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What's my homework?

Started by suzifrommd, July 31, 2013, 06:24:08 PM

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suzifrommd

I am now officially considering myself pre-op. While I'm still not sure I'd go through with it, I do not think I'll truly be at ease with my body if I go through the rest of my life without a vagina. I think I've read enough on Susan's forums to understand the trade-offs involved and have a clear idea what I'm getting myself into.

My question:

Everyone always says "when you choose a surgeon it's important to do your homework."

What exactly is meant by that?

What information should I be trying to gather about the surgeons I'm considering and how do I go about getting it?
Have you read my short story The Eve of Triumph?
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calico

I am going to make an attempt to answer your question the best I can involving the "homework"  basically you have to ask, what are my goal's? how does the prospective surgeon orientate with said goal?
Ask question's from the surgeons, and see how they reply, their response's you feelings with their responses. do they give a lot of info? are they difficult to understand? how is communication? this is a few. do you want inversion or non-inversion? how about after care? reviews who has gave a positive review, or bad. how reputable is the review or report? down time, possible adverse reactions, and post op complications.
this is part of the homework

a big one is how does the surgeon make you feel when talking or emailing to them? like they care or like you are a dollar sign?
which doc meet's your finance's better, who can you afford? 
I did a lot of this "homework" and to be honest way back I wanted to go to Montreal, but that is all I knew about when I started.
Then when it came to actually having it done, I started all over trying to figure the best surgeon who suited all my needs, which to be honest was aesthetics, sensation, and cost. Up till the time to put down the money I was going to go to another dr and I decided not to because he wasn't asking for a deposit which to me said maybe he isn't that good and communication as far as understanding  what I needed and ,or wanted to know helped me decide as well, ultimately you  have to be comfortable and have a lot of trust in the one who will be making these very personal changes. aand that's where you have to do "your" "homework"
I really hope this has helped  ;)
"To be one's self, and unafraid whether right or wrong, is more admirable than the easy cowardice of surrender to conformity."― Irving Wallace  "Before you can be anything, you have to be yourself. That's the hardest thing to find." -  E.L. Konigsburg
  •  

mrs izzy

Your question:

Everyone always says "when you choose a surgeon it's important to do your homework."

What exactly is meant by that?

What information should I be trying to gather about the surgeons I'm considering and how do I go about getting it?


Ask, ask, ask, ask and ask some more others who have used the doctor. what kind of GRS/SRS/GCS does he or she do? what is the cost? what do i need to be qualified for the GRS/SRS/GCS ? again with the cost does that cover everything? is there options to my GRS/SRS/GCS? what would the options cost?


And i guess you know what the possible complication that could happen along with the after care time needed to be done the rest of your life?

Its something that should not be taken lightly, it is a major surgery and holds huge risk. Remember everyone is there own and handle things in ther own way, for me i have had no major complications but others has been through hell. Healing depends on you and no one else, a doctor can do there best but they can have no control over what the patient does.

Lots of luck.
Izzy

Mrs. Izzy
Trans lifeline US 877-565-8860 CAD 877-330-6366 http://www.translifeline.org/
"Those who matter will never judge, this is my given path to walk in life and you have no right to judge"

I used to be grounded but now I can fly.
  •  

JennX

I went about it as if I were hiring a new employee for a very specific and highly skilled job, because in many respects, that is in essence what you are doing.

I'm a very analytical and clinical minded person, and how I chose my SRS surgeon was no different. You want to find out where they went to med school, are they licensed and board certified in cosmetic and plastic surgery, what they specialized in during their residency, what hospitals they have practiced at, how many procedures have they performed, what if any are the major complications they've run into, do they have malpractice insurance, look at as many before and after pictures as possible, what is their after care protocol, are follow up visits and any needed revisions performed free of charge, what age/weight/health restrictions they have, what preop tests do they require, what are their payment/deposit policies, what sort of postop accommodations are available, what hospital do they normally operate out of, and talk to as many of the surgeon in questions past patients as possible. There are other things to look at, but this is jut off the top of my head.

Just like when you hire someone, you want to select the best candidate or the job... Just not settle for the first one that applies, is available, is the closet or cheapest. Take your time and do your research.

When I had my list narrowed down to 3 surgeons, I scheduled face to face in person consults with each one.
"If you want the rainbow, you gotta put up with the rain."
-Dolly Parton
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Vicky

I will throw in the suggestion to also do field work if you can.  I went to information presentations by 6 different surgeons, or people from their offices at Transgender Conventions over a three year period, and found out the one closer to my home had the best overall program for me.  I was a higher risk patient than most, but my doctor was confident it could be dealt with.  One of the others was too strict on certain points I would have trouble with.  I was flat out turned down by one surgeon due to my health.  Talking in person was by far the major plus. 
I refuse to have a war of wits with a half armed opponent!!

Wiser now about Post Op reality!!
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suzifrommd

Quote from: JennX on July 31, 2013, 10:01:48 PM
When I had my list narrowed down to 3 surgeons, I scheduled face to face in person consults with each one.

Bizarre phone call today. I had arranged a phone call with Dr. McGinn's PA. She called on the agreed-upon day and I began asking her the questions that I've been asking other surgeons - about hospital stays, aftercare, how complications are handled, etc. etc. etc.

She said "I could certainly answer those questions but I won't. I will only answer them during an in-person appointment." I explained that I'm trying to narrow down my list of surgeons and that, being out of town, an in-person consult is premature. She spoke to me like I was trying to get away with something. "We probably could arrange to see you in about six months or so."

Gawd. Really? Other surgeons were thrilled to answer questions over the phone.

Well, strike one off the list.
Have you read my short story The Eve of Triumph?
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JennX

Quote from: suzifrommd on September 19, 2013, 06:18:23 PM
Bizarre phone call today. I had arranged a phone call with Dr. McGinn's PA. She called on the agreed-upon day and I began asking her the questions that I've been asking other surgeons - about hospital stays, aftercare, how complications are handled, etc. etc. etc.

She said "I could certainly answer those questions but I won't. I will only answer them during an in-person appointment." I explained that I'm trying to narrow down my list of surgeons and that, being out of town, an in-person consult is premature. She spoke to me like I was trying to get away with something. "We probably could arrange to see you in about six months or so."

Gawd. Really? Other surgeons were thrilled to answer questions over the phone.

Well, strike one off the list.

Hmmm... that's odd. If it was Heather you spoke, that's even more odd. Heather is Dr. McGinn's PA and is super friendly and helpful IMHE. Dr. McGinn is usually booked that far in advance... so no surprise there. The reason for that is her work speaks for itself. My phone consult was with Dr. McGinn herself... I never met or spoke with her PA until visiting her office. Also bear in mind, Dr. McGinn's office is very, very small. It's Dr. McGinn, her PA, and only 2 receptionists/assistants. She is always very busy, and booked for months in advance. Her patients come not only from the USA, but from around the globe. So it's expected for her to be in-demand so to speak. Also keep in mind, SRS surgeons talk to a lot of dreamers/tire kickers... so many figure if you are serious, they want to see you for an in-pesron office consult. Dr. Brassard in Montreal, Canada is the same. I myself would never schedule such a surgery w/o meeting and talking to the surgeon in advance... but that's just me. Yep flying around the country just to spend 30 minutes in a docs office may seem extraordinary... but I've talked to more than a few people who did exactly the same thing. Dr. McGinn is a great surgeon, gives great postop care, and I can say that without any hesitation.
"If you want the rainbow, you gotta put up with the rain."
-Dolly Parton
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suzifrommd

Quote from: JennX on September 19, 2013, 07:21:11 PM
Dr. McGinn is a great surgeon, gives great postop care, and I can say that without any hesitation.

Well, yes I know. I read the entire account of your procedure with her that you posted here, and was so impressed with what I read that I even downloaded it for future reference.

Yes, it was Heather, and I definitely wouldn't characterize her as super friendly. She wasn't rude but seemed unwilling to take a few minutes to answer some basic questions. She may have been very busy, but I definitely got the impression that she wanted me to go away and not come back until I was ready to wait six months to travel to New Hope and pay to see someone in person. Given that the main purpose of the call was to gauge my personal reaction to Dr. McGinn and her staff's  style with patients, I don't see how I can  give this anything but a fail.

It's worth noting that this followed a phone call, in which her office requested I fill out a multipage form, then a second follow-up phone call during which his phone session was arranged.
Have you read my short story The Eve of Triumph?
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JennX

Quote from: suzifrommd on September 19, 2013, 07:30:52 PM
Well, yes I know. I read the entire account of your procedure with her that you posted here, and was so impressed with what I read that I even downloaded it for future reference.

Yes, it was Heather, and I definitely wouldn't characterize her as super friendly. She wasn't rude but seemed unwilling to take a few minutes to answer some basic questions. She may have been very busy, but I definitely got the impression that she wanted me to go away and not come back until I was ready to wait six months to travel to New Hope and pay to see someone in person. Given that the main purpose of the call was to gauge my personal reaction to Dr. McGinn and her staff's  style with patients, I don't see how I can  give this anything but a fail.

It's worth noting that this followed a phone call, in which her office requested I fill out a multipage form, then a second follow-up phone call during which his phone session was arranged.

Maybe she was having a bad day? Not sure what else would cause such discourse. Since you live in Md, it's not a far drive. That way, you know for sure one way or the other. I know Bowers has a 12 month waiting list currently for surgery... Not sure how long for a consult though.
"If you want the rainbow, you gotta put up with the rain."
-Dolly Parton
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Jenna Marie

Wow, that really is off-putting. Especially since these are standard questions to which there really ought to be a handout or script, by now!

(Brassard will waive the first pre-op consult at patient's request because travel is a hardship... I inquired and was told no problem, show up the day of surgery to be examined if I preferred.)
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suzifrommd

Quote from: Jenna Marie on September 19, 2013, 08:21:26 PM

(Brassard will waive the first pre-op consult at patient's request because travel is a hardship... I inquired and was told no problem, show up the day of surgery to be examined if I preferred.)

That's the way Dr. Rumer does it. She was willing to talk to me directly and spent a half hour answering all my questions. She's now my top candidate, though I can't seem to find many accounts on the Internet from her former patients.
Have you read my short story The Eve of Triumph?
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Jenna Marie

Suzi : I do have a friend who went to Rumer, and was very satisfied with the results.
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LauraGirl

Before phoning surgeons, you should first a list of requirements. What do you want from your surgeon? What kind of technique do you prefer (penile or non-penile inversion technique)? Do you want a cheap surgery, what about depth or the esthetic side of your future vagina. Differences in aftercare? Dilation procedures? How long inpatient?

I would propose to make (as first job of your homework) a list of what you desire! Subsequently try to find a surgeon who will meet your criteria. Contacting a surgeon before having figured out what you really want, seems to me a bit senseless.