September 16, 2019

Paul Kadri Offers Tips on Good Vendor Relationships

Paul-Kadri-HandshakeFor more than 19 years Paul Kadri has been a manager in both government and education. Trying to get the most resources out of the money available has been a goal each and every year. In this interview, Paul Kadri offers some thoughts on what has brought him success in working with vendors to develop win-win opportunities.

Interviewing Experts: You have been a manager for many years. In what areas have you worked with vendors?

Paul Kadri: There are probably too many areas to even remember. Obviously one thinks of computers, custodial supplies, and office supplies. But that can also include mowing grass, consulting services, etc.

Interviewing Experts: Is there something that they all have in common?

Paul Kadri: Two things they have in common: one of them is identical in every organization and the other could be different but it still exists. The identical component is the reality that vendors need to make money. If they lose money working with you, you’re unlikely to get the best service. The other commonality is that every company has their “nature.” This means that they have a way of doing business that may be slightly different from how others do business.

Interviewing Experts: Why is understanding these two components important for vendor relations?

Paul Kadri: A business is nothing more than a collection of people. If you have a worker that reports to you, they will be more motivated the more they believe that you understand them as an individual and are looking out for them. In the same way, a vendor will be more motivated to help you if they feel that you are looking out for them.

Interviewing Experts: Let’s start with the first component you mentioned. Isn’t it a given that all vendors want to make money?

Paul Kadri: Of course vendors want to make money. Opposite of that, we want to spend less and get more. The trick in the relationship is to find the place where the vendor is happy with the money they make, and we are happy with the services we receive. By understanding how the vendor makes money, I was able to find opportunities to get the best value from them.

Interviewing Experts: Can you give an example of how you did that?

Paul Kadri: Sure. Most organizations have a sales force. A salesperson has a sales plan. It would not be uncommon for me to sit down with the salesperson and talk about their sales plan. There may be certain products that the company is trying to sell more than others. If that is a product that I would like to have, then not only will I get a better price for that product, but I help the salesperson reach their goals, which makes them more responsive to my needs.

Interviewing Experts: It sounds obvious, but at the same time, it almost sounds underhanded?

Paul Kadri: I can assure you that finding a win-win solution with your vendor is celebrated on both sides.

Interviewing Experts: Let’s talk about your second point. What did you mean about the nature that exists within an organization?

Paul Kadri: It is impossible to specify what the different nature will look like, except to say that each organization will have its unique characteristics that influence how to create the best relationship. Let me offer a simple example. There’s a computer manufacturer whose fiscal year ends in February rather than December. Companies are more likely to give deeper discounts at their fiscal year end. By changing when we purchased, we were able to get significantly more for our dollar, and the company was actually happier.

Interviewing Experts: That seems so obvious. Were you taught that or did you come up with the strategy?

Paul Kadri: No one taught it to me, and I do believe I’m one of the few people who operates this way. It originates from two things: First, I was a salesman for a brief period of time and know the stress that they are under; and second, I believe that direct communication is the best way to find a win-win scenario.

Interviewing Experts: Your concept sounds great, but I was always under the impression that competition was the best way to get value?

Paul Kadri: Some people do firmly believe that you get the best value by playing one vendor off of another vendor to get the lowest price. I strongly disagree with that. While one may get the lowest upfront price by having that competition, I believe I get much greater value by having a relationship with a vendor like I describe above. There are always times when you need a vendor to fix a problem or to address a crisis. By having a relationship, managing those circumstances becomes easy and cheap.

Interviewing Experts: Have you ever gotten any feedback from vendors?

Paul Kadri: Absolutely. As a matter fact, Dell Computer valued this approach so much, that they let me speak to their sales force and asked me to sit on their national advisory committee.

Interviewing Experts: Is there anything else you’d like to mention?

Paul Kadri: Someone could be reading this and wondering how I got around state purchasing laws, given that I worked in the public sector. One always has to make sure to remain within the laws. With the states in which I worked, one could always negotiate with a vendor as long as the price of the item was below the state contract price. Please check your state’s rules and understand them thoroughly.

Interviewing Experts: Have you ever thought about having a workshop on vendor relationships?

Paul Kadri: I think I will do that after I retire. For right now, I would like to continue getting the best deals for the organizations in which I work.

Paul Kadri has been a highly successful public school administrator for 16 years. In addition to exceeding expectations, Paul Kadri is known for creative vision and the ability to solve complex problems.

Low T, or Low Testosterone, can Affect a Man in Many Ways, Says Paul Perito MD

Paul Perito MD

Paul Perito MD

Florida-based urologist Paul Perito MD says there are two predominant forms of testosterone replacement. He recently sat down with Interviewing Experts for a quick conversation about this common condition.

Interviewing Experts: We appreciate your time today, doctor. What is testosterone?

Paul Perito MD: Testosterone is the male hormone that is responsible for muscle mass, facial hair, and bone density.

Interviewing Experts: Is testosterone stable throughout a man’s lifetime?

Paul Perito MD: After the age of 40, some men will begin to experience diminished testosterone levels.

Interviewing Experts: What are the side effects of low testosterone?

Paul Perito MD: It can result in other medical conditions such as high cholesterol, poor cardiac health, and a lack of vitality.

Interviewing Experts: What symptoms do men experience as a result of low testosterone?

Paul Perito MD: Patients will describe not remembering things, they will describe having decreased libido and not wanting to engage in sexual activity with their partners.

Interviewing Experts: That has to really affect a man emotionally.

Paul Perito MD: One study indicates an increased risk of depression in men with low testosterone levels.

Interviewing Experts: Testosterone can be replaced, correct?

Paul Perito MD: Yes it can.

Interviewing Experts: Can you tell us how?

Paul Perito MD: Most of the testosterone replacements that you’ll see right now are either injectables, creams or long acting pellets.

Interviewing Experts: What are the benefits of testosterone therapy?

Paul Perito MD: Studies suggest that testosterone can improve cardiac health and reduce the threat of diabetes.

Interviewing Experts: Those are physical side effects; are there any neurological side effects?

Paul Perito MD: They’ve shown the man’s ability to think is improved dramatically once they restore their natural testosterone levels.

Interviewing Experts: When should a patient speak with their doctor?

Paul Perito MD: When it becomes a problem in their life or relationship.

Interviewing Experts: Is testosterone replacement right for everyone?

Paul Perito MD: Not necessarily, patients should speak with their doctor to find out if testosterone replacement is right for them.

Interviewing Experts: Very interesting, we hope that all of our readers will take this into consideration if they suspect they have low testosterone levels.

Urological surgeon Paul Perito MD has devoted his entire professional career to treating men suffering from Erectile Dysfunction. He is the founder and namesake of Miami’s Perito Urology, where he conceived and initiated the world’s first minimally invasive approach to penile implantation. Paul Perito MD has performed over 3000 of these procedures on men across the globe, and his patients enjoy a shorter recovery time and less scarring than traditional implantation methods. Since 1995, Paul Perito MD and Perito Urology have become synonymous with effective erectile dysfunction treatment and world-class service unparalleled anywhere in the nation. He is a graduate of the University of Maryland Medical School as well as a frequent contributor to text published by medical journals nationwide.

The information contained in this article is provided by Paul Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

Dr. Paul Edward Perito MD: What to Know Before You Start a Urology Residency

Dr. Paul Edward Perito MD

Dr. Paul Edward Perito MD

Before creating his revolutionary penile implant procedure, Dr. Paul Edward Perito MD served residencies in Australia and Florida. During college, Dr. Paul Edward Perito MD also participated in an exchange program that allowed him to work in Africa for a time. Currently, Dr. Perito trains 2 to 8 urologists a month in the Minimally Invasive Penile Implant, an implant procedure he patented over 6 years ago.  Today, Dr. Paul Edward Perito MD explains the various choices for young students interested in pursuing a career in urology.

Q: Dr. Paul Edward Perito MD, as founder of Perito Urology, what advice do you have for students struggling to decide which residency program to choose?

Dr. Paul Edward Perito MD: Today’s students are lucky in that they can do online research on various residency programs before making a choice. The first thing a student should do is evaluate the curriculum of the residency program he or she is considering. Will you get the training you’ll need to continue into a career in urology? The more variety, the better. You’ll need to be exposed to several fields of urology to be able to diagnose and treat a wide variety of conditions over the course of your career.

Q: How many different fields of urology are there, Dr. Paul Edward Perito MD?

Dr. Paul Edward Perito MD: That’s a good question. There are urologists who specialize in pediatrics, oncology (cancer), renal transplants, and infertility in male patients, urinary tract stones, female urological conditions, urinary incontinence and impotence.

Q: Aside from the clinical materials, Dr. Paul Edward Perito MD, what else should students consider when interviewing for a residency?

Dr. Paul Edward Perito MD: The nature of the residency is important, of course. Will the residents be able to attend conferences and workshops to further their knowledge? Will the residents be active in publishing?

Q: Exposure to different subspecialties is important in a residency…

Dr. Paul Edward Perito MD: Absolutely. In fact, students considering a residency should research the background of the involved faculty. Are these experienced professionals in various areas of urology? And will the faculty be large enough in number to be able to give each student the case-load and case variation necessary to be considered properly trained?  Very few programs in the United States lack in this area.

Q: Dr. Paul Edward Perito MD, what should a student look for in the hospital or learning institution where he or she decides to complete a residency?

Dr. Paul Edward Perito MD: Research is important. Is the facility attempting to find new ways to implement old methodologies? A faculty that is always eager to learn and push the boundaries provides a great example for students. Does the facility have updated equipment? A student will need to make sure he or she is getting experience that will translate to today’s world of medicine.

Q: How many interviews should a student attempt before settling on a choice for a residency?

Dr. Paul Edward Perito MD: That’s an individual choice, but it’s important that each student find a facility that shares his or her goals and temperament. That right fit can be hard to find, but it’s well worth going on as many interviews as possible to find that perfect fit.

 

Dr. Paul Edward Perito MD is the founder of Perito Urology and the Chairman of Urology at Coral Gables Hospital in Florida. To contact Dr. Paul Edward Perito MD, go online to www.peritourology.com

The information contained in this article is provided by Dr. Paul Edward Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

Erectile Dysfunction Expert Dr. Paul E. Perito Says That Erectile Dysfunction Treatments Are Discrete and Customizable to the Patient

Dr. Paul E. Perito

Dr. Paul E. Perito

In a recent interview with Interviewing Experts Blog, Dr. Paul E. Perito spoke candidly about the embarrassing side effects of erectile dysfunction and how penile implants can help.

Interviewing Experts: What type of procedure do you use when you perform a penile implant?

Dr. Paul E. Perito: The implant procedure that I have created is slightly different from ones done in the past. It’s an approach through the area just above the penis called the infrapubic area. And we call it the minimally invasive penile prosthesis, because in 10 min. the entire device can be put inside the body.

Interviewing Experts: So you can’t see anything?

Dr. Paul E. Perito: The entire implant is hidden inside the penis and scrotum. There are the cylinders that fill with saline. The pump goes inside of the scrotum. There’s a third part that I never describe because it’s inconsequential to patient, but that’s the reservoir that allows fluid to go out to the cylinders.

Interviewing Experts: So what does the implant do?

Dr. Paul E. Perito: It re-creates exactly what the patient used to have. Before, when he wanted to have sex, blood would fill the cylinders of the penis, called the corpora cavernosa. In this case saline fills the cylinders. When you want to have sex you pump the pump that is in the scrotum and it fills the cylinders.

Interviewing Experts: So it looks like a natural erection?

Dr. Paul E. Perito: These implants are the most physiologic replication of an erection. When you are done, there is a deflate mechanism and you squeeze and it allows all the fluid to go back into the reservoir.

Interviewing Experts: What does impotence do to the body; specifically to the penis?

Dr. Paul E. Perito: The one thing that you need to know is that the longer you remain impotent without treating yourself, the shorter the penis becomes. And there’s been excellent papers written where we render a guy impotent in a single day with a radical prostatectomy. You take his prostate out and he is rendered impotent in one day and then we follow his penis length in a process called the penile stretch test. A patient can lose anywhere from .5 to 5 cm every 14 months, that is one of the most reliable papers that I’ve seen.

Interviewing Experts: That is a significant loss in length.

Dr. Paul E. Perito: Yes it is. When I take patient measurements at the initial penile stretch test and I will tell them, “this is what you’ve got.”  Then I’ll push their penis up against the pubic bone and I will tell them, “If you wait another year, this is where you will be.”

Interviewing Experts: Is there way to stop the diminishing effects of erectile dysfunction?

Dr. Paul E. Perito: Truly you need to initiate some form of therapy if you are concerned about penile length as soon as erectile dysfunction occurs.

Interviewing Experts: Now are the implants one-size-fits-all?

Dr. Paul E. Perito: No they are not. They can vary considerably in size.

Interviewing Experts: So once you measure the length that is how you decide what size of implant to use?

Dr. Paul E. Perito: Intra-operatively, we measure the length with a device called a Furlow. And with every guy you give them back exactly what they have at that moment.

Interviewing Experts: Will all men retain the same length?

Dr. Paul E. Perito: I just wrote a paper that showed that 75% of men will have the same length postoperatively as they did prior to the procedure. So there is a predictive index that we can utilize.

Interviewing Experts: And this is sometimes covered by insurance?

Dr. Paul E. Perito: Medicare pays for penile implant because the penis is a functioning organ. Studies have shown that ongoing intimacy does indeed lead to a longer, healthier life.  Medicare pays for it, private insurance pays for it, and some HMOs pay for it. Often times it depends upon the cause of the impotence.

Interviewing Experts: Very informative, thank you very much.

Dr. Paul E. Perito: You are welcome.

***

Dr. Paul E. Perito graduated the University Of Maryland School Of Medicine in 1988. His Coral Gables, Florida, urology center, Perito Urology, draws patients from around the globe for its innovative and updated Erectile Dysfunction treatments. Having successfully performed over 3,000 penile implants since 2005, Dr. Paul E. Perito is considered a leader in the field. His signature minimally invasive technique, The Perito Approach, has been taught to surgeons worldwide through travel and at Coral Gables Hospital, where he is Director of Urology. Dr. Paul E Perito is has participated in countless medical studies in his quest to simplify the penile implant process and make the procedure safer for his patients.

The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition.

Interview with Dr. Paul Perito: The Efficacy of Minimally Invasive Penile Implantation

Dr. Paul Perito

Dr. Paul Perito

Interviewing-Experts Blog recently had the opportunity to speak with renowned Erectile Dysfunction expert, Dr. Paul Perito, about the importance of utilizing a minimally invasive technique when performing a penile implant.

Interviewing-Experts: Good morning, Dr. Paul Perito. Thank you for speaking with us today about such an important topic.

Dr. Paul Perito: Certainly. Men’s health is a subject often ignored. I appreciate the opportunity.

Interviewing-Experts: So, please tell us a little about what makes your technique different from previous procedures.

Dr. Paul Perito: There are several key differences. I do not use a Foley catheter since I do not drain the bladder. I limit my dilatation, ensure that the reservoir is behind the transversalis fascia, use an artificial erection at the beginning of the procedure, and finally, there’s the use of a drain. My approach is infra-pubic, and as minimally invasive as possible. I think there are nuances that make it better than prior procedure techniques.

Interviewing-Experts: What kind of results have you seen from these differences?

Dr. Paul Perito: Our results have been good. Our infection rate was only .91% in the last 1,000 procedures.

Interviewing-Experts: That sounds very promising.

Dr. Paul Perito: Aside from that, there were only 2 distal urethra injuries, which were repaired primarily at the time of the procedure and two scrotal hematomas that were evacuated.

Interviewing-Experts: What do you consider the greatest measure of success for this procedure?

Dr. Paul Perito: How quickly my patients have gotten back to normal sexual function.

Interviewing-Experts: That’s certainly important.

Dr. Paul Perito: Yes, it is. 82% of patients were back to normal function within four weeks; the rest by six weeks.

Interviewing-Experts: Very interesting.

Dr. Paul Perito: These results tell me that the procedure is efficacious, expedient and safe.

Interviewing-Experts: How do you know what size to make the penis with the implant? Is there a way to gauge a patient’s natural penis size?

Dr. Paul Perito: Yes, there is. First, it’s important to know that when you render a man impotent, say with a radical prostatectomy, over the course of the next 14 months he’ll lose anywhere from .5 to 5 cm in length.  I use a penile stretch test to educate patients on what they can realistically expect postoperatively.

Interviewing-Experts: How did you conclude that the stretch test was the best predictive index for length?

Dr. Paul Perito: What I did was took 53 patients and measured their artificial erections, their penile stretch test and finally what they had at the end of the procedure. And, not surprisingly to me, the best predictive Index was the penile stretch test. So now when a patient comes into office and they want a penile implant, I’ll do the penile stretch test and tell them that 72% of the time, this is what they are going to have postoperatively, and if they don’t like that, they should probably not get a penile implant.

Interviewing-Experts: Sound advice, indeed.

Dr. Paul Perito: Additionally, since my procedure does not use a Scott retractor, the cost is reduced. My penile pack costs $72 to the hospital, and these days cutting cost is essential.

Interviewing-Experts: Absolutely. Well, Dr. Perito, we look forward to hearing more about this procedure in the future, and again thank you for taking the time out of your surgery and training schedule to speak with us today.

Dr. Paul Perito: You’re welcome.

 

***

Dr. Paul Perito is a 1988 graduate of the University Of Maryland School Of Medicine. His practice, Perito Urology, is considered one of the foremost Erectile Dysfunction treatments centers in the world. Since 2005, Dr. Paul Perito has successfully performed more than 3,000 penile implants, establishing him as a leader in the field. He has streamlined the procedure, making it not only more efficient, but safer, by the development and actualization of a minimally invasive approach. Aside from contributing extensively to medical publication libraries, Dr. Paul Perito heads the training center at Perito Urology where his technique is taught to an audience of surgeons from across the globe.

The information contained in this article is provided by Dr. Paul Perito for educational purposes only. It is not intended to treat or diagnose any condition.

Paul Bleiweis | Healing Our Environment and Our Economy by Paul Bleiweis

Healing Our Environment and Our Economy

Some Suggestions from Paul Bleiweis, President of Energy Automation Systems

Paul Bleiweis
, President of Energy Automation Systems (EASI) has been involved in energy conservation and industrial efficiency for thirty years. Paul Bleiweis has been providing industrialists with technologies that conserve and reuse energy that is traditionally written off as a cost of doing business. Expert engineer and energy conservationist Paul Bleiweis says there are many ways to save power and protect the environment. Here, he provides a few.

Paul Bleiweis suggests removing incandescent bulbs and using compact fluorescent light bulbs instead.

In the kitchen, use a rack and air-dry your dishes, says Paul Bleiweis. The dishwasher dry cycle is an energy intensive operation that can be easily skipped. A microwave oven uses less energy, for the results it provides, than either an electric or gas range oven. Try using your microwave more, says Paul Bleiweis.

When you are not using your computer, says Paul Bleiweis, turn it off. Turn off the monitor, too. Get out of the habit, says Paul Bleiweis, of leaving your computer on all night, just running a screen saver.

Most home electronics–anything plugged in–bleed a little energy from the socket, even when they are turned off. Paul Bleiweis prevents this energy bleed by plugging home electronics into power strips. For example, says Paul Bleiweis, if a TV, DVD player, cable tuner, and stereo receiver are plugged into a power strip, you can turn off the power strip at night and stop the energy bleed on all of those appliances.

Paul Bleiweis suggests setting the water heater thermostat at 115 degrees. That is an effective, energy efficient temperature for most uses. Don’t run the washing machine or dishwasher until there is a full load. Take showers, not baths, recommends Paul Bleiweis. Showers use much less hot water than baths.

To conserve energy outside of your home, drive sensibly. Paul Bleiweis calculates that aggressive driving can lower gas mileage by as much as one-third. That means, Paul Bleiweis continues, that if you drive aggressively, a 21 MPG car is only getting 14 MPG. Don’t store heavy things in your car if you are not using them, suggests Paul Bleiweis. You lose about 2 percent of your MPG for every extra hundred pounds in your trunk. Don’t idle your engine for long periods of time, and turn the ignition off if you’re going to be parked or sitting still for a long time.

Paul Bleiweis knows that it only takes time and imagination to think of your own creative ways to conserve energy, save money, and preserve the environment. With that, Paul Bleiweis asks, what can you do to make a difference?