Diabetes and Erectile Dysfunction

It can not be well separated that both diabetes and erectile dysfunction (ED) are related, and most men who are diabetic are 10 times earlier to have this kind of erectile problem. Per definition ED is the inability to maintain erection during sexual activity.


ED is one of the most problems among diabetic men

Diabetes causes many complication as to vascular and neural systems in our body. Most anti-diabetic-drug uncontrolled patients would at least have a problem with blood vessels which could disturb the blood flow to the penis during erection. As men with diabetes develop ED 10 years earlier than normal men, it should be well noted that controlling blood sugar level is as important as to prevent ED.


ED can be well avoided as to control your diabetes well with drugs

There are seven steps that you can follow to solve this problem are:
1. Maintain good glucose level in your blood with drugs that prescribed by yourhttp://www.blogger.com/img/blank.gif doctor.
2. Perform Medical Check Up (MCU) at least once a year to your lipid profile that might have effect to the plaque formation inside your blood vessels that also could lead to ED.
3. You can treat this ED problem with drugs such as Viagra, Cialis, or any others, but make sure you contact your doctor before consuming these, also these drugs can not be consumed for people who already had cardiovascular risks.
4. Vacuum is the most safest method to maintain optimum erection for ED, but this device cost much money.
5. Share your problem to your partner, so she could well understand about your situation.

THIS ARTICLE IS ALSO AVAILABE IN INDONESIAN AT MEDICALERA CLICK HERE

The More You Do, The More You Would Likely to Become A Good Doctor

As we remembered our long-term medical study, we often met that we were told to do anything as to increase our skills. In fact most of us would refuse those orders.

One of my lecturer said to me in our very first day in hospital, "medicine students in hospital don't use their memory to study hard as what used to be during in college, but to use proper cues or senses to feel how medicine works". Thus that still hot in my head. I feel that medicine students either any residents are working their best to achieve skills through cues.

Our cues don't work in such of memorizing things as what we call "reading and memorizing" but they work with such of proper work. The more you do, the more your cues would likely to make you a very smart doctor.

So when your lecturers tell you to do what they want, just simply face it, never refuse it, because they don't seek of such a failure, but expect of what you would likely to become closer to their advanced skill.

So? "do it"

It's Hard to be A Surgeon, More Harder to Hold A Responsibility of What A Surgeon Does

Seeing my sister on her operation made me think that, "it really is cool to work such a masterpiece". Of course to be a surgeon it takes a very long time process, started from 10 semesters of surgery residency, and so on of which I do not know much.

I always see from my point of view, that I never realize to what my sister thought about. Last night I just reviewed the pictures of what I took from my sister's operation that it's noy easy of getting work of such.

There are things that been bothering my mind still:
1. A surgeon must make a little damage, if he could just cover the damage, more better.

2. A surgeon holds a blade which a slight cut of it, could bring death or medicine.

3. A surgeon is always trying to make small intervention comparing to what God had created.

4. A surgeon is a leader in such a small community at Operation Room. He must be able to manage everything through a very complicated process.

5. A surgeon must take every risk to save life through his knowledge and his deep logic to suit with.

Well, all I can say, surgeon is just not a profession of which is just so cool. But a surgeon always brings a very big resposibility at his shoulder.

Good luck all surgeons, and save lives today!!!

OK is the abbreviation of "Operatie Kamer" not Okay

Some people in Indonesia, even some of the doctors never realize the abbreviation of OK itself, though they're always entering it.

OK taken from the dutch language: Operatie = Operation and Kamer = Chamber. Since the colonization of Dutch, some of the words never change as the OK that stands for Operation Room.

This maybe not a useful information, but still people should know about this.

PS: thanks to Doctor Bahar Azwar for the info :)

Circumcision: Necessary or Not?

For some people think that circumcision maybe related to any religious or cultural matter. In a very simple definition circumcision means, a minor surgery of penis' foreskin removal (Macquarie Dictionary, 2nd Edition, 1991).

For some reasons, circumcision has been the obligation for many religions: Islam and Judaism. WHO (World Health Organization) noted that 30% of all males, are circumcised (Male circumcision: "Global trends and determinants of prevalence, safety and acceptability", World Health Organization 2007, Retrieved on 2008-08-20).

The benefits of circumcision has been acknowledged since a very long time ago. Circumcised penis is more likely cleaner than uncircumcised one, thus the circumcised penis doesn't have skin that covered the glans anymore. The American Academy of Pediatrics (1999) stated: "Circumcision has been suggested as an effective method of maintaining penile hygiene since the time of the Egyptian dynasties, but there is little evidence to affirm the association between circumcision status and optimal penile hygiene. Some studies showed that uncircumcised male are riskier to many diseases - STD (sexual transmitted diseases).


(Picture = Circumcised penis in both flaccid and erection state, Source = http://en.wikipedia.org/wiki/Circumcision)


(Picture = Uncircumcised penis in both flaccid and erection state, Source = http://en.wikipedia.org/wiki/Circumcision)

The steps of circumcision procedure:
1. Examination
The patient must be examined first trough a proper health inspection. Circumcision can't be made for: hemophilia, hypospadia, and many blood diseases. Indication could be absolutely needed for: paraphimosis, inflammation, and my infection diseases.

2. Antiseptic / Antisepsis
Patient that is allowed to continue on circumcision usually be prepared with antiseptic / antisepsis procedure. Usually the penis and around be applied with Jodium or such.

3. Anesthesia
Before going into circumcision surgery, the patient could chose whether he wants to be local anesthesia or even general one. Though circumcision is minor surgery, but anesthesia is absolutely needed to avoid pain.

4. Foreskin measurement
This procedure needs to be done so the surgeons could ensure that they would cut the foreskin properly. Usually this procedure needs a clamp as they do with Guillotine Style.


(Picture: The measurement of penis' foreskin with clamp, Courtesy of M. Caesario & L. Nursanty)

5. Foreskin removal
Surgeons usually use the best tool to remove the foreskin, they could use started from scalpel, scissors, even a monopolar cauter.


(Picture: A complete circumcises penis as clamping the source of the bleeding, Courtesy of M. Caesario & L. Nursanty)

6. Wound stitching
A circumcised penis needs to be stitched as to stop the bleeding.


(Picture: Stitching process, Courtesy of M. Caesario & L. Nursanty)

7. Finishing
As the stitching completed, nowadays surgeons usually to take it opened than wrapped with gauze. The opened wound care of the circumcised penis needs extra care, so it wouldn't be applied with water as bathing.


(Picture: A complete stitched circumcised penis, Courtesy of M. Caesario & L. Nursanty)

Surgeons are Hot in OR!!!

Why did I say so? Because I always think that surgeons are using their most advanced capability to save lives with their most used tool which we used to call it: blade, scalpel, or knife.


Picture: A scalpel / blade / surgery knife

I've been watching my sister in OR for the last 3 years. She always has a good intuition to approach the surgery well. She always tries her best to cooperate with such her coworkers: anesthesiologist, nurses, and many staffs there at OR.


Picture: My sister in her operation at OR

Knowing that such, I can not really wait to become a good surgeon like her.

Mohammad Caesario