Terrible news - staph isn't something anyone should take lightly... It's tends to be a joke among people, until you have it...
My best to you...
My best to you...
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Is it therefore routine to prescribe a staphylococcal beta-lactam, or even vancomycin, for a bacterial infection that is possibly attributable to S. aureus or MRSA, even when there is a chance it could be due to some other bacterium? It's not like bacterial meningitis where every hour counts, surely you can wait for confirmatory cultures and antibiotic resistance tests to come back before you prescribe these?<-- Doctor here OP.
Dont ever go to that physician again, at least without a second consult. He/she just gave you drugs w/o covering for certain drug resistant staph. These bacteria are becoming resistant even to vancomycin.
Of course, Iam not responsible for how anyone uses this info. But I see this alot, some people even going into septic shock (circulatory collapse) and dying as a result of it.
Why didn't you go back to the first doctor when the antibiotics didn't work? Surely it's far more likely for him to pick on the fact that it's resistant to the antibiotics he gave you than another doctor who may or may not understand or receive the complete picture?Get well soon, Zane. Been there, done that. 2 doctors misdiagnosed it. I had injured my elbow. First doctor (at urgi-care) did an x-ray, then diagnosed it as cellulitis & gave me some antibiotics. After a few days & it continuing to worsen, 2nd doctor (my former primary care physician) diagnosed it as a broken bone, hadn't seen the x-ray, and was certain they missed it. He sent me to an orthopedic specialist. Orthopedic specialist had gotten my x-ray, and said that because of the thin skin on the knee and elbow that it's fairly common for a hard bump to result in an infection. Further, since I was on antibiotics, he guessed (and a culture confirmed) that the strain I had was an antibiotic resistant staph strain. My elbow had pretty much doubled in size by that time. I ended up having to miss a day of work (the only sick day I've taken in 15 years) to have an outpatient procedure done on my elbow to drain all the stuff away. Fortunately for me, it never made it into my bloodstream. Doctor also said I was fortunate. If I recall correctly, I've never been to that primary care physician since.
In reply to Mr Pedantic.
These days, too many factors go into drug selection, primarily the incidence/prevalence of certain bacterial infections. If the locals dont adhere to a drug regimen, unfortunately you become responsible for their ignorance in this matter. Where I work, it has become almost mandatory to provide a short regimen for a max no. of possible organisms, and cultures are unavailable most of the time. Patients are also entitled to know the antibiotic options available, even if they are not specific to the patients condition/situation.
You guys are hitting every patient with short term courses of broad spectrum antibiotics? Now that sounds like bad medicine to me.
G'luck Zane!
Wouldn't education about compliance be a more effective method of increasing treatment effectiveness than just dumping drugs at patients?In reply to Mr Pedantic.
These days, too many factors go into drug selection, primarily the incidence/prevalence of certain bacterial infections. If the locals dont adhere to a drug regimen, unfortunately you become responsible for their ignorance in this matter. Where I work, it has become almost mandatory to provide a short regimen for a max no. of possible organisms, and cultures are unavailable most of the time. Patients are also entitled to know the antibiotic options available, even if they are not specific to the patients condition/situation.
Wouldn't education about compliance be a more effective method of increasing treatment effectiveness than just dumping drugs at patients?
Where do you work, by the way? I can imagine that practicing in a place that doesn't have sophisticated or advanced equipment or procedures would be much different to practicing in a wealthy urban area.
Why didn't you go back to the first doctor when the antibiotics didn't work? Surely it's far more likely for him to pick on the fact that it's resistant to the antibiotics he gave you than another doctor who may or may not understand or receive the complete picture?
<-- Doctor here OP.
Can you send me over a lifetime script for percocets?
Love ya, thnks!
nah its really truths that im sober now....wel not now lol theu have me on norco,dilaudid,valium,and klonopin (i took the klonopin before this fiasco however for anxiety....but yeah ive been pretty doped up in here i dunno how i used to funxtion dailu like this lol...took me 2 attempts and like an hour to make this thread lol
Are you from the UK? I'm just asking because of the spelling.I think mefenamic acid would be better for those menstrual cramps.
Please consult your local gynaecologist or mom upstairs.:biggrin:
Are you from the UK? I'm just asking because of the spelling.
Iam in the 3rd world (used to be in the UK). Iam ashamed of my true nationality. The spelling is due to use of BNF.
After having my childhood dreams of being a car designer or web d./pilot/f1 driver/programmer/physicist destroyed I want to do post-grad in US/UK and get out of medicine and get into the sciences. There is no future in any field of med. Too many doctors everywhere too.
ive had staph so many freaking times, i have scars.
(will upload scar pictures later)
AND the only way to really "cure" it is to get all the puss out. its nasty