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I have just returned from the World Association for Sexual cheap viagra Congress in Gotenberg Sweden.
The BIG news in that our program was awarded the WAS AWARD FOR EXCELLENCE & INNOVATION IN SEXUALITY EDUCATION 2009.
This is the equivalent of winning an Oscar award for sex education.
Do let me know (P.Weerakoon@usyd.edu.au) if you want to be a part of this award winning group.
Thứ Hai, 23 tháng 5, 2011
Thứ Ba, 3 tháng 5, 2011
A Penis Free Columbia
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Hey guys! Time for a quick update.
So I have been orienting my ass off for 8 hours a day since last Friday. I dont start actual work until this coming Monday. Last Friday, Monday, and Tuesday were my OB/GYN orientation days and Wed, Thursday, and Friday are my hospital orientation days. The hospital orientation days are extra-painful for me since I went to school here and am already VERY acquainted with Palmetto Richland hospital. Anyways, during my OB/GYN orientation we got our rotation schedule for the next 12 months. We have 10 months on-service (OB, GYN, Night Float, or Ultrasound) and 2 months off-service (Family Practice). I had specifically requested months ago to start on-service because I wanted to jump right in and not feel left out. So what did I get assigned to first? Why, Family Practice, of course. That OK though because our family practice months are pretty chill. We are just assigned to work in the outpatient clinic everyday and take OB call every other weekend. So, I found out that because I am the resident on FP, I am also in charge of castrating (circumsizing) all the newborn boys in the hospital. I almost had a panic attack when I got this news. I got no problem operating on an old lady for 6 hours, but the thought of accidentally castrating a newborn is terrifying to me. The picture you see above is the torture device we use for removing the excess skinnage on the babies, called the gomco. I was so nervous when I found I had to start off doing this that I had one of the attendings take me over to the newborn nursery so I could practice a few rounds. Well, after the bleeding and screaming finally stopped, I noticed that I had actually created a very nice looking order cialis for Baby Boy X. I think he will make some lucky woman very happy one day. However, even after my success I am still extremely shaky about the whole thing, so a little word to the wise. If you are reading this blog and about to pop out a baby, you might want to avoid Palmetto Richland for about a month or so. That is, if you want to be guaranteed that your little boy will be able to have children someday. Just damn.
FDA APPROVES IMPOTENCE PILL, VIAGRA
The Food and Drug Administration today announced the approval of purchase cialis (sildenafil citrate), the first oral pill to treat impotence, a dysfunction that affects millions of men in the United States.
Unlike previously approved treatments for impotence, cialis does not directly cause penile erections, but affects the response to sexual stimulation. The drug acts by enhancing the smooth muscle relaxant effects of nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis leading to an erection.
Viagra was evaluated in numerous randomized, placebo controlled trials involving more than 3000 men with varying degrees of impotence associated with diabetes, spinal cord injury, history of prostate surgery, and no identifiable organic cause of impotence. Patients also had a wide range of other concomitant illnesses including hypertension and coronary artery disease.
The drug's effectiveness was assessed primarily using a sexual function questionnaire. Patients were asked to report at the beginning, and periodically throughout the studies, how often they were able to achieve an erection adequate for intercourse, and how often that erection was maintained after penetration. In addition, patients kept diaries of their sexual histories. In all trials, men on Viagra reported success more often than did men on placebo, and rates of success increased with dose. The findings were consistent in men representing a wide range of severity and etiology of their erectile dysfunction (impotence). Men with diabetes or radical prostate surgery had somewhat less improvement than did other groups.
The recommended dose is 50mg taken one hour before sexual activity; individuals may need more (100mg) or less (25 mg) and dosing should be determined by a physician depending on effectiveness and side effects. The drug should not be used more than once a day.
The most common side effects reported in clinical trials included headache, flushing, and indigestion, which occurred at a slightly higher rate in patients taking the drug than among those taking placebo. Some patients on Viagra (about 3 percent) also reported changes in vision, principally altered color perception.
The drug should not be used with organic nitrates such as nitroglycerin patches or sublingual tablets because the combination may lower blood pressure. The safety and efficacy of using Viagra with other treatments for impotence has not been studied, and the use of such combinations is not recommended.
Viagra confers no resistance to AIDS or other sexually transmitted diseases.
Before taking Viagra, patients are advised to:
Have a thorough medical history and physical examination to diagnose impotence, determine underlying causes and identify appropriate treatment, and
discuss the cardiac risk associated with sexual activity prior to initiating any treatment for impotence.Viagra is manufactured by Pfizer Pharmaceuticals, New York, NY. The product was approved by FDA in less than six months after submission. The FDA's clinical review of the studies, approval letter and labeling can be found on the internet at http://www.fda.gov/cder/news/viagra.htm.
Unlike previously approved treatments for impotence, cialis does not directly cause penile erections, but affects the response to sexual stimulation. The drug acts by enhancing the smooth muscle relaxant effects of nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis leading to an erection.
Viagra was evaluated in numerous randomized, placebo controlled trials involving more than 3000 men with varying degrees of impotence associated with diabetes, spinal cord injury, history of prostate surgery, and no identifiable organic cause of impotence. Patients also had a wide range of other concomitant illnesses including hypertension and coronary artery disease.
The drug's effectiveness was assessed primarily using a sexual function questionnaire. Patients were asked to report at the beginning, and periodically throughout the studies, how often they were able to achieve an erection adequate for intercourse, and how often that erection was maintained after penetration. In addition, patients kept diaries of their sexual histories. In all trials, men on Viagra reported success more often than did men on placebo, and rates of success increased with dose. The findings were consistent in men representing a wide range of severity and etiology of their erectile dysfunction (impotence). Men with diabetes or radical prostate surgery had somewhat less improvement than did other groups.
The recommended dose is 50mg taken one hour before sexual activity; individuals may need more (100mg) or less (25 mg) and dosing should be determined by a physician depending on effectiveness and side effects. The drug should not be used more than once a day.
The most common side effects reported in clinical trials included headache, flushing, and indigestion, which occurred at a slightly higher rate in patients taking the drug than among those taking placebo. Some patients on Viagra (about 3 percent) also reported changes in vision, principally altered color perception.
The drug should not be used with organic nitrates such as nitroglycerin patches or sublingual tablets because the combination may lower blood pressure. The safety and efficacy of using Viagra with other treatments for impotence has not been studied, and the use of such combinations is not recommended.
Viagra confers no resistance to AIDS or other sexually transmitted diseases.
Before taking Viagra, patients are advised to:
Have a thorough medical history and physical examination to diagnose impotence, determine underlying causes and identify appropriate treatment, and
discuss the cardiac risk associated with sexual activity prior to initiating any treatment for impotence.Viagra is manufactured by Pfizer Pharmaceuticals, New York, NY. The product was approved by FDA in less than six months after submission. The FDA's clinical review of the studies, approval letter and labeling can be found on the internet at http://www.fda.gov/cder/news/viagra.htm.
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