Pierre Crouse: Difference between revisions

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'''Pierre Crouse''' is a Canadian physician centered in Calgary, Alberta. One of his main practices is infant circumcision, he has a website<ref>{{REFweb
'''Pierre Crouse''' is a Canadian physician centered in Calgary, Alberta, [[Canada]]. One of his main practices is non-therapeutic infant [[circumcision]], he has a website<ref>{{REFweb
  |quote=
  |quote=
  |url=https://web.archive.org/web/20180928165451/https://www.intramed.ca/circumcision/
  |url=https://web.archive.org/web/20180928165451/https://www.intramed.ca/circumcision/
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  |accessdate=2011-05-04
  |accessdate=2011-05-04
}}</ref>
}}</ref>
The [[Canadian Urological Association]] says "neonatal circumcision cannot be justified based
on the current evidence available."<ref name="cua2018">{{REFjournal
|last=Dave
|first=Sumit
|init=S
|author-link=
|last2=Afshar
|first2=Kourash
|init2=K
|author2-link=
|last3=Braga
|first3=Luis
|init3=L
|author3-link=
|last4=Anderson
|first4=Peter
|init4=P
|author4-link=
|etal=no
|title=Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (full version)
|journal=Can Urol Assoc J
|location=
|date=2018-02
|volume=12
|issue=2
|pages=E76-99
|url=http://www.cua.org/themes/web/assets/files/5033_foreskin_guideline_longversion.pdf
|pubmedID=29381458
|pubmedCID=http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5937400/
|DOI=/10.5489/cuaj.5033
|accessdate=2020-07-07
}}</ref>


== Crouse and Pollock websites are nearly identical ==
== Crouse and Pollock websites are nearly identical ==
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}}</ref>
}}</ref>


Except for a few changes in wording, Pollock and Crouse's "Parents' Guide to Circumcision" pages are nearly identical, advertizing the [[Mogen]] technique as taking less than a minute, and advertizing identical pain control methods of Tylenol, sugar, and a local anaesthetic injection.<ref name="LessThan1Minute">{{REFweb
Except for a few changes in wording, Pollock and Crouse's "Parents' Guide to Circumcision" pages are nearly identical, advertizing the [[Mogen]] technique as taking less than a minute, and advertising identical [[pain]] control methods of Tylenol, sugar, and a local anaesthetic injection.<ref name="LessThan1Minute">{{REFweb
  |quote=Our procedure takes less than 1 minute. (many times faster than most hospital  circumcisions) We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perception), topical freezing and a local anesthetic injection.
  |quote=Our procedure takes less than 1 minute. (many times faster than most hospital  circumcisions) We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perception), topical freezing and a local anesthetic injection.
  |url=https://web.archive.org/web/20160325023627/http://www.circumcisioncalgary.ca/more.htm
  |url=https://web.archive.org/web/20160325023627/http://www.circumcisioncalgary.ca/more.htm
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}}</ref>
}}</ref>


Pollock and Crouse's "Parents' Guide to Circumcision" pages can be compared [http://www.pollockclinics.com/circumcision/circumcision-guide.html here] and {{REFweb
Pollock and Crouse's "Parents' Guide to Circumcision" pages can be compared [http://www.pollockclinics.com/circumcision/circumcision-guide.html here] and [https://web.archive.org/web/20160325023627/http://www.circumcisioncalgary.ca/more.htm here].
|url=https://web.archive.org/web/20160325023627/http://www.circumcisioncalgary.ca/more.htm
|title=here
|accessdate=2020-03-19
}}.


== Misleading Information ==
== Misleading information ==


Like Neil Pollock, the information that Pierre Crouse dispenses is misleading, it conflicts with information provided on his own website, or it is simply not true.
Like Neil Pollock, the information that Pierre Crouse dispenses is misleading, it conflicts with information provided on his own website, or it is simply not true.


=== "Virtually Bloodless" ===
=== "Virtually bloodless" ===


"Virtually Bloodless" appears in Pierre Crouse's website exactly as it does on Neil Pollock's, and just the same, information on blood control can be found on other parts of Crouse's website.<ref>{{REFweb
"Virtually bloodless" appears in Pierre Crouse's website exactly as it does on Neil Pollock's, and just the same, information on blood control can be found on other parts of Crouse's website.<ref>{{REFweb
  |quote=First, the cut edge seals and the bleeding ceases within minutes, hours, or even over the course of an entire day.
  |quote=First, the cut edge seals and the [[bleeding]] ceases within minutes, hours, or even over the course of an entire day.
  |url=https://web.archive.org/web/20160325023158/http://circumcisioncalgary.ca/after.htm
  |url=https://web.archive.org/web/20160325023158/http://circumcisioncalgary.ca/after.htm
  |title=After the Circumcision
  |title=After the Circumcision
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  |accessdate=2020-03-19
  |accessdate=2020-03-19
}}</ref><ref>{{REFweb
}}</ref><ref>{{REFweb
  |quote=A small amount of bleeding is normal. A small amount of bleeding is normal.
  |quote=A small amount of [[bleeding]] is normal.
  |url=https://web.archive.org/web/20160325023644/http://circumcisioncalgary.ca/questions.htm
  |url=https://web.archive.org/web/20160325023644/http://circumcisioncalgary.ca/questions.htm
  |title=Frequently asked questions
  |title=Frequently asked questions
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}}</ref>
}}</ref>


=== "Virtually Painless" ===
=== "Virtually painless" ===


Like [[Neil Pollock]], Pierre Crouse promises the [[Mogen]] technique, along with his pain control methods to be "painless," affirming his customers with his surgical and anaesthesia background.<ref>{{REFweb
Like [[Neil Pollock]], Pierre Crouse promises the [[Mogen]] technique,<ref name="kaweblum1984">{{REFjournal
|last=Kaweblum
|first=Yosef
|init=Y
|author-link=
|last2=Press
|first2=Shirley
|init2=S
|author2-link=
|last3=Kogan
|first3=Leib
|init3=L
|author3-link=
|title=Circumcision using the mogen clamp
|journal=Clin Pediatr
|location=PA
|date=1984-12
|volume=23
|issue=
|pages=679-82
|url=http://www.cirp.org/library/procedure/mogen/
|archived=
|quote=
|pubmedID=6499347
|pubmedCID=
|DOI=10.1177/000992288402301204
|accessdate=2020-08-06
}}</ref> along with his [[pain]] control methods to be "painless," affirming his customers with his surgical and anaesthesia background.<ref>{{REFweb
  |quote=With his surgical and anesthesia background he is convinced that the Mogen circumcision technique with 4 steps pain control protocol is the most effective and painless method available.
  |quote=With his surgical and anesthesia background he is convinced that the Mogen circumcision technique with 4 steps pain control protocol is the most effective and painless method available.
  |url=https://web.archive.org/web/20160325024321/http://circumcisioncalgary.ca/about.htm
  |url=https://web.archive.org/web/20160325024321/http://circumcisioncalgary.ca/about.htm
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  |date=
  |date=
  |accessdate=2011-05-04
  |accessdate=2011-05-04
}}</ref> As Pollock, Pierre Crouse announces that the pain control methods used are Tylenol, sugar, a topical cream, and a local anaesthetic injection.<ref name="LessThan1Minute"/> The topical anaesthetic only serves to numb the area to lessen the pain of the injection, but studies have shown that a dorsal penile ring block is not always effective in stopping the pain of circumcision.<ref>{{REFjournal
}}</ref> As Pollock, Pierre Crouse announces that the [[pain]] control methods used are Tylenol, sugar, a topical cream, and a local anaesthetic injection.<ref name="LessThan1Minute"/> The topical anaesthetic only serves to numb the area to lessen the pain of the injection, but studies have shown that a dorsal penile ring block is not always effective in stopping the [[Pain| pain of circumcision]].<ref>{{REFjournal
  |last=Taeusch
  |last=Taeusch
  |first=H. William
  |first=H. William
|init=HW
|last2=Martinez
  |first2=Alma M.
  |first2=Alma M.
  |last2=Martinez
  |init2=AM
|last3=Partridge
  |first3=J. Colin
  |first3=J. Colin
  |last3=Partridge
  |init3=JC
|last4=Sniderman
  |first4=Susan
  |first4=Susan
  |last4=Sniderman
  |init4=S
|last5=Armstrong-Wells
  |first5=Jennifer
  |first5=Jennifer
  |last5=Armstrong-Wells
  |init5=J
|last6=Fuentes-Afflick
  |first6=Elena
  |first6=Elena
  |last6=Fuentes-Afflick
  |init6=E
  |title=Pain During Mogen or Plastibell Circumcision
  |title=Pain During Mogen or Plastibell Circumcision
  |journal=Journal of Perinatology
  |journal=Journal of Perinatology
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  |last=Williamson
  |last=Williamson
  |first=Paul S.
  |first=Paul S.
|init=PS
|last2=Evans
  |first2=Nolan Donovan
  |first2=Nolan Donovan
  |last2=Evans
  |init2=ND
  |title=Neonatal Cortisol Response to Circumcision with Anesthesia
  |title=Neonatal Cortisol Response to Circumcision with Anesthesia
  |journal=Clinical Pediatrics
  |journal=Clinical Pediatrics
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  |last=Slater
  |last=Slater
  |first=Rebeccah
  |first=Rebeccah
|init=R
|last2=Cornelissen
  |first2=Laura
  |first2=Laura
  |last2=Cornelissen
  |init2=L
|last3=Fabrizi
  |first3=Lorenzo
  |first3=Lorenzo
  |last3=Fabrizi
  |init3=L
|last4=Patten
  |first4=Debbie
  |first4=Debbie
  |last4=Patten
  |init4=D
|last5=Yoxen
  |first5=Jan
  |first5=Jan
  |last5=Yoxen
  |init5=J
|last6=Worley
  |first6=Alan
  |first6=Alan
  |last6=Worley
  |init6=A
|last7=Boyd
  |first7=Stewart
  |first7=Stewart
  |last7=Boyd
  |init7=S
|last8=Meek
  |first8=Judith
  |first8=Judith
  |last8=Meek
  |init8=J
|last9=Fitzgerald
  |first9=Prof. Maria
  |first9=Prof. Maria
  |last9=Fitzgerald
  |init9=M
  |title=Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial
  |title=Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial
  |journal=the Lancet
  |journal=the Lancet
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  |accessdate=2011-04-08
  |accessdate=2011-04-08
}}</ref> Post-operative pain and the pain the child must endure during recovery is hardly, if ever, addressed.
}}</ref> Post-operative pain and the pain the child must endure during recovery is hardly, if ever, addressed.
Circumcision [[pain]] actually is severe and traumatic.


=== "Under one minute" ===
=== "Under one minute" ===
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In a manner similar to Neil Pollock, Pierre Crouse promises a circumcision procedure that takes "under one minute,"<ref name="LessThan1Minute"/> but this doesn't take into account the fact that the child must first have topical anaesthetic applied, and then be given the dorsal penile ring block for which there is a 10 minute waiting period for the injection to take effect.
In a manner similar to Neil Pollock, Pierre Crouse promises a circumcision procedure that takes "under one minute,"<ref name="LessThan1Minute"/> but this doesn't take into account the fact that the child must first have topical anaesthetic applied, and then be given the dorsal penile ring block for which there is a 10 minute waiting period for the injection to take effect.


=== "A New Technique" ===
=== "A new technique" ===


As Neil Pollock, Pierre Crouse sells the [[Mogen]] circumcision technique as a new and recent development.<ref>{{REFweb
As Neil Pollock, Pierre Crouse sells the [[Mogen]] circumcision technique as a new and recent development.<ref>{{REFweb
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==== What Crouse may not tell parents about Mogen ====
==== What Crouse may not tell parents about Mogen ====


Pollock and Crouse peddle the [[Mogen]] technique, but what they may not tell parents is that the Mogen clamp has been notorious for glans amputations, even among experienced conductors of circumcision.<ref>{{REFjournal|last=Taeusch
Pollock and Crouse peddle the [[Mogen]] technique, but what they may not tell parents is that the Mogen clamp has been notorious for [[glans]] amputations, even among experienced conductors of [[circumcision]].<ref>{{REFjournal
|last=Taeusch
  |first=H. William
  |first=H. William
|init=HW
|last2=Martinez
  |first2=Alma M.
  |first2=Alma M.
  |last2=Martinez
  |init2=AM
|last3=Partridge
  |first3=J. Colin
  |first3=J. Colin
  |last3=Partridge
  |init3=JC
|last4=Sniderman
  |first4=Susan
  |first4=Susan
  |last4=Sniderman
  |init4=S
|last5=Armstrong-Wells
  |first5=Jennifer
  |first5=Jennifer
  |last5=Armstrong-Wells
  |init5=J
|last6=Fuentes-Afflick
  |first6=Elena
  |first6=Elena
  |last6=Fuentes-Afflick
  |init6=E
  |title=Pain During Mogen or Plastibell Circumcision
  |title=Pain During Mogen or Plastibell Circumcision
  |journal=Journal of Perinatology
  |journal=Journal of Perinatology
Line 268: Line 350:
  |accessdate=2011-04-08
  |accessdate=2011-04-08
}}</ref> after losing a 10.8 million dollar law suit,<ref name="tagami2011"/> after a ''mohel''<ref name="tagami2011"/>  
}}</ref> after losing a 10.8 million dollar law suit,<ref name="tagami2011"/> after a ''mohel''<ref name="tagami2011"/>  
severed the end of a baby's glans <ref name="tagami2011"/> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref name="tagami2011"/> The injury behind a prior lawsuit in [https://www.fultoncourt.org/ Fulton County Superior Court] had already put Mogen on notice about the danger of the device.<ref name="tagami2011"/> In a different case, at South Fulton Medical Center, another law suit was won in 2009.<ref name="tagami2011"/> In that case, a child lost a third of his glans, and the plaintiffs were awarded 2.3 million dollars.<ref name="tagami2011"/>
severed the end of a baby's glans <ref name="tagami2011"/> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref name="tagami2011"/> The injury behind a prior lawsuit in [https://www.fultoncourt.org/ Fulton County Superior Court] had already put Mogen on notice about the danger of the device.<ref name="tagami2011"/> In a different case, at [https://www.yellowpages.com/atlanta-ga/mip/south-fulton-medical-center-482596089 South Fulton Medical Center], another law suit was won against Mogen in 2009.<ref name="tagami2011"/> In that case, a child lost a third of his glans, and the plaintiffs were awarded 2.3 million dollars.<ref name="tagami2011"/>
 
== Lack of third-party payment ==


[[Third-party payment]] for non-therapeutic [[circumcision]] is not available in [[Canada]], so anyone seeking a non-therapeutic [[circumcision]] must pay out of pocket.
{{SEEALSO}}
* [[Canada]]
{{REF}}
{{REF}}


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[[Category:Male]]
[[Category:Male]]


[[Category:Interest|Financial Gain]]
[[Category:Interest]]
[[Category:Financial gain]]
[[Category:Physician]]
[[Category:Physician]]
[[Category:Pollock group]]
[[Category:Pollock group]]
[[Category:Lawsuit]]


[[Category:Canada]]
[[Category:Canada]]