occur during an extra-marital affair, according to May 2003 issue of Health magazine.  I have no idea where this mag gets its statistics, or even if it's valid.  Just out of curiosity - has this sort of thing (heart attack, stroke, asthma attack, etc) happened to any providers or hobbyists?  If so, how did you handle the situation?  Just curious.

HotOFFLoad are you a doctor?  You seem to have all the medical questions and info?

Well, now I know with 75% accuracy, how I am going to leave this world!  

In 70s, I used to go to Mustang every once in a while, and I heard that had happened there more than once.

well, I haven't actually seen anyone that had a heart attack during our meeting, but did hear of a gentleman that had one and died 2 days after we met. Pretty scarey if you ask me!! I also have a client of mine that potentially could have had one during one of our meetings because he had really bad clogged arteries that he didn't know about at the time. After he went to the doctor complaining he'd get winded doing simple things, they rushed him into surgery to get everything back and running properly. I wouldn't see him again until he brought me a doctors note telling me it was ok for him to undergo physical activity again!

There will never be an accurate study of this issue, as many cases will not get reported as to whether the sex was with the S.O. or a provider.  But logically, sex is a strenuous activity and therefore, like shovelling snow and climbing stairs, some guys are going to buy it while engaged in this activity. Point two is that sex with a provider may be more strenuous and exciting than sex with the main squeeze.
If you want to know for sure...buy one of these digital bp machines and check it under a variety of circumstance...I don't recommend bring it with you to a session...leave it in the car.

Neither one of them was during or after sex.  The first one probably happened while I was asleep.  I woke up with indigestion (so I thought)and it turned out when I drove myself to the hospital, that it was a small heart attack.

The second one was after jogging.  

Advice to the providers:  If a client has one and calls or you call an ambulance for him, ask the client if he took Viagra that day.  He should NOT take or be given nitroglycerin since the combination has produced fatal drops in blood pressure.

I can’t imagine that the 75% figure is anything more than a guess.  How could you possibly accurately derive such information even on a sampling basis?

Nonetheless, it does make sense that heart attacks and strokes would occur on occasion with providers; sex is strenuous physical activity, and sex with providers is frequently more exciting and adventurous than the stay-at-home kind.

I think providers should consider this possibility ahead of time and develop some ideas as to what to do.  Thinking ahead is always easier than in the stress of what may be a life and death situation.  Being prepared, it seems to me, has the advantages of being responsible and ethical, as well as inviting good feelings towards providers.  Good PR one might say.

Two easy things to keep at hand are knowledge about the modalities of securing access to emergency medical care in your community.  Usually 911 is the place to go when death may be the issue, but it is important to know what to tell them so that they can find you.  

Aspirin is the other thing; give him an aspirin to chew.  Fresh air and clearing the room of smoke won’t hurt.

More difficult, but worthwhile, is developing more knowledge so that the provider can diagnosis the problem more accurately, report symptoms and other observations to the 911 personnel more helpfully, and even be aware of some steps helpful to a client who has suddenly become a patient.  For instance, what parts of the body to elevate; what to do about loosening clothing (although this may well not be an issue); having an awareness of what drugs the patient may take—Viagra is obvious, but there could be many others.  

Many providers might want to take a CPR course, which could have much to offer.  Imagine the story a provider could write about saving a life; and imagine the feelings she would get from the experience.  

I think providers could be a source of many important observations about potentially dangerous health conditions.  Providers are, for instance, in a good position to observe all of the skin and to see signs of jaundice, skin cancer and other conditions.  Some, given a little training, could digitally examine the prostate, and advise seeking medical advice about conditions that might suggest prostate cancer.

I think society misses a great opportunity  when providers are not given extensive diagnostic medical training.

But I impersonate one at my local hospital. (I just hope my parole board doesn't find out!!)

Can any doctor sign a note for me or do I need to go to your doctor?

you're welcome to visit me anytime. I don't want to wear you out too bad ya know