Dr. Reed I just got circumcised (elsewhere) two days ago, and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)
 
Be assured we will show you every courtesy,
 
All the best,
 

Harold M. Reed, M.D.
305-865-2000

Overly tight foreskin, girl friend reports bad taste

Wednesday, March 23rd, 2011

March 23, 2011

I have been battling the idea of a circumcision for a long time, my insurance is aetna choice pos.my foreskin has never exposed the head of my penis in my lifetime.i never really had issues with girls and sex, except the last 1 who complained of a bad taste.Not only was this embarrassing but it has shot my confidence to an all time low.Not being circumcised is on my mind any time I am I am with a new girl, what will she think, what will she tell her friends, what doesnt she tell me. I would like to know more about adult circumcision and would want you to provide your services to me.I dont last long in bed, i am not sure if its because of the extreme tightness of the foreskin. I live in CT and would like to know when you have available appointments, how long I will have to miss work for? my job is not that strenuous, I am an internet manager and designer for car dealerships, most of the time i sit during the work day, sometimes walk to take inventory. please help me, my sex life is in a down spiral because of
contact: Email Razook

Good morning Razook,

Thank you for your interest in what we do. Regretfully we are not Aetna providers.  They may pay you for out of network coverage. You definitely need a circumcision as your penis probably elaborates carcinogens that could be a causative agent of cervical carcinoma. What woman wants that.

We have performed over 6000 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years!  This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised elsewhere) two days ago, and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent
and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

All the best,

Harold M. Reed, M.D.
305-865-2000


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