Finding a doctor that is actually interested in helping?

[zezeze]

Why do the physical only or firstly? Why not work on the mental simultaneously as the physical? There would be so much more benefit to dealing with all areas of life at the same time. Why go through all these doubt's without helpful guidance from a professional that helps specifically with all these doubt issues? If it is or if it is not physical is still only half of the question. Love your self enough to help your whole self. Chase the answers to total health. Get the help you need to help you help your self. The mental health portion should not be shunned. Learn a few coping skills and then no matter what the physical out come you will be better able to move out of this worry zone.

Because physical problems are clinically a lot easier to recognize. You can rule out physical issue from the equation and identify that the issue is mental. But doing it the other way around is a lot more difficult, virtually impossible if there is a physical issue, which of course is unknown factor.

But I guess the real answer to your question is that going to different specialists simultaneously is incredibly expensive!

 

[CUSP82]

He has gone to two urologist and an endocrinologist; at what point do we draw the line and say maybe it's not physical? Now if we just take the point, as often is the case here, that docs are just stupid so these three didn't know anything so keep going to more until you find the magic doc or treat yourself as though you were a doctor, or stay broken. Hey I just know what I would do. Why not rule out at least one thing? Because it's expensive?

 

[closed224]

I know the expense of going to medical experts. The expense of living with fear and worry and anxiety is way more expensive. Learning coping skills will even help with dealing with medical expenses.

 

[zezeze]

He has gone to two urologist and an endocrinologist; at what point do we draw the line and say maybe it's not physical? Now if we just take the point, as often is the case here, that docs are just stupid so these three didn't know anything so keep going to more until you find the magic doc or treat yourself as though you were a doctor, or stay broken. Hey I just know what I would do. Why not rule out at least one thing? Because it's expensive?

I think it is perfectly reasonable to draw the line at the most common cause of ED, vascular. Without clinical test, no doc can rule this out. I do admit, as I have said, that I do not think there is a physical issue.

But I am not telling him what he is thinking is wrong, nor that he has physical or mental problem. I do understand him and how he feels. I don't think it is good advice to tell him it's basically stupid what he is doing. You are also referring him to a psychiatrist when you should be talking about a therapist.

 

[corageon]

Because physical problems are clinically a lot easier to recognize. You can rule out physical issue from the equation and identify that the issue is mental. But doing it the other way around is a lot more difficult, virtually impossible if there is a physical issue, which of course is unknown factor.

But I guess the real answer to your question is that going to different specialists simultaneously is incredibly expensive!

Not always, there can be a plethora of contributors to a physical condition and some "conditions" can be thoroughly intertwined with or co-existing with yet another undefined condition with an undefined cause.
The roots are always a little more complicated than it's made out to be - and generalizing is quite foolish when speaking about medical endeavors or trying to make diagnosis.

 

[CUSP82]

Okay Z let's set you a bit straight. I am not telling this guy that his condition is stupid. No I feel his approach is stupid. As many times as he said he did not want to treat himself like a doctor so since he has not found a doctor that will agree with him he has now treated himself. Think about what I just said; he hasn't found a doctor that will agree with him. Now in 30 years in the health professions I always thought it was the other way around. Give the doc the evidence, he does his tests, and then he gets fixed.

Now since no one here has any good opinions of doctors well how many do we go and see before we look for other avenues. What's the magic number; 4? 7? You tell me. Has he not seen three already and all have found no reason to do further treatment? Most of you say those docs are dumb. I say at least one knew what he was doing but since his diagnosis didn't match what the OP wanted, well let's go treat ourselves then.

Now why a psychiatrist instead of a therapist? Well one is a trained medical doctor who besides knowing brain stuff he also knows and is around medicine. He can order lab tests and being a doctor just maybe he might pick up on something the other dumb doctors missed. Therapist just talk don't they. They are not doctors.

Now do I want this guy to hve a mental issue causing his ed? Well of all the causes I do prefer that one. Why? Because ed in the young is serious issue. No not serious because he can't get laid; serious because of what it represents. It may mean heart disease, diabetes, high blood pressure, cholesterol problems, DVT, glandular issues all of which are not easily fixed and to have that as a young age is not fun!

You mentioned expense as well. Who cares! Oh I would get fixed but I don't have the money. That is just plain stupid. Get fixed, worry about paying later!

 

[zezeze]

Okay Z let's set you a bit straight. I am not telling this guy that his condition is stupid. No I feel his approach is stupid. As many times as he said he did not want to treat himself like a doctor so since he has not found a doctor that will agree with him he has now treated himself. Think about what I just said; he hasn't found a doctor that will agree with him. Now in 30 years in the health professions I always thought it was the other way around. Give the doc the evidence, he does his tests, and then he gets fixed.

I don't need to be set straight, I know what the guy is going through, I have been there. you clearly haven't. You go to a doc that makes a diagnosis without any physical examination! How accurate is that? How can you believe there is nothing wrong when they haven't even looked at your dick?

Now since no one here has any good opinions of doctors well how many do we go and see before we look for other avenues. What's the magic number; 4? 7? You tell me. Has he not seen three already and all have found no reason to do further treatment? Most of you say those docs are dumb. I say at least one knew what he was doing but since his diagnosis didn't match what the OP wanted, well let's go treat ourselves then.

How about going to the right doc, a doc that specializes in the condition you have, ED. Common misconception is that every urologist is an ED specialist. That is very untrue, they can be as clueless about it as a GP.

They have only ruled out hormonal issues, that's one. Vascular, which is the most common cause of ED has not been ruled out. Doppler can rule it out. Any doc will be very hesitant to make a referral for it because it is very expensive examination and is completely useless unless surgery is the only option. In his case it is not because he can still get erections and ED surgery has very low success rate.

And if you tell a doc that you do not have morning erections at all, and that is true, it is always a sign of a physical problem and requires further examination.

Now why a psychiatrist instead of a therapist? Well one is a trained medical doctor who besides knowing brain stuff he also knows and is around medicine. He can order lab tests and being a doctor just maybe he might pick up on something the other dumb doctors missed. Therapist just talk don't they. They are not doctors.

This just shows how clueless you are. He doesn't have a mental disorder, he isn't having ED because he is bipolar and probably not due to depression either. And the last thing he wants is medication for mental illness which is known to make ED a lot worse.

Now do I want this guy to hve a mental issue causing his ed? Well of all the causes I do prefer that one. Why? Because ed in the young is serious issue. No not serious because he can't get laid; serious because of what it represents. It may mean heart disease, diabetes, high blood pressure, cholesterol problems, DVT, glandular issues all of which are not easily fixed and to have that as a young age is not fun!

He most likely has stress & anxiety that is causing his ED. He is afraid that he has vascular condition. Every-time he gets an erection he is afraid that venous leak is causing it to substitute, when it is the fear of it itself is causing it. Solution? Go and rule out the vascular issue by doppler. Once he knows that he really does not have venous leak, he is probably going to feel a lot better.

If the problem still persist, then go to a psychologist that is going to help him to deal with the anxiety causing the difficulties with erection. Therapy that is.

 

[CUSP82]

And you know the doctor did no physical exam how? Were you there?
And you know he went to the wrong doctors how?
And psychiatrist treat anxiety and stress as much as bi-polar or any other mental problem.
Okay your turn!

 

[zezeze]

And you know the doctor did no physical exam how? Were you there?
And you know he went to the wrong doctors how?
And psychiatrist treat anxiety and stress as much as bi-polar or any other mental problem.
Okay your turn!

The guy suspects he has a blood flow issue due to physical problem. A doppler test was not done. Under what basis do you, the psychiatrist or the 3 docs he saw tell him that he does not have a blood flow issue?

 

[GoingForGold]

Get yourself in shape. I can't believe you have wasted all this time without going for a jog or whatever. Exercise is probably the best thing you can do to regulate your hormones.

From the looks of it, you want there to be a problem so that you have a problem. You need to stop all this "medical" stuff, because it is clearly not your area of expertise. Just my opinion based on what I'm reading.

You also did PE improperly and never tried to do it properly? Quit worrying and focus on fixing yourself, not with hormones or dopplers or whatever, just with good nutrition, exercise, and mental outlook.

I just read your past threads and I think I am right. You want there to be a problem with you so that you can justify being pathetic(no offense, I don't think you're pathetic). Dude, you have a HUGE penis. Be happy.

 

[CUSP82]

The guy suspects he has a blood flow issue due to physical problem. A doppler test was not done. Under what basis do you, the psychiatrist or the 3 docs he saw tell him that he does not have a blood flow issue?

First with a physical exam which is always done whether you think so or not. Next, and very importantly there is the talking, getting to know the patient. What does he like to do? Does he seem stressed at all or generally a calm type of guy. A history of what meds he has taken in the past, is he in shape, what the blood pressure is, does he drink or use recreational drugs. All things that a good doc does in getting a history.
As for vascular issues, well maybe the doc used his scope and could get a pulse from his dick so he knows there's circulation. Listening and palpating the inguinal artery also helps in that regard. Just because a guy THINKS he has a vascular problem doesn't mean he has one does it? And on what basis does he think he has a vascular problem? Because he read it on the net? Has he been checked by a GP so diabetes and other conditions might get ruled out? No he has a vascular problem due to an injury that he may have had and he knows it, although he did say that it could be psychological didn't he?

So let's say, as you did, that we put that thing called a venous leak into his head; good idea.And trust me because I know this and you don't; the doc doesn't give a sh*t how much a test cost. If he thinks it's the right thing to do he orders it. It's only you the patient that whines about the cost.

Okay your turn!

 

[zezeze]

I just read your past threads and I think I am right. You want there to be a problem with you so that you can justify being pathetic(no offense, I don't think you're pathetic). Dude, you have a HUGE penis. Be happy.

That sums it up well. Imagine, just for the sake of it, that this guy did have a physical problem. That this was the attitude he would be getting from the docs, his gf and you. That he is pathetic. That all he needs to do is go for a jog and he is fine.

For this reason any young guy with a physical ED is fucked up.

 

[GoingForGold]

That sums it up well. Imagine, just for the sake of it, that this guy did have a physical problem. That this was the attitude he would be getting from the docs, his gf and you. That he is pathetic. That all he needs to do is go for a jog and he is fine.

For this reason any young guy with a physical ED is fucked up.

I said it was my opinion. It is better to recognize people's opinions as valid than to ignore reality. I made sure to say that I don't think he's pathetic. I think he thinks he's pathetic, and he's looking for some physical reason to justify it. I think he's way too obsessed with his penis in a negative way. I'm way too obsessed with my penis is a positive way. It isn't that much different, but only one of us has ED.

Maybe he does have a physical problem. There's nothing I can do about that here. You can keep telling him to spend more money, I will tell him to spend more time getting to know himself.

 

[zezeze]

First with a physical exam which is always done whether you think so or not. Next, and very importantly there is the talking, getting to know the patient. What does he like to do? Does he seem stressed at all or generally a calm type of guy. A history of what meds he has taken in the past, is he in shape, what the blood pressure is, does he drink or use recreational drugs. All things that a good doc does in getting a history.
As for vascular issues, well maybe the doc used his scope and could get a pulse from his dick so he knows there's circulation. Listening and palpating the inguinal artery also helps in that regard. Just because a guy THINKS he has a vascular problem doesn't mean he has one does it? And on what basis does he think he has a vascular problem? Because he read it on the net? Has he been checked by a GP so diabetes and other conditions might get ruled out? No he has a vascular problem due to an injury that he may have had and he knows it, although he did say that it could be psychological didn't he?

So let's say, as you did, that we put that thing called a venous leak into his head; good idea.And trust me because I know this and you don't; the doc doesn't give a sh*t how much a test cost. If he thinks it's the right thing to do he orders it. It's only you the patient that whines about the cost.

Okay your turn!

You clearly know nothing about venous leak. I do. I consulted all about the condition with a specialist and got ultrasound performed. But I have been the one telling him in the beginning of this thread that he does not have it. But can it be ruled out without a doppler, no! There is no method or test other than ultrasound to diagnose venous leak. That is a fact and there is no way around it. It is very unlikely that the guy has it, but is it possible that he has it? Yes, it is and he knows this. And nobody can tell him that he does not have it without the doppler.

And again no doc is going to send a referral to a very expensive physical examination covered by the insurance just so that the patient can have mind peace. If he went for the test and he was diagnosed venous leak, the treatment would still be the same!

 

[CUSP82]

And if he goes to another doc who orders the test and he does have a problem then he sues the first one for negligence, wins 3 million dollars, and he can buy all the dicks ( and women) he wants. Hey you solved the case so I'll go get lunch.

 

[burtybasset]

I said it was my opinion. It is better to recognize people's opinions as valid than to ignore reality. I made sure to say that I don't think he's pathetic. I think he thinks he's pathetic, and he's looking for some physical reason to justify it. I think he's way too obsessed with his penis in a negative way. I'm way too obsessed with my penis is a positive way. It isn't that much different, but only one of us has ED.

Maybe he does have a physical problem. There's nothing I can do about that here. You can keep telling him to spend more money, I will tell him to spend more time getting to know himself.

It's better to recognize peoples opinions as opinions, they are not absolute truths and none of us can diagnose this guy from the other side of the internet!

Maybe your right and it is in his mind, but it isn't very nice calling people pathetic!

 

[zezeze]

And if he goes to another doc who orders the test and he does have a problem then he sues the first one for negligence, wins 3 million dollars, and he can buy all the dicks ( and women) he wants. Hey you solved the case so I'll go get lunch.

Again the treatment would still be the same as now. It is clear that your knowledge is all based on your own assumptions which is rather ignorant. I think we are done.

 

[CUSP82]

We'll really be done if you call me ignorant again. You help the guy your way and I 'll help him mine. Afterall that is what we're trying to do.

 

[corageon]

We'll really be done if you call me ignorant again. You help the guy your way and I 'll help him mine. Afterall that is what we're trying to do.

This wouldn't be the first time semi-ad-hominem's were hurled from his direction - I believe I almost** got infuriated with him on a number of occasions - saved only by the power of evidence.

 

[BigO]

Look at my timing. I think Cusp just might get a bit more respect here.

I am advising a change in your demeanor zezeze.