Avanafil – Getting the Best out of ED Drug Characteristics

One of the things or condition that a man would really hate to have is erectile dysfunction.  Often time, this is a condition that makes a man not feel like a man because the main reason he is called a man to begin with is not useable.  Most men who suffer from this condition tend to keep it to themselves, mainly because it is an embarrassing condition to have.  Fortunately for men who have this condition these days, they have the internet to turn to regarding their problem. Read more…

Recommended reading: Lapham's Quarterly

The latest issue of the excellent and unusual journal , edited by former Harper's editor Lewis Lapham, is full of readings on the subject of medicine from writers from ancient Greece through modern times.

It's worth getting the whole thing, but you can get a taste online.

Read a page from the Nuremberg trials about . Learn in France in 1320: "... make the patient cover his eyes so that he cannot see, and say, 'Look out, I'm going to prick you!' and do not prick him. Then say, 'I pricked you on the foot,' and if he agrees, it is a sign of leprosy."

And don't miss Hildegard von Bingen on or Rudyard Kipling's address to a group of physicians on the subject of .

What's in the news: Nov. 18 -- Will feds permit a supervised Vancouver crack-smoking site?

Trying to make crack safer
Vancouver may get a supervised crack-smoking clinic. PHS Community Services, which also operates the supervised injection site Insite, would like to set up the crack-smoking clinic but federal officials would have to provide an exemption to the relevant drug-control laws. [Globe and Mail] Needless to say, the idea is a controversial one.

Emergency military mental-health team formed
The Canadian Forces created an emergency mental-health squad to respond to soldiers' urgent psychological problems. Major Rakesh Jetly, mental health adviser to the Forces' surgeon general, said they will study soldiers' suicides to find out how to prevent more from occurring. [Toronto Star] This tacit admission by the military should go some way to appeasing members of the Canadian psychiatric community, who in the past clashed with military physicians over what the quality of psychiatric care being provided.

Health system shuffled in PEI
The government of PEI has elected to restructure its healthcare bureaucracy. A new board will govern an agency called Health PEI, which will be charged with organizing care across the island. "Taking the politicians out of health care" is how described Health Minister Doug Currie described the new system, though few details have been released about the specifics.

H1N1 flu news
Federal Health Minister Leona Aglukkaq has, it seems, quietly revised her initial goal of providing H1N1 flu immunizations for all Canadians who want one by December 31. She now says that the government will "try" to do so by December 31. Liberal health critic Dr Carolyn Bennett, who does not appear to be big fan of Ms Aglukkaq on a good day, really let her have it during question period in Parliament on Monday.

The Canadian Health Coalition denounced the federal government's inaction on the issue of H1N1 flu vaccines being distributed to private clinics while many in the public healthcare system still wait to be immunized -- a practice the CHC equates with queue-jumping. The coalition has asked supporters to send emails with their concerns to Prime Minister Stephen Harper, Health Minister Leona Aglukkaq, Liberal leader Michael Ignatieff and NDP leader Jack Layton. [Canadian Health Coalition] [Canadian Health Coalition news release]

Dr Yves Bolduc, the health minister of Quebec, threatened nurses who abet queue-jumping for H1N1 flu vaccines.

H1N1 flu patients could find it very difficult to get a life-insurance policy while they are infected -- and even after they've been cured.

BC drug-policy researcher Alan Cassels bemoaned the hype that's made the H1N1 flu pandemic seem far more dangerous than he believes it to be.

Canada has now spent over $1,500,000,000 on the H1N1 flu. Former Ontario chief medical officer of health Richard Schabas wondered whether the disease was worth that much spending, and that the pandemic was a "dud." "It's really not causing — and is not going to cause and nowhere has caused — significant levels of illness or death," he said.

Vancouver Sun health reporter Pamela Fayerman took a look at experts' projections of the number of people who will be infected with the H1N1 flu this year and discovered a wide range -- anywhere between 10% to 35% of the population.

The majority of Canadians now think the H1N1 flu threat has been exaggerated, an Ekos poll found.

Northern Ontario med school's first grads test well
The Northern Ontario School of Medicine's graduates this year -- its first graduating class of MDs ever -- scored sixth out of 17 medical schools across the country on Medical Council of Canada qualifying exams. [NOSM news release] Unfortunately, the MCC can't release its data to Canadian Medicine. Would anybody with access to the data -- someone from one of the schools' dean's office, perhaps -- like to share with us. Send an email to solomon at parkpub dot com or share with everyone in the comments below. Inquiring minds want to know.

Orbinski advocates for embattled Sri Lankan MDs

University of Toronto professor Dr James Orbinski, the former international president of Médecins sans frontières, spoke out on behalf of Sri Lankan doctors who've been caught up in a political battle in the wake of that country's terrible civil war. [Canadian Immigrant] Activists around the world have rallied to join the Save the Doctors Campaign, to protect the Sri Lankan physicians from prosecution.

Gaza MD finds refuge in Toronto
A Palestinian gynecologist who lost three daughters in last winter's Israel-Hamas war in Gaza, has taken his wife and his five remaining children with him to Toronto. Dr Izzeldin Abuelaish is now a professor of global health at the University of Toronto.

Saxagliptin, new diabetes drug, approved
A new supplementary diabetes drug saxagliptin (marketed as Onglyza) was approved by Health Canada to aid patients' glycemic control. [AstraZeneca Canada news release]

Wanna buy some drugs -- whatever they are?
More often than not, recreational drugs are not as advertised. An analysis of police raids conducted in Quebec over the last several years found that more than half of illegal pills being sold were not what they were said to be. Many ecstasy tablets, for instance, were discovered to contain methamphetamine. [Sûreté du Québec news release]

Sounds a bit uncomfortable...

Lying immobile in bed with your head below your feet at a -6 degree angle for 60 days of bed rest speeds up bone marrow fat accumulation by an average of four years. That's what an international team of scientists, led by Ottawa researcher Guy Trudel, discovered when conducting a space-travel-simulation experiment.

Fair care for immigrants and refugees in Canada
Next Thursday evening, at Ryerson University, a panel discussion will be held on the topic of healthcare for immigrants and refugees. The event is called "Crossing the Borders: Creating a Just Health Care System for Immigrants and Refugees" and will take place at 6:30pm at 55 Gould Street in the Ryerson Student Campus Centre, Room 115.

Lunchtime laugh

Need a break from the endless procession of patients asking about the H1N1 flu shot? Check out this blog post by Dr Rob Lamberts (right), a popular blogger and internist/pediatrician from Georgia, titled "."

Dr Rob has applied ICD-9 codes to every aspect of his morning:

PLACE OF OCCURRENCE, HOME ICD-E849.0

6:00 AM

  • Alarm goes off. Hit snooze button. CIRCADIAN RHYTHM SLEEP D/O IRREG SLEEPWAKE TYPE ICD-327.33
6:30
  • Alarm goes off for third time. Ready to hit snooze button, but knee in ribs from wife prevents more snooze button procrastination. CONTUSION OF CHEST WALL ICD-922.1, ADULT MALTREATMENT UNSPECIFIED NEC ICD-995.8
  • Feeling tired, go to make a pot of coffee. CAFFEINE ADDICTION ICD-304.40
  • Fill bowl with Lucky Charms and start eating. UNSPECIFIED NUTRITIONAL DEFICIENCY ICD-269.9, HYPERGLYCEMIA ICD-790.29
Read the .