Replacing Kimmel ?

[smoothie36 (imported)]

I called Dr. K's office recently and talked to Mary. I asked her to put me on the schedule to be castrated later in the Spring. When I asked for an afternoon appointment she said he is only doing them now on M,W,F in the morning. I recall a few years ago he was doing morning and afternoon castrations. So he is half time on castrations now. I suppose the other days and every afternoon are normal practice time. At $2k per castration, I don't think compensation is an issue either way.

[jeff_macadams (imported)]

I have to say that I'm not comfortable with a surgeon who does voluntary castrations without requiring some kind of psychological evaluation first. I understand this is what Dr. Spector did and what Dr. Kimmel is now doing. I feel not requiring this is to walk a very dangerous line.

I feel a surgeon who does not require a psychological evaluation first is not properly looking out for the best interests of the patient. Yes a psychological evaluation is something more to have to go through to get castrated, and it might also help protect the surgeon in such cases. The surgeon in these cases does have to look out for their own best interests too.

But a psychological evaluation does help prevent situations where someone gets voluntarily castrated without fully thinking through what they are doing and why, or about all the consequences, or is someone who emotionally is someone who should not be voluntarily castrated.

A bad or tragic situation because some guy got voluntarily castrated without a psychological evaluation is something no one needs, and an evaluation could prevent that from happening. If a surgeon does take over from Dr. Kimmel, I hope he or she will require a psychological evaluation first before doing a voluntary castration.

Castration may be right for some. But an effort needs to be made to prevent a situation where a voluntary eunuch sadly or tragicly regrets their choice, and a psychological evaluation first can help prevent that.

Actually, as for Dr. Spector (I don't know how Murray works), he did indeed talk, at length, to most patients considering castration. Although he was not a psychiatrist he had experience aplenty with the TG and eunuch communities. Experience counts for a lot. In fact, when he was in practice there were several people we turned down for the surgery and referred to counseling.

I do agree, however, that there should be some formal set of standards for male to eunuch as there are for male to female. Perhaps not as restrictive, obviously most eunuchs I know continue to dress and behave (generally) as a genetic male and would not need to live "in gender" in that way. Now a period on chemical castration as a prelude to physical castration should be mandatory IMHO as I have seen some very sad eunuchs who regret their decision. Not everyone adapts to this condition as naturally as I and others have. I absolutely love being a eunuch and believe it was always my destiny

[DonFL (imported)]

Almost all SRS doctors will do so with a letter from one psychiatrist & one psychologist. Since the former are more or less rubber stampers, its best to get the letter from the psychologist (one who is an Diplomate of the American board of sexology or a similar credential) then show it ot the psychiatrist, explain the issue, and ask for a letter. Evals can vary from a hundred bucks to 500$. Just consider it part of the expenses of having it done properly.

I have to say that I'm not comfortable with a surgeon who does voluntary castrations without requiring some kind of psychological evaluation first. I understand this is what Dr. Spector did and what Dr. Kimmel is now doing. I feel not requiring this is to walk a very dangerous line.

I feel a surgeon who does not require a psychological evaluation first is not properly looking out for the best interests of the patient. Yes a psychological evaluation is something more to have to go through to get castrated, and it might also help protect the surgeon in such cases. The surgeon in these cases does have to look out for their own best interests too.

But a psychological evaluation does help prevent situations where someone gets voluntarily castrated without fully thinking through what they are doing and why, or about all the consequences, or is someone who emotionally is someone who should not be voluntarily castrated.

A bad or tragic situation because some guy got voluntarily castrated without a psychological evaluation is something no one needs, and an evaluation could prevent that from happening. If a surgeon does take over from Dr. Kimmel, I hope he or she will require a psychological evaluation first before doing a voluntary castration.

Castration may be right for some. But an effort needs to be made to prevent a situation where a voluntary eunuch sadly or tragicly regrets their choice, and a psychological evaluation first can help prevent that.

[sduyck_2000 (imported)]

Do we have any therapists here that can write a letter on this forum.

I wonder if it can be done over the phone.

Dr in colorado will do the surgery...it requires 2 letters..the therapist letter..a doctor letter saying the doctor explained to the patient the consequences of orchiectomy.

dr in florida is the same

they will do non ts males with the letters.

the doctor letter is easy...the therapist letter is hard.... I have been trying to compile a list of therapists and have had no luck....the therapists dr in colorado referred didnt have a clue as to what was needed.

One Therapist that can help out is all that is needed.

[DonFL (imported)]

you have to call the therapists and talk direct, ask if they evaluate SRS candidates and recognize Male 2 Eunuch as a valid transition per Toms, Richard & their groups papers.

In my case it was easy on the first try because I was under medically needed chemical suppression and wanted to return to male status, E2M you could say.. I couldnt go off suppression as long as i had them attached, I also suffered from chronic testicular pain.

[gpb3aol (imported)]

So much to comment on this thread. First, unfortunately, most doctors still feel that elective “unnecessary” surgery is doing harm.. Young doctors still believe in all the Hippocratic oath stuff. So it seems to me the first thing we must do is get doctors to understand that it is necessary for some of us, just as SRS is necessary for Transgendered women..

Second, I think it should be a requirement to be chemically castrated for some period of time (I have an idea how long , but I know several of you would lynch me if I suggested it).

Third, my cousin, a surgeon in a one doctor private practice, retired because of the fact he couldn’t make 300k plus a year, due to insurance companies on one hand restricting the amount he could charge and on the other raising his liability insurance to 200k a year.

I’m sure the good Doctor makes a hell of a lot more than 100K.

I’m sure that a doctor who does voluntary castrations probable does 10 times or more castrations for prostate cancer.

That’s my two cents.

Does anyone mind if I start signing Pauline instead of Gary

Any how for now,

Pauline.

[gpb3aol (imported)]

Oh,god I have no idea why my last post is so well big. I hate computers. sorry I didn't mean for it to be that way.

[tugon (imported)]

Does anyone mind if I start signing Pauline instead of Gary

Any how for now,

Pauline.

No Pauline I do not think anyone would mind. On the EA it is easy to be who you are or want to be.

[plix (imported)]

Chemical castration is definitely something that should be tried first, but it's important to keep in mind that for some even that may not be enough. In my case it likely would not have helped because my regrets did not start until after the one year period suggested by most. I had some unique issues going on that led to my castration desires, issues I did not understand then but do understand now (however, at 2.5 years later, it is far too late). Whether chemical castration will be successful in preventing someone who should not be castrated from being castrated will depend on what the reasons for wanting castration are and what psychopathologies exist within the individual. For someone who has a castration fetish or just think it might be something worth trying, chemical castration may very well prevent that person from making a mistake. But for others who have deeper mistaken reasons for wanting castration, chemical castration may not be enough. This is why a full set of guidelines that includes therapy, chemical castration, and other criteria need be set up for people seeking castration.

[tugon (imported)]

A therapist might have prevented a needless castration but they might have prevented a castration for someone like myself who needed it. A therapist could be beneficial but I would not want then to have the final say in what I needed done to my body.