Douglas G. Stein, M.D.
Diplomado, American Board of Urology
Director de Vasectomy and Reversal Centers of Florida (www.VASWEB.com)
President, No-Scalpel Vasectomy International, Inc. (www.NSVI.org)
Co-Fundador, Día Mundial de la Vasectomía, Inc. (www.WVD.org)
Después de completar su Residencia en Urología en los Hospitales Afiliados de la Universidad del Sur de la Florida en 1983, el Dr. Doug Stein practicó urología general para adultos en Tampa durante 17 años. En 1996, se convirtió en realizador de vasectomía bajo el Title 10 y en varios lugares fuera de su oficina principal en Tampa. En el año 2000, dejó de ver a nuevos pacientes de urología general para dedicar más tiempo a enfocarse en realizar el procedimiento la vasectomía más amigable y asequible para los hombres de bajos ingresos sin seguro médico, a través del Title 10. Pronto prestó servicios de vasectomía hasta en 21 localidades de la Florida Peninsular. Él y su socio de 3 años son ahora los proveedores de servicios de vasectomía contratados bajo el Title 10 para 33 de los 67 condados de la Florida. En 2010, se convirtió en un participante activo de la misión de vasectomía con No Scalpel Vasectomy International (NSVI). Ahora Presidente de NSVI, ha organizado 38 misiones de vasectomía en una variedad de países incluyendo Filipinas, Haití, Kenia, México e Indonesia. Durante una misión a Kenia en 2012, mientras trabajaba en un documental (The Vasectomist), él y el cineasta Jonathan Stack desarrollaron el concepto de un “World Vasectomy Day” para exaltar a los hombres que participan en la planificación familiar y a los médicos que proporcionan este servicio. Ahora en su séptimo año, la celebración anual del World Vasectomy Day es el evento de planificación familiar de orientación masculina más grande de la historia. El WVD trabaja con gobiernos y agencias de planificación familiar para promover la vasectomía en todo el mundo, mientras que NSVI se asocia con el World Vasectomy Day para proporcionar servicios de vasectomía y capacitación de médicos locales durante y entre los eventos del WVD.
Biografía Corta:
Después de completar el entrenamiento de residencia en 1983, el Dr. Doug Stein practicó urología general para adultos por más de 17 años en Tampa, Florida. En el año 2000, dejó de ver a nuevos pacientes de urología general para dedicar todo su tiempo a la vasectomía y a la reversión de la vasectomía, finalmente proporcionó servicios de vasectomía hasta en 21 localidades de Florida, muchos de ellas bajo el programa federal Title 10 para hombres de bajos ingresos sin seguro. En 2010, comenzó su trabajo de misión de vasectomía internacional y ahora ha dirigido 38 misiones de vasectomía a una variedad significativa de países, incluyendo Filipinas, Haití, Kenia, México e Indonesia. Además de capacitar a médicos en el extranjero, el Dr. Stein ha brindado capacitación individualizada a 124 médicos de los 5 continentes en su oficina principal en Tampa. Ha realizado más de 45.000 vasectomías y 1.750 reversiones de vasectomías.
Razones para salir de Urología General:
- Otros urólogos estaban haciendo un buen trabajo en el cuidado de otros problemas urológicos, pero ninguno estaba tratando de hacer que la vasectomía fuera fácil de acceder, especialmente para los hombres de bajos ingresos sin seguro.
- Vi suficientes presentaciones de David Attenborough para saber que la biodiversidad está disminuyendo como resultado de la actividad humana y la pérdida de hábitat. Me gusta la biodiversidad. Dado que casi el 50% de los embarazos humanos son no deseados, parecía lógico que una reducción en ese número podría dar una mejor oportunidad de vida.
- La urología general fue gratificante, pero el cuidado de los enfermos no tiene beneficios ambientales ni sociales. La prevención de embarazos no deseados a través de la vasectomía es beneficiosa para el paciente, su esposa, sus hijos, la sociedad (en el caso de las parejas que ya están en otros programas de asistencia social) y el medio ambiente.
- La urología general estaba llena de frustraciones: muchos pacientes no cumplían con las instrucciones, muchos no traían sus medicamentos al consultorio y no recordaban los horarios de dosificación, muchos no veían que los resultados obtenidos de laboratorio y de rayos X, y muchos no proporcionaban sus registros antiguos.
- La mayoría de los médicos están divididos entre mantener los costos bajos de atención médica y practicar la medicina defensiva. Pruebas innecesarias y procedimientos de diagnóstico me dieron una sensación incómoda.
- El calendario no era predecible. Como practicante independiente, se me podía llamar para una consulta en cualquier momento, y siempre había emergencias que atender. En un grupo grande, esto no habría sido un problema.
- Cuando empecé a viajar a diferentes partes del estado para realizar vasectomías bajo el Title 10 para un número cada vez mayor de departamentos de salud, tuve que pedir a mis colegas mayor cobertura de la que podía pagar. Uno no puede estar a más de 30 minutos del hospital sin haber concertado la cobertura. Así que, si tenía pacientes de urología hospitalizados, necesitaba cobertura. Así que, si tenía pacientes de urología hospitalizados, necesitaba cobertura.
No estoy seguro de las contribuciones relativas de cada una de estas razones. Me gustaría pensar que estaba tratando de «salvar el mundo», pero quizás veía la vasectomía como un estilo de vida más simple y predecible
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