Erectile Dysfunction

In the days long ago, when you were just a twinkle in your Daddy’s eye, there was a group called the Village People. They were mildly successful, one of their biggest hits being Macho Man. The key lyrics in the verse are, “Every man ought to be a macho macho man. . . He’s a special person in anybody’s land. ” Looking back, it now see it was a terrible song (really boring and repetitive), but the spirit of those words has persisted until today. Machismo is a Spanish/Portuguese words, now adopted into English, and it refers to the way in which a man carries himself, and the general social system in which men see themselves as the superior gender. The spirit of machismo is alive and well in North America and nowhere more so than in Mexico where men still strut their stuff, even into old age. But, as men age, their strutting can sometimes leave something to be desired. In the richer countries north of the Rio Grande (or the Río Bravo del Norte), this is less of a problem because more older men can afford the cost of the little blue pill (bought on Main Street, it’s quite expensive, but bought online, it’s quite cheap). South of the river, only the rich have access to the internet and the credit cards with which to pay. The mass of poor men have no remedy. In a country where machismo prevails, this is a real social problem. Every man ought to be macho, no matter how old he is. The answer has taken a little time to come, but it’s arrived with typical male panache. The scale of the problem the city is facing? The governor of the federal district including Mexico City estimates that 70% of the elderly may be suffering from erectile dysfunction. The idea that these men should be abandoned when their needs are greatest is unthinkable. So, as from December 1, Mexico City is going to start giving out free viagra to the old and poor. In Mexico, you understand, everyone has the right to be happy. And if this means an exercise in big government, using tax payers’ money to help out the old, then it’s all in a good cause. With a new President-elect caught on microphone during the US election campaign admitting he is in favor of redistributing wealth, it will be interesting to see whether this Mexican policy will inspire the north. Let’s put it in simple terms. Vast numbers of people on both sides of the border do not carry medical insurance and do not have access to routine medical care. The Mexican view is that a society that fails to provide adequate medical treatment for the elderly is treating them with disrespect. Alongside the viagra will be a general health screening process. It will give these men some of their dignity back and hopefully catch many other health problems at the same time. In the US, the elderly poor are finding that federal funding is being cut for their care. No cheap viagra for them.

I know it was important because I tied this knot. I always tie a knot when I need to remind myself to remember something. I know it has something to do with generic viagra but it’s not the obvious - that there is no difference between the generic and the branded viagra. They are bioequivalent. Everyone knows that. Even though the generic sometimes comes as a slightly different shade of blue (or not even blue at all), all pills for the treatment of erectile dysfunction supplied through reputable online pharmacies have the same effect. Wait, it’s starting to come back to me now. There is a difference. When you buy the branded tablet from your local drugstore, you are guaranteed to get the written set of directions approved by the FDA. When you buy through the internet, there may be instructions, but they need not contain all the information required by the FDA. Right. We’re on a roll now. Those wonderful scientist types working at the FDA have been getting all worried about Transient Global Amnesia (TGA). Now, here’s the thing. A tiny percentage of people who take viagra find they can’t remember everything that happens in the hours following. So you might take the tablet in the restaurant and wake up the next morning not being able to remember the drive home (or anything else for that matter). This could be dangerous to your health if you can’t remember what you said to your partner at a critical moment during the evening (or how your car came to have that bent fender). So, the next time you read all the small print in those helpful instructions (something you do all the time when you have nothing better to do), you’re going to see a new warning about TGA. It’s going to be very reassuring and the FDA will be right. Only a very small number of people who take viagra, whether branded or generic, will experience this forgetfulness. And quite what you’re supposed to remember to do when you find yourself forgetting is unclear. But, assuming you remember you forgot something, it’s called TGA and it’s nothing to worry about. Just remember to take a lower dosage tablet next time and all will be fine.