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

To: VLAD who wrote (17584)	1/9/1999 12:26:00 AM
From: Zebra 365	Read Replies (3) \| Respond to of 23519

More news from the front. First the US News article, I saw it in my office (yes I'm a doctor who does not allow magazines in the reception area more than 60 days old) before I saw references to it on the web. (I'm working on getting my USB scanner hooked up.... XMas present.) That is good exposure as I consider US News to be the "People Magazine" for the literate. Second, today I saw a patient, a retired professional, who is the patriarch of one of my "three generation" families. (I see his children and grandchildren, also. I'm an internist but see kids down to age 8 because the families like it that way, so do I.) Well, he has had triple vessel bypass CABG in the past year, and was just in for a check on his cholesterol as I'm now following the AHA guidelines to get LDL below 100 in those with known ASCVD. He said, "Do you think this Viagra is for me?" (He and the wife are doing the snowbird trip to south Texas for a few weeks and they still enjoy an active sexual relationship.) I said, "no, with your heart condition you might need to take some nitroglycerine and I don't know how long after Viagra it's safe to take nitro." Turns out his wife, a retired RN had already told him "NO VIAGRA!" And he just wanted to see what I would say. He had never heard of MUSE. I showed him the dummy applicator and he said, "Give me some of that." So he left with a Rx for 500ug MUSE, Actis, Nitroglycerine 0.4 mg, and Zocor 40mg. And he could tell his wife he had something safer than Viagra. (She is not anxious to be a widow.) Remember this was patient driven (and put me behind schedule) but I think is a scene that could be played out many more times. BTW I should mention that I still recommend the Viagra as first-line treatment in low risk patients. Another note. You can probably go into any "Adult Novelty" store in Britain and get something that will work as well as the Actis unit and be just as safe. The rubber band could get lost in the tissue and tough to get off, you need a quick release device or, failing that, a loop of string tied to the rubber band would give a handle to pull out the disappearing band or at least break it if need be. I spent several years as the director of an emergency department, or as I like to call it the "final destination for all unintended consequences involving human flesh." I know whereof I speak. Zebra