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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
| quote= | url=http://www.circumcisioncalgary.ca/ | title=Intramed Medical Centre - Infant Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> and he advertises in parents' magazines and even on city busses.<ref name='CBC News 2011-05-04'>{{REFnews
| last= | first= | coauthors= | url=http://www.cbc.ca/news/canada/calgary/story/2011/05/04/calgary-newborn-circumcision-alberta.html | title=Newborn circumcision popular in Alberta | publisher= | work=CBC News | quote=Dr. Pierre Crouse is a city physician who performs circumcisions. He advertises in parents' magazines and even on a city bus. | date=2011-05-04 | accessdate=2011-05-04
}}</ref>
Crouse's website is a near mirror-image of that of [[Neil Pollock]]'s. Some of the diagram images he uses are exactly the same, and some of the statements are repeated verbatim. Like Pollock, Crouse espouses the [[Mogen]] technique,<ref>{{REFweb
| quote=At Intramed, Dr. Crouse performs the Mogen circumcision technique. | url=http://www.circumcisioncalgary.ca/more.htm | title=Parents’ guide to Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> and he advertises it as "new, safe, and virtually painless",<ref>{{REFweb
| quote=Learn more about the Mogen Circumcision Technique, a new, safe and virtually painless procedure performed in less than a minute. | url=http://www.circumcisioncalgary.ca/ | title=Intramed Medical Centre - Infant Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> as well being "quick, [with] minimal discomfort, and virtually bloodless."<ref>{{REFweb
| quote=Quick, Minimal Discomfort, Virtually Bloodless | url=http://www.circumcisioncalgary.ca/ | title=Intramed Medical Centre - Infant Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</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>{{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. | url=http://www.circumcisioncalgary.ca/more.htm | title=Parents’ guide to Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref>
"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. | url=http://www.circumcisioncalgary.ca/after.htm | title=After the Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref><ref>{{REFweb
| quote=A small amount of bleeding is normal.A small amount of bleeding is normal. | url=http://www.circumcisioncalgary.ca/questions.htm | title=Frequently asked questions | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref>
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
| 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=http://www.circumcisioncalgary.ca/about.htm | title=About Dr. Crouse | last= | first= | publisher=Intramed | work= | date= | 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>{{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. | url=http://www.circumcisioncalgary.ca/more.htm | title=Parents’ guide to Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> 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
| last=Taeusch | first=H William | coauthors=Alma M Martinez, J Colin Partridge, Susan Sniderman, Jennifer Armstrong-Wells, Elena Fuentes-Afflick | title=Pain During Mogen or PlastiBell Circumcision | journal=Journal of Perinatology | volume=22 | issue=3 | pages=214-218 | url=http://www.nature.com/jp/journal/v22/n3/full/7210653a.html | quote=...more than half of the study group had what we considered excessive pain/discomfort over the course of the entire procedure. | pubmedID= | pubmedCID= | DOI= | date=April/May 2002 | accessdate=2011-04-08
}}</ref><ref name='Clinical Pediatrics August 1986'>{{REFjournal
| last=Williamson | first=Paul S. | coauthors=Nolan Donovan Evans | title=Neonatal Cortisol Response to Circumcision with Anesthesia | journal=Clinical Pediatrics | volume=25 | issue=8 | pages=412-416 | url=http://cpj.sagepub.com/content/25/8/412.abstract | quote=The adrenal cortisol response to surgery was not significantly reduced by the administration of lidocaine. | pubmedID= | pubmedCID= | DOI= | date=August 1986 | accessdate=2011-04-08
}}</ref> During the circumcision, the child is given sugar to "reduce his pain perceptions", but in at least one study, data shows that giving sugar to a child doesn't help to reduce the perception of pain in the child.<ref name='Lancet, The 2010-10-09'>{{REFjournal
| last=Slater | first=Rebeccah | coauthors=Laura Cornelissen, Lorenzo Fabrizi, Debbie Patten, Jan Yoxen, Alan Worley, Stewart Boyd, Judith Meek, Prof. Maria Fitzgerald | title=Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial | journal=the Lancet | volume=376 | issue=9748 | pages=1225-1232 | url=http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2961303-7/fulltext | quote=Our data suggest that oral sucrose does not significantly affect activity in neonatal brain or spinal cord nociceptive circuits, and therefore might not be an effective analgesic drug. The ability of sucrose to reduce clinical observational scores after noxious events in newborn infants should not be interpreted as pain relief. | pubmedID= | pubmedCID= | DOI= | date=2010-10-09 | accessdate=2011-04-08
}}</ref> Post-operative pain and the pain the child must endure during recovery is hardly, if ever, addressed.
In a manner similar to Neil Pollock, Pierre Crouse promises a circumcision procedure that takes "under one minute,"<ref>{{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. | url=http://www.circumcisioncalgary.ca/more.htm | title=Parents’ guide to Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> 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.
As Neil Pollock, Pierre Crouse sells the [[Mogen]] circumcision technique as a new and recent development.<ref>{{REFweb
| quote=Learn more about the Mogen Circumcision Technique, a new, safe and virtually painless procedure performed in less than a minute. | url=http://www.circumcisioncalgary.ca/ | title=Intramed Medical Centre - Infant Circumcision | last= | first= | publisher=Intramed | work= | date= | accessdate=2011-05-04
}}</ref> Strangely enough, Pollock's website uses language that suggests that he uses state-of-the-art techniques and equipment that no other surgeon possesses, by warning against others who try to "emulate" him.<ref>{{REFweb
| quote=You may notice other local websites, desperately attempting to emulate Dr.Pollock both in name of website and content. Please be clear when researching your son's circumcision, that the methods and techniques for providing this surgery are only as meaningful as the operating physician's experience, without which, any method or technique is potentially dangerous. | url=http://www.pollockclinics.com/circumcision/circumcision-index.html | title=Pollock Clinics Infant Circumcision | last= | first= | publisher= | work= | date=2011-04-08 | accessdate=2011-04-08
}}</ref> Closer inspection reveals that neither Pollock nor Crouse is doing anything "new." The Mogen clamp was invented in 1954,<ref name='Reynolds 1996'>{{REFweb
| quote=The Mogen clamp was invented in 1954 by Rabbi Harry Bronstein, a Brooklyn mohel. | url=http://www.circumcisionquotes.com/rdr5.html | title=Use of the Mogen clamp for neonatal circumcision | last= | first= | publisher= | work= | date= | accessdate=2011-04-08
}}</ref> but it is actually one of many successors to the much older, traditional barzel device.<ref>{{REFweb
| quote=The barzel (Hebrew for iron) also known as a mogen (Hebrew for shield) s a slotted shield to = | url=http://www.circumstitions.com/methods.html#barzel | title=Methods of circumcision | last= | first= | publisher= | website=circumstitions.com | date=2011-04-08 | accessdate=2011-04-08
}}</ref>
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 | coauthors=Alma M Martinez, J Colin Partridge, Susan Sniderman, Jennifer Armstrong-Wells, Elena Fuentes-Afflick | title=Pain During Mogen or PlastiBell Circumcision | journal=Journal of Perinatology | volume=22 | issue=3 | pages=214-218 | url=http://www.nature.com/jp/journal/v22/n3/full/7210653a.html | quote=...approximately 10% of the glans of a newborn was amputated (it was reattached surgically) during a Mogen circumcision carried out by two of our most experienced physicians. | pubmedID= | pubmedCID= | DOI= | date=April/May 2002 | accessdate=2011-04-08
}}</ref> Mogen went out of business<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=The company is going out of business, according to a woman who answered the phone at its Brooklyn headquarters Monday. | date=2010-07-19 | accessdate=2011-04-08
}}</ref> after losing a 10.8 million dollar law suit,<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=after an infant lost a portion of his penis during an operation with the Mogen clamp, a judge awarded $10.8 million in damages against the company. | date=2010-07-19 | accessdate=2011-04-08
}}</ref> after a mohel<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=In this case, a New York mohel, or Jewish ritual circumcisor, performed the operation in the baby's home | date=2010-07-19 | accessdate=2011-04-08
}}</ref> severed the end of a baby's glans<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=The baby in the current case, identified in court documents only as L.G., lost the entire glans, or head, of his penis ... | date=2010-07-19 | accessdate=2011-04-08
}}</ref> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=The maker of an instrument used in circumcisions claimed that injury was impossible with its use... | date=2010-07-19 | accessdate=2011-04-08
}}</ref> The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device.<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=Attorney David Llewellyn won a similar case in Atlanta last year and the injury behind that prior lawsuit in Fulton County Superior Court put the New York clamp manufacturer on notice about the danger of the device... | date=2010-07-19 | accessdate=2011-04-08
}}</ref> In a different case, at South Fulton Medical Center, another law suit was won in 2009.<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=Llewellyn won another circumcision case in 2009 over an operation at South Fulton Medical Center. | date=2010-07-19 | accessdate=2011-04-08
}}</ref> In that case, a child lost a third of his glans, and the plaintiffs were awarded 2.3 million dollars.<ref>{{REFnews
| last=Tagami | first=Ty | coauthors= | url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html | title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision | publisher= | work=The Atlanta Journal-Constitution | quote=The jury found that both the pediatrician and the physician who performed the circumcision were negligent, and awarded $2.3 million to the plaintiffs. | date=2010-07-19 | accessdate=2011-04-08
}}</ref>