Thank you for your interest in what we do.

GRANT SUBSIDIES AVAILABLE AGAIN

This January, 2010 the first 10 cases, will
receive Grant Subsidies.

Think “the first 10 in 2010.”

After reading the attached (our letter to prospective patiuents available by writing admin@srsMiami.com) , 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.

The grant should reduce your fees by about 1/3 from our typically affordable price when you agree to donate your testes to a non-reproductive research project. Certain restrictions regarding age and communicable disease may apply.

Happy Holidays,

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

— 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.

I have done nothing right now,but in Mar of ‘10 I plan to be on hormones.
Specific_Questions: how long do I have to be on hormones to get the breast implant surgery and how long for the SRS surgery and can you tell me more in detail about the grant and the deal you offer. lastly, do you do the body cotouring surgery and how much is it!! thanx )   Kendra

Good afternoon Kendra,

Timely question. Just discussed on our MTF web-site.
“Always best to be on estrogens for a good 2 years before breast implantation.   The reason being, the implant sits under and inside the periphery of your home-grown breast mass. If the implant extends outside the periphery, you will have the double bubble or Michelin tire man effect. Like a 2 decker beehive.

Yes very true, breast mass is part fat and of course part glandular tissue. But please do not gain weight to have more breast mass. You don’t want to be in competition with obese men on the beach, as their fat mass is more a roll than breast like.”

Sorry the grant was great about 100,000 disbursed to over 80 patients in varying degrees.  Based upon a research project which had concluded.

No more fund are available, but we do give individual consideration.

All the best,

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

Hormones/Conversion: I have done nothing right now, but in Mar of ‘10 I plan to be on hormones.
Specific_Questions: How long do I have to be on hormones to get the breast implant surgery and how long for the SRS surgery and can you tell me more in detail about the grant and the deal you offer. Lastly, do you do the body cotouring surgery and how much is it!!

Thanx )
CONTA

no im not on hormones,havent took a hormone shot in months, i have the srs surgery done i went to thailand in 2001 and had the srs surgery i believed my vagina is closed and they didint do my surgery right because i have alot of skin that pertrudes from out of my vagina, i am overweight and currently have had the lapband surgery done i know u said drop down to like 200 thats what im doing but i want to know the cost to fix my vagina and labia plasty i am lookin forward to you helpin me with this problem so please contact me asapSpecific_Questions: no im not on hormones,havent took a hormone shot in months, i have the srs surgery done i went to thailand in 2001 and had the srs surgery i believed my vagina is closed and they didint do my surgery right because i have alot of skin that pertrudes from out of my vagina, i am overweight and currently have had the lapband surgery done i know u said drop down to like 200 thats what im doing but i want to know the cost to fix my vagina and labia plasty i am lookin forward to you helpin me with this problem so please contact me asap

Letrisha

Good afternoon Letrisha,

If you look at the photo galleries from Thailand, there seems to be a tendency from many surgeons to put too much penile and scrotal skin in the perineum.  To my eye, doesn’t look right.  Please A-B this with our post op results.

Please initiate a consultation with our office by sending us your name, address, phone number, any below the waist photographs, your critique of what needs to be done, along with a check for 250 and we’ll get started ASAP.  When you are seen at the office, there will.be no further charge for your first visit.

With  every best wish,

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

I am interested in more onformation on orchiectomy with scrotal removal. I may not ever be interested in having a vaginia but I may be interested in removing my testicials, creating the labia and later removing my penis and creating a neo-clit. is this possible.  Madelaine

                                                                                                                                                                                                    

Hi Madelaine,

It is difficult to create labia without a vagina, as the inversion helps create the cleft.  Please do not consider a smoothie, if you are sexually active.

Yes, we do scrotal removal, but unless you are forsaking sexual activity, and just wish to get rid of the “valise”  you will need to scrotum later on for depth.  If you wish just a penectomy, that of course is available, but discuss these options with your therapist.

“Measure twice and cut once.”

All the best,

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

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
 

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. 

So….. if the discount helps.

This lady had sent in her deposit last year and is doing exceptionally well with a lubricous vulva. Her brother who turns out to be a really nice gent will be spending a few days with her for moral support.

This coming week, revision on a patient with a elongated urethra almost touching her belly button, forgive the exaggeration, and she’ll be converted into a lubricious vulva.

Her former urologist said he knew this was not normal for a woman, but did not know how to fix it.

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

Having an MTF vaginoplasty with reduced fees.

Last year (2008) and the year before (2007) we were very fortunate to have been a research resource for orchiectomy specimens.  Regretfully this relationship was concluded last year.   This was the sole basis of funds for our Grant project with one exception.  A very nice prospective MTF patient made a sizeable donation to help another have an operation.  She herself is on the schedule to be done soon.

What next then.  Well with Dr. Reed, there is always individual consideration.  This does not mean we can work for free, and surgery is a team approach and members of the team such as nurses and anesthetists expect a pay check at the end of their shift. 

However, we have always offered compassionate discounts to those who have enough reserves to cover contingencies and out of pocket expenses.  We do recommend a friend, loved one, or relative stay with the patient for at least 2 to 3 days.  That’s an added expense although we have the availability of attendants, but they bill at about $12 an hour.

Hotel and food for a week adds up to about $650, medications, ring pillow, anti-embolism hose, about $100, stents $350.

As is, our fees are easily about $5,000 below what most  are charging in the US and Canada, and we are busy.

Harold M. Reed, M.D.