Maybe A stupid thought?

The final frontier. Deciding when, if and how.
frwmw1
Posts: 58
Joined: Thu Oct 01, 2020 7:38 am

Re: Maybe A stupid thought?

Postby frwmw1 » Sat Oct 17, 2020 11:01 pm

WhiteCane wrote:My experience, I am now on the side of believing that there can be good surgeons within 30 miles of someone’s home who don’t market themselves like Coke. I think these surgeons should also be considered.


This is a very interesting point to make about marketing.

However, the thing I notice is the surgeon's who open their own practice to specialise in implants, while they do much more marketing, and it can be very cheesy marketing, but following Dr Eid's advice in finding a surgeon "who loves their craft", these surely are the surgeon's who do very much love their craft.

Whereas I notice other surgeon's, when reviewing their papers, are more interested in fighting prostate cancer, for example.

Another point is these specialised, private practice surgeon's stand to lose more if their practice fails due to bad reputation.
45yo, venous leak. Pills have likely given me tinnitus, this is very rare. Trialing Trimix.

Gt1956
Posts: 783
Joined: Fri Apr 05, 2019 2:47 pm

Re: Maybe A stupid thought?

Postby Gt1956 » Sat Oct 17, 2020 11:53 pm

Frwmw1, I'm afraid a lot of it is influenced by research dollars. My primary doctor & my (hopefully) implant surgeon both said basically as much. Currently lots of money is being thrown at the female cancers.
I had queried both doctors about prostate cancer research. My wifes family participated in the breast cancer gene study many years ago. Luckily she doesn't carry the gene but her mother & 3 sister did. We have always felt glad that she was able to help in that research.
As for prostate cancer. I'm from a family of all boys. My father only had brothers also. My primary doctor seems to be pretty diligent in my testing. He says that my PSA is super low. I'm the youngest. My oldest brother is 83. No prostate cancer in my generation nor in my fathers generation. I was asking my doctors if either of them knew of any genetic research was being done. After all, I think we might be good for that research. Both replied that female cancer was getting most of the research dollars currently.
On the odd chance that anyone knows of prostate genetic research. I might be willing to participate.
63 HBP at 40 high triglycerides at 45 Type 2 at 60

frwmw1
Posts: 58
Joined: Thu Oct 01, 2020 7:38 am

Re: Maybe A stupid thought?

Postby frwmw1 » Sun Oct 18, 2020 12:08 am

Gt1956 wrote:Frwmw1, I'm afraid a lot of it is influenced by research dollars.



But I see surgeon's who are quite capable of chasing these grants yet they opt to start their own private practice in penile implants instead. They also boldly state in their online descriptions that they focus on prosthetics.

Whereas I see other surgeon's list penile implants amongst a bunch of other things.

So I do wonder that it is best to go for the surgeon who says they focus on penile implants because they have more skin in the game.
45yo, venous leak. Pills have likely given me tinnitus, this is very rare. Trialing Trimix.

Gt1956
Posts: 783
Joined: Fri Apr 05, 2019 2:47 pm

Re: Maybe A stupid thought?

Postby Gt1956 » Sun Oct 18, 2020 12:30 am

frwmw1 wrote:
Gt1956 wrote:Frwmw1, I'm afraid a lot of it is influenced by research dollars.

But I see surgeon's who are quite capable of chasing these grants yet they opt to start their own private practice in penile implants instead. They also boldly state in their online descriptions that they focus on prosthetics.

Whereas I see other surgeon's list penile implants amongst a bunch of other things.

So I do wonder that it is best to go for the surgeon who says they focus on penile implants because they have more skin in the game.

Only an opinion. I strongly suspect that both groups have a mix of good & bad. I've read what amounts to the AMS installation manual. It is pretty basic. Maybe to a trained surgeon it is specific. But to me it sure seemed to not have a lot of detail. Technical manuals for the overhaul of aircraft parts frequently goes into more detail. Just saying.........
We have had many threads about choosing a surgeon. Honestly, I don't know of a sure method to guarantee that you'll get a good one. I think the advice to look for one that loves his craft is likely as good as any. A doctor that cares should have the personal drive to excel, as for the grant money. I didn't say it but I was alluding to funding to medical schools to help fund teaching in certain fields.
63 HBP at 40 high triglycerides at 45 Type 2 at 60

oldbeek
Posts: 1476
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Maybe A stupid thought?

Postby oldbeek » Mon Oct 19, 2020 7:57 pm

merrix wrote:
WhiteCane wrote:Sorry, it’s a little difficult as a blind user to do a lot of things on this website… Changing the signature happens to be one of them LOL I haven’t gotten around to it yet… in 2019, Dr. Kramer installed NLGX 18 cm with two rear tips… with the exception of an infection or penectomy, everything that could’ve gone wrong with that implant did… on September 16 of this year, I was implanted with a 20 cm titan.


Funny.
You tell this site that Kramer fucked up. Everything went wrong except an infection.
And nobody reacts.
Still the best doc in the world? Still Mr. Can-do-no-wrong?
Or is this just hearsay, and not worth paying attention to?

I am still trying to get my head around why that guy has the reputation he has.
With all the fuckups described over the years on this site, people should rather advice others to stay away.
And what about all the people here describing how great their surgery went?
Yeah, so what?
This guy is high volume. Maybe he does more implants than anyone else on the planet.
Even if the guy has an average success rate, he will have truck loads of happy patients.
He cannot be judged on that. Just like anyone else, he must be judged on his fuckups.
And he has more than any other doc on this site.
So by the same logic, isn't his volume statistically giving him the "right" to fuck up once in a while.
Well, what about other high volume docs. Do they have as many fuckups told on this site?
No. Not even close. Enough said.

Interesting phenomenon this.
But I guess he did a good job with all his fake accounts here praising himself and influencing people to help him give him his FT halo.

I read on here where he put the pump to high on several people, but still he is the greatest. I don't understand his cheer section.
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5, 800 AUS 7-21-20

Gt1956
Posts: 783
Joined: Fri Apr 05, 2019 2:47 pm

Re: Maybe A stupid thought?

Postby Gt1956 » Mon Oct 19, 2020 10:12 pm

Oldbeek, the worst mistake is the one that you keep doing over & over. It seems fortunate that he does have a fair number of happy patients. He is way too far away for me to even consider. So any unnecessary hype falls on deaf ears here. Having said that. I do appreciate that he has seen fit to load a lot of surgery videos to YouTube. Watching a few of them should be required of prospective patients of any surgeons.
63 HBP at 40 high triglycerides at 45 Type 2 at 60

stephen54
Posts: 316
Joined: Sun Nov 10, 2019 11:43 am
Location: Midwest

Re: Maybe A stupid thought?

Postby stephen54 » Tue Oct 20, 2020 7:02 am

WhiteCane wrote:Here’s all that I have to say on the matter. Professor of mine told me that 75% of surgery is out of your hands. you can do multiple things to try to help to ensure success but, in the end, it’s about patient anatomy, follow up, and in cases like this, patient satisfaction. I was extremely disappointed at the results of my surgery but, I cannot say wholeheartedly that it was by fault of the surgeon. i’ve stated many times before that I walked in to his office with anything but typical anatomy. with that being said, I was very sure to disclose my previous medical history and lay out my expectations of the surgery. I left his office feeling that most of that had been considered. He was adamant on not giving me the implant that I wanted and fears of it being detrimental to my health. However, to this day, I wish that he would have ordered an MRI. Certain things do not heal or may not be as healthy in immunocompromised patients. I feel that an MRI would have been the safe bet on a patient like myself. so, conclusively, I cannot call him the top-of-the-line surgeon but rather an average surgeon with an incredible marketing team. he was certainly a gentleman and extremely straightforward about what to expect. He and I mutually agreed that it was beyond either of our comfort levels to forgo surgery because of these disagreements. Like me, he is only human… With a much nicer car. I will absolutely not badmouth him but, I will no longer recommend him to people traveling more than an hour to see him. my experience, I am now on the side of believing that there can be good surgeons within 30 miles of someone’s home who don’t market themselves like Coke. I think these surgeons should also be considered. There is absolutely nothing that stood out to me as any better Van the surgery I got by a surgeon at my own university Hospital. this is not meant to bash or challenge anyone here. I respect you and your opinions greatly but, this is mine. I hope this reaches everyone well!


And, merrix:
"Funny.
You tell this site that Kramer fucked up. Everything went wrong except an infection.
And nobody reacts.
Still the best doc in the world? Still Mr. Can-do-no-wrong?"


This conversation took an interesting turn.

It's probably the natural contrarian in me reacting here, but I've always had some alarm bell start to go off in me when something...just about anything, really...is portrayed and marketed extremely slick. I don't know. An iPhone...big UltraHD TVs...computers, cameras...travel...a luxury car. Some slickly marketed things are just more easy to accept and sift through; they're transactional and fleeting and, in their way, commodities. Flesh and bone is another thing entirely.

Bravado is ok for me where it's applied to hard, durable goods I might choose to purchase at retail. But bravado as applied to my healthcare?...my surgeon?...the guy dissecting my dick? I don't know. It doesn't specifically disqualify him/her and people, surgeons included, should be judged as individuals. But it does raise my antenna.

For me there is just something particularly unsavory about self-glorification coming from any healthcare professional/provider. Just my sense. Not judging other guys' choices and directing none of this at any particular doc mentioned on FT. Just working through in my own mind why I have reacted so cautiously and skeptically to any doc who displays an open swagger. There's some point pretty quickly where, for me, the ultra-slick marketing begins to imply pomposity and pretense and a lack of something else I can't quite put my finger on.

Or, actually, I guess I can. I think it's: humility.

I want the person with the knife in their hand to model some kind of tacit, steady, quiet humility. I want them to be, demonstrably, a verifiable absolute fucking pro. That's a given. But I just don't want the guy whose self-adoration and lack of humility fuels a kind of narcissism. Seems like bad shit is, more often than not, waiting at the end of that path. And I don't even need to particularly like my surgeon; it's unnecessary and misdirected. But I don't want him to adore and love himself too much, either.
54 yrs, remarried to highly sexual 52 yr old wife. Pills ran their course then 9 yrs Trimix. 28 cm Titan Touch XL implanted Nov 2019, Laurence Levine, Rush Univ Med Ctr Chicago. Implant so far a blessing and nonstop fun.

Witsend
Posts: 7
Joined: Mon Dec 16, 2019 6:06 pm

Re: Maybe A stupid thought?

Postby Witsend » Tue Oct 20, 2020 1:42 pm

Sorry to see these back door slurs against Dr. Kramer, knowing that two earlier threads got locked because some were engaging in personal defamation. In the case of a bad surgical outcome, the details are everything, and if you don't know the details, you shouldn't claim wrongdoing. White Cane said he was immunocompromised, and he declined to list specific "mistakes "that might've been made. So we don't know if it's bad luck, poor decision-making, or both, or something else.

I think Dr. Kramer's presentation both in person and in his videos is consistent with many other surgeons I have known. He's confident, courteous, has the energy to do the work, and that's all one could say. Those are good qualities in a surgeon. He and his staff at C. U. were professional in every way. Narcissistic? C'mon man!
69 y.o.
Dr. Kramer AMS CX 24cm 10/2019

oldbeek
Posts: 1476
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Location: Los Angeles area

Re: Maybe A stupid thought?

Postby oldbeek » Tue Oct 20, 2020 2:41 pm

Witsend wrote:Sorry to see these back door slurs against Dr. Kramer, knowing that two earlier threads got locked because some were engaging in personal defamation. In the case of a bad surgical outcome, the details are everything, and if you don't know the details, you shouldn't claim wrongdoing. White Cane said he was immunocompromised, and he declined to list specific "mistakes "that might've been made. So we don't know if it's bad luck, poor decision-making, or both, or something else.

I think Dr. Kramer's presentation both in person and in his videos is consistent with many other surgeons I have known. He's confident, courteous, has the energy to do the work, and that's all one could say. Those are good qualities in a surgeon. He and his staff at C. U. were professional in every way. Narcissistic? C'mon man!
There were patients in the past on FrankTalk that said they had to be reopened to lower the pump to make it useable. That was several years ago. He has probably learned from his mistakes. BUT, at the time it was enough for me to rule him OUT.
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5, 800 AUS 7-21-20

newbie443
Posts: 551
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Maybe A stupid thought?

Postby newbie443 » Tue Oct 20, 2020 7:30 pm

Witsend wrote:Sorry to see these back door slurs against Dr. Kramer, knowing that two earlier threads got locked because some were engaging in personal defamation. In the case of a bad surgical outcome, the details are everything, and if you don't know the details, you shouldn't claim wrongdoing. White Cane said he was immunocompromised, and he declined to list specific "mistakes "that might've been made. So we don't know if it's bad luck, poor decision-making, or both, or something else.

I think Dr. Kramer's presentation both in person and in his videos is consistent with many other surgeons I have known. He's confident, courteous, has the energy to do the work, and that's all one could say. Those are good qualities in a surgeon. He and his staff at C. U. were professional in every way. Narcissistic? C'mon man!


Actually the thread's violated the advertising policy of this board. I see no back door or any other slur's. Just men stating what experience they have had with a doctor. Not unlike your own. Just put the same requirements for proof on your own you require of others. If you want documentation send me a PM. I have lots of it.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir Dr. Kramer. https://youtu.be/QPu9pLBM0wM

63 years young.

Will show and tell and talk with others.


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