Comments on: Don’t lie about Viagra use http://www.kevinmd.com/blog/2008/01/dont-lie-about-viagra-use.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Gasmanhttp://www.kevinmd.com/blog/2008/01/dont-lie-about-viagra-use.html#comment-82482 Gasman Thu, 03 Jan 2008 16:59:00 +0000 http://clients.emmense.com/kevinmd/2008/01/dont-lie-about-viagra-use.html#comment-82482 "They gave him an aspirin, and after he denied using Viagra, a nitroglycerin sublingual. Immediately thereafter his blood pressure dropped from 150s systolic to low 80s. "<br/><br/>Thing is, if you are asking the patient a question to which you know they might be reluctant to divulge the complete truth, then you have an obligation to include the risks of their non-disclosure in your informed consent. The ambulance crew knew the implication of viagra/nitrates interaction, but the patient did not. It need not be very complicated but the patient must be appraised of the potential outcomes of their actions. Something like "I am going to give you nitroglycerine, which might help your chest pain and save your life. However, if you have taken viagra today then giving you nitroglycerine will kill you. Do you think you might have taken any viagra?, because if you don't tell us, you will die." “They gave him an aspirin, and after he denied using Viagra, a nitroglycerin sublingual. Immediately thereafter his blood pressure dropped from 150s systolic to low 80s. “

Thing is, if you are asking the patient a question to which you know they might be reluctant to divulge the complete truth, then you have an obligation to include the risks of their non-disclosure in your informed consent. The ambulance crew knew the implication of viagra/nitrates interaction, but the patient did not. It need not be very complicated but the patient must be appraised of the potential outcomes of their actions. Something like “I am going to give you nitroglycerine, which might help your chest pain and save your life. However, if you have taken viagra today then giving you nitroglycerine will kill you. Do you think you might have taken any viagra?, because if you don’t tell us, you will die.”

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/01/dont-lie-about-viagra-use.html#comment-82463 Anonymous Wed, 02 Jan 2008 20:21:00 +0000 http://clients.emmense.com/kevinmd/2008/01/dont-lie-about-viagra-use.html#comment-82463 And I'm sure every thin person is immortal and has a 100 percent perfect health profile and will never, ever fall into the medical pit nor ever expect any miracles.<br/><br/>Yeah, right, anonymous.<br/><br/>This guy's suffering and premature demise is probably punishment enough. Gloating over his grave seems like overkill. And I’m sure every thin person is immortal and has a 100 percent perfect health profile and will never, ever fall into the medical pit nor ever expect any miracles.

Yeah, right, anonymous.

This guy’s suffering and premature demise is probably punishment enough. Gloating over his grave seems like overkill.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/01/dont-lie-about-viagra-use.html#comment-82460 Anonymous Wed, 02 Jan 2008 18:45:00 +0000 http://clients.emmense.com/kevinmd/2008/01/dont-lie-about-viagra-use.html#comment-82460 And don't self abuse yourself into a 450 lb blob and expect some type of miracle rescue when you fall into the medical pit. And don’t self abuse yourself into a 450 lb blob and expect some type of miracle rescue when you fall into the medical pit.

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