Comments on: Painful? You want Painful?!?!?

By: Spondy

Spondy — Thu, 26 Feb 2009 20:35:50 +0000

Loving the blog. Been reading bits of it over the last week or so. It truly scares me to read about some of the things my fellow human beings get up to.

I have just seen this story on an IT news website (No idea about the technical angle?) about a 23 year old guy with priapism for five days.

More here for those interested in reading it:

http://www.theregister.co.uk/2009/02/26/hardened_dominican/

By: rogue medic

rogue medic — Mon, 06 Oct 2008 05:16:48 +0000

Large amounts of IV fluid and pain medicine (and some oxygen) are the only treatments I’m used to for sickle cell crises. Would this be a contraindication for giving a lot of fluids?

By: jfb1138

jfb1138 — Tue, 30 Sep 2008 17:11:21 +0000

Albinoblackbear: With the control necessary to perform Tantric sex correctly, one can actually go to a sort of ‘halfway there’ state. This permits blood to move in and out as required for health. It’s only ‘unlikely’ if you’re insisting on rock-hard, maximal erection. That’s not necessary, of course.

By: Suzanne

Suzanne — Sun, 28 Sep 2008 01:05:39 +0000

I love your website, but I keep forgetting not to read it before going to bed *shudder*

By: Ian Furst

Ian Furst — Sat, 27 Sep 2008 18:36:17 +0000

4 hours — as the commerical says — that’s not a medical emergency it’s a scheduling conflict.

By: ERP

ERP — Sat, 27 Sep 2008 17:35:06 +0000

He had taken no meds. He was just + for Sickle trait.

By: Tiny Shrink

Tiny Shrink — Sat, 27 Sep 2008 16:26:06 +0000

Men with sickle cell anemia (homozygotes) can have priapism without ever taking Viagra. I would suppose that men with sickle cell trait (heterozygotes) could have priapism without taking Viagra as well, providing the conditions were right (dehydration, extreme heat, altitude–any thing that can put a person with sickle trait into a sickle crisis). Erectile dysfunction drugs are only one way to get this condition. A commonly used sleep medication, trazodone, carries a very small but significant risk of priapism, also.

In other words, I’m guessing from the way the post is written that this patient did not actually take any medication, but due to his blood condition had a priapism anyway. I liked this post because I hear a lot of guys laugh at that comment on the Viagra commercials–”Hey, I’d be HAPPY if it lasted four hours!” Obviously, they don’t know the consequences, or how painful priapism actually is.

By: Albinoblackbear

Albinoblackbear — Sat, 27 Sep 2008 14:52:55 +0000

Oops..typo in my info..allow me to repost…

Okay…explain then how men who claim they are into Tantic sex and can have erections for hours do not have any of the risks associated with priapism?

I guess in that case they can shut it down if it gets to painful…still…the claim to me seems unlikely…

By: Albinoblackbear

Albinoblackbear — Sat, 27 Sep 2008 14:49:43 +0000

Okay…explain then how men who claim they are into Tantic sex and can have erections for hours do not have any of the risks associated with priapism?

I guess in that case they can shut it down if it gets to painful…still…the claim to me seems unlikely…

By: rph3664

rph3664 — Sat, 27 Sep 2008 04:43:55 +0000

Reason #16,423 why I am glad I am female!

By: Matt

Matt — Fri, 26 Sep 2008 21:45:26 +0000

I wish I had something more constructive to say than “OWW!!!!” but… I’m at a loss of words right now…

By: Bianca Castafiore

Bianca Castafiore — Fri, 26 Sep 2008 21:20:38 +0000

Are men with sickle trait subject to priapism “simply” by virtue of their misshapen blood cells — that is, are there necessarily ED medications involved in that population?
Oh, and yes, how glad I am for your patient that the relatively less horrid treatment worked!

By: cardiogirl

cardiogirl — Fri, 26 Sep 2008 19:55:37 +0000

Uh, as a chick all I have to say is, “AUUUUGGGGGHHHHHH!”

I wonder if that guy is going to use Viagra again.