What About Internet Treatment?

admin — Mon, 04 Aug 2008 11:02:55 +0000

The Internet has irrevocably changed our world. From the comfort of home we can obtain sports scores, help our children research a term paper on Celtic history, or trade stocks. It was only a matter of time before medical care became available on the Internet. Watch out. There is no accountability for the information presented, so anyone with a laptop can make any claims. More dangerously, you can buy vacuum constriction devices, constriction rings, injectables, or prescription medications such as Viagra simply by checking a few boxes on a Web site whose company is based in some unknown land.
Recall that in 1999 the First International Consultation on Erectile Dysfunction convened in Paris to review all the scientific information available on erectile dysfunction. Cosponsored by the World Health Organization (WHO) and Societe International d’Urologie, they emphasized that medical treatments require the direct involvement of a physician and condemned Internet prescribing.
Although some consumers have expressed the opinion that these recommendations come from physicians’ needs to “protect turf,” this is not true. First, the WHO is far more motivated to assure access to quality care for underserved populations than it is to protect the salary of doctors in the United States. They couldn’t care less if physician waiting rooms were empty in Cleveland, but they do care that patients are safely cared for throughout the world.
The second reason that this is not true relates to the need of each patient to have a physician looking closely at his individual situation concerning health care. As emphasized earlier, the penis is in some ways just a monitor of the rest of the patient’s health. Therefore erectile dysfunction may be a sign of serious or life-threatening disease. These won’t be detected by a Web site. In addition, although impotence treatments are usually safe, side effects are always a possibility. The Web site won’t be there in the middle of the night if a problem should arise, and they sure won’t be there to help you decide what to do if the treatment you got at the Web site doesn’t meet your needs. So use your chance, buy viagra right now.
Recall that treatments as varied as a vacuum constriction device, injectables, and oral medications have been shown to have poor success rates without proper education but excellent success rates when proper instructions are given. The Web site won’t care about how you use the products, as long as your credit card authorization comes through. Make an appointment with a physician you can trust. If you don’t have one, let this be the time you change that.

Goal-oriented Approach

admin — Mon, 04 Aug 2008 10:50:03 +0000

Once the doctor and patient agree on the diagnosis of erectile dysfunction, the patient is a candidate for the goal-oriented approach (assuming there are no serious systemic diseases to deal with first). Through this approach, instead of focusing on diagnostic tests to decide where the problem is, the focus is on overcoming the problem. It is based on the reality that treatment options are the same regardless of cause unless there is an obvious, readily reversible condition at the root of the problem. Since there are multifactorial issues at work most of the time, we don’t try to zero in on the most important one but rather offer treatment that will overcome an array of causes.
Usually, the physician will ask a few questions such as those listed in chapter 7 (in the section titled, “Talking to the physician”). A sexual health inventory can quantify the degree of erectile dysfunction. These aren’t absolutely necessary, but they help numerically validate the problem. This number can help some men understand it’s not an insignificant problem and that treatment is justified.
This conversation is the cornerstone of management, so as soon as a few questions are covered, it is reasonable to move on to treatment. Any treatment can be offered at this point, but a trial of oral medication is usually initially considered based on its simplicity. The PDE inhibitors are the first and most successful medications as this book goes to print. Many times the medication gives patients enough satisfaction and confidence that they need no other therapy. If that is the case, the medication can be discontinued as soon as confidence returns. If not, the medications may be used as long as needed. Use Viagra - the most popular medication in our online-store.

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What About Internet Treatment?

Goal-oriented Approach