Profile cover photo
Profile photo
Steph Mahrle-Mishra
81 followers -
Transform Your Dog's Behavior Today!
Transform Your Dog's Behavior Today!

81 followers
About
Posts

Post has shared content
I am a business owner. I am very sensitive about posting negative reviews. For seven days, I have debated whether or not I should share my experience. Regretfully, I am posting negatively about my experience with Dr. Kramberg. My reason for posting the review is to proactively prevent other potential patients from experiencing poor treatment. The patient doctor relationship here was completely shattered by the doctor’s behavior. I am not seeking any sort of financial, reimbursement. I am simply sharing my bad experience. 
At 3:30 pm on March 24, 2016, my husband, I met with Dr. Kramberg a local Regenx network affiliated doctor. Our consultation goal was to identify if I would be a good candidate for a series of injections to my right hip. In 2013, I was diagnosed with bilateral femoral acetabular impingement. I had arthroscopic surgery on my left hip in 2013, which I absolutely do not regret. Three years later, my right hip is starting to fail in a similar fashion. My career, and passion in life, demands daily physical activity. I was interested in the concept of healing via the introduction of stem cells, and without the arthroscopic surgery's side effect of a more lengthy recovery time. During the consultation with Dr. Kramberg, he seemed rushed, and disheveled. When my husband asked questions, Dr. Kramberg had an uneasy edge in his responses, as if he were merely reciting tidbits of information from the Regenexx brochures. He said I was a candidate for the injection series. Though we both found the doctor to be maybe not the most affable, we reasoned that, if I was motivated to feel better, I should proceed with the $6200.00 stem cell injection series. When I inquired about his availability during the consultation, the doctor stated, he was booked up six months in advance, and that if we were interested, we should get on the schedule right away. Dr. Kramberg was creating a sense of urgency, a common, and useful sales tactic. Looking back, this is the part where I should have taken stock of these important observations. I was the only patient in the office at the time of my appointment. After the consultation appointment with the doctor, I went to the reception desk, there where plenty of staff available, and the phone was not ringing at all. -That is a major red flag. Professional, doctor's offices are typically very busy. The waiting room of a professional doctor's office is typically occupied by more than one soul, and the phone rings periodically. Not surprisingly, they were able to schedule out my series of injection appointments starting on April 19th. At the time, I rationalized that maybe they had a cancelation? Though looking back, why was the office so quiet? Why was the doctor in such a rush to have me get on the schedule, and provide a $500 deposit? 
On April 8, 2016, I attended an MRI for my right hip. That was arranged because my husband called to Dr. Kramberg's office and advised the most recent imaging performed on my right hip was from 2013. That detail is important because my husband, not Dr. Kramberg, was motivated to obtain a current diagnosis of my right hip which was scheduled to undergo this intrepid procedure. Why did this doctor not order current imaging to be performed straight away? 
On the morning of April 14, 2016, the MRI report arrived, my husband, and I read it, and we had additional questions. I advised the doctor's office staff that we were interested in following up with the doctor regarding the recent MRI report. The staff member agreed, the additional questions should be no problem, and that she would have the doctor contact me. That same day at 1:10 pm, Dr. Kramberg called me regarding my MRI report questions. I asked if I could conference my husband in on the call. The doctor sighed audibly, and reluctantly agreed. I asked the doctor about the effectiveness of having the stem cell injections rebuild my damaged labrum, only to have the "rebuilt" labrum ripped away by my existing cam impingement issue (which is similar to the concept of a bone spur). 
Dr. Kramberg said, "Yes, the injections will help", and then he said his patients with my same hip issue, have shown improvement, with a reduction in pain. I said, "That is great. I would be interested in talking to these people who have had my same hip issue, and have shown improvement, after the series of stem cell injections." -Regenexx claims to have performed nearly 30,000 stem cell procedures, surely one of their successful injections stories would match closely to my current hip situation. In response, Dr. Kramberg suddenly spoke very loudly to my husband and I, saying "I'm not rounding out your bones! Go do your homework! I don't have time for this! I have a patient on the table waiting for me! I am canceling all of your appointments! I have a patient on the table waiting for me! I have to go! I don't have time to talk to you about this anymore!" He hung up the phone, as my husband, and I were saying we could schedule a phone call when he had more time...From a customer service perspective, there are a million other ways this situation could have been handled. Honestly, I am not sure why he would call a patient back to discuss a recent MRI report, in the middle of another patient's procedure. If in fact there was another important matter requiring his attention, it would have made more logical sense to have the office staff call my husband and I to schedule a follow-up phone consultation, or even an in-person consultation. Instead, the overly dramatic response left my husband, and I immediately suspicious of Dr. Kramberg, and the Regenexx corporation. Although I live with chronic pain, I am not an unreasonable person. I understand that some questions, and concerns require more time. 
I then called directly to the Regenexx corporate office 888-525-3005, and left a hysterical sobbing voicemail. Enduring chronic hip pain, seeking hope, seeking relief, then being verbally abused by a doctor, and hung up on, is absolutely unacceptable. 
After being hung up on, my husband contacted Dr. Kramberg's staff to obtain a reimbursement for our $500 deposit. According to the office staff, Dr. Kramberg had already explained to them, that he did not have the time to speak to us any further about our concerns, and to cancel my three injection appointments. I suppose that alleged "patient on the table", waited a bit longer while Dr. Kramberg proceed to vent to his office staff about his inability to handle a series of logical questions regarding the effectiveness of the stem cell procedure as it relates to my specific physical ailment. At no time did Dr. Kramberg’s office offer to refund our initial consultation appointment fee. 
The evening of April 14, 2016, I spoke with Andre from the corporate Regenxx office. I detailed my complaint to him. I explained, that we are so profoundly disappointed that our simple logical questions, and my request to speak with a single successful patient referral, could not be answered in a calm, logical, sincere way. Instead, we experienced Dr. Kramberg's epic emotional, defensive, and angry, meltdown on the phone. Andre apologized for our experience, and advised me that he would follow up with both the Regenxx office Coordinator, and the Regenxx office Strategic Development Director.
On April 20, 2016, Andre from the corporate Regenexx office advised me that "Dr. Kramberg is known to be abrasive, and also known not to have a good bedside manner." Further, that Dr. Kramberg remains within the Regenexx network, because he is “has a high level of skill with Regenexx procedures”. Andre also advised me, "After the Coordinator, and the Strategic Development Director spoke with the Dr. Kramberg’s office staff they agreed, Dr. Kramberg is that way with patients because he's from New York." I repeated back to Andre what he had said. Andre replied, "Well, those are my words, Dr. Kramberg is very direct when he speaks." Andre seemed to be back pedaling. I explained, that although I am not from New York, I am quite familiar with our culture of direct speaking in this region. I recognize direct speaking can seem a little off putting for some. I am not a shrinking violet, and have absolutely zero issue with a person speaking frankly. The issue I have, is not having my questions answered, being loudly talked over, and then hung up on. 
Going forward, Regenexx has offered to have another network doctor follow up with my husband, and I, regarding our unanswered questions. Andre said he would look into potentially locating a successful hip patient injection referral. I have no ill will toward Regenexx. I have provided my abbreviated, but detailed, experience with Dr. Kramberg a Regenx network affiliated doctor, to serve as a warning to other potential patients, looking to consult with this doctor. Anyone enduring chronic pain is especially vulnerable to scams, bad service, and general mistreatment. I hope to spare others from a similar awful experience. Thank you for your time in reading this. ‪#‎Regenexx‬ ‪#‎StemCellInjection‬ 
http://www.regenexx.com
http://www.rehabmd.com
http://www.yelp.com/…/rehabilitation-medicine-center-of-new…
https://www.yelp.com/…/rehabilitation-medicine-center-of-ne…
Add a comment...

Post has attachment
I just finished editing Cricket's bath time video. This video provides a demonstration along with effective dog training tips to make your life easier! Special thanks to Unleashed K9 Potential of NJ for helping out SO MUCH with the expertise here! Enjoy! https://www.youtube.com/watch?v=c1sl8IQ2wI0
Add a comment...

Post has attachment
Good afternoon everyone! I did a little YouTube video on my training session with Charlie today. I realized when I watched the video, that it could help keep so many people sane during this holiday season, (and keep a few dogs out of the shelter), so I thought I'd flesh it out a bit.  Feel free to share, I know this is a very common behavioral issue. Enjoy!

https://www.youtube.com/watch?v=ps2Xc1ma5mk
Add a comment...

Post has attachment
Miss Maeby the #pocketpittie returned home today from her two week board and train. You can watch her before, during, and after training video here: https://www.youtube.com/watch?v=4jMVFI5PYeg&feature=em-upload_owner#action=share *Spoiler Alert* She did exceptionally well with her owners today. I know they'll have some solid work ahead of them, but they're really dedicated and sincere in their quest to train a #calmfamilydog, so I have faith in their future continued progress! 
Add a comment...

Post has attachment
Exiting the crate is SO powerful. Want to see how I teach a dog to calmly exit the crate? It doesn't matter the dog's age. The process is the same. Enjoy! https://www.youtube.com/watch?v=UldqXPTUKA4
Add a comment...

Post has attachment
Have you ever wondered how I identify what low level stimulation number to use when e-collar training? Watch here: https://www.youtube.com/watch?v=ax1d_oRQR9o
Add a comment...

Post has attachment
Frankie the leash reactive, eight-year-old, pitbull terrier mix, was originally scheduled for a three week board and train, but I was able to effectively address her bad behaviors within two-weeks, so she returned home one week early. She and her owner have plenty of work ahead of them, but they're well on their way to having a much more calm and predictable relationship together. There is no sense in keeping a dog longer than they need to be kept when it comes to a board and train.  https://www.youtube.com/watch?v=px6NDc293Dg
Add a comment...

Post has attachment
Cyrus the #yellowlab returned home today from his two-week board and train. Here is his before, during, and after video on YouTube. I'm so excited for his calmness! Yes, I know how contradictory that sounds. :) 

https://www.youtube.com/watch?v=CGsorzbQ9qo
Add a comment...

Post has attachment
Gus is a six-month-old puppy, and he's here with Good Karma Training for a two week board and train. Follow me on Facebook and/or Instagram for details on his daily awesome evolution into a behaving as a calm family dog. 
Photo
Add a comment...

Post has attachment
Do you struggle with trimming your dog's nails? I used to avoid regular nail trimming by sending Karma to the groomer. The few times I tried to accomplish trimming her nails were frantic experiences, leaving her with a bit of one or two nails grazed off.
Great news! I have a simple process to share in terms of setting your dog up for the actual trim. The set up is a much bigger deal than actually trimming the nail. Google "dog nail trimming" for more information on where to actually cut. This video & post is only for the nail trimming set-up.
Here are my straightforward tips to a controlled trim:
1. I take a nice long structured walk before the big trim. That way there is less excited energy and a greater likelihood of relaxation during the process. 
2. I leave his prong collar and leash on him, just in case.
3. Notice in the video I don't talk to him and get him all excited? You don't hear me saying "HEY BOLLYWOOD! Do you want me to cut your nails?" Often people feel the need to invite their dogs excitedly into every potential future experience by talking and cracking out lots of dog treats. Cool it. I used to talk to Karma A LOT, doing this jazzed her up and then I would complain about her anxious excitement. So now I calmly use commands only, and his is much more calm in response. 
4. I give him something to put in his mouth. In this case, I provide him with a chew rope. He's a young dog, and was VERY mouthy when I got him at 10 months of age. Offering him something to occupy his mouth while I got to work trimming worked for us especially in the beginning. 
5. I put him on "place", or into a "down/stay", to limit his movement, and increase relaxation. 
6. I give affection at the end of the trim. To Bollywood affection leads quickly to excitement. It's not that I don't love him to pieces, and think he's hilarious, I just don't want his 90 lb furry body in my lap. ☺
I hope these trim set up tips are helpful to you all!
Add a comment...
Wait while more posts are being loaded