”I was prescribed Viagra by a wild doctor, Viagra by a small clinic, and I came a long way to see your clinic, but I was still prescribed Viagra, is your Viagra different from theirs?” On the fourth floor, in the special needs clinic, a provincial patient with erectile dysfunction (ED) was prescribed a small daily dose of PDE5 inhibitor (commonly known as “Viagra”) after a careful and comprehensive evaluation. The middle-aged man with glasses, who was originally elegant and modest, stared at my prescription for a long time, his smile gradually froze and finally exploded: “I was prescribed Viagra by a military doctor, I was prescribed Viagra by a small clinic, I came a long way to see your clinic, but I was still prescribed Viagra, is your Viagra different from theirs?”! ! Although the voice is not loud, although I also have the self-awareness will not make all patients satisfied, his resentment still in my heart stirred a small ripple. I remember when Taiwanese singer and songwriter Li Shuangze, a contemporary of Luo Dayou, ran on stage with a bottle of Coca-Cola in his hand to attend a “Western folk concert” and roared, “In the Philippines, we drink Coca-Cola and listen to these songs; in Spain, we drink Coca-Cola and listen to these songs; in the United States, we drink In the United States, we drank Coca-Cola and listened to these songs. Now, in Taiwan, we still drink Coca-Cola and listen to these songs.” Finally, he slammed Coca-Cola on the ground, “Do we have our own songs or not?” , thus setting off a craze for school songs in Taiwan. This rhetorical question, which bears some resemblance to Li Shuangze’s, sparked a long-lost adolescent flush on my weathered face, and also triggered me to think: If an ED patient, after moving from place to place, seeing different doctors, receiving roughly similar treatment with poor results, comes here with expectations and anxiety, consuming money and time, do I have my own song or not? “Do I have my own “unique” treatment plan to make it “worthwhile”? Or at least make the patient feel that my strategy will be different? After calming down and organizing my thoughts a bit, I tried to explain to the patient why my Viagra was different from the Wild Medicine’s Viagra. There is no doubt that there is no difference between my Viagra and their Viagra in terms of manufacturer and ingredients, unless they are counterfeit drugs. But in terms of treatment consideration, my Viagra is indeed different from theirs. First of all, my solution just happens to intersect with theirs in a dotted pattern in your case, but it is more different from theirs, so let me tell you how. If you see Jack Ma munching on a burger on the streets of Washington, don’t jump to the conclusion that he, like most Americans, grew up eating junk food. I have carefully and thoroughly evaluated your ED-related risk factors, such as diabetes, coronary artery disease, hypertension, hyperlipidemia, etc., including understanding your family history, before developing a treatment plan for you. Some ED patients, I will recommend to cardiovascular and endocrine professional colleagues, I will tell him that treatment of risk factors does not mean that ED can be cured naturally, but only focus on ED and ignore the former efficacy will not be satisfactory. Have the “field doctors” ever explained this? Before giving treatment options, I have learned about your upbringing, sexual experience and possible psychological and personality problems in a seemingly relaxed and aimless conversation, and I certainly will not copy Freud’s psychoanalytic theory to analyze you and other patients, nor will I easily pass off ED patients with psychological factors to psychiatrists, because I firmly believe that most ED patients have psychological problems that are different from the true meaning of I don’t like to pry into privacy, but I firmly believe that a doctor who cannot detect the underlying deep-seated psychological conflicts of his patients is not a good male doctor. Of course, I will be careful to identify and exclude the manifestations of sexual disorders in patients with psychiatric disorders, which you may or may not understand, but my thinking is always clear. While communicating I also learn about your sexual partner, whether she or he is strong or gentle, the differences in social status, age, education and family upbringing between you, her or his sexual preferences, etc. If necessary, sometimes I will involve the sexual partner in the therapy, although you do not need it. Specifically, you can finish sex with your childhood sweetheart, but often weaken in the middle of sex with your young, beautiful lover, which in our terminology is called Situational, partner-related erectile dysfunction, because you are subconsciously and constantly engaged with the young, strong, but never met imaginary enemy –Your lover’s boyfriend is engaged in a sexual contest, you are even sensitive and obsessed with assuming every win or loss through your girlfriend’s physical and mental reactions, and your high-priced fitness trainer is working hard to get rid of your belly, and you want to use your most primal attributes after shedding all social labels – You want to conquer your girlfriend with your most primal attribute after all social labels are removed – perfect sexual performance and fit body, not your economic and social status, you laugh at the so-called classic model of “men conquer women by conquering the world”, you would rather be “Tarzan of the Apes You would rather be “Tarzan of the Apes” than Murdoch. Because you have given such a complex content to what should be simple sex, the result is a stress-related sexual performance problem. In fact, human biology and sociality are inextricably linked, and one need not be ashamed of maintaining a relationship because of the attraction of the opposite sex to factors such as career success, rather than the attraction of sex itself, because sex itself is just a way of expressing intimacy, and is never the only “orgasm” of sexual supremacy. As to whether your relationship is socially acceptable, doctors are not guardians and do not comment on it. Of course, due to middle age, I carefully analyzed the results of the nocturnal penile erection test and other differentiating tests that you were examined at the hospital when judging you for psychological ED. This, the “field doctors” have not been to you to understand? Although based on experience I gave you the “Viagra” type of drugs you have used many times, but specifically to the different types of Viagra, they have their own characteristics in terms of hardness improvement, speed of onset and maintenance time, diet and alcohol intervals, regular or on-demand, etc. These characteristics and targeted choice often determine the success or failure of treatment. Based on the frequency of your sex life and the metabolic characteristics of the drug, I recommend “small daily doses” instead of continuing with your past pre-planned, “set time” or even “set place” dates. “I believe that the therapy is more than 90% effective for you, given the characteristics of your condition. So, what if Viagra is also ‘impotent’? This is certainly not the end of the world, the relevant guidelines in China, Europe and the United States have recommended the first, second and third line of progressive treatment options, Viagra is only one of the first line of options, if necessary, I can also choose negative pressure suction device, penile cavernous body vasoactive drug injection and other second-line options, and then step back, if the above methods are ineffective, or you can not tolerate or do not want to use, I can also provide The third line of treatment: penile support implants – to support male confidence, do not worry, the support is not a “dildo” and not a “masturbator”, its effectiveness and concealment are excellent. Some patients have been married for years without their spouses noticing. With three lines of options, to borrow a popular advertising phrase: “There’s one for you.” Of course, I don’t see the need for you to adopt these treatments, at least for now. Has the ‘wild army doctor’ talked to you about this information? The famous medical scientist Academician Qiu Fazu said something to the following effect: A good doctor learns to relieve the patient’s pain in the simplest way, but then must master the most complex means. If Viagra is compared to a doctor’s weapon for treating ED, it is only one weapon in my arsenal. It is by no means my only tool, let alone my last resort, but I think it is the best solution for you at this time. Excuse me, is my Viagra the same as and their Viagra? And slow to point out the praise, when Chaplin secretly participated in his own parody competition, the results were succumbed to the runner-up; in today’s China, the plum ghost is often more convincing than the Li Kui, as a non-medical professionals, you can hardly distinguish between scholars and liars only from the language exchange, passive identification method to have a, go back to see the efficacy.