“I take 20 mg Cialis pill and it works as expected but after sexual intercourse I sometimes feel muscle pain in the back and fatigue. I do not know if this is because I work like a stud or it is a side effect. Anyway I am lucky that I gave it a try.”

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Karen Booth carried out operations she wasn’t skilled enough to perform, an investigation found.

Move comes despite opposition from union, with ministers saying NHS needs to embrace digital tech.

Jonathan Jones says he was given chemotherapy tablets for 16 years, contrary to NHS guidelines.

It follows criticism that the body which determines whether doctors are fit to practise in the UK was being too lenient.