Forensic Shopping: My Experience Getting Treatment for Erectile Dysfunction at Australian Medical Institute (AMI)

Posted Jun 17 in Work tagged , ,

You may have heard of Australian Medical Institute (AMI), with the infamous ‘Longer lasting sex’ ads. They’ve also been the subject of a series of reports from Fairfax papers to do with their ‘patented’ technology, and disputes as to the effectiveness of their treatments. Intrigued, and with my manhood in tact under the guise of a Forensic Shopping Investigation I set off to find what really lay behind the controversy. The following is a personal account of what happens if you go to AMI.

I arrived the morning of my appointment feeling quite nervous and embarrassed. The clinics feel like they are completely demountable – very temporary, like they could just disappear one day and be gone with out a trace (but with a lot of money). There are five stages to a visit to AMI:

1. The Waiting room: With a sagging tree in the corner of the room acting as a metaphor for the patients problems and seating for 20 I waited for a few minutes before being ushered into the first of three rooms I would visit. Here I met Greg, the clinic nurse.

2. The Clinic Nurse: Greg is an older, overweight bearded ‘nurse’. He asks me if I’m related to Noel Bachen before hurriedly asking (and answering) a number of questions ‘You get enough sleep do you? Good’. Before moving onto the next question. After a few minutes he’s finished the preliminary questions and takes my blood pressure. He then explains it’s fine as the “top number is bigger than the bottom number”. Then we get to the real issue – clenching his right fist holding his bent arm upright in his left hand he says “When you are 20 you have the holy grail of erections – a 100% erection”. He says this whilst repeatedly banging his right elbow into the cup of his left hand as if to really make the point that a 100% erection is like the fisted arm of an adult male pointing up to the ceiling. He then asks “If this is 100% what percent are your erections?”. I answer, “Ummm about 50%”. He probes if there are any other issues with my love life and I let him know that despite of my inability to get a firm erection I also prematurely ejaculate, lasting at best around 1 minute (as I was saying this it occurred to me that this condition must be medically impossible – but it didn’t worry Greg). Greg hurriedly tells me AMI can help and I am now going to speak to the doctor.

Speaking to the doctor involved Greg picking up the cordless phone on his desk, dialing the number (he had to try 3 times) and handing me the phone. ‘Don’t forget to ask about side effects” Greg helpfully says, handing me the phone “…it’s always good to ask about the side effects”.

3. The Doctor’s Phone Call: The doctor is on the line and says to me “Hi Fritz I have discussed your case with the nurse (this couldn’t be right as I’ve only just arrived and been with Greg the overweight bearded nurse the whole time). He says he has the perfect treatment – ‘the nasal delivery spray”. (the other options are lozenges, a needle, or a cream to rub into the penis). I asked about the side effects as recommended and he said “It can make the nose a bit numb for a while”. I also asked how my treatment would change if I only had one issue (not two contradictory issues) – the Doctor didn’t answer coherently. Instead he chose to focus on the fact that I was ‘getting two treatments in one really’. The Doctor seemed to think I was a good candidate for the nasal spray and after a 60 second phone call hung up. I was then ushered by Greg to meet… the natropath.

4. The Natropath: The natropath, this time an older, dithery man, again asked if I was related to Noel Bachen? then told me that I should exercise more and drink less. He also told me I will need “the vitamins”, as they are natural and good for me. Unfortunately he was confused as to how the vitamins worked and kept getting the terms parasympathetic and sympathetic nervous system mixed up. Nor could he explain how the vitamins worked with the nasal spray. I doubt he had any qualifications – I was actually too embarrassed (for him) to ask. After 10 stilted minutes talking utter nonsense he then ushered me into the third room where I met the Clinic Head (although please don’t think in any way this was a clinic).

5. The Clinic Head: From what I can gather this is the sales salesperson. Her name was Eve (no Noel Bachen? this time, but a “You’re Fritz – guess what, my name is Eve!!”) and her job was to not let me leave without signing up. This meeting was significantly longer – around 30 minutes, compared to the 20 minutes I had spent in total with the nurse (9 minutes), doctor (1 minute) and natropath (10 minutes). Eve tells me my life will be better, and I will be much happier with the treatment. She tells me that I am extremely lucky to have come in and that they have a special offer on. She tells me the vitamins are like “a gift really” (although I have to pay). After a while we get to price – it took some convincing but I asked her to write the costs down so I can compare. You can see the costs on the post-it note I’ve scanned in (below). The cost is an incredible $4,655.00 for an 18 month treatment (this includes the vitamins which as it turns out is a bottle of multi-vitamins and a bottle of anti-oxidants). Alternatively, without the vitamins it’s $3,995.00. I say I need to talk it over with my wife, this upsets Eve. Further, she does not have any pamphlets or any information written down about the clinic so that I can talk it over with my wife. A check on the AMI website reveals nothing of substance either. Nothing written down. No sales material. Nothing but a post-it (it would be funny if it wasn’t so serious).

Post-it note in hand I leave, promising to call back today. As I leave I pass half a dozen sheepish looking guys in the waiting room.

Whilst at AMI I was not offered any form of medical explanation for any of the treatments, nor was I provided with any evidence that the treatment would work. Further, it was my impression that they had only one form of treatment for any presenting problem (erectile dysfunction or premature ejaculation). Little consideration was given to lifestyle or psychological causation. I have no idea if the nasal delivery ‘treatment’ is effective, but I am guessing it’s not. I will let the experience above speak for itself.

This business appears to target the vulnerable. It offers ‘hope in a nasal spray’ for people who have sexual health issues. Further, I believe it pathologises what in many cases are normal heath conditions. AMI highlights that when the psychological need is great, and there is a lack of education in the market, then people will be willing to believe anything (with absolutely no supporting evidence). The pseudo-scientific experience was aimed at getting people to emotionally commit to the sale before the price is ever mentioned. The sales process is intense and everything possible is done for an on the spot sale.

I strongly suggest that if you are suffering from any form of sexual dysfunction you visit your local GP, or psychologist as a first port of call.

This is the first in a series of Forensic Shopping Investigations.

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Comments

  1. Katie Harris

    Jun 18th, 2009

    Great post; very frightening!

  2. Anonymous

    Jun 18th, 2009

    Oh my! What a scam. Absolute scam. Well done.

  3. Fritz Bachen

    Jun 18th, 2009

    @Katie – cheers and I agree very frightening
    @Anon – yep
    @ Dr Douglas good luck, but you've got no supporter here.

  4. justanotherprblog

    Jun 18th, 2009

    Wow, Fritz this is a fantastic post. Best thing I have read this week seriously.

    I cannot believe they are still able to operate. Every day I drive past two of their billboards (one is now advertising a female solution), and it makes me mad.

    This post confirms why it should make more people mad. And take serious action.

    -karalee

  5. returnon

    Jun 18th, 2009

    Incredible! This goes beyond the echo-chamber marketing blog, performing a public service the investigative journalists have largely either missed or ignored (I’m guessing that will change after this post). Its going to be hard topping that in your next Forensic Shopper, but I’ll stay tuned to see.

    Surely the ACCC will finally wake up and smell the fraudulence. Its surprising the oxymoronic Advanced Medical Institute have been around so long. I guess few dudes are ready to testify and imply their shortcomings.

    The SMH had an injunction filed against them, AMI are notoriously cagey. Are you ready to step into the ring for a little legal tussle? If you’re cool with it, permission to repeat your post on other blogs will render their legal intervention futile and strengthen your expose.

  6. Sudeep

    Jun 18th, 2009

    Nice work Fritz. No wonder they have so many ads over town! Look forward to your next investigation…

  7. TWB

    Jun 19th, 2009

    Great work Fritz.

    During a recent research project I spoke with an AMI customer. He was desperate and had basically given up after the thousands of dollars he spent with them failed to achieve any result.

    In an industry in which medical products are (quite rightly) required to provide robust evidence, it's ridiculous that a business like this is able to continue uninhibited.

    While regulation may be at fault, it also speaks to the general public's lack of savvy when it comes to investigating the services they purchase.

  8. MJ

    Jun 19th, 2009

    Great stuff…..these guys are absolute crooks and should be stopped. Govt intervene in so many areas where they shouldn't but wont step in here.

  9. Greg

    Jun 19th, 2009

    How do these guys get away with it?

  10. Fritz Bachen

    Jun 19th, 2009

    Hi guys thanks for replying. I'll hunt down the ACA/TT report. This is their heartland.

    @Sudeep someone said that advertising is the tax you pay for an unremarkable product. If that's the case their tax must be very, very high.

    Appreciate the positive comments.

  11. Marcus Lightfoot

    Jun 19th, 2009

    Great work Fritz nice to see the story being told

  12. douglas.chapman

    Jun 19th, 2009

    Hey Fritz,

    Thanks for blogging about this shit albeit you are probably away from your desk in court right now. Every day I see or hear their ads I get pissed off all over again. I cannot believe in this day and age that a F*@cking snake oil salesman can not only get away with it but get the courts to protect him as well. It sucks big time! Keep up the good work.

    Doug

  13. Andrea Sophocleous

    Jun 19th, 2009

    Wow, you missed your calling as an investigative journalist.

  14. Anonymous

    Jun 19th, 2009

    Interestingly they seem to have been doing this work years and it still works for them!

    http://thestraightedgeblog.blogspot.com/2007/08/when-is-scam-not-scam.html

  15. Cathy

    Jun 19th, 2009

    Dr Douglas, go do your advertising somewhere else…..

    Fritz, you big brave boy!!! What a great insight. I would be very surprised if their products work…..and even more surprised if some poor guy had the guts to tell everyone after trying their products….thats how they get away with it.

  16. david STANLEY

    Jun 19th, 2009

    Well done – these people are 'snake oil salesmen' (pardon the pun). One wonders about regulation/and representations to the Health Department and the AFA as well as the Outdoor Advertising Association. Love your work!!!

  17. MATCH1

    Jun 19th, 2009

    Enjoyed the article!
    I am a little confused though – The Nurse you met with was named Craig, was it when he started banging his elbow into his hand/palm etc, is this when his name changed to Greg, or is it that I have missed a section?
    As for the discussion with the "Doctor" – clearly, he was working off an old script.
    love your work!
    Match1

  18. Anonymous

    Jun 19th, 2009

    Great piece Fritz. It certainly deserves a wider audience. No surprise that guys like this continue to thrive…just look how long it took before FirePower was fully exposed. Looking forward to the next expose

  19. Sue Parker

    Jun 19th, 2009

    There will be significant revenue loss for many major media suppliers in Australia whom the fraudulant AMI have spent millions.

    Wonder (tongue in cheek) if the government will consider replicating their "Tobacco Replacement Fund" which gave back dollars lost to the sporting industry back in the 80's when tobacco companies were banned.

    Could be titled "The Dick Replacement Fund"

  20. Anonymous

    Jun 19th, 2009

    Wow, thought as much, what Sharks, but Who is Noel Bachen?

  21. Lynton Pipkorn

    Jun 19th, 2009

    he, he, he funny stuff.

    You ca see how this works, men won't talk to anybody about this, not their wife, best mate, Mother or Doctor, as it is probably the most sensitive issue for men as they no longer feellike 'men'.

    It's the male version of beauty treatments except socially its a complete taboo.

  22. Anonymous

    Jun 19th, 2009

    Love your work. Totally fascinating and well worth the effort. It is astounding that such a "bullshit" business is allowed to run. Where is the TGA when you need them? One thing though, you do really need to have someone subedit/proofread your writing!

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    Jun 19th, 2009

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  24. Fritz Bachen

    Jun 20th, 2009

    Thanks for taking the time to leave comments. The experience speaks for itself, and I would ask all of you to do your bit and stop this kind of crap. Further, the AMI is now taking on sexual dysfunction problems in women. I am sure it is of an equal low standard.

  25. thr

    Jun 20th, 2009

    AMI have been banging on about this crap for ages.
    At a time when newspapers are in decline this post begs the question: Why does it take a Consumer Psychologist from a comms agency to shine the spotlight? Fritz, brilliant work, but seriously where are the current affairs programs?
    Tom

  26. Andrew

    Jun 21st, 2009

    Hi Fritz,

    I congratulated you on Twitter, but here you go again, well done on you! I am doing my piece, by sending emails to Brandy and Gippsy from 2UE Sports program, asking them to stop promoting the biggest scam on Australian men.
    Let's flood their inbox with messages.

  27. dshackelford

    Jun 21st, 2009

    Well-played, sir!

  28. Anonymous

    Jun 21st, 2009

    They should not be allowed to sell their product. Surely the ACCC should act

  29. Fritz Bachen

    Jun 21st, 2009

    @ Marcus thanks for the comments Marcus – you know you were the inspiration

    @Doug thanks mate – and good luck with the Social media thing. It's a great industry – just needs a good business model!

    @THR I am sure ACE or TT has had a bash at them previously. Someone mentioned that one of them did an undercover piece some time back?

    Andrew and Sue thanks for your comments. However, I think these people as much as anyone else has a right to advertise their (in this case non) services. However, as a society we must be diligent and informed and not let frausters prosper.

  30. Iggy

    Jun 22nd, 2009

    Given all the regulatory bodies clotting our market I am shicked that they have been able to fly under the radar for so long. It really is snake oil. I understand they also have other products like back pain treatments and other remidies they are starting to push. I have little doubt this treatment will follow a similar sequence to the one you outlined. What a pathetic brand to prey on the weak's insecurities.

  31. dirkthecow

    Jun 22nd, 2009

    These guys get around, the very same ads ran in the UK the other month

  32. returnon

    Jun 23rd, 2009

    Does anyone know who handles their advertising? Wouldn't imagine AMI to be a client you'd be proud of…

  33. Dr.kondila

    Jun 23rd, 2009

    Before initiating your erectile dysfunction treatment with any medicine or drug, you should be able to figure out whether it is a genuine medication or not to avoid possible harm from the therapy. Further, pertaining to the erectile dysfunction therapies available in the market, the treatment truths should be known so that you can get hold of an effective anti-impotence therapy and get rid of erectile dysfunction at the earliest.

  34. Tarang

    Jun 23rd, 2009

    Excellent post!

    I don't feel that such an experience is confined only to the "treatment" of Erectile Dysfunction with AMI. Ashley & Martin are also, in my view, an institution praying on men's insecurities to take their hard-earned money.

    The system there is similar, although not as bad, as you do get to meet the doctor. However, the doctor is in-house and raves on about the Ashley & Martin options and then quickly ushers you off to a Sales Consultant who seals the deal.

    I think it's awfully sad that doctors are being used in such biased ways in such lucrative schemes. It baffles me how AMI still operates.

  35. hayley

    Jun 23rd, 2009

    and now that i've read your post, i think you're not so much a funny man (in this instance) but a very clever one. well done for looking deeper and uncovering a very ugly scam.

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    Jun 25th, 2009

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  37. Fritz Bachen

    Jun 26th, 2009

    @ Iggy – agree – its amazing they get away with it
    @Dirkthecow I think Campaign magazine just ran the story so hopefully people will be better informed there?
    @returnon nice work looking at who does their ads – my bet is it's all in house including buying media direct
    @Dr Kondila thanks for the support
    @Targan – you guessed it that was going to be a subect of investigation – but not sure
    @Hayles – you're a trooper
    @Jared – thanks. Looks like an interesting site.

  38. Michele Sang

    Jun 26th, 2009

    Well done Fritz. I think Robin Winkler would be proud of you. Strength to your elbow for the next investigation! Michele

  39. Anonymous

    Jun 28th, 2009

    Ashley and Martin next please.

  40. sam

    Jun 29th, 2009

    this is excellent.

    one mistake though – it is possible for someone to last one minute or less, i've had the misfortune of experiencing that… naming and shaming in these comments would be funny if i wasn't such a nice person

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  42. Emma

    Jul 31st, 2009

    There's an AMI office on the floor below where I work. They have posted lewd erotic pictures of young men an d women in compromising poses all over the foyer wall of their floor. Visitors to my floor mistake the AMI floor for a brothel. I hope they go broke soon.

  43. Ken

    Aug 19th, 2009

    Quick calculations show that Viagra twice a week, cutting 100mg tablets in half to get 50mg, which is a fairly common dose will set you back about $400 per year from a pharmacy in Australia. In most cases it will work which is better than anything AMI will give you.

  44. Roland Conrad Szigeti

    Aug 20th, 2009

    Must be tough working in such a clinic, hawking vitamins

  45. David

    Aug 22nd, 2009

    G'day, relative of Noel!

    You're right, this would be funny if it wasn't so serious.

    It's like late night direct-selling has infiltrated mainstream. Dodgy mortgage brokers, ostrich farming, Nigerian princes, but this is ADVERTISED freely and without question from any regulatory response (oh, that's right. Their billboard were changed a couple of months after appearing, to take out the 'overtness'. 2 months with the media they had tough, is a pretty good plan).

    Is this a good case for relaxing restrictions on real doctors being bale to promote what they can offer, at least in a collective way? I seem to think the debate needs to be reopened.

    The vulnerable need REAL help, not the AMI

  46. Ross

    Sep 17th, 2009

    I believe Ashley & Martin is run by the same people?

    I had an appt with them and my experience was very similar to yours. They make you come in for a 'free appointment!!' in order to get any information, quote a 'special price' of $3500 for 8 months and then try to force you to sign up on the spot.

    I left without signing, when they refused to tell me what medication they were recommending until I paid. ("Of course we have to protect our professional secrets").

    Instead I went to my GP, who said that apparently the treatments they give are essentially finasteride (prescribed by GP, $77 for 3 months) and their own version of Rogaine (generic version $15 a bottle).

    People, please see your GP before Ashley and Martin, or by the sounds of it AMI. In my opinion they are both awful companies that play on insecurities and high pressure sales tactics. Not ethical at all when the issue at stake is medical treatment.

  47. the brown man

    Sep 17th, 2009

    Hi Ross (and others),

    I was unaware that Ashley & Martin and Advanced Medical Institute were run by the same people. I have no idea on this.

    What I do know is that Ashley & Martin run their REALGrowth program which is an 8 month program consisting of 2 main options:

    1. Taking their REALGrowth solution (applied twice daily to the scalp) and Finasteride tablets

    2. Taking the solution as at 1, but substituting the Finasteride tablets with Saw Palmetto, which is a herb extract

    The REALGrowth solution is a stronger version of over the counter extra-strength Regaine (7% at A&M, as opposed to 5% OTC); additionally, the A&M version contains 1% Glycolic Acid, which essentially helps peel the skin on your scalp so that the solution is absorbed better. Pathetic.

    The Finasteride tablets are actually Proscar, which is used for treating benign prostate enlargement. Proscar contains 5mg of Finasteride per tablet, Propecia (manufactured by Merck & Dohme, is the hair loss drug and only contains 1mg). A&M recommend cutting each tablet into 4 to obtain a similar dosage and thus save you money. The thing here is that they charge you an exorbitant amount for Proscar, which is available quite cheaply with a prescription. Propecia is not as cheap and is not covered by any Pharmaceutical Benefits Scheme. Anyway, as a drug, finasteride is pretty potent stuff. Women shouldn't handle broken or crushed tablets when pregnant – it has been reported to be absorbed through the skin and cause male baby genital defects.

    Anyway, back on topic – A&M are making foolish suckers out of men (and women) who are worried. They also make you have treatments where they use lasers on your head – what the fuck?! And the $3500 gives you some "special" haircare products (they're lousier than the discount bin products at Best & Less).

    As you recommend, men or women, if you're worried about hair loss, don't go to A&M, don't buy a Leimo, go see your GP! And, if your GP says you're just stressed, find one who keeps up-to-date with happenings in the industry and can give you a proper scientific diagnosis.

    Cheers.

  48. Fritz Bachen

    Sep 26th, 2009

    @michelle thanks for your comments
    @anon Ashley and Martin are the obvious next choice but I dont think I will go there for the moment – something else is on the go.
    @Emma – my condolences!
    @David – I totally agree. It is pretty amazing how they continue to get away with it.
    @Ross and The Brown Man your comments are really interesting, and makes me want to go there first hand even more. I had a friend who was a Dr who used to give us all Propecia (including the ritual of cutting them into quarters) for our hair!

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  50. Jagged

    Oct 8th, 2009

    Have to agree with everyone. AMI are out for a quick buck, they don’t give a shit about you.

    I’m still trying to get my money back, for a product that simply burnt my nose! Steer well clear of AMI.

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    Oct 9th, 2009

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  52. Fritz Bachen

    Oct 12th, 2009

    think it's really funny that businesses are trying to impersonate people with sexual problems whilst trying to flog their crap on this comments thread.

    Basically guys if you've got a sexual disorder see your GP or a psychologist. Dont take any of these crap pills or potions that people are recommending.

    I'll leave the comments up becuase they are so funny.

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    To block hairloss they use Saw Palmetto and 1.25mg Finasteride together. Photos are taken at intervals of 4 months and after 8 months if no improvement has taken place Ashley and Martin will refund the patient if they are on a guarentee program.
    Ashley and Martin is that largest media component of the hair loss industry with around 70% of all media expenditure.
    Ashley and Martin treats over 10,000 new patients each year and grows it's business by around 25% each year. There website has this information in it.
    Overall treatment is for 8 months and if this works then you go onto a maintanence program. The maintanence program is $140.00 per month.

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