Sanofi: Renvela/Case Study and Issues Jason stepped out of the urology center at Cedars Sinai and walked out onto the street. He had visited this center in order to receive his test results and speak to his doctor about the next plan of action. His doctor had wanted to engage in a physical examination of his genitalia, talk about the results of the hormone testing and engage in a questionnaire about his physical and psychological functioning. Neither Jason nor his doctor found the visit terribly illuminating. All the tests and bloodwork that came back for Jason was normal. Jason's systems were all in tip top working order, and there was nothing in his medical history which indicated that his system of sexual arousal should be altered or non-functional in any way. Fundamentally, the visit just demonstrated that his doctor strongly suspected that it was his recent prescription for Renvela. Jason was put on Renvela because he had been experiencing the signs of kidney disease not because he had a form of bowel impaction. Renvela is sevelamer carbonate. "Sevelamer carbonate belongs to the group of medications called phosphate binders. Phosphate is made up mostly of the mineral phosphorus, which is an important component of normal bone and cell metabolism… When taken with meals, sevelamer carbonate prevents the absorption of phosphates from food. It is used specifically toprevent high levels of phosphate (and therefore phosphorus) in the blood…" (duanereade.com). Erectile
S- 3671 dispatched to a m pt C/O of abdominal pain and black stool. Pt is a 49 y/o m whose C/C is abdominal and lower back pain. Pt also states that he is experiencing cramping around his left ribcage. Pt states that he has been experiencing N/V/D for the past four days. Pt also states that his bm's have produced black, watery stool since the monday prior to the incident date. Pt is able to provide EMS personnel with a detailed medical Hx that includes HIV, acid reflux, and recently diagnosed COPD. Pt also states that he recently stopped smoking cigarettes. Pt is also able to provide EMS personnel with a list of medications that he is currently taking that includes Duloxetine, Stribild, Ranitidine, Aripiprazole, oxycodone, and proair. Pt states that he has not taken any of his prescribed medications for the past four days prior to the incident date. Pt states that he has allergies to Kaletra and gabapentin. Pt states that his primary
Robert Johnson noticed blood in his stool. For several months , he had experienced pain in his abdomen and diarrhea. What endoscopic procedure will his physician order?
This paper will outline sexuality at different life stages, and as a sexual therapist I will coach an adolescent girl with a boyfriend who is pressuring her to have sex; an elderly couple with a wife exhibiting a renewed interest in sexual activity and a unwilling husband; and finally a handicapped male that has been paralyzed since he was four years old.
He contradicted the argument that homosexual behaviour is related to genetic, hormonal or biological disorder. To abolish these views, the author mentions that ‘no school of medicine, medical journal or professional organization has ever recognized such claims (p. 2) - at least at the time he wrote the article in 1994.
I don’t have burning or pain with urination.” “Have you noticed any breast lumps or lesion?” I asked. L.J.H stated, “No I have not. I am very careful with that kind of stuff and get a mammogram done every year. I haven’t noticed any lumps or lesions.” After asking about genital discharge L.J.H stated “no I haven’t noticed any
The goal for treatment was to reduce the patient’s urges as well as his practice in autoerotic, where he will resist and act out his fantasies, and change his heterosexual functioning. According to the doctor, for this treatment to work the patient checked in to an inpatient facility with wife and two children, into a flat for six weeks. To get rid of the fantasies the doctor taught the patient coping strategies and covert sensitization. The wife was very involved with this and helped monitor his treatment. (Haydn-Smith Peter, 1987)
3. The conclusions section that sums up our thoughts and feelings regarding Tom Bradford’s erectile dysfunction solution…
Methaqualone, is also referred to as Disco Biscuits, Down And Dirties, Jekyll-and-Hyde, Joe Fridays, Lemmon 714, Lemons, Lennon's, Lovers, Ludes, Mandies, Mandrake, Q, Qua, Quack, Quad, Quaaludes, Soaper, Supper, Vitamin Q, The Love Drug, Wallbangers, Whore Pills, and Sopor. This list of street names for the drug goes on and on.
Barbra, a 33-year-old married female, goes to her university’s mental health center due to her inability to have an orgasm with her husband, Frank. She can achieve orgasm by herself, but never with Frank. She does feel a desire to have intercourse with Frank, but, his foreplay is unsatisfactory to her. She also does not find much pleasure from intercourse with him. Barbra regularly masturbates to reach orgasm after Frank falls asleep.
I spoke at length on 1/30/17. Ms. Milton said her pain is better with the new medication Tramadol. She said she is dealing with the pain. She chooses to stay with Sparrow physical therapy and said they are giving her more close attention at therapy. She said she has a home exercise program that she works on when not at therapy. She still needs the wheelchair when going long distances. She continues to work on weight loss. She has pain to her knees, shoulders, and headaches. She reports her memory is not good.
I explained to her that the reason why she was put on those 2 drugs was because her therapy with Hydromorphone and Iron may cause constipation and just to adjust her diet would not be enough to prevent it. Moreover, she was immobile due to her cast on her leg which made her at higher risk of constipation.
On 16/9/16 R presented to the clinic and upon arrival, completed a form to guide his care plan (Gulanick & Myers 2014, p. 852-7; SA Health 2016a). This form revealed he was asymptomatic and sought a general sexual health check-up. Due to these reasons, he was triaged to see a registered nurse in a nurse led clinic (NLC). In this private NLC, a routine interview process was conducted and revealed R to be a healthy (no notable PMHx) twenty-six-year-old of Indian descent who migrated from Singapore to Adelaide five months ago. Additional to these demographic factors, this process also allows for the collection of ones’ sexual history to determine
As the brand manager for Allround cold medicine, there were many decisions regarding product formulation, strategy, line extensions and product launches over the company’s last 10 periods. The brand was focused on remaining a profitable, mature product family within the cold medicine category, but also maintaining a premium brand image.
In 1966, a botched electrical circumcision left David Reimer (then named Bruce) without a penis. A malfunction in the doctor’s equipment (electro-cautery needle) caused the needle to burn Reimer’s penis from tip to base. The Reimer’s were left with a dilemma: a son with no penis. They visited several medical experts who assured them that penile reconstruction would prove worthless. The Reimer’s were devastated and did not know how to help David. One afternoon when the Reimer’s saw Dr. John Money, a so-called expert in sex reassignment, on television they contacted him and brought their son to see him. It would prove to be a tragic decision.
Prior to the death of Mr. Collins father, his consumption of Internet pornography and sexual chatting was not considered remarkable. He appeared to be able to function sexually while masturbating and during sexual intercourse with the partners in his life prior to this life-altering event. Mr. Collins expressed a relatively normal desire for sexual contact as a teenager as well as desire to couple with partners his age in traditional ways, but after the death of his father, what normally produced the arousal necessary to ejaculate while masturbating and having sexual intercourse, no longer appears to have had the desired effect. It is at this time that it appears that the symptoms of depression began to manifest in Mr. Collins life, depressed mood, decreased interest or pleasure, change in sleep, change in activity, and concentration. As these symptoms manifested, it appears that the indicators of Hypersexual Disorder began to develop; excessive masturbation, obsessing about sex to the point that it interfered with his life, spending significant time planning their sexual activity, frequent viewing of pornography or use of sexually explicit websites or other online services including adult chat rooms, frequent one-night stands with strangers, staying emotionally detached from sexual partners, frequently engaging in paraphilias, and inability to stop despite the consequences.