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Gerd Ordelheid, 76, was having sex with three women aged 18, 19 and 22 at a Dominican Republic resort, when he started complaining of chest pains. Paramedics were called to the Dr Nights Exotic Resort in Punta Cana and rushed him to a local hospital after the incident.
Medical reports showed Gerd had an erectile dysfunction drug in his blood, but it's unclear whether that contributed to the heart attack. Gerd arrived at the hospital in critical condition, but is now recovering back at his home in Cohasset, Massachusetts, where he runs a string of hotels and wedding venues.
It took two stents to stabilize Mr Ordelheide. The resort operates legally in the tropical country as prostitution is not outlawed in the Dominican Republic. Dr Nights is one of a growing number of sex resorts world-wide offering all-inclusive adults only packages.
The trip, one of the excursions provided for guests, was on a 42ft Bertram boat with several sex workers and loaded with crates of beers.
Other excursions for guests include horseback rides along the beach, jurassic buggie rides, golfing, scuba diving, and a private yacht island tour with a lobster dinner. The exotic resort, which advertises its motto, "If you can think it, we can make it happen", offers packages to tourists including an all-inclusive five-day golf and sex vacation, where men are provided with a new female "companion" each day, access to two golf courses, and encouraged to "just worry about that hole in one".