Archive for November, 2009

Dr. Carol L. Clark holds non-stop sexuality seminar at Jackson North Hospital

Sunday, November 15th, 2009

I followed a GLBT advocate and counsellor. My talk on sexuality included as per syllabus from Dr. Clark…

Medical factors related to sexuality and sexual functioning

Objectives:

· Define the DSM sexual disorders, and discuss the following in relation to it: symptoms, factors increasing susceptibility, and prevention.
· Describe how surgical procedures, such as a hysterectomy, may affect a woman sexually, physically, and emotionally.
· Define hormone replacement therapy and explain its advantages and potential risks.
· Describe the incidence of, symptoms of, and treatment alternatives for penile cancer, testicular cancer, prostatitis, benign prostate hyperplasia, and prostate cancer. Describe tests for prostate cancer and treatment alternatives.
· Describe the reasons why women would choose to have or not have breast implants and controversies concerning the implants themselves.
· Learn how major disabilities my affect sexual function and expression. Learn coping and enhancement strategies for people with disabilities.

2 hours later with time for serious questions and answers, we were done. But aside from potty breaks their day was still going strong. Young therapists seeking their doctoral degrees, thirsty for knowledge. Commendable, Carol (who is a board certified sexologist with a doctoral degree, how many therapists can claim that!).   Dr. Carol L. Clark   (closest to our office)  305-757-6070 

Harold M. Reed, M.D.

305-865-2000

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7 MTF procedures this week

Sunday, November 15th, 2009

3 full vaginoplasties,  2 orchiectomies,  scrtoal removal, a revision of work done elsewhere.

All patients are doing excededingly well, some have already left the Baltic Hotel with a smile.

Two received financial assistancce.

We insist on hand held mirrors for each patient during a dressing change, so they can appreciate what we accomplished.

Patients are seen daily including Saturday and Sundays.

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

Posted in Feminizing vaginoplasty, MTF, Vaginoplasty, Vaginoplasty revision, sex change | No Comments »

Vaginoplasty Touch Ups

Sunday, November 8th, 2009

 

— In MTF-SRS-FTM@yahoogroups.com, “kennyhilnager” wrote:
 Dr. Reed,
What are the typical reasons for touch ups and how much can be done
at one time?

Kenny

Hi Kenny,

Touch ups are either planned as the doctors may knows they have not been able to attended to every little detail in the interests of patient safety. The patient should be apprised during her recovery if not known at the outset. Often there will be a critique (work list) made by the patient and which is often supplemented by the doctor after he/she sees the patient. Ideally everything should be done at once, and the best time is a good 3 months after complete wound healing. This does not mean 3 months after surgery.

Areas often include: asymmetry of labia, need to lower the posterior commissure (for a more direct approach into the vagina), a urethral spongiosum rest (left over urethral erectile tissue which swells during arousal), re-siting of the clitoris or need the hood the clitoris, lowering the opening of the urethra, closure or approximation of the upper labia majora (mirror image parentheses), providing greater opening (introits) to the vagina, revising an unsightly scar.

As you know there is no charge in our office for this revision which is typically performed under local with IV sedation. For those patients who require or request general anesthesia, this amounts to 600 or less. We want you to look your very best. Please bring your work list.

Harold M. Reed, M.D.

Posted in Feminizing vaginoplasty, MTF, MTF Grants, Vaginoplasty, Vaginoplasty revision, sex change | No Comments »