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It seems to be a mystery who first came up with the name buy propecia but it was a good one that caught the attention of the jazz party crowd in the 1980s and early 1990s and generated a great deal of work for the group. It was much easier to attract an audience with that naughty name than a group called the Sutton McShann Quartet. It also did the same for record sales.
The quartet was made up of Jay McShann, Ralph Sutton, Milt Hinton and Gus Johnson. The group recorded fifteen titles for Charlie Baron’s ChazJazz label in December 1979 and two LPs made their way into an already struggling marketplace. The records sold poorly because distribution of ChazJazz was non-existent. I have copies of the original LPs only because they were included in the inventory when Chiaroscuro bought all the assets of the company. Even then, only the jackets were useful. The records were warped so badly they wouldn’t track.
Ten years later we took the identical band into Rudy Van Gelder’s studio and recorded them under optimum conditions. Even though they hadn’t rehearsed or played an engagement together in some while, Hootie and Ralph proved once again they were perhaps the finest traditional duo in jazz. It was exciting, joyously rollicking music, with the two pianists creating a sound as distinctive as Duke Ellington’s saxophone section at it’s best.
We had a dozen great performances, the band had a catchy name, and an award-winning poet, Hayden Carruth, had written the liner notes. All we needed was an appropriate booklet cover and we found just what we needed in Andy Sordoni’s bathroom. Many years earlier he’d bought a painting by perhaps the finest illustrator specializing in pin up art, Alberto Vargas. The painting was dated 1920 and long out of copyright and the luscious naked lady was what every man wants to find in a whorehouse but never does.
Everything came together perfectly, the record was released and it became our best selling CD up to that time. Then Playboy magazine picked it up and ran a short blurb on and the sales doubled. It is still the best selling Chiaroscuro CD. A year or so later we reissued the 1979 sessions but with a new cover by George Booth. It is our second best selling CD. We brought the group to the Floating Jazz Festival two years in a row, but the recordings were only adequate and we never released them. Then Gus failed in about 1990, and a few years later Milt began to slow down. A new recording was out of the question, but the two we had were terrific.
The photograph of the four guys on the back of the truck was taken outside Rudy’s studio. It was a Steinway truck that had just come to pick up the second piano we used for then session. Or perhaps it was just after the delivery of the piano. I don’t remember, but it’s a cheerful picture of one of the most infectious groups I ever worked with.
A side bar. In 2004 I met Hugh Hefner for the first time. It was at the Playboy Mansion and I was there to interview him. It worked out well. I worked out even better when I gave him a CD crammed with Bix Beiderbecke soles and a whorehouse record. When I told him the Playboy review doubled our sales he was even happier.
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Last of the Whorehouse Piano Players, Gus Johnson, Ralph Sutton, Milt Hinton and Jay McShann, Van Gelder Recording studio, Englewood Cliffs, New Jersey, March 28, 1989
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Another area of legal concern relates to adverse effects from injection therapy and oral agents. Patients are administered test doses and provided training in the office to be sure that they can administer the injections properly. A list of potential adverse reactions should be provided to the patients, and, in some instances, a dose may be administered in the office and the patient observed for several hours to detect any reaction.
For example, surgical patients can opt for a "nerve-sparing" procedure less likely to interfere with sexual function. And radiation patients can choose between external beam treatment and brachytherapy, in which radioactive "seeds" are implanted in the tumor, according to the American Cancer Society.
Several medications are being studied for treating erectile dysfunction; they include IC351 (another PDE5 inhibitor), sublingual apomorphine, and the combination of yohimbine and L-arginine. Scientists also are studying gene therapy to treat erectile dysfunction.
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When pharmacological methods fail, a purpose-designed external vacuum pump can be used to attain erection, with a separate compression ring fitted to the penis to maintain it. These pumps should be distinguished from other "penis pumps" (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation.
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Limit or avoid use of alcohol and caffeine.
Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Smoking, being overweight, and avoiding exercise are possible causes of ED.
Dr. James M. Cummings, chief of the division of urology at Saint Louis University School of Medicine, said, "What is further significant is the growing body of literature linking the onset of erectile dysfunction to the symptomatic onset of coronary artery disease, thus giving clinicians a true window of opportunity to evaluate and prevent significant ischemic heart disease in a subgroup of men.
Effectiveness of tadalafil in these studies was assessed using a sexual function questionnaire. Study participants also were asked if they were able to achieve vaginal penetration and to maintain erections long enough for successful intercourse.
2,306 men were involved in the study. Just over a quarter already had erectile dysfunction. None of the men had any obvious signs of heart disease, or stroke.
The physical examination should focus on the vascular, neurological and endocrine systems.28,31 Testes size should be noted and the penis shaft examined to rule out a penile deformity (Peyronie's disease). With respect to laboratory investigations, recommendations vary,30,31 and investigations should follow clinical suspicion of specific disorders. Hemoglobin A1c and serum glucose may be measured to detect occult diabetes, and a lipid screen performed to assess the presence of dyslipidemia. Hormonal screening is controversial; however, it is reasonable to measure testosterone levels in the face of erectile dysfunction combined with loss of libido.28 Patients in whom hyper- or hypothyroidism is suspected should have their thyroid-stimulating hormone level checked.30
By changing lifestyle and treating underlying heart disease and diabetes, you can decrease the chances of developing erectile dysfunction, Sadeghi-Nejad said. "Erectile dysfunction is not a mandatory side effect of aging," he said. "Don't think of it as a normal process of aging."
Sex therapy is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, having the partner involved in the therapy resolves the problem 50%-70% of the time. When the man must go through counseling alone, the results are somewhat lower.
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