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Book by Eduardo Chapunoff
Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.
Extrait :
This book is an extended version of Sex and the Cardiac Patient: A Practical Guide, which I published in English and Spanish in 1991. It sold in the United States and other countries, some as distant as Singapore and Australia. I held radio and TV interviews, and distinguished professionals and journalists offered favorable comments. People whom I had never met but had read the book, consulted me by mail and telephone. The experience was both very interesting and spiritually rewarding. I learned that patients with sexual concerns can present their problems to a professional who inspires confidence–even if they don’t know him or her personally. In fact, when the consulting doctor’s face is not seen, some patients suffering from sexual dysfunctions are less inhibited and may describe intimate conflicts in more detail and more accurately. I had this experience with phone calls and letters I received from patients I never met.
Complaints about patient—physician communication seem to be the same today as they were a decade ago:“The doctor doesn’t have enough time;” “He/she is too busy;” “I’d like to open up and talk, but I don’t know how or where to start;” “I’m not asked any questions.”
SHYNESS AND INHIBITIONS
Embarrassment has always been a problem. I’ll never forget the contrasting views of two female patients. One told me:“I feel terrible talking to my doctor about sex. I’ve known him for such a short time.”The other woman said: “I can’t imagine myself discussing sexual details with my doctor. I’ve known him for such a long time. He’s like a relative. I don’t like to talk about intimacies with members of my family.”
For most people, talking about sex with a doctor is as difficult today as it was 100 years ago–and it’s likely to remain that way.
Shortly following the publication of my previous book, I received a number of phone calls from cardiac patients who had sexual concerns, but their shyness overwhelmed them.The wife of an elderly gentleman called my office, and we had this exchange:
“Hello, may I help you?”
“Are you Dr. Chapunoff?”
“Yes, Madam, I am.”
“I understand you wrote a book called Sex and the Cardiac Patient. Is that true?”
“Yes, Madam, it is.”
“My husband is a senior citizen, 83, and to be perfectly honest, I’m no spring chicken either. Do you understand that?”
“Yes, I do.”
“We are having problems. Do you get that?”
“I’m trying, Madam.What kind of problems, may I ask?”
“Problems, problems.”
“Oh, I see. I’ll be happy to give you an appointment.”
“An appointment? Who wants an appointment? We don’t want an appointment.We don’t want an examination, either. My husband would never agree to see a doctor for this. And I’m just about the same. It’s awful.We don’t know how to talk about these things.”
“If that’s the case, would you like to ask me a question? Perhaps I could give you some guidance.”
“Yes, I’d like to ask you a very simple question.”
“In that case, I’m warning you: I might come up with a very simple answer.”
“That’s okay. I understand.This is the question: My husband and I are both cardiac patients.We want to know if we can sleep together.”
“Well, let me tell you this: I think you can sleep together, but I don’t know if you should.”
Conversations about sex between patients and doctors (except for psychiatrists and psychologists) are frequently evasive. A combination of discomfort and bias frequently separates them. Recovering cardiac patients are curious to know when they can make love, which positions are preferable, and whether they should be admonished or congratulated for masturbating. After a heart attack or any other cardiac crisis, they wait in vain for the doctor’s blessing to resume sexual activity. If there is no blessing, they still look for guidance, and watch for a hopeful signal, maybe even a wink, anything that resembles a sign of approval to go back to the good old days. Finally, nature takes its course. Couples stumble back into some kind of sexual pattern, but without the needed counseling and reassurances.
AN UNEXPECTED INVITATION
Some years ago, while I was working at my office, I received a call from a Miami TV station requesting my participation in a program entitled “Sex and Cardiovascular Health.” At the time, I had too many commitments, so I proposed that they postpone the program for a couple of months. I didn’t know why I’d been selected since I’d never written or lectured on the subject. In any event, the station didn’t call me back, and the interview never took place. (I’m still grateful for that.)
An interesting aftermath of this incident was my reaction to it. After the initial excitement mellowed, I began to wonder how much I really knew about sex and cardiovascular diseases. I prepared a test with a number of questions. I took it, and guess what? I flunked it with honors. These were some of the questions I had raised: “Do I really know how to advise cardiac patients about precautions they should take before, during, and after sexual intercourse?” “Following a massive heart attack, when should a person be able to resume sexual activity, and then, what
special positions, if any, he or she should be recommended to use?” “How dangerous is it for patients with hypertension, heart failure, valvular heart disease, aortic aneurysm and/or cardiac rhythm disturbances to engage in passionate lovemaking? Would the risk be low or prohibitive?” And so forth. It was immediately obvious to me that I had never paid special attention to the subject, and I had homework to do.
I began the search for information on sex and the cardiac patient in classical medical and cardiology textbooks; I didn’t find any information. Articles in medical journals were few and far between.
An enormous volume has been written about cardiac disorders, and publications about sex are almost as abundant as the number of living spermatozoa.Yet, two basic issues were infrequently addressed: one, the effects of sex on cardiac patients, and two, the consequences of heart disease on sexual functioning.
Fortunately, in the past decade there have been important publications in medical journals addressing those issues. Until recently, however, scientifically speaking, this field was in a near-virginal state.
New knowledge has been gained by doing clinical research and clinical observations of patients with heart disease and their sexual performance. To begin with, new medicines and treatment modalities dealing with angina, congestive heart failure, hypertension, evaluation and treatment of disabling or life-threatening arrhythmias by ablation and intracardiac defibrillators, improved prosthetic heart valves, methods to prevent and treat acute and chronic cardiac conditions have become available and are widely used.
Many coronary bypass surgeries are currently being avoided and have been replaced by balloon angioplasty (dilatation of a narrowed artery) and implantation of stents to keep those arteries open. This has effectively shortened the length of hospitalization and reduced patients’ discomforts and accelerated the recovery process.A coronary angioplasty usually takes one day in the hospital, with minor discomfort. Cardiac surgery demands a few days in the hospital and longer recuperation time.
All of the above have changed for the better the dynamics of the cardiac patient’s sexual interaction.
Psychotherapists have also reviewed and replaced old psychoanalytic techniques with innovative, modern schools of thought that provide psychological counseling and drug therapy faster and more effectively.
Urologists have improved penile prosthesis for a selective patient population, and women with sexual dysfunctions involving desire, arousal, orgasmic, or sexual pain disorders are being more specifically treated by gynecologists with expertise in this area.
The introduction of Viagra in 1998, followed by Levitra and Cialis, has made a dramatic difference in male and female intimate experiences. Although not all who take these medications respond with an erection and/or adequate tolerance, unquestionably, they are very helpful.
Answering Your Questions about Heart Disease and Sex discusses multiple concerns that directly or indirectly relate to cardiac patients and their sexual partners. It is difficult to tell you which are more important. To me, all of them are. Things that you’ve never focused on and perhaps considered trivial, may, in reality, be decisive for your cardiac health and sexuality. At times, just a single but important risk factor, poorly managed, may cause heart disease, impotence, and loss of life. Smoking is a typical example. Information that is very important for the preservation of your cardiovascular health and sexual functioning has been included in the Appendix section at the back of the book. Please keep in mind that this is an educational guide and not a substitute for any of your doctor’s recommendations. Medical treatments are provided by doctors, not books. What you learn here, however, may help you initiate or expand the dialogue with your physician and your domestic partner.
Throughout the book, there are anecdotal experiences that illustrate that the sex life of cardiac patients is neither as complicated as some imagine, nor as simple as others would like it to be.
While this work focuses on heterosexual sex, the same advice and cautions apply equally to gay men and lesbians with heart disease.
Any book on sex is controversial. I...
Présentation de l'éditeur :
Complaints about patient—physician communication seem to be the same today as they were a decade ago:“The doctor doesn’t have enough time;” “He/she is too busy;” “I’d like to open up and talk, but I don’t know how or where to start;” “I’m not asked any questions.”
SHYNESS AND INHIBITIONS
Embarrassment has always been a problem. I’ll never forget the contrasting views of two female patients. One told me:“I feel terrible talking to my doctor about sex. I’ve known him for such a short time.”The other woman said: “I can’t imagine myself discussing sexual details with my doctor. I’ve known him for such a long time. He’s like a relative. I don’t like to talk about intimacies with members of my family.”
For most people, talking about sex with a doctor is as difficult today as it was 100 years ago–and it’s likely to remain that way.
Shortly following the publication of my previous book, I received a number of phone calls from cardiac patients who had sexual concerns, but their shyness overwhelmed them.The wife of an elderly gentleman called my office, and we had this exchange:
“Hello, may I help you?”
“Are you Dr. Chapunoff?”
“Yes, Madam, I am.”
“I understand you wrote a book called Sex and the Cardiac Patient. Is that true?”
“Yes, Madam, it is.”
“My husband is a senior citizen, 83, and to be perfectly honest, I’m no spring chicken either. Do you understand that?”
“Yes, I do.”
“We are having problems. Do you get that?”
“I’m trying, Madam.What kind of problems, may I ask?”
“Problems, problems.”
“Oh, I see. I’ll be happy to give you an appointment.”
“An appointment? Who wants an appointment? We don’t want an appointment.We don’t want an examination, either. My husband would never agree to see a doctor for this. And I’m just about the same. It’s awful.We don’t know how to talk about these things.”
“If that’s the case, would you like to ask me a question? Perhaps I could give you some guidance.”
“Yes, I’d like to ask you a very simple question.”
“In that case, I’m warning you: I might come up with a very simple answer.”
“That’s okay. I understand.This is the question: My husband and I are both cardiac patients.We want to know if we can sleep together.”
“Well, let me tell you this: I think you can sleep together, but I don’t know if you should.”
Conversations about sex between patients and doctors (except for psychiatrists and psychologists) are frequently evasive. A combination of discomfort and bias frequently separates them. Recovering cardiac patients are curious to know when they can make love, which positions are preferable, and whether they should be admonished or congratulated for masturbating. After a heart attack or any other cardiac crisis, they wait in vain for the doctor’s blessing to resume sexual activity. If there is no blessing, they still look for guidance, and watch for a hopeful signal, maybe even a wink, anything that resembles a sign of approval to go back to the good old days. Finally, nature takes its course. Couples stumble back into some kind of sexual pattern, but without the needed counseling and reassurances.
AN UNEXPECTED INVITATION
Some years ago, while I was working at my office, I received a call from a Miami TV station requesting my participation in a program entitled “Sex and Cardiovascular Health.” At the time, I had too many commitments, so I proposed that they postpone the program for a couple of months. I didn’t know why I’d been selected since I’d never written or lectured on the subject. In any event, the station didn’t call me back, and the interview never took place. (I’m still grateful for that.)
An interesting aftermath of this incident was my reaction to it. After the initial excitement mellowed, I began to wonder how much I really knew about sex and cardiovascular diseases. I prepared a test with a number of questions. I took it, and guess what? I flunked it with honors. These were some of the questions I had raised: “Do I really know how to advise cardiac patients about precautions they should take before, during, and after sexual intercourse?” “Following a massive heart attack, when should a person be able to resume sexual activity, and then, what
special positions, if any, he or she should be recommended to use?” “How dangerous is it for patients with hypertension, heart failure, valvular heart disease, aortic aneurysm and/or cardiac rhythm disturbances to engage in passionate lovemaking? Would the risk be low or prohibitive?” And so forth. It was immediately obvious to me that I had never paid special attention to the subject, and I had homework to do.
I began the search for information on sex and the cardiac patient in classical medical and cardiology textbooks; I didn’t find any information. Articles in medical journals were few and far between.
An enormous volume has been written about cardiac disorders, and publications about sex are almost as abundant as the number of living spermatozoa.Yet, two basic issues were infrequently addressed: one, the effects of sex on cardiac patients, and two, the consequences of heart disease on sexual functioning.
Fortunately, in the past decade there have been important publications in medical journals addressing those issues. Until recently, however, scientifically speaking, this field was in a near-virginal state.
New knowledge has been gained by doing clinical research and clinical observations of patients with heart disease and their sexual performance. To begin with, new medicines and treatment modalities dealing with angina, congestive heart failure, hypertension, evaluation and treatment of disabling or life-threatening arrhythmias by ablation and intracardiac defibrillators, improved prosthetic heart valves, methods to prevent and treat acute and chronic cardiac conditions have become available and are widely used.
Many coronary bypass surgeries are currently being avoided and have been replaced by balloon angioplasty (dilatation of a narrowed artery) and implantation of stents to keep those arteries open. This has effectively shortened the length of hospitalization and reduced patients’ discomforts and accelerated the recovery process.A coronary angioplasty usually takes one day in the hospital, with minor discomfort. Cardiac surgery demands a few days in the hospital and longer recuperation time.
All of the above have changed for the better the dynamics of the cardiac patient’s sexual interaction.
Psychotherapists have also reviewed and replaced old psychoanalytic techniques with innovative, modern schools of thought that provide psychological counseling and drug therapy faster and more effectively.
Urologists have improved penile prosthesis for a selective patient population, and women with sexual dysfunctions involving desire, arousal, orgasmic, or sexual pain disorders are being more specifically treated by gynecologists with expertise in this area.
The introduction of Viagra in 1998, followed by Levitra and Cialis, has made a dramatic difference in male and female intimate experiences. Although not all who take these medications respond with an erection and/or adequate tolerance, unquestionably, they are very helpful.
Answering Your Questions about Heart Disease and Sex discusses multiple concerns that directly or indirectly relate to cardiac patients and their sexual partners. It is difficult to tell you which are more important. To me, all of them are. Things that you’ve never focused on and perhaps considered trivial, may, in reality, be decisive for your cardiac health and sexuality. At times, just a single but important risk factor, poorly managed, may cause heart disease, impotence, and loss of life. Smoking is a typical example. Information that is very important for the preservation of your cardiovascular health and sexual functioning has been included in the Appendix section at the back of the book. Please keep in mind that this is an educational guide and not a substitute for any of your doctor’s recommendations. Medical treatments are provided by doctors, not books. What you learn here, however, may help you initiate or expand the dialogue with your physician and your domestic partner.
Throughout the book, there are anecdotal experiences that illustrate that the sex life of cardiac patients is neither as complicated as some imagine, nor as simple as others would like it to be.
While this work focuses on heterosexual sex, the same advice and cautions apply equally to gay men and lesbians with heart disease.
Any book on sex is controversial. I...
ANSWERING YOUR QUESTIONS ABOUT HEART DISEASE AND SEX
Answers for the questions that cardiac patients are too embarrassed to ask.
Over 59 million Americans have heart disease, and they're concerned as to how this will impact their sex lives. Answering Your Questions about Heart Disease and Sex takes the mystery out of heart disease, answering sex-related questions that a patient may be too embarrassed to ask in person. Immediately opening a practical, candid, and informative dialogue with its readers, this book engages this long-neglected subject with enthusiasm.
Eduardo Chapunoff, M.D., examines the question of heart disease and sex from every angle, both medical and personal. Directing his guidance on maintaining intimacy to both heart patients and their partners, this informative and educational book answers even the most personal sexual questions. Some of the chapters include:
·Back to Bed: Rush Versus Procrastination
·Sexual Function and Sexual Behavior: Two Different Issues
·Cardiovascular Disease and Sex: The Risks
·Practical Tips on Commonly Used Cardiac Drugs
·Reversing Coronary Artery Disease: Nutrition, Sex, and Fries
Timely, thoroughly researched, and highly relevant, this guide answers the difficult questions about health, love, and sex that many of us are afraid to ask.
Answers for the questions that cardiac patients are too embarrassed to ask.
Over 59 million Americans have heart disease, and they're concerned as to how this will impact their sex lives. Answering Your Questions about Heart Disease and Sex takes the mystery out of heart disease, answering sex-related questions that a patient may be too embarrassed to ask in person. Immediately opening a practical, candid, and informative dialogue with its readers, this book engages this long-neglected subject with enthusiasm.
Eduardo Chapunoff, M.D., examines the question of heart disease and sex from every angle, both medical and personal. Directing his guidance on maintaining intimacy to both heart patients and their partners, this informative and educational book answers even the most personal sexual questions. Some of the chapters include:
·Back to Bed: Rush Versus Procrastination
·Sexual Function and Sexual Behavior: Two Different Issues
·Cardiovascular Disease and Sex: The Risks
·Practical Tips on Commonly Used Cardiac Drugs
·Reversing Coronary Artery Disease: Nutrition, Sex, and Fries
Timely, thoroughly researched, and highly relevant, this guide answers the difficult questions about health, love, and sex that many of us are afraid to ask.
Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.
- ÉditeurAirleaf
- Date d'édition2005
- ISBN 10 1594536783
- ISBN 13 9781594536786
- ReliureBroché
- Nombre de pages365
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état : Assez bonMay have limited writing in cover... En savoir plus sur cette édition
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Answering Your Questions About Heart Disease And Sex
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Bookman Publishing
(2005)
ISBN 10 : 1594536783
ISBN 13 : 9781594536786
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Description du livre Paperback. Etat : Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less 1.2. N° de réf. du vendeur G1594536783I4N00
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