drpat @live.ca
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  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list

Warts can be transmitted thru sex

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And you thought warts on your hands were bad  !
Even worse, the wart virus, sometimes know as Human Papilloma Wart Virus, or HPV, can occur on the genitals.
It  can cause abnormal pap smears and cancer of the cervix in women.  
And even cancer of the foreskin ( if you still have one ) in men.
Stats say that about one third of College age men and women have the HPV in their system, and that most get rid of it spontaneously.
But even better than getting rid of it is preventing it.
And this can be done by vaccinating you women   ( and men ) with the HPV vaccine , which sometimes goes by the trade name Gardasil ).  This can be done anytime, but the best time is at age 15, because
  • 15 year olds are not likely to be sexually active yet
  • 15 year olds respond to vaccines better than older people


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Wart Vaccine for Boys

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February 27, 2012 
 The American Academy of Pediatrics (AAP) has published new guidelines for the use of the human papillomavirus vaccine and, for the first time, has specifically recommended use of the vaccine in adolescent boys as well as girls.

The recommendations were published online February 27 and in the March print issue of Pediatrics.

The vaccine was recommended for girls in 2006, but even though at that time the AAP said the vaccine could be used in boys, it was not specifically recommended for that population.

The new recommendations were spurred in part by mounting evidence that the HPV vaccine is effective as prophylaxis against genital warts in both males and females. HPV infection has been associated with increased risk for cervical cancer, anal cancer, and oropharyngeal cancer.

The AAP recommends that the vaccine be administered at 11 to 12 years of age in both boys and girls. Their rationale is 2-fold: First, the vaccine is most effective if it is administered before the individual begins engaging in sexual activity, mainly because the vaccine is inactive against HPV strains acquired before vaccination. Second, children mount the most robust antibody responses to the vaccine when they are between the ages of 9 and 15 years, the AAP says.

Two HPV vaccines are currently available in the United States, but there are differences in their approved indications. Quadrivalent HPV vaccine (HPV4, Gardasil, Merck) is the only vaccine approved for use in boys. Bivalent HPV vaccine (HPV2, Cervarix, GlaxoSmithKline) is only approved for use in girls; HPV4 is also approved for girls.


Vaccinate boys and girls against HPV

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Among the AAP's updated recommendations are that:

  • Girls aged 11 to 12 years should be routinely immunized using 3 doses of the HPV4 or HPV2 vaccine, administered intramuscularly at 0, 1 to 2, and 6 months.
  • Girls and women aged from 13 to 26 years who have not been previously immunized or who have not completed their vaccinations should finish the series.
  • Boys aged 11 to 12 years should be routinely immunized with HPV4, using the same schedule as for girlls.
  • Boys and men aged from 13 to 21 years who have not already been immunized or who have not completed their vaccines should finish the series.
  • Men aged from 22 to 26 years who have not already been immunized or who have not finished the full series may be administered the recommended vaccine. (The AAP guidelines note that "cost-efficacy models do not justify a stronger recommendation in this age group.")
  • Special efforts should be made to target use of the vaccine in gay or bisexual men up to 26 years of age who have not previously received the vaccine.
  • People infected with HIV should be vaccinated or complete their series of vaccinations.
  • The vaccine is not recommended during pregnancy, nor should it be administered to individuals with a known immediate hypersensitivity to yeast. However, it may be administered during lactation, as well as to those who are immunocompromised from either illness or medication
The AAP recommends that because the HPV vaccine will not prevent infection from all types of HPV types, cervical screening should continue after HPV vaccination.

The organization also says that administration of the vaccine should not alter physicians' recommendations regarding use of barrier methods for preventing HPV and other sexually transmitted diseases.

The AAP urges that use of the vaccine be covered by all public and private health insurance.

More information on implementing the guidelines, including guidance on supply, payment, coding, and liability issues, is available on the AAP's Web site.



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What does a wart on a penis look like ?

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THE "OFFICIAL" OFFICIAL  RECOMMENDATIONS

1. Girls 11 through 12 years of age
should be immunized routinely with 3 doses of HPV4 or HPV2, administered intramuscularly at 0, 1 to 2, and 6 months. The vaccines can be administered starting at 9 years of age at the discretion  of the physician.

2. All girls and women 13 through 26 years of age who have not been immunized previously or have not completed the full vaccine series should complete the
series. 

3. Boys 11 through 12 years of age should be immunized routinely with 3 doses of HPV4, administered intramuscularly at 0, 1 to 2, and 6 months. The vaccine can be given starting at 9 years of age at the discretion of the physician.

4. All boys and men 13 through 21 years of age who have not been
immunized previously or have not completed the full vaccine series should receive HPV4 vaccine.

5. Men 22 through 26 years of age who have not been immunized previously or have not completed the full vaccine series may receive HPV4 vaccine. Cost-efficacy models do not justify a stronger recommendation in this age group.

6. Special effort should be given to immunizing men who have sex with men up to 26 years of age who have not been immunized previously or have not completed the full vaccine series.

7. Previous sexual activity is not a contraindication to HPV immunization or completion of the immunization series. Patients infected with 1 HPV type may still benefit from protection against remaining HPV types in the vaccine. Testing for previous exposure to HPV is not recommended. HPV vaccine can be administered when a female patient has an
abnormal or equivocal Papanicolaou test result. There is no known therapeutic (as opposed to prophylactic) benefit from the HPV vaccines.


8. HIV-infected people of either gender, 9 through 26 years of age, who have not been immunized previously or have not completed the full vaccine series should receive or com plete their  series with HPV4.

9. HPV vaccines can be administered at the same visit as all other recommended vaccines.

10. HPV vaccine can be administered in these special circumstances: 

a. when a patient is immunocompromised because of disease or medication
b. when a female patient is breastfeeding

11. HPV vaccine is not recommended during pregnancy. The practitioner should inquire about pregnancy in sexually active female patients, but a pregnancy test is not required
before starting the immunization series. If a vaccine recipient becomes pregnant, subsequent doses should be postponed until completion of the pregnancy. It is recommended that women who become pregnant while receiving HPV vaccine be reported to registries that have been developed to record data on outcomes (HPV2: 1-888-452-9622;  HPV4: 1-800-986-8999).

12. Because HPV vaccine will not prevent infection attributable to all high-risk HPV types, cervical cancer screening recommendations (ie, Papanicolaou testing) should
continue to be conducted in women who have received HPV vaccine.

13. Administration of HPV vaccine does not change current counseling recommendations for use of barrier methods for the prevention of HPV and other sexually transmitted infections as well as discussion about healthy choices about sexual activity, including condoms and abstinence.

14. HPV immunization of children 9 years of age and older should be covered by all public and private health insurers.

CONTRAINDICATIONS :

HPV4 should not be given to people with a history of immediate hypersensitivity to yeast,   or to pregnant women.

PRECAUTIONS
Immunizations should be deferred for people with moderate or severe acute illness. Because syncope can occur in adolescents after injections and has been reported after HPV vaccine, vaccine recipients should sit or lie down for 15 minutes after administration.

IMPLEMENTATION
These updated recommendations for HPV immunization will have considerable operational and fiscal effect on pediatric practice. Therefore, the AAP has developed implementation guidance on supply, payment, coding, and liability issues; these documents can be found at www.aapredbook.org/  implementation
​Dr. Pat  Nesbitt, Vancouver, Canada ..... [email protected]
  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list