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Expectations are sometimes very amusing things. You have them and then find yourself surprised when they prove wrong. It’s like assuming every classic diner will serve apple pie only to find some that don’t. So, browsing through the news, I was surprised to come across a news item about the latest words of wisdom to be published by the American College of Physicians. For those of you who don’t follow medical affairs, the ACP was founded in 1915 and has 120,000 internists in its organization. This makes it the largest specialty organization in the medical field. You expect this kind of body to be on top of things. With advances in medical technology stunning us every week, you look to the ACP for leadership, promoting excellence and professionalism among its members by issuing guidelines and advice based on the latest evidence. So here is their latest offering. It’s finally official. The best treatment for erectile dysfunction is a PDE5 inhibitor pill.

So, all you doctors living out there in the boondocks, you must stop recommending those scary pump devices. You know those vacuum tubes that encourage a hard erection when you pump out the air. More effective but painful were those injections. Patients always liked the words of encouragement that being injected in the penis was no worse than being slapped by an elastic band on the rebound. And no more of those suppositories. (more…)