I recently browsed through some of your patients reviews. Of perticular interest  to me was a patient of yours who had an SRS performed by you some time ago. She mentioned many delays and disappointments with the process as a whole – as I understood it anyway.
 
For example, she stated that during your initial consultation with her, you apparently made it very clear to her that the SRS was NOT going to happen anytime soon and that certain things needed to be done prior to setting a dte for her SRS. One thing which needed to be done was electrolysis of the genital area. She siad it took her severl month to complete  her  hair removal treatments. There were a few other things as well which delayed her SRS by many months.
 
Dr. Reed, while I understand the need for this to be done the ‘right’ way, I am also very aware that I am currently 48 years old.That said, if I were to come to your office for an initial consultation, the absolute last thing I would want to hear is that my SRS would NOT take place anytime soon due to various reasons – exactly what this person I spoke of experienced with you.
 
I feel strongly that an SRS should take place as soon as possible once the required documentation, the lab work, the examinations, and whatnot have taken place.
 
My question to you, Dr. Reed is this: Is there any way that I could know ahead of time what would be expected from me in terms of being fully prepared for my SRS? For example – electrolysis if the genital region could easily take months to complete. Is there any reason why I would not be able to begin those treatments now or in the near future therefore avoiding unnecessary lenghty delays which would – in turn, help the ‘process’ go all that much more quickly? In short, I would appreciate very much if you would please inform me of various things that I could have done ahead of time – like electrolysis? Dr. Reed, I truly have a legitimate need to know these things up front since I would much prefer to know well in advance any and all things that could begin now that would eliminate unnecessary and lengthy delays with regards to my getting an SRS with you. In short: I would much rather not have any unforseen and unexpected “surprises” during my initial consultation with you that would result in a long delay in getting my SRS.
 
Obviously, I would prefer the SRS to take place as soon as possible. Sure, I can understand and agree with a short delay of perhaps a few months at the very most so that everything gets done that needs to be done prior to surgery. But, if that delay were to be in the range of, say, four or more months from the date of my initial consultation excluding unforseen problems which became apparent ONLY after my consultation, then I would be have to extend my search and continue looking for a surgeon who would not leave me hanging, so to speak.
 
Dr. Reed, please advise?

Marla

Good morning Marla,

Thank you for your perfectly lovely letter. 

The ability to express oneself is emblematic of one’s personal intelligence, and yours comes off as being one of
the more complete and practical letters we receive in over 250 E-mails every day.

I do not know off-hand this patient you mention, but if I had some more background information I possibly would recognize her.  Anyway, there is probably a good deal of truth in what she says, perhaps some exaggeration too, and of course a few facts left out for artistic license.

Yes, I am the chief safety compliance officer of our operation here and we are only as good as our last patient.
Of diverse factors about a patients profile that would deem them to be a high risk, many are correctable and recommendations are made, such as being markedly overweight, diabetes out of control, under-nutritional
status (yes, that too).  When we take a patient on board we  want to be sure they have better than a fighting chance they’ll make it and this means not by the skin of their teeth, but with flying colors.

Many of our patients schedule in for surgery within a few weeks after their initial contact.  They know the drill and are prepared.  Our attached letter gives you some information about how to prepare.

An electrolysis diagram is posted on our web-site.

Be assured we will do everything possible to guide you, answer your questions, address your concerns, and make you a happy camper with us.

By the way, just to mention…

The month of August we are doing 5 cases for 10,000 each, if this is of help.  2 positions left.  This has not been done for 3 years, but because of enhanced volume recently we are able to borrow from Peter to pay Paul, to help out the indigent.

Be assured when you visit Miami we will show you every courtesy,

Harold M. Reed, M.D.
305-865-2000
 

Good morning  Dr. Reed!

 Conversion: hormones for 5 months dressing female for 5 or more years
Specific_Questions: what letters do you need from my doctors.

Terrry

Hi Terry,

 
You will need two letters of therapy clearance written by licensed therapists, one of whom, should have a doctoral degree and the other at least a master degree.  The longer you have “time in grade”, usually the simpler the process is,  i.e. an evaluation and clearance, not therapy.

If you are working with a therapist now, by all means stay with that therapist.

Here are some great, compassionate, no nonsense therapists, all with doctoral degrees.

Dr. Krista Bloom   (Plantation)  754-234-6991

Dr. Carol L. Clark   (closest to our office)  305-757-6070

Dr. Kathleen L. Farrell   (St. Petersburg, Fl)   727.551.9851

Dr. Anagloria Mora , South Miami,  (also speaks Spanish)  305 333 2263

Dr. Gladys Sanchez-Bello   (also speaks Spanish)  754 368 5114

Dr. Marcia Schultz (3111 N. University Drive Suite 400 Coral Springs, Fl. 33065)   954 649 1957

Dr. Marilyn Volker, (Coral Gables),  305-443-8850

Dr. Marcy D. Weiss, (West Palm Beach)   561 702 2228

Please present your history briefly: age, your present trans status, how long you have been living 100% en femme or as a man, and the surgical procedure you would like to have.

Ask for a price quote estimation, and possibility of teletherapy to be confirmed by a face to face meeting prior to generating a letter of clearance.

Have a restful Sunday and all the best,

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

GENETIC: Male
BECOME: Female – MTF
Hormones/Conversion: no but need some send to me for free or i will pay for it. Can you give me a prescible for it?

 Glendon

July 31, 2009

Good afternoon Glendon,
Thank you for your continued interest in what we do.  Yes, we do hormones.  You will need an appointment as we will be spending good hour together and a letter of therapy clearance from a licensed therapist with a doctoral degree.

You only pay for a consultation once and that is 250.  We charge 600 a year to initiate hormone therapy although we will delay billing for 3 months.  You will also need baseline laboratory testing and interval laboratory tests obtained every 3 to 4 months, until we see a pattern of stablizaion and then these tests can be spread further apart.

 All the best,

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

Good morning  Dr. Reed!

 Conversion: hormones for 5 months dressing female for 5 or more years
Specific_Questions: what letters do you need from my doctors.

Terrry

Hi Terry,

 
You will need two letters of therapy clearance written by licensed therapists, one of whom, should have a doctoral degree and the other at least a master degree.  The longer you have “time in grade”, usually the simpler the process is,  i.e. an evaluation and clearance, not therapy.

If you are working with a therapist now, by all means stay with that therapist.

Here are some great, compassionate, no nonsense therapists, all with doctoral degrees.

Dr. Krista Bloom   (Plantation)  754-234-6991

Dr. Carol L. Clark   (closest to our office)  305-757-6070

Dr. Kathleen L. Farrell   (St. Petersburg, Fl)   727.551.9851

Dr. Anagloria Mora , South Miami,  (also speaks Spanish)  305 333 2263

Dr. Gladys Sanchez-Bello   (also speaks Spanish)  754 368 5114

Dr. Marcia Schultz (3111 N. University Drive Suite 400 Coral Springs, Fl. 33065)   954 649 1957

Dr. Marilyn Volker, (Coral Gables),  305-443-8850

Dr. Marcy D. Weiss, (West Palm Beach)   561 702 2228

Please present your history briefly: age, your present trans status, how long you have been living 100% en femme or as a man, and the surgical procedure you would like to have.

Ask for a price quote estimation, and possibility of teletherapy to be confirmed by a face to face meeting prior to generating a letter of clearance.

Have a restful Sunday and all the best,

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

Can be found at http://www.srsmiami.com/images/electrolysis-pre-op.pdf   Important to start electrolysis 3 months before surgery to nab the 10% regrowth that may often occur.  Despite reports of doctors doing everything  the same time as surgery, there are many reports of patients with unpleasant hair regrowth  in their vaginas making intercourse painful.

To Tara at Tarareources.net 

Dear Tara, 

This is to advise you that we have not been able to offer grants, which had been solely based upon testicular donation,  for over 2 years. That project was concluded by the research lab.

We do offer individual consideration for needy people only. However, without any contingency funds to cover the unexpected, we cannot operate.  A financial statement may be requested. 

Thank you for referring the many nice patients who have made inquires, some of whom we have been able to assist.

As is, our fees run about 6000 below what other charge in North America if that is of any help. Unless you have an impulsive need for genital ablation, please select a doctor whose work is pleasing to you

and who may respond to your request for assistance (circumstances change for us all, for example some doctor may have a cancellation and be willing to fill that time slot for less).

All the best to your group.  Your good deeds will not go unnoticed.

Harold M. Reed, M.D. 

hi dr reed its me crystal i had my srs done in 3/4/08 .i just wanted 2 thank u so much 4 making me the happest woman in the world.

More often than before we are receiving requests from older patients who want more to have their penis and testes removed and look like a female down below, but are seeking a reduced fee based on foregoing a vaginoplasty (making of a vagina) per se.

Sure we can accommodate these people, but must caution them, that a sexual feature of the external female anatomy is a cleavage between labia, and this cleavage can only be best developed if an invagination of skin into the area which normally would become the vagina is performed.  Otherwise, there is a term, “smoothie” for the end result, and I think this is not aesthetically appealing and almost a nihilist procedure.  There are people that want to sign off on sexual life whatsoever, but how long this will last falls into an area of uncertainty.   What then?

So yes, we can do the operation, and there will be a fee reduction.  Some recognition from your therapist(s) acknowledging this is what you want and will have and can live with, would be appreciated.

 Harold M. Reed, M.D.

I was on estrogen from doctor in Indianapolis however every time I have had an appointment with him he seems to come in 2 to 3 hours later and have numerous patients that are waiting to see him. I am presently taking Premarin at 1.25 mgs per day under my doctor care I was taking 1.25 units of estradiol by injection every 2 weeks. I am in need of a new doctor at this time.

Mitchell 

Good morning Mitchell,

Many thanks for your interest what we do.

Your options include speaking with the doctor and asking him/her to be more respectful of your time, seeking another endocrinologist in Indianapolis, or seeing us.

Our approach is to see the patient once a year, order lab tests over the phone to be drawn at a local lab in Indianapolis, resulted and faxed to me, and we’ll keep your prescriptions going over the phone.

If this is of interest to you, please advise. We have some comments to make about Premarin after you become an established patient.

All the best and remember you have a friend in Bay Harbor Islands, Florida (greater Miami),

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

So….. if the discount helps.