Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / General / January 2004

Tip: Looking for answers? Try searching our database.

Doctor's refusal to prescribe antibiotics cause three year old to lose her legs

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Habshi - 23 Dec 2003 00:54 GMT
    It is criminal to label bacterial illnesses as viral without
proof . Of course there is no proof as early on the symptoms of both
are the same and even viral illnesses can cause high temparatures.
    In the days before antibiotics were discovered most people
even with bacterial illnesses got better anyway , so the fact they
still do so does not mean that they didnt have a bacterial illness and
that the refusal to give them antibiotics was justified .
    It is better to err on the side of caution and give
antibiotics early . Animals have them daily and the only side effect
is they grow faster and there are children with cystic fibrosis who
have been on daily antibiotics for 20 years and done very well.

excerpt
DEVASTATED AT DOCTORS' FAILURE Dec 22 2003




By Richard Smith

 
A GIRL of two has had both legs amputated after doctors twice failed
to spot a dangerous infection.

Last night Lydia Cross's parents said they were utterly devastated and
felt badly let down by the medical profession.

Their daughter was showing astonishing courage, telling nurses: "They
took my poorly legs away and I'm getting new ones for Christmas."

She fell ill just six hours after her nine-month-old sister Millie had
returned home from nine days on life support with bacterial
meningitis.

Lydia's temperature was 40.5C, three and a half degrees above normal,
and she was vomiting and suffering hallucinations.

Dad Tony, an army sergeant, and mum Jodie were especially alarmed in
view of Millie's fight for life at Cardiff University Hospital. She
had complete organ failure.

They took Lydia to their local A&E unit at Chippenham hospital, Wilts.

A doctor said the child had a virus and advised her parents to give
her Calpol.

Thirty-six hours later Lydia's temperature rose to 41.5C - and again a
doctor at the hospital said there was no reason to worry.

Next morning hairdresser Jodie rang her GP and asked him to visit, but
he was too busy.

That evening she got an appointment to see the GP and when a nurse saw
Lydia, she immediately called an ambulance.

Doctors at Bristol Children's Hospital diagnosed Haemophilus Influenza
Type B - known as HIB - and septicaemia. Hib is a major cause of
bacterial meningitis.

Lydia was given antibiotics, which stopped the infection spreading.
But the damage to her legs had already been done.

She spent 12 days on a life- support machine after suffering
multi-organ failure.

Doctors at Frenchay hospital, also in Bristol, decided two weeks ago
that nothing could be done to save her legs and carried out a double
amputation below the knee

google news
Kent H. - 23 Dec 2003 04:32 GMT
What are you trying to say????

>         It is criminal to label bacterial illnesses as viral without
> proof . Of course there is no proof as early on the symptoms of both
[quoted text clipped - 62 lines]
>
> google news
habshi - 21 Jan 2004 12:41 GMT
    The govt is starting to panic . Antibiotic use has fallen by a third and death rates due to
chest infections gone up by 50% !! The peanuts it saved is going to be outcost by the amount it will
have to pay in negligence claims.
taurusrc@aol.com - 23 Dec 2003 06:03 GMT
Is there a test to determine whether something is viral or bacterial?  Or do
doctors just say it is viral without really knowing or being able to find out?

Ora

>    It is criminal to label bacterial illnesses as viral without
>proof . Of course there is no proof as early on the symptoms of both
[quoted text clipped - 63 lines]
>
>google news
harmony - 24 Dec 2003 05:30 GMT
jesus has the answers.

> Is there a test to determine whether something is viral or bacterial?  Or do
> doctors just say it is viral without really knowing or being able to find out?
>
> Ora
NicK - 25 Dec 2003 01:39 GMT
Its from the diagnosis - they have to memorize a list of symptoms that
indicate if its viral or bacterial.

> jesus has the answers.
>
[quoted text clipped - 7 lines]
>
>>Ora
mummud.amud@cts.com - 25 Dec 2003 08:35 GMT
In soc.culture.british harmony <aka@hotmail.com> wrote:
> jesus has the answers.

Yes.  I believe he says you are going to hell.  Who says there is
no justice in this world.

> <taurusrc@aol.com> wrote in message
>> Is there a test to determine whether something is viral or bacterial?

You can't culture a virus, I think, because it needs a cell to
reproduce.  

>> Or
>> do
>> doctors just say it is viral without really knowing or being able to find
>> out?
>>
>> Ora

Signature

 From: "harmony" <aka@hotmail.com>
 Subject: Re: Indian woman dies on husband's pyre
 Message-ID: <ulrbpeobg9po91@corp.supernews.com>
 >I am proud to be a member of mommedan parliament.

PF Riley - 24 Dec 2003 08:01 GMT
>Is there a test to determine whether something is viral or bacterial?  Or do
>doctors just say it is viral without really knowing or being able to find out?

The "test" is a thorough history and physical examination by a
knowledgeable and experienced physician. The original poster who
thinks that this unusual case of gross misdiagnosis of H. influenzae
meningitis means we should prescribe antibiotics to everyone with a
runny nose is a moron.

PF
taurusrc@aol.com - 24 Dec 2003 08:39 GMT
Then the diagnosis of "viral" or "bacterial"  is just an educated guess?

Ora  

>>Is there a test to determine whether something is viral or bacterial?  Or do
>>doctors just say it is viral without really knowing or being able to find out?
[quoted text clipped - 6 lines]
>
>PF
Habshi - 24 Dec 2003 17:39 GMT
>Then the diagnosis of "viral" or "bacterial"  is just an educated guess?<

    And most fights nowadays are between guardian reading middle
class parents with children running high fevers and on the death bed
(almost) who dont want the doctors to prescribe antibiotics for a
'viral' illness unless they have proof that it is a 'bacterial'
illness which of course is impossible . This case is just the tip of
the icebergs , every week hundreds of children are damaged for life .
harmony - 24 Dec 2003 18:32 GMT
antibiotics are not going to hurt anything even if viral. Be safe than an
academic nut. What else is an insurance for?

> Then the diagnosis of "viral" or "bacterial"  is just an educated guess?
>
[quoted text clipped - 10 lines]
> >
> >PF
PF Riley - 25 Dec 2003 03:50 GMT
>antibiotics are not going to hurt anything even if viral. Be safe than an
>academic nut. What else is an insurance for?

You are wrong, idiot.

PF
mummud.amud@cts.com - 25 Dec 2003 08:40 GMT
In soc.culture.british PF Riley <pfriley@watt-not.com> wrote:

>>antibiotics are not going to hurt anything even if viral. Be safe than an
>>academic nut. What else is an insurance for?

> You are wrong, idiot.

Impossible.  Pradip Parekh aka 'harmony' is a highly educated Hindu
well known for looking down his nose at educationally sub-par (com-
pared to far right wing Hindus) ethnic groups, such as Pakistanis,
Bangladeshis, and whites.

> PF

Signature

 From: "harmony" <aka@hotmail.com>
 Subject: Re: Indian woman dies on husband's pyre
 Message-ID: <ulrbpeobg9po91@corp.supernews.com>
 >I am proud to be a member of mommedan parliament.

David Wright - 28 Dec 2003 16:26 GMT
>antibiotics are not going to hurt anything even if viral. Be safe than an
>academic nut. What else is an insurance for?

Hi ho, another idiot who's never heard of antibiotic resistance sticks
his head up...

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "If I have not seen as far as others, it is because giants
          were standing on my shoulders."  (Hal Abelson, MIT)
PF Riley - 25 Dec 2003 03:49 GMT
>Then the diagnosis of "viral" or "bacterial"  is just an educated guess?

Viral or bacterial WHAT? Sore throat? Pink eye? Meningitis? Joint
infection? Skin rash? Diarrhea? Urinary tract infection? Bactermia?
Liver abscess? Thyroiditis?

PF
taurusrc@aol.com - 28 Dec 2003 23:29 GMT
>>Then the diagnosis of "viral" or "bacterial"  is just an educated guess?
>
[quoted text clipped - 3 lines]
>
>PF

According to the original post:  Haemophilus Influenza
Type B - known as HIB - and septicaemia.

    A doctor said the child had a virus and advised her parents to give
    her Calpol.

    Thirty-six hours later Lydia's temperature rose to 41.5C - and again a
    doctor at the hospital said there was no reason to worry.

    Next morning hairdresser Jodie rang her GP and asked him to visit, but
    he was too busy.

    That evening she got an appointment to see the GP and when a nurse saw
    Lydia, she immediately called an ambulance.

    Doctors at Bristol Children's Hospital diagnosed Haemophilus Influenza
    Type B - known as HIB - and septicaemia. Hib is a major cause of
    bacterial meningitis.

Ora
mummud.amud@cts.com - 25 Dec 2003 08:38 GMT
In soc.culture.british PF Riley <pfriley@watt-not.com> wrote:

>>Is there a test to determine whether something is viral or bacterial?  Or do
>>doctors just say it is viral without really knowing or being able to find out?

> The "test" is a thorough history and physical examination by a
> knowledgeable and experienced physician. The original poster who
> thinks that this unusual case of gross misdiagnosis of H. influenzae
> meningitis means we should prescribe antibiotics to everyone with a
> runny nose is a moron.

Impossible.  Habshi is a highly educated Hindu, well known for
looking down his nose at whites, Pakistanis, Bangladeshis, and
other educationally sub-par groups.

> PF

Signature

 From: "harmony" <aka@hotmail.com>
 Subject: Re: Indian woman dies on husband's pyre
 Message-ID: <ulrbpeobg9po91@corp.supernews.com>
 >I am proud to be a member of mommedan parliament.

KyroDoc - 25 Dec 2003 16:43 GMT
>From: pfriley@watt-not.com

>means we should prescribe antibiotics to everyone with a
>runny nose is a moron.

Ummm Jeff prior to *about 1990
Everyone DID get antibiotics for EVERTHING including running noses. The notion
of super bacteria became a big issue about then and only then did the rampant
overprescribing of these drugs begin to decline.

Funny how people can go from educated HAWvid trained physician to a complete
moron in slightly over a decade

*sigh
Happy Dog - 25 Dec 2003 19:12 GMT
> >From: pfriley@watt-not.com
>
[quoted text clipped - 10 lines]
>
> *sigh

Gee.  Did chiropractors know about this before?  (Other than in the way you
all "know" that most things real doctors do are bad.)  Evidence based
medicine constantly works to correct past mistakes.  Does chiropractic do
this?  What things has chiropractic abandoned recently when it found they
were ineffective?  What things has it admitted were bad ideas since its
creation?

le moo
PF Riley - 26 Dec 2003 04:22 GMT
> Funny how people can go from educated HAWvid trained physician to a
> complete moron in slightly over a decade

If you lived 2,000 years ago and thought the world was flat, you might
not be a moron. If you believe the world is flat today, you're a
moron. Period.

>Gee.  Did chiropractors know about this before?

It is far easier to be critical than to be correct.

PF
KyroDoc - 27 Dec 2003 15:40 GMT
>From: "Happy Dog"

>Date: 12/25/2003

Doc wrote: Ummm Jeff prior to *about 1990
>> Everyone DID get antibiotics for EVERTHING including running noses.

Dawg wrote:
>Gee.  Did chiropractors know about this before?
Yes Yes we did.

Evidence based
>medicine constantly works to correct past mistakes.

You mean kill off enough people before admitting that we goofed?

 What things has chiropractic abandoned recently when it found they
>were ineffective?

Nothing. Nothing at all . Chiropractors adjust spines, correct subluxations
which reduces abnormal pressue on the DRG, reduces aberant prorioceptive input
into the DRG and facillitates proprioceptive input into the cord.
(But you knew that)

>>What things has it admitted were bad ideas since its creation?

"It" as you say "admits" nothing The Profession as a whole however  would admit
that rotational manuevers can be problematic. Thats why there is a great
emphasis on effective comfortable non-torque techniques.

Merry Christmas
Happy Dog - 28 Dec 2003 02:26 GMT
"KyroDoc" <kyrodoc@aol.com> wrote in message

> >Gee.  Did chiropractors know about this before?

>  Yes Yes we did.

Show me the sites that Chiropractic knew of the danger of bacteria become
resistant to antibiotics before real doctors did.

>  Evidence based
> >medicine constantly works to correct past mistakes.
>
> You mean kill off enough people before admitting that we goofed?

No.

>   What things has chiropractic abandoned recently when it found they
> >were ineffective?
>
> Nothing. Nothing at all.

IOW, chiropractic has made no mistakes which require correcting.  None.

> Chiropractors adjust spines, correct subluxations
> which reduces abnormal pressue on the DRG, reduces aberant prorioceptive input
> into the DRG and facillitates proprioceptive input into the cord.
> (But you knew that)

Which does almost nothing for non-musculoskeletal pathology thet
chiropractic can prove.  Impressive.

> >>What things has it admitted were bad ideas since its creation?
>
> "It" as you say "admits" nothing The Profession as a whole however  would admit
> that rotational manuevers can be problematic. Thats why there is a great
> emphasis on effective comfortable non-torque techniques.

That's it?  Godlike.

le moo
KyroDoc - 31 Dec 2003 22:18 GMT
> Doctor's refusal

>From: "Happy Dog"

>Show me the sites that Chiropractic knew of the danger of bacteria become
>resistant to antibiotics before real doctors did.

So sorry HD Your going to have to pick up somr books to read that kind of
stuff.
I know Dr. Harrison railed against them as early as the  70's

>> You mean kill off enough people before admitting that we goofed?
>
>No.

Errr Yes. Then its written off as "good science"

>IOW, chiropractic has made no mistakes which require correcting.  None.

Yes. It has made one mistake and that is to allow certain segments of the
profession to try and practice medicine which should be left up to the
infinitely more qualified medical professional.

>Which does almost nothing for non-musculoskeletal pathology thet
>chiropractic can prove.

20 million per year for research and clinical trials aint much kid...but we are
getting there.

But then again 30 million patients cant ALL be wrong heh heh.
Carey Gregory - 01 Jan 2004 00:41 GMT
>>From: "Happy Dog"
>
[quoted text clipped - 3 lines]
>So sorry HD Your going to have to pick up somr books to read that kind of
>stuff.  I know Dr. Harrison railed against them as early as the  70's

So it only took chiros 40 years to figure it out?  Fleming knew about
bacterial resistance in the 1930s soon after he discovered penicillin.
Doctors have known this for almost 60 years.  Their only mistake was
believing that a endless stream of new antibiotics would enable them to stay
ahead of the problem.  Were it not for HIV and advances in treatments for
cancer and other disorders that created a large population of
immunocompromised patients (who would have simply been dead in earlier
years), it's quite possible they would have been right.  In that sense, the
lesson of antibiotic resistance is really just a consequence of success.

>>IOW, chiropractic has made no mistakes which require correcting.  None.
>
>Yes. It has made one mistake and that is to allow certain segments of the
>profession to try and practice medicine which should be left up to the
>infinitely more qualified medical professional.

Only one?  Really now.  So I guess strokes caused by cervical adjustments
don't count.  And the chiropractor who failed to recognized my father's DVT
and broke it loose... does that count?
MAN OF 2004 - 01 Jan 2004 09:15 GMT
BOXMAN MAN OF 2004

http://tinyurl.com/24mb9
BOXMAN - 01 Jan 2004 09:15 GMT
BOXMAN MAN OF 2004

http://tinyurl.com/24mb9
KyroDoc - 03 Jan 2004 21:05 GMT
>From: Carey Gregory

>And the chiropractor who failed to recognized my father's DVT
>and broke it loose... does that count?

I dont know..I'd like to know more though........
Carey Gregory - 04 Jan 2004 05:34 GMT
>>From: Carey Gregory
>
>>And the chiropractor who failed to recognized my father's DVT
>>and broke it loose... does that count?
>
>I dont know..I'd like to know more though........

Nice snippage.  What about strokes and cervical manipulation?
KyroDoc - 05 Jan 2004 18:17 GMT
>From: Carey

>And the chiropractor who failed to recognized my father's DVT
>>>and broke it loose... does that count?
[quoted text clipped - 4 lines]
>
>Yes I think somewhere in the order of 1 chance in a million or 2 million
perhaps. and always when rotational manuevers are utilized.

Is yur Dad ok?
Carey Gregory - 05 Jan 2004 21:51 GMT
>Yes I think somewhere in the order of 1 chance in a million or 2 million
>perhaps. and always when rotational manuevers are utilized.

As I recall, there's some debate about the numbers.   Regardless, one would
certainly hope that catastrophic results from a non-essential procedure
would be measured in numbers approaching zero.

>Is yur Dad ok?

Depends on your definition of "ok."  He's been dead over 10 years.  During
tx for cancer he developed upper leg pain and saw a chiro without first
consulting his doc.  The chiro did manipulations on his upper legs which he
described as some sort of deep massage.  Only afterward was it discovered he
had DVTs in his femoral vein.  The signs were apparent and should have been
enough to clue the chiro in that he needed to rule out DVT before doing any
sort of massage or manipulation.  Incredibly dangerous thing to do.
KyroDoc - 06 Jan 2004 19:29 GMT
>From: Carey Gregory

>The chiro did manipulations on his upper legs

That is unusual to say the least.

>Incredibly dangerous thing to do.

agreed.

Sorry about your Dad Greg.
Happy Dog - 01 Jan 2004 11:51 GMT
"KyroDoc" <kyrodoc@aol.com> wrote in message n

> >Show me the sites that Chiropractic knew of the danger of bacteria become
> >resistant to antibiotics before real doctors did.
>
> So sorry HD Your going to have to pick up somr books to read that kind of
> stuff.
> I know Dr. Harrison railed against them as early as the  70's

Be specific.  You made about chiropractors and antibiotic resistant strains
of bacteria.  If it's that easy to prove, just post it.

< chirp >

> >IOW, chiropractic has made no mistakes which require correcting.  None.
>
> Yes. It has made one mistake and that is to allow certain segments of the
> profession to try and practice medicine which should be left up to the
> infinitely more qualified medical professional.

One mistake.   That it?  Of the entire body of knowledge that chiropractic
takes credit for, since a hundred years ago, this is the *only* thing?

> >Which does almost nothing for non-musculoskeletal pathology thet
> >chiropractic can prove.
>
> 20 million per year for research and clinical trials aint much kid...but we are
> getting there.

Show us what you got.

> But then again 30 million patients cant ALL be wrong heh heh.

There's a name for that fallacy.  You know it?

le moo
taurusrc@aol.com - 01 Jan 2004 00:07 GMT
>"KyroDoc" <kyrodoc@aol.com> wrote in message
>
[quoted text clipped - 7 lines]
>>  Evidence based
>> >medicine constantly works to correct past mistakes.

Which antibiotics?  Which bacteria.

The same antibiotics are being prescribed today that were being prescribed 40-50
years ago.  They are still working.  But since there are many more antibiotics
out there now how could they be accepted at their astronomical prices if some
kind souls didn 't inform everyone that the old antibiotics were not working.

Ora
Happy Dog - 01 Jan 2004 11:54 GMT
<taurusrc@aol.com> wrote in message news:
> >>  Evidence based
> >> >medicine constantly works to correct past mistakes.
[quoted text clipped - 5 lines]
> out there now how could they be accepted at their astronomical prices if some
> kind souls didn 't inform everyone that the old antibiotics were not working.

If your point is that new drugs are aggressively marketed and old one's
aren't, say so.  Had, if your point is that prescribing doctors just don;t
get it, than say so again.  You may be right.  Or you may be clueless about
antibiotics and prescribing practices.

le moo
taurusrc@aol.com - 01 Jan 2004 20:34 GMT
><taurusrc@aol.com> wrote in message news:
>> >>  Evidence based
[quoted text clipped - 17 lines]
>
>le moo

My point is that we are being told that bacteria have become resistant to
antibiotics but if that is true why are the same "old" antibiotics still being
used against the same "old" bacteria.  

Again,  which antibiotics and which bacteria.  

Ora
Happy Dog - 01 Jan 2004 23:36 GMT
<taurusrc@aol.com> wrote in message news:

> My point is that we are being told that bacteria have become resistant to
> antibiotics but if that is true why are the same "old" antibiotics still being
> used against the same "old" bacteria.

Some are.  Some aren't.  But, generally, it's better to limit the use of the
newest antibiotics whenever possible to delay the inevitable evolution of
resistant strains.  BTW, it isn't the "drug companies" that are pushing this
reality on doctors.  It's the other way around.

> Again,  which antibiotics and which bacteria.

It isn't that brand new kinds of bacteria are being spontaneously created by
antibiotics.  It's just natural selection in action.  You must be aware that
some insects evolve to be resistant to certain pesticides.  Simple stuff.

le moo
Carey Gregory - 02 Jan 2004 00:43 GMT
>My point is that we are being told that bacteria have become resistant to
>antibiotics but if that is true why are the same "old" antibiotics still being
>used against the same "old" bacteria.  

Because there are untold numbers of variants of each species of bacteria.
Some strains have developed resistance in varying degrees.  Some haven't.
And those that have will tend to lose it over time if not exposed to that
particular antibiotic.

Some of the "old" antibiotics are still the most effective against certain
species *if* the strain involved doesn't happen to be highly resistant to
that particular antibiotic.  And even if resistance has developed, it's
often not complete.  Higher dosages and/or longer courses are often still
effective.

> Again,  which antibiotics and which bacteria.  

Your question seems to suggest that you assume all bacteria of a given
species are genetically identical.  That would be a wrong assumption.
taurusrc@aol.com - 02 Jan 2004 02:02 GMT
>>My point is that we are being told that bacteria have become resistant to
>>antibiotics but if that is true why are the same "old" antibiotics still being
[quoted text clipped - 15 lines]
>Your question seems to suggest that you assume all bacteria of a given
>species are genetically identical.  That would be a wrong assumption.

It doesn't matter because apparently no one knows which bacteria of which
species would respond to a particular antibiotic.  Or if anyone knows they are
not telling.  

Or maybe the new antibiotics respond to new found bacteria so they are
automatically prescribed for all the old bacteria along with whatever new ones
come along.  For example if a person has bronchitis and one of the new
antibiotics are effective against bronchitis, it is automatically prescribed
even though one of the older antibiotic which involve a fraction of the cost
would be effective against bronchitis.  

Seems pretty dishonest to me because some people cannot afford the new
antibiotics.

Ora
Happy Dog - 02 Jan 2004 02:50 GMT
<taurusrc@aol.com> wrote in message news:
> On Thu, 01 Jan 2004 19:43:09 -0500, Carey Gregory <tiredofspam123@comcast.net>

> >Your question seems to suggest that you assume all bacteria of a given
> >species are genetically identical.  That would be a wrong assumption.
>
> It doesn't matter because apparently no one knows which bacteria of which
> species would respond to a particular antibiotic.  Or if anyone knows they are
> not telling.

What?  This information is available to, and regularly used by, any MD.  How
do you think doctors decide which antibiotic to prescribe for a particular
infection?

> Or maybe the new antibiotics respond to new found bacteria so they are
> automatically prescribed for all the old bacteria along with whatever new ones
> come along.  For example if a person has bronchitis and one of the new
> antibiotics are effective against bronchitis, it is automatically prescribed
> even though one of the older antibiotic which involve a fraction of the cost
> would be effective against bronchitis.

Absolutely not.  If there's no reason to suspect that a strain resistant to
older, and cheaper, antibiotics is the culprit then older antibiotics are
prescribed.

> Seems pretty dishonest to me because some people cannot afford the new
> antibiotics.

Where are you getting your information from?

le moo
taurusrc@pacbell.net - 02 Jan 2004 04:52 GMT
><taurusrc@aol.com> wrote in message news:
>> On Thu, 01 Jan 2004 19:43:09 -0500, Carey Gregory
[quoted text clipped - 11 lines]
>do you think doctors decide which antibiotic to prescribe for a particular
>infection?

I expect that they all have their own criteria.     I suggest you ask your own
doctor how he decides which antibiotic to prescribe since I have no idea how
untold doctors decide.  

>> Or maybe the new antibiotics respond to new found bacteria so they are
>> automatically prescribed for all the old bacteria along with whatever new
[quoted text clipped - 16 lines]
>
>le moo
Happy Dog - 02 Jan 2004 07:15 GMT
<taurusrc@pacbell.net> wrote in message
> >What?  This information is available to, and regularly used by, any MD.  How
> >do you think doctors decide which antibiotic to prescribe for a particular
[quoted text clipped - 3 lines]
> doctor how he decides which antibiotic to prescribe since I have no idea how
> untold doctors decide.

Clearly.  Not every doctor will prescribe exactly the same antibiotic for a
particular infection.  But they don't have individual agendas.

le moo
taurusrc@aol.com - 02 Jan 2004 05:00 GMT
><taurusrc@aol.com> wrote in message news:
>> On Thu, 01 Jan 2004 19:43:09 -0500, Carey Gregory
[quoted text clipped - 11 lines]
>do you think doctors decide which antibiotic to prescribe for a particular
>infection?

I expect that they all have their own criteria.     I suggest you ask your own
doctor how he decides which antibiotic to prescribe since I have no idea how
untold doctors decide.  

>> Or maybe the new antibiotics respond to new found bacteria so they are
>> automatically prescribed for all the old bacteria along with whatever new
[quoted text clipped - 16 lines]
>
>le moo
Carey Gregory - 02 Jan 2004 15:28 GMT
>It doesn't matter because apparently no one knows which bacteria of which
>species would respond to a particular antibiotic.  Or if anyone knows they are
>not telling.  

Of course they know and of course they're "telling."  No, your doctor might
not know if the specific infection you have is resistant to a particular
antibiotic until he tries it or sends a sample to a lab for testing, but he
certainly knows which antibiotics usually work best against which bugs,
which ones are more likely to be resistant, and to which antibiotics.

>Or maybe the new antibiotics respond to new found bacteria so they are
>automatically prescribed for all the old bacteria along with whatever new ones
>come along.  For example if a person has bronchitis and one of the new
>antibiotics are effective against bronchitis, it is automatically prescribed
>even though one of the older antibiotic which involve a fraction of the cost
>would be effective against bronchitis.  

Or maybe he knows that resistance to an older antibiotic is likely in the
disease you have and doesn't think it's wise to spend 2 weeks using you as a
culture dish to find out.  He could send a sample off to find out much
sooner, but odds are your insurance won't pay for that.  You could offer to
pay for the lab work yourself, but of course that will offset the savings of
cheaper antibiotics.

>Seems pretty dishonest to me because some people cannot afford the new
>antibiotics.

Giving patients antibiotics that don't work is even more expensive, even if
they're free.  How many expensive antibiotics does it take to equal one
additional day of lost work, or one day in a hospital getting your raging
super-infection treated?

Sure, some doctors go right to the heavy-hitters right away without
considering cheaper alternatives, but most try to balance cost and
effectiveness.
taurusrc@aol.com - 02 Jan 2004 19:38 GMT
>>It doesn't matter because apparently no one knows which bacteria of which
>>species would respond to a particular antibiotic.  Or if anyone knows they are
[quoted text clipped - 31 lines]
>considering cheaper alternatives, but most try to balance cost and
>effectiveness.  

The ones who go for the heavy-hitters right away need to have a little more
training it seems to me.  Why isn't there some kind of ethical standards for
such things?  You say MOST try to balance cost and effectiveness.  How do you
know that?  I wonder if it is actually the case.

Ora
Happy Dog - 02 Jan 2004 20:59 GMT
> On Fri, 02 Jan 2004 10:28:39 -0500, Carey Gregory <tiredofspam123@comcast.net>
>
> The ones who go for the heavy-hitters right away need to have a little more
> training it seems to me.  Why isn't there some kind of ethical standards for
> such things?  You say MOST try to balance cost and effectiveness.  How do you
> know that?  I wonder if it is actually the case.

Well, let's say that you aren't a kid anymore and you have an infection that
likely is treatable with an older cheaper antibiotic but definitely will be
cleared by a newer, more expensive one.  Assuming that you can afford
either, what's *your* choice?

le moo
taurusrc@aol.com - 02 Jan 2004 22:14 GMT
>> On Fri, 02 Jan 2004 10:28:39 -0500, Carey Gregory
><tiredofspam123@comcast.net>
[quoted text clipped - 13 lines]
>
>le moo

No doctor has ever given me a choice.  If one did, I would research it and make
a decision.  I have insurance and could likely afford either one but would
probably choose the less expensive one if it was effective against whatever the
doctor diagnosed, because that sort of thing is what drives up the insurance
premiums.

However once I had cystitis and went to the urgent care center.  The doctor
there was going to prescribe a new medication that I had never heard of.  I told
her that my insurance might not cover that one and she changed it to Bactrim
which she said was the drug of choice and the cheapest one to boot.

Ora
Happy Dog - 03 Jan 2004 04:35 GMT
<taurusrc@aol.com> wrote in message
> >Well, let's say that you aren't a kid anymore and you have an infection that
> >likely is treatable with an older cheaper antibiotic but definitely will be
[quoted text clipped - 6 lines]
> doctor diagnosed, because that sort of thing is what drives up the insurance
> premiums.

I meant that I suspect that most people would forego consideration for the
well being of others and opt for the most powerful antibiotic if given the
choice.  What would you do?  How does anyone know for sure, before
treatment, that you aren't infected with a resistant strain of bacteria?

> However once I had cystitis and went to the urgent care center.  The doctor
> there was going to prescribe a new medication that I had never heard of.  I told
> her that my insurance might not cover that one and she changed it to Bactrim
> which she said was the drug of choice and the cheapest one to boot.

Why did she recommend the other one?

le moo
taurusrc@aol.com - 03 Jan 2004 20:08 GMT
><taurusrc@aol.com> wrote in message
>> >Well, let's say that you aren't a kid anymore and you have an infection
[quoted text clipped - 29 lines]
>
>le moo

I didn't ask her.  She had several choices and she just chose one of them I
guess.  

Ora
taurusrc@aol.com - 03 Jan 2004 21:27 GMT
><taurusrc@aol.com> wrote in message
>> >Well, let's say that you aren't a kid anymore and you have an infection
[quoted text clipped - 17 lines]
>choice.  What would you do?  How does anyone know for sure, before
>treatment, that you aren't infected with a resistant strain of bacteria?

I have had undesirable reactions to some of the antibiotics, and am leery of
trying out one of the new ones until I know how it could  affect me.  The most
powerful antibiotic might have the most powerful side effects. I like to stay
with the ones I have used before because I know what to expect.    

A year ago I had bronchitis and the doctor prescribed Biaxin.  It caused me to
have severe shortness of breath so he told me to stop taking it and to start
taking Avelox.  The shortness of breath got worse and I also developed eye
blurring.  Now I have asthma which started with those antibiotics.  The
blurring got steadily worse and I recently had to have a corneal transplant.  

So I am careful.  

Ora
Happy Dog - 03 Jan 2004 21:56 GMT
<taurusrc@aol.com> wrote in message
> >I meant that I suspect that most people would forego consideration for the
> >well being of others and opt for the most powerful antibiotic if given the
[quoted text clipped - 13 lines]
>
> So I am careful.

You think this was caused by the antibiotics?

le moo
taurusrc@aol.com - 03 Jan 2004 22:58 GMT
><taurusrc@aol.com> wrote in message
>> >I meant that I suspect that most people would forego consideration for
[quoted text clipped - 26 lines]
>
>le moo

Yes, I do but that does not mean anything.  I could be wrong and will never know
because I will never take those antibiotics again.  

Ora
Happy Dog - 04 Jan 2004 01:27 GMT
<taurusrc@aol.com> wrote in message
> >> A year ago I had bronchitis and the doctor prescribed Biaxin.  It caused
> >me to
[quoted text clipped - 6 lines]
> >>
> >You think this was caused by the antibiotics?

> Yes, I do but that does not mean anything.  I could be wrong and will never know
> because I will never take those antibiotics again.

Have you researched this to find out how likely this is?  There are lots of
good resources on the net.  And you could ask the question here.

erf
taurusrc@pacbell.net - 04 Jan 2004 05:44 GMT
><taurusrc@aol.com> wrote in message
>> >> A year ago I had bronchitis and the doctor prescribed Biaxin.  It
[quoted text clipped - 18 lines]
>
>erf

Yes, I have researched it and it is definitely likely.  The side effects are
mentioned in some of the descriptions but not others.  It is amazing what you
find and do not find on the Web.  

I found one site which mentioned opacity of the cornea as a side effect of
Biaxin but it involved trials with dogs at 12 times the dosage for humans.  But
apparently it is possible.  See
http://www.fda.gov/cder/foi/label/2000/50662S29lbl.pdf

But the some of the asthma meds also cause blurring of vision, as well as eye
drops with certain preservatives.  So it was a "comedy of errors".

Ora
Carey Gregory - 03 Jan 2004 05:07 GMT
>>Sure, some doctors go right to the heavy-hitters right away without
>>considering cheaper alternatives, but most try to balance cost and
>>effectiveness.  
>
>The ones who go for the heavy-hitters right away need to have a little more
>training it seems to me.  

Perhaps.  Or perhaps you need to make your preferences known.  Most people
just want their illness cured NOW with no further hassle and no
consideration for the expense since they're not paying for most of it.  Tell
your doctor  you want to take a chance on being sick longer and paying less
money.  You're the patient, after all.  Your preferences rule if you simply
insist on it.

The other alternative is to eliminate medical insurance and have everyone
start paying for their own care.  I think you'll see the night-and-day
difference in cost you're looking for.  You'll see some other night-and-day
differences too - and I hope you're ready for them - but it is an option
society can choose.

>Why isn't there some kind of ethical standards for
>such things?  

There are.

>You say MOST try to balance cost and effectiveness.  How do you
>know that?  I wonder if it is actually the case.

I don't have proof.  I can only go on what I honestly believe to be the
truth from my own experience.  (I am not a doctor and I earn nothing from
medicine in any way.)

PS- Ask yourself this:  Do you really think your insurance company is going
to ignore graft and corruption between doctors and pharmaceutical companies
and pay for it out of their own profits?
taurusrc@aol.com - 03 Jan 2004 06:44 GMT
>>>Sure, some doctors go right to the heavy-hitters right away without
>>>considering cheaper alternatives, but most try to balance cost and
[quoted text clipped - 9 lines]
>money.  You're the patient, after all.  Your preferences rule if you simply
>insist on it.

Do you honestly believe that quality of medical care is synonymous with its
cost?  

>The other alternative is to eliminate medical insurance and have everyone
>start paying for their own care.  I think you'll see the night-and-day
>difference in cost you're looking for.  You'll see some other night-and-day
>differences too - and I hope you're ready for them - but it is an option
>society can choose.

Insurance spreads the money around among those who get sick and those who do
not.  I have paid out more in premiums than I ever received in benefits.
Insurance companies would not stay in business if they did not make profits.
If people started paying their own medical bills, some would pay and many more
would not because they could not.  

>PS- Ask yourself this:  Do you really think your insurance company is going
>to ignore graft and corruption between doctors and pharmaceutical companies
>and pay for it out of their own profits?  

They do what they can and raise premiums to take care of the rest.

Ora
Carey Gregory - 04 Jan 2004 05:30 GMT
>>Perhaps.  Or perhaps you need to make your preferences known.  Most people
>>just want their illness cured NOW with no further hassle and no
[quoted text clipped - 5 lines]
>Do you honestly believe that quality of medical care is synonymous with its
>cost?  

Quite often, yes, but you're the one griping about cost.  I offered a
practical solution.  Take it or leave it.

>>The other alternative is to eliminate medical insurance and have everyone
>>start paying for their own care.  I think you'll see the night-and-day
[quoted text clipped - 7 lines]
>If people started paying their own medical bills, some would pay and many more
>would not because they could not.  

We all know how insurance works.  Apparently you missed the point
completely.
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.