Titan v AMS

The final frontier. Deciding when, if and how.
KMeister
Posts: 446
Joined: Sun Aug 28, 2011 5:43 pm

Re: Titan v AMS

Postby KMeister » Sat Feb 27, 2016 5:55 pm

KMeister wrote:
farmallfarmer wrote:The surgeons at Mayo in Minnesota are NOT allowed to receive kick-backs for the use of products.
You end up with the implant that they feel is best for your situation. In my case I am very happy with the outcome.
I do not know about the volume of surgeries that they do but I was not concerned with that.
There are surgeons that do a good job without being called 'high volume'.

But doctors are often flown to fancy resorts in Honolulu, Las Vegas, the Virgin Islands, etc., for "training" or "informational meetings" by companies that want the doctors to use their products. Also, doctors are often "paid consultants" who publish research articles that are often favorable to the company paying them.

KMeister

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Titan v AMS

Postby alibaba » Sun Feb 28, 2016 12:47 am

The marriage ritual. I had forgotten about the honoraria and speaking fees docs receive until this post. I used to look up my docs. Some make as much or more from the kickbacks than from doctoring. Interestingly some seem to get a regular monthly check of nearly the same amount.
I made a list.
Doctor name Amount rc'd in 12 months Primary payer
Perito $818,000 Coloplast
Eid $202,000 Coloplast...a few AMS
Karpman $169,000 AMS
Kramer $ 97,000 AMS and Coloplast
Morey $197,000 AMS
Milam $ 12,000 AMS
Of the lot, I think it is highly likely that some of them do get paid to show doctors their method of surgery. Some I think are just nursing the tit and when they do travel it is a deductible expense.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: Titan v AMS

Postby merrix » Sun Feb 28, 2016 1:37 am

Interesting information.
Could definitely explain why Perito openly says he thinks AMS should be discontinued.
And could explain why Eid is a heavy Coloplast user/promoter.
Could also confirm the switch Kramer has made from Titan-fan to AMS-fan.

Or it could also be these guys really do believe one brand is superior, start use it more frequently and in the process hook up with the brand.

Chicken and egg?

I still say that no matter which brand is 'better', the difference is probably small enough to make it negligible in the bigger scheme of things.
I think the brand falls flat in competition with:
* Choosing a skilled surgeon
* The surgeon not having a poor day in the office at time of surgery
* Not having bad luck to receive the odd device doomed to shorter life time due to random variations in the manufacturing process
* Surgeon choosing right brand, size, setup, insertion method etc based on any patient specific pre-conditions
* Patient following the pre- and post-op protocols
* Having a good portion of luck (or rather not being the one with bad luck)
* Having the right expectations

All of them will have a larger impact on patient satisfaction than having AMS or Coloplast in the dick I believe.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Titan v AMS

Postby alibaba » Sun Feb 28, 2016 1:47 am

I would also add, plan ahead for your implant. take care of matters so you do not have to deal during healing, relax. Do not get stressed before or during healing. Once a person relaxes. healing improves at a faster pace. Make good choices before surgery, choices of people you can trust and DON'T STRESS.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

onthemark2015
Posts: 2
Joined: Sun Nov 01, 2015 10:18 am

Re: Titan v AMS

Postby onthemark2015 » Thu Mar 17, 2016 3:49 pm

alibaba wrote:The marriage ritual. I had forgotten about the honoraria and speaking fees docs receive until this post. I used to look up my docs. Some make as much or more from the kickbacks than from doctoring. Interestingly some seem to get a regular monthly check of nearly the same amount.
I made a list.
Doctor name Amount rc'd in 12 months Primary payer
Perito $818,000 Coloplast
Eid $202,000 Coloplast...a few AMS
Karpman $169,000 AMS
Kramer $ 97,000 AMS and Coloplast
Morey $197,000 AMS
Milam $ 12,000 AMS
Of the lot, I think it is highly likely that some of them do get paid to show doctors their method of surgery. Some I think are just nursing the tit and when they do travel it is a deductible expense.


Where can you look up a doctor and see what they are getting?

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Titan v AMS

Postby alibaba » Thu Mar 17, 2016 9:13 pm

LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

KMeister
Posts: 446
Joined: Sun Aug 28, 2011 5:43 pm

Re: Titan v AMS

Postby KMeister » Fri Mar 18, 2016 4:48 pm

alibaba wrote:https://projects.propublica.org/docdollars/

Hey Ali. This is a great website! Thanks for the dope.

KMeister

RelievedofED1
Posts: 339
Joined: Sat Feb 28, 2015 1:50 pm

Re: Titan v AMS

Postby RelievedofED1 » Fri Mar 18, 2016 5:26 pm

KMeister wrote:
alibaba wrote:https://projects.propublica.org/docdollars/

Hey Ali. This is a great website! Thanks for the dope.

KMeister

I agree thanks for sharing this site alibaba. Also reassuring to know I didn't show up on the list since I haven't intentionally accepted any money from pharma. Good info to have to at least start a conversation with your doc if they are promoting one drug or implant over another. Some of these are likely around participation in running a study so not payoffs but worthy of questions if you are feeling pushed.
66 year old with ED intermittently for years and consistently for the 2 years before implant. Tried everything. AMS CX 21cm+1 cm RTEs Dr Kramer 4/29/2015.
Revision 5/3/2021 AMS CX 700 21cm+2 cm RTEs.
Revision 2022 Titan XL 24 cm no RTEs.


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