Persuading the V.A.

The final frontier. Deciding when, if and how.



Lost Sheep
Posts: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Persuading the V.A.

Postby Lost Sheep » Fri Mar 03, 2017 4:02 pm

Anyone have any advice on persuasive facts I can give to the V.A. to support my request to travel past my local surgeons and past Seattle to the East coast?

I am a 40% disabled Viet-Nam ERA (not in-country) Veteran with most of my health care through the V.A.

My Primary Care Physician has already recommended me for penile implant surgery and furthermore, that Dr. Kramer be the one to do the surgery.

I live in Alaska. There are a handful of surgeons here qualified to do implant surgery, but their access to AMS and Coloplast is limited and their experience doing implant surgery numbers in the dozens per year. I REALLY want to go to Dr. Kramer in Baltimore (or Dr. Eid in New York) to give me the best chance at optimal outcome.

I would like to hear from people who have successfully persuaded the Veteran's Administration to send them out of their local area for implant surgery, despite the availability of that surgery in their local area.

Thanks in advance
Last edited by Lost Sheep on Fri Mar 03, 2017 4:39 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

PCHelp76180
Posts: 367
Joined: Sun Jan 11, 2015 6:01 pm
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Re: Persuading the V.A.

Postby PCHelp76180 » Fri Mar 03, 2017 4:15 pm

Lost Sheep wrote:Anyone have any advice on persuasive facts I can give to the V.A. to support my request to travel past my local surgeons and past Seattle to the East coast?

My Primary Care Physician has already recommended me for penile implant surgery and furthermore, that Dr. Kramer be the one to do the surgery.

I live in Alaska. There are a handful of surgeons here qualified to do implant surgery, but their access to AMS and Coloplast is limited and their experience doing implant surgery numbers in the dozens per year. I REALLY want to go to Dr. Kramer in Baltimore (or Dr. Eid in New York) to give me the best chance at optimal outcome.

I would like to hear from people who have successfully persuaded the Veteran's Administration to send them out of their local area for implant surgery, despite the availability of that surgery in their local area.

Thanks in advance


If you can manage it, travel and stay costs should be paid out-of-pocket. I have Tri-Care and they covered the surgery and follow-ups. Working on getting a revision cleared next.
ED since my late 30's. Implanted 7/7/15 Titan Coloplast 18cm +4 cm extenders. Revision Jan 2017

Lost Sheep
Posts: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Re: Persuading the V.A.

Postby Lost Sheep » Thu Mar 23, 2017 5:10 pm

A couole of weeks ago, my primary care Doctor put in a consult for surgery with Dr Kramer.

I contacted the Authorizations office and they said they were sending the request forward (to Dr Kramer). Yesterday, Dr K's office confirmed they had heard nothing.

I do not know what my next step should be.


Any advice?

I expect to pay for air fare unless some miracle happend. Lodging may be available in a VA guest house, thouhpgh it is 45 miles from the VA hospital.

Whether or not Dr Kramer will be able to coordinate with a local urologist for prep or followup is another unanswered question. To be tackled next.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter


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