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Biotech / Medical : VVUS: VIVUS INC. (NASDAQ) -- Ignore unavailable to you. Want to Upgrade?

To: Bruce Olsten who wrote (6543)	4/6/1998 11:23:00 PM
From: VLAD	Read Replies (1) \| Respond to of 23519

<<I am not a doctor,and have no contact with users not reporting their experiences on the internet>> Well Bruce I think that pretty much puts it in a nut shell. You base all your sweeping generalities from what you read on one web site. Do me a favor Bruce and go over all 212 of those messages and tell me exactly how many DIFFERENT individuals posted that tried MUSE and said that it either did not work or that it was so uncomfortable that they discontinued use. I bet there are enough digits on your limbs to count that number. I read more "he said she said" than anything else and this is what you base your bold "stuffer" remarks on. You profess that needle delivery is far superior to the transurethral delivery system. I hate to tell you Bruce but you are wrong. I think you need to talk to a few patients who have ended up with fibrosed knotty dicks after prolonged needle use. And I don't care how fine that needle is--it still mechanically breaks through the skin and this will always induce fibroblast proliferation in the injection site--the more you inject the more the scar tissue builds up. Bruce, I used to inject myself in my foot with a local anesthetic/cortisone to relieve nerve pain after having a neurectomy. I could not stand the idea of jabbing myself with a needle--I don't mind giving injections as long as I am not the one on the receiving end. I eventually stopped the injections so that I would not build up any more scar tissue in my foot. Don't get me wrong--I am not saying that MUSE is superior to injections--I am saying that people will use what they feel comfortable with. I don't think Viagra will be a panacea for ED just like the other available methods don't work for everybody. VLAD

To: Bruce Olsten who wrote (6543)	4/9/1998 8:25:00 AM
From: Edderd	Read Replies (2) \| Respond to of 23519

BO I have posted many times about our experience with Muse. It give a very good erection in about 50 to 60 percent of the patients who try it. The success rate might be better if they all had used the Actis (constrictive band) when first trying it. The pelvic pain and the soreness in the penis is dramatically reduced when the Actis is used until 1/2 mast. Up till now the suggested trial of treatments has been Muse>ICI>VED. There are many happy patients on VED and ICI and once the patient is comfortable with a treatment that works they usuall do not change. Now of course the starting Rx will be Viagra. Its go from easiest to most complicated. I cant give you hard numbers since it's impossible to review these cases in private practice and earn a living at the same time. It is very important to teach the patient how to do the insertion. If they learn right the first time and it works then they will probably stick with it. Ed