unicorn

Well, if you're not having side-effects, you might as well take it. Dutasteride doesn't actually lower testosterone levels, but rather, it blocks the testosterone receptors in the prostate, if that makes sense. All men will get prostate cancer if they live long enough, so when you say that prostate cancer runs in the family, it's important to differentiate whether prostate cancer has killed members of your family, or whether just it's been discovered through screening tests (most prostate cancers never affect the life of the person who has it). In the US, autopsy results on men who die for other reasons show that the chance of having an undiagnosed prostate cancer roughly equals your age (i.e. 30% at age 30, 80% at age 80).

It's an anti-testosterone medication. Dutasteride may be a bit more specific for certain testosterone receptors. Finasteride and dutasteride will both reduce the amount of cum you produce first by blocking testosterone directly (immediate effect), and secondly by shrinking the prostate, which is the organ that produces most of your cum (long-term effect which may last years). It's extremely safe in men over 40. In fact, if you're ever to get prostate cancer, it will delay the onset of your getting prostate cancer, possibly for as long as you take it.

Sounds like a loon. Maybe I'm missing something, but how does one have sexual relationships with inmates in correctional facilities (especially if one isn't an inmate there)?

https://www.cbc.ca/kidsnews/post/zombie-snails

His death is very convenient for a number of people...

The only time I send someone to the ER is when they need something done there that I can't do myself (such as immediate labs, Chest X-ray, etc.). When patients go to the ER themselves, they almost always seem to end up with a CT scan and get sent home on a Z-pak. Documented are crazy exams which they never actually do (i.e. a person comes in complaining of ear pain, and an abdominal and neurological exam are documented, but not an ear exam), and differentials written by computers which are both ridiculous and never really explored (like, no, elephantiasis is not in the differential of that 80 year-old who came in with swollen feet, and if you really considered a DVT or PE, why didn't you even order a D-dimer??). When I ask patients "Did he actually check your reflexes when you came in for an earache?", they usually say no even when the exam is documented. And why order a strep test in the dude with a sore throat and a cough who clearly has a simple cold, if you're going to ignore the negative strep test and send the patient home with a Z-pack anyway?

There are three hospitals within easy driving distance from my office. Some are better than others, but I often roll my eyes regardless of which ER it is. Similarly in other places I've worked with other hospitals. Skilled ER doctors are few and far between. ER medicine attracts physicians who lack commitment. That's the nature of the specialty. FWIW, most of my colleagues are of the same opinion. We talk about this often. Emergency medicine is a specialty in which nothing is really done other than passing the problem to someone else--for the most part.

Is an assisted living facility an option for you?

There is far too little information in your posting to be able to advise you regarding home health. ER physicians are usually the bottom of the barrel within the physician community (for the most part), and I take little stock in what they say. Their job is mainly just figuring out which doctor can actually take care of the patient's problem (and they don't always even get that right). Your primary care physician is in the best position to determine whether you'll benefit from home health care. If you can't make it to your physician's office, then a home visiting RN would probably be appropriate.

Did it reveal that RH has a good 6th sense?

OK. Someone's going to have to explain this one to me....

A fuck-load of money....