Girth Training Advice: Ask The Experts

Girth Training Advice: Ask The Experts

Big Al, of MaleEnhancementCoach.com, answers questions about training the penis for girth.

If you have questions you’d like answered in an Ask the Experts article, please PM Big Al

Q. I’ve just started with the Squeeze for my girth workouts and I’ve gotta say I love em!

I’m doing the recommended 70 percent average but I feel I can do much more. Can I try a higher erection for this?

Al: You can use a higher level of erection to make the Squeezes more intense, but you have to be careful with this- since the degree of force needed to manipulated a higher erection increases almost exponentially. If you don’t have the necessary conditioning, you might find the higher erection Squeeze LESS efficient.

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Q. You had stated that for jelqs, I should be holding one hand at the base so the skin doesn’t move up with the jelq.

However, isn’t it preferable to start from as far back of the penis as possible? And if I hold that base, I that means I have to start further ahead?

How about instead of holding the base, I just use more lube so that when I’m jelqing, it’s not actually moving up the skin?

Al: You’re correct in that you should be getting the stroking hand as deep into the base as possible. This may require you hold back skin with the other hand and spread your fingers enough to allow the stroking hand to get the proper range of motion.

You can also try using more (thick) lube. IMO, this is preferable as it simplifies the exercise. Please let me know how it goes if you decide to try this.

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Q. Why is it that I feel the Squeezes better for me for girth than jelqing even if I use about the same level of EQ?

Aren’t they both for girth?

Al: The Squeeze is considered to be a girth-direct exercise, whereas the jelq is an exercise which can be used for a variety of functions. That being said, even the Squeeze can yield some degree of length gains since the tunica is being expanded. Some have also commented on EQ improvement using Squeezes, though the [light] jelqs are, IMO, better for contributing to more blood flow.

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Do you want Al to answer your questions?  Please check out MaleEnhancementCoach.com

DP 4000 Pumping Instructions for Beginners

DP 4000 Instructions for Beginners.

By Dr. Richard R. Howard II

Copyright @ 2020 this may be used for educational purposes but cannot be shared without author’s consent. Please respect this copyright.

Practice with the DP 4000, Learn to navigate it and understand its dynamics. Please note the time frame in mind for each step of progress or estimates that are given so the individual can know approximately the time duration for each stage of beginning, intermediate, and advanced. This depends on many factors and is certainly not engraved in stone for timeframe for beginner, intermediate, and advanced. This summer bedstand

Beginner. Six – twelve months duration. Once you familiarize yourself with the navigation of the software, proceed by entering on the left column minus inches of mercury (-inHg) vacuum numbers which are 3, 5, each performed at six seconds. The time is entered into the right column which will be six seconds each. This sequence will be used for approximately 10 minutes warm-up. If you find this sequence to be too intense then drop back to 2, and 4, particularly if the penis is curved. The remainder of the boxes on both columns can be checked off and not used for now. After warm-up, proceed to the triplet 3, 5, 6 which will automatically cycle for the time duration of the exercise. 20 minutes is the starting time for beginners. If you are uncomfortable with the above, use 3, 5 omitting 6 for the time being.

After approximately 2 to 3 months an additional set of numbers can be added, on the left column resulting in 3, 5, 6 and 3, 6, 7. Learn how to store the program to the computer, and also to the pump.

Checking off boxes. When the protocol is stored then retrieved, the full array of numbers check will present. For example, after warming up with the first group of numbers. 3, 5 for approximately 10 to 15 minutes you can cycle into the higher numbers. 3, 5, and 6 then moved to 3, 6, and 7. If it anytime the higher numbers feel uncomfortable back off to the first triplet. Time considerations, after two months add another 20 minute set for a total of 40 minutes. Upon completion of the first 20 minutes set, perform mild jelqs and stretching for five minutes, basically you are massaging the penis between the 20 minute workouts. Massaging your penis in this way is productive when pumping. It is useful to take breaks between the 20 minute sets such as this. Upon the conclusion of the two 20 minutes sets for a total of 40 minutes, initiate a fuller array of exercises such as jelqs and stretching, and base squeeze with edging. I have articles on the above that fully explain these exercises (available upon request) . The beginning phase lasts approximately six to twelve months. I am disinclined to be more aggressive than this, though there are variations that I would discuss upon a successful completion of the first 6 to 12 months. Please remember those of you who are not gifted with patience, that we are dealing with your manhood, safety first. In conclusion on the left column you will have the numbers 2, 3, 4, 5, 6 and 7. On the left column will be six seconds in each box that corresponds to the numbers

This pattern, and nuances thereof will occur throughout your progression to advanced. I will present intermediate and advanced articles with the individual has completed the above.

Best regards,

Dr. Richard R Howard II

Bagman’s Advanced Pumping Techniques: Effective Time

penis pumping dos and donts

Bagman’s Advanced Pumping Techniques: Effective Time

From The Bagman at PumpToys.com

Recommended by Dr. Howard of MyPenisDoctor.com

TIME AND THE PUMPING PROCESS
Many pumpers feel that they grow fast in the early part of a pump session, then seem to “Plateau” or reach a point where enlargement either stops or greatly slows down. It would seem logical to say that the longer you pump, the larger you would get. 
Not necessarily true!

The question is one of effective time. “Effective” means any time when the flow and gain of fluids that cause enlargement is taking place at the desired rate, and that is not something that occurs continually. Effective time also varies in the level of efficiency- as the flow reduces, the level drops. Pumping up faster or larger is a factor of effective time only. Time spent in the pump that’s not effective is totally wasted.

This fluid flow and gain process that creates enlargement is restricted by the pumping operation itself, in these three ways:

  • As swelling takes place, tissues are engorged- including those of the passageways bringing fluid in, actually reducing the diameters of those passageways. 
  • There is a pinching pressure attempting to close these passageways right at the point where the cylinder entry meets your body. The passageways are part of the tissue being compressed by the sealing surface of the tube.
  • It is further complicated by another easily demonstrated process, that of “vacuum collapse”. Take a soft tube, and connect it to your vac pump. With an open end, it will suck indefinitely. Now squeeze the tube down in the middle. As the opening gets narrower, two things happen. One, the flow through the restriction reduces- and two, the vac level on the restricted portion increases. There comes a point where the internal vacuum itself pulls the tube closed- and all flow stops.

All of these conditions combine to either restrict or stop the process of enlargement. The longer the condition lasts, the tighter the restriction can get- and thereby further reducing the level of effectiveness, ultimately ending effective time altogether. The issue is one of making all the time in the pump effective time, and maximizing the level of that effectiveness.

HOW DO YOU FIND OUT WHAT WORKS?

We did an experiment to try and measure the extent of this. To determine exactly what gain was occurring, we went to Displacement Pumping. (Explained in another Advanced Pumping Article) Two pumpers who run close to the same in size and usual enlargement rate provided the comparisons. We selected the one that usually pumped up faster as the control subject; and the slower one as the test subject. Both used STJ’s as cylinders, and both pumped wet with precisely the same level of water in the jar. Both jars were marked for measurement by adding water that had been precisely measured and creating a CC (Cubic Centimeter) scale on the side The scale started with the zero set at the water mark with the jar vertical and inverted, with enough water to cover the pumper. As the enlargement develops, it displaces water and raises the level on the scale- precisely measuring the volume of change. We did this experiment on four occasions using different schedules each time, with substantially different results.

The control subject would pump at a vac level of 5″, and hold it for 60 minutes.

The test subject would pump at the same vac level, but would interrupt the session with an alternate state as called for by the experiment schedule.

The result is measured in relative terms:
The change in volume (actual gain) of the test subject, as compared to the control subject expressed as a plus or minus percentage. The volume of the control subject’s gain over the zero mark would always be 100. If the test subject developed 10% less gain, the test score would be 90%. If the gain was identical, the score would be 100%; if the gain was 10% more, the score would be 110%. The “Relative effectiveness” is the score points gained per minute; obtained by dividing the score by the time at level.

Four test schedules were tried, as follows:

  1. Break at 15 minute intervals, exit and massage 2 minutes, return to vac level. (3 breaks)
  2. Reduce vac level to zero once every 15 minutes, hold zero for 1 minute, return to level.
  3. Reduce vac to zero every once every 10 minutes, hold zero for 1 minute, return to level.
  4. Reduce vac to 1″ every 5 minutes, hold for 30 seconds, return to level.

Here’s the scorecard of the test subject for these tests:

SCHEDULE  SCORE  TIME @ LEVEL  RELATIVE EFFECTIVENESS 
CONTROL  100  60 MINUTES  1.66 
#1  108  54 MINUTES  2.00 
# 2  111  57 MINUTES  194 
# 3  121  54 MINUTES  2.24 
# 4  133  54 MINUTES  2.46 

SO-WHAT DOES IT MEAN?
In every schedule, taking breaks to restore circulation and relieve the closure resulted in fast
Bagman’s Advanced Pumping Techniques: Effective Time

From The Bagman at PumpToys.com

TIME AND THE PUMPING PROCESS

Many pumpers feel that they grow fast in the early part of a pump session, then seem to “Plateau” or reach a point where enlargement either stops or greatly slows down. It would seem logical to say that the longer you pump, the larger you would get. Not necessarily true!

The question is one of effective time. “Effective” means any time when the flow and gain of fluids that cause enlargement is taking place at the desired rate, and that is not something that occurs continually. Effective time also varies in the level of efficiency- as the flow reduces, the level drops. Pumping up faster or larger is a factor of effective time only. Time spent in the pump that’s not effective is totally wasted.

This fluid flow and gain process that creates enlargement is restricted by the pumping operation itself, in these three ways:

  • As swelling takes place, tissues are engorged- including those of the passageways bringing fluid in, actually reducing the diameters of those passageways. 
  • There is a pinching pressure attempting to close these passageways right at the point where the cylinder entry meets your body. The passageways are part of the tissue being compressed by the sealing surface of the tube.
  • It is further complicated by another easily demonstrated process, that of “vacuum collapse”. Take a soft tube, and connect it to your vac pump. With an open end, it will suck indefinitely. Now squeeze the tube down in the middle. As the opening gets narrower, two things happen. One, the flow through the restriction reduces- and two, the vac level on the restricted portion increases. There comes a point where the internal vacuum itself pulls the tube closed- and all flow stops.

All of these conditions combine to either restrict or stop the process of enlargement. The longer the condition lasts, the tighter the restriction can get- and thereby further reducing the level of effectiveness, ultimately ending effective time altogether. The issue is one of making all the time in the pump effective time, and maximizing the level of that effectiveness.

HOW DO YOU FIND OUT WHAT WORKS?

We did an experiment to try and measure the extent of this. To determine exactly what gain was occurring, we went to Displacement Pumping. (Explained in another Advanced Pumping Article) Two pumpers who run close to the same in size and usual enlargement rate provided the comparisons. We selected the one that usually pumped up faster as the control subject; and the slower one as the test subject. Both used STJ’s as cylinders, and both pumped wet with precisely the same level of water in the jar. Both jars were marked for measurement by adding water that had been precisely measured and creating a CC (Cubic Centimeter) scale on the side The scale started with the zero set at the water mark with the jar vertical and inverted, with enough water to cover the pumper. As the enlargement develops, it displaces water and raises the level on the scale- precisely measuring the volume of change. We did this experiment on four occasions using different schedules each time, with substantially different results.

The control subject would pump at a vac level of 5″, and hold it for 60 minutes.

The test subject would pump at the same vac level, but would interrupt the session with an alternate state as called for by the experiment schedule.

The result is measured in relative terms:
The change in volume (actual gain) of the test subject, as compared to the control subject expressed as a plus or minus percentage. The volume of the control subject’s gain over the zero mark would always be 100. If the test subject developed 10% less gain, the test score would be 90%. If the gain was identical, the score would be 100%; if the gain was 10% more, the score would be 110%. The “Relative effectiveness” is the score points gained per minute; obtained by dividing the score by the time at level.

Four test schedules were tried, as follows:

  1. Break at 15 minute intervals, exit and massage 2 minutes, return to vac level. (3 breaks)
  2. Reduce vac level to zero once every 15 minutes, hold zero for 1 minute, return to level.
  3. Reduce vac to zero every once every 10 minutes, hold zero for 1 minute, return to level.
  4. Reduce vac to 1″ every 5 minutes, hold for 30 seconds, return to level.

Here’s the scorecard of the test subject for these tests:

SCHEDULE  SCORE  TIME @ LEVEL  RELATIVE EFFECTIVENESS 
CONTROL  100  60 MINUTES  1.66 
#1  108  54 MINUTES  2.00 
# 2  111  57 MINUTES  194 
# 3  121  54 MINUTES  2.24 
# 4  133  54 MINUTES  2.46 

 

SO-WHAT DOES IT MEAN?

In every schedule, taking breaks to restore circulation and relieve the closure resulted in faster net gain. Frequent reliefs of vacuum for short intervals are the most effective overall. The indication is that a sort of pulse-pumping with intervals is far more effective than constant pressure. It’s also logical to conclude that if the test had run for a two-hour period, the second hour score increases would have been greater than the first, because the loss of effectiveness in the control subject would be somewhat accumulative or progressive.

One other note- the subjects were sitting and not active during the tests. Activity would help relieve some of the restriction problems. It’s commonly recognized that being erect while in cylinder is more effective than a sitting position. This is due to the weight of the cylinder pulling downward, helping to reduce the pressure the vacuum can exert against the body in the seal area, thereby creating less restriction to fluid flow.

If you feel you have reached your “plateau”, try the take-a-break system; get your fluid passages open again, and- pump on!

 

Sex or Edging After Training and Hanging Too Heavy- Ask The Experts

Sex or Edging After Training and Hanging Too Heavy- Ask The Experts

Big Al, of MaleEnhancementCoach.com, answers questions about sex/edging after training and hanging too heavy.

If you have questions you’d like answered in an Ask the Experts article, please PM Big Al

 

Q. Is it a good idea to have sex after training?

Al: If you’re referring to male enhancement training- and you have no negative issues like performance anxiety or low EQ, then sex after training can be a great way to finish off your workout. This also applies to manual edging- e.g.: Stop and Starts.

Q1. I’ve worked up to hanging 15 pounds for over an hour…

…but I haven’t seen any growth in months. What is it I’m doing wrong?

Al: It needs to be understood that training using enlargement specific exercises isn’t quite like other forms of bodily training. The exercises, reps, etc. are all incidental to quality tissue stretch.

It’s best to think of your enlargement training as something more akin to flexibility training than resistance training. Working up to 15 lbs of weight is only good if it’s a byproduct of growth, meaning the routine you performed yielded gains so you added more weight.

Did you make gains earlier in your routine?

Q2. I did make some gains…

and the workouts were more enjoyable. I’m also sore after each workout. This is probably not a good sign?

Al: This is not a good sign! You shouldn’t be feeling anything more than a mild soreness which dissipates in 24 hours or less.

You’d be well advised to go back to a lighter weight and do your best to focus on what you’re feeling with your hanging. Taking mental focus out of the equation with passive forms of training like hanging is easy, so really doing what you can to ensure quality maximum tissue stretch each session without pain or strain should be the goal.

You’ll know you’re on the right track when your penis appears elongated without being exhausted after your sessions, and (of course) by observing growth- which should be noted once every two weeks when you measure.

Your gains will also be greatly accelerated if you’re improving EQ as well.

Side to Sides & Stop and Starts: Ask The Experts

Side to Sides & Stop and Starts: Ask The Experts

Big Al, of MaleEnhancementCoach.com, answers questions about Erect Kegel pauses, rest in the stretched state & tool use.

If you have questions you’d like answered in an Ask the Experts article, please PM Big Al.

Q. I’m interested in testing out the Side to Sides stretch for length.

All I’ve done before is high rep jelqing. Can I start with high reps for the Side to Sides? How long can I use them for?

Al: It would be good to test out 100 reps of the Side to Sides in your initial session. If you’re starting with any new exercise, start on the low end of the rep plan. You can always adjust upwards with your reps.  A good rule of thumb is to add anywhere between 5-10 percent volume per session for this exercise- at least until you get to 500 reps or more- then stay at ~5% per session.

The Side to Sides usually work well for 1-2 cycles. From there, more intense movements are needed to bust the almost inevitable plateau. That being said, we can keep using it for as long as you see fit to.

Q. I have sex one to days a week with my girlfriend.

The sex is quite good already but how can I get better at it and grow in confidence? I’m especially vulnerable to ejaculating too soon when I penetrate although I can get it up later.

Al: The best way to improve is to practice. Get more time and confidence with penetration, and you’ll develop mastery.

Something which can offer more immediate help is to ejaculate/orgasm LIGHTLY early in your encounter. This will mean stopping or pulling out during the act. The harder your orgasm the longer your refractory period, and the reverse is also true.

Practicing the manual Stop and Starts is your best alternative to live sexual contact if you need more training.

Side to Sides & Stop and Starts: Ask The Experts

Side to Sides & Stop and Starts: Ask The Experts

Big Al, of MaleEnhancementCoach.com, answers questions about Erect Kegel pauses, rest in the stretched state & tool use.

If you have questions you’d like answered in an Ask the Experts article, please PM Big Al.

Q. I’m interested in testing out the Side to Sides stretch for length.

All I’ve done before is high rep jelqing. Can I start with high reps for the Side to Sides? How long can I use them for?

Al: It would be good to test out 100 reps of the Side to Sides in your initial session. If you’re starting with any new exercise, start on the low end of the rep plan. You can always adjust upwards with your reps.  A good rule of thumb is to add anywhere between 5-10 percent volume per session for this exercise- at least until you get to 500 reps or more- then stay at ~5% per session.

The Side to Sides usually work well for 1-2 cycles. From there, more intense movements are needed to bust the almost inevitable plateau. That being said, we can keep using it for as long as you see fit to.

Q. I have sex one to days a week with my girlfriend.

The sex is quite good already but how can I get better at it and grow in confidence? I’m especially vulnerable to ejaculating too soon when I penetrate although I can get it up later.

Al: The best way to improve is to practice. Get more time and confidence with penetration, and you’ll develop mastery.

Something which can offer more immediate help is to ejaculate/orgasm LIGHTLY early in your encounter. This will mean stopping or pulling out during the act. The harder your orgasm the longer your refractory period, and the reverse is also true.

Practicing the manual Stop and Starts is your best alternative to live sexual contact if you need more training.

TotalMan Videos Are Back!

TotalMan Videos Are Back!

We’ve partnered with TotalMan and will be presenting regular features from this comprehensive site!

The TotalMan Videos are back, and the site is updated and ready to go!  Please read the following new blog post as an intro:

Penis Enlargement

Quick Summary of this Penis Enlargement Article

  1. Motivation for penis enlargement
  2. My journey so far
  3. Average penis size world wide and preferences
  4. Penis enlargement options that may not work or have greater risks
  5. The tools I recommend for penis enlargement
  6. The two components to successfully increase penis size
  7. Component 1 – Active / Growth Methods
  8. Component 2 – Passive / Healing Methods
  9. Quick break down of each method – 11+ Methods
  10. Our Ultimate Routine (free to download)
  11. Other Penis Enlargement brands
  12. Summary to successfully increasing penis size

Warning: This blog and video will contain uncensored footage as informational and demonstrational guidance only. The content may not be suited for persons under the age of 18.

By continuing to read this article you are agreeing to comply with our Terms & Conditions.

YOU HAVE BEEN WARNED.

In this blog I’m going to show you what you need to increase the size of your penis once and for all.

Continued…

Free Penis Enlargement routine | No devices needed

Free Penis Enlargement routine | No devices needed

We’ve partnered with TotalMan and will be presenting regular video features from this comprehensive site!

In this video, TotalMan discusses the details of a free penis enlargement routine not requiring devices!

In amongst all the methods and devices for penis enlargement and male enhancement, would you like a routine that is free and doesn’t even involve any device? I think I might have what you’re looking for. In this video I’m going to provide you with a penis enlargement routine for the next 3 months. And you can do it all with just your hands. This routine has the potential to help you progress to increasing both penis length and girth and even assist in erection quality. That’s right, no devices. All you’re going to need is. – Your hands – Some coconut oil – Time – Effort – Patience Good luck. Enjoy!

Before PENIS ENLARGEMENT | You MUST watch this!

Before PENIS ENLARGEMENT | You MUST watch this!

We’ve partnered with TotalMan and will be presenting regular video features from this comprehensive site!

In this video, TotalMan discusses what to consider before starting penis enlargement.

In this video what I’d like to do is essentially convince you why you should not get into penis enlargement.

Majority of my channel so far focuses on how to enlarge your penis and only a couple of videos focus on what to think about before doing so.

What I want you to get out of this video is to come to a realisation of whether or not Penis Enlargement is worth it for you because I do not want you to waste your time money effort and possibly even do harm to your relationships sex life and possibly more. Which unfortunately is definitely a possibility when getting into this kind of thing.

If you care about your sex life, your relationships, your sanity, your time, your money you will watch this whole video to the end.

The most honest video on Male Enhancement in the world!

Enjoy.

 

How Would You Answer ‘The Penis Question’?

How Would You Answer ‘The Penis Question’?

— Motivate patients by being an agitator, not an irritator

This article is a repost which originally appeared on MEDPAGE TODAY

Edited for content

“How do I make my penis bigger?”

As a urologist, I have fielded this question from men on countless occasions. Several years ago, when a middle-aged patient raised the question with me for perhaps the ten-thousandth time, I blurted out a simple answer for him, which could apply to nearly half of American men.

Mr. Boudreaux (not his real name) was obese, with a BMI of 30. He was taking seven medications a day, and suffered from diabetes and long-standing hypertension.

“Mr. Boudreaux,” I said, “if I could give you a pill that would give you more energy, improve your erections, increase your sex drive, decrease your blood pressure, improve your diabetes, decrease your risk of arthritis, decrease your risk of colon and prostate cancer, and make your penis one and a half inches longer, would you take the pill?”

Mr. Boudreaux’s face broke into a smile. He quickly responded, “Yes, please give me that prescription!”

“Mr. Boudreaux, it’s not a pill. It’s exercise!”

His smile faded. “But how would that make my penis bigger?”

I told Mr. Boudreaux that if he lost weight, all those things could happen, plus his panniculus would decrease and his penis would appear longer. He seemed game to try, so I arranged for him to see a nutritionist and start an exercise program.

His goal was to lose 2 pounds a week. Four months later at a follow-up appointment, Mr. Boudreaux reported that he had lost 30 pounds, his blood pressure had decreased enough to forego hypertension medication, and his HbA1c had significantly declined. And, yes, he reported gleefully that his penis had “grown” by nearly 2 inches!

As physicians, we routinely must propose very unpleasant options for patients’ health. Over the years I have always been disappointed that my advice on lifestyle changes has generally led to too few behavioral differences. This is especially true for obesity, which affects 42.4% of all Americans, according to the CDC.

A doctor’s usual advice to a hypertensive patient is to lose weight, exercise 20 minutes a day, take antihypertensive medication, and reduce dietary salt. The usual result in a 2-month follow-up appointment is no improvements in blood pressure, weight loss, or exercise habits.

Where, the doctor asks herself or himself, did I go wrong?

After years of pondering this question, it occurred to me that there is a distinction between irritation and agitation.

An irritator is a physician who prods patients to do something she wants them to do. The agitator, on the other hand, is an enlightened doctor who motivates patients to do something they want to do. An agitator, in essence, is as much of a coach as a director.

In my experience, irritation is not effective, at least not in the long run. But by gently agitating the patient through learning what he or she wants, the healthcare provider may unleash motivation more likely to result in improvement in compliance, health outcomes, and perhaps even a decrease in the cost of care.

How do we agitate patients to improve health habits? A Greek philosopher named Epictetus said nearly 2,000 years ago, “Nature hath given men one tongue but two ears, that we may hear from others twice as much as we speak.”

His advice applies forcefully to contemporary doctors. Most of us probably need to increase use of our ears. This is not easy for physicians to do, myself included.

I believe practiced and skilled listening lie at the core of success in shared decision-making, a growing trend in medicine over the last decade or two. Shared decision-making has been defined as “an approach where physicians and patients share the best available evidence when faced with the task of making decisions.”

In a popularly cited article on shared decision-making published in the Journal of General Internal Medicine, the authors proposed a three-step model. In step one, the provider presents the patient with a choice, commonly a stark one between changing behavior or paying a price in decline in health. Step two is a matter of discussing available options, and step three is helping the patient make a well-reasoned decision.

Take note of the third step. The ideal outcome, of course, is that a patient is more fully invested in a plan that fits his interests and motivations and thus feels it is as much his idea as the doctor’s. To achieve this goal, the physician must yield enough of the conversation to the patient to hear the patient’s motivators and align them to improved health. In the end, agitating can only happen effectively through active listening.

Bottom Line: There is seldom one way to manage a patient. It has been my experience that functioning more as an agitator than an irritator motivates patients to lead healthier lifestyles.

Neil Baum, MD, is a physician in New Orleans, corporate medical officer of Vanguard Communications, and co-editor of The Complete Business Guide for a Successful Medical Practice.