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62 year single male with depression, impotence, and no

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62 year single male...

62 year single male with depression, impotence, and no erection, chronic back pain and a limited use of my primary arm due to three rotocuff surgeries. Everything is being addressed by various doctors. No I am not suicidal. I went through TMS which helped lift me out of the depression for awhile. I am on Addurall 40mg, Venlafaxine 75mg. Buspiron 10mg,, Klonopine 20 mg 4x per day, Welbrutin 300 mg. . I have no ambition, no enthusiasm , apathy. The addurall does not have the affect it used to and if I increase it, I get anxious and stay awake until the wee hours of the morning. I am overwhelmed by every little thing so my house is a mess,not like a hoarder's house. Laundry does not get folded, I hate checking the mail, working in my yard or house which is not the person I was. What has become worse is that I am becoming reclusive, hate driving, prefer to be home, going to the grocery is overwhelming. I avoid all social situations, won't even go to church. I was told I developed Adhd. Viagra will give me an erection however I remain impotent. That came on suddenly as I started to notice no erection in the morning and things went downhill from there about eight months ago. I am not sexually active but my mind still is lustful but even if I feel the need for occasional self release, nothing happens. My urologist gave me an injection type of medicine which again brings on an erection but no output. I hate using the needle which I find grotesque. These two issues I would like to address. I don't know why I am becoming more isolated and why I don't have this normal function anymore, even if only to relieve stress twice a month.

Doctor's Assistant: How long have you been feeling this way? Have you reached out to anyone about this yet?

Yes. As I said I have a dr. for all my issues. except for the back and arm which I have had since 2012 and 2014. The depression started over five years ago with the death of my mother. I was her caretaker for ten years until her end. I saw a therapist but I asked the Psychiatrist if he would prescribe the TMS which was about 3.5 years after my mother passed when I felt no medicine could make the black clouds go away. The impotency started 8 months ago and the extreme loss of enthusiasm and feeling so overwhelmed followed within 5-6 months ago.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I take Flomax for prostate but the urologist said that was not the problem and atenolol for maintaining my heart rythem (50 per day) and Tramadol 100mg when the back pain is intolerable or Naproxen 250mg 2 tabs as needed

Submitted: 8 months ago.Category: Medical
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Answered in 3 minutes by:
9/21/2017
Doctor: DrRussMD, Board Certified Physician replied 8 months ago
DrRussMD
DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65,671
Experience: Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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Hi.
Welcome to just answer. I am here to answer questions for education and information. I will respond shortly with an answer, or a question for you

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Doctor: DrRussMD, Board Certified Physician replied 8 months ago

OK

I understand the situation you describe. However, what we do here is answer specific questions.

We do not address your issues with treatment or medical advice, and we do not replace your doctors diagnosis or visit.

However, I sense you are attempting to ask specific questions about your situation.

Please state them succinctly

Thanks

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Doctor: DrRussMD, Board Certified Physician replied 8 months ago

simply use reply to expert to respond

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Customer reply replied 8 months ago
I spent a lot of time explaining the situation. I don't know what questions you expect me to ask. I am not expecting a change of therapy or diagnosis, just an opinion. If I can not get an opinion then I misunderstood the purpose of this site and I would like not to be charged.
Doctor: DrRussMD, Board Certified Physician replied 8 months ago

An opinion as to what specifically?

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Customer reply replied 8 months ago
no. Thank you very much. Have a good day.
Doctor: DrRussMD, Board Certified Physician replied 8 months ago

For example, are you wondering why you are impotent? Have you had a diagnosis of the reason?

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Doctor: DrRussMD, Board Certified Physician replied 8 months ago

I did not suggest a phone call, that is site automation.

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Doctor: DrRussMD, Board Certified Physician replied 8 months ago

As to the impotence, one must know the underlying cause.

Has that been determined by a urologist?

As to the continued psych problems, please list all of your current diagnoses. And let me know what your psychiatrist has said about your continuing problems despite medications please

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