martes, 1 de noviembre de 2011

Eating Disorders and Suicide

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@ Remuda Ranch

Eating disorders are physically devastating diseases. The medical consequences of anorexia and bulimia include everything from anemia and bone loss to intestinal issues and infertility. The good news is that if caught early and treated, most of these medical problems can be reversed and health can be restored. However, what cannot be resolved is the high mortality rate associated with these disorders. A full 10% of those struggling with an eating disorder will die from it. These deaths often occur as a result of cardiac damage or other extreme medical complications. A lesser known, but profoundly important, cause of death is suicide. Recent research indicates that suicide is a major cause of death among those with anorexia. Although suicide can and does occur in those struggling with bulimia, it is less frequent and more a result of an impulsive act vs. a planned action.

There are many reasons why suicide is so common in the eating disorder population. Perhaps the greatest factor is the prevalence of depression in these individuals. Approximately 90% of those with an eating disorder are also clinically depressed. This is a very dangerous combination. In fact, the incident of suicide in this group is markedly higher than in those who struggle exclusively with depressio....finish article @ http://www.eatingdisorderhope.com/article-eating-disorders-and-suicide-remuda-ranch.html

sábado, 29 de octubre de 2011

My Dr Visit, Questions asked and answered





Readers:

I had my visit with my urologists yesterday at my two week visit. He had two medical students shadowing him and I allowed them to also feel the pump in my scrotum and feel the tips of the cylinders under the glans penis. They were very gentle so I told them they could squeeze a little harder if they needed to, in order to feel the tips as it wouldn't hurt or bother me. I'm just not that shy anymore, so standing naked in front of three guys doesn't embarass me very much anymore. They asked me about my decision to have a penile implant surgically implanted and I had a very frank discussion about my juvenile diabetes as my probable, primary reason for my ED. I explained my experience with viagra and online pharmacy as being less than ideal and that I've discussed with other men their use and experiences with PDE 5 drugs such as viagra, cialis, and vardenafil and why they don't work for everybody. What the side effects are and my experience with an erection from those agents. I discussed my expereince with caverject, Bi-mix, and Tri-mix and injecting those agents into my penis. That both my wife and I were very satisfied with the erection that the injections produced along with a 2 hour erection being very much appreciated from my wife's point of view. The reasons I had for quitting injections due to fibrosis beginning to occurr in my penis as a result of those injections over a 13 year period. I also spoke of my expectations following my implant surgery. The research that I had done over the past year and of this blog that I'm keeping which really surprised them and my doctor. I gave them the url of this blog and asked for their feedback. My grasp of the pathology of Erectile Disfunction allowed me to speak on their level. I also questioned my doctor about penile length loss by men who had their prostate removed because of prostate cancer. I learned that approximately one third of men who have lost their prostate due to cancer will suffer a loss of one or more inches of length with a penile implant. My urologist explained that doctors don't have a clear understanding of why this happens. It has been discussed at several conferences among urologists and nobody has a clear explaination why thisoccurrs. Dr Weinstein explained that when the prostate is removed, the bladder is repositioned lower in the abdomen, and this compensates the loss of the prostate to conect to the remaining ureter. I asked if radiation treatments affect things. He explained that if the prostate is cancerous, they can watch it, as in someone over 70 with a slow growing cancer. This I know from needle core biopsies that I've processed in hundreds of cases. Another treatment option is inserting radioactive seeds which destroys the cancer if it is caught early enough. And the last option, if the cancer is at risk of growing through the prostate and entering lymph nodes and thus metatstizing through out the body, then complete removal of the prostate is warranted. And radiation is then not needed.
In my case, my doctor's expectations are at most, a loss of up to one half inch to an increase in length of 3 mms. 2.5 mm = `1 inch. Because I only had a small amount of scarring in my penis prior to surgery, the implant will over several months stretch my penis by a small amount. The penis is limited by the corpus spongiosum, the ureter, and basically the rest of the penis from growing longer. The possible loss in length are due to the glands penis or head not becoming engorged with blood as in a normal erection. This can account for 1/4 to 1/2 an inch of length loss which varies among men. What also limits length is the [use it or loose it] principle. When we were younger, we experienced erections all night long. This served to stretch the tissues and provide much needed oxygenation through out the penis. Men who opt for the implant are men who for many years in most cases, have not or do not still experience strong nightly erections occurring on a regular basis. We have erections using most often a vacuum erection device or injections of vasoactive agents which over amplify the erection above normal. Even the penile skin can become semi engorged along with the corpora and the tissue surounding the urethra and the glans penis. This adds extra to the erection and the implant is unable to match that expectation. The implant, if correctly implanted and sized gives an erection length that cannot match the length of when we were younger men. What it gives us is an erection that closely mimics a man's length minus the engorgement of the glans and minus whatever loss is due to fibrosis and aging.
I would have liked to have explored more questions, but my urologist had other patients waiting. The medical students thanked me. I feel that the decision to have a surgical implant is a dificult one. The experience can be made a more positive one if the man goes into it armed with as much knowledge as they can obtain. Knowledge if coupled to realistic expectations brings about a better experience. What I want, boiled down to the smallest point of reference, is an erection suitable enough and hard enough that I can experience full penetrative intercourse with my wife, and that allows both of us to express love to each other, and ends in both of us achieving at some point, a sexual climax that is satisfying to both of us. That in a nutshell is what it is all about.
Bob

martes, 24 de mayo de 2011

Cialis, Because Sometimes You Want To Be Really Late

One major thing I've learned ever since getting cable and starting to listen to the radio at work, is that there is a lot of really idiotic commercials out there. I am talking about the type of idiocy that puts a pie tin on his head, then declares himself the king of New Mexico (despite living in Ontario), and roams the streets wearing nothing but last year's New Year Eve's streamers. It is the type of idiocy that makes you want to fling your shoe towards the device that is allowing such commercials into your home or place of business (until your realize, destroying expensive equipment to spite a 30 second ad is much more idiotic). Out of all the mindless and stupid commercials that are roaming the airwaves waiting to consume your very soul, the reigning emperor of the clan is the series of cheap viagra commercials.

If you didn't already know what cheap cialis was, would these commercials help inform you and then motivate you to beg your doctor for a prescription for a fresh batch?

I've seen two different commercials for the drug, and they both basically have the same message. Cialis makes you late for things. Because apparently, there is a market out there for people who are just getting completely frustrated by the fact that they aren't making taxi drivers wait long enough or are arriving to the Opera too early so they end up having to watch the whole show. These people are completely traumatized over the fact they have never missed an engagement or been fired from work because they are just too dang punctual. "Oh if only I arrived an hour late, then I could be upset that I paid $10 to only see a half hour of this movie. Yet here I am enjoying the entire production." Now, if there actually is a market for people who want to be late, then I'd be more than happy to offer my services and provide courses. Emily and I have got the late thing down to a science, and haven't needed any wonder drugs.

Okay, I know that isn't what Cialis is. But the commercial doesn't tell you squat. You either see a couple arrive really late to a show, or another couple who keeps a taxi driver waiting for a long time, then the couples both give each other an awkward kind of look (something like, I really hope the authorities don't start checking out all of those mounds of dirt in our backyard). Then the commercial pops up the Cialis logo, and tells me to ask my doctor if this drug is right for me. Well, I can be late fairly easily on my own, and I also don't need my doctor to tell me how to get my wife to give me awkward looks. Maybe I am just talented, and most need drugs for this.

I am aware that Cialis is for erectile dysfunction, but I did not learn that from these commercials. I can understand the whole 'you now can get aroused and want to win back your naked wrestling championship' thus this hobby makes you late for things. But it doesn't explain why both couples seem to be really uncomfortable around each other. It is almost like the wife is thinking, "I really forgot how awful you were in the sack, and liked it better before when I could finish building my deck." It doesn't really seem like this drug has made their relationship any more intimate or close, but rather just made them late and awkward. Is this really what we want to be selling towards those looking into this type of drug? "Your marriage will probably be worse, but at least you'll miss having to attend your daughter's piano recital."

At first, I thought this commercial was about some drug to cure constipation. It would explain why the man seemed nervous, and the wife was upset when he blamed her for being late. Constipation seems like something that would make a couple a little awkward around each other. I thought, the commercial was telling us that the couple arrived late because the man was spending an hour sweating and grunting in the bathroom (rather than in the bedroom). This awful struggle has made them late and uncomfortable, but Cialis can help. Google says I'm wrong. Apparently, they are selling the drug as a way to get these awkward situations rather than avoid them.

If this is a drug for erectile dysfunction, why isn't there that huge list of problems you may get for taking the drug, just like you get with every other drug commercial. Where is the warnings that Cialis could possibly make my head explode, cause my feet to swell, make me bark like a dog, and give me erectile dysfunction. I thought that was sort of a requirement for drug commercials? And if it isn't, why the heck does every other drug have commercials that warn me about side effects that are worse than the ailment trying to be cured?

Anyway, I think I'll pass on this drug. Partly because everything it provides is not something I am in the market for, and mostly because the commercial doesn't make any sense (yes, if it was an awesome commercial then I'd totally be buying some --maybe -- well, probably not).

martes, 3 de mayo de 2011

Viagra online. Viagra Testimonial.

The following is in fact a true story:

A little less than six months ago, an older friend of mine (65 as a matter of fact), wrote a letter to me asking if I could find an outlet for him to purchase some purchase cialis. The reason was because “The Blue Pill,” was not yet available in his country (China). But, just a few days after he sent me the letter, he notified me that I didn’t need to worry with it, because he had found a source to obtain cheap cialis through the internet.

Then, just today I received a letter from him telling me how well Viagra had worked for him. As a matter of fact he informed me that his new wife was already pregnant with child.

Just so you know his wife is 29 and Chinese. If you have ever been involved with a Chinese girl you know how wild they are and just how often they like to do the deed. It was totally crazy to me, how well the pill had worked for him.

The letter was just a short note that shocked me out of my shorts. Here is the letter that I received just today:

Mark,

I hope all is well with you. I would like to let you know that the Viagra worked quite well for me. I may need to do some extra work as I will soon have yet another mouth I will have to feed. My wife is now pregnant with my child! It is exciting and scary all at the same time! Once again I hope all is well, and I will update you throughout the pregnancy.

Seeking a Viagra Lawyer

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An experienced lawyer's record should speak for itself. Check the results this attorney has obtained for clients who have needed the same kinds of services. Learn if he or she generally works with defective medical product cases (such as Viagra), since specialization is to your advantage.


When you call for your appointment, describe your cialis problem clearly. When did you take Viagra? How long did you take it for? How much did you take per day? What injuries did you suffer? For example, "I took Viagra for two years ending January of this year and suffered blindness in my left eye 2 months ago."


When you meet with your prospective "Viagra lawyer" (either in person or on the phone), be prepared to give a clear summary of your situation and the history of your Viagra injuries. It is helpful to bring a one page summary of all of your relevant information, including dates, times, names and addresses (that is, the basic "who, what, where, when, why and how" information).


Also come prepared with all the documents that will help you tell your story (especially prescriptions and medical records). By examining this information, your prospective Viagra lawyer can quickly determine whether he or she is in a position to take your case. Having all the records, hospital reports (and everything else you have gathered) also means that you are serious about your Viagra case, and that you mean business.


No interview would be complete without finding out what your own responsibilities would be. Ask if there are any tasks you would be involved in, and what your role in decision making would be.


If you have taken Viagra, and you have suffered a loss of vision, blindness, or other serious complication, you have certain legal rights, and you may have a legal case against Pfizer, the maker of Viagra. You should contact a Viagra lawyer as soon as possible.


Our law firm is currently investigating potential cases against Pfizer, and if you think that you may have been harmed by Viagra, you are strongly encouraged to contact us. There is no charge, and no obligation. If we take your case, there is no fee for our services unless we win your case, or settle it in your favor.


On the other hand, if you fail to protect your legal rights now, you may lose the right to be compensated for your harm. (Persons seeking to preserve any potential legal claims should contact an attorney promptly, since all states have mandatory time periods in which lawsuits must be filed with the courts; otherwise, they may be forever barred).


Our firm has a great deal of experience in representing plaintiffs in "drug" cases, and in fact, is currently pursuing numerous cases against "Metabolife" for very similar injuries.


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Please contact us now (your privacy is assured). The secure form below only takes a couple of minutes to fill out, but if you are uncomfortable sending your information over the internet, please call this toll-free number  to speak to a qualified attorney.