- Google Click ads, small budget, geographical settings (click)
- O-Shot for lichen presented in Argentina by Dr. Posey (click)
- Vulvodynia (click)
- More about amnion (source, use, storage) (click)
- Pain control when treating lichen sclerosus
- Varying the O-Shot® in relation to pain/itching/symptoms (remember, don’t treat what’s not been diagnosed…biopsies sometimes needed).
Transcript of Video/Webinar
Charles Runels: Okay, let’s get started. The first question, we’re on the Vampire Breast Lift website, is actually a comment from Wendy Hurn.
Vampire Breast Lift® Questions…
She says, “I have performed several of these procedures to date and have amazing results around six weeks. My own, which is performed nine weeks ago, was amazing. Fullness and firmness with cleavage area many have commented upon. After breastfeeding in the past, I am delighted, so can pass this on to my patients with confidence.”
Thank you very much for writing Wendy.
This is one of those things where it almost seems too good to be true. I’m always grateful when our providers encourage each other. One thing about this when you do these procedures, just be sure you realize there’s a correlation and there’s causation and if you hand out 1,000 Tootsie Rolls to women who walk down the sidewalk, there will be some of them who get breast cancer. If you called it a Breast Lift Tootsie Roll, they might blame it on your Tootsie Roll. I think you can make a very strong argument that PRP is perhaps protective against cancer. We also have the strong research that if you look at the research part of the vampirebreastlift.com.
If you look at the Research tab, you’ll see there’s very good, very strong, research showing that when you mix PRP with fat and transfer it to the breast, there is a trend towards less cancer and there has been two really strong studies showing no increased risk of biopsy or recurrence rate in people who have had breast cancer and then being reconstructed, so it appears to be a very safe thing, but I would still do the same things that you would do for documentation if you were transferring fat to the breast. Most people know you transfer fat to mix it with PRP, so do those same protocols, just make sure the woman has been two things. Make sure seems been recently screened and that whoever keeps track of her breasts says that she’s good to go and number two, make sure you get a good consent form.
Second thing, but hopefully one of you guys will eventually do the research. I think that if you did, if you look at this trend towards less cancer, I think if you did a study where you injected the left breast of a thousand women, you would see a higher rate of breast cancer in the right breast. We don’t know that yet, but that’s what I suspect.
Next one is a question from Dr. Climikoski.
He says, “I have a patient who’s had breast implants and has loss of nipple sensitivity. Her primary concern is to regain the sensitivity back. She asked me, ‘What percentage of people that receive the Vampire Breast Lift do in fact have significant improvement in the sensitivity and are pleased with the results?’ If you provide me with an idea of this percentage, that would be helpful, as I’m a new provider for this procedure and don’t have my experience to draw from. Thank you.”
The answer to this one, I think, is … Again, we don’t have the research. In my practice, it is very near 100%. I’ve actually never had a failure when I was treated someone for loss of sensitivity after implants, but if they had extensive reconstruction, then all bets are off. When I talked to our providers, I hear everything from 50% are improved up to near 100%. I just wouldn’t promise this benefit if it’s for someone for extensive reconstruction, and with everything you do, I highly, highly, highly recommend that you offer a money back guarantee. When I treat this, usually it’s a woman who’s coming for improvement appearance and this is something she wants in addition to that. And so, she’s still happy if her sensitivity isn’t back like she thought it was, maybe, when she was 17. I’ve yet to have a woman tell me it did not make things better than before the procedure.
PRP Science-Techniques (what if the needle clogs?)
Next question is a woman who had … She just wrote this in to me. She says, “I had a 30-year-old,” this came an email but I thought we’d cover it here, she says, “I had a 30-year-old for her O-Shot. We used the Eclipse to spin the blood. My patients PRP was irregular in consistency and had clumps of what I thought had to be platelets. The 27 gauge needle and the syringe, for that matter, clogged a few times. I tried to force out the clumps from the syringe, but I’m wondering why this could’ve happened. Any comments appreciated in advance.”
There’s two things that could be causing clogging. I’ll tell you what they are and I’ll tell you how to deal with this because it can happen to everyone. First, it could be actually the platelet-rich fibrin matrix. I have seen clod up as quickly as two minutes out. This is why when I do this procedure, so in other words when the platelets are in the syringe, just sitting there, they can wait for about six hours in theory and still be okay to use, but once they’re activated; thereby, exposure to thrombin, calcium chloride, calcium gluconate, hyaluronic acid filler, or being excreted from the syringe back into the body exposed to collagen. All those things can cause the platelets to now degranulate, release the growth factors, and then the fluid of the plasma becomes congealed to hold the growth factors in place.
This is called platelet-rich fibrin matrix. It looks like goo inside your syringe. You may want to spend a syringe, activate it, and then just let it sit there and not use it so you can see what this looks like. It looks like little string or a little rubber band or something with a precipitate that forms in the syringe. It’s only probably 10%, 20% of the volume of the syringe will be clotted, but it makes a nice little linear precipitate in the syringe if you just let it sit and congeal. That’s what you’re making.
Now, if there’s turbulence and you’ve activated it can look clotted up in little clumps and that is what you’re seeing if there’s a delay. If you immediately take it out of the centrifuge and you see some little stringy things, maybe that’s platelet-rich fibrin matrix, but I’m not so convinced that sometimes it’s not some of the actual gel itself. I’m told that that’s not the case, but I’m not so clear that what that is and it could be the gel. In any case, I’ve never had it clog the syringe unless I’m slow about getting into the person’s body. When you’re drawing it out, use a … I use a 18-gauge needle to pull it out of the tube and then I have 25-gauge needles, literally within reach, so if I’m sitting there doing the O-Shot or whatever procedure have 25-gauge needles close by. If it starts to gel up and I can’t get it through the needle, then i just grab one of those and swap it out or sometimes you can just swap it before another 27 and whatever matrix is clogged the needle will be stuck in the needle, so when you get a new one, you can keep going. That’s the way to deal with that.
Try to have your patient all the way ready before you ever activate the platelet plasma when you do the O-Shot. Have 25-gauge needles within reach and fresh 27s and you should be okay. Oh, one other thing about the gel. We’ve had a few cases of urticaria. I’ve seen about, well, I’ve seen one myself in the face and I had another man who had some urticaria after Priapus Shot. In both cases, it went away with a Medrol Dose Pack. I’ve had two cases of urticaria reported to me by our providers. One after the face and one after an O-Shot where the woman got some urticaria of the inner thighs. All resolved without sequela using a Medrol Dose Pack.
If you look at the medical literature in some of the orthopedic literature, they talk about this happening and postulate that perhaps there’s a urticaria reaction that some people have to their platelets, but perhaps it’s from the gel itself. I just bring this up as a possibility. I don’t know why it happens, I just know it happens and that’s how you treat it. Maybe some of you guys can help us do that research.
Anything you would add to that Kathleen?
Kathleen Posey: No, but I actually think … I agree with the 25-gauge needle. I actually think I’ve used the 25-gauge needle more so than the 27 because the gel does really get thick and it makes it harder to push.
Charles Runels: So you use the … just routinely use the 25 for the anterior vaginal wall?
Kathleen Posey: Yes.
Charles Runels: While I’m here, just for those who may watch this video because this is all will be recorded and I’ll just post this to where people can see it. This gives a really nice simple diagram about where the material goes. I wonder sometimes if people are using enough. If you use the gel tube, I think you should probably spend three for each side of the breast. The price is set to where you can afford to do that. Basically, 15 milliliters of PRP for each side however you make your PRP. Some of the … I don’t know who knows, but I think some of the people who report not seeing much result are not using enough of this stuff. Let’s see. I think that’s all we had on the breast lift. Let’s look at some of the questions. By the way, anybody on the call who wants to ask a question, just click the raise your hand button and I’ll let you just say what it is you want to ask. Now, we’re on the O-Shot. That was the breast lift. Let’s go down the unanswered questions. By the way, if you ever want to ask a question, this is where to post it. Some of these have gone unanswered, but oftentimes our more experienced people will jump in there and answer a question. This is the way you get more than one opinion.
Priapus Shot® Questions…
Okay, so Dr. Ness has two questions. He uses the EPAT for erectile disfunction, along with PRP, after the fifth treatment and before the sixth. Should we inject PRP more often, say after every treatment? Also, has EPAT been used on women to augment the O-Shot? We’ll do this first question. I actually had an email from one of our urologists this morning. I’m seeing several variations, but most of the variations involve using PRP after the first treatment and after the last treatment, whatever your protocol is.
There was another research paper came out this past July in the Journal of Sexual Medicine showing that this works, but there’s no one that has done, okay, this protocol versus that. We’re still trying to figure this out. There’s a research paper for someone. Obviously, there’s two variables there, how you inject the PRP, or where and when, and how you do whatever physical therapy you’re doing.
More O-Shot® Tips…
I don’t know if anybody has anything to add to that, but the bottom line is that do whatever your normal protocol is, and then do your PRP after the first one and after the last one. Same thing with any sort of these physical therapies, lasers. Whether it’s shockwave therapy or it’s … and your frequency. I know you have the Thermi-Va, Kathleen. When are you adding in Thermi-Va when you do O-Shots?
Kathleen Posey: Well, I add it when they want to have improvement in the labia majora or want to decrease the size of their vagina. What I have noticed consistently now, having done enough of them, I really think when you decrease that distance between the clitoris and the vagina and/or urethra, the orgasms get stronger. I think, I’ve done enough now to know. The patients are telling me now, the ones that have had the Thermi-Va with the O-Shot, that the orgasm has gotten even more intense than the O-Shot, so I think that’s an added bonus.
I wish somebody would do the research to prove that it’s that distance because there’s such a problem when somebody has a baby and things get stretched out AP-wise. What you’re really stretching out is that length between the vagina and the clitoris, and then you’re constantly, as a gynecologist, “I used to be able to have orgasms with penis in vagina. Since I’ve had children, I cannot have orgasms with a penis in vagina.”
I’ve even seen C-section patients that haven’t had a vaginal birth, they’re still stretching out. They still have [inaudible 00:13:19]. They’re still having problems. I think, basically, probably gravity, but they do over somebody’s lifetime take away from your ability to have different types of orgasms.
Charles Runels: When it comes to you, do you do Thermi-Va and then O-Shot immediately following on the first visit, or how do you do your series when you’re combining those two therapies?
Kathleen Posey: Most of the time, I do the O-Shot and the Thermi-Va at the first visit, but sometimes it just depends. If they come in there and just say, “I’m here for the O-Shot,” I do that, and then after I do my exam, and I find they’ve had three kids, and I feel like they could benefit from the Thermi-Va, I give them the pamphlet and talk to them about that. So I’ve done it different ways. I’m not real consistent on … because there’s usually three treatments of Thermi-Va, and I’m not real consistent when I do the O-Shot with it. It can be the third treatment.
Charles Runels: I recently talked to Dr. Alinsod about this too [he does something very similar] and I know, Dr. Posey, you’ve done a lot of these. How long have you been doing O-Shots now, three years?
Kathleen Posey: Four.
Charles Runels: Four, yeah, so you’ve had … and I think probably more than anybody on the planet, your experience with lichen sclerosus combined with PRP is you’ve probably seen more patients than anyone. I don’t say this is for gospel because no one’s done the research, but when I speak to other providers, including Dr. Alinsod, they will sometimes do Thermi-Va, then another Thermi-Va, and then the last one of Thermi-Va, they’ll do Thermi-Va followed by O-Shot, or they’ll do ThermiVa and O-Shot on the first one, and then another Thermi-Va, and then, if they’re doing well, on the last one they just do a Thermi-Va. If they’re not as where they want to be, they’ll add an O-Shot to that last Thermi-Va treatment.
As far as the business part of this goes, a lot of our providers, when they come in, they’ll offer the O-Shot at the regular price, and then if they want to add in the Thermi-Va, they’ll cut the price of the Thermi-Va treatments in half, and sell it all as a package. Anyway, that’s become extremely exciting what people are seeing combining those two.
The general principle though that you never break, I think, is that you don’t do a heat, energy type treatment immediately after the O-Shot or the heat denatures those amino acids, small peptide, chemotactic factors, so you can do them both in the same day, but if you do both, you always just do the O-Shot after the heat therapy. I know you know that Dr. Posey but some of the new people may not.
Kathleen Posey: I have one thing. Can I add one thing
Charles Runels: Yeah, sure. Please do.
HUGE TIP (Small Vagina & Thermi-Va)…
Kathleen Posey: I just treated a patient this week that the Thermi-Va people sent me: Had seen a plastic surgeon in New Orleans, decreased lubrication after chemotherapy for colon cancer. She was in her 40s. No exam. So she gets here, and she’d gone from having intercourse three times a week to barely being even one. It was very, very painful.
Her vagina was so small, and they had done the Thermi-Va, so they were making it smaller, so all her symptoms got worse after the Thermi-Va. Actually, a lot of her pain was in the posterior fourchette. I just treated her this week, but I gave her another shot because I said, “Look, I’m going to see,” but you really have to select the patients and do the exams. If the three of us says, “Okay, I’m going to increase lubrication and decrease pain,” well, if the problem is your vagina’s too small, you’re going to make her worse.
She was worse, so the plastic surgeon complained to Thermi-Va. Thermi-Va says, “Well, where’s her exam?” They go, “Well, I didn’t do one.” They lived in New Orleans, so the plastics doctor called me and said, “Well, will you see her?”
You just really have to take each case individually because she was crippled because of a really small vagina. I don’t know if the O-Shot helped her. I did the traditional O-Shot, and I treated her with pain. I just wanted to throw out all these pain symptoms. I did another one today, which was episiotomy pain, and it’s helped her. She’s a year out and this is her second time. I do do the O-Shot, as well as treat where the pain is.
Charles Runels: Yes, all those are good tips, excellent tips, actually. I’ll just add to that that there probably should be, and maybe you can help us think about this, a … What’s the right word? Sort of a chart where you can picture down the one side is all the therapies, and then across the top are all the different problems, and you pick which do you do? Do you do radiofrequency or laser or PRP or dilators or hormones or whatever? And you can picture a pretty extensive chart.
I agree, not everybody … I don’t even use the word “tight” or “loose” vagina. To me, it’s all about matching your lover, and not everybody needs a smaller vagina, and when it comes to pain, for some reason our O-Shot just seems to be amazing, even when the etiology isn’t always known. But I want to emphasize what you said, if they can put their finger where it hurts, always put a cc of PRP there, and then do the regular O-Shot in addition to that. For example, your lady that had the episiotomy scar. My experience has been that, after an episiotomy, they’re usually good to go. So she lasted a year, and now it’s come back and hurting her again?
Kathleen Posey: Yes, it lasted a year. What she had was an episiotomy scar, and then some scarring around her posterior fourchette as well. It hadn’t come back as bad, but she just said, “I don’t want to have painful intercourse. It worked so well before, just repeat it.” I looked, it was a year ago. That was her second shot.
Charles Runels: Beautiful. That’s encouraging. So it wasn’t all the way like it was, but it wasn’t-
Kathleen Posey: No.
Charles Runels: … it had started to come back. There’s that negative feedback loop that can just make anybody avoid sex, especially, I think, women who have pain, and so breaking that feedback loop is so important. Just anecdotally, another patient I heard about from one of our providers, who’s-
Charles Runels: Just anecdotally, another patient I heard about from one of our providers who stays here with, usually with O-shots, she said she had a lady who had an episiotomy scar that had, not only hurt, but would bleed and tear ’cause the skin was so thin. The tissue was so thin, for years. And, no creams and all sorts of things had been tried with no result. And in this case, it took three injections 8 weeks apart, before the bleeding and the pain was gone. So, 8 weeks, pain’s a little better but not gone. Another one. So a series of three O-shots. So, I’m thinking in some cases the tissue may need more than one procedure.
And then lastly, I know we don’t have it here yet, but I know in Europe they have HA that’s made for the vagina. And then I’m wondering in those cases, it might be helpful to do both. So, like we do with our vampire user HA posteriorly with pure AP on top of it to help build that tissue posteriorly when we have an episiotomy scar. All thought they should not be used anteriorly unless it’s under an IRB protocol because of the risk of granulomas. Okay, let’s do the next question. Anything else you could add to that, Kathleen?
Kathleen Posey: No, that’s fine, thank you.
Charles Runels: Okay, let’s see. So, Cindy Crosby says, “My first question is piggy-backing of a question I read in the previous post. If there are there any post-op instruction pamphlets for vampire clients, please email. Second, I had an O-shot and the client had two large babies with two episiotomies. The anatomies very difficult to maneuver. The urethra’s approximately four centimeters long, it’s in the middle of what appeared to be a build-up of scar tissue. Has anyone experienced this and what was the solution?”
I’m gonna turn this one to you Dr. Posey.
Episiotomy Scars & Pain…
Kathleen Posey: Well, I agree, these can be tough. I would put a red rubber catheter in there and find out exactly where her urethra is. And therefore you would know where to put the PRP. Those are hard because, she probably had a cystocele and if you’re not used to looking at them, you’re not gonna know your anatomy because, it gets very distorted. That’s-
Charles Runels: Mm-hmm (affirmative). So, I think you told me once about a lady who did not get benefit for incontinence and then you brought her back and put in a catheter and then things. Describe for them what you do.
Kathleen Posey: Right, I mean that lady had, I mean you don’t want to say a looser … We have a large vagina had cystocele rectocele I put it where I thought it should be the first time. And she just said it didn’t work and she got on the O-shot website, said my name … This is a long time ago.
Charles Runels: (laughs).
Kathleen Posey: Trust me, okay. She got on and said, “This is horrible.” And I think they gave her a discounted rate. So I brought her in, and I said, “Look, but it didn’t work, you’re going back on.” And she did.
Charles Runels: So you brought her back and repeated it, and she went, and she got better. And so, what you did was put in the catheter? Tell me exactly what you did.
Kathleen Posey: Yeah, I took a small red rubber catheter, you put the other end up on the abdomen, so you don’t get pee everywhere, and then you see exactly how distorted that urethra is, because the urethra is distorted in that patient. And it takes the vagina with it, okay. And so you have to see where to put it. And sometimes it can go off to the left or the right, it isn’t straight in the middle. And that was her problem, it had gone off to the side, and so I just put it in never never land.
Charles Runels: So, in the second procedure, your intention is to put the lumen of the needle in between where the catheter was and the outer service of the vaginal wall? Is that what you did?
Kathleen Posey: Yes, which was probably part of the cystocele and it’s gonna look like it’s scarring, it may not have a normal look by itself.
Charles Runels: Beautiful, very helpful.
Okay, let’s see. Dr. Tuttle, “Dear Dr. Runels I have a new person who wants an O-shot, so a daily load dose of methotrexate. Will O-shots still work? Will we get enough PRP, will it work in the presence of this suppressant drug?” She’s using the Emcyte machine.
Okay, so. The general rule I follow is: Would this person recover from surgery? Could you do surgery on them? And if the answer is yes, so can you do it with HIV? Yes. Could you do it with a profound thrombocytopenia? No, not a good idea. So, I don’t know … What’s your thoughts on this one, Kathleen?
Kathleen Posey: I don’t know, but the only P-shot that didn’t work at all was on an 82-year-old with a platelet count of 75,000, and I did two. But I don’t really, I don’t know. I would try it, it’s worth a try. I’d give them money back if it didn’t work.
Charles Runels: Yes, see that’s how I do it. And if you’re new to this, you’re listening to this talk, the first two months, I would just do the easy cases. And of course nothing’s 100% but you have a really high success rate. If not the first shot, the second shot, you’re gonna get it at least 80, 90% of your people well. If you’re treating incontinence with good pelvic floor integrity, dyspareunia, lichen sclerosis, those people are going to get better- people who can have an orgasm but it’s not as strong as it used to be.
If you’re treating someone who’s never had an orgasm in their life, that’s a hard case. Or something like this, where you’re not sure what’s going to happen. I agree, you’re not going to hurt her with this. She would heal, you could operate on her, but is it going to affect this procedure? I don’t know. So this would be a more uncertain case. I would be more hesitant to take these cases until I’ve been doing them. Otherwise, if you do something that’s hard and your first two don’t work, you lose confidence in what you’re doing.
But, on the other hand, I will often take someone who I don’t see any logical reason why I’m doing harm, and then I take them, exactly what you just heard Dr. Posey say, under the condition … I just tell them right off the bat that, “You know, I hope I can get you better. And I’m willing to try this. And if I don’t get you better, I won’t keep your money.” And worst case scenario, you lose a little money but you’ve learned, and you haven’t hurt them, and you’ve helped them find a solution, and you’re still profitable in the next procedure.
Let’s see, I think we just had a question typed in. Okay, yeah, so … Okay, here we go, thank you. So, Dr. Carp I’m gonna unmute your mic, Dr. Carp, so that you can talk with us. Hold on just a second.
Go for it, you there?
Dr. Carp: Yeah, can you hear me?
Charles Runels: Yes sir, perfectly.
Dr. Carp: Yeah, I do all kinds of surgeries on patients with methotrexate, you know, the significance. So I wouldn’t be concerned in the terms of a complication with injecting it. I don’t see how it should have any impact on the expected results with the PRP.
Charles Runels: Beautiful. Thank you for that. When you do your surgery, you don’t anticipate it affecting them healing. So I’m not doing operations every day, so I don’t know that. So, you wouldn’t expect it to have an effect on wound healing. So therefore, we’re both thinking that one variable should not change what the effect of the O-shot would be.
Anything else? Because I know you’ve been doing this awhile, too. Any comments on any of the other questions that we’ve fielded that you want to add to?
Dr. Carp: Not really. I think that, certainly as was pointed out, if they’ve had some uvula-related issues in the rectoceles, et cetera, it does make it more difficult anatomically.
Charles Runels: Mm-hmm (affirmative) yeah. I think it’s never an embarrassment to turf … I love that we have a gynecologists and a urologists as part of our group. And to those in our group who are not, if they see someone where the anatomy is not what you’re used to seeing, I would feel free to … You know, I’ve referred people to Dr. Posey, she’s about two and a half hours from me. And people that … For example, when the clitoris is phymosed down, that’s not something I should be tackling. And so, I send them her to a gynecologists.
And so I encourage those in our group to look at the others in the group that are close to you, so that we can work together.
Let’s see, there’s another. We’ve covered breast lift, the O-shot, there’s some questions that have accumulated about the priapus shot. Let’s go through some of these. Let’s see, okay.
“I was just wondering, can you freeze PRP and then thaw it later before activator procedure? We did a P-shot today, we used pure spin, which do about 20 CCs, and we used 10 of it, so we had some left over and didn’t want to throw it away.”
I know some of the ophthalmologists are putting in the fridge and using it for eyedrops for dry eyes, and using it for a couple weeks at a time. Maybe the answer to this is yes, but I wouldn’t want PRP that had been frozen … You know there’s enough profit built into our procedure that you could afford to spend a kit later. If you wanted, what I would say instead of this is that, there are those in our group that, when they use a priapus shot are using more material.
The only reason these volumes came about is back when I started doing these procedures, back in early 2010, so eight years ago, a one tube of Selphyl, which is what I was using at the time… so, my cost of goods was pretty high. So it was based on what I could find, the amount that could spread through a penis, and I found 10 was what it took to actually infiltrate the entire corpus cavernosoum of an average-sized man.
But others in our groups are using more, so I would say instead of wasting it, just double the volumes and use the whole 20 CCs if he’s average size or larger, and you should get a result. The only place I would say not do that, between the O-shot and the P-shot, is absolutely do not do that with the anterior vaginal wall because, I know of three cases now where our providers got a little overzealous and had an overflow obstruction. It went away and the person winded up doing well, and good results for their stress incontinence, but they went from stress incontinence to an overflow obstruction to wear a diaper for three or four days because of too much volume.
I think anything more than 4 or 5 CCs in the anterior vaginal wall is probably too much. But in the penis, go for it.
Anybody want to add something to that?
Lichen Sclerosus in the Penis…
Okay, so Dr. Leonardo says, “How do you treat lichen sclerosis on the glands? The video does not address this. Do you perform the same injections with the P-shot or would you micro-needle it?”
You know, Kathleen you’re treating a lot of lichen in the labia and around the clitoris, what’s your … This is just a larger clitoris, right? Or you could say clitoris is a smaller penis. What would you say? How would you answer this?
Kathleen Posey: I would inject it right in the areas of the lichen sclerosis, wherever they may be.
Charles Runels: Yep. I would too. I would feel … In a normal priapus shot, you would just kind of … I imagine the glands of the penis, literally like a sponge, and of course the underside of it that’s connected to it is the corpus spongiosum, so it does behave like a sponge.
But I agree with you, if there’s a sclerotic area that you can see or the patient can feel subjectively and put their finger on. I would go intradermally, as best you can, into the sclerotic area and treat it like you would sclerosis anywhere else.
I think, again, we just put out the first paper, I guess it was a couple years ago, and this last paper in the American Academy of Dermatology in January of this year. It’s not like we have some huge body of literature about the best way to do this. It’s part of the reason I like these calls because there’s smart people in this call, and you guys can help us figure out what the best way is. But that’s my best idea for now.
Anybody have anything else? Okay.
“I have a patient who has IPP. What is the injection recommendations, techniques, for lidocaine? PRP amounts of each … Locations along the shaft and the depth … In addition, has cold syndrome, for numerous reasons …” whatever.
Okay, so there’s a link here that takes you to a recording when it comes to the penile implants. That, when I interviewed Dr. Joe Banno, who’s one of the urologists in our group … And the biggest thing that I would say here is two things.
I would not use the vacuum pump, and I would not try to inject the shaft at all. And I would consider long and hard whether to even do it at all. Because if their implant fractures that night when they have sex, you could be blamed for it.
But if you do this, and Dr. Banno and I would do this, and most of our providers would do this … I would keep it just to the glands, and come in laterally like you do with the regular P-shot with just the bevel going into the carona of the glands. And just infiltrate the glands, and let that be it. Nothing else, or I think it’s too risky.
Anybody want to add anything to that?
Anyway, watch this video for more details. It’s only five minutes but you’ll get it straight from one of the urologists in our group who teaches. By the way, Dr. Banno teaches urologists how to do implants. It is his specialty. And he has told me that he started making the priapus shot as part of his pre-op before he does the implant because he’s getting more rapid healing and better results, as far as that sensation, and not having that cold feeling.
Any other questions? I think that might be the last one that was turned in. I know we’re only 38 minutes in, but I didn’t come here to try to teach anybody anything. I’m just trying to give us a forum. And our intention is to do this every week because the questions accumulate. And that way, someone other than myself can help think about them.
Anybody on the call have anything else to say or question to ask? Because now is the time and I’ll unmute you and we’ll have it out here for people to comment on.
And I’ll post this video, so who knows? Maybe some other people in our group … We’re pushing 2,000 members now in 40-something countries. We’ve got so many specialties and multiple medical schools, lot of smart people just like you guys are. So, maybe we can get other questions or other ideas.
But anybody have any other questions?
Okay, well I’m on stand-by and I hope this was helpful. And I’ll post the video, and we’ll try to do this every week. So if there’s something that comes in between, this will be the place to get it answered.
Honored to help out, and you guys have a good week. Bye-bye.
Cellular Medicine Association (CMA). Who we are <–
Transcript of Video…
Hello I’m Charles Runels and I’m here to tell you about the Cellular Medicine Association, or the CMA, Cellular Medicine Association. If you’re watching this, you’ve probably joined our group by undergoing some training with one of the procedures that we oversee.
A lot of people wonder what is this thing [CMA] and how does it work. It’s a little bit of a new idea. Usually a procedure, if you think about it … For example a cholecystectomy, that’s sort of governed by the surgical/medical board, or for example hysterectomy, that’s governed by the American Board of Obstetrics and Gynecology. But if you have a procedure like for example Botox, which isn’t exactly claimed in any particular board exam, I don’t know any board exam that tests people on cosmetic Botox, it become ubiquitous. It’s done by plastic surgeons, dentists, family practitioners. Yet, none of those board exams teach that procedure [so there’s no standardization]
In a similar way platelet rich plasma and cellular medicine goes across the board in multiple specialties. What we’re trying to do here is foster research, protect our reputation, and help with the protection and the education of our patients. So let’s talk about some of that.
First of all, as far as the science goes, what have we done. I want you to be proud, and understand why you should be proud to be part of our organization. First of all, we’ve done some trials already. We’ve done some research. If you look at, if you just go for example if you go to the O-shot website, and you look at the top there’s a tab that says research. If you click on that, it will take you to some of the research we’ve done. We also have some trials ongoing and that our organization has paid for. We spent over half a million dollars on financing research projects. Now that doesn’t sound like a lot. For example compared to say the budget for Flibanserin or some big drug company, but we’re not a big drug company.
We’re just a relatively small group of physicians who are passionate about taking care of people. Because blood is not a drug, cells are not a drug, tissue is not a drug, it’s harder to come by research money. For example, another example analogy for the running or aerobic exercise has been proven to be better. It’s been published in multiple studies to be better than any cholesterol drug for preventing heart disease. But those studies were much slower to come out than the cholesterol drug studies because who’s going to sponsor a study on running. The same way, there’s no big pharmaceutical company to sponsor these studies. So our group, be proud that you’re part of that group, and the money that you contribute to our group, partially goes for research. You also can participate in our research. If you are doing the O-shot or the Priapus Shot, there’s a place where you can enroll your patients. If you look at, on the dashboard you’ll see a link that says patient survey.
You can enroll your patients and they’ll receive a text message that allows them to participate and survey their results from the procedure. Nothing is 100%, and of course this is a survey and it’s perspective, but our members should be large enough that we can get a very nice idea about what should be our next double-blind placebo control study. We have a double-blind placebo control study ongoing right now for Lichen sclerosus and another for the O-shot for orgasm. We’ve already done some pilot studies, but those double-blind placebo control studies came about largely by what our group observed, which comes back to the other part of the science piece of this with the blogs.
Now, if you’re doing this, you’re probably tired of assembly line medicine. I found that most people in our group, they’ve reached the level of expertise they’re sort of tired of doing the same thing over and over again. They’re very good at it, doesn’t mean they’re not proud of what they’re doing, but they’re looking for the next adventure. What’s happening is this wide open discovery of things that we can do with platelet rich plasma and cell biology, stem cells, and amnion, all those different ways of manipulating cell growth using our natural healing mechanisms, that’s something that is new and it gives us an adventure in science, and a way to help people we haven’t been able to do before. This blog gives you a way, for example if you’re on the O-shot member site, you log in, you’re a physician or a nurse practitioner, you’re there on a website that needs a password. Patient aren’t seeing it, that’s fine if they did. There’s nothing magical about it, or so clandestine patients couldn’t see it, but it’s a relatively private place for us to participate and talk with each other.
If you have something rare you’ve noticed, or something interesting that you’ve noticed, or a question that’s come up, you can post it there and you can see seven years of that blog on going there on the websites so that you can get an idea about some of your questions that you might have already been asked. Basically this is a new way of doing things. If you think about it, even 10 years ago if you had a new idea, you did a study, wrote a letter to a journal, it got published, someone responded to your letter, and it came out several months later. In the old way of doing this, if you think about it, if you had an idea, you published it, and then someone responded to it with a letter to the editor that came out in the next journal, and someone else looks at that and they publish another study that you say maybe see a year later. Here it’s real time. You observe something you can post the pictures right there and people start responding to it.
That doesn’t make research, obviously it’s anecdotal, but it’s quicker than say what we used to have to do, which was write a letter to the editor and post a picture on the New England Journal, and then someone had to respond to it the next week or the next month. This is real time. Also you’ll see that I’ve posted webinars where we talk about this, our observations. I’ll get people in the group on the line and I’ll have multiple specialties. I’ll have urologists, gynecologists, interventional radiologists, some family practitioners, endocrinologist, all on the same webinar talking about their observations. Those webinars have been filmed and are there for you to look at so that you’re able to now learn from that and pick up where we left off. So, obviously this doesn’t make a research double-blind placebo controlled study, but it obviously makes a very nice way to think about this and come up with what the next study should be in a much more rapid and much more thoughtful manner.
That’s what’s available to you with the science part. We do have some research dollars available so if you want to do a project, we can help the next research project that you might think should be done. That’s some of the science part of what happens with our organization, and we want you to take full advantage of it. Now, let’s talk about the some of the reputation part of what goes on with our procedures, the reputation piece of this. You can imagine something that has to do with sex, it could turn into something really bad reputation very, very quickly. So we try to maintain a standard of care. It doesn’t mean we’re all doing things exactly, precisely, every time the same way, but even one doctor doesn’t do that. We all vary the procedure a little bit based on the science of the, or what’s in front of us, what’s the patient’s history, what’s their complaint, and the procedure may change a little bit based on that, but there’s some basic things that stay the same.
For example, we all use an FDA approved device to prepare the plasma. These procedures are not FDA approved, but whatever we’re using to do these procedures are good, scientifically designed devices or materials. For example, we’re using Amnion, it’s from a reputable source. If we’re using PRP, it’s from a device that was designed not to analyze, but to prepare blood to go back into the body. We have certain standards. As far as that goes, we also have teachers that are approved to teach for us. Now if A teaches B, and B teaches C, and C teaches D, you don’t have any idea what D is doing. So we have to make sure that everyone that’s a provider doesn’t teach others and convey to the people they teach that they can somehow start claiming that they’re O-shot providers. That’s the reason why because if Dr. John teaches Dr. Smith, and Dr. Smith teaches Dr. Mary Jo, then Mary Jo, we don’t even know what she’s doing, but yet Mary Jo is out advertising the O-shot.
I’m in a position unfortunately, or maybe fortunately, to know how bad this can get because I’ve received that email from that woman who said I had something horrible done to me, it hurt like crazy, I bled like crazy, and it didn’t do anything for me. It sounds kind of strange what happened to her. When I asked her about who did she say, it turns out he isn’t even one of our providers. We have to be very, very careful especially with something that involves sexual medicine. Now, also when it comes to reputation, we’ve only had this happen twice, we’ve had two people who got a letter from their medical board, only two. Wanted to know what is it you’re doing because they got a complaint from a jealous doctor. Like for one example there was a optometrist who was treated by one of our people. The optometrist got better, but the optometrist son, who was in medical school, and the medical student told about what happened to the urologist attending he was working with. Urologist attending reported family practitioner to the medical board.
That’s happened twice. In both cases, I wrote a letter for the person to send to their medical board, and in that letter quoted the research, listed some of our more prominent providers, and how we’ve been doing this procedure now over 20,000 times per procedure at least. That’s a conservative numbers, and some of the science. In both those cases the board said, “No problem, keep doing it.” Now had the person been on their own saying just doing platelet rich plasma calling it Dr. Joe’s vagina shot, then no one would have been there to say they were following some standard method of doing it, and to take up for the person had that happen. You can imagine that same scenario, so far we haven’t had to do this, but you can imagine that same scenario happening should a patient claim something horrific happened and try to take somebody to court. So, that’s happening.
The other thing is that we give you a certificate. That certificate is something you can show your malpractice carrier to get your malpractice insurance. The last I heard in the UK to be covered to do the O-shot, you had to have a certificate from our organization. That’s a very helpful thing. Let’s see, teachers. I guess that covers it with the reputation. Along those same lines of reputation, you have this marketing idea. Now if you’re advertising the O-shot, it’s like similar if you advertise Botox. Well Botox has a name brand and people understand what that means, but if you had some generic neurotoxin that you came up with that was not Botox, it might be hard to get people to come to your office. Yet, not many people get patients from the Botox website. What happens is you let your patients know that you’re doing Botox as an analogy, then the patient says oh I know what that is because it’s a name brand, but I want to get it from my doctor.
In truth, nobody builds a Botox practice from … I’m talking about marketing now. The best marketing is just education, but the best way to quickly educate somebody is to have a name brand that actually means something. By protecting our reputation, our name brand, for example the O-shot procedure, which means a particular method of doing something. It’s called a service mark, so a trade mark, can mean a material like Coca-Cola, but a trademark can also be a subset of that called a service mark, which means a specific method of doing something. That’s what we have. The O-shot name is only available to people in our group who agree to follow certain guidelines that have been taught to them by either their hands on teacher that they did in a workshop and/or the materials that are on our websites.
The marketing, of course the best marketing is to just be very good at what you do, which is why it isn’t fair for someone who just bought a PRP kit that says okay I’m doing the O-shot who doesn’t have a clue what we’re doing. Even if they’ve been through our training, but now they’re broken away from our group and they don’t want to contribute to maintaining this reputation, which has cost somewhere around $20,000 to $50,000 a month in lawyering to keep the people who pretend to be in our group beat back. We have so much press. It’s worth many, many millions of dollars, so much press. We’ve been here in Tatler, ladies Cosmo several times, we’ve been on the Playboy website. We’ve been on I don’t even know how many different TV shows around the world, I lose track. So millions of dollars worth of research conservatively.
People want to use our name who are not in our group who may be doing who knows what. They may be better than what we do, but they don’t have rights to use those millions of dollars of marketing and goodwill that we’ve maintained through a lot of science, a lot of handwork, and a lot of lawyering, and do that for free, and be doing who knows what. Then our good name can become bait to trick some woman into having something horrible done to her body. If I sound angry, it’s because I do get angry when someone takes our hard work, our hard earned reputation, and hardly maintained reputation, and then uses that to trick some woman into have something bad done, which is why i have no mercy. If someone uses our name, and they’re not in our group, I have no mercy. I use lawyers to make their life as absolutely miserable as I can, and I take pleasure in making their life as miserable as I can because it’s like they just did something to my little sister. They just did something bad that could absolutely hurt a woman that I may never meet. They’re using our hard work to hurt somebody.
Anyway, I didn’t mean to start ranting, but you can see it makes me angry. I have no mercy about that. Now, the other good thing, let me swap to a positive note, is that because of our marketing last time I checked about four times the traffic of cosmticbotox.com. People on our directory do get phone calls, and that is valuable, but it’s only one of many things you can see that you get from being in our group. You are on our directory. If you drop out of our group, that’s fine, go call it the Dr. Jones vagina shot, but we’ll just drop you from our directory. No big deal. What isn’t an option is to keep using our name and decide you don’t want to be in our group. That’s not an option. You can stay in our group as long as you want. You can drop out anytime you want. All we ask is that you change the name if you decide to drop out. We give people, if you do a hands on workshop, we give people three months for free in the group just to see the value of it, to see that we have good hard core science, and to see that you’re going to have patients come to you who want this procedure, who get well from the procedure.
Nothing is perfect, but you have people who their lives will be changed by these procedures. That’s valuable to be on our directory. If you decide that you want to drop out, we don’t try to punish people for leaving us. That’s your choice. All we ask is that you change the name if you keep doing the procedure. You can keep doing the procedure, just use a different name. Don’t keep using our goodwill that we maintain at great price. It’s like driving my car without paying me rent on the car. You don’t get to do that. It’s called stealing intellectual property. It’s still stealing. Anyway, back to other things that happen with the marketing piece of this. We also have marketing materials that we have, that we’ve created for you, that we sell at our cost. We have a cost that covers basically the shipping. The amazing lady that provides it and fulfills your orders, come over here Scottie. Let me show you Scottie. Scottie is an amazing business lady who makes sure … I just want you to meet her. This is Scottie.
If you order something from us, and we have … What do we have Scottie? We have posters …
Scottie: Posters, books, t-shirts-
Charles Runels: T-shirts.
Scottie: Coffee mugs.
Charles Runels: Yeah.
Scottie: What else do we have?
Charles Runels: I don’t know.
Scottie: The banners.
Charles Runels: Oh yeah banners. We have all sorts of stuff and we’re making other things. I just want you to see her because if you order something, Scottie is so on top of this. Nobody’s perfect, but our goal is to be sort of like Amazon. If you order something from us, our goal is that it’s in the mail and you get a tracking number, so within one business day you get an email with the tracking number. Then, that is at your office in two business days. Now if you’re in another country, obviously it can take longer. Sometimes the laws about getting something into another country can be tricky, and sometimes we have things come back to us. I just wanted you to see Scottie because if you order something, this is who you’ll be talking with. She takes her job very seriously. We consider this to be a revolution in health. Scottie’s had an O-shot. SHe’s had a Vampire facelift and a breast lift, and she knows what this can do for your life. This isn’t, for us isn’t just putting, this isn’t like shifting comic books. This isn’t just a way to make a paycheck for any of us. This is a revolution.
Charles Runels: Yeah, so thank you. I just wanted them to meet you. Thank you Scottie. Let’s see what else about marketing. The other thing we do with these lawyering dollars is you’ll notice that a lot of the people who pretend to be us, they also, they’re probably, you’ll find that most dishonest people are also not very good business people. They think the way to make money is to become a discount store, so they’ll be offering our procedures at half price or something like that, and doing them with second rate kits. They’ll be offering it sometimes for less than we can buy our FDA approved devices for. We just don’t tolerate that and we shut it down. What we do, we all do charity work, we all do things for free. I recommend that our providers do things for free, but we don’t advertise a price below a certain point so that we’re able to maintain profit.
There was a time I lived out of my car for a year, I wanted to own nothing. That’s okay if you want to be a guru for a while, but you can’t run a practice that way. You have to pay for lights, you’ve got to pay for the camera that’s running this, and for Aaron who is driving the camera back there. You can’t have a practice, and you can’t take care of people if you don’t make a profit. There needs to be enough price point in here that you not only make a profit, but you can give back money who don’t get well so that you keep your reputation clean. I’ve never kept one penny from anybody that I treated that didn’t think it was worth what I did, and I recommend to do the same thing. You can’t do that if you don’t have enough profit to where if you give money back on someone that you still want to make profit on the next procedure. Basically you’re wins finance the small percentage who don’t get better with your procedures.
So far we’ve never had a serious side effect, and actually out of 8,000 research papers with platelet rick plasma, there’s never been a serious side effect reported, but we have people who don’t get well. If somebody doesn’t get better, there’s enough profit that I can give them their money back. Let’s see what else. If you do decide you want to teach, we do need more teachers. My suggestion is that you be successful with the procedures, you have your own stories, your own background about what works, what didn’t work for you. After you’ve done the procedures for three to six months successfully, then hit us up for the possibility of teaching for us.
I think the one last thing I would recommend is that everyone who is in our group, I recommend that you set up a one hour consult called a “Sure Start” and it’s free to you. You will get a link that shows you how to sign up for that in the email that tells you that you’re now part of the group. I recommend that you set that up because that gives you one hour with our staff. We have business people in the office with business degrees that have been helping our providers now for several years. They know how to get you rolling and what works to help market these.
I think that explains most of the benefits of our group. Sorry I got to ranting about the thieves, but I really have no mercy on them. That kind of takes me back to the school bus, you know the bad kid that would take your lunch money from your sister, and you wound up fighting with him at the bus stop. I don’t know maybe that didn’t happen to you, but it did to me. So that’s kind of where I go back when somebody wants to steal from our reputation and then trick people into getting stuff done that’s not so good for them. So thank you very much. If you look below this video, we’ll have all of the related links so that you can contact us and get the help you need.
Here’s what’s waiting after you login to our O-Shot® providers member’s site…
Only for Members of the Cellular Medicine Association (CMA).
Edited transcript of the above video…
Hello. This is Juliann Hunter, and I’m Charles, and this is our monthly update for the Cellular Medicine Association.
New Amazing Book
Dr. Red Alinsod (one of our lead providers & the inventor of Thermi-va) edited this book and invited us to have a chapter about the O-Shot® procedure. Dr. Christrine Hamori (also one of our providers & the lead editor of the book) did a wonderful job putting together a gorgeous text…so pick it up. Even though the title reads “Genital Surgery“ textbook, it also discusses nonsurgical procedures–for example it covers ideas about radio frequency and lasers & how to combine those technologies with the O-Shot® procedure. So, I highly recommend reading through the book. Even if you don’t do genital surgery, your patients will benefit if you understand the possibilities.
Lichen Sclerosus Study
Second, since we talked last, we have a lichen sclerosus study that has came out. You want to zoom in on the blue journal. We’re really proud that our group conceived & financed the study protocol. I’m very grateful to Andrew Goldstein for pulling this off for us. That was a hundred thousand dollar project, plus extra, but it’s done. It showed positive results. Some of you guys have seen these pictures already, but you don’t have to be a pathologist to tell that these are different, right?
In the “before” you can see hyperkeratosis and subepithelial sclerosus that improves tremendously in the after photos.
We are doing a follow-up double-blind placebo controlled study.
The placebo is saline. The syringe is brought blackened so neither the doctor nor the patient can tell what’s in it.
Introducing Juliann Hunter…
That’s enough of the science. We’ll come back to science. Let’s talk about business. Juliann works here and just leads our whole building. She has an MBA from Emory, has led huge projects (50 million dollar budgets) as a project leader for Verizon–and knows what she’s doing–so I’m very proud to have her helping lead our team. I asked her to think about one THE or two things that she would like all of us to be doing to do more business.
There are two things that I would highly recommend that you do help the people who need you to find you…
- Sgn up for an Sure Start-Orientation/Marketing Appointment (click). One of those appointments gives you an hour with one of our business experts. We will walk you through the website to help you find the all of the following…
a. Videos on how to do the procedures b. Patient surveys (by text messaging) that allow you to collect data on your patients and to contribute to our research. c. Legal documents and consent forms. d. Where to buy supplies. e. Webinar videos with multiple providers discussing the nuances of the procedures. f. Blogs where you can read or post questions to the group about ideas or unusual problems. g. Videos about marketing techniques that we've tested and found to be very powerful.Most importantly, while on the call, we can give you personalized advice with marketing, with your websites, and we will answer any question that we can.
So Calendly.com/CellMed. That is free to you as part of your membership in our provider group. We have three people here with business degrees who are watching our providers, and they can see who is winning, and who is struggling, and they know the missing ingredients and will survey your marketing efforts and give you 1-3 things to do that will work to connect you with people who need what you are offering.Even if you’ve done this consult with us before now, if you’re still not scheduling at least two people a week for these procedures, then schedule another consult and we will give you the next thing to work on. I promise you this; the people that are the high producers in our group are the ones that have called us the most, and have been on the website studying the materials the most. So here you have a person (Juliann) with an MBA from Emoryand 2 other poeple with business degrees and experience with our group who looking at all of our stuff and all of your stuff and offer you free advice about what you can do to make your practice work better. So take advantage of that.Now, the next thing …
The other thing is auto-responders. We talk a lot about reaching out to your patients, and offering them help and advice. We talk a lot about reaching out to your patients, and giving them free advice to help them with longevity or their health, energy, whatever you choose to tell them about. But, there’s a difference between sending emails to someone, and having a whole auto-responder and sequences to add your patients to, and to add prospective patients to. One of the things that Dr. Runels has done an incredible job developing is specifically for the O-Shot right now– (1) 22 email auto-responders & (2) an O-Shot® webpage. We will help you set up how to get that information when somebody gets to your web page, where to go to find out about that is…http://oshot.respond.ontraport.net/free-marketingWhen you sign up for that, you will receive the auto-responders. You will receive a web page that has been designed about the O-Shot, and in addition to our support, you will also get support from a company called Ontraport that can help you set everything up from the web page, to getting information from people who land onto your website, and what you can do with that.
Everyone I know who makes 10 million or more on the internet uses auto-responders. Now we teach this in detail at our workshops. How to do it, how to write the emails, and part of the reason that people come to our hands-on workshops more than one time is that we teach in detail how to do this. But so many people wanted it done for them, we are offering this for $1 (The $1 charge to your credit care is so we can confirm it’s really you). To use the autoresponders, you use the system that’s built to make it operate.
So you may want to move your list from whatever you use now to send emails over to this system, since we give this as a freebie to you for being in our group but it takes the Ontraport system to make it run.
Ontraport can help you with moving everything onto the Ontraport system, and then there’s another big difference between Ontraport and the other auto-responders that are out there, and that is it will allow you to send postcards (they print & mail what you make on your computer), which we found to be really important because we get so much email these days that when people get postcard they have actually have something that they can touch, that that really makes an impact.
Charles Runels: Yep, that’s a good point. Not only postcards, but it allows you to automatically assign tasks to your staff at certain intervals based on what patients do.Okay, enough about business building strategies, other things that are happening with our group….
- I just spoke at THE Aesthetics Show (just a short lecture about sexual dysfunction) and I was very proud to see several members of our group leading the meeting. On stage was Dr. Tess (“America’s Favorite Dermatologist”) who was judging, and in the competition we had Dr. Red Alinsod, Dr. Otto Placik, and Dr. Oscar Aguirre (all leaders in our group).
Last year, Dr. Alex Bader (who also teaches for us over in Greece and London) won one of those competitions. We are honored to have some true wizards in our group, so I just wanted to congratulate our amazing members who were there. If you want to do some hands-on training, I highly, highly, highly encourage you check out their classes. Especially, if you’re a gynecologist, urologist/surgeon, we need more people who understand how to do this these surgeries.
Here’s an example from another one our teachers (Dr. Kathleen Posey)…
So taking this phimosis where you cannot even pull the clitoral hood back and doing an in-office procedure where you can free that up, and now you have a normal vagina that looks and feels normal to the woman when she enjoys relations with her husband (patient was already on steroid creams, followed by a dermatologist, and had gone YEARS without sexual intercourse with her husband). Dr. Kathleen Posey teaches a class about how to treat lichen for gynecologists and urologists, and plastic surgeons. Also, everyone else I just mentioned. Dr. Oscar Aguirre out of Denver, Red Alinsod out of Southern California, and Otto Placik up in the Chicago area, all those guys do really amazing classes. Dr. Alex Bader does a class over in London teaching the nuances of how to do that not only for pathology like that, but for cosmetic purposes as well, which also has been proven to help sexual function.
So it’s not just about looking pretty. If you have a labia minora that’s in the way, coming out of your bathing suit, getting in the way when you’re having sex, it’s been proven it actually improves sex when that is corrected, so how we recommend those courses for the gynecologists in our group.
Some of our teachers focus on the face, some on the genitalia of women, some on men’s sexual dysfunction, some on correcting the complications of lichen sclerosus.
By the way, if you already have the skill set and you are willing to help treat these poor ladies that are suffering with lichen (either surgically or otherwise), please send an email to our support email address, and we will put a little icon by your name because these ladies that are suffering are calling our providers that are willing to take care of them.
Okay. Next thing…
- We have a double-blind, placebo-controlled study going on now that we just launched. We’re using saline for the placebo. We’re paying Dr. Andrew Goldstein to conduct the study. I can almost promise you that this WILL be published. We need 40 participants. 20 placebo, 20 treated (all treated for free, including blood testing).When we (hopefully) show benefit then the 20 that got the placebo will be offered the real thing for free. so please send us some people to participate, and post it to your blogs and your Facebook page because your patients, even if you live across the sea in New Zealand, you may have patients who know people in the Washington DC area, so help us get the word out…
Here’s where to send people when you ask them to let people know about the study…
- Just one other thing here. Here’s the number to call our office…
Please make use of this. If you are not getting at least two patients a week who needs what you’re offering with these PRP procedures , then there’s some missing ingredient in your marketing-chili recipe. We can look at the recipe and tall you what’s missing, so make use of us. Some of our people still don’t even have their pictures posted. You just won’t get as many calls as the providers who do. Little simple things like that that don’t cost money, but will make your practice much more successful.Okay, so I’m just telling you there’s another procedure that’s come out. We’re going to call it the Vampire Wing Lift™. It is coming, it’s going to be amazing, and so you will here more about that in an email in the next two or three days.
So, anything else Juliann?
That’s it. Just sign up for those Calendly’s, please.
Yes, Calendly. What we have found, we have very low drop-out rates, less than 10% in a year, but what we have found in every case, every person who has dropped out never did our free marketing, “Sure Start”, so make use of it.
Sure Start Free Marketing Consults<—
All right. Thank you.
52 South Section St.
Fairhope, AL 36532
The following research is being financed by the Cellular Medicine Association…
Not all women will qualify for this research project. Please consider helping if you do qualify.
Filling out the following form applies you for the option to participate in a double blind placebo controlled study of the use of the O-Shot® for the treatment of female sexual dysfunction. Your treatment, should you be accepted, will be free. Your information will never be shared. If you qualify, you may be contacted by text message or by phone.
Women need more research to help women with sexual dysfunction. There will be other projects; filling out this form tells us that you may be interested in participating. Become a hero to your daughters and nieces and to all women of future generations by helping us with this research.
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then click here to see the survey (click)<–
If you are on a desk top, then you can fill out the questionnaire here…