We are pleased to offer voice, and live video telemedicine meetings with our physicians.
If you are not located near our Seattle, Bellevue, or Auburn clinic, you may find it convenient to meet with your doctor over the phone or over secure video.
As a new or potential patient, you may find this convenient for a few reasons:
1. You can talk with Dr. Attaman or Dr. Sultana to see if your case is something we can help with prior to traveling to Washington to meet us in clinic.
2. You can gain insight and advice about your pain issue. Perhaps you need ideas to discuss with your current pain physician, or want to know how to guide your primary care physician to the proper work up and specialist referrals.
If you are an established patient with Dr. Attaman or Dr. Sultana, you may find a telemedicine follow up visit to be convenient:
1. You can have your follow up visit from the comfort of your own home or office
2. You can avoid traffic and travel times to one of our offices
It is almost always better to have a visit in person with us in our office. However, when this is not possible or convenient, you now have another option.
If you are interested in scheduling a telemedicine visit with Dr. Attaman or Dr. Sultana, click the button below.
Hi Dr. Attaman,
I don’t have insurance in the US so it’d be difficult to afford a telemedicine consult but I’ll still book a consult if you can indicate after reading my problem below that it is something you may be able to help with.
At age of 32, I started using Accutane and suddenly had sexual dysfunction, literally overnight. I stopped it but sexual dysfunction didn’t go away. I’d take Cialis 5mg and it’d work fine and I’d be back. Then sometime later, I took Finasteride/Minoxidil and within 2 weeks of that, Cialis stopped working. Penile area became numb. Increased dosage to upto 60mg and nothing. Changed brands. Tried alternatives. Nothing worked.
For Cialis/Viagara etc to work, you still need some baseline arousal and it seems to me that the brain is not sending arousal signals to penile area. I read that Pudenal Nerve is responsible for carrying signals between the brain and the penis. I don’t think there is a nerve damage as I don’t have any pain, rather I’ve drastically reduced sensations there. Almost like that nerve is deactivated.
Is this something you can help with? Of course, this is just a guess that it is related to Pudenal Nerve but who knows what it is.
Also – I’ve already had lots of tests – MRI to test for tumor in the brain/pituitary, Penile Doppler Test, Angiogram, Artery Thickness (IMT), various hormone tests, neurotransmitter tests to rule out cardio-vascular issues, hormonal issues, neurotransmitter issues. All tests have been good.