Braddy, t o u c h e' , or, TOUCHDOWN. We now know for sure you are not a physician. I suspected it all along but had to get proof and here is the proof.You initially galloped into this thread stating that you were a physician; an Internist too; with expertise in treating ED for 4 years. Well I smelled a rat immediately but had to wait and get proof. And guess what : here is the proof: you have absolutely no idea of how w many men have ED, or diabetes or anything medical related to that.
Here are the facts Braddy: ( remember, these are facts; not opinions ).
=============================================
A) The incidence of Diabetes in the USA, from
Text book of Internal Medicine,
by William. Kelley, MD, 1997 edition.
***
Diabetes Mellitus Types I and II
Chapter 414. page 2238.
By Jay S. Skyler
Diabetes mellitus is a chronic metabolic syndrome, the metabolic dysregulation arising as a consequence of a relative or absolute deficiency of insulin. .
Diabetes mellitus is an important public health problem.
Worldwide, over 120 million people have diabetes.
one in 20 Americans has diabetes-an estimated 14 million people
nearly half of whom are undiagnosed.
In addition, 10% of the population has impaired glucose
tolerance( IGT) which may represent a mild form of diabetes, and is often a harbinger of the overt clinical syndrome. Diabetes with it's complications, is the seventh leading cause of death b) United States. People with diabetes are two to four times more prone to coronary and cerebral vascular disease than the general population. In the United States,
the economic burden of dia in 1992 was estimated to be $92 billion
in one analysis and 105 billion in another analysis.
Text book of Internal Medicine, by William. Kelley, MD, 1997 edition.
****
( This is one of the three PREMIERE textbooks of Internal Medicine in the USA; It is published by The University of Michigan Medical School and used througout the USA to train both Intrnists as well as medica students
******************************************************************************
B) After the No of Diabetics in the USA has been established
, then one wants to turn to the No ! Textbbok authority on Diabetes, in the USA as well as the whole world, in order to establish the true incidence of Erectile Dysfunction in the Diabetic population.
The textbook is TEXTBOOK OF ENDOCRINOLOGY by Williams: the premiere textbook for the last 30 years.Here is the last, 1995 edition:
***
WILLIAMS' TEXTBOOK OF ENDOCRINOLOGY
8th Edition
Edited by
Jean D. Wilson, M.D.
Professor and Chief of the Division of Endocrinology and Metabolism
Department of Internal Medicine
The University of Texas Southwestern Medical Center at Dallas
Daniel W. Foster, M.D.
Professor and Chairman
Department of Internal Medicine
The University of Texas Southwestern Medical Center at Dallas
W. B. SAUNDERS COMPANY
Harcourt Brace Jovanovich, Inc.
Philadelphia London
Toronto
Montreal Sydney Tokyo
^^^^^^^^^^^^^
Erectile dysfunction may be due to arterial and venoocculsive insufficiency, loss of neuronal integrity, psychogenic inhibition of the erotic response, endocrinopathies and local cavernosal factors (Table 19-1). These mechanisms are not independent and often act together to produce erectile insufficiency.
Impotence in Medical Diseases
Patients receiving medical care who present to an impotence clinic have a wide variety of medical illnesses (Table 19-2), as reported by ourselves and others ( 31, 37 ). Patients presenting to urologists may have different characteristics.
Some etiological insight may be gained by evaluating
TABLE 19-2. Clinical Characteristics of 301 Patients Presenting to erectile function Clinic*
% of Patients with
Disorder
Hypertension 45.8
Diabetes mellitus 30.0
Atherosclerosis 33.6
Myocardial infarction 16.3
Stroke 9.6
Occlusive vascular disease 7.0
Angina 9.6
Coronary bypass graft 5.3
Transurethral prostate resection 16.9
Arthritis 22.2
DIABETES MELLITUS.
Impotence in men with diabetes meellitus is common ( 14 ). Several large series suggest a prevalence of about 50% in unselected patients ( 12, 53-57 ), (see Tab 9-3), increasing steadily with age, to reach 95% in geriatric diabetes clinic. The relation between the onset of diabetes and impotence is variable.( 56, 58, 59). We found the onset of impotence is inversely related to age at diagnosis of diabetes (Fig. 19-3).
Nocturnal Penile Tumescence is almost invariably abnormal in impotent diabetics compared with either normal subjects or potent diabetics ('11.61) which implies an organic pathogenesis. Endocrine,neuropathic, and vascular etiologies have been proposed.
******************************************************************
******************************************************************
There it is Braddy.
Bottom line:
14 mill diabetics in the USA, 50% of whom have ED.
This thread I hope will now realize the magnitute of Braddy's initial error and subsequent reaffirmation of the same error.
The above statistics ARE C O M M O N, E V E R Y D A Y K N O W L E D G E for any Internist. This is why Braddy's ignorance of it is that he probably has never even met a diabetic let alone treated him < GGG >.!!! He is no doctor.He knows some facts about Vivus. May be he is the office secretaary of the PFE PR fellow, or is a broker at one of the brokerage houses that's been trying to yank Vivus up and
down tha last 8 months .Whatever.But not a doctor.
No hard feelings Braddy. Should you come forth clean , I'll be glad to shake your hand.
I will no longer spend any more time analysing " your posted medical
facts/ factoids, etc," on this thread because not being a physician you are obviously even more confused about the medical facts at this time than Leo who at least does not pretend to be a doctor.
Finally I would like to suggest to this thread that they get their medical info on ED in thr future from me, GGGG, a well- informed physician.Orr, if you are a Vivus short and can't stand me, gg, then
get it either from your family physician, preferably an Inernist I hope,or a Urologist or an Endocrinologist.
Then, say good bye to Braddy, and move on to a
serious discussion about investing in Vivus. A great stock.
The caveat now is that markets are choppy and so Vivus. However I suspect that buying at these sale prices will be highly rewarding 3-6 months from now, and especially 1- 2 years from now.
I have NO problem about buying Vivus at these prices now that we know what gave rise to the recent weakness:
-profit taking
-Asian crisis/market correction
-PFE trumpet blowing
-the story about an 87 year old dying while having sex.
The stock may go down to 19 just as easily as it going back up to 27
at the blink of an eye.So it's six of one and half a dozen of the other.
TA
|
