Aging, Fatherhood

old first-time fatherThe Follies of Hollywood Fatherhood

You probably heard it already: George and Amal Clooney are expecting. Yessiree, that perennial 55-year old bachelor, once described by the New Yorker Magazine as: “lightly ironic, clever, and self-deprecating, with furrowed brow and bobbing head, and a gyration in the lower jaw,” is awaiting diaper duty…for twins nonetheless.

Ironically, this little feature of the salt-and-pepper haired actor’s life was highlighted by the American Association of Retired Persons (AARP), maybe because Clooney is 2.2 times older than the average U.S. father having his first child? And what, pray tell, are the consequences of being born to an older dad?

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Family Issues, Fatherhood, Mental Health

Inside My Men’s Group: The Hidden Truths I’ve Learned Over the Last 38 Years

I knew I needed a men’s group in the worst way. I had just returned to the San Francisco Bay area after a cross-country trip with my wife. We had hoped to save our marriage, but the trip nearly killed us, or rather it nearly killed me. My wife was a violent woman who slept with a gun under her pillow to “protect herself from men.” We had been married for two years and I suspected that I was in another abusive relationship and if I didn’t get out soon, I might never leave alive.

The flyer posted on the bulletin board in Mill Valley said, “A Day With Well-Known Men’s Activist Dr. Herb Goldberg.” I had recently read Goldberg’s book, The Hazards of Being Male: Surviving the Myth of Masculine Privilege and resonated with the words from the introduction. “The male has paid a heavy price for his masculine ‘privilege’ and power. He is out of touch with his emotions and his body. He is playing by the rules of the male game plan and with lemming-like purpose he is destroying himself—emotionally, psychologically, and physically.”

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Aging, Others

CCTV security systemSurveillance & Medical Care: 5 Ways Video Monitoring Can Improve Patient Care

Hospitals using surveillance systems are reporting fewer patient falls, according to an article in the CT Post. The idea is that certified nursing assistants and trained medical staff can monitor patients from various hospital rooms at the same time. If a patient at high risk for falling or hurting themselves looks like they’re making a move to get up, the nurse can call them on the patient intercom to stay where they are, and then call for someone to go into the room to assist them. In the case of Greenwich Hospital, only one patient fell in the monitored rooms in the first year the cameras were in place.

Monitoring patient rooms for falls is only one way surveillance can help improve medical care in hospitals and medical facilities. But there are other ways cameras can help. From improving compliance to combining cameras with biometrics, here is how surveillance is improving medical care:

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Health, Health

Public Health in Action: An Interview with Dr. James Leone

A man was fishing in the river when he noticed someone was drowning. He pulled them out and attempted to resuscitate them. Shortly afterwards, he noticed another person in the river and saved them too. He then noticed another, and another and another. Soon he was exhausted and realized he would not be able save all of the drowning people.

He went further upstream to find out why all these people were falling into the river.

On arriving further upstream, he discovered a broken bridge was causing people to fall into the river and end up drowning where he had been fishing.  He decided he would fix the bridge to stop them falling in, instead of fishing them out after they were already drowning.

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Depression, Sex

libido + erectionLibido and Erections: Birds of a Feather

I take care of lots of men with erection dysfunction. I also take care of lots of men with low sex drive. And, as you can imagine, I see a lot of men with both issues. And this is where men’s health gets really interesting.

Inside My Mind

I think of erections and libido as separate but related, like distant cousins who live near each other. They may be seen together and kinda look alike, but they take their own paths in life. Although both are governed by the same “rest and restore” nervous system, one can get an erection without having any libido (it happens several times a night to healthy men during their deepest sleep), and one can have a sex drive without an accompanying erection. But admittedly, things are sweetest when these two work together.

In men who note both decreased sex drive and erection issues, which comes first? Does the low sex drive lead to erection issues, or vice versa? Which is the chicken and which is the egg? One of life’s eternal questions that I seek to solve every day.

I take a “planetary” view when it comes to evaluating men’s sexual health. Most of Western medicine looks at testosterone levels when evaluating erection or libido issues. But I rarely find these to be informative. Poke around health issues like heart disease, cholesterol balance, diabetes, obesity and blood pressure and you’ll find a lot more. If those come up short, tackle medications, social drugs, sleep and stress if you fashion yourself a Sherlock Holmes. After all, sexual health is a reflection of overall health.

Inside His Mind

When evaluating low libido, think of it like sexual “breathing.” Men may differ from each other, but each will have a typical pattern. And you can measure it not only by how often they’re having sex, but also by including how often they masturbate, or even think about having sex or masturbating. What is the popular lore: awake 18 year olds think about sex every 3 minutes? Remember here that’s it really the thought that counts.

When examining erection issues, there are simple questions that provide real clues as to the severity of the problem.

  • Is it possible to get normal erections in any situation? (e.g. alone, with a partner). Because if it is, then you know the mechanicals are in good shape.
  • Are there ever instances of morning wood? This doesn’t have to be a full-on erection, as even a short rise counts. Also a good sign that erections are normal.

If, with all of this due diligence, it is still not possible to figure out which of these is the lead problem, I take the Indiana Jones approach when faced with an opponent with a huge Damascus sword against your fists, I try a simple experiment: Fix the erection and watch what happens to libido. My go to drugs for this are the fabulous erectogenic agents Viagra, Levitra, Cialis and Stendra. A great example of better living (and problem solving) through chemistry. So, through targeted history taking, often no small feat, even the knottiest of sexual health problems can be detangled.

Photo credit:

This post originally appeared first on The Turek Clinics.


Talking About Men’s Health

Added on April 18, 2012

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