My experience with Shippen & Crisler

Status
Not open for further replies.
Exactly what was this thread supposed to accomplish??

I'd bet that if we had a show of hands those unhappy with Chrissler/Shippen would be a very small group. If a person is unhappy with their medical care for any reason they should find another provider. It sounds like that was done. What's up with beating the dead horse?

Unfortunately there isn't a Consumer Reports issue on TRT Doctors.

These 2 Doctors have generally been presented as demi-gods on the forums. I have a lot of respect for Shippen, I think of him as the person who kind of started this movement and his book is probably the only one that provides much information on TRT. A lot of people are happy with Crisler and that's great for them, some of us weren't so lucky. Shootist, you've seen Crisler 1 time, if you eventually have the same issues some of us have had with him you won't feel so great about the investment of time and airfare you made to see him. I initially felt that I was going to be able to get a program that worked from him as well despite my concerns at the initial office visit, instead I had another year of feeling lousy, primarily because of a poorly run office. Some members have limited financial and time resources and I feel they should be aware that everything's not perfect if they decide to make the trip to either Doctor.

Hopefully Crisler will use these comments to improve his operation, if not, then he deserves to lose patients to other Doctors. In my business I ask our clients point-blank what they hate about us, finding out what's wrong is the only way for us to improve what we do. You don't lose clients over what you do right.
 
I'd call Shippen's office every month to ask how I should adjust my protocol. I'd normally call at 10am and then they'd tell me to call back an hour later, and an hour later when I'd call, they tell me to call another hour later. This would hapen all day and sometimes into the next day as well. .

There must have been changes made because of this - maybe they were getting complaints. But since I became a patient of Dr. Shippen's 8 months ago I have actually found the "back office" response remarkably prompt. After my blood work results are in (I get a copy mailed to me so I know when doc gets it) I call Robin, Dr. Shippen's assistant. We review the labs and she says "call back at such and such a time later today" and in between she discusses the results with Dr. S. Every time I've called back at the pre-arranged time (usually 3 hours after my first call) Robin is ready with Dr. S's answers and any adjustments or additions to my meds. I've done this 6 times now and never had to call back because she was unavailable or not ready. I've never even had to hold on the line for her for more than a few minutes. Running my own business I was very impressed by this punctuality.

As far as the "front office" I would agree about the shortcomings you mention. They operate very old school - appointments aren't computerized and they don't even have a FAX machine and things can get a little stand-offish because of the lack of technological organization. But that's just irritating BS which I only have to deal with a couple times a year when making an appointment. It's the back office that counts for me.
 
Im sorry that the OP has been having such problems with doctors, it can be tough. All i have to go by is my experience so far.I've never had to wait more than a day for a script with Dr. John, Labs are called in on time for the most part and i get a phone call within 2-3 weeks after labs are sent for a follow up.I even get emails telling me when the doc will be out of town for a few and if i need a med refill to call. I understand miscommunications and problems can happen, but im sure that if the op were to politely bring up his concerns to whatever doc, they would probably listen.
 
Some other members have PM'd me with the same issues.

It's great that suddenly a bunch of new members have just joined with no previous posts to support Dr. Crisler.

Good for you!
 
Some other members have PM'd me with the same issues.

It's great that suddenly a bunch of new members have just joined with no previous posts to support Dr. Crisler.

Good for you!

Oh, ok, so now it's a big conspiracy? Why don't these people public post in the forum instead of PM you?

You can stay hidden behind your screen name people. :think:
 
Hey Cranky dont take it personaly, i saw a post where i might be able to offer some input. Who cares how many posts i have?
 
Some other members have PM'd me with the same issues.

It's great that suddenly a bunch of new members have just joined with no previous posts to support Dr. Crisler.

Well, you have a grand total of 11 posts. 9 in this thread and two others. Given that, I don't get your point.

As for all the people that PM'd you, you will have more credibility if you speak for yourself. I don't find it believable based on your biases.
 
The thread is called "MY EXPERIENCE" not, this is what YOUR experience will be.

When some others PM'd me with similar experiences it was apparent that there were others that had the same experience, thus the word "US" appeared. I don't care if others choose not to post their frustration publicly.

It's obvious that this a Crisler party, but the guest of honor seems to have left.
 
The thread is called "MY EXPERIENCE" not, this is what YOUR experience will be.

When some others PM'd me with similar experiences it was apparent that there were others that had the same experience, thus the word "US" appeared. I don't care if others choose not to post their frustration publicly.

It's obvious that this a Crisler party, but the guest of honor seems to have left.

Cranky you have to look at TRT drs like buying a new car. You can look for the top of the line. Some times you may find some thing that you do not even like about the car even in was voted best sports car. When ever some one takes a sports car for a test drive you could have 2 different views on the same subject. If one has consecitive consistency then you have more supporting evidence. Even the best of the best have their off days.
 
I had my second virtual office visit with Dr. Crisler today. I told him that I was still feeling bad and very irritable......and he told me that I had a "character flaw" and that my numbers were where they needed to be for now. Was he joking and just busting my balls? Maybe, and I sincerely hope so. But I'm not 100% sure and it is still bothering me.

If this type of stuff doesn't bother you then Dr. Crisler is a great choice. If you are the type of person that needs your doctor to legitimately seem concerned and have bedside manner...you need to put that aside if you chose Dr. Crisler.

If I get my emotions to where I want them to be, I won't give a flying **** how he talks to me lol.
 
Since the previous thread about Cenegenics has some members recommending Dr. Shippen and Dr. Crisler, I'm throwing in my two cents about my experience with both of them, both have some serious issues with how they run their practices, perhaps you would like to come on board as an Office Manager? LOL and anyone considering seeing either of them should be aware of what to expect. ...other than the absolute cutting edge of medicine, that is--doctors who regularly and routinely solve the cases no one else can.

I started with Dr. Shippen, and while I found him to be a nice guy and compassionate Doctor, the fact of the matter is he's in the twilight of his career, there didn't seem to be any type of succession plan as far as care after his eventual retirement, his wife who is the office manager made me feel like an inconvenience whenever I would have to call. Dr. Shippen's wife is known to be a real sweetheart to all the gentlemen who call. He's only in the office about 3 days a week, when I was seeing him it took 3 months to get an office visit and 2 months for a phone appointment. Try getting into an Endo, and waiting three months to do so, just to hear a Total Testosterone of 251 is "normal". LOL He charges $575 for the 1st appointment and doesn't seem to take any insurance for TRT patients. I would normally have to wait about 3 hours after my scheduled time to see him because he would be running very late with his normal general practice (usually Medicare) patients for which he probably gets paid $40 to see. How dare he take care of people who need him? LOL I kind of resented paying first-class prices for coach service. The "service" is in receiving cutting edge medicine, BTW. Perhaps you would do better with one of the Internet drug dealers. LOL

He gave me a script and told me to copy it, go in monthly for labs and then to call the office to get adjustments to my protocol. He wanted the lab to mail him the results, the labs don't seem to be set up for that and as a result Shippen's office would never get them. I finally persuaded the lab tech to fax them to me so I could send them to his office myself. Then I'd call Shippen's office every month to ask how I should adjust my protocol. I'd normally call at 10am and then they'd tell me to call back an hour later, and an hour later when I'd call, they tell me to call another hour later. This would hapen all day and sometimes into the next day as well. I finally got tired of this and the experimental protocol he was trying on me that didn't work and decided that I was going to try Dr. Crisler, based upon forum comments, or Cenegenics.

I placed an inquiry on the Cenegenics website and Dr. Raymond Ishman, an affiliate Dr. from Atlantic City called me. He was nice and spent about 45 minutes taking with me about my problems and his approach. I liked the idea of having more access to the Dr. and the complete medical overview done at the beginning, but the costs seemed a bit high even though I can afford them, I don't understand why they don't let you get covered labs done through your insurance when possible. The 6-7 hour drive to get to Atlantic City was also a negative for me. I needed to go to Michigan for business so I decided to see Dr. Crisler instead.

I called Crisler's office and was happy to find out that I could get an appointment the following week. Before my appointment I faxed overall all of my previous lab results & history. During my appointment, Dr. Crisler spent about the first 45 minutes talking about himself I hope by now you realize what was actually going on during the time we were visiting it seemed very difficult to get him focused on me, fooled another LOL he acted like he had reviewed previous labs but it was obvious that hadn't and made it worse by acting like he had. i I never "act like" I have previously reviewed labs, because I do not. I have to see far too many patients each day, and need to have them fresh in my mind in order to make the instant clinical decisions I do I had brought a list of questions and it was a struggle to get him to answer them, anything he didn't seem to know the answer for, he just blew off. I think at this point you have lost everyone who actually knows me. (Hey Dr. Crisler, I don't give a **** that you get your shirts custom-made, It's true--like many men who train, it's really hard to find dress shirts that fit properly. So I have them made by this racket in New York. They cost me all of $49 per shirt--less than off the rack back home. I regularly recommend them to my patients, so they can both look better, and save some money that you were mentioned in a Playboy article, many of my guys think it's neat to take home a copy of the article, to show who their new doctor is; or at least, they say it'll be the first article from that magazine they read or that you're drinking Scotch with Shippen at the A4M meeting likewise, often guys like to hear the inside stuff, and are amused by a couple of docs sneaking up to my room like little boys for a cigar and a drink, where we can kick around the latest stuff we have figured out, without being interupted constantly for a "curbside consult"--blah, blah, blah) I basically ended up with the standard protocol that he seemingly gives everybody, Your assessment of my medical therapies is about as ridiculous as the rest of this tripe. was told I needed to get new labs in 6 weeks and they would contact me about them. I left the appointment feeling like he was an egotistical jerk, but I was willing to put up with it in hopes of finding a protocol that would make me feel better. That's funny, the guys who come to me almost always report back to us what a good time they had at The Man Cave, and how much they appreciate our efforts.

But it's true, if I sense an individual is suffering some emotional problems, I often spend more time with him, trying to get a better feel for how he ticks. He may think I am just shooting the breeze, but as I am talking I am watching how he reacts, his facial expressions, body language, etc. It's not a waste of time--it's trying to gain empathy for what his life is like.

6 weeks came, and no lab script. About 2 weeks later I emailed his assistant Kim and asked about the script. I got a pissy email from Dr. Crisler saying that they had a system in place and I was short circuiting it by asking about my lab script. Finally 4 months later I called his office as his "system" was obviously not working and I wasn't feeling any better on his cookie-cutter protocol. I finally got a script went the next day for the draw, and then it was 6 weeks until they called to schedule a follow-up call for the labs. As soon as labs FULLY come back (often the lab techs mess things up, and my staff has to spend a long time making sure the assays I have ordered for my patients are completed properly. It is a tremendous burden on us, as well as hours I have to pay my staff every week Dr. Crisler doesn't like for you to have a copy of your labs until after he talks with you, all pertinent results are discussed with the patient, and we are happy to then forward a copy to you. After all, all medical information belongs to the patient. I'll let you in on a little secret: most patients can get their labs back prior to our office visit--but not ones who want to take a bunch of time expecting me to sit and listen to THEIR interpretation of them. Get it? so as he rattles through so the physician's analysis of your results is now "rattling" on, eh? LOL the results you don't have anything to reference and ask questions about. When I asked him about a varicocele repair or vasectomy his response was a robotic "ask your family doctor", gee I thought anything pertaining to my nuts would be relative to TRT. I'm wondering what exactly you were expecting me to do for that? Reach my hand through the phone to feel them? LOL. Every day I direct my patients to follow up with their local doctor--this has resulted in the early diagnosis of potentially dangerous medical conditions more times than I could list.Every set of labs happens months instead of weeks after they are supposed to. You, sir, are simply not one who values truth. Phone appointments happen anywhere from 1 to 3 hours after you're scheduled time-if he's running 3 hours behind on phone appointments. I don't understand why his assistants Kim or Patricia can't call to let you know they are 3 hours behind, Well now, he's got me on this one. It is more difficult to provide what I do over the phone than I can begin to describe. I do get burned out during the day sometimes, and get behind. You were always welcome to travel back to my office, and spend that time on the road instead they also schedule phone appointment on days that Dr. Crisler isn't even in. Yes, we do that because we think it's funny. Sometimes we schedule them for 2AM on Christmas Eve. Any meds I ordered through his office usually took about 3 weeks to get. As long as I live, I will never fully understand what would make a man so little value his own word.
Considering that both Shippen and Crisler operate in a true cash-for-service private medicine realm, it's shocking how unprofessional they are in handling their patients. I'm thinking the "shocking" thing has nothing to do with our practices here. LOL
I realize that some of you have had success with these Doctors, I haven't and have wasted more than 2 years of my life in the attempt to feel better with them.
My, my, my.

Interesting it is this guy would spend hours posting all this stuff, but not one minute calling me to inform me of his displeasure. And for his very first posts, no less. Hmmm...

Interesting, too, he has nothing but criticisms for two of the top Thought Leaders in this field of medicine. And one of them a legitimate living legend in our field, a man whose career has been a watershed event in changing doctors' minds about providing the TRT men need and deserve (with a best selling book on the subject, no less).
 
FYI, my Cenegenics doc will allow me to get my labs elsewhere if it's from an approved lab like Quest. Many family doctors use local labs that may not meet their standards. However, the drive to Atlantic City is a *****. It's hard to find a good doctor but it's worth the try. I wish you luck in your search. I know how hard it can be.
IMPO, Quest does the best serum labs in the country.

A problem for us is they have not standardized their assay codes. As we have patients in 38 states, we have to order them for the draw point most convenient to each patient. My staff spends hours each week straightening out the messes Lab Techs make for us and our patients because they just go ahead and order whatever comes to mind. It's a tremendous burden--but one we simply must make in order to get what we need.
 
I've read tons of information, including medical textbooks on this subject and while it has been tempting to treat myself, I prefer to have a Doctor oversee my treatment and provide scripts for labs and meds. With the current steroid issues I wouldn't be comfortable trying to get meds on my own anyways. At my last physical my GP admitted that I knew more about the topic than he did, he's very open to me finding treatment options.

I've been to a Dr. outside Philly and he's put me on a protocol that I think is finally the right one for me. Hardasnails has also been looking at some lifestyle and nutritional issues as well.

I feel like Shippen and Crisler are the Emperor's new clothes...
So two of doctors who have developed the protocols doctors all over the world use are what now? LOL
 
Should be interesting to see how this thread will go. I would like to hear more about Crisler and Shippen if anyone has stories/facts to relay based on experience too. You don't hear people say bad things at all about Crisler. Why do you think that is? LOL Shippen has his promoters and naysayers.

I will agree, having seen Crisler, I also had to wait 1.5hrs past the scheduled appointment. Also, he did seem a bit distracted I guess it seems that way while simultaneously considering a dozen hormones and countless potential interactions and didn't want to hear any real history from me. I ask for, and get, the medical history I need in order to provide proper care. Now, let's think about this for a second: you had to wait to be seen--like all doctors these days--but you wanted the next guy to have to sit and wait longer while you went on about stuff I do not need to know about? He definitely wanted to take time to tell some joke or story to me though on my dime. That did put me off a little, particularly when he cut me off to tell me we didn't have all day to go over every bit of history. Have you considered that perhaps what you were telling me I already either knew already, or didn't need to know? Not that I was giving a life story to him. But he looked over some labs I brought on the spot, made a few comments and did seem to think that my current doctor was incompetent based on some quick med history. He was pretty clear about stating his opinion on that openly. This is a common occurrence in my office--as well as complaint across these boards: doctors who have absolutely no idea what they are doing, and won't learn or don't care.
I have found his staff pretty responsive so far though to any questions with quick replies.

Like most doctors, he wants to run some labs, see the numbers, then make some decisions on how to treat someone. It is too bad you are having such issues after the initial appointment.

I don't mind some arrogance if you get results. Unfortunately, you seem to have had some issues with him.

Hope my treatment doesn't end up like this, will be a big letdown after all the talk on the forums and NO bad posts about him anywhere except now. I think this is actually the first negative post about Crisler and his care I have read.

I wonder why that is? I have a few theories I won't air right now. I wouldn't waste time on any conspiracy theories if I were you. LOL

Good luck.
Please see above.
 
Even some of the best Dr's have there good days and bad days.. I have heard 2 sides of the coin and some people just get them on a bad day. I have been to good drs and they may something personal going on or other issues during the day time. As medical professions they try to help people out, just some times what works for one does not work for the others and once in a while you get a difficult case..
Word.

I saw 16 patients today. About half of them were really tough cases. I do my best.
 
I'll sum it up in one word: NARCISSISM.

If there is any mitigation, it is that the good doctor is not alone. The profession attracts this type -- also referred to as the God complex.

I can relate to your experience. Strongly in fact.
Now, didn't we ban you from our board for inappropriate and condescending behaviors? Hmmm...LOL
 
Listening is probably the most important skill a Doctor can have in my opinion. Every experience I had with Crisler started with a monologue, from him and about him that would take 30-40% of my appointment, and then there wouldn't be enough time to address my questions or issues. Thank God he doesn't work in an emergency room.

I finally addressed my concerns about the timing/scheduling issues of his office with someone from his staff, who promptly gave me some lip service about improving, the very next day I had a phone appointment that occurred over 3 hours after my scheduled time. I can't imagine calling a client 3 hours after I had scheduled an phone appointment, I doubt anyone here would do the same. My time is just as valuable as his, it's just rude and inconsiderate on his part.
Isn't it just uncanny how this guy's experience is so different from everyone else's?

You were always welcome to travel in to see me each time.
 
A good and caring man, but his practice is disorganized and he seldom reads anything before we speak for a $120 phone consult. my VOV's are only $60--about half what the rest of the industry charges I used to send a synopsis of how I was feeling and what we had done so far, but quickly realized that he wasn't reading a damned thing, so what's the point. THAT is the point--there is no doctor on earth with any kind of practice who could do that. It is entirely unreasonable to expect of anyone.

May of his suggestions turned out to be expensive detours, like the vastly overpriced "Neuroscience" products, but others have been better. I have never recommended or used any of the Neuroscience products On the whole, I am sticking with him, at least for now. There isn't anything better out there, at least not that I have found.

I've heard mixed reviews on Crisler's office practices, but very little negative about the man. Most speak highly of him. Those that don't tend to believe him arrogant. I have no personal experience, but have corresponded with him, where he proved to be a good man and direct. Perhaps it is this direct manner that some view as arrogance. I believe he has only been practicing for 5-6 years, which may explain things a bit. He may need more time to organize the practice. Still, he is a wealth of info and has helped many. Were he closer I'd see him as well.
Just trying to lend some perspective for you.
 
Monomer-

I'm glad you're happy with Crisler.

Most of the assumptions you make about me as a patient of Crislers are completely wrong however. I don't expect an hour of time for $60, I usually got between 4 to 7 minutes I'll let you in on a secret: today's industry average is 7 minutes, one major complaint and one minor issue. I rarely get out in under 10, often deal with half a dozen medical issues, and have spent an hour with a patient for the same fee--even though I have to breal $100 per hour (fixed expenses) just to break even for $60 and have the cell phone bills to prove it. Then I challenge you to publish them It's not the amount of time or money I'm unhappy about, it's the lack of results or medical information from the call. The last phone appointment that happened 3 hours late came in the middle of a new client lunch instead of at 9:30 am as scheduled. I had to leave the restaurant and go outside to talk, I guess I should have talked about my nuts in front of our new clients in your view. $60 x 10 minutes for a phone consult=$360 per hour, is that a ridiculously low rate? You might want to consider the charting and other logistical issues involved with patient care. And you said you are in business? LOL
Over the course of a year I initiated 1 call to Crisler's office, to set up my first appointment, and 4 or 5 emails to check on labs, usually waiting at least 2-3 weeks after I was told I would be sent scripts for labs. I don't think thats "bombarding" to anyone.

FYI-I have a Lexus as I don't have time to waste repairing a vintage Ferrari, I'm glad you have the time to spend in such pursuits.

I'm glad you're content with your Doctor and hope your treatment goes well with him, mine didn't.

The things you have posted here absolutely amaze me.
 
I was glad that I read this thread. It's very obvious to my ears that everything this guy said about those doctors was true. (it was very nicely put also) Your post was worth the effort you put into it, because I will never do business with either of those doctors after reading it. They remind me of my cable company (the only option in town) and they behave in exactly the same freggin manner. I am also on HRT, but I plan to steer clear of these 2 guys who think they are doing us all a huge favor. lol JMO
Would that be the "favor" of spending (literally) thousands of hours, donated time, answering medical questions on the Boards for free? LOL

Hey, "tawney", GREAT first post! LOL
 
I have several Doctors in the family, so I do have some understanding of billing practices. LOL

Since Crisler doesn't take insurance, he doesn't have a lot of the costs associated with collecting insurance reimbursement nor does he have to bill his time out at a rate negotiated by an insurance company. My GP unfortunately gets paid a lot less to see me by my insurance and has a much larger staff & nurses.

Crisler has virtually no medical equipment in his office to maintain. They seemed to only have one printer/fax/copier, which was in his office, Kim was constantly walking in during my appointment to pick up papers which was distracting, yes, Kim can be quite "distracting" LOL so there's not an overabundance of office equipment either. They charge $10 to process a script renewal and $5 to give you a copy of your labs. I don't think they perform any phlebotemy services in house for tests, as far as I know there is not a nurse on staff either.

I own a decent-sized corporation, so I'm pretty aware of the costs related to running a business.

As far as the $60 for phone appointment (I can't deal with the virtual office visit [VOV] term), would I get a more timely call if the charge was $68? $73? How much would it be to have the call actually pertain to my needs? $98? If you had 7pm dinner reservations at TGI Fridays and Ruth's Chris would it be OK to for TGIF to seat you at 10pm because the steak is $10, not $40? Would it be OK if the steak was not cooked the way you want it since it was only $10?

I would have been happy to pay more than $60 if that's what I needed to get results. It was the quality of time, not the quantity.
It's amazing to meet somene who is expert on every business on earth. LOL
 
I think the ego thing just comes with being a doctor sometimes, ive noticed this with TONS of docs. As far as Crisler goes, while yes he talks about himself i feel its not about glorifying himself, but kind of becoming friends if you get what i mean?? He has never told me that we were out of time and always answers my questions and gets back to the point at hand. No complaints here. But i always present myself in a calm collected state when talking to him even if im feeling like crap. I think this helps, its probably agitates doctors when someone calls up *****ing non stop or complaining a lot. Just my opinion.
It is an enjoyable part of my day to freshen my mind with some brief reparte. Hey, doctors are people, too.

But what is going on behind the scenes is also an assessment of how the patient is doing.
 
Level of education and experience. If I couldn't find a doctor who specializes in this I would consider your approach first - probably with my urologist. I'm not interested in paying the bucks to an Osteopath whose background is in helping healthy young men restart their HPTA post cycle. There are a lot of variables in this, and I'd prefer to have a medical doctor on board.
You could not be more wrong.

Osteopaths have to learn everything MD's do, plus about 25% more. Our Board Exams are twice as long. We are involved in every field of medicine, and always score higher in patient satisfaction surveys. That is because we spend more time with them, communicate longer and better, practice in a more holistic manner, and consider the place of body structure in health and happiness.

BTW, it's rare to need an aromatase inhibitor with PROPERLY dosed HCG. And progesterone is a feminizing hormone in adult males.
 
Level of education and experience. If I couldn't find a doctor who specializes in this I would consider your approach first - probably with my urologist. I'm not interested in paying the bucks to an Osteopath whose background is in helping healthy young men restart their HPTA post cycle. There are a lot of variables in this, and I'd prefer to have a medical doctor on board.
If every doctor who provides TRT would invest years of clinical experience in learning to restart the HPTA, this field of medicine would be light years ahead.
 
You don't have to tell me what they go through. My future son-in-law is at USC getting a PHD in Sport's Medicine. Don't get me wrong. I respect what he is doing and happen to be a believer in the holistic approach. It's tough profession because they spend a lot of time defending their credentials. It's true that both are licensed - some can practice surgery, but they don't have the same residency and that's a big part of their eduction. I would consider a D.O. for a lot of things, but never for open heart surgery, or to extract a tumor from my brain. Osteopathy is a different kind of medicine.

Age management or HRT as we have come to know it is relatively new. It's good to find a doc who believes in preventative medicine and uses the holistic approach, but HRT has lots of ramifications, and I prefer the background of an MD.
What makes you think an MD has superior "background" to a DO, when DO's learn all that MD's do (and more)?
 
Shippen told me to make copies of the basic lab order he wanted me to get done every month. I was using Labcorp & insurance at the time, there was never a problem with it.

Crisler would fax a script directly to the lab, there always seemed to be some issue with the tests. It's really hard for us to deal with labs all across the country--but it's a necessity. We spend hours each week with them, making sure my guys get the assays they need. Frankly, I've never had anyone try to make this into some sort of a negative issue. . I believe it was because the lab was sent a typed up list, not a lab order with codes. The lab results always had a disclaimer about the lab order being hand-written and some Ambiguous Test Codes policy. Sometimes I'd get an email telling me the order had been faxed to the lab and other times I'd wait weeks only to find out the lab had the scripts for weeks...Patients are always immediately notified when their lab orders are faxed in. We do it a hundred times each week
What could be motivating this guy to all this nonsense?
 
I think using your own doctor is a viable option as long as you have confidence in his ability to evaluate your labs. No one needs constant access to their doctor, but it's good to know he is available when you need him - especially when you're injecting your body full of hormones.
The first step is for the doctor to know which labs to order. And to remain at the forefront of this rapidly evolving field of medicine. Many who try to pass themselves off as "experts" are in fact 4 or 5 generations behind the times. Some literally have no idea what hormones are about. I see it every day in the cases that come before me.
 
This thread has been incredibly useful. What good is a DR prescribing TRT if his office takes 3 weeks to give you the script? It wouldn't be. There are no doctors who operate that way.

I once had to call my DR 53 times over three weeks because his office was so screwed up at the time. I nearly lost my job and my body was wondering why I went from 100 mg of exogenous testosterone to zero, overnight.

The medical profession is now inherently either corrupt or incompetent when it comes to the most basic issues that all of the information needs to be known in advance.

Maybe if these DRs did the things the OP claims, they will realize they are losing patients and work things out.

The problem is there is absolutely no accountability among DRs ad threads like this are the very beginnings of that. Now THAT is a unique perspective! LOL
There needs to be a website where patients are required to rate their DRs and given a free "DONT BE A PIN HEAD" t shirt when they do.
"Pin Head is as Pin Head does."
 
Unfortunately there isn't a Consumer Reports issue on TRT Doctors.

These 2 Doctors have generally been presented as demi-gods on the forums. I have a lot of respect for Shippen, I think of him as the person who kind of started this movement and his book is probably the only one that provides much information on TRT. A lot of people are happy with Crisler and that's great for them, some of us weren't so lucky. Shootist, you've seen Crisler 1 time, if you eventually have the same issues some of us have had with him you won't feel so great about the investment of time and airfare you made to see him. I initially felt that I was going to be able to get a program that worked from him as well despite my concerns at the initial office visit, instead I had another year of feeling lousy, primarily because of a poorly run office. Some members have limited financial and time resources and I feel they should be aware that everything's not perfect if they decide to make the trip to either Doctor.

Hopefully Crisler will use these comments to improve his operation, if not, then he deserves to lose patients to other Doctors. In my business I ask our clients point-blank what they hate about us, finding out what's wrong is the only way for us to improve what we do. You don't lose clients over what you do right.
So do your clients publish all manner of slanderous lies while hiding behnd their computer monitor under an assumed name? LOL
 
The thread is called "MY EXPERIENCE" not, this is what YOUR experience will be.

When some others PM'd me with similar experiences it was apparent that there were others that had the same experience, thus the word "US" appeared. I don't care if others choose not to post their frustration publicly.

It's obvious that this a Crisler party, but the guest of honor seems to have left.
You know, not everyone gets to be a patient of mine. We have standards of gentlemanly behavior. And you are obviously not a guy who places any value upon his own word.

You might be more happy if you took a good look into yourself. I sincerely hope you do.
 
I had my second virtual office visit with Dr. Crisler today. I told him that I was still feeling bad and very irritable......and he told me that I had a "character flaw" and that my numbers were where they needed to be for now. Was he joking and just busting my balls? Maybe, and I sincerely hope so. But I'm not 100% sure and it is still bothering me.

If this type of stuff doesn't bother you then Dr. Crisler is a great choice. If you are the type of person that needs your doctor to legitimately seem concerned and have bedside manner...you need to put that aside if you chose Dr. Crisler.

If I get my emotions to where I want them to be, I won't give a flying **** how he talks to me lol.
Yes, that was humor. That is why you laughed when I said it. It's also totally goofy, BTW. I was trying to make you laugh.

That was a rotten thing for you to post--especially given the general trend of this thread. Please let us know where to forward your medical file. I can no longer serve you.
 
If I get my emotions to where I want them to be, I won't give a flying **** how he talks to me lol.

Looks like that isn't going to be a problem now. Would you expect any doctor to keep you as a patient after this? At worst you had a misunderstanding and your first reaction is to publish this in a public forum?
 
You did indeed, Dr. J. Thanks

Just trying to lend some perspective for you.


As always, your insights are most beneficial and more. Many here are feeling like crap for reasons they do not understand and are thus unusually irritable and worse. They expect the doctor to spend as many hours with them as they do researching and trying to figure out what when wrong, only to get pissed when the doctor cannot spend that kind of time and still maintain a practice. I myself have been guilty of this, especially early on, as you point out

As I've said before here, and I'll say it again for you directly, I've found you to be a good and caring man---and a very direct one at that. Some may confuse this with arrogance. I prefer to call it "the un-sugarcoated version", which many need to hear, even if they do not want to.
 
This is EXACTLY what I have been arguing all along

If every doctor who provides TRT would invest years of clinical experience in learning to restart the HPTA, this field of medicine would be light years ahead.


Too many doctors see only that the patient is "down a quart" without asking "Why?". By analogy, if one's car had an oil leak puddling on the floor, would you keep adding oil, or would you FIND THE DAMNED LEAK AND FIX IT?

This is exactly why I recommend Drs Shippen and Crisler. They look for the leak and try to fix it within the bounds of current knowledge--and then some. Do some have frustrations, even with them? Sure, even I have been frustrated at times. But, when all is said and done these two men are quite literally leading the way.
 
It's true--like many men who train, it's really hard to find dress shirts that fit properly. So I have them made by this racket in New York. They cost me all of $49 per shirt--less than off the rack back home. I regularly recommend them to my patients, so they can both look better, and save some money

Please post name, address and phone.
 
Looks like that isn't going to be a problem now. Would you expect any doctor to keep you as a patient after this? At worst you had a misunderstanding and your first reaction is to publish this in a public forum?
I'm happy to say nearly all my interactions with patients are very lively and joyful. We constantly hear back how much my guys appreciate a blue collar kind of doc who enjoys the company of his patients.

The rest of the story is that is what keeps ME going, too!
 
I'm glad you responded Dr. Crisler

It's unfortunate that you can't acknowledge any flaws in your operation.

I'm glad I moved on.
 
Word.

I saw 16 patients today. About half of them were really tough cases. I do my best.

Drs can only do so much. People have to want to help them selve before they can heal. Several men have this idea that TRT is some magical bullet that poof one day you wake up all will be better. You still have to adjust lifestyle changes which are the biggest part of healing. Every thing works together to achieve optimal health. Imagine if one is sitting on the other side of the desk and a person comes into your office and drops a pile of crap on your desk and says fix it. This is basically what drs have to go through with many patients. People think that taking some testosterone and tweaking this and that is going to get fixed over night. Hello people cellular changes for hormones can take up to 6 months to a year to be fully recovered at the tissue level. It is not an over night process and people need to be aware of this !!
 
Dr. John I think you may have taken my post the wrong way, similar to how I took your comment on the phone the wrong way apparently (which I am glad to hear by the way).

I'm not going to air out our laundry here though, I sent you a PM.

Let it be known that I DO NOT agree with the tone of this thread that Dr. John is a crappy doctor or whatever. He summed it up when he said he is a "blue collar" type of guy.
 
I think Dr. John raised a great point. The op should have put his energy into calling the good drs. office and expressing his concerns, not coming online and bashing him. Realisticly, how many doctors spend their FREE time to go online, try to help people, and run their own business as well. I feel lucky to be seeing him and appreciate any time he spends with me!!!
 
It's unfortunate that you can't acknowledge any flaws in your operation.

I'm glad I moved on.
We're glad you did, too. You simply do not possess the character of an All Things Male guy.

One thing all my guys can know for sure: each and every one is a good fellow. I can honestly say I do not have a single patient who I do not personally like. Even when they are feeling bad, or I am falling down tired.

No one is saying we haven't had growth pains. Kim and I have just about killed ourselves trying to keep up along the way. No matter how tough things got, no matter how broke we were, we have always put patient care first. So if a guy took an hour to take care of for a single VOV Fee, that is what I did. Even though I was not just working for free then, I was losing money--I have literally worked all day before, providing the most cutting edge medicine available anywhere (I know what everyone else in my industry is doing, as I eventually end up with their patients), and ended in the hole after 16 straight hours of work.

And I have never donated less than $100,000 a year of my medical expertise. Again, no matter how much month I had left at the end of the money. It's amazing to me anyone of these Boards could find it in their hearts to attack a doctor who has donated so much to the community. But it certainly says more about them than it does me. It also shows why there are no other doctors with prominent continuing roles on the Forums--they have all gotten sick of the crap and moved on.

Now we have moved into a huge (2,350sq ft) new, beautiful office. I have hired three more associates. All are top notch individuals. And each of them understand my eccentricities and quirks. So they are not surprised to find me just sitting and staring off into space, lost in thought about what to do for some patient, as guys are getting backed up. They know this is "medicine as art" and I sometimes have to synthesize new treatment protocols to get around some lesion in a guy's metabolic pathways. Hardly a "cookie cutter approach". LOL

Equipment purchases, new phone lines, and now...get ready for this: we're going live with our EMR system 6/1/08 (I bought it three years ago, and have been, well, afraid to turn it on until now). The New Man Cave is turning into a quite a slick place. But that is just because I have been blessed with such amazing staff. They like being there, and consider it a privilege to serve our fine gents.

And frankly, my guys for the most part appreciate how difficult it is for me to follow them remotely (although all are always welcome to travel in for all their follow ups), how much more stressful and difficult that is across a day and week. They know I will do whatever it takes to get the job done--which they appreciate, as many have been to half a dozen physicians before me, and I am the one who must solve the tough cases. They also know I may be the only shot they have at getting well again, depending upon where they live and what is available to them.

So, when a guy like "crankyballs" (good handle) comes on here and makes up a bunch of lies, he just puts himself in that same group of people with low character who also have attacked me along the way. I guess that just comes with the Internet, where those with serious emotional problems can vent same while cowering behind their computer monitors, under an assumed name.

However, as my father always says: "There are more good people in this world than bad." So for every misguided individual who does not know how to act, there may be a thousand who are getting good help--and appreciate it. It is YOU I am here for.
 
Facts Not Fiction

You could not be more wrong.

Osteopaths have to learn everything MD's do, plus about 25% more. Our Board Exams are twice as long. We are involved in every field of medicine, and always score higher in patient satisfaction surveys. That is because we spend more time with them, communicate longer and better, practice in a more holistic manner, and consider the place of body structure in health and happiness.

BTW, it's rare to need an aromatase inhibitor with PROPERLY dosed HCG. And progesterone is a feminizing hormone in adult males.


Dr. John is correct.

Here's what the NIH says about it:


Osteopathic physician


A doctor of osteopathic medicine (D.O.) is a physician licensed to perform surgery and prescribe medication. Like an M.D., an osteopathic physician completes 4 years of medical school and can choose to practice in any specialty of medicine. However, osteopathic physicians receive an additional 300 to 500 hours in the study of hands-on manual medicine and the body's musculoskeletal system.

Osteopathic medicine is dedicated to treating and healing the entire patient as a whole, rather than focusing on one system or body part. An osteopathic physician will often use a treatment method called manipulation -- a hands-on approach to assure that the body is moving freely. This free motion ensures that all of your body's natural healing systems are free to work unhindered.

Oosteopathic physicians hold to the principle that a patient's history of illness and physical trauma are written into the body's structure. The osteopathic physician's highly developed sense of touch allows the physician to palpate (feel) the patient's "living anatomy" (the flow of fluids, motion and texture of tissues, and structural make-up).

The osteopathic physician's job is to "set" the body to heal itself. To do so, the osteopathic physician gently applies a precise amount of force to promote healthy movement of tissues, eliminate abnormal movements, and release compressed bones and joints. In addition, the areas being treated require proper positioning to assist the body's ability to regain normal tissue function. This process is called osteopathic manual medicine (OMM) or osteopathic manipulative treatment (OMT).

Over the years, the gap between "conventional" medicine and osteopathic medicine has narrowed, as M.D.s have embraced many of the premises of osteopathic medicine (such as recognizing the impact of stress on the immune system or posture on various body systems). In addition, D.O.s have incorporated the diagnostic and treatment techniques common to conventional medicine.

Doctors of osteopathic medicine may be found in nearly any health care setting, from community clinics and private practices to academic medical centers.

Like M.D.s, osteopathic physicians are licensed at the state level. Osteopathic physicians who wish to specialize may become "board certified" (in much the same manner as M.D.s) by completing a 2- to 6-year residency within the specialty area and passing the board certification exams.
 
Dr. John I think you may have taken my post the wrong way, similar to how I took your comment on the phone the wrong way apparently (which I am glad to hear by the way).

I'm not going to air out our laundry here though, I sent you a PM.

Let it be known that I DO NOT agree with the tone of this thread that Dr. John is a crappy doctor or whatever. He summed it up when he said he is a "blue collar" type of guy.
Alright. A guy has the right to say what he really meant in this world.
 
Status
Not open for further replies.
Back
Top