Not Hair Loss News – Patient Loses Penile Implant Malpractice Lawsuit – Balding Blog

Snippet from the article:

By now, the words have become a permanent part of the national lexicon: “For erections lasting longer than 4 hours, seek immediate medical assistance,” warn ads for various erectile dysfunction (ED) drugs.

But what of the patient whose ED treatment consists not of a drug but a penile implant — someone whose erection lasts not 4 hours but 8 months? What does this patient do? Well, if he’s 44-year-old Daniel Metzgar, of Newark, Delaware, he sues his doctor for medical malpractice.

Read the rest — Eight-Month Erection Gives Rise to Malpractice Suit

This patient had a prolonged erection from a penile implant, and because of complications of swelling and eventual extrusion of the implant, he sued his doctor for medical malpractice. The patient received a three piece inflatable implant and had it surgically implanted. He developed scrotal swelling but did not report it to his doctor, though did go to the hospital after 4 months.

In 2010, tubing punctured his scrotum, so he had the initial device taken out and a replacement instrument put in by another doctor. He sued his initial doctor for not putting in the device correctly claiming regular embarrassment and told the jury that he could not ride his motorcycle, wear normal cloths or participate in family events. “I could hardly dance, with an erection poking my partner” the patient said, “It’s not something you want to bring out at parties and show to friends”.

When the jury award came in, the patient lost following the defense’s logic that that sometimes “bad outcomes occur”, even when nobody is at fault.




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Hair Loss InformationAddison’s Disease and Propecia? – Hair Loss Information – Balding Blog

Hi I’m 30 and suffer from Addison’s disease. I’ve noticed over the past 3 years my hairs been getting thinner and thinner and I want to do something about it. Propecia seems like a good starting point…. only problem is I have this rare endocrine disease and am worried about serious side effects. Should I be worried? Should I try rogaine instead? Many thanks.

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You should first see a doctor for an examination and a diagnosis of your hair loss cause. You shouldn’t just jump at trying different medications/products blindly. You can also ask your endocrinologist about your concern with Propecia (finasteride 1mg). First and foremost, make sure your hair loss is due to genetics if you’re even considering Propecia.

I have seen many patients with hormone disorders (though not Addison’s disease specifically) and there is no reason they cannot be on Propecia that I can think of. But even to my own patients, I always advise them to check with their endocrinologist first.

My Hair Looked Better and Scalp Felt Better After Stopping Minoxidil — But I Know I Have to Use It Again – Balding Blog

Doctor

I recently had scalp sensitivity with itching and decided to take a few days off from minoxidil which i’ve been on for years. After a few days my scalp felt so much better. The surprise was how much better my hair looked. It hadn’t looked that good in years. it combed easier, looked less messed, had a lot more body and actually looked much thicker. Had more scalp coverage.

I’m at a week now and it still looks great. But I’m pretty screwed aren’t I? I know I’ve got to get back on soon. But it’s depressing that I have to use something that I really have no way of knowing how well its working (and not gonna take a chance finding out) that makes my hair look lousy. its probably the PG and alcohol. I had a bad reaction to the foam. Do you hear this complaint often with clients?

I know going off is a bad idea.

Some people see value in growth from minoxidil, but it’s not very common to hear that stopping the medication made your hair look thicker. Most people do not like the textural impact of it on their existing hair, which can dry it out or make it appear brittle.

Are you using the proper dosage? Have you tried any conditioners after using the minoxidil?




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Balding Forum - Hair Loss Discussion

In the News – How Hollywod A-Listers Fight Hair Loss – Hair Loss Information – Balding Blog

Snippet from the article:

In a town obsessed with staying (or at least looking) young to remain on top, more than a few men agonize over going bald. Superficial though it might be, many derive confidence and a perception of power from a full head of hair.

Which is why anyone who’s anyone in the follically challenged Tinseltown set has come to rely on a few good doctors. Armed with the latest technology, these gurus — having moved far beyond yesterday’s telltale hair plugs — know how to help a man sprout hair or at least give the appearance of doing so, using several techniques from shots to transplants to tattoos.

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Read the rest — Leg Hair Transplants and Scalp Tattoos: How Hollywood’s A-List Fights Baldness

Dr. Pak is quoted about SMP in the article — “There are a lot of actors who have had bad hair-transplant scars or are covering a bald spot, and this frees them from using makeup,” says Jae Pak of the New Hair Institute on L.A.’s Miracle Mile.

My Doctor Said I Don’t Have Gynecomastia, But I Feel a Lump on My Chest – Balding Blog

Dear Doctor,

Your website has been extremely helpful in dealing with my hair loss. I began losing my hair at 21. By age 22 i began taking propecia, and it has worked great thus far. I regrew almost all the hair i lost. I am now 28, and last year i developed a mild case of gyno (I think). I went to my prescribing doctor and had the lump evaluated. He sent me for a mammogram & ultrasound. Nothing showed up, however i can feel a lump. The doctor said I shouldnt worry about it, because i have several fatty tissues all over my body. I was not diagnosed with gyno because the lump was not under the nipple.

Recently, I have notice another lump in my chest (other side). Does this sound like gyno? Should i continue taking propecia if i am developing breast lumps? I know it sounds silly, but id rather have benign lumps in my chest then baldness. Will reducing my dosage help? I am currently taking 1mg daily. Your feedback will be greatly appreciated!

You had a mammogram and ultrasound, and were told you didn’t have gynecomastia, so I am not sure what more I can contribute. I haven’t examined you, nor am I your prescribing doctor.

From the few cases of gynecomastia I have seen from Propecia, they have been painful, however, there still could be a connection. If you are looking for a second opinion or reassurance, the Internet is not the place. You need to see another doctor for an in-person exam to get a second opinion. I suppose in the most extreme circumstance you can have the lumps removed, but I have no idea if what you’re experiencing is even related to taking Propecia. Reducing the Propecia dose may or may not help, because again, I do not know if it is related to the lumps.

Many men (not on Propecia) still have fatty breast tissue. This is a sensitive subject for them and some men undergo a cosmetic procedure to remove the lumps. My point is that this is a difficult decision that you should talk through with your doctor.




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My Eyebrows Have Gotten Thinner Since I Was a Child – Hair Loss Information – Balding Blog

I am a male, only 18 years old and starting back in elementary school my eyebrows have gotten less and less hair. Now its evolved to on both eyebrows only half being thick. It looks like half eyebrows, goes from normal looking to just bald. Is there anything i can do? It can be very embarrassing. I am not plucking or pulling my hair. They just keep getting thinner.

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The most common cause of loss of eyebrow hair is plucking of the hair. I realize you said that you aren’t pulling or plucking, but many people who do pull out their hair (including eyebrows) deny that they do it. This is an obsessive compulsive disorder called trichotillomania. If the loss of eyebrows are not connected to plucking or pulling them, I wonder if you have any other hair loss or if it is limited to just your eyebrows.

Eyebrow transplants are an excellent solution for thin eyebrows. I have seen loss as your describe in the outer half of the eyebrow and have replaced the hair with scalp hair, which is very effective. Scalp hair in the eyebrows must be trimmed about twice a week to keep them short and they need to be cut on a slight angle to create a point to their ends.

My Dad Lost Hair at 16 and Now So Am I – My Doctor Said I’m Too Young for Propecia – Hair Loss Information – Balding Blog

Hello,
I am 16 years old and I started to lose hair a year ago. I know its quite unusual to lose hair so young, but my father also started to lose at this age, so I know it is genetic (lucky me). I went to a dermatologist and he gave me a shampoo, a couple of vitamins and minoxidil. And I have been using it since then, but the hairs keeps falling and I have lost a lot since then. I have asked him for propecia, but he says I am too young for it.

I dont know what to do. Is there any other alternative for me? And also what would be the so severe problems that I would have if I took Propecia?

Thank you

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Assuming that you are fully grown, the drug Propecia can be used and I would prescribe it; however, there is more here that I would want to know —

  1. How bald did your father get by 20, 25, and 30 years old?
  2. How bald is he now?
  3. How do your parents feel about your desire to go on Propecia?

You may wish to get a second opinion. If you are still undergoing puberty, Propecia is not advisable.

Propecia vs Grapefruit Cologne – Hair Loss Information – Balding Blog

Hello,

I am aware that grapefruit and finasteride (and other medications) may not mix well together (hence me not eating or drinking any since I started). I just bought some eau de toilette, and noticed that one of the “notes” is grapefruit. I know in my brain that, even if the scent used real grapefruit as an ingredient, the amount used would be extremely small, but am I crazy to worry if it will affect my propecia intake? I know wearing it is not the same as drinking it…

Many thanks.

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For those that aren’t aware, grapefruit can impact many prescription medications, including Propecia. I don’t think you have anything to worry about as long as you’re wearing the cologne and not consuming it.

Why Do Technicians Do the Graft Placing in a Hair Transplant? – Hair Loss Information – Balding Blog

I see in many hair transplant surgery photos that technicians place the grafts on the scalp. Since the placing is so crucial (angle, position, etc) how do surgeons leave this to technicians? Also, the survival of the extracted hair follicles is also a crucial matter, how safe is to leave the follicles’ processing to technicians?

is there a center where technicians intervene minimally and where skilled surgeons take charge in most of the procedure? in other kinds of surgeries I have watched, technicians and nurses are just there to pass the instruments to the surgeon, hold them, and generally do not interfere with the main procedure, so I really need to know a HT center mostly crewed by surgeons and not a big name surgeon that leaves the procedure to technicians

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The total man-hours to do a surgery of 2500 grafts may be 30-40 hours. No doctor can do it all and I would not want them to try to do it all, because by the time the doctor finished, the grafts would be dead. This is a team surgery and graft survival is a complex process that requires many skilled people to do the job.

My technicians are highly skilled, working 8 hours/day doing either cutting the grafts or placing the grafts. When I used to do much of this work, I worked along side of the technicians and set the standards for training, and the skills needed for cutting and placing. Today, I still work along side of the technicians, though I work more in a supervisory role.

If you employed 4 surgeons in addition to myself, the costs would be out of sight for most of our patients and the quality would not be as good as the surgeons will most likely not have the manual skills that the technicians have. The secrets to success in getting the results that the patients want and need is that such a team approach needs (1) skills, (2) speed, (3) good and tight quality control systems, (4) good organization.

Transgender Teen Wants a Hair Transplant at 18 Years Old – Hair Loss Information – Balding Blog

So, at 17 years old, I’m in between a Norwood 2 and 3 hairline and was aiming to get a transplant. I understand that this is very young, but I’m transgendered and the hairloss has stopped with the use of hormone replacement therapy so I was curious as to if I’d be at least able book a surgery date when I’m 17, to have the surgery when I’m 18. I’d have parental consent too if that’s important.

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Yes, you can do it if you find a surgeon willing to take you on. You run risk for balding based upon any testosterone production, but if you have your testicles removed, that would mitigate that risk. I am not an expert on the effectiveness of the drugs you are presently using without orchiectomy. I would let your doctors tell you those answers.