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    Who hasn't heard the warnings at the end of those countless TV commercials promoting erectile dysfunction drugs? "Call your doctor if an erection lasts longer than four hours."And surely you have heard the countless jokes, among them: "I'm calling everyone."But the condition, called priapism, isn't a laughing matter. It is very painful and can cause permanent damage, according to the medical director of emergency medicine at Wuesthoff Medical Center-Rockledge. MORE HEALTH NEWS: PTSD, new Florida laws in effect"You run the risk of actually permanently damaging your ability to sustain an erection," he said. In other words, you'll never be able to do what you set out to do in the first place. But to understand priapism, you must know how an erection works. When the penis is limp, the arteries that feed it blood are slightly constricted and the veins that drain the blood are open. When aroused, the arteries open up, allowing more blood into the organ, and the veins constrict. azithromycin z-pak 250 mg A man went to the doctor’s office to get a double dose of Viagra. The doctor is impressed and asks what the occasion is. The doctor told him that he couldn’t allow him a double dose. The old man says, "If I'm gonna be impotent I'm gonna look impotent! This time he is wearing a new tuxedo, shined shoes, and a top-hat. The man goes back to the doctor a month later for a follow-up. The doctor explains that Viagra isn't going to work this time. The man said, “My girlfriend is coming into town on Friday; my ex-wife will be here on Saturday; and my wife is coming home on Sunday. I must have a double dose.” The doctor finally relented saying, “Okay, I’ll give it to you, but you have to come in on Monday morning so that I can check you to see if there are any side effects.” On Monday, the man dragged himself in; his arm in a sling. ” The man said, “No one showed up.”An elderly black man goes to see his doctor for help with his sexual performance issues. "An old man goes into a pharmacy, asks for two Viagra pills and demands that the pharmacist cut them in half.

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