Learn about Erectile Dysfunction and Sildenafil Citrate Online

Have you ever wondered how sildenafil acts within your body to help you solve your problems with erectile dysfunction?  Thanks to the instant availability of the Internet and computer devices, you will now be able to learn about ED and sildenafil citrate online right at your fingertips.

If you are curious as to how PDE5 inhibitors such as sildenafil work inside your body, then you can browse on search engines by simply typing in the search box the words sildenafil citrate online.  When you read about the mechanics of the action of sildenafil citrate online, you will learn that it helps protect the enzyme cGMP (short for cyclic guanosine monophosphate) from being degraded by the cGMP-specific PDE5 (short for phosphodiesterase type 5 enzyme) which are evidently located in the penile corpus cavernosum of men.  The free radical NO (short for nitric oxide) found in the penile corpus cavernosum adheres itself to what are called the guanylate cyclase receptors, which then results to the occurrence of elevated amounts of cGMP, thereby leading to the vasodilation or relaxation of the smooth muscles of the inner lining cushions of the helicine arteries (tendril-like arteries of the penis importantly involved in the process of its erection).  Once the smooth muscles relax, it will result to vasodilation and therefore there will be an increased supply of blood flowing into the penile spongy tissue, and the end result would be a successful penile erection.

Additionally, what you would also learn about sildenafil citrate online is that its special molecular makeup is somewhat similar to cGMP (located in the penile corpus cavernosum as well) and functions as an aggressive binding element of PDE5 in the penile corpus cavernosum, which results to more concentrations of cGMP and even better occurrences of erections. Avery important information that men will learn through reading about sildenafil citrate online is that sildenafil will be rendered useless without the introduction of one or more sexual stimuli, since only a sexual stimulus will be the only factor that can initiate the activation of the nitric oxide and cGMP inside a man’s body. Read more…

IN THE NEWS: Is fee-for-service billing outdated?

Is fee-for-service billing outdated?
In a new "Mythbusters" entry, the Canadian Health Services Research Foundation dismisses the notion that most Canadian doctors prefer to be paid fee-for-service. The foundation's analysis points to blended models of remuneration -- incorporating salaried work, capitation and some fee-for-service payments -- as the future of physicians' income. [CHSRF]

Patients get email advice
The Canadian Medical Association typically gives advice to its members: doctors. But it's branched out a bit with a new project to give guidance to patients on how best to communicate with their doctors via email. Among the pieces of advice are: keep it short, be clear, don't send attachments without permission, and "do not discuss more than one subject per email."

3 comments:

said...

RE: How physicians move into the future

The GP is a " knowledge worker". He/she must learn what that is, how the role is redefined and how the " work" is redefined and paid for.

The future compensation package will include the patient and evidence of compliance.

The patient will be part of the team with responsibilities to the payor.

RE: How patients move into the future

It is patronizing to simply " instruct".
Now is the tme to "construct" a SAAT ( self assessment audit tool ) that performs across the care continuum as a progress note ( think of it as electronic WEED charting).
This makes your patient your partner in the appropriate utilization of funds supplied.

Therefore, do not simply control the patient...make him/her your partner in the management of his/her own case.

said...

RE: new physician work structures:

Remember the "Z"....

.... the physician's work is the connector between the parallel lines and there is an algorithm for how that performs, is costed and measured in terms of "preferred" , " expected"and "actual" outcomes.

And I predict/forecast that in a " social determinants of heath" perspective there will be " service offsets" to be traded in the future ;)

said...

While it may be advantageous for managing utility billing in the company, billing company has invested heavily in software tools and technologies to streamline the billing process to be effective, well supported. Invoicing utility is without certainly a task that can be easily outsourced, saving owners and managers of time and effort.