What If It Did Work?
What If It Did Work?
Enlarging Possibilities: A Candid Conversation with Dr. Joel Pash
Have you ever wondered why men rarely talk about size concerns, even as cosmetic procedures become increasingly normalized for women? In this fascinating conversation with Dr. Joel Pash, we pull back the curtain on the secretive world of male enhancement and discover why more men than ever are seeking solutions.
Dr. Pash, an anesthesiologist by training and co-founder of Upsize Clinic, reveals how his expertise with complex injections led him to revolutionizing male enhancement procedures. Far from the risky surgeries many envision, the modern approach involves a 45-minute injectable procedure with immediate results and minimal recovery. With effects lasting approximately two years, it represents a safer alternative to permanent surgical implants that can lead to serious complications.
Throughout our candid discussion, we explore why men across America – from metropolitan hubs like San Francisco and Miami to everywhere in between – are quietly investing in these procedures, often without telling even their closest friends. Dr. Pash shares shocking stories of medical tourism gone wrong, with patients seeking bargain procedures in Mexico or Eastern Europe only to require corrective treatment later. At around $6,000, these procedures aren't covered by insurance, yet demand continues to grow as men seek the same confidence boost women have long pursued through cosmetic enhancement.
The parallels between male enhancement and other cosmetic procedures prove enlightening – from the psychological benefits to the potential risks when cutting corners. Whether you're curious about the procedure yourself or simply fascinated by this rarely discussed aspect of men's health, this episode offers unprecedented insight into why size matters and the lengths men will go to address their most private insecurities.
Discover more about safe enhancement options by visiting upsizematters.com, where you can find a qualified provider near you through their doctor finder tool.
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I never told no one that my whole life I've been holding back. Every time I load my gun up so I can shoot for the star, I hear a voice like who do you think?
Speaker 2:you are all right. Everybody. Another day, another dollar. Another one of my favorite episodes. My favorite podcast is unbiased season four of what if it did work? This is something new, something uplifting I guess you can say A supersized episode. Dr Joel Pash, co-founder of the Upsize Clinic and the medical director of its San Francisco location, completed medical school at Midwestern University in 2006, then went on to complete residency in anesthesiology at the University of Calgary. Since finishing his residency in 2011, he has performed thousands of complex injectable procedures, including nerve blocks, epidural and spinal injections, intravenous and arterial catheters and penile injections. You know, joe, I have a degree in mass. Only I've got a master's degree in journalism. These three and four syllable words, man, they're wordy. He has published academic papers on subjects such as operating room management and pain management. He is on staff at several hospitals in Northern California, as well as two upsized clinic locations. How's it going, doctor?
Speaker 3:Good, how are you? Nice to meet you, nice to be here.
Speaker 2:Doing great man. So I never realized there was a pandemic or an epidemic such as this until I read the notes. Man, for starters, are you a urologist?
Speaker 3:I'm an anesthesiologist Okay. So how did you get?
Speaker 2:into this, being an anesthesiologist.
Speaker 3:Well, as you kind of pointed out in the intro, anesthesiologists do lots of injections, so you know we put people to sleep for surgery. But also what we do are pain injections, so we do, you know. People know that we do epidurals for childbirth and spinals for childbirth, as well as nerve blocks for orthopedic surgery procedures, for example. Uh, so there's because we have experience in all those injections. It's actually pretty straightforward for us to inject other things in the body. It's the injecting a penis is actually easier than injecting putting a six inch needle in someone's spine I think I'd rather be doing that, but yeah, well these are brides, actually, the the uh.
Speaker 3:Penis injections are more straightforward and easier, to be honest, but now a lot of people how?
Speaker 2:when did people start? Well, there's no people, there's only men. When did men start doing male enhancements? I've never really heard it. The only thing I heard was the rumor when sylvester stallone had like a botched penile implant and who knows if it was true or not like maybe five, six years ago.
Speaker 3:Yeah, he might've had a penile implant for erectile dysfunction, which is the common reason to have it, and it could have been botched. I guess we don't know. But people have been putting things in their penis for hundreds of years. It's just that recently it's become safe and more effective. We actually get phone calls from people. They'll say you know, I've been in jail and I have beads in my penis or something, and this is something that I didn't know about before I got in this business. But people put all kinds of crazy things in there. So that is not new. But what is new in the last 20 years or so is that there's dermal fillers that can be put in quite safely and then, because it's become more commonly done, there's people that are good at doing it.
Speaker 2:Now you're based out of San Francisco. Now is this more of an epidemic just based on the liberal lifestyle per se, I guess, of the Bay Area, or this is an ongoing thing throughout the whole country?
Speaker 3:Yeah, it's a whole country. Obviously we have about 20 clinics now. The liberal progressive, that kind of thing. Those are the big cities, right, for better or worse. So it's big in New York City, los Angeles, San Francisco I'm shocked Probably here in South.
Speaker 2:Angeles, San Francisco I'm shocked. Right here in South Florida too, I'm I'm completely shocked.
Speaker 3:Well, I was going to say I have an office in Fort Lauderdale and I don't know if you do. You consider Miami a conservative or a liberal.
Speaker 2:No, no very, I'm sure, plenty of men in their 60s, 70, 70s, 80s that find the love of their life, and you know a woman who's like in her early 20s she finds her soulmate in the form of a 60, 70, 80 year old guy, you know yeah sometimes you need that, that extra, you know. Father time sometimes, you know, can be cruel when you're in your 60s, 70s and 80s.
Speaker 3:We have an office in Fort Lauderdale and the there's actually, I would say, or I'd say South Florida is one of the busiest places to get this done in the country is one of the busiest places to get this done in the country Not necessarily our office that's the busiest, but there's the most doctors doing it there and probably the most procedures being done in general.
Speaker 2:Now, doc, wouldn't you think that primarily the natural male enhancement a lot of times would just be either the size of your wallet, or you can always just show the woman your Fidelity bank account or Charles Schwab, or another form of showing assets, assets. I'm sure that even a micro would look like you know, somewhere between John Holmes or Ron Jeremy. You know the asset allocation is there.
Speaker 3:Yeah, it's a good point. It's something I think about a lot. Actually, every now and then I'll have a patient that is like this is kind of a common thing, where they'll say, you know, say it's someone that is not super flush with money and maybe they saved up a lot for this procedure, and they say oh yeah, I'm doing it to, you know, surprise my wife or whatever, and I have a guy like surprises the the either the young wife or the well, you should take your wife on a cruise, right?
Speaker 3:because if, if you, if this is, like you know, getting in the way of doing those kind of things, then the wife's not going to be happy. As you pointed out, they, but a lot of guys that do this, are doing it to as an additional thing for themselves, right To the same same way that women get breast implants to make themselves look better and maybe have better confidence, and all that guys are doing it for the same reason.
Speaker 2:I mean I'm somewhere in between Cause I. I remember in the seventies and eighties. You know you just jam a tube sock there or maybe a, a roll of quarters and and 80s. You know you just jam a tube sock there or maybe a roll of quarters and there you go. You know, I guess I'm about 52. You know, I remember in college, you know Lorena and John John Bobbitt, and I'm like wow man, we, we can pretty 30 years ago. Like wow man, we can pretty 30 years ago. I'm like man, we're on the verge of curing cancer if we can reattach a man's dick back on his body. But that just goes to show you, man, we have our importance. At least we know. We can only know the technology these days could probably do it pain free and without scars.
Speaker 3:Did they get it back on?
Speaker 2:Yeah, working and everything. Uh, I think he made a couple porn star movies. And then, um, howard stern did I remember because I was watching the pay-per-view special in my in the fraternity house and, um, they were raising funds for, I'm assuming, a surgery like that especially, but even back then was like 100k back in 1992 or something like that. So, yeah, but yeah, no, it's, it's reattached. Uh, last I already lost a couple of toes from diabetes or something like that, but it's still working so good for him now.
Speaker 3:Yeah, john, if you're watching, come on in, we'll make it thicker now.
Speaker 2:Now, joel, I gotta, I gotta ask this on so how long? Because it's it says. Everybody thinks like, guys think this, you know. Is this usually standard and in and out procedure just one or two times, or is this like a lengthy process? Is this like a rhinoplasty that can be done in like three or four hours? I've never really looked into any of this.
Speaker 3:Yeah, it can be done in 45 minutes to an hour. It's an injectable procedure. It's not a surgery, so it's a lot more. You look at it more like closer to a botox or face filler kind of thing, rather than a surgery like breast implants. You don't need general anesthesia, you don't need any real pain control afterwards, it's just injections. It can make everything thicker, it works right away before you leave the office and it's pretty safe. But it is not a surgery and that has its benefits, obviously.
Speaker 2:So, joel pre going in. You can wear like the skinny jeans afterwards. You know you're, you're flush with excitement. You've got girth, you. You have to probably walk out there with, like you know, those really baggy um short shorts with the pockets and all yeah, in fact, in our aftercare instructions we tell them to bring a new pair of pants.
Speaker 2:That's of course, man, you know you wear the wranglers, you know you can't fit in the Wranglers after you know such. But OK, I know you don't botch it. But who is it? Because like people are going like, instead of going to your you know your clinic, they go down the street, I don't know. They go somewhere like San Jose instead of try to save some money and some backdoor guy and he's, he's trying to make someone's dick bigger. Cause cause that happens here in South. You know you hear stories in New York here that you know people go to save money and they're like in someone's house and they're like, well, I, I didn't realize injecting cock into my butt, I wasn't going to get a Brazilian butt lift.
Speaker 3:It's a problem in plastic surgery and cosmetic stuff in general.
Speaker 2:It's common for people, for example, to go to Mexico to get stuff done because it's cheaper and probably you can get perfectly good surgeries in Mexico, but I'm sure you can get a lot of bad ones also, joel, maybe I'm biased, but if it comes with dealing with anything with like, if I was a woman, my boobs or my nose, because I have a real honker or you know, I've got the micro penis, especially a guy I'm not going to be like I'm trying to find the cheapest. I'm not going to be like I'm trying to find the cheapest. I'm trying to go somewhere in Guatemala and.
Speaker 2:Honduras to try to find the cheapest person that can do this.
Speaker 3:They do that, though, right.
Speaker 2:It's like I mean common sense. That's why, when I read the story, if I want my, my ass to be like 20 sizes big, I think I'm going to go to a real doctor. Size is big, I think I'm gonna go to a real doctor and I'm like, oh yeah, my my friend linda says to to go down to her neighborhood guy, you know, goes to lowes, gets some cock and he just jams it up my butt and you know, before you know it, I look amazing I think that there's a few things.
Speaker 3:Number one all these things are expensive, right?
Speaker 2:so inherently so what you're saying is you'd like the united health care plan they're not covered none of these insurance covers like I can't. I can't say, hey man, I'm flaccid, I I'm micro, I need some girth like that's. That's not like. No insurance company would pick that up I don't think so.
Speaker 3:I, we, that's another inquiry we get and basically medicare doesn't care if your dick is like slightly smaller.
Speaker 2:Oh, come on, not even medicare. I mean, either you're 65 and older. I mean, come on, at least give them some some happiness, or or you're disabled for two years, so at least give them some hope. Man, I would say that surgery I mean. So overall, I don't care how much it costs in Mexico. Overall, how much would a procedure not that I'm looking for myself I'm sure people think I might be at being 52, but in this country what's the average price for this procedure? Probably like $6,000. And they're going somewhere in some backdoor to try to fix their dick. Holy smokes, man, people are crazy.
Speaker 3:I mean a lot of it is people don't know right, like. The one thing is that in the United States, a lot of doctors can do anything. There's not really any regulations from stopping a doctor that doesn't know what they're doing or how to do a good job from doing it. So that's number one. So you'll see clinics offering things that are cheap not only dick procedures but anything. And the second problem is that people don't know right, like a lot of people aren't good consumers for health care and they just read a website or a brochure or something and then well, six thousand, or just go to my next door neighbor who can do it for like 60 bucks.
Speaker 2:I mean, you know, yeah it's, it's crazy.
Speaker 3:But we we get inquiries from people all the time and they say, hey, you know yours is six thousand and this other doctor's like twenty five hundred dollars, and we know that it just can't be. So it's like, okay, I go to that guy then right. But if that was your, the guy like in your kitchen, right, and one was right and one was $20,000 and one was $3,000, you probably think, well, I'm going to do it.
Speaker 2:Well, common sense would say the $3,000 guy drove off to Home Depot, picked up a couple of dudes that's his team and you know, something tells me they're going to cut corners. Something tells me they're going to cut corners and from afar, like 50 feet away, it might look decent. But if you look close you're going to have to replace that, I'm sure, sooner than later.
Speaker 3:Right and you're probably right. So I think people just aren't. And now don't get me wrong. Obviously we have patients that come and we're good at what we do.
Speaker 2:But yes, there are people out there that make bad decisions. Now you're an anesthesiologist and we read your bio at the very beginning about where you completed. You went to Midwestern University Now, at 2006,. During commencement, joel, were you ever like? You know what? No, in less than 20 years, I'm going to be the dick doctor. I'm going to be the guy that helps men. Just become bigger, become huge.
Speaker 3:I would have never thought that. But I will tell you that I just to give you some perspective about five years ago, when I first started doing this, I didn't want to tell anyone, right like I didn't want to tell any of my relatives or family or anything well, because they bust your balls, man, yeah exactly right.
Speaker 3:So I so finally, like once we started getting busy and it was a thing that I was actually doing, my wife and I sat my mom down and said hey, mom, you know, we just want to tell you a new business and whatever, and, and she go, and so she says what? So we told her and the first thing she says is I'm not surprised. So I guess, like my point is no, I had no idea I'd be doing it, but it's. It's like. You know, you have to have a certain personality.
Speaker 2:Well, yeah, you're easygoing, because most doctors I mean I'm here, you know, I knew you weren't super conservative just by reading. I mean you can't be like you know some Puritan or some LDS guy and you know you're the dick doctor, you know it's not like well. I'm going, I'm going, I'm going to church every day and then, when I'm not, in my Bible study. You know I'm giving guys girth because you know Jesus told me I needed to do this. This was my mission to give give guys a fuller life.
Speaker 3:We actually have a doctor that's a full LDS guy. Um, he's awesome. It's a guy that I've known his brother since high school, and I caught up with him like I hadn't seen him in 20 years or maybe even 30 years, and we ended up living in the same city. So I caught up with him and his brother is a doctor and he ended up joining Upsize and now he's doing injections. He's like full mormon, goes to church every sunday.
Speaker 2:You know exactly you know, you know he. He fudges. I know more lds or like I mean I. I couldn't see him going to the mormon temple once a quarter or whatever, and they're a doctor. So what are you doing?
Speaker 3:well, you know I do procedures, I, I help men out right, he's probably not handing out brochures, that's yeah yeah, I'm sure he's not like hey, you know why we're called upsize yeah, having said that, I'll give him credit, because you could google his name and it comes up, so it's not a secret.
Speaker 2:So I think I mean, do you google your friends?
Speaker 2:if my no, but I mean for sure people google you right, like you're, you know, trying to uh maybe well, if, if, if, I was wanted to go to upsize and I wanted to go to you, yeah, I would want to make sure that that you know you didn't go like overseas, like or, or Central America or the Caribbean, right, exactly, become an MD. I know there's, I know plenty of people. My, my ex-wife was a pharmaceutical sales rep and back in the day, when you could go to dinners and all, and she's like, oh yeah, this doctor graduated from La Escuela de Guadalajara. Yeah, I was always like what the fuck?
Speaker 2:I mean the first thing I do, man, if that's my primary, I want to know where they're, you know I want them to go hey, you know what I partied? Sorry, I sucked. I barely graduated. I had to. I had to go to friggin you know el salvador for, for to get my md yeah it, especially when they're working on your dick, right?
Speaker 2:oh, yeah, that's what I'm saying. I mean, you're, to me it's common sense when you're like, well, if somebody is like pricing 6 000 or the 2500, I wouldn't be like. Well, hey, you know what, for the $3,500, I don't. Oh, it's in Monterey, so I can go to the Monterey Jazz Festival. I don't have to drive all the way down to San Francisco, I can save $3,500. We could go on a trip somewhere.
Speaker 2:No man, in fact, also, common sense would be, if it's that much cheaper, what's not included, I mean it is. You know, do they just like kick you out after the procedure? No, man, I mean, if you're going to do something, it's like if I was a woman and I had size A cups and I wanted to look like a porn star for my high school reunion, you know, all of a sudden I've got these. You know I'm not going to be like, hmm, cheaper is better. Oh yeah, I want one to look this way and the other one to. Well, I'm a little Marty Feldman. Have you ever heard of that actor? He had, like he was in all the Mel Brooks movies. He'd have like one eye Going that way and the other eye it was like his real condition. He was like a famous movie star. Just because I don't know what condition, it's not a lazy eye, but he made money and became famous From it. So talk to here's something too.
Speaker 2:Overall, there's got to be some pain involved. I know you're an anesthesiologist. Hey, I got a double hernia, for after getting that operation you know where. It's amazing. But once the anesthesia, you know, once it, everything goes off. You know all the painkillers subside, holy smokes. So is is this like that? I've also had a vasectomy that women say that's a piece of cake. Until you know you, you feel like you're the hunchback of notre dame walking around because, right, you know there's.
Speaker 3:it's really not that bad. Uh, it's. It could be daunting, right, because you know there's going to be a needle going in there, but the the feedback I get is it is maybe sore for a couple of days, but not like no one ever needs pain medications or anything.
Speaker 2:OK. So it's not like you're. You're giving them some, some heavy meds for like four days or a week.
Speaker 3:No, I've never prescribed anyone pain medications in probably a thousand procedures, just for perspective. For sure, people probably take Tylenol or Advil or something. But most people say, yeah, it's like bruised and maybe a little bit sore, but it's not horrible bruised and maybe a little bit sore, but it's not horrible now.
Speaker 3:Now is this one and done or do you have to come back three months later to get another shot, or uh. Well, the one we do is, uh, a kind of what we call a semi-permanent filler, so it lasts about two years on average. It that varies a little bit, some people more, some. There are permanent fillers that you can use, but we don't use them just because they, if you do, have any complications. Permanent fillers are not ideal because you can't, you can't, remove them without surgery. Now, because the ones we're using are temporary. We don't really have any any complications. Using are temporary. We don't really have any any complications. If something doesn't look good, which is rare, but say it doesn't look good, it can be dissolved and fixed and redone. If something doesn't look good and you have and you're using permanent materials and need surgery to change it, now two years.
Speaker 2:What happens in two years? It goes back to its normal height, weight.
Speaker 3:Yeah, like your body just, uh, absorbs it over time. So it's not like you have a bigger penis and then exactly in two years it's like back to normal. Just over time gets degraded um on a daily basis and after two years like a good part of it's gone. So at that point people usually just come back and get more.
Speaker 2:Well, at least you have return customers. We have return customers, and that's good, though, because you know I can only imagine. You know you're hung like a porn star. Then you wake up one day, two years later, and you know you can wear the skinny jeans again yeah, that's, that's definitely a benefit.
Speaker 3:Right, all your old clothes start fitting again so it's so ultimately, though.
Speaker 2:Now, what's the percentage, though? Because it says it says here that it's a growing, growing concern of people going to either back doors or uneducated people. Is it actually high, is it? Are you telling me there's people that fucking stupid that you know they'll go to their neighbor to try to lengthen their stuff?
Speaker 3:or yeah, like I. Okay, I'll give you all kinds of examples. In backing up and not talking about dicks, um, mostly women, because they're mostly the ones that get like facelifts and breast implants and stuff like that. They there are tons of people go to mexico or central amer America or Eastern Europe and stuff, and when I, I still do anesthesia in the hospital two days a week and it's not uncommon to see people come with complications and we have to remove breast implants or redo things or infections and all that, and that's just from that's been going on forever. Now with the penis, it's exactly the same. Like there's people that advertise in mexico that they're doing this for a third of the price and, um, like said, some of them are probably fine but some aren't, and you, you don't really know what you're gonna get but.
Speaker 2:But, joel, I mean, okay, a third of the price, but for me to get to Mexico I'm going to have to buy a flight.
Speaker 3:Well, if you're in San Diego, right, you might be able to drive.
Speaker 2:Oh well, so I'm going to Orange, which is even more of a red flag, right?
Speaker 3:Yeah, you're probably better off getting something in Mexico City than in Tijuana.
Speaker 2:Yeah, probably better off getting something in Mexico City than in Tijuana. Yeah, I would think Mexico City is a safer bet, but still like, ok, if I'm going to go to Mexico City, I'm still or anybody. You said there's procedures. Eastern Europe yeah, such a beautiful area too. I'm sure all these places you go to the Ukraine I don't know what airline flies to the Ukraine, but that's still my time. Instead of going to see you or going to. I live down the street from Fort Lardo, so not that I'm going, but I mean time is money, so I'm going to have to fly to one of these places. I'm going to have to get a hotel I'm going to have to worry about. I mean, some of these places are kind of sketchy in the sense that you know they might kidnap you in Mexico, they might kidnap you in Eastern Europe. You know anything can happen. I mean, there's not much of a savings if you add everything up.
Speaker 3:Man probably not I.
Speaker 2:I agree with you um even when I laugh and say, like you know, el salvador, like I said, I don't think anybody wants to stay in some shithole. I mean, that makes the ramada inn and motel 6 look like it's, you know, the ritzcarlton here.
Speaker 3:Like I have a guy. He actually came in. So, like I said, the filler is dissolvable, so which is good. So there's a guy that came in to see me in florida, in in fort lauderdale, to dissolve his mexican filler because it just looked horrible. And uh, I asked him, like you know where did he go? And I don't remember, to be honest, but he told me how much he paid and that he had got like, so we sell the filler by the milliliter, more milliliters, bigger penis. So he said, oh yeah, you know, I got 20 milliliters of filler and it was like you know, four thousand dollars or something, and normally that would be like ten thousand dollars. So I said, but I said, I said, dude, you don't have, he didn't give you 20 milliliters of filler, he gave you like eight milliliters of filler, like because I can just tell right.
Speaker 3:So not only did the guy fly all the way to mexico and it looked like shit, but he probably got four thousand dollars worth of filler. But he just got lied to. So you know, it's there. I mean, we're, we're both saying the same thing, right, there's multiple reasons why not to do that well, I mean, he got ripped off too.
Speaker 2:You know, here he wanted he, he wanted to go for the big mac and and instead he, he just got the normal cheeseburger, you know right and he's paying me to dissolve it, which?
Speaker 2:Yeah, exactly All that. And you know your ego still hits you, because you know, in society, the reason why we overspend is because we want to look like. You know we're a hashtag winning. So think about it. Yeah, I decided to go cheap. I mean that's a blow to the ego too. I mean you should have been like Joel. You know what. I don't know what happened. You know I was here, I was at Rio de Janeiro somewhere. I woke up in ice and just a bigger penis.
Speaker 3:Yeah, my kidney.
Speaker 2:One of my kidneys is missing, but the but they did do me the service of putting yeah, I I mean, I don't know whether they felt sorry for me or whatnot, but you know, so I, I get it, man, but and and shoot it's. I think also, though, is the reason why nobody knows about this is because, I mean, who goes like to the gym, or you know, you're at a concert, or you go to Vegas for a weekend with a bunch of buddies? He's like you know what I did, joel.
Speaker 2:Yeah, I think it's fine man.
Speaker 3:I got a procedure I wanted to be packing, so I got a procedure I I wanted to be packing, so I got that procedure, you know I mean no, nobody ever says that gay guys are the best because they they'll tell all their friends they don't care. Um, now, maybe that's that's a generalization, but but I have gay patients that well, you are in san, I would assume in san francisco.
Speaker 3:They're one or two and in miami too right like oh yes, that's it right so, but they're great because they generally like they, you know they want all their friends to know they have a big dick and that they gotta of course, man, they're always wearing uh, usually they're.
Speaker 2:They're the ones that wear skinny jeans. They don't care. If you know, their whole package is showing you know, to me it's like advertisement. They're like hey, this ain't a tube sock down here.
Speaker 3:So but, um, yeah, like a lot like straight guys they the amount of times that I've heard. You know, doctor, this is the best thing ever. I I wish I could tell my friends, but I can't tell my friends, right?
Speaker 2:So I don't blame them because I mean think here I know a couple of people that had big noses in high school and I grew up in a working class neighborhood in Miami, so it wasn't like everybody could just sling the price. But their parents, who knows if they emptied out the bank account or checking account, but you know, they went from the hawk nose to you know, all of a sudden, the Jodie Foster nose during summer and you know never, said hey, look at me, and nobody, you know, I guess nobody noticed. I mean I did, because you know I always noticed stupid shit. Maybe it was the journalist in me and I'm always in everybody's business, but I mean I'm like, and I went years with like, talking to my buddies and it was like nobody ever said, hey, you know great, great job, or why did you do it or anything like that. You know great, great job, or why'd you do it or anything like that.
Speaker 2:But if, if, a lot of women, unless you know you're, you're completely flat. And then all of a sudden, yeah, I've, I've known women like that. You can't be. Oh yeah, the you know these just grew when, from the time I was flat 22 to you know, all of a sudden at 24 I have these. But but yeah, I mean, think about it. Even face, I mean. You look at stars like lionel richie. His friggin neck looks like a 70 something year old, but the guy looks like you know, has so much work. He looks like he's in his 20s. He's got no wrinkles, I mean. And people just don't. It's not like he's like hey, I'm on american idol, say you, say me, look at this, I just got another procedure done.
Speaker 3:It's just we don't like to say that we have imperfections yeah, well, I think, with, like the old, like when you get older, like with those kind of things, with facelifts, people want you to think that they're young, right, so they don't want to go tell everyone hey, I'm not really young, everything you see here is bullshit. I just got a facelift right, so, so that would defeat the purpose. And then, yeah, with the with the noses, I, it's probably. People just feel like it's awkward. That's exactly it. It's awkward, like there's no reason why you couldn't tell someone hey, you look really good, like the nose looks great, right, in fact, that's probably what they want to hear, but people don't want to say it, right. And then, with breasts, like the big difference is that you get them done, you know everyone's gonna see it right, so oh yeah so and to a certain extent, when you are getting breast implants, you're doing it so that people notice.
Speaker 3:So you know one. Yeah, I mean we could joke around. You're wearing the tight skinny jeans and you can see your dick through it, like Robert Plant or whatever. But like that's not realistic, right? Like most people don't see your dick, but most people do.
Speaker 2:Well, I don't think you and I are looking too.
Speaker 3:Well, maybe that's true, but I'm like hey, dude, I see you got your pop and wood Right.
Speaker 2:I'm like hey, dude, I see you got your pop in wood Right.
Speaker 3:So if you're getting your dick injected and getting it bigger, you're not expecting people to know, right?
Speaker 2:Well, because you're telling people you weren't packing, which is, like, you know, unless you know, not that I'm racially, you know, throwing that out there, but you know, unless you're Asian, you know, unless you know, not that I'm racially, you know, throwing that out there, but you know, unless you're asian, you know nobody wants to say, hey, you know what I'm, I'm not not packing. So and I, I could say that because on gq magazine I don't know who did the the measurements on the average, you know, I, I think, like ghana and some and some of the countries had the biggest and like most of the smaller countries were out in asia so so uh, black people have bigger penises than I don't know, because I don't, I don't, I don't watch it.
Speaker 2:It's like when my it's a fact.
Speaker 3:It's like uh, first of all, I guess, no, it's not like I'm saying I'm going to the gym and go.
Speaker 2:Oh yeah, hey I, I, I can tell you you must be part black but you can just say that you read uh it in the.
Speaker 3:Yeah, well, it was a.
Speaker 2:It was an article. Because you know it's got to be, because you know I I remember my ex-girlfriend asking me if I watched bbc and I'm like the hell am I watch? I don't want to watch the british broadcast. And when? She told me what it was. You know, I had to look like I. I just watched the Exorcist for the first time Like, yeah, no, I'll pass on that. So as I forget where we left off, but no, we're talking about how you know when you have something like that, you know.
Speaker 3:Yeah, you don't want everyone to know, but it's, I think you don't. Just because, like you're, you're not used to people seeing that. The assumption is no one sees your dick and everyone sees your breasts if you're a woman yeah, but okay.
Speaker 2:Now, speaking of robert plant, I know like when we were much younger, jody foster had the number one nose requested. Now, when you get this procedure, do you get people? Well, they would have to be my age and a little older and go. You know what I want to look like Led Zeppelin, robert Plant.
Speaker 3:Like, do they bring in the picture of someone's dick? Yeah, yeah.
Speaker 2:They're like hey, that, not that I look at at dick sizes watching porn hub, but you know, I I want to look like this guy I have.
Speaker 3:Actually. It's funny, you know I said I have a few patients that are porn guys, that, like you know, performers or whatever, and I do have one patient that has brought in, like his phone. He'll be like yeah, look at this dick like this is the dick that I need to have that's like the, that's it.
Speaker 2:That's like the jody foster knows. Yeah, exactly like. Oh, you have jody foster.
Speaker 3:It's 1980s.
Speaker 2:Jody foster knows of dicks of dicks or it's like um uh, george takei, when I I don't, I I guess I've heard it sampled a bunch of times. I think he was judging penises on the howard stern show and oh, you have such a beautiful cock, so he was like that he's like look at this.
Speaker 2:This is such a beautiful cock, but here's. Here's another question, and and this, this is more for people out in Europe, because we don't have this problem or South America. Does anybody ever go? Hey man, you know what I look like the elephant man down there. I need a good circumcision and I need girth. Is it like an all for one? Do you guys ever hear any requests like that?
Speaker 3:Well, I don't do circumcisions because I'm not a surgeon, but my uh. We do have doctors within upsides that are surgeons, and it's actually something that we've thought about and talked about as if we should offer circumcisions because you don't.
Speaker 2:it's like you don't need to be circumcised to get this done, but it makes it easier and, um, yeah, but I mean all of us had the procedure like at, you know, in the hospital, or, if you're Jewish, on the seventh day or the eighth day but not.
Speaker 3:But there are a lot of Americans that aren't circumcised.
Speaker 2:There's gotta be like a massive pain threshold that one must go through for a male to have that done compared to, like you know, being a a newborn.
Speaker 3:I think it's very uncomfortable, yeah like.
Speaker 2:But guys there, a lot of guys will do whatever they have to do if you want to have a beautiful penis man, if you want to have that perfect one you have to damn your parents for for not having you in the united states. Right exactly we're like why couldn't I have been born in israel?
Speaker 2:now I have to now I gotta do it when I'm 45 instead of seven days now I wonder, though, if united health or signa or any of the, if they would cover like I'm sure you could fudge it in the way that it, you know, cover.
Speaker 3:Well, I mean, you wouldn't want to, right like you most of the time, like doctors that do cosmetic procedures, like one of the reasons they do that or one, I should say, one of the benefits of doing that is you don't have to deal with insurance, because insurance, oh yeah of course.
Speaker 2:Oh, trust me, I, I, yeah, I that that I know just from hearing my my. My old primary care was he wasn't a specialist, he was just your typical primary care. He's like being a doctor fucking sucks. Man. I'm telling my kids all the time not to be doctors. And you know if you're not in the field. You think you know, doogie Howser, that you know well. You would think Doogie Howser back then was getting chicks, but you know, doogie Howser, that you know you well. You would think Doogie Howser back then was getting chicks, but you know he was 11th grade or something, wasn't he?
Speaker 3:Something like that, yeah, did you think he was getting the chicks from 11th grade? Cause he wasn't really like hanging out with the. The story was that he was a doctor but he was working in the hospital. So yeah, but he was, he was hanging out with that. One story was that he was a doctor but he was working in the hospital. So yeah, but he was, he was hanging out with that one kid that was, that was in the sopranos.
Speaker 2:So you would think like afterwards I mean, think about it, dude, if, if you could go back in time to your high school and parade and say, hey, you know what, I'm a practicing doctor. I mean, even the guy, even Eric Stoltz in Mask would be able to get some women, I think. Just a simple fact. You know, confident guy, he's a doctor, you know he's going places.
Speaker 3:Are we talking about? If you are we talking about, like Doogie Howser, what's his name?
Speaker 2:Not the real dude, not the guy that played him. He was probably gay and when they're filming that, since he's gay now, I don't think he woke up one day saying so we're talking about the, the hypothetical like, yeah, like the hypothetical like if they showed you the stories oh, this 11 year old kid just graduated from mit.
Speaker 2:Now I wouldn't. I wouldn't want him to go to college and miss all the extracurricular activities at 12, 13, and 14. But hypothetically, if a doctor Doogie Howser in high school, you would think he'd be pretty popular. Is what I'm saying?
Speaker 3:I mean, let's go back to the 14-year-old kid doing the math degree at MIT. Do you think he's getting laid a lot? No, because if you're, I should say the 17-year-old kid.
Speaker 2:He's been reading books since he was like three or four.
Speaker 3:Right. Well, so isn't Doogie Howser the same?
Speaker 2:In my world. In my world.
Speaker 3:In real life, the guy that's the doctor and the 17 years old is not like the good looking guy that's getting all the treatment Also could you imagine?
Speaker 2:you know you're going to the ER Would you want, like some kid, like, oh, don't worry, this guy, this guy's amazing, he graduated medical school four years ago. But yeah, he's, you know, 17 years old. You know you don't care where he.
Speaker 3:He could have graduated from friggin to harvard or whatever like we used to get that when I was in med school and I was 27 or whatever, and then I think you're too young, right?
Speaker 2:so if you're like six, seven, whatever that's yeah, especially like at a, because he was working at a hospital. So you know, if shit goes down, you know. You know, like in the show, like er, I think the reason why they didn't throw, like you know, neil pat well, he was already an adult, but you know, you don't throw a high school kid in there because you know somebody's like oh, my god, my mom, my mom's dying. Well, oh, do you want you know the high school kid to be like hey, don't worry about it, I'm gonna save her life.
Speaker 2:that's like. That's like you know, if, if I'm going your place and you know you, you had the guy that graduated from mit or whatever you know there. I don't think there's anybody like, yeah well, you know, joel says he's great, you know, no, nobody's going to use that, right.
Speaker 3:Because you know.
Speaker 2:I remember when I was a failed journalist, I became a stockbroker, but I was young and they're like, oh, you know, I hope you're smarter than you look, because you look or people would say stupid shit Like you know, you look frigging too young to be doing this, not realizing it was just a sales job. But, yeah, like, like that aspect. You know experience and that's why you know it goes back to the point. You know you're like, oh, like, oh, yeah, people will do anything to save a buck, but I don't think there's any medical procedure, unless it was. Somebody wanted to teach me to get me certified cpr with the dummy you know. Then, yeah, hey, you know what. I saved 50 because you know it's not real. I'm well, not even because are they keeping these dummies clean? You know I want to be, like you know, knee deep in these mannequins that haven't been cleaned in months yeah, you just got off the rails on everything.
Speaker 2:Yeah. Well, here's here's my question, because I see in your notes there's permanent risk. I'm assuming the permanent risk is hey, I saved money, I, I went to ukraine. I I thought it really looked nice, you know I, I zielinski's a great guy, he's, you know, paddington bear so I decided to go over there. They botched it. There can be permanent damage, like what, like Limp Bizkit, it's limp.
Speaker 3:So again, we're doing injections, so it's pretty safe. I've never seen, even when they go to the sketchy people. If you're just getting injections, I think the worst thing is it just doesn't look very good. If it's a permanent filler that they've used, then your dick works fine. It just probably doesn't look very good. It's just there forever.
Speaker 2:Joel, the combat that man just show your bank account. Just drive up in a nice brand new car.
Speaker 3:But you're the guy that got it for $2,000 in Mexico, though, right, Well, yeah yeah, I don't think the guy drives it. He doesn't have the.
Speaker 2:Porsche in his driveway. He's like, hey, you know, I've got the 911. I made the payment because I got the botched penis surgery instead, but I got enough for one more month's payment. I think we have enough gas to go to In-N-Out burgers.
Speaker 3:Right so, but there are surgeries that you can get done, that can have permanent, actual, like real permanent problems.
Speaker 2:So then there's other methods of a penal implant or whatever, besides shots, is what you're saying.
Speaker 3:Yeah, there's like surgeries where they actually implant plastic or silicone in there. Oh shit, that sounds horrible. I wouldn't get it done, but you can get it done there's. If you Google it, there's people all over the place doing it. Um, I've personally seen lots of complications from it, um, in the form of people coming to my office asking me to fix things. Um, and uh, I tell people as a as a doctor not as a dick doctor, but just as a regular doctor don't get surgery unless you need surgery on any part of your body, because cutting things open comes with all kinds of potential issues well, especially I mean being a man.
Speaker 2:I mean I don't think they're. I mean who wants to have a, a broken dick? That doesn't work, because you had plastic and shit in there and you had surgery. I mean you tell me it's a proceed. I mean just common sense again, which we keep on bringing up. I mean I think I would rather go with an injection than going full-blown surgery, especially down there I would too.
Speaker 3:That's why I do the injections. But a lot of people intuitively think that if you want to get your dick bigger, you need surgery, right, like just just uh, without knowing anything about this conversation we just had, or without doing research. If I just said to you, yeah, I, I'm a doctor and I make people's dicks bigger, you would just assume it's surgery I would assume that, yeah, you know you, you were working at, you know some beverly hills plastic surgeon right office, exactly and so if you were looking to get it done right, you would probably be.
Speaker 3:You'd probably go on google, for example, and type in penis enlargement surgery and see what comes up right and then and they would be the first ones.
Speaker 2:They wouldn't be. You know the a shot. It would be downright surgery.
Speaker 3:Let's cut it open right and of course, like we are, we'd be listed in there somewhere too, right, like penis enlargement procedure. But once people. So if you're, if you're just going to Google like how to get my dick bigger and penis enlargement surgery, you're probably going to end up in some plastic surgeon's office and maybe they'll do a great job. Maybe not, but whatever they do, you're having your penis cut open and things potentially put in there a lot. Usually, I would say, when guys start doing lots of research, then they usually come to the conclusion that the injections are safer well, I mean, you would think something like this, you would do a shit ton of research.
Speaker 2:It's not like a spur of the moment. Hey, I'm buying a 911 because I'm having a midlife crisis and you like 911s. I mean. So if, if I do research on on like a frigging, like a heel pain, you know plantar fasciitis and I'm like 20 different sites, I, I would think the common sense guy would be like oh shit, I typed it up, honey and look what came up. You know dr john, here he does penal implant surgeries. I'm calling him up and I'm going straight to him.
Speaker 3:Yeah, I mean you think that, like some some guys definitely so, I I'm we have our. Our business has people that answer the phones and answer text messages like during all day, during you know business hours or whatever, so I can see. But look at recorded calls, know business hours or whatever, so I can see. If I look at recorded calls or at text messages or whatever, I can see some of the calls that come in and for sure, some people just do type in now to get your dick bigger. They call us and they book an appointment and they're having that done. I know it sounds insane right now. The good, the silver lining there is that it's pretty safe and they made the right decision. Right because, yeah, of course that can happen. But, like you said, just equally possible that you end up in in a surgeon's office getting your dick cut into and having a you know, five to ten percent chance of a serious complication.
Speaker 2:But I think, like the guys that do do all the research, yeah, they, uh, they usually lean towards the non-script, also probably on like how, gay porn sites, and so we know to go to you now. How, like, how fast is this? Do I? Is there a consultation? Like Joel, you sit me down, make sure that I'm liquid, I can pay the six K. Or I've got you, you know, the decent sized credit card without a balance so I can pay the 6 000. Or is it like, joel, I really need this man? I'm dating this young girl. You know, I'm 60, I'm not well endowed, I need this and it's like, okay, next wednesday is it like that I could see you tomorrow in the for a lauderdale office?
Speaker 2:well, sign, sign me up. Man well I'm, I have work tomorrow, but okay, friday friday nothing beats happy hour than having a bigger dick.
Speaker 3:Man, I'm gonna have to buy bigger, bigger pants, we'll give you a discount and then you can do a new show and you can tell everyone how good it looks, and all that yeah yeah, for sure man think about it.
Speaker 2:Sponsored by upsize right.
Speaker 3:Yeah, you probably don't have a sponsor right now, so this would be perfect, right definitely, definitely and definitely like probably wait I can pay you, right? No, but I won't pay you because I'll give you the free I'll give you the ball.
Speaker 2:Well, it sounds like. It sounds like a, a bargain man I I'll definitely have to sign up yeah, that was an idea.
Speaker 3:But to answer your question, um, you know we usually can find space for someone. I would say the worst case it's like a one or two week wait to come in and see us. It's the process is you go to our website, you call the number or send a text message or fill out a web form. One of our people will call you back, they'll explain everything to you how it works and then, if it sounds like something you're interested in or that you're a good fit for, then they'll book you in to see one of the doctors and we have 20 clinics, so there's someone near everyone.
Speaker 2:You're, but you're only in what, the San Francisco one what?
Speaker 3:the san francisco one? I am in san francisco and in for lauderdale. I travel back. That's great man, uh. But there's most of the other clinics have one doctor okay, awesome man this is.
Speaker 2:So I've learned a lot and I I know I've never checked out any of my friends, but I'm sure there's plenty of them, that plenty of my fraternity brothers that that need this. So you know, so you love it.
Speaker 3:Yeah, definitely, definitely so because they don't tell you so.
Speaker 2:I've got the final question and then I want you to promote. I want you to promote your I my my two biggest areas south florida, probably, because I go, go to best buy and circuit city everywhere and just hit download after download and kmart and hit them so I get all the downloads from south florida. So there's, and you have an office in Fort Lardo. So I want you to promote that. But before, before you plug and promote Mike, mike, one question to you is what words of wisdom do you have to that that guy that's just like he's been having sleepless nights, just doesn't know what to do. You know it's he didn't look quite like he did in his 20s Just isn't quite working. It's like shrinking, a little shrinkage. At first he thought he was going to pools but he was just shrinking and he's just, his confidence is down and his ego is down. What words of wisdom do you have to tell that to that guy, doc?
Speaker 3:We can help with your penis size Right there, man. That's the one thing that we can help with. We.
Speaker 2:I cannot make your life better in any other aspects, but if you need a bigger penis, we can definitely help well, well, I think that that can definitely build the, the ego booster and the confidence sometimes I mean, think about it. I mean it's hard to find tube socks these days and rolls of quarters, so at least you can. You know, you can do it naturally In and out procedure. All right, dr Joel Pash, the man, the myth, the legend, he can help with these procedures. He was an anesthesiologist, he still is, but he's an innovator and he's helping men out there, and only men. So how do they find you? And to book you in every which way?
Speaker 3:Yeah, so they can go to upsizematterscom. So upsizematterscom, and once you're on there, you can go to doctor finder, find the nearest clinic in your area and book an appointment. If you're a doctor and you're looking for training on how to do the procedure, you can go to a website called eurosculptcom, u-r-o-c-u-l-p-tcom, and there you will find uh that we train physicians, nurses, uh nurse practitioners, I should say, and uh physician assistants on how to do the procedure but you don't.
Speaker 2:You don't train any back door people any neighbors we require you have malpractice insurance okay way better all right. It allows you to do the procedure I could talk to you on and on because such a fascinating topic and we've, we've, we've covered everything from doogie hauser to you know, helping out men with their egos and whatnot. Thank you for the time, man, and definitely thank you. You informed me, we entertained, we did everything. Have a good one, joel, you too.
Speaker 1:Thanks, Rob. What if it did work? Right now you can make a choice To never listen to that negative voice no more. The hardest prison to escape is our own mind. I was trapped inside that prison all for a long time. To make it happen, you gotta take action. Just imagine what if it did work you.