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Of all the embarrassing conditions that a man can have, it is likely that erectile dysfunction (ED) tops the cake.  Most men who have this condition will prefer not talking about it or disclosing their sexual problem even with their closest friends and family.  In fact, there are even men who do not even consult the erectile issue they are having with medical professionals and simply keep their little limp secret to themselves.  It is actually not recommended to have such penile problem undiagnosed because there may actually be a chance of treating the underlying condition that causes the erectile issue in the first place.  However, for men who totally prefer not to have their ED condition undiagnosed, they are somewhat lucky because they can get reliable information from the internet, considering of course that the website they are getting their information from is trustworthy.

In the past, if you suffer from erectile dysfunction, you can consider your manhood as disabled because there is clearly nothing you can do about it to temporarily alleviate yourself of your problem.  The only option left was either to treat the condition that causes you to have ED, or use some contraptions in order to assimilate an erection and thereby be able to pleasure your partner, even if you yourself are left unsatisfied.  This is because if the penis is not naturally erect, the sensation felt from sexual intercourse is highly lessened.

Men who have recently acquired erectile dysfunction problems are quite fortunate because these days there are now ED medications that they can use momentarily alleviate themselves of their penile impotence.  The best thing about these ED treatment meds is that the erection is very natural and thus the sensation is also very pleasurable.  There are actually a lot of ED drugs available in the market today.  This includes Viagra, the pioneer ED medication, vardenafil, avanafil, and tadalafil.  Of the four, it is actually tadalafil that is highly notable due to its long effective duration.

Most ED treatment drugs only have an effective duration of 4-10 hours.  Tadalafil on the other has a 36 hour effective duration time, significantly more than its competition.  Those that use tadalafil feel like they do not have any erectile issues at because as long as they have taken a dose within the day, they will be able to achieve an erection, no problem.

If you are interested in buying tadalafil, you will be happy to know that you can buy , from the comforts of your own home.  Read more…

What really causes autism?

The vaccine theory is dead. What’s left?

In January, after many years of inaction, British medical regulatory officials finally found Dr. Andrew Wakefield guilty of unethical behaviour in carrying out research that, he claimed, showed a connection between the measles-mumps-rubella (MMR) vaccine and autism. Soon after, The Lancet issued a full retraction of Dr. Wakefield’s 1998 paper, turning the page on an ugly chapter in the journal’s recent history that saw most of the coauthors disavow the autism/vaccine theory. That theory, already shown to be unsupported by the evidence in large studies, truly no longer holds water. So what actually causes autism?

We asked Jeanette Holden, PhD (left), program director of the Autism Spectrum Disorders - Canadian-American Research Consortium (ASD-CARC), to describe the latest science on autism’s etiology. Dr. Holden, who studied genetics with David Suzuki, is also a professor of psychiatry and physiology at Queen’s University and sits on the board of Autism Society Canada.

INTERVIEW


PE We know it’s not vaccines, so what are the current ideas about what causes autism?

JH It’s quite clear there are two components to all complex disorders -- diabetes, asthma, and so on. Autism is no different. Both genetics and the environment play a role. We know genetics is critical because when you look at a number of patients you often see something very similar to autism, or at least that has some of the components of it. We call that the broader phenotype . That is, there may be some of the social problems and some of that rigidity, almost that one-track mind, the ability to concentrate on something. We see that often in families. Hyperactivity is common in families with autism. Quite often there’s depression in the family. When you start to see a clustering of underlying similar conditions, you really do have to think that genes are somehow involved here. There have been a lot of discoveries in the last few years of specific chromosome changes that happen. It’s not the same change in everybody, but a lot of different changes: small deletions and duplications, or copy-number variants. So there is definitely this genetic component, but we don’t know about factors within the environment -- chemicals or something in our diet -- that might also be contributing to this, and that is going to take a long time to sort out.

Click to read the rest of this article on the Parkhurst Exchange website.

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Practice Management: Add travel medicine to your practice

Travel can be rewarding in more ways than one

Travel medicine is not formally recognized as a specialty in Canada. Travel medicine consultations aren’t included on provincial lists of reimbursed services. Does that mean travel medicine doesn’t deserve your attention? Far from it.

Because travel medicine consults are uninsured, you can charge patients directly and name your price. Administering all the various vaccines can bring in a fair-sized chunk of additional revenue, too.

Because it’s not a specialty, says Dr. Jay Keystone, a longtime travel medicine expert and professor at the University Toronto, “any practitioner can call him or herself a travel medicine practitioner without any training or certification whatsoever.” (There’s one exception: your clinic must get a special Health Canada licence to give the yellow fever vaccine.) So there are no major bureaucratic hurdles to jump over to get into travel medicine.

And — best of all — according to GP/FP travel medicine practitioners, travel medicine can be an enjoyable and satisfying aspect of your practice.

Click to read the rest of this article on the Parkhurst Exchange website.

Image: Shutterstock

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