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Jay Buenafe

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Jay Buenafe is a family physician who has recently expanded his practice to include infant circumcision under the tutelage of [[Neil Pollock]].<ref>{{REFweb
| quote=He has now expanded his practice to include infant circumcision. He has studied and trained with Dr. Neil Pollock, a pioneer and foremost authority in North America on this procedure. | url=http://www.circumcisionmanitoba.ca/about.php | title=About Dr. Buenafe | last= | first= | publisher= | website= | date= | accessdate=2012-06-16
}}</ref><ref>{{REFnews
| last= | first= | coauthors= | url=http://www.winnipegparent.com/june12/family/family-1.html | title=Dr. Jay Buenafe brings Painless 30 Second Circumcision to Winnipeg | publisher= | work=Winnipeg Parent | quote=Dr. Buenafe went to Vancouver and worked intensively with Dr. Pollock under his careful supervision. | date=16 Jun 2012 | accessdate=2012-06-16
}}</ref><ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=He went to Vancouver to learn Dr. Neil Pollock's circumcision technique... | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref>
He has a website<ref>{{REFweb
| quote= | url=http://www.circumcisionmanitoba.ca/index.php | title=Buenafe Infant Circumcision | last= | first= | publisher= | website= | date= | accessdate=2012-06-16
}}</ref> that is nearly identical to that of [[Neil Pollock]] and [[Pierre Crouse]] on which he offers the same sales pitches and misinformation to parents, and he has announced in at least one magazine for parents.<ref>{{REFnews
| last= | first= | coauthors= | url=http://www.winnipegparent.com/june12/family/family-1.html | title=Dr. Jay Buenafe brings Painless 30 Second Circumcision to Winnipeg | publisher= | work=Winnipeg Parent | quote= | date=16 Jun 2012 | accessdate=2012-06-16
}}</ref>
Jay Buenafe emmigrated to Canada from the Philippines,<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=Buenafe, who came to Canada from the Philippines in 2002. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> where circumcision is considered a right of passage, and 80% of Filipino males are circumcised, according to the WHO.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=In the Philippines, non-religious circumcision is routine and is performed on more than 80 per cent of baby boys, the World Health Organization reports. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> As a member of the Filipino community, Buenafe caters mainly to the Filipino community,<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=<q>I'd been getting lots of demand from my patients, specifically in the Filipino community,</q> said Dr. Jay Buenafe. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> although he also extends his services to non-Filipinos.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=<q>"and people from different religious sectors and foreign countries who have this as a tradition,</q> he said. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref>
As with [[Neil Pollock]], infant circumcision is Buenafe's main source of income.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=This is the bulk of my practice. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> Even before adopting the [[Mogen]] technique from [[Neil Pollock]] (Buenafe started using it in April, 2012.),<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=...Buenafe started using it at his Jefferson Avenue clinic this month. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> Buenafe had already been performing circumcisions for a number of years among the Canadian Filipino community,<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=He's been performing circumcisions for a number of years for Filipino-Canadian patients' newborn boys... | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> as well as for parents of other religious and ethnic backgrounds.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=<q>and people from different religious sectors and foreign countries who have this as a tradition,</q> he said. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> Buenafe charges $299 per newborn circumcision.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=<Buenafe charges $299 to perform the procedure on babies younger than two months. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref> (Source last checked on June 17, 2012)
Buenafe's website is a near mirror-image of that of [[Neil Pollock]] and [[Pierre Crouse]]. Some of the diagram images he uses are exactly the same, and some of the sales points are repeated verbatim. Buenafe praises the [[Mogen]] technique which he coins as "The Pollock Technique"<ref>{{REFweb
| quote=Buenafe Circumcision Clinic performs circumcisions using Pollock technique... | url=http://www.circumcisionmanitoba.ca/faq.php | title=FAQs | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref> and he advertises it as "innovative, virtually painless," and taking "under 30 seconds",<ref>{{REFweb
| quote=A quick, safe, and virtually painless circumcision technique... A thirty second procedure with excellent cosmetic result. | url=http://www.circumcisionmanitoba.ca/index.php | title=Buenafe Infant Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref><ref>{{REFweb
| quote=Our procedure takes under 30 seconds | url=http://www.circumcisionmanitoba.ca/parents-guides-to-circumcision.php | title=Parents' Guides to Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref>
(An interesting note: As of April 2012, the Canadian Pediatric Society has not yet reviewed the so-called "Pollock" (AKA [[Mogen]]) method.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=A society spokesperson said Wednesday the Pollock method Buenafe performs hasn't been reviewed. | date=19 Apr 2012 | accessdate=2012-06-16}}</ref>)
Except for a few changes in wording, Buenafe's "Parents' Guide to Circumcision" page is nearly identical, to those of [[Neil Pollock]] and [[Pierre Crouse]], 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=We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perceptions), a topical freezing cream, and a local anesthetic injection. | url=http://www.circumcisionmanitoba.ca/parents-guides-to-circumcision.php | title=Parents' Guides to Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref>
=== "Virtually Painless" ===
Like Neil Pollock and Pierre Crouse, Buenafe promises the "Pollock Technique" (AKA the [[Mogen]] technique), along with his pain control methods to be "painless," affirming his customers with the techniques he uses.<ref>{{REFweb
| quote=All the following steps are taken to ensure your son has minimal discomfort during the procedure. | url=http://www.circumcisionmanitoba.ca/process.php | title=The Process | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref><ref>{{REFweb
| quote=We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perceptions), a topical freezing cream, and a local anesthetic injection. | url=http://www.circumcisionmanitoba.ca/parents-guides-to-circumcision.php | title=Parent's Guides to Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref><ref>{{REFweb
| quote=A relatively new approach has recently been developed that allows for a virtually painless and bloodless procedures to be done safely in seconds. | url=http://www.circumcisionmanitoba.ca/faq.php | title=FAQs | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref> As Pollock, Pierre Crouse, Buenafe announces that the pain control methods used are Tylenol, sugar, a topical cream, and a local anaesthetic injection.<ref>{{REFweb
| quote=We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perceptions), a topical freezing cream, and a local anesthetic injection. | url=http://www.circumcisionmanitoba.ca/parents-guides-to-circumcision.php | title=Parent's Guides to Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</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
In a manner similar to Neil Pollock and Pierre Crouse, Buenafe promises a circumcision procedure that is "innovative, virtually painless," and taking "under 30 seconds",<ref>{{REFweb
| quote=A quick, safe, and virtually painless circumcision technique... A thirty second procedure with excellent cosmetic result. | url=http://www.circumcisionmanitoba.ca/index.php | title=Buenafe Infant Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</ref><ref>{{REFweb
| quote=Our procedure takes under 30 seconds | url=http://www.circumcisionmanitoba.ca/parents-guides-to-circumcision.php | title=Parents' Guides to Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</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 and Pierre Crouse, Buenafe sells the [[Mogen]] circumcision technique, which he coins as "the Pollock technique," as a new and recent development.<ref>{{REFweb
| quote=Buenafe Clinic practices an innovative approach to circumcision that allows for a virtually painless procedure to be done safely in under a minute. This technique was developed by Dr. Neil Pollock... | url=http://www.circumcisionmanitoba.ca/index.php | title=Buenafe Infant Circumcision | last= | first= | publisher=Buenafe Infant Circumcision | website= | date= | accessdate=2012-06-16
}}</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= | website= | date=2011-04-08 | accessdate=2011-04-08
}}</ref> Closer inspection reveals that the so-called "Pollock technique" (AKA the [[Mogen]] technique) is not 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= | website= | 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) is a slotted shield... | 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>
|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>
Buenafe admits that the Canadian Pediatric Society does not endorse infant circumcision, as they ascertain that there is not enough evidence to do so.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=<q>The Canadian Pediatric Society still doesn't recommend it,</q> he said. | date=19 Apr 2012 | accessdate=2012-06-16}} </ref>(The Canadian Pediatric Society has said there is no point to circumcision since 1982.<ref>{{REFnews | last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=Since 1982, the Canadian Pediatric Society... | date=19 Apr 2012 | accessdate=2012-06-16
}}
</ref>)
In addition, as of April 2012, the Canadian Pediatric Society has not yet reviewed the so-called "Pollock" (AKA [[Mogen]]) method.<ref>{{REFnews
| last=Sanders | first=Carol | coauthors= | url=http://www.winnipegfreepress.com/local/new-circumcision-method-faster-safer-md-148056045.html | title=New circumcision method faster, safer: MD | publisher= | work=Winnipeg Free Press | quote=A society spokesperson said Wednesday the Pollock method Buenafe performs hasn't been reviewed. | date=19 Apr 2012 | accessdate=2012-06-16
}}</ref>
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