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Urology reviews in Anthem

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  • Definitely would NOT recommend Dr. Kaplan. Always felt very rushed and it seemed like the Doctor felt almost "put out" by me asking questions about my personal health. Dr. Kaplan also failed to ask about my history with two separate heart conditions before putting me on Testosterone Replacement Therapy (I have been hospitalized 4 times in the past due to paroxysmal atrial fibrillation (PAF) episodes thought to be brought on by over-stimulation of the vagus nerve). I also have a heart murmur that has existed since early childhood and there is a history of heart attacks and congestive heart failure within my family). I also ended up with Testosterone-induced polycythemia -- a blood condition that forced me to see an Oncologist / Blood Disorder Specialist and start using frequent phlebotomy as a method of lowering my HGb (hemoglobin / red blood cells) levels and my HCt (Hematocrit) levels. Polycythemia was a risk which was not thoroughly explained in advance of me starting treatment and which was very relevant considering that my red blood cell counts / HgB levels were already elevated at the upper-limits before we even started (and where another prescription I was currently taking is rich in Iron which may have actually further exasperated the onset of this blood disorder). Had to learn this on my own through independent research as Dr. Kaplan doesn't seem to either want to explain or have the time to explain something this critical to his patients who he suggests and prescribes TRT for: - Testosterone and other androgens have an **erythropoietic stimulating effect that can cause polycythemia, which manifests as an increase in hemoglobin (HGb) , hematocrit (HCt), or red blood cell count. Also, can add flame to the fire in cases where prostate cancer and/or enlarged prostate exists (I also have a history of prostate problems including serious enlarged prostate issues experienced by my paternal Grandfather). Also, not recommended for patients with a history of any sort of heart condition (e.g. atrial fibrillation - PAF, history of congestive heart failure in the family -- in my case, with a mother and a grandparent who have actually died from this.) Further disclosures that I feel a Urologist like Dr. Kaplan should cover before prescribing such a dangerous drug: - Can cause your body to permanently stop producing it's own Testosterone (naturally even at the lower levels of when you started) - Will definitely make you sterile! - Can cause an increase in the amount of Estrogen in your body (with dangers of male breast cancer, increased sensitivity and size of the male nipples and a host of other nasty side effects). Only remedy for this is to take a drug commonly prescribed to female breast cancer survivors called ARIMIDEX® (anastrozole) which suppresses female hormones like estrogen in the body. This drug comes with a whole different set of nasty side effects. - Can cause hair loss (especially relevant to a guy who is already balding up top!) - Can cause anxiety and/or irritability - Can increase symptoms of depression - Can cause moodiness or mood swings All of this risk?!! And for what? Increased drive/aggressiveness/ambition and maybe slightly less fatigue?? Also, increased libido / *** drive?!! (my wife is a breast cancer survivor and I already explained to Dr. Kaplan before starting that we do not have a traditional "*** life" anymore due to complications leading from her cancer treatments / surgeries). COMPLETELY NOT WORTH IT! Also, every time I would get rushed through an appointment at his office (after waiting for more than an hour most times for just a rushed 5 - 10 min consultation with the Dr), they would almost always find an excuse as to why they needed to reschedule to have me come back in 2 - 3 wks later (even though I explained repeatedly that I'm on a high-deductible insurance plan and can not afford such frequent visits to a "specialist" unless absolutely necessary). Dr. Kaplan refused to ever release or even discuss any of my blood test results over the phone (in cases where my work travel schedule made it impossible for me to discuss during a follow-up visit). All in all, this left me with a very bad experience. Extremely unprofessional and makes me regret actually referring my own Father to see them for his kidney stone issues (I have since apologized to my father and suggested he go elsewhere since he has a similar story of a very poor experience and repeated office visits required before they could finally "get it right". He is retired and on a fixed income, so this was also hurting him financially. NOTES: ** Erythropoietin (EPO) is a hormone produced by the kidney. Erythropoietin promotes the formation of red blood cells by the bone marrow. The erythropoietin hormone level can be detected and measured in the blood (the EPO test).
    - Robert H.
  • Definitely would NOT recommend Dr. Kaplan. Always felt very rushed and it seemed like the Doctor felt almost "put out" by me asking questions about my personal health. Dr. Kaplan also failed to ask about my history with two separate heart conditions before putting me on Testosterone Replacement Therapy (I have been hospitalized 4 times in the past due to paroxysmal atrial fibrillation (PAF) episodes thought to be brought on by over-stimulation of the vagus nerve). I also have a heart murmur that has existed since early childhood and there is a history of heart attacks and congestive heart failure within my family). I also ended up with Testosterone-induced polycythemia -- a blood condition that forced me to see an Oncologist / Blood Disorder Specialist and start using frequent phlebotomy as a method of lowering my HGb (hemoglobin / red blood cells) levels and my HCt (Hematocrit) levels. Polycythemia was a risk which was not thoroughly explained in advance of me starting treatment and which was very relevant considering that my red blood cell counts / HgB levels were already elevated at the upper-limits before we even started (and where another prescription I was currently taking is rich in Iron which may have actually further exasperated the onset of this blood disorder). Had to learn this on my own through independent research as Dr. Kaplan doesn't seem to either want to explain or have the time to explain something this critical to his patients who he suggests and prescribes TRT for: - Testosterone and other androgens have an **erythropoietic stimulating effect that can cause polycythemia, which manifests as an increase in hemoglobin (HGb) , hematocrit (HCt), or red blood cell count. Also, can add flame to the fire in cases where prostate cancer and/or enlarged prostate exists (I also have a history of prostate problems including serious enlarged prostate issues experienced by my paternal Grandfather). Also, not recommended for patients with a history of any sort of heart condition (e.g. atrial fibrillation - PAF, history of congestive heart failure in the family -- in my case, with a mother and a grandparent who have actually died from this.) Further disclosures that I feel a Urologist like Dr. Kaplan should cover before prescribing such a dangerous drug: - Can cause your body to permanently stop producing it's own Testosterone (naturally even at the lower levels of when you started) - Will definitely make you sterile! - Can cause an increase in the amount of Estrogen in your body (with dangers of male breast cancer, increased sensitivity and size of the male nipples and a host of other nasty side effects). Only remedy for this is to take a drug commonly prescribed to female breast cancer survivors called ARIMIDEX® (anastrozole) which suppresses female hormones like estrogen in the body. This drug comes with a whole different set of nasty side effects. - Can cause hair loss (especially relevant to a guy who is already balding up top!) - Can cause anxiety and/or irritability - Can increase symptoms of depression - Can cause moodiness or mood swings All of this risk?!! And for what? Increased drive/aggressiveness/ambition and maybe slightly less fatigue?? Also, increased libido / *** drive?!! (my wife is a breast cancer survivor and I already explained to Dr. Kaplan before starting that we do not have a traditional "*** life" anymore due to complications leading from her cancer treatments / surgeries). COMPLETELY NOT WORTH IT! Also, every time I would get rushed through an appointment at his office (after waiting for more than an hour most times for just a rushed 5 - 10 min consultation with the Dr), they would almost always find an excuse as to why they needed to reschedule to have me come back in 2 - 3 wks later (even though I explained repeatedly that I'm on a high-deductible insurance plan and can not afford such frequent visits to a "specialist" unless absolutely necessary). Dr. Kaplan refused to ever release or even discuss any of my blood test results over the phone (in cases where my work travel schedule made it impossible for me to discuss during a follow-up visit). All in all, this left me with a very bad experience. Extremely unprofessional and makes me regret actually referring my own Father to see them for his kidney stone issues (I have since apologized to my father and suggested he go elsewhere since he has a similar story of a very poor experience and repeated office visits required before they could finally "get it right". He is retired and on a fixed income, so this was also hurting him financially. NOTES: ** Erythropoietin (EPO) is a hormone produced by the kidney. Erythropoietin promotes the formation of red blood cells by the bone marrow. The erythropoietin hormone level can be detected and measured in the blood (the EPO test).
    - Robert H.
  • Everything went well. They provided an accurate diagnosis, and the treatment options were suitable to my needs. Dr. Paul Andrews is who I saw, and he was incredible. His bedside manner was off the charts, and he recommend the treatment that seems to have worked out the best so far. I have since went in for several follow-up appointments. He told me in August or September that I didn't need to see him for 3 months. I went in for that appointment, and he confirmed that I didn't need to see him again for 6 months. I am currently cancer-free, and everything is looking good.
    - Arlyn D.
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