Does Dr. Kramer actually do good work?

[2435tjklAS]

No one said all doctors are equally talented. But when it comes to their surgical competence, if they make a mistake, someone can die, unlikely literally every other profession you mentioned. So they have a lot of experience doing it. It takes 10 to 14 years of studying and working to become a doctor - getting a PhD, pass licensing examinations, a residency, then a bunch of other examinations, then more licenses and certifications, applying for jobs as a Doctor, then, if hired, staying a doctor by not screwing anything up, etc. All that's to make sure they are pretty good at their job.

Also, post-op patients are the least likely to actually know if something is wrong, or if it's a figment of their imagination in the sore and uncomfortable body of theirs that is slowly recovering.

A doctor giving you the wrong meds one time isn't related to if surgeons are good or bad at cutting people open and sticking things in their bodies.

Honestly it's difficult for me to understand this good surgeons vs. bad surgeons notion - is there a shred of evidence other than anecdotal remarks someone says about if their surgery went well? What are they even basing that answer off of? Their feelings and comfort after the procedure? (Well, it's not based off all the components of an entire medical procedure and how well it went according to someone with zero training in medicine.) A patient knows what a "bad surgery" is? And believes a skilled surgeon would give you a "good surgery"? No - there's no grading system of A+ surgeries/surgeons vs. B- ones.

[Wizz93]

Of course there are specialists for certain surgical fields. Experience, talent, the ability to think deeply about things etc. How fast can you operate, how efficient are your cuts and moves and so on.

[2435tjklAS]

Yeah there's definitely some world-class surgeons. They type who are given procedures that most other surgeons cannot do, or at least, couldn't do as well. That surgeon is a lot better when compared to a new one who just started practicing. Yet at the same time, no patient would have the ability to accurately understand which surgeon was good and which was bad based off how they feel post-op.

[Wizz93]

No one said all doctors are equally talented. But when it comes to their surgical competence, if they make a mistake, someone can die, unlikely literally every other profession you mentioned. So they have a lot of experience doing it. It takes 10 to 14 years of studying and working to become a doctor - getting a PhD, pass licensing examinations, a residency, then a bunch of other examinations, then more licenses and certifications, applying for jobs as a Doctor, then, if hired, staying a doctor by not screwing anything up, etc. All that's to make sure they are pretty good at their job.

Also, post-op patients are the least likely to actually know if something is wrong, or if it's a figment of their imagination in the sore and uncomfortable body of theirs that is slowly recovering.

A doctor giving you the wrong meds one time isn't related to if surgeons are good or bad at cutting people open and sticking things in their bodies.

Honestly it's difficult for me to understand this good surgeons vs. bad surgeons notion - is there a shred of evidence other than anecdotal remarks someone says about if their surgery went well? What are they even basing that answer off of? Their feelings and comfort after the procedure? (Well, it's not based off all the components of an entire medical procedure and how well it went according to someone with zero training in medicine.) A patient knows what a "bad surgery" is? And believes a skilled surgeon would give you a "good surgery"? No - there's no grading system of A+ surgeries/surgeons vs. B- ones.

You also don’t get experience for one kind of operation during your time at med school or while getting a phd. And even during residency. You‘ll become very very good at it when you do hundreds of it (in this case penile implants). You also need a good team with experience. Being good in med school and years of studying won’t make you a better surgeon.

[2435tjklAS]

You also don’t get experience for one kind of operation during your time at med school or while getting a phd. And even during residency. You‘ll become very very good at it when you do hundreds of it (in this case penile implants). You also need a good team with experience. Being good in med school and years of studying won’t make you a better surgeon.

Honestly that is the best answer I've gotten so far that makes sense to me. A surgeon with more experience and a better team could definitely have better patient outcomes. I can understand that, but I guess my first thought is patient outcome opinions don't seem very reliable. Maybe it's like a word of mouth thing about who's good, similar to those ones back in school? How is someone post-op aware of whether or not the procedure went good or bad?

[Wizz93]

You also don’t get experience for one kind of operation during your time at med school or while getting a phd. And even during residency. You‘ll become very very good at it when you do hundreds of it (in this case penile implants). You also need a good team with experience. Being good in med school and years of studying won’t make you a better surgeon.

Honestly that is the best answer I've gotten so far that makes sense to me. A surgeon with more experience and a better team could definitely have better patient outcomes. I can understand that, but I guess my first thought is patient outcome opinions don't seem very reliable. Maybe it's like a word of mouth thing about who's good, similar to those ones back in school? How is someone post-op aware of whether or not the procedure went good or bad?

Patient satisfaction is actually the most important measure.
One single patient opinion may be subjective but if the sample is large enough it is a valid representation of the general public.

[oldbeek]

BACK TO THE Question. 3-4 years back as noted here on FT, Kramer installed a few pumps a little to high, which he repaired. Haven't seen anything like that lately. He learned from his mistakes. Experience matters with this operation. As a mechanic supervisor, I personally like the pre connected kits. I have seen to many bad hydraulic hose connections blow apart. Many connection failures with these devices at one time.

[Fourtytwo00]

There is evidence that high volume implanters are associated with low infection risk.
Btw I guess no one here want to be the patient who sent his surgeon out of the market with the little help of a good lawyer, so I agree with the general advice of looking for an expert and skilled urologist.

[2435tjklAS]

Patient satisfaction is actually the most important measure.
One single patient opinion may be subjective but if the sample is large enough it is a valid representation of the general public.

Viewing good surgeon vs. bad surgeon in terms of patient outcomes is basically what we're talking about - which surgeon has better patient outcomes. I think that also makes me realize I was kinda wrong in a lot of what I said, lol - might as well admit those things, I learned something from this.

Though I don't quite buy how I've read several people here say things like, "well if you had a good surgeon then..." I can't grasp how that would make sense. Curious, can anyone describe what they feel is a "good" surgery? Related to the size losses or gains? Or how effective the device is? And more specifically, what can a "good" surgeon do about an implant others don't?

[Pamen116]

So Kramer’s not good?











Jk, well I just logged into a 40 post thread. Thank you for the feedback.