Dear Dr. Reed,

Is it possible to keep my testicle and hide it inside so i can ejaculate when i have orgasm ?

Charlize

May 6, 2012

Good morning Charlize,

Thank you for your interest in what we do.  Your testes are designed to be 8 degrees cooler than core body temperature.  Enclosure within your body may increase the likelihood of malignant changes.  I would not advise this.  Additionally the testes only contribute 1% of the ejaculatory volume (some say 2 to 5 %, the rest is from the seminal vesicles 60% and the prostate 30% and Cowper’s glands.

Incidentally I recall see a video of an MTF having orgasm and ejaculate emanated from her urethra.  So you see, the testes were not needed for the effect.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.   The grant should reduce your fees by about 10 to 20% from our typically affordable price.  Certain restrictions regarding age and medical history may apply.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Dear Dr. Reed,

Hello my name is Agnes I’m 34 and I’m a pre-op trans women. I’m guessing that you get letters like this all the time but what can it heart. Where to start from the beginning new from a young age struggled all my life to fit in. Mom left when I was one didn’t here or see her till around 12. Dad kicked me out off the house at the age of 10. Grand parents raised me told them that I felt like a girl inside and they did nothing to help as they were older and this was unheard of in there time to them so they just bushed it of and started to spoil me hopping that it would just pass so do to I was only a kid and had went to the only people that gave cared about me and they didn’t help I was Forest to Live a life that would unfold to be a train rack. I’m having a really hard time writing this letter not only emotionally but that I have learning disabilities and truly have know clue how to write something like this. But back to my story so getting stuck in the male rule for a big part of my life then I started to think may be I can live with this and that transitioning wasn’t the answer got involved with a girl and tried to fit that hole Man Women bull  and had a kid we split up and I kinda realized at that time that this wasn’t working all the time I was depressed and felt disconnected and know what this was all about I need to transition to be happy so I started to transition at the age of 24 but not really having any income or education it’s hard to survive. So I got in a relationship with another girl but told here every thing up front and she seemed cool with it we got married and had a child and I slowly fought transitioning full time. Still didn’t work at this time I’v wasted 1/3 of my life and just made lots of mess’s then one day my world crashed. Here we go my best friend committed suicide. My grand father died of cancer and I got divorce all in one year sending me down. For If being trans isn’t hard enough and I wasn’t all really depressed and all that I became suicidal and ended up in the hospital 3 times that year and to top it off they know diagnose me bipolar so in my life I’v been diagnosed  with dyslexia, bipolar, ADD and gender identity dysphoria. So know I don’t now what to do I’m at a cross road and looking for help I’m on social Security and Medicaid and know living life as a women full time but will never will have the funds to pay for my surgery which to some people isn’t a big deal but to me every day I can’t deal with it I spend a big part of my days depressed think that I will never know what it fills like to be hole it like there’s this part of me thats just a black hole I look in the mere and see a beautiful women and know that it’s not about surgery. But the fill of have a penis is hard for me. I have know came in touch with my sexuality and that I like men not women. Im not a real sexual person but that’s do to the being trans thing never really felt rite sex would always make me depressed so I have my letters form my doctors and I’m willing to be part of any documentary or other thing that I have to do or if there’s even a way it bill my Insurance let me know for Im stuck in a hard places.

May 4, 2012

Good afternoon Agnes,

We receive letters like yours every few days, some even longer.  If the outstretched fingers of needy people in this country were just touching, they could form a line clear across the United States.

You have 2 major problems, a desire to have gender conformation and a need to be self sufficient.   Just remember 50% of our patients come in with a sponsor, could be a loved one, family member, spouse, business partner, friend, or church group.   50% of women in the United States get married and never work another day in their lives (at a job that is).  They are supported  (sponsored).

Please call your County, Department of Social Services for help.

Best wishes for a restful weekend,

Harold M. Reed, M.D.
305-865-2000

Tyson

Good morning Tyson,

Thank you for your interest in what we do.

Ideally you should be on testosterone systemically with monitoring of your blood levels to assure adequate dosaging and a special cream as well which you  apply topically to the clitoris to maximize growth.

Assuming you have clitoromegaly now, we can do simply clitoral release for about 5750.  This is includes anesthesia, use of the facility and any followup care I provide.  Fees quoted are good for 3 months.    Consultation is an additional 250.  There is a lot of information we need to discuss.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

i jut wanna know how much it will cost me for breast reconstruction from ftm.
Midori

Good morning Midori,
Thank you for your interest in what we do.  Fees range from 4500 to 7500 depending upon “the work to be done” (breast size).
Call the office and speak with Anne our amiable office manager for details.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

I would humbly ask if you would grant me your discount again so I can utilize your cutting edge MTF procedure.  It would offset travel and accommodation expenses and help me no end.  At last I can relax a little and proceed at a slower pace.  My computer has frozen five times in sending this mail so I’d better stop here.  I await your response with hope and thanks.
Wendy

Good morning Wendy,

Honestly, I have no recollection at this time.

More importantly is that you are medically qualified for surgery, and that you have 2 current therapy letters of clearance, one of which is from a therapist with a doctoral degree.
We have sent this letter out to all prospective patients in the past 6 months.  Perhaps we can help you as well…
Thank you for your interest in what we do.
After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number
in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.
This year we are re-vitalizing our Grant with a slogan similar to one a few years ago (“the first 10 in 2010″), now it is “the first 12 in 2012.”   This should reduce your fees
by 10 to 20%, based upon need and availability of funds.
So far 3 positions have been filled this month.
Call the office and speak with Anne our amiable office manager for details.  She is the brains behind pa and the maker of deals.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Dear Dr. Reed,

Allow me to introduce myself. My name is J. F. Scott and I have a few friends who have set up consultations with your office.   I know not to discuss names etc due to hippa laws,  But my question is a very close friend of mine will be discussing a male to female srs procedure.  My question is. I will be taking care of the cost via a cash  payment but need to know what the cost for the procedure is and approximate hospitalization costs if the procedure is done at your location.  If you can let me know I would greatly appreciate it.
Thank you

J. F. Scott

April 28, 2012

Good morning Mr. Scott,
Thank you for your very generous support.  We also known an unobtrusive woman fund for at least 5 patients out of kindness of her heart.  Imagine that.  This only confirms there is goodness in this world.

Our fees for surgery are posted on our web-site.  Consultation is 250.  Vaginoplasty is 14,500 and this includes surgery, anesthesia, use of the facility, an afternoon and night of RN private duty nursing care with myself in attendance throughout the night, and post-operative followup care.  For touch ups (typically 4 months later) we simply ask the patient to pay 600 for anesthesia only.

Stents (vaginal dilators) 500 are additional as are out of pocket expenses for compressive stockings, bed protectors “chucks”, and some medications (perhaps 130 total for that).  We can supply patients with clean stockings gratis if need be.  On the day after surgery, the patient is conveyed to one of 2 Hotels, the Baltic or Daddy O.  During the warmer months the rates are reduced to about 85 to 125 per day (could be less) .  Both hotels have breakfast spreads gratis.   There is no additional charge for 2 in a room.

Additionally all prospective patients for the past 6 months have received this letter…

Thank you for your interest in what we do.   After reading the attached, if you believe I am the doctor  for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number  in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.

This year we are re-vitalizing our Grant with a slogan similar to one a few years ago (“the first 10 in 2010″), now it is  “the first 12 in 2012.”   This should reduce your fees by 10 to 20%, based upon need and availability of funds.   So far 3 positions have been filled this month.   Call the office and speak with Anne our amiable office  manager for details.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Dear Dr. Reed,

I have been searching through information on surgeons who perform the GCS/SRS (or whichever acronym you like), and one thing that sticks out is that no surgeons actually accept medical insurance for a procedure that has been labeled medically necessary. As someone with a need for these procedures to be done, I wonder why that is?

As an individual case, I carry Aetna HMO, with full coverage for GCS/SRS, breast augmentation, FFS, among other things (I even got my hair transplant(s) covered fully), and the insurance company does not use “reasonable & customary” with my doctors, due to my medical plan. For example, I am working with Aetna as we speak to have a letter of medical coverage sent out, itemized for the procedures I am schedule for, with the name of the procedure, the procedure code, the cost that the surgeon has quoted me with and with that document, they will craft a document of full coverage for the procedures. This document should serve as a statement, in writing, that the company will pay these fees as shown following the procedures. Shouldn’t this be good enough?

I only ask this because it seems that for many, and myself included, are being excluded from being able to undergo these procedures simply because we cannot raise the necessary tens of thousands of dollars to pay for these procedures upfront. For some, short term loans may be an answer, but at least in my case, a pending
divorce has left my credit score unworthy of a loan for this operation. So here I stand, with great medical insurance in one hand, yet no doctor to go to who will accept it. What have we fought so hard for to get insurance coverage if no one takes it? What point did we have fighting to get it called “medically necessary” if no doctor will perform the procedure without money in their hand upfront?

Perhaps I am missing something.
Thank you for taking the time to address my situation.

Evelyn

April 28, 2012
Good afternoon Evelyn,
There are insurance plans and there are insurance plans.
What they pay out is in good part related to what is paid in,
and if this program is under Johnson and Johnson, this may have
impact. Your experience is atypical, but I am happy it works
for you.
You are welcome to call Aetna and get a confirming letter, if there
is interest in me as your surgeon.. Our fees are posted on web-site.
We do encourage all patients who say they have insurance to
inquire about out of network benefits. If we were to join Aetna we might
find ourselves engaged in taking care of the low end policy holders as well
and that’s what we do not want to do.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

At 08:23 AM 4/28/2012, you wrote:

Dr. Reed,
First, let me say thank you for your response. It is refreshing to hear back from a fellow professional so quickly on such an important topic. Now, on to your response:
If you had taken the time to read my email fully, you would have seen that this is not about how much, or what percent they will pay. This is about Aetna paying for my procedures fully. For example, I recently had 2361 follicular unit transplants done on my head to restore my natural fullness and restore a feminine hairline. At $4.75 per transplant, plus fees, and aftercare, the bill was $11,581. Since the doctor, Philadelphia, PA was not affiliated with any insurance (as hair transplants typically are seen as cosmetic), I added him to my plan as a non-participating provider, giving him the same coverage as my other doctors. Since he was not a network doctor though, he was not contractually obligated to accept the reasonable & customary reimbursement and as such, was paid $11,531. I had the pay a $50 outpatient surgery co-pay.
Again. for example, I am scheduled with Dr. Lyle for forehead advance with brow bone reduction, thyroid cartilage reduction and breast augmentation on August 28th. Because this will be done as an outpatient procedure at a hospital under general anesthesia, there will be hospital fees, anesthesiologist fees and Dr. Lyle’s fees. For all three procedures, Dr. Lyle is billing me $13,600. Aetna has sent me, in writing, that they will pay $13,600 for the procedures. So your worry about money is unfounded.

I hope this answers your questions regarding insurance and calms your fears regarding being paid. I also want to let you know that this insurance program, through Aetna, is self-insured though my company, Johnson & Johnson, where I serve as the Gender Transition Liaison. There are three other MTF TS’s at my company who are currently searching for capable, competent doctors who will work with our insurance. I hope I can go back to them, as well as many others who have insurance, but no where to use it, and let them know that Dr. Harold Reed is one of them.
Sincerely,
Evelyn
-
Subject: Re: Insurance
April 27, 2012
Dear Eveleyn,

Simply stated: the reimbursement is not a fair compensation for the tremendous amount of work involved both pre, intra and post-operatively. Transsexual patients need a lot of care and support.
We pay our help very well, have lots of overhead expenses, go to societal meeting occasionally out of the country, at which time our office is not earning any revenue. Insurance companies
typically pay out 1 dollar for every 2 they take in. This covers their cost, and provides for some profit.
Go on line and see what various BC/BS CEO’s in each state earn. Seems to be between 800,000 to 3 million a year.
What does Aetna pay for transsexual vaginoplasty (a 5 hour procedure)?
Also you may be interested to learn 50% of our patients come in with a sponsor. Could be a family member, spouse, significant other, business
partner or church group.
Just think… 50% (plus/minus) of women in America get married and never work another day in their life.
You may wish to approach your insurance carrier about of network provision whereby they will reimburse you for part of the expenses of surgery, if you doctor is not a contracted provide with them.
Thank you for your interest in what we do.
After reading the attached, if you believe I am the doctor
for you, please initiate a consultation over the phone with our office
by sending us your name, address, and telephone number
in an envelope along with a check for 250. We’ll
get started ASAP. We’ll have a lot to talk about.
This year we are re-vitalizing our Grant with a slogan similar
to one a few years ago (“the first 10 in 2010″), now it is
“the first 12 in 2012.” This should reduce your fees
by 10 to 20%, based upon need and availability of funds.
So far 3 positions have been filled this month.
Call the office and speak with Anne our amiable office
manager for details.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Here are my questions:

1) What is the total cost to get the double mastectomy, the hysterectomy, and the penile implant/phalloplasty with urethra extension (for standing urination)?

2) As I was navigating your website, I noticed you offer grant and financing programs for the reassignment surgeries. Could I please get more information on those programs and how they work?

3) I also read a few blogs of people getting ALL of the reassignment surgeries done in once shot. Is this possible and if so, what are the risks and how long would the surgery be to do it all at once?

I have read through your website and I have a few questions about the FTM penile implant?

1) Will I be able to get an erection naturally or will I have to use a pump of sorts?

2) Will I be able to penetrate (this is a must for me, as I’m sure it is for all men)?

3) Will I be able to feel all of the same things as all other “natural” men (sensation and pleasure)?

I have done so much research on this. I’ve done a lot of soul searching and thinking about all of this and this is something I desperately want/need to do. Having the reassignment surgery (as quickly and completely as possible) would solve SO many of my life’s problems.

I want to thank you SO much in advance for taking the time to hear me out and respond to my inquiries.

I await your reply.

Sincerely,

Newt

April 15, 2012

Good morning Newt,

Thank you for your interest in what we do.  Please review the attached.  Having simultaneous surgery is never a good idea, more risks and complications, even in he best of hands.   Knowing not what to do is as important  as knowing what to do.

If there is further interest, I am available for consultation and our fee is 250.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

April 15, 2012

Good morning Genevieve,

Thank you for your interest in what we do.  Sounds like you are well on your way.

Scrotal tissue may not shrink appreciably at all, if you are thinking of a scrotal graft for more depth.  You could wait years and years.

Scrotal skin, the component used for graft stretches very well, so not to worry about that.

This December, 2011 we re-opened a Grant program with the slogan “the first 12 cases in 2012″ (was formerly the first 10 in 2010), based upon need of course. 9 positions have already been taken.   After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.

The grant should reduce your fees by about 10 to 20% from our typically affordable price.  Certain restrictions regarding age and medical history may apply.

Cordially and have a blessed Sunday.,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Dear Dr. Reed,

I was wondering if it is possible for me to have a partial sex change. I am a female and want to have a metoidioplasty with a functioning penis.I also still want to keep a female appearance if possible. I am married and my husband and I share the desire of me having a penis.  If this is possible, how much is the cost for the surgery and what are the requirements as far as documentation? How long is the initial consultation as well?

Thank you,
Bernice

April 14, 2012

Good afternoon Bernice,

You may not need therapy as sexual preferences has been delisted for the most part as aberrant ideation.

Simply a letter of clearance from the psychiatrists saying, you are mentally competent, you will have a very low likelihood of remorse, and will be a happy and more productive person after surgery.  Please choose a psychiatrist who feels comfortable with gender altering surgery.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

April 15, 2012

Hello Dr. Reed,

Thank you for all the information! It has been a great help for me. On Monday I will begin my search to find  therapists so that I can get those letters of clearance from them. Once I get these letters, is the next step to set up a consultation with you to schedule the surgery?

Thank you,

Bernice

April 15, 2012

Good morning Bernice,

Again my recommendation is for psychiatric letters.  A psychiatrist is a Board certified medical specialist as opposed to the generic term “therapist with a doctoral degree.”

Sincerely,

Harold M. Reed, M.D.