Surviving COVID-19 from a Physician Who Did

Topics Discussed In the Following Video Include…

  • Dr. George Liakeas discusses his recovery from the ventillator during his battle with COVID-19.
  • Dr. George Liakeas gives his best tips for helping your patients fight COVID-19 and win.
  • How the Priapus Shot® procedure may help with some of the damage caused by COVID-19
  • How COVID-19 has caused an increase in erectile dysfunction.

Video/Recording of CMA Journal Club, Pearl Exchange, & Marketing Tips

Dr. Liakeas next classes<–

Transcript

Dr. Charles Runels:
Today, we have an amazing guest with us. Dr. George Liakeas. He is an amazing intellect in New York City, has an office on Billionaires’ Row. But he’s a humble, down to earth, brilliant man. He personally remodeled his office. They are in one of the high rises, so he can hammer a nail, and he can figure out your medical problem.
But the reason I asked him to be on the call, he also displayed the grit that you would expect from a Greek warrior, and both survived the ventilator with COVID-19 as well as kept his business running through COVID. So I’ll put him on the call here shortly, and before I do that, it looks like he hasn’t logged in yet. So I’ll pull him in as soon as he does, but before I pull him into the call, I wanted to bring up a couple of things that I think will help you take care of your patients.

Erectile Dysfunction After COVID

First, this came out about COVID causing erectile dysfunction. Here’s the paper it’s referring to. I’m going to put this into the chatbox. There’s a couple of reasons for noticing these papers, one scientific and one more to do with marketing/medical.

The scientific version, of course, is that people with any illness COVID or the flu, or anything that affects their peak health can affect their sexual function. But there’s also discussion here about the possible, just like you can get a mild carditis from a viral infection, possible orchitis or change in testosterone levels, just from the stress that comes with fighting off an infection.

So that’s the medical thing we should know that should heighten our sensitivity and eagerness and willingness to discuss sexual medicine, even in the middle of a pandemic.

The marketing political version of it is that as an example, I will show you this one where one of our doctors in London, Dr. Shirin, who is just an amazing doctor there who teaches for us as well, has got some press because she noticed that she’s having more people who are locked up with their lover and they’re finding out they can’t use the office as an excuse for not to be having sex. So they are having to face their sexual dysfunction and coming to the office for Priapus shot.

I’ll give you that link as well to Dr. Shirin’s article. And I’ll tell you how you can leverage this with your local press here in a second. It’s very common for us as providers to get a local press on the television or the radio leveraging the national press. It’s hard for newspeople to come up with something new every day. And they’ll often want to bring a national story into the local arena, and I’m giving you a way to give them news.

So this is from the Cleveland Clinic, but it’s made the popular press Cleveland Clinic. I’ll give you this one too. I’m about to tell you how to get on your local TV show for free if you choose. So that I’ve put in the chatbox. By the way, if you click these things in the chatbox, they will be open when I shut down the webinar. If you don’t, they disappear.

So I’ve given you the link to Dr. Shirin’s press piece to the NIH article about erectile dysfunction, and it’s open-source. So you can just see the whole article there. And as well as to the Cleveland Clinic article that references the one about erectile dysfunction. So here’s a couple of ways you could use this to help people in your community.

One is by just, of course, seeing, recognizing, and asking your patients who are coming in.

And second is by going and sending out an email that talks about this. And I’ll add one other thing to include with this in a second. Here, I’ll give you this link as well. There are actually six papers out that show Botox helps with depression. And I think everybody knows now if want to go to look the research is all over the internet about how COVID and locking people up is causing a bump up in depression and suicide and drug abuse, and divorce. And people are feeling locked up, and that makes them sad. So there’s now six papers published about Botox helping depression, even in depression that’s resistant to antidepressants.
So you have here now two reasons that you can actually, for medical purposes, talk about what people want to push into an elective thing. People are so depressed. They’re killing themselves or turning to drug abuse. That’s not cosmetic. And I would argue that cosmetic is not really an optional thing. Looking pretty makes people feel better. How many times have you seen someone who’s on chemotherapy, but they just want to look prettier.
My sweet sister, my baby sister, contracted breast cancer. And then it recurred in her liver.  After, she wanted PRP in her scalp because she wanted her hair to be there as much as possible, even when on chemotherapy. So this is where I would use the F-word if I am tempted because it makes me angry when people want to say something that has to do with just looking pretty is not important.

It is.

So how could you push this out?

You could call your local reporter and say, “Hey, the Cleveland Clinic is talking about how COVID is causing erectile dysfunction. One of the causes is a change in hormones, another cause could be a change in just fatigue or energy level. And another cause may have to do with circulation. I have ways that I’m treating all of that in my office. And so if you want, I will do a story about, and let you interview me about this and just mentioned offhandedly, but the main thing for your listeners or readers or watchers, whatever will be about the news. But of course, I’ll want to mention that I treated it in my clinic.”

And then you send them an email with links to that I just gave you. And I will be shocked if some of you don’t make it onto your local news, then you send out an email to your people about the same thing, where you say, “Hey, if you’re locked down, you’re not feeling so happy these days, and you’re suffering from sexual dysfunction or depression. I have some ways that I might be able to help you.”

So okay, beautiful. I just got a link that… Here let’s see if I got a text that George is on the call and must be signed in under someone else’s name. I don’t see his name. Hey, George, if you could raise your hand or something so I can identify you, I think it must be on someone else’s computer or something. So that I can unmute you because people want to hear your story.

Okay, let’s see if I can find him. He is supposedly on this call. Let’s see if I can find him. George survived, his businesses survived, and he survived the freaking ventilator. Give me a second. Let me figure it out. Let’s see if I can figure out where he is. I’m just going to call him. Sometimes the freaking… I’ll call his wife. He’s got a brilliant wife who runs his office there, and I’ll bet she will answer the cell phone. Here we go. And she will know where he is.
Nicole:
Dr. Charles, [inaudible 00:09:45].
Dr. Charles Runels:
Hey Nicole, I don’t see George on the call. Is he on the call?
Nicole:
Yes [inaudible 00:09:50], just hold on one second, please.
Dr. Charles Runels:
Hey, Nicole, let’s just do this, can you just hand him your… you guys, I have the phone on speaker so you can just hand the phone to him, and we can do it this way-

Dr. George Liakeas’ Tips on Surviving COVID–physically and financially

Dr. George Liakeas:

Can you hear me?
Dr. Charles Runels:
Perfectly well, so much easier than trying to do all the freaking webinar links. So guys, let me introduce you to George and his wife, Nicole. I’m going to pull up where you can see his picture. Here he is. And this is his website where he teaches. But obviously, this is a personal thing. I mean, when you have a near-death experience, that’s a personal thing. But I felt like maybe there are some lessons to be learned. And George is a natural-born teacher. He has residents come through his office there in New York City, and he teaches an amazing class for us. And many of our members have come through his classes, but I thought, how can you go through both making it as a business in New York City and making it off a ventilator from COVID and not learn something.
So I asked him if he’d be kind enough to just share whatever he thought might be helpful to the group. And here he is. So you are up, George if you want.
Dr. George Liakeas:
I’m here.
Dr. Charles Runels:
They should be able to hear every word.
Dr. George Liakeas:
Well, thank you for having me. So I still can’t, I’m still not speaking back to normal, one, this is not my voice, normal voice, and two, you’ll hear me often gasping for breath. I feel fine, but anyone who hears me, it’s a little bit scary, and it is what it is. In fact, the other day, we have a relative who was celebrating her 99th birthday while we, my wife and I were celebrating our anniversary. And this person always includes them in our anniversary celebrations. And there she includes herself because, at 99, I guess you only have a few left, but the comedy was that she couldn’t blow out her candle. I couldn’t blow out my candle. And Nicole had to blow out to all three candled, and it was really… It was like, whoa.
On the one hand, it was obviously comical. And on the other hand, my mother, who was sitting there, was saying, “I can’t believe my eyes.” So believe it, coronavirus is a little bit scary. I don’t know why. I’m only 49 years old. I don’t have high blood pressure or diabetes. I don’t know why I ended up on a ventilator. It is a different world now, that’s true. Forget about the vaccines, which whenever they are available. Thanks very simply some of the things we didn’t know where I’m just stand back in March. I got it at a time when we were telling patients to not wear masks. Not only were we telling them the masks were unhelpful, we were telling them to not wear masks because the CDC and the department of health organizations were telling us that masks you fidget, et cetera.
So that’s when I got it. I think I know a few patients that we were testing and might’ve given it to me. One of them I spoke to not too long ago, and I said, “Paul, did you ever… How sick did you get? Because I think you gave me coronavirus.” He says, “I don’t think so. You probably got it from somebody else.” Maybe, also, maybe not anyway, whatever. I don’t know why I was even bringing it up, but it’s become sort of a comical part of my life. And I can only say this, of course, because I survived.
At the end of the day, people said, “Well, what did you learn?” By the time I got sick, I had tested about 30 people positive. I had tested probably 80 people in total. I mean, I was testing them on the street, and because we didn’t want them to contaminate the office, Paul snuck upstairs and felt he was fine, didn’t want to leave. So he was a good example of how easy it is to contaminate your environment.
But even when we were testing, even when I was testing people on the street and I would say to them, “I’m going to put this in your nose, or even you put it in your nose, don’t cough, they might make you sneeze or cough. Don’t cough in my direction. Don’t cough in that puddle. Don’t cough on that guy’s car.” The city was empty. But I would tell them these things and test them right there on the street. And as they put it in their nose, and of course you see stars a little bit. They would turn to me as if to say, “I’m about to sneeze, get away.” And then they would sneeze in my direction even though I was [inaudible 00:14:27] as if I told them when you sneeze, sneeze on me.
I already know a few people that tested positive that did not follow my directions. I wasn’t wearing a mask. That’s probably how I got it. But what was very strange was that they had all… when I would call them two and a half days, three days later to tell them, “Yep, you’re positive. Now stay home and quarantine, et cetera, et cetera.” They all said, “Well, I’m shocked because I am better already.” So when I proceeded to get fevers, fevers that were shocking because I mean, I don’t remember having a fever of 104, and it’s not going down with Tylenol, but otherwise, I felt fine. No shortness of breath, no cough, no nothing. And I, too, was telling my wife, “I’ll be fine. Give me a few more hours. Give me a few more days. Let me sit here in the corner of our bedroom, I’ll be fine.” And she was very adamant that I should go to the emergency room.
And, of course, she’s not a doctor. Why would she be telling me what to do? But to appease her, I went to the stupid emergency room. And as I get there, of course, I have some patients who are patients in the emergency room. And I’m waving at them through the glass, et cetera. And after being there for an hour, wondering what I’m doing here, because who’s smarter than me, right? I don’t need to be here. All of a sudden, I couldn’t breathe.
And then I told you the comedy about it once before I’ll spare everybody the trouble. But basically, then I had to call the telephone number that I was given by my nurse. And she must’ve gone on break. So now I’m calling the front desk of Cornell University, New York-Presbyterian hospital’s emergency room, trying to tell them that I can’t breathe. And they’re telling me, “Sir, speak up. I can’t hear you.”
Dr. Charles Runels:
And this is where I just want you to pause for a moment because if you did a sitcom and George when he wants to be, or even when he’s not trying, he could be very comical. But I just want to make sure people get the picture. You’re in the ER, but there’s no one near-
Dr. George Liakeas:
People say even come to examine me. You got to get suited up. So they put me in an isolation room, and I’m by myself feeling fine, minding my own business, waving to my friends or patients/nurses, et cetera. And then all of a sudden I can’t breathe, and there’s no one to tell-
Dr. Charles Runels:
Yes.
Dr. George Liakeas:
So then I have to call the front desk. Apparently, instead of what was supposed to be the charge nurse’s phone, it went to the front desk. And I had to explain to them that I’m calling from the emergency room, and she’s telling me, “Sir, I can’t hear you. Where are you calling from, bad connection?” So I called the second time. And just to give you an idea of the seriousness, I really couldn’t breathe, but I wasn’t even thinking about it. I just wanted them to know I couldn’t breathe. And I woke up two weeks later.
But I don’t know if they found me in the corner of that room blue. I don’t know if I was… perhaps obviously, I had passed out and was cyanotic or at least my oxygenation. When I went to the hospital, my oxygenation was 88, but I felt fine. So to give people an idea, when I was telling my wife, I’m fine, this is ridiculous. I don’t have to go to the emergency room. I mean, I felt it, I wasn’t trying to be cavalier, but it turned on me very quickly. And if I had not already been in the emergency room, they would have been bagging me in my apartment. So I just survived-
Dr. Charles Runels:
That’s a very sobering thought, isn’t it? So sobering. That it can sneak up on a physician who obviously knows the signs to look for, but this idea of being hypoxic without experiencing dyspnea is unusual. Isn’t it?
Dr. George Liakeas:
But it just seems to be a common thread in COVID for some reason. For some reason, people can be hypoxic and not short of breath is what many people are saying, and that’s deceiving. So when now patients of mine tell me they tested positive, I tell them, “Do me a favor by a pulse oximeter. And if it gets below 92, I’m curious if it gets below 90, that’s not normal. And if it’s below 88, make your way over to the hospital as soon as possible.”
Dr. Charles Runels:
Yeah. Smart advice. So-
Dr. George Liakeas:
It’s has been an interesting time. We are in a different place. There’s no question about that. And since then I woke up two weeks later comedy ensued, even though I was a doctor, of course, you’re by yourself in these rooms. And I had to sort of learn how to walk again. I was completely not cachectic, but I had lost a lot of weight, my muscles had atrophied, and it was a mess. And to this day, I still am quite fatigued or easily fatigued. And this speech problem is probably from the tubing rather than coronavirus. It’s probably from a ventilator, and they tell me it could last a month for every day that you’re on a ventilator, and I was on for two weeks, but I otherwise feel fine, and I’m happy to be here. And I still go to the office to pat everybody on the back and do the things that only I can do.
I haven’t been seeing the general patients. We have half the office does the cosmetic side that my wife runs, and as estheticians and half the office does the medical, strictly medical, and for the medical, I just can’t. This is a good day, but normally I just can’t keep the level of speech going without losing my voice, et cetera.
We also have a friend who’s a plastic surgeon that came on board to help me out with some of the cosmetic things so that I’m not overly doing it because I can’t handle it. And we’ve been managing.
Dr. Charles Runels:
Good. So a couple of questions that I frequently get from our providers and from patients that I’m sure you’ve thought about in-depth. I want to come back to a near-death experience because I think there may be other things to say about that. Probably a day’s worth of things to say about that, but talk to me about what can people do? I think there should be more discussion about… I know there’s some randomness to it, but yet there’s also some science to it.
What can people do if they are just under the assumption I’m going to be exposed to COVID? What in your mind can people do to make it such that they can survive it? And here I’m thinking along the lines of, let’s say that yours as an analogy, if you’re the mother of a child with cystic fibrosis, every pathogen is a potential life-threatening thing, and you know your child’s eventually going to be on the ventilator in an ICU. And 20 years ago, I think the lifespan was 25. And now I don’t know. Maybe it’s 45 or 50, and you know it’s coming.
So my discussions, I don’t know about you, but when I talk with mothers of children with cystic fibrosis, they’re basically living with a child that’s in equivalent of a COVID pandemic all the time. But they do things to make their children extremely hardy so that when they’re on a ventilator or when they get attacked by some pathogen immune system, VO2 max, everything is optimized so that they can survive it.
So now, having come through it, by your understanding of the literature, what would you advise your patients and for us to pass on to our patients best way if you just know you’re going to rub up against COVID? What’s the best way to come out on the other side?
Dr. George Liakeas:
That’s a good question. I’m sure that there is no shortage of anecdotal information, et cetera. But most of what is said is that we would tell people that get diagnosed, and now is the time to perhaps tank yourself up, and it mostly revolves around your immunity. So I would say to other doctors, and even to patients, especially elderly patients, of course, now’s the time to sleep well, diet, exercise, try to be as healthy as you can, try not to be so stressed out if that’s possible or whatever that means, but for sure, tanking yourself up on vitamin C, vitamin D, maybe even vitamin B, those are all things that are good for your immunity.
The other things specifically for COVID is zinc and Pepcid, and Pepcid does appear to have some sort of prophylaxis or-
Dr. Charles Runels:
I haven’t heard that.
Dr. George Liakeas:
Yes, know that. So it doesn’t hurt to take a Pepcid. So why not? And then if you do get exposed or if you want to start sooner at definitely, and perhaps the most important thing is baby aspirin. So if you get exposed, when I first came out of the ICU, I was given blood thinners, Rivarox, or ultimately Eliquist, but after three to six months, it starts becoming perhaps more of a risk. So switch to baby aspirin. If there’s no contra-indication, perhaps taking baby aspirin for that person who might be positive and not know it for a week or from botic events, microemboli things like that.
Dr. Charles Runels:
So, let me make sure I catch up with you. So vitamin C, vitamin B, vitamin D, all the things grandmother said about sleeping, a baby aspirin if you’re exposed, and one Pepcid per day. Interesting. I didn’t know that Pepcid works.
Dr. George Liakeas:
And zinc.
Dr. Charles Runels:
And zinc, yes. Zinc. So we’ve got quite a lot of people on the call that are interested in what you have to say. And many of them have put in things about zinc. What sort of dosages are you telling your patients to take of the various things you just mentioned?
Dr. George Liakeas:
The vitamins C in water-soluble, and the B. So that’ll go through you, but 1000 or 2000 to start taking four or mega doses it might be excessive if you have not been exposed. So I usually tell people 1000 or 2000, they don’t have to go crazy. And if they’re exposed, then they could do as much as they want. And it may not matter the scientist Watson believed in taking 4,000 a day, but anything with vitamin B, I almost tell my patients take a multi… Sorry, take a B complex and do what a bottle says.
To zinc that I’ve been given is 400 milligrams. 200 is fine as well. Again, baby aspirin, but vitamin D because it’s winter, there’s very little chance you will overdose. You’re probably already vitamin D deficient. So instead of one or 2000, I would easily take 5,000 a day, or there’s a 50,000 once a week dosage.
Dr. Charles Runels:
All right, very helpful. And like you said-
Dr. George Liakeas:
If you do have COVID and it affects your lungs, obviously, N-acetyl cysteine seems to be very lung helpful.
Dr. Charles Runels:
Okay, beautiful.
Dr. George Liakeas:
And I believe that’s 50 a day, but NAC, which you can find at any GNC or life extensions, is a very popular vitamin link website.
Dr. Charles Runels:
Beautiful. So while you’ve been speaking, Dr. Byman has been sending me links. So thank you, Eric, that backup much of what you’re talking about. And so that’s nice. So if you guys are listening or if you go to the chatbox, you’ll see some research backing of what you hear George speaking about. Anything, I want to get to what you’ve done. I know Nicole is a critical player there and keeping your clinic running. And so if she wants to jump in, feel free, but I’m interested in how with the combination of illness. And I mean, it’s just to me, you and your bride demonstrate the epitome of grip. When you can go through a life-threatening illness in the city that’s locked down probably more than any other city and still be financially solid throughout it all and continue.
To me, this is what doctors do, right? I mean, how many physicians have died taking in the middle of the COVID pandemic, physicians and nurses and EMTs, and if nothing else out of this, it seems to be maybe the meter of respect for physicians might have come back a little bit more high on the gauge than it was a year ago because people are realizing, “Oh, wait a second. People are actually risking their lives.”
As we do with the flu epidemic every year and HIV and hepatitis C, all those things are potential pathogens to healthcare workers, but it seems like people are noticing more. And now I’m speaking to a man who almost died from what he was doing as a healthcare provider. So anyway, let’s swap from… Go ahead.
Dr. George Liakeas:
Let me say ironically. So, first of all, when I was sick, there’s no question that my wife not only saved my life by telling this fool to go to, in fact, the hospital. But had I gone two days earlier, they would have sent me home. So you have to be very cognizant of things can change, but maybe most of all, you need an advocate.
Nicole was essential to probably saving my life because she served as an advocate reminding them that not only I’m a doctor, he’s a VIP. Take care of him at a time when I can tell you from colleagues that admitted, look, we didn’t even know what to do. And maybe people died because we didn’t know what to do with them. So whether it’s somebody to advocate for you, to advocate for somebody else that is extremely important. During my time, they weren’t allowing visitors. I was in the medically induced coma.
So somebody needed to be communicating to remind people that he’s a person, do what you can, and otherwise, again, colleagues will admit that at least in the crazy times in March and April, people fell through the cracks. So having an advocate was very important, but I will say it’s the reverse, or the opposite perhaps of what you’re saying is that even now, maybe it’s me, it does feel a little bit like, “Well, that’s not a vote of confidence that the good doctor gets sick, obviously not washing his hands, touching his mouth.”
So, although people will acknowledge that it’s very contagious, the ones that don’t get it pat themselves on the back and how good a job they’re doing protecting themselves, perhaps, and the ones that do get it are a little bit in the scrutiny of, “Well, you must not have been safe,” which is not unfair, but its sort of like the doctor that smokes is a good advocate to other smokers that look, I know how difficult it is, but it’s a very bad advocate for people who don’t have smoking as advice and don’t see why it’s such a big deal.
So I think definitely again, in my case, we didn’t have masks. It is what it is, but I think definitely if you do get it, you want to reinforce that you are a clean person who is conscious and aware of the risks, and you still got it. Because similarly, I think patients need to hear that you’re taking this pandemic very seriously and that you are doing things to protect them.
Dr. Charles Runels:
Let me just, I want to go a little bit rogue on-
Dr. George Liakeas:
And I feel confidence that I got it.
Dr. Charles Runels:
Yeah. I’m going to go a little bit rogue here and just out of bounds for just one minute. There’s this in general when it comes to sickness. There’s this general idea of not just COVID among some sets of people that anytime someone is suffering. They must have done something wrong. And no matter what the suffering, if you go back to C.S Lewis writes about pain, and if there’s God, then why is there pain? And I think he puts it best when he says, “You’re going to have pain or use disease in this case, because you can do something wrong because you did something wrong would say cirrhosis, because you drank a fifth of Jack Daniels every night, you can also have pain because you did something, right like stand on the fucking sidewalk of New York and let your patients sneeze on you all day long.”
And you can also suffer. Let me put, so you can suffer for doing wrong. You can suffer for doing right. And you can also suffer because we don’t know the fuck why? Like, why does a young Jewish man get Lesch-Nyhan syndrome? And she was tongued, why does the baby get born with cystic fibrosis or sickle-cell? I don’t know. Maybe there’s something that I can’t see about that, but it seems to me they didn’t do anything wrong.
And so it’s shocking to me, although it shouldn’t be that that attitude might appear. And it’s cool that you brought it up because I know a number. I know one of our providers, and Tron was hospitalized. She would make it on the vent, but others in our group have had COVID, and I should have expected that reaction from some people, but I hadn’t.
So anyway, just in general, that’s the way I like to think about pain, and here, I think it’s the reverse. You have a man who’s suffering because he put himself in harm’s way to take care of his patients. Talk to us more about what you and Nicole did to make and what you’re still doing to help patient flow at a time when people are afraid to go outside.
Dr. George Liakeas:
Right So in the office and patients want to hear this, and many groups have done it from churches to schools, et cetera. We’ve been communicating with our patients from the beginning that we have established COVID protocols from things like social distancing stickers to handless pumps of soap in the bathroom, to remind the patients what we are doing in between patients to sanitize the room, keeping windows open, including guns that spray alcohol, even into the air.
We have an ozone machine. Some of the things I don’t even know exactly how good they are, but I know patients like to hear it. The problem is, how do you stay viable and profitable when, in the past, part of the ability to do that was to have a full waiting room and keep the patients turning. Now, I’ve never seen an empty waiting room in 17 years, and now, even if I’m not at the office, if I look in the cameras, it’s shocking to see an empty waiting room.
Now we’re not at quarter capacity, half capacity, but we’re moving them into the rooms much more quickly. And the waiting room is empty. Maybe that’s a good thing in general, but you have to tell them that you’re going to be doing that. And the one time that two people come off the elevator at the same time, somebody might even inform us, “Hey this person’s here at the same time I am.” All right, “Well, you’re 10 minutes early that person’s 10 minutes late, but what do you want me to tell you?” But they consider it bad planning on your part. So you communicate that you are doing everything you can and remind them. And if nothing else, it’s a way to stay in their minds.
Dr. Charles Runels:
Interesting. So how are you communicating? By emails, social media, how?
Dr. George Liakeas:
By email.
Dr. Charles Runels:
Email.
Dr. George Liakeas:
Yes. When we see patients, we are following up with them a little bit more afterwards and always sort of reminding them stay safe. Don’t forget to wash your hands, social distance, things that remind them we are the doctors, the healthcare professionals, and make them feel like we care and that we are on top of things. And that we are not only calling to see how did their procedure goes. You might have some swelling, et cetera, but also, we are the go-to people for all of questions.
Nicole:
Hi guys, can I chime in?
Dr. Charles Runels:
Yes.
Nicole:
Hi, everybody. So you can see our website right there. My website, I think it’s very important to have protocols on the website. People are looking for it. Even show cleaning while the clients or my clients are here. I have my spot coordinators with Clorox in hand and spraying down everything very carefully using the right words. Like we want to keep you safe. We want to keep ourselves safe, showing on social media that we’re cleaning the rooms, that we’re wearing our masks, and that we’re cocooning them here. That we’re very safe, and we’re very mindful of that. And I think sending emails constantly to remind the clients of that is very important so that they feel safe.
Dr. Charles Runels:
What’s constantly for you, Nicole? How often are you sending emails?
Nicole:
I send emails about twice a week. Or if I’m not, I send-
Dr. Charles Runels:
Yes, I do believe it. So I want to pause there and make sure everybody gets that because most doctors are afraid to send an email every two weeks or have some horror of being put in somebody’s spam folder. But what I think you’re saying is-
Nicole:
I thought that in the past, but I have come to realize more and more. I am sending them the past year. Now I’ve been sending them twice a week.
Dr. Charles Runels:
Yes, and a thing I want you to correct me if I’m wrong, what happens if you’re their person, if you’re their doctor or healthcare provider, if you’re the person they look up to, they might not read everything you send out, but if you’re sending them the kind of information you’re talking about, they won’t put you in the spam, and they’ll actually be grateful that you’re taking enough time to communicate with them, what’s new in your brain, about current events, and what’s new at your office.
Nicole:
Correct.
Dr. George Liakeas:
So we’ve spoken about this in our masterminds. Whether or not you think two emails a week is a lot or whatever. One thing that’s always important is to not just make the emails a selling as you want to sell your practice by giving them something, and what we can do very easily is educated. So the type of email is, “Hey, just a reminder, aspirin is good for the microemboli that can happen after coronavirus, keep doing that. If you feed them something and then throw in your selling pitch, they are less likely to think you’re bombarding them with spam.
Dr. Charles Runels:
Now, talk to us some about… because I’m still old school email, we talked about this a few weeks ago, the Wall Street Journal did an article about how industry is rediscovering that email. You don’t have big brother unless you’re using Mailchimp, kill Mailchimp. They’ve started censoring email of all things, but so far, except for Mailchimp, no carriers censoring emails and websites. So we’re able to talk about sexual matters and not get banned like what can happen on Facebook and other venues.
And to me, it feels like a more in-depth discussion, but I don’t know, expand upon that. Tell me your thinking about why it’s email versus social media and how are you doing it, what mechanism you’re using to send it out.
Nicole:
We’re using MyEmma. I don’t know if you guys have heard of MyEmma. I’ve been using that since I’ve been around since 2002. So that’s just something I work with, and I continue to use it. We use it for medical Sets in Smooth Synergy. It seems to be pretty good. And I just find that if you train your clients to read your emails, I send them out on Tuesdays and Thursdays. I send out educational things on Tuesday, and I also have my product line. So I sent out my products on Thursday. And that’s kind of how I’ve divided the week from Sets Smooth Synergy.
Dr. Charles Runels:
Beautiful.
Nicole:
Yeah. And for social media, we try to use social media. I really would love to have more following on social media, but I find that it’s hard to get someone who really can engage with my clients. I mean, with my client-based in my spa, I have locked down. My ideal client doesn’t really go on social media all that much. So for me, I find that the emails are working the best.
Dr. Charles Runels:
Yeah. So maybe just one more comment about that. Let’s say you were going to deliver a message about the best way. What you just mentioned about how you don’t forget to use aspirin if you are exposed to COVID, and you’re going to send that to someone you love, your family member, you wouldn’t tweet it to them. You’d write an email, or you may be pick up the phone, but if you’re not going to call them, you would send it in an email or a text message. You wouldn’t tweet it or Facebook it.
And so along those same lines, I think what you’re saying is that because you have relationship with your patients, email is more like a communication between two people who have something to say who were in a relationship, which for me, the best way to get lots of followers on social media is do outlandish things like, I don’t know, take a picture in your phone by the swimming pool, or you balance a champagne glass on your booty like Kardashian did. I’m not saying that people in our group haven’t been successful marketing with social media, but I think most of them are not paying enough attention to the depth and the quality that can happen with an email.
And if you just listen to what you’re saying, we’re hearing two concerned people who’ve experienced near death, and you’re actually delivering your heartfelt message about how to stay well to the people who love you that you care about. And you’re choosing email to do it. I should talk less and listen more. So tell me more about what’s in your brain that you’d want the group to know. And then I think we’ll shut it down. We’re coming to the end of the hour. Thank you so much, both of you, for taking time to do this.
Dr. George Liakeas:
Oh, I would probably say one thing that I think is important in terms of what can I do to generate revenue? Is, this is an opportunity to do things COVID-related. When I had coronavirus, and if you read about it, you’ll see a lot of people lose their hair. And I can attest to that. I mean, it was like, “Whoa,” it was amazing. The hair would fall behind me as I would walk, and then it stopped, and they say it’s a stressor that a number of viruses can do. And it’s, telogen effluvium, but it was impressive.
So this has been an opportunity to push, for example, the Vampire Hair Therapy for before you get coronavirus or after you get coronavirus. This is something that might be able to mitigate the strength of your hair loss. And that has been good. There’s been a good response to that.
Dr. Charles Runels:
Beautiful.
Nicole:
So I ran a little special on Smooth Synergy through the Email Blast that for the Vampire Hair Therapy, and that seemed to work. And people agreed. They said, “Oh yes I’m losing my hair,” whether it’s from them being sick from COVID or the stress from COVID. We had a real big up in the Vampire hair treatments.
Dr. Charles Runels:
Interesting.
Dr. George Liakeas:
Also, because it’s holiday season, you can start preparing for a new world and vaccine is here 2021 and start throwing out the specials for them for people that want to pre-purchase or purchase and give as a gift or whatever. It’s also that time of year. People are probably looking for a way to get rid of the negative and see some positives.
So it’s a good time for businesses to advertise. I know in Nicole’s case, she also has been very good at with some of the local businesses that have complained when they needed to shut down or when people don’t want to come. For example, collaborating with some of the hair places nearby that deal with beauty come to us.
Nicole:
Drybar. Just did a collaboration this week with Drybar. So if they come this week to Smooth Synergy, then they get a complimentary dry style at Drybar, which is right around the corner from here.
Dr. Charles Runels:
That is brilliant. And I haven’t heard people talk about that much. I forgot that I actually used to be something I would do. If you have local businesses that share clients, high-end clothing stores, high-end beauty salons, and personal trainers across promotions like that, it works wonderfully well. What about, I’ve never had that much success selling gift cards and always felt like I was doing something wrong. Are you selling gift cards? And if so, tell me how you’re doing it because I see it on your website.
Nicole:
We don’t sell that many gift cards. However, we did. We were very successful every year. I’m not a big promotion person because, in the way past, I’ve learned a lot. I mean, I’ve been in business for now since 2002. In the beginning, I used to do a lot of promotions. Right now, my brand, I’ve kind of changed my tune a little bit in the past since I’ve moved to the new location. So it’s a very high location you can see from the pictures. We put a lot of money, a lot of work into this space. We’re very proud of that.
Dr. Charles Runels:
It’s amazing, by the way, guys, if you go there, you’ll want to move in and live there it’s beautiful.
Nicole:
Thank you. So I really have moved away from promotions, and I really have moved more towards being in touch with our clients. Really giving more for their value, really going back to the gift cards. So now it’s just, I do 25% off on gift cards for Black Friday. That’s really the only time I do like a super promo and that 25 Black Friday that weekend, and then Cyber Monday, I do a 15% off. So I will give 15% off, 20% max here and there very strategically.
I don’t believe in giving away everything like I used to. No, it’s really not good for my brand. And people start understanding that there’s a lot of costs to this. There’s my expertise. There’s my knowledge. And really, it’s about the fact that I built a brand, and it’s not about giving everything for free.
Dr. Charles Runels:
Yeah. And just to add to that, everyone on this call, your brand, your most important brand, of course, is your name. And if you treat the people who come to you like they’re members of an exclusive club, because they’re able to see you and you make that a real thing by taking outstanding care of them, then that translates into what you hear Nicole talking about, which is now you don’t have to attract people by doing Groupons. They become grateful that you’re letting them walk through the door.
Nicole:
So the only thing is sometimes I am embarrassed to say, “Oh gosh, I’m done. People will Google me. And there is a Groupons that pops up.” So for people who might hang up and Google me, Smooth Synergy, I do it very strategically. I only used Groupon for facial, so way back when Groupon started and I would see all my colleagues or my competitors giving away everything for free. I was like, “What are they doing? They’re going to commoditize this industry. This is horrible. They’re going to go out of business.” And as right now, those people have closed. They made a quick buck, and they closed.
So what I did recently about a few years ago, when I decided Groupon was kind of hounding me, and I said, “Fine, I’ll do it very strategically. I’m only going to give away facials or I will stage one of microdermabrasion.” So again, I get them through the door, and believe me, I could not even believe this, but I was so surprised a lot of the Groupon, I have converted into old fellas to really very loyal clients.
Dr. Charles Runels:
I like it.
Nicole:
And I have not believed it.
Dr. Charles Runels:
I like it. So you’re pulling in, well, of course, you guys you have billionaires in your neighborhood, even billionaires, like good deals, but the idea of-
Nicole:
And they also don’t know where to go. They also don’t know where to go sometimes?
Dr. Charles Runels:
So pulling them in through your lowest price or one of your lower-priced services to help you find each other is different than just generally, that’s your main strategy for getting people in the office and keeping them there.
Guys is at the end of the hour. I’m really am grateful on notes. Crazy busy there, and lots of things going on. But quite a number of people on the call, and I’ll make this available to our group to listen to and the replay. And I know there’ll be grateful for you having the courage and making time to come talk to them. You guys have a great day. Thank you. Thank you, George. Thank you, Nicole.
Dr. George Liakeas:
Thank you, everybody. Happy holidays.
Nicole:
Thank you. Happy-
Dr. George Liakeas:
We’ll get through this; this too shall pass.
Dr. Charles Runels:
That’s right. Bye-bye, thank you.
Nicole:
Bye-bye.
Dr. George Liakeas:
Bye-bye.

Next Workshops with Live Models<---
Relevant Links

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Cleveland Clinic: Research Shows How COVID-19 can damage the endothelium of the penis<–

Research Shows How growth factors (as in the Priapus Shot® procedure) can help restore the endothelium of the penis<–

More research showing the Priapus Shot® procedure can help erectile function<–

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Cellular Medicine Association
1-888-920-5311

 

New Ideas in ED Therapy and Staying Well

Dr. Richard Gaines<–

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Sexual Wellness (free on Kindle):Optimize Your Relationship, Pleasure & Sexual Health

This book provides the wisdom and practical advice of seven separate physicians who not only understand the most up-to-date science of sex but also bring to that science more than 200 years of collective experience in taking care of people seeking to make sex better.

Each of the following seven contributing authors actively practices medicine (not just talk about it) and have collectively cared for thousands of people both well and not well to help them find better sex and a better life…

1. Dr. Jean Luc Le Provost describes powerful but simple daily routines that can be used to improve overall health in such a way to specifically improve sexual wellness and pleasure.

2. Dr. Prabhat Soni uses his vast experience as a pulmonologist and sleep specialist to show you ways to optimize sleep and why poor sleep can kill your sex life. You need a functioning brain to have sex. But, just as importantly, the pituitary gland is literally attached to that brain, controls all the other glands, and is profoundly affected by sleep.

3. Dr. Cristyn Watkins discusses her personal battles and how out of those battles she became an expert in cellular therapies that improve sexual wellness from the level of tissue and histology. Healthy tissue makes for healthy, fully functioning genitalia.

4. Dr. Bill Song discusses a number of options to help increase the size of the penis—for improved confidence in men and enhanced pleasure for their lovers. Multiple modalities can be used. He helps you sort the options.

5. Dr. Dan Botha discusses extremely helpful new technology that helps with a more exact treatment of erectile dysfunction and of Peyronie’s disease. No more guessing where the problem is or if and how things might be improving after treatment.

6. Dr. Kimberly Evans describes how in her practice of gynecology she improves sexual wellness and pleasure by expertly micromanaging the hormones of women and their partners. Hormones affect the growth and function of everybody tissue; so there’s no finding your best sexual wellness without this step.

7. Dr. Ramesh Kumar draws from his decades of experience as a radiation oncologist to describe ways to recover sexual desire, health, and pleasure after cancer—especially after prostate cancer.

Dr. Charles Runels, as the producer of the book, and inventor of the Vampire Facelift®, O-Shot®, and P-Shot® procedures, uses his 30 plus years as a physician to build a utilitarian framework on which to organize the wisdom of the above seven authors with his description of systems analysis and how such analysis can be used to better understand orgasm—the Orgasm System.

Good sexual health, like good health in general, is not an event where you do one or two things occasionally and all is good for the rest of your life.

Wellness, sexual or otherwise, arises with the daily practice of certain behaviors combined with specific modern therapies when things are broken.

Labia, Beauty, Love, & the Vampire Wing Lift®

Dr. Carolyn Delucia, MD, FACOG

In Celebration of Women (and Halloween)…

A free webinar discussing the wonders of considering the beauty of all parts of the body–including the labia. Featuring Dr. Carolyn Delucia (board-certified gynecologist, teacher, and author) discussing strategies that bring sexual health and empowerment to women (including the Vampire Wing Lift®).

October 28, 2020, at 9 pm New York time.
Register for free here (click)<–

JCPM2020Sept2

A full recording of the discussion of the research and its application is available to CMA members

References

COVID-19 Effects

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Botox for Depression

1. Efficacy of Botox versus Placebo for Treatment of Patients with Major Depression

2. Treatment of major depressive disorder using botulinum toxin A: a 24-week randomized, double-blind, placebo-controlled study

P-Shot® & O-Shot® Procedures

  1. P-Shot® Procedure during COVID-19 Lockdown<–
  2. More research for P-Shot® procedure<–

 

A Story of a Small-Town Internist

Charles Runels, MD

Charles Runels MD started out as small town internist with a passion for science, a drive to excel and a knack for marketing. His career has been shaped by a series of challenges.

Transcript

Marco Pelosi III:

There are 24 hours in a day, your day, my day, everybody’s day. Hey, it’s Marco Pelosi III, and this is the Top Cosmetic Gynecologist Podcast. If you take your 24 hours and commit yourself to a solid plan with a solid strategy and relentless action every day, amazing things can happen. You can become educated in a specific field, you can become an expert in a specific field. You can even create your own special niche.

Marco Pelosi III:

I didn’t know the backstory of the subject of today’s episode. All I knew was that he was a world expert in a special niche. Maybe you knew him the way that I knew him before our conversation, but now that I know his incredible backstory, I am uniquely impressed. And when you’re done listening, I think that you will be equally impressed and definitely inspired.

Marco Pelosi III:

Hey, it’s Marco Pelosi III, and my guest today is not a cosmetic dermatologist or a facial plastic surgeon, but his name is synonymous with one of the most popular facial treatments in the world. My guest today is not a gynecologist, but his name is synonymous with one of the most popular vulvovaginal treatments in the world. My guest today is not a urologist, but his name is synonymous with one of the most popular penile treatments in the world.

Marco Pelosi III:

He comes from a small town and practices in a city of only 15,000 people, yet he attracts physicians from all over the world to learn his techniques and his genius has taken him everywhere but the bottom of the sea. So here he is, live from the Gulf Coast, from Fairhope, Alabama, the father of the Vampire Facial, the O-Shot, the P-Shot, and a few more innovative techniques, the Iron Chef of platelet rich plasma, the one and only Charles Runels MD. Thanks for being here, Charles.

Charles Runels:

What an introduction. I’m honored to be on your show. I know you and your father have really revolutionized gynecology, so thank you for having me.

Marco Pelosi III:

Well, you’re no sloucher yourself, Charles. I was on the Google Maps just now, and I saw that you’re about three hours east of New Orleans, and about an hour west of Pensacola. I also saw that the Census Bureau came up with a word to describe where you live. They call it a micropolitan area because it’s so small that they don’t want to call it a city, but it’s big enough that they don’t want to call it the middle of nowhere. Have you always lived in Alabama?

Charles Runels:

Yeah, so I grew up in Birmingham, went to medical school there, and went to undergraduate there, and then I worked as a chemist there in Birmingham. And part of the reason I came here is, I was born in 1960, and so that was the days when Birmingham was a big steel city. Actually, the thing that put Birmingham on the map is everything you need to make steel is there in one city. You’ve got iron ore, you’ve got coal mines and so I would wake up in the morning, and sometimes you couldn’t see.

Charles Runels:

This is before pollution control, and you couldn’t see a quarter of a mile sometimes from the smog. I would help my dad wash the car in the morning, and by the afternoon, you could write your name in the soot, so I always said, “When I grow up, I’m going to go where the air is clean.” Even though they cleaned up the city when I finished medical school, I just drove south down I-65 until I hit the beach and that’s where I stopped.

Marco Pelosi III:

So what do you like most about living down there?

Charles Runels:

Well, I like the fact that, I’m sort of an introvert, I am an introvert, and so I can be outside, and as far as social distancing we’re supposed to be doing, I do that every day. There’s nothing different about that, but I enjoy people, and so I can go jump on a plane to Pensacola and be wherever I need to be but live my life in my hermit sort of way.

Marco Pelosi III:

It looks like you’re like a big outdoors man. When I first met you, I thought you were a retired pro wrestler or something. Have you been into… You’ve got that look. You’ve got a shaved dome, you’re a big guy.

Charles Runels:

Oh. Well, I never was a very good athlete, but Jack LaLanne was always my hero, even as a child, and so I’ve always tried to stay fit, and that’s the other reason I like this area. I can go running on the beach, or I can walk for a long time out in the fresh air, and so it’s a healthy place to live. But I enjoy the city too so I like coming to visit and speaking in New York and Miami and Los Angeles, wherever. But this is where I plug into my battery, down here in the south.

Marco Pelosi III:

Now, you’ve been traveling all over the place with your Society for Teaching, the platelet rich plasma techniques.

Charles Runels:

Yeah, so we’re in 50-something. countries. I’m really honored to have had some, a lot of really bright people like yourself who thought the ideas were worth talking about, so we have physicians who teach for us, and also in New Zealand we have Alex [Bader 00:06:09] teaching in Greece and London and others, [inaudible 00:06:12] in London. We have people in Spain and South Africa and Brazil, and many people in your group who speak for us, who teach around the world, so I’ve really been honored and blessed to sort of been born as kind of a mad scientist kind of guy, because you can’t…

Charles Runels:

I actually remember evacuating the house once when I think I was about… I discovered electrolysis reading in a book, or I didn’t discover it but I’d learned about it, and had managed to make a little container of chlorine gas when I was probably 12. And I remember having to evacuate the house when my chlorine gas escaped using electrolysis and table salt and some batteries, which I’m sure you remember from the chemistry how to do. So, I just, I have always kind of been… Then I worked for a few years as a physical chemist before medical school, and was blessed to be in that environment where if you don’t have new ideas, you don’t survive.

Charles Runels:

We were creating things that our Armed Forces use now to protect themselves, and I was blessed to live in that PhD world for a while as a physical chemist. So, it’s been an interesting journey, and I’ve been blessed to have been around smart people like yourself, and basically just try to soak it all up and digest it and come up with something new. It’s been a fun journey.

Marco Pelosi III:

Now, when you went into chemistry, was that a career change going from chemistry to medical school, or were you planning medical school all the way through and this was just another step in the process?

Charles Runels:

Honestly, I was one of those guys who had to apply a couple times to get in, and I had always sort of vacillated between engineering and medical school anyway, so when I didn’t get in the first time, I worked as a chemist and going to weekends and nights to study to become a biomedical engineer and working as a chemist in the daytime. And actually, I’d kind of given up on even going to medical school. I thought I was going to be the mad scientist and create the next instrument that doctors would use, so I was working on… We had a top secret lab and obviously can’t talk about what we did, but we were doing pretty amazing things.

Charles Runels:

I had pretty much discarded the idea of going to medical school, and as moms sometimes do, my mother said, “You know, you ought to just go put in an application one more time,” and I halfheartedly did and got into medical school down there in Birmingham. But in my heart, I was always sort of the want-to-be inventor, but that’s sort of like saying you want to be an astronaut, so I thought, “Well, I’ll just go do medical school and see what new ideas I can think up along the way,” so that’s kind of how it worked out.

Marco Pelosi III:

Yeah. In medical school, what specialty did you decide on?

Charles Runels:

I did internal medicine largely because I thought if my idea was to invent things and think about the science part of it, it would give me a strong face that was broad, and I could pick what to dive into, and so I dove into… For example, for a while I was doing VO2 max and was doing some clinical trials to see how Genotropin, a form of growth hormone, is affecting VO2 max and Pharmacia was paying me to do that. So, in spite of being in a little town, I managed to hook into some clinical trials, but during my training as an internist, I did ER.

Charles Runels:

I did (like a lot of people) a lot of moonlighting, so I worked in a busy ER here in Mobile, Alabama, 35-bed ER back when they staffed it with one person. I did that for 10 years, so that gave me I think an understanding of… And during that time, I ran the wound care center at the hyperbaric chamber there in the hospital base, so we treated a lot of diabetic ulcers but we also did things like necrotizing fasciitis and Fornier’s gangrene, so running a ventilator through a hyperbaric tube of wall in the hyperbaric chamber and that sort of thing. So, it gave me a good strong understanding I think of wound care and that’s part of what led to the PRP procedures with having that background and interest in how wounds heal from my ER background.

Marco Pelosi III:

Right. It seems like it is a smaller hospital, each physician is actually doing more of different specialties out of necessity and getting some really broad perspectives.

Charles Runels:

The thing that’s really been interesting to me is that something that may help some of the doctors in your group, I know a lot of the doctors in your group are connected to big universities, but many are not. Many are in, they’re in community hospitals. There is this unspoken rule, I think, that doctors pay attention to which goes something like this… “Unless you publish 20 papers and you’re connected to a big university, who are you to say anything? And if you do say something or you write a book, or you have a new idea, maybe it’s dangerous to talk about it,” and the close… Rightly so, we have to be careful to first do no harm, and so it’s not like we can just be out experimenting on people.

Charles Runels:

On the other hand, I think that we as physicians, even if you’re in a small town, have an obligation to pay attention to what’s going on, and have the courage to speak up about it, whether it’s in writing just in a local medical journal or speaking at a meeting and asking questions, or going to meetings, that’s why I like to go to meetings like the ones that you and your father put on with the ICG, because there’s this… As you know, the research lags probably what gets published, lags of maybe six months to three years, depending on the topic, to what the true leaders are doing.

Charles Runels:

So, I think this idea of paying attention and being willing to dive deep into the literature and go to the meetings and figure out not… When you say a specialty like internal medicine or gynecology or urology, that’s still very broad, but when you take a real specific problem like, say, “How can you inject around the urethra to help incontinence,” that’s a very small area that you can now go read about and read everything that’s been written about that in a week or two, and now you’re an expert. It doesn’t matter what’s your specialty.

Charles Runels:

Then, you go to meetings like what you guys put on, and you talk to the people who are the world experts, and before you know it, you’re able to take part of the conversation, no matter where you live, and no matter what letters are behind your name, if you’re thoughtful and you truly do your homework and dive into the research, and you keep an attitude of always thinking that there’s something really important you don’t know about, it can lead to a real fun adventure. So, that’s one reason I appreciate people who go do the work, who put on meetings and form societies like you guys have done with ICG because if you have that idea that you’re at home, very proud of the wagon wheel you’re building while someone across the street may be making a rocket ship, it keeps you paranoid and it keeps you out there on the street and your nose in the literature, and good things happen.

Marco Pelosi III:

Yeah, absolutely. What you were saying is, really I was doing an intro for next week’s podcast, and I was talking about how the change in technology and communications that have come about over the last 15 years have broken down to traditional academic filter system for information and have allowed people to communicate around this wall of academia at a much faster pace, and that the traditional curators of information have now been challenged by different curators with different ideas and different speeds of action, so now it’s not just one voice like it used to be, like always from the ivory tower, but it’s coming from different places. Like anything else, the more ideas that you have, the faster that you burn out the bad ideas and the faster that you funnel the good ideas.

Charles Runels:

Yes, and the other… If you think about, along the lines of what you just said, if you think about how it used to work when I was in medical school back in the 80s, someone had an idea, they did some research, they’d publish in a journal. That came out on pieces of paper, in a magazine, in your mailbox. And then, you read it and you wrote a letter to the editor to voice your opinion about it, and maybe you did another followup, research based upon that idea. That still goes on, but while that’s going on, as you just alluded to, you have… I just saw where the Newman Journal put out a link today to where an audible discussion of what we can learn from the hotspots with COVID-19, and so that’s out immediately.

Charles Runels:

And then, you have people like yourself who are doing podcasts about it, and then you have websites with blogs where doctors, instead of something getting published in a magazine and you sending a piece of paper, letter, that maybe gets published in the magazine two weeks later, you have a live blog where doctors are talking to each other, so with our organization, where we are focusing on, say, just an O-Shot procedure to help with incontinence or lichen sclerosus, we do conversations like this every week, but we have doctors sharing their ideas real time. So, like you said, it allows the ideas for us to rub minds against each other so that when you do get around to doing the research that gets published, it’s already been fine-tuned to a certain extent so that the results are more meaningful and maybe more pointed than they would’ve been otherwise.

Marco Pelosi III:

Absolutely. Absolutely. I think we’re living in an exciting time. All right, so you were working in ER medicine and internal medicine for about 10 years. Let’s explore the bridge from that to the first major hit that you had, which was the vampire facelift. How did that come to be? How did you get from point A to point B with that?

Charles Runels:

Yeah, so it’s like a lot of things, our best stuff comes out of getting beat up. I’m a firm believer when someone punches you in the nose, you should look at them and say, “Thank you very much,” because it usually motivates you to do something, and so I sort of got punched in the nose. The short version is that when I quit the ER, it was largely so I could see my children more. I would be home on a Tuesday and then working on a Saturday, and when my oldest started school, that meant that I quit seeing him so much, so I said, “Okay, I’m going to open my practice,” and I decided the best person to market to would be the 40-year-old women, because we know that women rule medicine. In every family, every doctor should know this, if they don’t they should make a poster to remind themselves, every family has a woman in charge of the health of that family.

Charles Runels:

If you take good care of her, she’ll bring the whole family. If you don’t, the whole family’s gone. And I don’t care if you’re a physician and you’re a man, there’s a woman that’s in charge of your health somewhere, maybe your mother, your wife, your sister, and we all, as ER doctors, you see it and you can talk to the rest of the family but until you find the woman in charge, they’re not all in, but if you find her, and it’s usually the daughter at the bedside or the mother, whatever, if you explain it to her, and she then, she’ll make sure all the rest of the family comes in line. Does that sound right to you, or am I off base here?

Marco Pelosi III:

No, no. That sounds like… You had, what marketing people say is you had your ideal patient, and you learned everything there is about how that patient is, how they feel and you direct the whole approach aimed specifically at that one target and you become the king of that domain.

Charles Runels:

Exactly, so I decided when I quite the ER, I enjoyed taking care of women. I pondered gynecology as a resident, and I enjoyed taking care of women, and they’re more complicated than men. They’re interesting because their hormonal milieu and the way, just their whole, the way they work to me is fascinating, and so I said, “Okay, I’m going to take the best care possible of the 40-year-old woman who’s 40 pounds overweight and feels tired and having trouble with sex and thinking, and if I take care of her, she’s going to bring the daddy and all the kids,” so before I ever quite the ER, I started going to meetings. How can I take care of this woman? How can I help her think better, lose weight, have better sex, help her think, help her with her blood pressure and her diabetes, whatever?

Charles Runels:

And so I was at a meeting, it was an A4M meeting before they were as big as they are now, in 1999, and I’m sitting there and a gynecologist presented a paper. This is one of those pivotal points in my life, I think. I’m sitting there listening and the gynecologist presented a paper in 1999, so it’s 22 years ago, and the paper was about using testosterone pellets to help women with migraines associated with their menstrual periods, and he had published the paper in neurology. So I thought, “That makes sense.” Back in 1999, to get good pellets, at least the best way I could find them, was to order them from Europe. I had a autoclavable [inaudible 00:20:43] and so when I opened my practice in 2000, so 20 years ago, when I quite the ER, I’ll be 60 this month, so when I quite the ER in 2000 and opened my practice, I introduced testosterone pellets.

Charles Runels:

And as you know, it does a lot more than help women with migraines, and before I knew it, I was doing, I had 3,000 women, 3,000 charts, most of them menopausal women, and that’s what led to the clinical trials with Genotropin and [inaudible 00:21:19], and I had the same mass spectrometer that Stanford had, was doing VO2 max and anaerobic threshold, and seeing how growth hormone was changing. And I was doing formal stem testing and looking for growth hormone deficiency by formal stem testing, not just [inaudible 00:21:36]. So, I became, I was going to the endocrinology meetings and the A4M meetings, so I became this sort of hybrid that was taking conservative endocrinology but looking for the people using the same open-mindedness as an A4M doctor.

Charles Runels:

Before I knew it, I had 3,000 menopausal women I was doing hormones on. Then came a punch in the nose, and this is what led to the O-Shot and the vampire facelift. The punch in the nose came when a bunch of things happened at the same time that felt like a punch in the nose at the time but was the perfect, exactly what I need. So simultaneously, remember I’m doing stem testing so I had a higher standard than insurance did, much higher standard, and part of the phase four study of Genotropin, but I had about 300 people, 310 people, that Blue Cross Blue Shield was paying for their growth hormone, and it was extensive, also because they had failed stem testing, and these were people that were… It wasn’t bodybuilder stuff.

Charles Runels:

It was things like, there was a woman who had been diagnosed with polycystic ovarian disease and was infertile and trying to get pregnant, 100 pounds overweight and on prediabetes medicines, but when I stem tested her, she had no growth hormone. And after she lost 100 pounds and got pregnant, and I sent her to the high risk OBGYN department down here at University of South Alabama, they diagnosed her with empty sella syndrome and kept her on the growth hormone, and she delivered a beautiful baby. So, it was those kind of people [inaudible 00:23:19] like nothing was a vet from Vietnam who dated his obesity to a head injury. Well now we know head injury can cause shearing forces in the pituitary gland and leave a growth hormone deficiency, and I had replaced him and he lost weight. Basically a lot of amazing stuff happened.

Charles Runels:

With people, these were not jocks. These were people that as an intern, I was doing hardcore medicine and putting these people in a phase four study, but it was costing Blue Cross Blue Shield too much money. And so simultaneously, three things happened. Blue Cross Blue Shield audited me, and some things happened with my marriage and all of a sudden I had three boys, ages four, six, and eight that were in my house six nights a week. So now I’m a single dad. So I looked at all that, and so when I go see Blue Cross Blue Shield, I have to explain how this feels. By the way, this has a happy ending, or it’s not over yet. I’m still out here doing stuff.

Charles Runels:

But there was a transition point because, and it was it turns out really great, because I was seeing these ladies and I really wasn’t making money because I would get maybe 80 bucks and spend an hour and a half with a woman trying to think about her hormonal milieu and these were complicated people. And Blue Cross would send me $80 for an hour and a half. So I was floating to practice on the clinical trials. I did other things with the antibiotics and some pain medicine, those sort of clinical trial for hire guys, so I could practice. So when Blue Cross audits me, I’m driving up to see them, and by the way, I buy Blue Cross Blue Shield insurance. They kind of rule Alabama, and I have it for all my stuff, and from a patient side, it’s wonderful.

Charles Runels:

But the doctors in the crowd will know all the insurance companies, in my opinion from the doctor side, they’re basically pimps. The way I look at it, the pimp tells you, “Listen. I’m the pimp daddy, you’re the prostitute. These [inaudible 00:25:26] patients are going to pay me money and I’m the pimp daddy. I’m going to decide if you get paid and when you get paid and how much you get paid, and if you don’t like it, you’re going to starve to death, because I got better looking prostitutes coming out of medical school every day.” That’s how it felt to me.

Charles Runels:

The other thing I was doing is Hyalgan had just came out and I was the number two doctor in the state injecting Hyalgan into knees because it helped my overweight patients walk. So I get up there and Blue Cross, I’m sitting at this long table, and they had an endocrinologist from the AV and a couple of people from Blue Cross Blue Shield, and I swear the table was 30 feet long for four people. So they’re doing the intimidation thing. And they tell me they’re going to fine me $3,000, something like that. And they’re going to change the policies for how a growth hormone is prescribed, because I was doing the standard higher than what they required, but when they realized it was costing them money, at that point they didn’t age adjust IGF-1s.

Charles Runels:

Think about it. We’ll age adjust TSHs, and there’s no… If we did, then we wouldn’t be treating the elderly people with hypothyroidism. And back then, they did not age adjust IGF-1. There’s no science to back up that idea in my opinion. But anyway, so they changed their policy the very next month. They told me how they were going to change it, and honestly I thought it was unethical, and it meant that they were cutting off my 300 patients, including that lady that had polycystic ovarian disease, including a lot of other people that I could tell you were just train wrecks. So they cut off my patients.

Charles Runels:

So I took a big, deep breath and I said, “You know what? I’m supporting this whole thing on my clinical trials anyway, and now I’m a single dad.” And by the way, the first week after that, getting my children six nights a week, I would take them to the hospital. I didn’t think you were a good intern if you only had 15, 20 people in the hospital, and I thought it was a good intent of this. So I would have people in the ICU. I took all three boys and I’d just stick them in the doctor’s lounge, and then after about a week of that, I said, “Okay. I get to decide. Am I going to just not come home and hire somebody to raise my boys? Or am I going to give up hospital privileges?”

Charles Runels:

And it was like falling off a ledge, because I felt like with 10 years in the ER and an interest in pulmonary medicine, I felt like I was just taking a piece of my brain and putting it on the shelf. But I gave it up. And then I started just doing clinical trials because when I told Blue Cross Blue Shield to piss off and gave up my PMD status, I found out that you can’t bill cash to Blue Cross Blue Shield patients for six months after that. So they try to starve you out with a non-compete. So for six months, I just did clinical trials, and then I started seeing patients on a cash basis, and I said, “Okay. What will they pay me for?” I said, “They’ll pay me for sex and they’ll pay me for their hormones.” So this was around 2003, 2004, and as an intern in Alabama with not many people in my county, I started doing a cash practice.

Charles Runels:

And I figured they would pay me for cosmetic work, because when people lose weight, they want their faces fixed. Like ladies who want to gain their weight back would make their face look old when they lost weight. So I found who’s the top cosmetic guy so that I can learn how to… We didn’t have Juvederm yet, we just had [inaudible 00:29:06], but I found the top [inaudible 00:29:06] in the world was a guy up in Toronto. So I went up there a couple times and stayed with him a few days, learned what he knew about injections, and I started doing cosmetic work on my weight loss patients to help motivate them to keep losing weight.

Charles Runels:

I thought cosmetic work was kind of a wimpy thing to do. But I saw it as a way to motivate people to lose weight, and then I learned how important it is to people’s psychology, and it became really important to me. So now that was the perfect storm. I’m taking care of people for cash and I have a background in wound care and I’m doing cosmetic work. Then a guy walks into my office one day, and says, “I see you’re one of the top cosmetic injectors in town. I’ve got this stuff PRP and use it like Juvederm, and you get new volume, new blood flow, and there’s never been a side effect.

Charles Runels:

And I’m thinking, “Man, I’ve done wound care for all these years and I’ve never really worked with PRP much. But if that’s true, I have a better place for new volume and new blood flows in my space, because I’m a man, right?” So I thought, “I’m going to play around with this for a while and see if, and read the research and become an expert on PRP, and if it really does what they say it will, this should be a good thing to put into the penis.” But here’s the problem I saw. Here’s the worry I had. I thought, “Okay. When you see a doctor advertising, say, Botox, if you think about what that means, it’s like advertising beef but you don’t know if you’re going to get a hamburger or a Ruth’s Chris steak, because you’re advertising the material, not the way it’s going to be used.”

Charles Runels:

So I thought, “The same thing with Juvederm and the rest of them. It’s a material, and we’re advertising the material, not the method.” So as you know, you can go into one doctor’s office and get something wonderful and then someone else can get something scary, and it’s still not managed by any medical board, even the plastic surgery boards, it’s not part of their boards. So it’s like the Wild West. So I thought, “If that happens with PRP for sexual problems, somebody’s going to get hurt.” So I had an idea to do… I was watching what physician’s weight loss had done, what synergetics had done, Priapus Shot in other arenas, not medicine, but other arenas where a trademark meant a way of doing something.

Charles Runels:

And honestly, I thought the vampire thing was just going to be a one or two month experiment. I thought, “I’m going to experiment with a trademark that means a way to do something to the face.” And if that works, I was still thinking penis, I’m going to roll out the thing with the, Priapus Shot is what it turned out to be, but I tried it out in my penis. It was working. I was doing it privately with my patients. They were loving it. But I hadn’t talked about it openly yet. So I wrote out the vampire facelift after studying things and thinking about how to design the business side of it for a few weeks, and when it went viral, it just went crazy after that.

Charles Runels:

Then before I rolled out the Priapus Shot for men, I did the O-Shot on my lover. I had followed Matlock’s work and that’s a whole different story. We can talk about it if you want. But it felt to me like women needed something more than men, so I actually rolled out the O-Shot before I did the Priapus Shot. So it all came about if I hadn’t gotten beat up by Blue Cross Blue Shield, I’d probably still be making rounds and keeping 20 people in the hospital, so it was good.

Marco Pelosi III:

Now tell me, that’s some really, really insightful marketing thinking. So you just came up with this in your head? Did you have any marketing background? Did you seek out any marketers? Or you just were a good observer?

Charles Runels:

Well, that’s stand that part of the story. If you look on the map and you look at the demographic, last time I looked, we have about 250,000 people in my whole county. That’s including the tourist area at the beach. That’s the equivalent about four square blocks in New York City. That’s what we got in the whole county. And yeah, there’s some people who retire here and have cash, but there’s a lot of farmers and people who are really good people, but don’t have money for cash stuff so much. And so I thought, when I went to all cash, 2003 was when that happened, when I went all cash, I thought, “I need to be able to attract people from other places.”

Charles Runels:

And by the way, when I went all cash, it was a very scary thing. It was not a smooth transition. The house was almost paid for and I gave it back to the bank. I declared bankruptcy. I went to the little house across the street from my kids’ school to see if I could walk them to school in the morning and they would find their way home in the afternoon, usually with friends. I became sort of after school care for four or five kids most days. And I just plowed into marketing, because I thought, remember, I had the little six month hiatus when I couldn’t bill anybody cash and was living in a couple of clinical trials, and I thought, “I need to be able to attract people from other places.”

Charles Runels:

And I started going to marketing class, and the deal, because my, again, thanks to getting punched in the nose and starting all over, my deal was whatever I spent on a marketing class, this is actually, I still do this. When I went to your guys’ meeting, by the way, that was a wonderful meeting, the ICG meeting down in Fort Lauderdale a month or two ago, I started having a rule that if I went to a class that was a marketing class or a medical CME class, I had to take at least one thing I learned and make some money back within a month. That was the game I started playing. That included travel expenses and time lost from being away from the house.

Charles Runels:

And back then for example, I was doing a clinical trial that involved investigators meeting in San Diego. And so I literally, after that meeting, I could afford the airplane ticket but not the hotel room, so I slept out by the pool at night and went to the meeting. But again, this is not a sad story. This is just a kick-ass story, right?

Marco Pelosi III:

Right.

Charles Runels:

Nothing was going to stop me, and because my back was against the wall, if I was to learn something, I had to implement it in such a way that people got well and I made money. And this was something that a lot of doctors I think skip over, but if you stop and just think about what that means, if you’re charging a patient cash, then unless you are a thief, which we are not, and by the way, if you’re a thief, you’re going to go out of business because people will figure out you’re a thief. So if you want to make money by people giving you cash, it meas you have to do something profoundly good for that person that a doctor taking insurance cannot do. I’m going to say that again.

Charles Runels:

If you’re going to take cash from a patient, you better be effing good at something, and so much better than the doctor taking insurance, so much better than that doctor that the patient is glad they gave you the cash, or else you’ll be discovered to be a fraud and you’ll go out of business. So I became even more passionate about learning and learning medicine and learning marketing, too. So it’s not an exaggeration to say that I’ve spent over $2 million on my market education. For example, I paid one guy $1,200 a month for three years for just one hour a month, but the guy still marks over 10 million a year just writing emails. And so he would read my emails and think about what I was doing and advise me, and then I would take what he taught me and I’d send out an email and I’d have patients come and see me.

Charles Runels:

I couldn’t afford to hire somebody to build my website, so I studied how to build websites, and I still do that. For the past six years, I’ve paid a couple of programmers $2,000 a month, so do the math on that. $2,000 a month, one hour a week, you look at my websites, I have 31 websites that make money for me. I have over 150 websites that are out there feeding the other 31. And so we just look under the hood, by the way they look under the hood and how the software works, you make them work harder. So that website that we just threw up, COVID-19 switchboard to help people find people who have COVID-19, help their doctors find people with convalescent plasma, that took about three days to build, and it came from that background of having to do my own websites.

Charles Runels:

So yeah, I’ve studied profit models, like one class I did last year cost me $35,000 for one class. But one of the guys in the class who spends $500,000 a week on his TV ads. So as I learned more, the classes became more advanced and the people I was hanging with became more hardcore, like the guy that made Taylor Swift famous was in one of my classes. He was actually hiring Taylor Swift’s father as a physician who paid this guy $250,000 a year to make her famous. And so it’s been a really… By getting beat up and going broke, it forced me to work my brain harder and it gave me an understanding. I know what it’s like to be the primary care doctor who has three babies sleeping in the room next to you, single dad, and wondering how you’re going to feed them, and waking up in the middle of the night wondering how you’re going to take care of them and take care of patients.

Charles Runels:

And there’s a climate for physicians has gotten worse. It’s given me a real heart for the doctors who are struggling, and it actually was a really blessing to me to get beat up and out of it came this interest in marketing. Marketing, good marketing makes you a better doctor because if you’re a really good marketer, you realize you have to tell the truth and if you’re going to have people give you money, you better get to be really good at what you’re doing. So we kind of feed off of each other.

Marco Pelosi III:

Sure. When did you start teaching doctors your procedures?

Charles Runels:

It was about a year after I’d been doing them. I started with a P-Shot idea, but I started doing the facelift as a way to combine a specific manner of fillers with PRP. And I had developed I think an expertise by doing what we talked about. Finding the wizards, who’s the best at this? When I talk to surgeons when I’m in London, they know the Pelosis. When I’m in Madrid, they knew who the Pelosis are. I’m talking to gynecologists around the world, they know the Pelosis. So there’s those wizards in other arenas as well. So I had the guy that taught me Juvederm and Botox was the top [allergen 00:40:11] account because he was a wizard.

Charles Runels:

So I had developed an expertise there that surprises people still, thanks to my teachers. So I started teaching after about a year, I started teaching the Vampire Facelift® first because I know this idea of being [inaudible 00:40:29] at risk of giving the… There’s so much hokiness around penis growth and such. It’s becoming less so now that we have legitimate surgeries and such. But 20 years ago, it was not so much out there and you were at more risk for being labeled a quack if you talked about penises. So the first class just taught the vampire facelift and Botox and Juvederm, and then I started teaching the O-Shot after I developed that.

Charles Runels:

And I probably had… I was still doing everything else, but after about two years and having some of the physicians whom I taught tell me that the O-Shot® was really working surprisingly well for incontinence and some of these problems. So two years after developing the procedures, I started offering a class once a month and then helping other doctors fill their classes. So we’re up to now we have 80-something doctors who teach our procedures, and [inaudible 00:41:29] teaches his laser classes. So I’ve really been blessed to have some of the wizards think about this stuff and help me think about how to make it better.

Marco Pelosi III:

The first time I heard about you, I said, “That’s the Vampire Facelift® guy, and he came out with the O-Shot®.” But people that I trust love this thing and they’re having a great experience. I was really impressed. I said, “This guy is an interesting guy.”

Charles Runels:

Well, thank you. There’s a little trick about the face that I don’t usually talk about except in my classes, but part of what gave me the idea of the O-Shot is really three things that happened. One is that by doing, as you know and doctors who take care of women know, but most people don’t know this, is that even now, most women who’ve had sexual problems, they don’t talk about it much. Unfortunately, sexual problems are like psychological problems. Consider this. If you have pneumonia, if you have COVID-19, if you had a broken arm, your family asks people to pray for you and everybody talks about it. If you’ve got schizophrenia or major depression, you don’t.

Charles Runels:

There’s this stigma for psychological problems for people who are embarrassed by them, even though there may be a neurological problem or a chemical problem that causes it, people are embarrassed by, and it’s the same with sexual problems. People are embarrassed. Like you’re never going to see a celebrity endorse the O-Shot®. Even though celebrities and movie stars, they’ve been in my office. Yeah, they come to Alabama. They still pee on their leg and they still have dyspareunia and trouble with orgasms, but you’re not going to see a movie star talk about dyspareunia because it kills the image. So sex problems are a secret, and they’re not talked about much, but if you’re taking care of women and you make it safe for them to talk to you, they will open up to you and they’ll start crying because they’re afraid to tell their husband, afraid he’s going to get his feelings hurt. They don’t tell their girlfriends because their girlfriends don’t give any sympathy most of the time.

Charles Runels:

And so they just kind of keep it to themselves. And their doctors, you and I know, most of the doctors will cut off the conversation after one question. So they’re suffering. I’m watching Dr. Matlock with his G-Shot, and I’m watching what he’s doing. I’ll never do this because as an internist, as you know, there’s a risk of granuloma, urinary obstruction, and so I don’t want to be making a problem I can’t fix. So I never did it, but I was watching his work. Now when I started doing the face, here’s what gave me the idea for the O-Shot®. First, I had a heart for women. I’ve been doing their hormones and many of the problems they were having with sex they weren’t telling people about.

Charles Runels:

Second, I’m looking at all this stuff with wound care, but when you shoot PRP under the eye, when I shot PRP for the first time into the tear trough under the eye, it causes aqueous. You can just see it hydrodisect. And I thought, “That would be the same thing around the periurethral space.” So again, I’m not a surgeon, but I know you guys hydrodissect that space when you’re getting ready to put in a mesh and a lot of other things. But I shot that in there and I thought, “Man, that might help incontinence, because you can do what Matlock does, only you wouldn’t have to worry about granulomas, there’s never been a granuloma from PRP, and it would take on the shape of that space without worrying about causing any problems, infections or neoplasia or anything like that.

Charles Runels:

So doing the face really, had I not done the face first, I would have not gotten the idea for the O-Shot® procedure. The other thing that’s kind of weird probably for most people is to think about that I don’t talk about much, but I might as well confess to your people, is that in the process of taking care of those 3,000 women and just from my personal experience, I had written a book on how to teach a woman to ejaculate. And I was fascinated by the physiology of it. I’ve read probably everything that’s been written about in the medical literature as well as every book on Amazon about it and too many lovers that a man shouldn’t even be talking about.

Charles Runels:

And so I had developed a way to teach a woman to ejaculate, clearly ejaculate, as in from the Skene’s glands and the periurethral glands and had written a book and it was one of the things I was selling on my website. So the first time I did the O-Shot, I’d like to say that I had thought about the incontinence thing. I really hadn’t. I was thinking more in terms of sexual function. So the place where I put it, I put it more distal from the bladder so that I could wake up the periurethral glands (the Skene’s glands), and then I put it in the body of the clitoris so it could hydrodissect in the corpus cavernosi and helped with that because we know from research that the development of that and the distance from, we know from the eye study, the distance of the corpus cavernosi, the clitoris correlates with a woman’s ability to orgasm.

Charles Runels:

So that was the thoughts behind it, and then when my lover at the time just went ape crazy, I thought, “Well, let me try it on somebody with a problem,” and my next patient was a woman who’d been physically abused in the genitalia by an ex-husband to the point she had dyspareunia, and really lots of trouble with anorgasmic and dyspareunia. And after treating her, three months later, dyspareunia’s gone, she was engaged to a high school sweetheart, that’s when I kind of had something. But she’s the one who told me, “Hey, this stopped my incontinence, too.” So it was really accidental, that part of it, that I was thinking more in terms of healing the scar tissue and dyspareunia and not so much incontinence. My patients taught me that.

Marco Pelosi III:

Now when we treat incontinence as gynecologists, we stratify up the diagnosis to see which specific type of incontinence we have. Now in your practice, do you just tell the patient, “Let’s just try this,” or do you have them analyze for the specific type of incontinence?

Charles Runels:

Yeah, so it does matter, but there’s a couple of things that make it interesting in that I know there’s urge and there’s stress incontinence and there’s all sorts of things that can happen. Mechanically, if you just think about the cause of disease, you’ve got hormonal and you’ve got mechanical problems that usually you need to treat surgically and you’ve got autoimmune and all these different classifications of disease processes. But again, I just discovered it by listening to my patients, and then I thought, “Well, how is this working?” So before someone comes for a cash procedure, they’ve already had a workup by at least two different doctors who take insurance, as you know, because as they should.

Charles Runels:

And so the common and most needed tests have usually been done. But surprisingly, people with mixed incontinence or even a large part of it being urge incontinence still get better and I’m guessing here, but my thinking is that there’s probably some help with the nerves of micturition, that if you go in the literature and just start reading PRP, you go deep into the science, there’s over 12,000 papers now in pub med about platelet rich plasma and appears that, and it’s quite a number about regenerating nerve, there’s some about Bell’s palsy, it’s antiinflammatory, it down regulates autoimmune response and is shown to help with rheumatoid, and we have three papers now about it helping lichen sclerosus.

Charles Runels:

So my thinking is that the PRP is way smarter than I am, and it’s maybe doing more than I ever expected it to do. And it’s going to, it’s like anything else. Once you figure out something works, there’s an infinite number of ways it could be done, and it’s really a small need for people like you and the others in your group to learn more deeply about what’s happening. And I can tell you a dozen studies off the top of my head that need to be done about figuring it out. If you just take the PRP itself, there’s a lot easier ways to make it. We know if you cool it, it works better. You can wash the platelets. There’s things you can add to the PRPs. You know, people are playing around with amnion and [inaudible 00:49:55] and all sorts of things to add to the PRP, stem cells and such.

Charles Runels:

But then there’s where do you put it and how much do you put it? And I’m hoping that over the next five to 10 years, I’ll see more research about variations on how the O-Shot can be done based on the problem you’re looking at. For example, someone like yourself who knows anatomy the way you do, much better than I, you might be more specific where you put the PRP. As I’m putting it in the anterior vaginal wall, very distal from the bladder, just literally millimeters on the other side of the hymenal ring, and sliding a needle and so that stays between the anterior vaginal wall and the urethra, anybody on the call could go, we have videos they can go watch, they can go to my website O-Shot.info and we’ll send them all sorts of stuff for free if they’re a doctor.

Charles Runels:

But I think what, for example, we found putting the material there workers better than putting it back closer to the [inaudible 00:50:56] junction and that happened accidentally because I was trying to get the Skene’s glands involved, but it turns out it works better that way for incontinence as well. The other thing, okay, so injecting the body of the clitoris trying to get PRP into the corpus cavernosi, as you know, it’s more of a valve in the sphincter that works to help with incontinence in women, and some of the… There’s actually erectile tissue near the urethra. So it could be by accident that I got lucky and injecting the clitoris itself is also helping with the continence mechanism.

Charles Runels:

But all that needs to be looked at with ultrasound and MRI studies and you guys as surgeons thinking about where else and what variations could be done to improve what it’s doing. It’s never going to take the place of surgery, but either used as an in between step for those who might not be ready for surgery or as an adjunct to surgery… There was one study looking at… I could go on and on. I start ranting because to me, it’s like we just started and I know that your listeners are skilled enough and bright enough to take it and think of 100 things that have never even occurred to me. So I hope they’ll dive into it deeper and figure out better… Like we know, Oscar Gary and other urologists in our group, [inaudible 00:52:24] have told me repeatedly they’re just shocked at how some of their chronic long-term [inaudible 00:52:31] patients are getting better, and we don’t know a good reason. We’re just doing it the normal way, just hydrodissecting that space.

Charles Runels:

And so if I was going to have one thing come out of our conversation, it would just be that the people in your group, I know they represent the kind of people that are… I call them sort of like King Arthur and his knights or Lancelot, I call them the Sir Lancelots of medicine. You remember why Sir Lancelot was waiting by the bridge when King Arthur came along? I know this from reading books to the three boys. The reason Sir Lancelot was waiting by the bridge is he could kick everybody’s ass, and he didn’t have a king that he thought was worth taking up for. So when King Arthur come along, kicked Sir Lancelot’s ass, partly by cheating, because he had the magic sword, then Sir Lancelot, he said, “Okay, I’m going to be your knight.”

Charles Runels:

To me, that’s the people in your group. People that have already mastered their specialty. They’ve become extremely good at the thing they do, so good at it they’re looking for the next king that’s worthy of their sword, their brain. The next idea that’s worth their thinking about. And my hope is that the people in your group will at least consider thinking more deeply about how to use injections, either before or to prevent or a long-lived surgery to enhance the magic they’re already doing with their skills of the surgeon. I think there’s going to be a lot of research around the idea of using cellular therapies to down regulate autoimmune processes, to increase…

Charles Runels:

Like there was a real good study of menopause using PRP to help them with dyspareunia, secondary to dryness. We’ve had breast cancer, and shockingly, most gynecologists still haven’t read that study. But it’s one of our easy wins. You do the O-Shot on a woman with pain from dryness, you can’t [inaudible 00:54:39] hormones, you’re afraid of them because of breast cancer, it’s a slam dunk for us and those gynecologists don’t know that yet. But even if they do know it, now there’s instant varieties about how that could be done. Wherever you put it, how you put the plasma, I guess I sound like I’m pleading now because I am because I know there’s so many smart people that listen to you, and I hope that they’ll take their brains and I know some of them in your group already have, it’d be great if they would jump on our website and look at what we know already and figure out what the next thing might be to try to do.

Marco Pelosi III:

Now as I was going through your about page, I realized that you are a human guinea pig. You’ve tried all kinds of crazy things on yourself.

Charles Runels:

Yeah. I’m afraid I have.

Marco Pelosi III:

So let’s see. You’ve run marathons, you’ve fasted, you’ve stayed awake for days trying to alternate your day and night, all kinds of body hacking kind of things. So do you have a routine that works for you right now as you’re going to hit 60 years old that’s keeping you fresh and energetic?

Charles Runels:

Yeah. I think I’d like to remember what Abraham Lincoln said, “If you had [4 hours] to chop down a tree, you’d spend three hours sharpening the ax.” And when I was chopping the tree, our bodies and our brains and conditions are, that’s our ax. And unfortunately, we have a personality that we want to sacrifice and take care of other people and we have to do it to a certain extent and ignore our own health. One of the people in our group just got off the ventilator. He’s a family practitioner, he does my O-Shot® and teaches for us, and I don’t want to break confidentiality, but he was in New York and he was on the ventilator, almost died from COVID-19. It’s what we do as doctors if we know there’s going to be some beating up of our bodies.

Charles Runels:

Actually as a kid, I was a lifeguard once for, it was a pool party for children with cystic fibrosis. And that was the roughest, toughest bunch of kids I’ve ever seen in my life, and I asked one of the mothers about it and she said, “Yeah, we know our children are going to get sick. So we make them tough so that when they do get pneumonia, they’re more likely to survive.” And I thought, “That’s really how we all should live in that we know as physicians we’re going to be exposed to all sorts of pathogens and stress,” and everybody on this call is tough or they wouldn’t have survived medical school. But maybe I take it to a different level.

Charles Runels:

Like I said, I’ve been a fan of Jack LaLanne since I was a kid, and my routine is I try to do… Jack LaLanne always says, “Fast one day a week on juice,” so I usually do that. Since I was a teenager, I’ll do once a month, I’ll do a day with nothing but water. Once every quarter or so, I might do a couple of days of no calories. But I think there’s also a need for walking. If you look at the research, just walking, most people don’t do enough of it, but just walking somewhere between 20 and 25 miles a week, it cuts your all cause mortality almost in half if you just look over large populations, these studies have been done more than once, and it cuts your risk of heart attack, it does all these different things for you.

Charles Runels:

And so I think if I were to pick the one habit that most people don’t do enough of, it’s just getting out on the street and walking 20, 25 miles a week. I’ll layer that, I’ll do my phone calls or I’ll listen to books while I’m doing it, so it’s not completely dead time. And that’s probably good. I can go on, but that’s maybe my… I don’t drink alcohol. I don’t think there’s anything particularly immoral about it. I like it when my date has a drink or two, but I don’t drink alcohol. I don’t smoke. I try to be like one of the artists said, “I don’t do drugs. I am a drug.” And so I live a pretty clean life as far as what goes in my life.

Charles Runels:

Jack LaLanne says, “If it tastes good, spit it out.” I don’t know if I’d take it that far, but that’s pretty good advice.

Marco Pelosi III:

Yeah, yeah. Do you come from a long-lived family? Jack LaLanne went to about 96.

Charles Runels:

Yeah. Actually my grandparents, I do have grandparents and great-grandparents that lived a long time. My dad’s 82 and still walks every day, and Mom’s healthy. I’ve been blessed with some good genes. I feel like if you’re blessed with good health, that’s why we went into medicine. If you’re blessed with a decent brain and good health, it’s not something really to be proud of. I didn’t somehow earn this body. I just was given it. And to not take care of it and not do something useful with it is almost unethical. And there’s a letter that George Washington’s mother wrote to him after he was president, kind of giving him hell. It went something to the effect of, “Don’t get too prideful with your good brain and your good genetics and your good upbringing. You should have done something good. If you hadn’t, you were goofing off.”

Charles Runels:

So I feel like I was blessed with good health and I do some things to try to maintain it, but part of it is just I could have been born with lots of genetic problems, and I think as doctors we get it, and I’m preaching it to the choir. But I feel like it’s our obligation we went into this, not to make money, if we wanted to make money we’d be selling real estate or in the stock market. We went into it to help people. But part of that is to treat yourself like you would someone else you were responsible for taking care of, it’s good advice. Like what would you do for the guy next door if you were responsible for his health? You do that for yourself.

Marco Pelosi III:

Right. I think we’re going to wrap it up, and I want to leave the listeners with a couple of ways to reach you. So for physicians that are interested in learning your techniques and for patients that are interested in having procedures done by your techniques, by people that have been trained in your techniques, what references can you give them?

Charles Runels:

[inaudible 01:01:20] is called the Cellular Medicine Association, and we have a website that goes by the same name. Cellularmedicineassociation.org. For the various procedures, there’s a place for patients to look to see if maybe the procedure may be of help to them. On the Cellular Medicine Association, there’s a directory of our teachers across the planet, and on the various procedure websites, there’s a place for doctors to get [inaudible 01:01:55] actually put a stamp on something in an envelope and send it to them and send them some videos and things they can look at to see what it is we’re dong.

Marco Pelosi III:

Now we talked about the Vampire Facelift®. We talked about the O-Shot®. We talked about the shot for men, the P-Shot®, the Priapus Shot®. There’s a couple of others, right? Which ones are they?

Charles Runels:

So I have ideas, but I try not to just dump them all out at once. You almost have to wait until the world’s ready for it. But we have a procedure for the breast. It doesn’t make the breast larger, but it can do things with PRP like restore sensation, because we know it helps grow nerves, you can put a little PRP behind the nipple and help with women who have lost sensation from breast feeding or from implants, not from reconstruction for breast cancer, that’s some milder damage from, help with some of the defects, symmetries that happen. We have one for the labia majora, it really surprised me, it wouldn’t surprise you as a surgeon, but as you know, a lot of women, their labia majora goes flat out and it gets darker, and they were often, say, you know, it just doesn’t look as pink and happy as it did when I was younger.

Charles Runels:

And if they need a lot of volume, they need the fat that you guys do as surgeons. But for a 30 to 50-year-old woman, I can do the same things we do with the cheek. We call it the Vampire Wing Lift®. I like all the names to be G-rated. There’s an old Rod Stewart song where he talks about the labia being wings. If you go back and listen to Tonight’s the Night by Rod Stewart, he talks about wings. But anyways, so we call it our Vampire Wing Lift®, we use PRP and Juvederm to restore the labia majora in a younger woman who doesn’t need a fat transfer. So there’s another thing coming down the pipe, but that’s the main things that are out there now.

Marco Pelosi III:

All right. Well, thank you for spending some time with us. I learned a lot of things, and you have some very, very innovative ideas. And I didn’t know about your marketing side. I’m even more impressed now.

Charles Runels:

Cool, thank you. I always come to your guys’ meetings with awe, and surgeons talk about the Pelosi dynasty, and there’s some things that… Part of the cool thing about my procedures is they’re easy. I can teach most people with a decent hand to do them. But some of the stuff that you guys do is just like, you know, you have to be a wizard to even think about doing it. So I’m in awe of you and your group, and I appreciate you-

Marco Pelosi III:

Well, thanks.

Charles Runels:

… being interested in some of my ideas. Thank you.

Marco Pelosi III:

Well, thanks, man. So stay safe and we’ll be in touch.

Charles Runels:

Thank you. [crosstalk 01:04:41]

Marco Pelosi III:

All right, bye now. Share this podcast and this website and this blog with the people in your life who you feel would benefit from this information.

_____________________

Dr. Charles Runels can be reached at CellularMedicineAssociation.org

Dr. Marco Pelosi III can be reached at DrMarcoPelosi.com

Sexual Wellness Summit

Sexual Wellness Summit<–

More about this Sexual Wellness Summit<–

O-Shot® research<–

Priapus Shot® research<–

Beware of Trickery and Destructive Deception

Several of our Cellular Medicine Association members reported to me a spam email sent illegally to our members. Seems an attorney harvested names from our list and sent an email to solicit business and spreading falsehoods about me.

Since I’ve received quite a few emails wondering what’s going on, I’m writing this note to explain.

A few years ago, I mentored one of our members, Lisbeth Roy, in an way to bring her national attention. It was early in the rolling out of our procedures and I wanted a female physician to help spread the word.  So…

(1) I taught her the procedures

(2) I taught her my best marketing techniques and spent time mentoring her in that direction.

(3) Then made her a teacher.

(4) I allowed her ghost writer to interview Me for Dr. Roy’s book.

(5) I allowed Dr. Roy to contribute data from just 1 patient, then without further contribution, added Dr. Roy’s name to one of our published papers.

(6) As a result, Dr. Roy developed a successful teaching program and I paid her to teach and I helped fill her classes.

Then things went sideways.

Dr. Roy asked me to make her choice of centrifuge (Emcyte) the only centrifuge we use. And she wanted me to send all of our members to her to purchase the centrifuge so that she could profit from the machine. It bothered me that teaching off label (the centrifuge is only approved to make PRP) and then profiting from the device (Emcyte) seemed to be against FDA policy. It’s exactly like an Allergan rep teaching you off label uses of Juvederm—in the US, they can’t because of a conflict of interest. But I tolerated her behavior for a short time.

Then her classes became more about selling the device and some of her students started coming to my class to learn the procedures and complaining to me about the quality of Dr. Roy’s classes.

She also built her own directory that started to draw traffic away from our directory.

After several warnings from me about my concerns, I cancelled her rights to teach the class and I quit helping fill her classes.

After this happened, she approached the US Patent & Trademark office and made blatantly false accusations against me in an effort to cancel our marks and make them generic.

Now she has sent an email full of lies to our members who have invested time and some of their best efforts into helping find ways to use these procedures and the ideas and research from these procedures to help others-and so discouraging them with lies.

Should she win her case and the marks go generic, I would have no ability to demand that anyone quit using the names. For example, the only thing that made the recent case with the aestheticians use of the “Vampire” name illegal (where two people contracted HIV) is the fact that the names are trademarked. It’s the only way we have to shut down those who would advertise the procedures for less than we can buy quality FDA-approved kits. Without the trademarks, I would not have been able to talk with Rolling Stone and others to help clean up the mess.

MD Linx also did a story to help clean up our reputation based soley on the fact that we have trademarks in place that help us police who advertises the names.

Should Dr. Roy win based on her false complaints to the US Patent & Trademark office, it’s true that you’d no longer pay monthly membership fees. It’s also true there would be no-one to spend the $800,000 the Cellular Medicine Association spent in 2018 to try and keep the imposters who do substandard medicine beat back from using our names to advertise anything at all.

But, Roy would be able to sell any PRP kit using our names to profit from the device.

Our policing takes time and is not perfect but has been largely effective at helping protect our reputation and our ability to profit enough to use quality supplies and still pay our staff and ourselves.

In fact, without the trademark intact, anyone could use the “Vampire” name to advertise anything as a “Vampire Facial.” A make-up artist could advertise a red mud mask as a Vampire Facial.

The same thing would happen with O-Shot® and with P-Shot® and anyone could use the names to mean anything…even non medical procedures done in anyway at all.

As a result, the names would become as valuable as “liquid facelift”—essentially becoming of no value to help communicate any degree of what will be done or with what degree of quality of care. Anyone will be able to teach any procedure (even things not related to PRP) at any price and call it a class about the Vampire Facial.

We will lose the source of the millions in advertising and research that our group has done thus far. There would also no longer be the CMA to issue certificates to help with securing reasonable rates on our malpractice insurance (our group has gained a reputation that helps with rates for many of our members).

Also, one of our members was successfully defended in court because he was following our accepted protocols…this protection would go away.

In summary, should Roy’s false accusations prevail at the US Patent & Trademark office prevail, then our investment in these names will become close to worthless in the US.

My recommendation…

If justice rules, we will win this case. In the mean time, if you receive or have received a letter from Dr. Roy’s attorney (will be from a mail chimp address)…

  1. Mark the email as spam (since Roy’s attorney illegally harvested your name from our directory and emailed you by mass email without your permission).
  2. If you have time, forward the email sent by Roy’s attorney to the California Bar for illegally soliciting business in an attempt to gather more funds from you then to pile onto the Cellular Medicine Association and so to crush our group (there’s a short form to fill out, then attach the email).

I believe we will win, but courts can sometimes make unexpected rulings (it’s just a 3 person board, not a jury).

Again, I believe we will win and I will continue to spend money on marketing and research and on lawyering ($40,000 this month so far) to create better ways to help our patients and to bring a better life to us and our staff.

I continue to be honored by the quality of provider in our group and by our esteemed teachers. I’ll continue to fight for our reputation and to find better ways to help our patients without going broke from device manufacturers and insurance carriers who would take advantage of us.

Thank you very much for your continued loyalty.

Very best regards,

Charles

Charles Runels, MD

Cellular Medicine Association (who we are)<–

P.S. This is the first time I’ve ever made a post with anything negative about another doctor. I’m sad to have needed to do so to protect our work and the further helping and protection of those who need our services.

JCPM2018Nov28

Topics Discussed in Journal Club with Pearls & Marketing (JCPM2018Nov28)

*Treating scars, new research
*Leveraging national press to help with your local marketing for free
*How to talk with patients in the office about the P-Shot® (from a very successful provider)
*How to choose your patients (and when to choose to not see a man for the P-Shot®)
*Marketing practices of one of our star physicians
*Marketing tips from a 30 year breast surgeon
*Creams that help scars

This episodes includes comments from Dr. Vernon Williams
Video and complete transcript available on membership sites (for members only).

Where to log in to see the webinar (choose the membership site you frequent most)… 

Vampire Facelift®

Vampire Facial®

Orgasm Shot® (O-Shot®)

Priapus Shot® (P-Shot®)

Vampire Wing Lift®

Vampire Breast Lift®

Those in more than one group can log in to any one of the websites to see the webinar/transcript
(the details of answers may only be available to those in the respective groups).

If trouble logging in, go here
click

Or call us…

1-888-920-5311

We very much want to see the financial success of your practice and the healing of your patients to improve because of your membership in the Cellular Medicine Association & its provider group(s).

Please, always quickly contact us if you have questions about the material or if you want to see better results or more phone calls from people who need you. You should receive prompt and cheerful help (if you expected more than you received, please contact me).

Very best regards,

Charles

Charles Runels
, MD

Cellular Medicine Association
1-888-920-5311

Altar® Cream. The Science