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The following is from the beginning of a short story by the same title. Read “Author Bio” to learn more.
****
I was recently doing a search in Google to find a website that would confirm my suspicions about a Tele-huckster—a pet peeve of mine to which I am hopelessly addicted. One thing led to another and, yada yada yada, before I knew it, my flat screen monitor began flashing a string of sexually explicit pictures in brilliant pulsating color. It was an X-rated pop-up extravaganza; one I was unable to keep up with. I clicked frantically trying to close one close-up invasion after another. The bombardment continued on until it ran its course, eventually reaching some kind of worldwide web adult abyss that even the internet could not crawl below.
As I cleaned up the dirty debris I so innocently spilled—well maybe not that innocently—I was struck by my good fortune. Thankfully, the internet came along decades after my early teen years. Had this stuff been around in the Sixties, I might still be squirreled away in my attic room to this day, trimming the hair on my palms while mumbling incoherently to my seeing-eye dog.
On the other hand, learning the whereabouts, general appearance and overall purpose of female parts would have been a heck of a lot easier, not to mention more timely. Instead, my sex education was really the collective result of a hit or miss operation. At the time it was torture, but I don’t know, there was something funny about it too. And it all started at my local summer recreation center, Carteret Park ...
****
“What did Roy Rogers say to Dale Evans in the bedroom when the lights went out?” Mud Finnegan asked a rapt group of adolescent boys sitting around a long wooden table at our local summer hangout, Carteret Park. He was about twelve years old, a year older than I and several years older than most of the kids sitting on the benches—that was age-wise but he seemed a generation older than all us in every other way.
Mud looked around, working the table like a seasoned Catskill comedian. No one dared answered his question because it really wasn’t a question at all. It was an obvious lead-in to the punch line of another classic dirty joke; besides, no one had a clue as to the possible answer—no one that is except Moon Muller.
“I know!” Moon yelped in a lame attempt to impress the guys, as if he was really in the know.
“Shut up! You don’t know crap!” Fitzy snapped back, warning that one of his patented headlocks might be coming Moon’s way if he didn’t keep his big trap shut.
“Do too!” Moon fired back in a surprising show of bravado.
“Are you two f’in jerk-offs through?” Mud, as only Mud could do, used the “F” word with a certain artistic flair. He painted masterpieces with four letter words no differently than Monet did with colors from a pallet. Having regained the attention of his fickle audience, he continued to close the deal.
“Do you f'in dick heads wanna hear the f’in joke or doncha?” His eyes got wide and kind of crazy looking, one eyebrow climbing higher than the other. Of course, we wanted to hear. Everyone settled down. He waited a moment, knowing timing was everything; then, delivered the goods.
“I’ll turn on my flashlight if you turn on your headlights.”
A flash of universal vacant thought swept across the sea of open jawed faces, like the eerie stillness before a tornado strikes, as our feeble brains scrambled to “get it”. Then, as if prompted by an audience monitor, an explosion of rip-roaring, doubled-over laughter swept around the table. Ah … Mud sure could bring it home. Making it all the more incredulous was that most of us struggled to understand the punch-line. But we knew enough to laugh because that always bought us time to figure it out.
Mud proudly acknowledged his success with a wide grin, while he waited for us to wipe the tears from our eyes, boogers from our noses and drool from our chins. He was on top of his game. Being the veteran performer he was, he launched into an encore with another doozey about some lost traveler asking some guy who is with a woman how far is “The Old Log Inn”; you can guess the answer. Another eruption of roaring, clueless laughter followed. Another tidbit of carnal information revealed.
That was my introductory class to sex education in the Sixties. We weren’t taught concepts like “private parts”, and never heard of or cared much for formal words like “penis” or “breast” or “vagina”. Our language was narrow and practical; “logs” or “rods” and “headlights” or “cams” were all we knew or needed know to communicate with each other. Regarding “vagina”, only a few guys with older sisters had even the slightest notion of what that might be; most of us were under the delusion that girls had simply broken their logs off at birth; possibly by accident or through carelessness.
So all we had were Mud’s dirty jokes, and embellished stories of older sisters spied on or caught in some state of undress. It was all a forewarning of things to come. I mean we understood the direct symbolism of certain words to body parts and innately found the sophomoric humor in using such imagery in the context of a joke. But underneath it all we started to sense that there was more to this than met the eye, something sinister.
As we’d soon come to discover, there sure was!
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Penis enlargement exercises are a different option to surgery for a man who is dissatisfied with his penis size, as for most men it is either too short or too thin. If you search the web, marketing companies have picked up on this niche and have deployed many different marketing strategies to try to encapsulate us into buying their product’s, however it is quite possible that many of you are rather skeptical on many of these items.
This is where penis enlargement exercises come in to the rescue. While the penis holds no actual muscle, the exercises have been developed to help increase blood flow and increase the size of the suspensory ligaments. This it turns causes your penis to grow in size.
Just like before you do any form of exercise, it is very important that you warm your penis up. Soak a cloth in some warm water then rinse it and wrap it around your penis. Hold it there for about 4 minutes, then remove it and dry it with a towel to make sure you can get a good grip. You’re now all ready to perform your penis enlargement exercises.
First of all, let’s divide the exercises up. I will be covering the ones related to length first, then go onto girth enhancement ones. You can of course use both in your sessions, which is recommended as it will stop your penis growing disproportional.
Most length gaining exercises focus on two factors. The first is to stretch your penis so it forces its cells to divide and multiply. This is the same principal that a traction device would use. The second is to help loosen the suspensory ligaments to help promote growth in that.
The first I shall talk about is the Penis Crank, nicknamed for its rotary movement of the penis. To start with, make sure you’re flaccid and grab the penis with one hand, just below the glands. Pull it until you can start to feel pressure, then stretch it in a circular motion, as if you’re using your penis as a crank. Thirty revolutions should do the trick and remember, it’s the penis you are pulling, not the skin, so if you’re uncut, don’t stretch it more by the foreskin.
The Ruler Snap is a technique used to help loosen up the suspensory ligaments. For this exercise you are going to need a ruler. Again, make sure your penis is flaccid before attempting this exercise.
Start by grabbing the penis firmly with one of your hands. With the other, place the ruler inline with your penis. Start to pull your penis along side the ruler until you start to feel a pressure. Hold it there for about 3 seconds and then release it. Repeat this exercise fifteen times.
Now onto a girth gaining exercise. Like length, your girths main factor is to increase the amount of blood that can flow into your penis so by increasing this, your girth will increase.
The Uli is an exercise that tries to force the blood up into areas that have poor blood circulation. First of all you need to get yourself about 80% erect. Don’t do this while rock hard, else you will end up damaging your penis. Hold the base of your penis firmly with your thumb and index finger (try making an ok sign around it) and start to slowly pull or milk the penis to the head. This should take about 4 seconds. Once you’ve reached the top, with your other hand, repeat the process. Try to perform this exercise for about 5 minutes.
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From our deconstruction of hundreds of Hollywood blockbusters at at www.managing-creativity.com
The Hero's Journey is the template upon which the vast majority of successful stories and Hollywood blockbusters are based upon. In fact, ALL of the Hollywood movies we have deconstructed are based on this template.
Understanding this template is a priority for story or screenwriters.
The Hero's Journey:
a) Attempts to tap into unconscious expectations the audience has regarding what a story is and how it should be told.
b) Gives the writer more structural elements than simply three or four acts, plot points, mid point and so on.
c) Interpreted metaphorically, laterally and symbolically, allows an infinite number of varied stories to be created.
and more...
Transamerica (2005) deconstructed
FADE IN: the voice range; this is the voice I want to use.
Meeting the Hero: Bree getting dressed.
Hero in her Ordinary World: walking out of the house; waiting for the bus.
Developing the Hero: the doctor asks questions about her.
Motivation / the Elixir: you can sign that consent form.
Refusing the Elixir: the doctor is resistant.
Hero's Backstory / Foreshadow of the Transformation: my family is dead.
Developing the Hero / Elixir: Bree pushes her penis back.
Devolved State: Bree is a busboy in the restaurant.
Hero's Capabilities / Ordinary World: Bree telemarketing.
Call to Adventure: Toby calls.
Refusal: Bree tries to ignore the call.
Meeting the Mentor: the therapist, Margaret.
Pushed toward the First Threshold: Margaret won't give her permission.
Resisting: he's probably a scam artist.
Time Pressure: I can't delay my operation, the waiting list is a year long.
Preparing for the Journey to the First Threshold: thinking about it in her room.
First Threshold from Afar: outside the police station.
Threshold Guardian: the officer.
Backstory of Hero 2: Toby is into drugs and a prostitute.
Meeting Hero 2: Toby brought out.
Outer Cave: at the restaurant.
Middle Cave: inside Toby's room.
Foreshadow of the Transformation: maybe I'll be a blonde.
Resisting the Inner Cave: Bree calls and lies to Margaret.
Inner Cave: Bree agrees to take Toby home.
Consciously agreeing to the Transformation: Toby refuses the drugs.
Physical Separation: on the road.
Journey to the Belly of the Whale: in the car.
Resisting the Belly of the Whale: Toby doesn't want to go home.
Developing Characters and Relationships: Filling up at the gas station; Toby hides his money.
Developing Characters and Relationships: arriving at a hotel; Toby lying naked.
Resisting the Belly of the Whale: Toby repeats he doesn't want to go home.
Developing Characters and Relationships: waking up in the morning.
Developing Characters and Relationships: driving in the car; talking Lord of the Rings.
Push to the Belly of the Whale: Turning off to Calcun.
Resisting the Belly of the Whale: Toby runs away.
Forced to the Belly of the Whale: Grandma gives Toby a hug.
Developing Characters and Relationships: grandma plucks out Bree's nasal hair.
Pushed to the Belly of the Whale: Bree fetches Toby's step dad.
Belly of the Whale:
Toby and his Dad have a fight; Dad's been abusing him.
Polarization: Bree apologises.
Polarization: Toby camps outside.
Push to the Physical Separation: Grandma tells Bree that Toby's Ma killed herself.
Physical Separation: Toby hitchhiking; Toby getting in the car.
Polarization: in the car; Toby won't talk to Bree; Toby insists on the drugs.
Polarization: in the café; I'm not his mother; sitting on the other side.
Creatures of the World of the Transformation: filling up at the gas station; the men watching.
Trial 1:
Outer Cave: Toby is camping out.
Preparing for the Outer Cave: Bree shopping for camping gear.
Outer Cave: Bree cooking.
Middle Cave: Going to the ladies room; do you think there are snakes around here.
Inner Cave: Toby talking about his dad by the campfire; Bree takes her pills.
Transformation 1:
Waking up; the bright idea; Bree will set him up in the telemarketing field.
In the car; working in a pet store is not very ambitious.
Trial 2:
In the café / store; Toby meets the girl.
The child reads Bree.
Bree phones Margaret.
The girl kisses Toby.
Transformation: (Bree acting as a mother) Bree wants to be introduced to Toby's new friend.
Resisting the Transformation: "..Margaret, I don't think I'm cut out to be a mother…"
Trial 3:
Forced to the Transformation: Bree forced to pray at the table.
Acting like Mother: eat your vegetables; a condition for buying the hat is not to do drugs.
Resisting the Transformation: Toby does drugs.
Transforming: Toby gives Bree the hat.
Celebration: Toby hanging out of the window of the car.
Journey to a (glimpse of ) the New World: why are we going to Dallas?
Warning: I hope you'll be on your best behaviour.
Threshold Guardian: Marianne welcomes them.
Outer Cave:
New World: Bree surprised to be at the Gender Pride meeting.
Initiates: Marianne passes the word that Toby doesn't know.
Middle Cave:
Creatures of the New World: the characters at the party.
Inner Cave: Toby almost sees Bree undressed, not ready to reveal herself.
Regression:
Driving; what did you study?
Proximity: Blowing bubbles.
Deception Revealed: Toby sees that Bree has a penis.
Polarization: Toby ignores Bree; continues smoking.
Polarization: Toby doesn't speak to Bree in the car.
Journey to the Communion: Toby wants to go to Sammy's Wigwam.
Foreshadow of the Oracle: seeing the hitcher.
Communion: Toby tells that she has a Dick.
Communion: Bree walks away.
Communion: Arguing in the car; Bree tells Toby about the operation she wants.
Meeting the Oracle: Picking up the hitcher.
Meeting the Oracle: The hitcher endears himself.
Communion: The hitcher and Toby get undressed and swim in the pool.
Developing Characters and Relationships: talking while swimming.
Communion: Toby doesn't think Bree is a freak, just a liar.
Oracle Reveals: The hitcher steals the car.
Pushed to the Sword: walking and hitching the ride.
World of the Sword: on the back of the truck.
Seizing the Sword [Toby]: Toby picks up someone in the toilet and gets some money.
Seizing the Sword [Bree]: Bree meets Calvin Manygoats and gets a ride and a place to stay.
Developing Characters and Relationships: Bree sits with Calvin on the porch; "..keeps the dogs off the porch…"
Developing Characters and Relationships: Bree has the hots for Calvin.
Developing Characters and Relationships: the hat keeps the sun off my face better than a headband and a couple of eagle feathers.
Threshold Guardian: Bree goes to the powder room; Toby tries to tell Calvin that there's more to her than she's letting on.
Seizing the Sword: Calvin gives Bree his phone number and Toby a hat.
Near Death Experience: Toby asks for Sidney at the door; Elisabeth closes the door on him.
Resisting the Atonement: On the grass.
Atonement with the Father: Bree knocks on the door; Mom and Dad it's me.
Apotheosis: with her Dad; it's Subrina! we love you but we don't respect you; meeting Sidney; he's your grandson.
Ultimate Boon: the parents treat Toby really well.
Journey to / Foreshadow of the Elixir: Bree needs to borrow $1000 for the airfare.
Transforming: Bree gets ready and steals the tablets.
Transformation (New Clothes): Bree in her dress; Elizabeth combs Toby's hair.
Resisting the Transformation: arriving at dinner; Bree has to pull out Elizabeth's chair.
Transformation: the joint photo; Toby pulls out Bree's chair.
Journey to / Foreshadow of the Elixir: Bree asks to borrow $1000 for the airfare.
Guardain of the Elixir: Elizabeth tries to dissuade Bree from the operation.
Guardain of the Elixir: Elizabeth offers the money on condition that Toby stays.
Guardain of the Elixir: Elizabeth running after Toby.
Foreshadow of the Elixir: Bree wishes that they could just look at her and see her; Bree agrees to let Toby come and live with her.
Disgust / Refusal: Toby tries to sleep with Bree; Bree tells him she's his father.
Magic Flight:
Bree pursues Toby.
Bree recovers from the punch.
Toby disappears; putting out an APB.
Crossing the Return Threshold: Bree returns to the hospital and gets the operation.
Obstacle: after the operation; Bree unhappy that Toby has disappeared.
Obstacle: Toby in LA on the beach, taking drugs.
Master of Two Worlds: Bree a woman now.
Transformed: Bree a waitress, not a busboy now; learning Spanish.
Transformed: Toby doing porn as a blonde.
Freedom to Live: Toby turns up at Bree's door.
You can also receive a regular, free newsletter by entering your email address at this site.
Kal Bishop
**********************************
You are free to reproduce this article as long as no changes are made and the author's name and site URL are retained.
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KNOWING ROSACEA
Rosacea is a disorder of the blood vessels. It is a common skin disorder. Approximately 48 percent of the world population suffers from Rosacea. However, Rosacea is one of the most misunderstood states of the skin.
FAMOUS PERSONS SUFFERING FROM ROSACEA
If you are having Rosacea, you are then in the august company of eminent persons. A few of the noted personalities suffering from Rosacea are JP Morgan, WC Fields, Cameron Diaz, Bill Clinton, Prince Harry of England, besides the late princess of Wales and mother of Prince Harry – Diana.
ROSACEA SYMPTOMS
The common symptom of rosacea is transformation of the skin color into red. The body portions most affected by rosacea are the cheeks, nose and forehead. At times, such redness and flushing of skin can also spread to the ears, scalp, chest or the neck. As Rosacea progresses, the reddish tinge can turn into a permanent condition. There can also be a marked visibility of the small blood vessels particularly at the skin surface, stinging or burning skin sensation, eyes turning gritty and reddish, and pus-filled or simple bumps that appear red. Among these severe symptoms are bulbous noses. The maiden rosacea symptoms are nagging redness which is often wrongly attributed to cleansing, exercising or temperature changes.
SIMILAR SKIN DISORDERS
Many confuse rosacea with seborrheic dermatitis or/and acne vulgaris. Mentionably, rosacea can co-exist with acne vulgaris and seborrheic dermatitis.
THE ROSACEA VULNERABLE SECTION
It has been generally noticed that the people with fair skin are the most vulnerable section with reference to rosacea. Therefore, rosacea does have a hereditary strain. Those having a descent from the Celtic or the fair-skinned European stocks are genetically inclined to suffer from rosacea. Notably, both the sexes can fall prey to rosacea. People of all ages can be affected by rosacea. It has also been noticed that people in the age group of 30-50 are easily affected by rosacea. Nonetheless, women in their middle ages are the most vulnerable section of the populace. The reason is, of course, menopause-abetted hot flushes. However, rosacea symptoms are more severe with reference to men.
CAUSES OF ROSACEA
There is no unanimity among the medical researchers as to the exact rosacea pathogenesis. Nonetheless, there is a concurrence in views insofar as to the cause of rosacea. Rosacea occurs when stimuli repeatedly dilate the blood vessels, and as a result of which the blood vessels get damaged. The damaged blood vessels dilate rather easily. Besides they either remain permanently dilated or stay dilated for a considerably long time. The consequence is redness of the affected portion and its flushing.
ROSACEA PAPULES OR INFLAMMATORY PUSTULES
The papule or inflammatory pustule can be I the form of a boil, or a pimple, or an eruption for that matter. In rosacea (papulopustular), the mediators (inflammatory ones) as well as immune cells ooze out from the skin bed that is basically micro-vascular by nature. This, in turn, leads to the inflammatory pustule or papule.
OTHER CAUSES OF ROSACEA
Various conditions can also lead to rosacea. One thing is for sure: strenuous movements cause blushing and flushing. A few of the situations where such flushing or blushing can be formed are as follows: Stress, cold weather, acute sunburn, and extreme heat exposure especially from the sun. Rosacea can also be caused by sudden changes in temperatures while traveling, or in heated rooms especially in winter.
FOODS CAN ALSO CAUSE ROSACEA
Certain food items that contain very high quantity of histamine have been identified as responsible for the eruption of rosacea symptoms in many people. Similarly, spicy food besides alcoholic substances can definitely trigger off rosacea.
MEDICATIONS TOO CAN LEAD TO ROSACEA
Several topical irritants and medications may at times cause rosacea. Take for example several drugs people take to hide wrinkles or to deal with acnes. Among these chemicals those particularly responsible for causing rosacea are tretinoin, benzoyl peroxide, isotretinoin, microdermabrasion, and certain chemical peels. Obviously, one should immediately stop the use of any such irritants the moment any rosacea symptoms appear.
INDUCED (STEROID) ROSACEA The term ‘steroid induced rosacea’ points to such rosacea symptoms that are caused by steroids, particularly nasal and topical. Notably, these types of steroids are generally prescribed for patients suffering from seborrheic dermatitis. First aid: In such circumstances, immediately consult the physician. Moreover, one should begin the medication discontinuing process over a period of time. Decrease the dosages slowly. Else there may be a flare up of the rosacea symptoms.
MITES & BACTERIA CAN CAUSE ROSACEA AS WELL
A considerable number of rosacea people have been found to possess the species of mites known as demodex. This is more so the case with those people who have rosacea from steroids. Mentionably, the presence of a large number of these demodex mites can only cause rosacea. But, they cannot by themselves cause the rosacea condition. The demodex mites will have tom act in conjunction with other factors to be able to trigger off the rosacea states. Bacteria, especially the intestinal bacteria, can cause rosacea. These intestinal bacteria reside in our digestive highways. This is a neurological dysfunction. Such rosacea conditions can erupt after the intestinal bacteria activate the plasma kakllikrein-kinin system.
THE KAKLLIKREIN-KININ SYSTEM
The kakllikrein-kinin system or the kinin-kallikrein system or just the kinin system is a not well delineated structure of blood proteins. The blood proteins have a major role to play in causing pain, coagulation, control of blood pressure and inflammation. Mentionably, the major mediators of the kinin system are bradykinin and kallidin. Both of them act on different cell types. Both are vasodilators
DIFFERENT FORMS OF ROSACEA
Researchers have identified four forms of rosacea. Each of these subtypes can have its typical symptoms. More importantly, one person can have more then one of the subtypes at the same time.
THE ROSACEA SUBTYPES
The four rosacea subtypes are Ocular rosacea, Phymatous rosacea, Papulopustular rosacea and Erythematotelangiectatic rosacea.
OCULAR ROSACEA
Ocular rosacea mainly affects the eyes. The Ocular rosacea symptoms are burning and itching besides sensations as if there are foreign bodies within the eyes. When anyone is affected by ocular rosacea, the eyes and the eyelids turn dry and red. Irritation of the eyes and the eyelids is also very common.
PHYMATOUS ROSACEA
Phymatous rosacea affects the nose, ears, cheeks, forehead, chin and the eyes. Phymatous rosacea is also linked with the nose enlargement dysfunction called rhinophyma. Another disorder closely connected with phymatous rosacea is the visibility of small blood vessels near the skin surface. Other symptoms of phymatous rosacea are appearance of irregular surfaces on the skin and which may be also accompanied by nodularities. The skin can get thick as well.
PAPULOPUSTULAR ROSACEA
Many confuse Papulopustular rosacea with acne. However, Papulopustular rosacea remain reddish while acne do not. The common Papulopustular rosacea symptoms are papules (red bumps) filled with pus. Such bumps are called pustules. Papulopustular rosacea papules with or without pustules generally dissolve within five days. People having Papulopustular rosacea usually have permanent redness of their skin. This state is described medically as erythema. Another symptom of Papulopustular rosacea is they tend to flush or blush quite easily. Moreover, the patient can also have burning or itching sensations.
ERYTHEMATOTELANGIECTATIC ROSACEA
Erythematotelangiectatic rosacea causes the small blood vessels to appear rather prominently near the surface of the skin. This typical state is known as telangiectasias.
TREATING ROASAEA
There are various treatments for rosacea people. The strategies vary depending on the acuteness and the rosacea subtype that a particular person may be suffering from. Hence, there can be different treatments for different persons suffering from the rosacea symptoms. Hence, the dermatologists opt for the sub-type-directed method to diagnose, analyze and treat rosacea.
LASER TREATMENT
Laser treatment in dermatology is variously known as Broad spectrum (Intense Pulsed Light), or Single wavelength (Vascular laser). Laser treatment is one of the most popular treatment methods of rosacea. In laser treatment, light is made to infiltrate the epidermis. The light hits the skin’s dermis layer. It targets the dermis capillaries. The oxy-haemoglobin gets heated up after it absorbs the light. The process heats up the capillary walls till 70 degree centigrade. This heat destroys the capillary walls. The damaged walls are then absorbed by the body via its defence mechanism.
CO2 LASER TREATMENT
Focused thin beams of CO2 laser are manipulated to defocus or cut (as scalpels) the tissues. Then these tissues are vaporized. CO2 lasers are used to get rid of the excessive tissues formed by phymatous rosacea. In this method, our skin directly absorbs the CO2 lasers wavelength.
SIMPLE STEPS TO TACKLE ROSACEA
(i) Gentle skin cleansing regime
Always deal with the skin gently and lovingly. Go for only those cleansers that are non-irritating.
(ii) Shielding skin from sun
Never venture out in the sun-bated beach sans protection shields. Regularly use sunscreens. Choose such a sunscreen that consists of a physical blocker agent. Such active blockers are titanium dioxide or zinc oxide.
(iii) Trigger avoidance
It is important to maintain a diary of the foods and the climatic or other factors that generally lead to rosacea. In fact, The National Rosacea Society promotes this habit. This approach also goes a long way in identification and reduction of the triggers. Moreover, trigger avoidance is ideal to control the onset frequency of rosacea. But, all alone it cannot check rosacea. Nonetheless, the mild rosacea attacks can be effectively checked if a patient avoids the factors that triggered off the rosacea symptoms. One can get flushing after consuming red wine or food items having high quantities of histamine. Then, go for antihistamines. Some common antihistamines are loratadine or cetirizine.
(iv) Eyelid hygiene
Eyelid hygiene is especially recommended for persons complaining of eyelid infections. Practice eyelid hygiene frequently. Here are some easy eyelid hygiene steps. Gently scrub the eyelids daily; You can use baby shampoo in a diluted form; Or, you can also opt for any across-the-counter eyelid cleaner. Apply the cleaner in warm compresses. But, mind you, never should it be hot. Carry on the practice several times in a day.
MEDICATIONS
(ii) Topical & Oral Antibiotics
To get instant relief from the rash, redness, inflammation, pustules and papules, you can go for topical and oral antibiotics. An effective topical antibiotic is metronidazole. Similarly, ideal oral antibiotics are the tetracycline antibiotics. Some examples of tetracycline antibiotics are minocycline, doxycycline, and tetracycline.
The oral antibiotics are rather effective in treating ocular rosacea symptoms. Isotretinoin is generally given to patients who complain of persistent pustules or papules. However, there are several side effects of isotretinoin. Therefore, isotretinoin is prescribed only in acute situations. It is also given to treat acute acne. Nevertheless, for patients suffering from phymatous and papulopustular rosacea, low dosages of isotretinoin have been delivering the goods.
BETA BLOCKERS OR α-2 AGONIST
The commonly used α-2 agonist is clonidine. It is helpful to deal with blushing and flushing. But it has side effects. One can feel drowsy or/and one’s blood pressure may also plummet. So, to neutralize this effect, one can use monoxidine as an alternative. Monoxidine has lesser side effects. But many do not find it as effective as clonidine. Propanolol is an ideal beta blocker. It is akin to α-2 agonists. And, it has been found to be effective in dealing with recurrent social blushing rather than the general rosacea flushing. It is also ideal to tackle anxiety.
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Men may love to fantasize a strong and long-lasting erection anywhere and any moment they need, but what about a persistent erection which lasts from several hours up to a few days? Trust me it happens! But this has nothing to do with sexual pleasure or great potency performance, this type of erection is called Priapism, it is painful and occurs without sexual stimulation. The condition develops due to the trapped blood in the penis which does not draw off and can cause permanent erectile dysfunction if not treated immediately.
Now let me tell you why this emergency state in a man’s life is named Priapism. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. Statues and pictures of Priapus always showed him to be rather well-endowed and, seemingly, perpetually erect male organ. Sculptures of Priapus with large genitalia were placed in paddy fields to guarantee an abundant crop and even used as a scarecrow and his erect penis was thought to frighten thieves. Priapism in medical terms is a painful and potentially harmful medical condition in which the erect penis does not return to its flaccid state despite the absence of both physical and psychological stimulation within four hours. It is indeed, a medical emergency and needs proper treatment by a qualified medical practitioner.
It can occur to any age group including even the infants; nevertheless, it is more frequent between the ages of 5 to 10 years and 20 to 50 years. We can categories Priapism into low-flow and high-flow based on two different reasons. When blood is trapped in the erection chamber of an otherwise healthy person without a known reason, it is low-flow Priapism. This type of Priapism may also be the result of sickle-cell disease, leukemia (blood cancer) or malaria. High-flow Priapism is rare and less painful, generally caused by a ruptured artery from an injury to the penis or the area between scrotum and anus resulting in abnormal blood flow to the penis. Other causes of Priapism include trauma to the spinal cord or to the genital area, black widow spider bites, carbon monoxide poisoning, and illicit drug use, such as marijuana and cocaine, certain drugs like antidepressants, antihypertensives, anticoagulants and corticosteroids. The drugs which are used to treat impotency, particularly those given by injection in the penis like papaverine, prostaglandin E1 (alprostadil), phentolamine can cause this problem. One more significant class of drugs may have the potential of Priapism, that are, the phosphodiesterase type-5 (PDE5) inhibitors such as sildenafil, tadalafil and vardenafil, sold under the names of FDA approved Viagra, Cialis and Levitra consecutively.
Viagra and other PED5 drugs do not cause priapism unless combined with other medications like prostaglandin injections and a recreational drug called Ecstasy. All the PDE5 drugs requires sexual stimulation to get an erection, however, these type of drugs should be used with caution for patients who have conditions that might predispose them to priapism such as sickle cell anemia, multiple myeloma, high blood pressure and cardiovascular problems etc. Viagra, Cialis and Levitra should be taken as per doctor’s prescription to avoid the possibilities of Priapism. Nevertheless, the instances are very rare where Viagra, Cialis and other PED5 drugs caused a prolonged and painful erection, but then those patients were found to have prior health conditions which were responsible for Priapism.
Priapism calls for immediate medical attention to avoid fatal consequences of permanent erectile dysfunction. The erection can be easily reduced if the person gets the treatment within 6 hours of erection, and in a case where the erection has lasted less than four hours, decongestant medications may decease blood flow to the penis. Ice applied to the perineum and the penis can reduce swelling in the pre-medication state. In serious situations, intracavernous injection, aspiration and surgery may be required to cure Priapism. But we should keep in mind that the longer the medical attention is delayed, the greater are the risk of permanent erectile dysfunction.
