“You know, Doc, there are times when I lose my erection…just like that. It happens when I’m really stressed out. It’s like the penis has ears or something!” Say it aint so! Can the penis really “hear” stress and go flat because of it? The Good Wood This reminds me of another scenario in which the...Continue reading
Tag: testosterone
FNA Mapping: A Tool for the Trade
Do you have a favorite tool? Maybe a great cooking pot or utensil that really works for you. Possibly a shiny, worn and weathered but perfectly performing baseball glove, or a dinged and pockmarked surfboard that handles virtually every swell. Whether you’re a carpenter and fan of curly maple, or a car hobbyist who likes...Continue reading
Helping Wounded Veterans Live and Love
His kidney harbored a cancer and it needed to be removed. As a first year surgeon-in-training, I was consenting him for surgery at the Veterans Hospital in Philadelphia. Unlike most patients, he was unusually calm as I talked him through the procedure and its potentially life threatening complications. At one point, he gently put his...Continue reading
Are men an endangered species?
How come men don’t live as long as women? Is it because they do things like big wave surfing, base jumping in squirrel suits or highlining between buildings? Maybe we have a testosterone-fueled, Evil Knievel gene within us, right next to the air guitar and channel surfing genes, and are simply destined to break 433 bones, just...Continue reading
A Tale of Three Testicles
Its funny what people think about every day. Some decide exactly where to paint the lines in our streets. Others, called Gumbusters, remove gum stuck to park benches. Jelly Doughnut Fillers do precisely that, and Golf Ball Divers find stray golf balls that land underwater. And what would casinos do without certified Dice Inspectors? Better...Continue reading
Making Mapping Matter
She approached the microphone slowly from the back of the room, appearing to float, wrapped in her colorful hijab. A doctor from Pakistan, she had some questions and a comment after hearing my talk. A Kind Interrogation “Your Sperm Mapping technique for azoospermic men” she stated softly, “is it done under just local anesthesia?” “Yes,” I responded....Continue reading
MicroTESE vs. FNA Mapping: Medieval or Modern?
Put two experts in a room and give each of them the same problem to solve. What you’ll find is that they typically use similar “knowledge structures” and “heuristic strategies” (i.e. organized and principled thinking) and then proceed to break the problem into smaller, more digestible ones to solve it. But, despite similar cognitive approaches, the solutions...Continue reading
Testosterone, Sex and You
How many times have you heard “enough is enough.” After you’ve told too many silly jokes? As a kid insisting on ice cream on a hot summer afternoon? Well, it may also be true for how the male hormone testosterone works on your body. More Is Not More But there’s also a corollary: “more is...Continue reading
Am I Enough?
The case of the month is an actual patient of The Turek Clinic. He hailed from the Middle East. He cut a striking figure, in a Laurence Olivier kind of way. As a young doctor in his final years of training as a heart surgeon, he had issues with his “stuff.” Quite a few. Six...Continue reading
Late Life Sex
He was an elegant man in his late-80s and he came to see me for help. Widowed for 20 years, he recently met a younger woman; she was in her 70’s. He hadn’t had a sex life for many years and also noted “erection issues” for during that time. Still Dreaming “I would really like...Continue reading