Sunday, February 9, 2014

Prader balls

I've been trying to put together a case report on the use of testosterone replacement therapy (TRT).

Many references note the well known side effect of TRT-testicular atrophy.

Sources note that treatment should be stopped if/when testicles decrease to a size of 5 ml's or less.

I wasn't sure how to measure or even estimate this. I was more accustomed to thinking in terms of testicular size in regards to cm's.

Thankfully, a Swiss pediatric endocrinologist, Andrea Prader, came up with an orchidometer, or Prader's balls, in 1966 to help clinicians.

It's a string of wooden or plastic balls that vary from 1 ml to 25 ml's used to help estimate testicular size.

It's also been called the "Endocrine Rosary."

"I cannot determine the extent of my injuries at this time"

The most common theme for billboards around us seem to be attorneys who are advertising their services.

Three signs seen recently are:

1. You fall...you call

2. Accidente de auto?

3. ______ got me $1 million dollars (and then in small letters "amount noted is prior to attorney and doctors fees and other costs")

Most attorneys take 35-40% of the amount obtained for their fee/cut.

It's easy to see why so many have called them "ambulance chasers" over the years.

It's harder to understand why so many attorney's seem to take offense to the nick-name.

Saturday, February 1, 2014

The pressure is on guys...don't dissappoint

Just in case you missed it here it is...

One of our local Men's clinics is running an ad in the local sports section for a limited time "Romance Package!"

"In just one visit, we can help end your valentine's night with a bang."

It includes a private consultation, testosterone analysis, free test dose, $100 Restaurant gift card and a one month supply of "Libido up."

A $1200 value for only $195.

Of course the ad has a picture of a beautiful young woman wearing lingerie.

The ad also mentions a "98% success when other treatments fail."

It just doesn't include the disclaimer:

"In just one visit, we can help end your valentine's night with a bang, as long as you are willing to stick a needle with medication directly into your penis."