There is a bearded joke about how, using logic, the presence of an aquarium with fish determined a person's sexual orientation.
I had a case of something similar. More precisely, there were two cases, the first, so to speak, "training", and the second, on which I have already applied the logical skills I have acquired.
The first case was somewhere in the early 2000s, I was still practicing then.
I was consulted by a patient, a 45-year-old man from a suburban village, with no special education. He was lying in our clinic (no matter what), and was noticed by nurses in virtuously cutting all sorts of figures, toys, etc. from the tree. Cut - and gifts neighbors in the chamber, nurses, doctors...
When he got to me, I ask him how he was so good at cutting a tree, he got some education, or he came (and he worked, conditionally, as a guard in a settlement store, i.e. It has nothing to do with “art.”
He first somehow beat, and then he broke, he and told me that five years ago he became a complete impotent, the relationship with his wife broke up, she does not consider him a man, insults daily, and there are suspicions that she cheats him with his neighbor on a regular basis.
He says that at first he was drunk from all this, but then somehow cut out a toy on his son's request, realized that he does, and now he does this every day, which distracts him from sad thoughts and unrealized desires. Again, drinking does not pull anymore.
I tell him:
How about Viagra? He had never heard of Viagra.
It was not heard at the time in our province. Although this was not my case, I advised him to go to the appropriate doctor. He was pleased that "the doctors invented the pill", ran away from me wrought, I don't know if to the doctor or directly to the pharmacy.
He comes to me in six months (he came for some scheduled inspection, and looked around), almost worshiped, red and satisfied. “Thank you doctor, the pill helped! I am very happy with my wife, life is fine.” I ask him, “Are you cutting the figures?” “Doctor, do I have a figure now?”
Well, I nodded, I was glad that the man helped. And with the figures, God is with them.
And recently one of my divorced classmates decided to boast of her potential fiancé. He also lives somewhere in the suburbs, has his own village house, so he painted his entire facade with some cockroaches, deer, bears, Russian flags and Georgian ribbons, carved out of a gesture, and brightly painted. He is 50 years old, his wife left him 5 years ago. A classmate sent me a photo of the facade of her cavalier's house to boast.
Seeing the volume of work on the photo, I guessed how many hundreds of labor days were put on all this beauty.
Immediately asked a classmate the question: “Impotence, what?”
She said, “Well, not quite, but... often there are problems... Why did you decide that?”
Yes, I am saying. I have a little experience. Go to the doctor, go. Let Viagra go out, or something else.
Then, as I understood, she hinted to him, he to whom to go, that they wrote out - bought, and actively applied. She got married to him officially, they live normally, only then she somehow complained that the cockroaches he abandoned, the last time he renewed them just before the wedding, and then forgot it entirely, and they have already rotted pretty much...
Well, God is now with them, with the cockroaches.
But when I see now on the internet some three-storey house built of milk bags, a leaven in a public hallway, or something so unusual, swallowed by a man of 45-50 years over the last 5-10 years - well, you understand what diagnosis I immediately think of?