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Erectile Dysfunction (also know as impotence) is the failure to gain and maintain an erection. ED should not be confused with other sexual disorders such as lack of sex drive, ejaculation, and orgasm problems. It strictly deals with the ability to get an erection.
Most experts believe Erectile Dysfunction affects well over 30 million men in the US. Typically, ED is caused by a physical occurrence such as an injury, disease, or substance use. Anything that prevents the necessary level of blood flow the penis can result in ED. Although, ED is not an inevitable effect of aging, it is estimated that 5% of men experience it at the age of 40 and 15 to 25 percent of men over 60 experiences ED.
Erectile Dysfunction can be caused by damage to arteries, muscles, and tissues, often as a result of disease. Diseases can include diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, and vascular disease. All of the these diseases combined account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience impotence.
A Patients medical history can give insight as to the cause of ED, as well as diseases that lead to ED. Ones sexual history can also help discover the cause of ED. Also, history of prescription and illegal drug use can help discover the cause of ED. Thus, cutting down and/or stopping certain medications or illegal drug use can alleviate ED.
If you believe you may have erectile dysfunction, you should see your doctor for an examination. There are several relatively simple tests, which can be administered by a doctor to diagnose ED. Again, impotence affects millions of American men and there is no shame in being diagnosed with ED; its very common and there are many treatments for it. In my opinion, the most shame would come from knowing you have a sexual problem, and suffering through it without seeking help. ED has been treatable with great success. So if you’re sexuality is not right due to inability to get and/or maintain an erection, seek help from you’re doctor, they will be able to diagnose and treat the problem.
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We’ve been to them. We’ve hosted them. We’ve even starred in our own. Today’s bachelorette party is an opportunity for brides, their bridal party and good friends to spend a night on the town, a cozy evening at home, a pampered day out, or even a weekend hike.
But like any bridal tradition, the bachelorette party that mimics the groom’s own bachelor party has become a right of passage for brides: something old, something new, something borrowed and something so shocking that the discovery of it by the groom before the wedding is a constant fear. “Do you take this man?” “I do. Oh God if he’ll still have me!”
The party often starts innocently enough at a designated meeting place. There the bride is decorated and armed with props: a veil, an “I’m the bride” t-shirt, a garter, a male blow-up doll, candy necklaces and one of many cocktails. They play games like penis ring toss, pin the hose on the fireman, and have a ‘carve a penis out of a banana’ competition. Then they dance out to their limo or chauffeured van on a nocturnal quest of bar-crawling often including Fabio-type strippers and an estrogen-infused scavenger hunt.
Dares and Duties
How does the scavenger hunt work? There is a checklist of tasks or dares that the bachelorette and/or her fellow partners in crime must tackle by the end of the night. The one who completes the most tasks or scores the most points is the winner. The following are just suggestions. Make your own list as risque or as tame as you'd like.
Get a picture with a cop; you hold his nightstick (3pts.)
Kiss a bald man on top of the head (1pt.)
Find someone with the same name as the fiancé and have him propose to you (1pt.)
Have a man order a sexy drink for you, i.e. Sex on the Beach, Slippery Nipple, Blow-Job, etc. (3pts.)
Have a guy write his phone number somewhere on your body where no one can see it (2pts.)
Be serenaded by a random guy while you sit on his lap (2pts.)
Find a guy with a hidden tattoo and have the bride find it and kiss it (3pts.)
Have your picture taken with mullet-man (1pt.)
Remove an article of clothing on a guy (1pt.)
Do a body shot off of a stranger (3pts.)
The possibilities for a memorable bachelorette party are endless; it all depends on how crazy or mellow the group is and the goal of the event. One way to find out if the scavenger hunt was a success: if the groom discovers a strange phone number on his new bride's backside during the honeymoon, than it was successful! The marriage? Well, that's another story.
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Ladies, if you find yourself asking your male companion that killer trick question "do I look fat", then let’s be honest, you are doing so for one of four reasons: you are fat, you are feeling fat, you are vain, or you are in need of attention. And if you haven’t figured it out already, you should know that any man worth his salt has learned one thing: to answer certain female trick questions immediately, firmly, and with a clear, riveted gaze. It is all about the rudimentary, involuntary-reflex response, "No. You look perfect!" It is not an answer, but simply a male maneuver to buy another minute until one can figure out for which reason the question was asked in the first place.
And most men, even the most boorish, know the various permutations of the trick question too.
For instance, the indirect method:
"Do these jeans look too tight?"
"No. They fit perfect." Or the slick double-secret-probation approach:
"Do you still love me, even though I’ve gained weight?"
"Yes I do. And you look perfect." Or the subtle non-question question:
"I think I need to go on a diet."
"No you don’t. You look perfect."
There can be no hesitation, no darting eyes, no mincing of words when the response is given. If one does, one deserves to become the sorry sack of shittolla one is about to become. My theory is that men whose fathers or mothers did not prepare them falter exactly once. Depending on the female partner, the offender is either killed (the lightest sentence), or treated to a year of hard time, at the conclusion of which the guilty party either has learned all the correct rudimentary involuntary-reflex responses or has joined the gay ranks or has become a monk vowed to a life of silence.
Well no matter how one gets there, for guys in the know, the rudimentary involuntary-responses are the easy part, after all they are as routine as lifting up the toilet seat—another gem that was hopefully hammered into us in our formative years. The hard part is trying to figure out the real reason for the question and choosing what the appropriate follow-up response is.
To enlighten those males who have not advanced to this stage, let me help you, let me show you the logic, let me give you hope. Let’s walk through this together. There’ll be fanny pats at the end if you get it.
So the trick question is asked. We immediately regurgitate the appropriate robotic response. We have about a minute to figure out her reason for asking and if a follow-up is required. That moment of male mental gymnastics is more tension packed than the last episode of 24.
As daunting as it might seem, it’s not so bad if we break it down like any other business problem.
1. She actually is fat. Beware! She ISN’T interested in your confirmation. She probably just got a glimpse of herself in a mirror, is feeling really lousy about, but uninterested in doing anything about. If she were interested in doing something about it, trust me she wouldn’t be asking you for an opinion! Unless you want a situation, it’s best to leave this one alone and say nothing in follow-up. And just in the event that you are toying with the idea of saying something that even slightly acknowledges her extra pounds, take an honest look at yourself first. There is a good chance you aren’t winning any Mr. Olympia trophies soon. So grab a bag of cheese doodles and take your lard-ass to the couch, lest you say something you will regret.
2. She feels fat. This is a ticklish one at first but in the end is as simple as number 1 above. She may feel fat because she is fat in which case she may be coming to grips with her fatness. That might be a good thing. Let her be; say nothing after the usual required response. The other possibility is that she might just plain feel some of that there bloating issue women get around that pre-you-not-what-but-I’m-not-allowed-to-say-because-it’s-sexist-but-really-not-because-it’s-true time. If this is the case, a poorly timed darting glance down at her belly could be suicidal. Don’t do it no matter how temptingt! Even if she lifts her belly-shirt and points. Don’t look! Stay focused and reaffirm the rudimentary involuntary-reflex response by changing it up a bit, "Get outta here: "am I fat"! You look perfect! If anyone’s fat it’s me!" Then volunteer to fold her underwear. Do something. Get out of there lickitty split.
3. She is vain. This is a tough one for me personally. If she is thin as rail and is just vacuuming for loose compliments, I have a tendency to want to give her something to think about; really feed into her low self esteem that seems so willfully misplaced. Again, it’s best to fight the urge, shut your hole and be glad it’s not a real issue. There are two corollaries to this though.
If this trick question stuff is a recent development, one may want to nip it in the bud before one ends up with someone who is vain all the time—not a very good thing. The standard knee-jerk response may be rewarding bad behavior subconsciously. After your minute of thinking is up, you might want to follow-up with the direct approach, "You know, I sense a little vanity there. Are you becoming a little vain? Feeling pretty good about yourself aren’t you?" Give her a chance to react. She probably will flash a little devilish grin, the type that acknowledges she has been caught. You then close with, "Nothing wrong with feeling good about yourself and occasionally fishing for a compliment. And sweetie, I’d compliment you all day long, if I didn’t think that it would eventually swell that pretty head of yours up so big that it starts to clunk off the walls and furniture and stuff; breaking the family crystal and all. That would be terrible." Ah, the beauty of a little disarming humor.
In the other scenario, if you find yourself on the down-side of the relationship with the self-absorbed twit and looking to speed up the inevitable, you might say casually, "Yeah, I’ve noticed those little bulges in your lower back. But they’re not so bad. No one’s perfect anyway." Then see if you can walk out of the room without a ring bouncing off your balding skull. The beauty of this retort is that she can’t see what you playfully pointed out—short of setting up a room full of mirrors anyway. It’s effective, satisfying and guaranteed the desired results. Plus you’ll be able to hock the ring she threw at you for some cold poker cash.
4. She needs attention. This is the most prickly reason she might be asking and not easily recognized by "X & Y" humans. Chances are she isn’t overweight. Chances are you might deduce falsely "she feels fat" because it’s that time of you-know-what-because-I-can’t-say-month. Before you settle on that or any other conclusion for that matter, take a few seconds more. Could it be that she just wants to know she is attractive to you because you have been so self absorbed with work or football or your thinning hair that you haven’t in the past year at least once looked her in the eye and told her she is the most beautiful person in your world? If she has to demean herself this way to check in on your attention, the fat she is referring to is from the heavy tumor you have become on her self esteem. And if you have even the slightest pang that this might be true, that she may need attention, you better drop whatever lame thing it is that you are doing, praise her up and down and make a mental note not to allow her to sink to this lowly place again. She may ask only once or twice more before she decides you are malignant and opts for immediate, radical surgery to remove the cancerous growth you’ve become.
By the way, women don’t have a lock on trick questions. Men do the same thing, just about male stuff. For instance, a man might mumble within earshot after coming out of the shower, "I wish my penis were bigger." It may not be in the form of a question but this isn’t Jeopardy either. It sure as hell is a cry for a little simpleminded ego building. Something like, "honey, you could jack up an eighteen wheeler with that thing" would go a long way. I suppose lesbian and gay couples eventually dive down (so to speak) into the same sad depths with equally problematic maneuvers.
The truth is I really don’t know what the answer is to avoid the certainty of these trick questions. Honesty in communication feels right and is even noteworthy but it’s not always effective.
"Am I fat?"
"Honey, you get any fatter and we’ll have to pay resident taxes to two states!"
or
"I wish my penis were bigger."
"You and me both! It’s like reading Braille with my vagina."
I suppose a simple "yes you are" or nod of agreement would be a better way to be honest without the immediate blood shed; the key word being "immediate." But eventually honesty will require your blood to flow.
So what is it we can do differently from scripting our escape? I guess nothing. Maybe it is just a condition of human relationships. I just can’t help but think though there is a better way. In the meantime, I’ll continue to brush up responses to new and improved trick questions. There is no time to relaxing, letting our guard down.
"Is my butt sagging?"
"Sagging? Are you kidding me? You could crack walnuts with that thing."
Not bad!
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Cardiovascular Disease (CVD) is the leading cause of death for both men and women in the US. One in four people are afflicted with some form of the disease, which amounts to roughly 61 million Americans. CVD is attributed to 42% of all deaths, taking almost 1 million lives each year.
Common, yet serious, conditions that fall under the CVD umbrella are: atherosclerosis, angina, high blood pressure, high cholesterol, heart attack, heart failure, stroke and arrhythmia. If cardiovascular conditions are detected early on, the odds of combating their effects and possibly reversing them altogether can be increased significantly.
Understanding Cardiovascular Disease
Cardiovascular Disease encompasses all diseases related to the cardiovascular system, including dysfunctional conditions of the heart, arteries and veins that supply oxygen to vital life-sustaining areas of the body such as the brain, the heart itself and other vital organs.
Atherosclerosis
Atherosclerosis is the most common of the cardiovascular conditions and lies at the root of most of the major diseases affiliated with the heart. Atherosclerosis is the hardening and narrowing of the arteries caused by the slow buildup of plaque on the inside walls of the arteries.
Coronary Artery Disease (CAD), occurs when atherosclerosis results in a partial or total blockage to the coronary arteries, which supply blood to the muscles of the heart. CAD is the most common underlying cause of heart attack.
Angina is the medical term used to describe chest pain or discomfort that occurs when the heart muscle does not get enough blood. Usually the pain starts in the chest behind the breastbone but may also occur in the arms, shoulders, neck, jaw, throat, stomach or back. Angina can be a sign of an impending heart attack.
Heart attacks occur when a clot in the coronary artery blocks the supply of blood and oxygen to an area of heart muscle. Often, the blockage leads to cardiac arrhythmia, an abnormally high or abnormally low heart rate that causes a severe decrease in the pumping function of the heart and may bring about sudden death.
A Stroke is caused by an inadequate oxygen flow to the brain. Strokes that don’t result in death can be mild, known as Transient Ischemic Attacks (TIA), or they can be severely damaging to the brain, causing paralysis and cognitive malfunction.
Heart Failure
Heart failure usually develops slowly, often over years. Some people may not become aware of their condition until symptoms appear years after their heart began its decline. Symptoms of heart failure include shortness of breath, difficulty breathing, fatigue, swelling of the ankles and feet, and weight gain due to water retention.
Cardiovascular Disease Risk Factors
With so many people affected by cardiovascular disease, it is important to be familiar with the associated risk factors.
High Cholesterol- Cholesterol is an important factor in brain function, and is the structural material from which the hormones progesterone, testosterone, estrogen, DHEA and cortisol are made.
Proper ranges of cholesterol are important to the prevention of cardiovascular disease. Total blood cholesterol above 200, LDL cholesterol above 130, HDL cholesterol below 35 and lipoprotein levels greater than 30 are all indicators of problematic cholesterol.
High Blood Pressure- High blood pressure, or Hypertension, often results from excess fat or plaque buildup because of the extra effort it takes to circulate the blood.
Blood pressure levels at or below 120/80 are considered to be within the normal range. 140/90 or higher is considered to be within the high range. Blood pressure levels ranging from between 120-139/80-89 fall within the range of pre-hypertension, which means that you are more likely to develop high blood pressure unless you take action immediately to prevent it.
Diet- A healthy diet is essential. You should eat five to seven fruits and vegetables a day, whole grains, a handful of nuts, and low-fat meats, chicken and fish cooked in olive oil or other excellent tasty oils. Avoid sugars and processed foods.
Diabetes- Persons with diabetes lack the necessary hormone, insulin, to break down digested sugars, or are resistant to its effects. As a result, a person with diabetes is at the same level of risk for having a heart attack as a person who has had a prior heart attack.
Stress- When the body is consistently under a lot of stress, it releases too much of the hormone cortisol. This puts an extra strain on the heart as the blood pressure rises and the body retains too many excess fluids.
Lack of Exercise- Fall in love with exercise! The heart is like all other muscles in the body. In order to stay in good shape and function properly, it needs to be exercised. Exercise will help control other risk factors such as obesity, high blood pressure, diabetes and stress management.
Diagnosing Cardiovascular Disease
Until recently, the ability to detect heart related conditions was limited and the ability to detect early onset was virtually impossible without the use of expensive and potentially dangerous procedures. Due to the advancement of technology and decades of valuable research, a new diagnostic machine, the CardioSpec, has recently been made available to physicians to detect cardiovascular disease with greater accuracy and specificity in less than 2 minutes and without the need for invasive procedures.
The CardioSpec is highly effective in diagnosing seven types of cardiovascular disease - coronary artery disease, heart attack, left ventricular dysfunction, left ventricular enlargement, conduction abnormalities, arrhythmia, and pulmonary heart disease - with more than a 90% accuracy rate. The diagnostic system works by evaluating the function of the heart directly, detecting subtle changes in the hearts function or injuries caused by obstruction of small coronary arteries, which cannot be detected by catheterization or angiography.
Early detection of cardiovascular disease could mean the difference between life and death. If you have any of the risk factors associated with CVD, see your physician as soon as possible. After a thorough evaluation, your physician can determine if you have CVD and begin to develop a treatment plan that works for you. CVD does not have to be a life sentence and with some significant lifestyle changes, you can be on the road to recovery. But the first step is ACTION. Call your doctor today.
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A few questions you might have concerning breast augmentation:
Breast augmentation surgery has become a common form of plastic surgery. Most women choose to enhance their breasts because they wanted to look better, without or in clothes; because they wanted to feel better about themselves, or more confident, or less self conscious. A very high percentage—94% of respondents to a recent industry survey of 5,000 women—would recommend the procedure to friends or family members.
Many who are considering surgery have natural questions about the procedure. Answers to some of these questions will help the patient to choose their surgeon or identify a hospital. A patient will choose a surgeon on the basis of experience, reputation, and successes; for example, a patient may prefer a doctor who is affiliated with the American Academy of Cosmetic Surgery, industry’s professional association. A patient may consider the status of a hospital’s Joint Commission on Accreditation of International Standards or recognition from the US National Health Services, to be an important part of their decision.
Professional association research has identified the typical patient seeking a breast enlargement to be a 34-year old woman with two children. Specialists in plastic surgery consult with patients to specify procedures so that patients choose, with the benefit of their doctors’ counsel, between silicone gel and saline breast implants. Typically, a plastic surgeon will inform a patient that they will spend a few days in the hospital to be followed by a little over a week’s recuperation.
