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Old 07-28-2018, 09:46 PM
 
18,804 posts, read 6,138,018 times
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Quote:
Originally Posted by suzy_q2010 View Post
"Experts say the problem is caused in part by patients who demand them when they aren't needed."
So the doctors are held hostage by the patients forcing them to give this class of abx drugs?
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Old 07-28-2018, 09:58 PM
 
Location: Georgia, USA
21,494 posts, read 26,089,700 times
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Quote:
Originally Posted by jaminhealth View Post
So the doctors are held hostage by the patients forcing them to give this class of abx drugs?
The article is about all antibiotics, not just one class.

Held hostage? In a way, yes. Patient satisfaction depends on the patient getting what he wants. Patient satisfaction surveys impact the salaries of employed physicians.

https://www.aafp.org/fpm/2016/0100/p23.html

One common antibiotic requested by patients is azithromycin. It may not treat the infection itself, but it can help reduce inflammation and symptoms. In other words, it makes people feel better.
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Old 07-28-2018, 10:19 PM
 
18,804 posts, read 6,138,018 times
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Quote:
Originally Posted by suzy_q2010 View Post
The article is about all antibiotics, not just one class.

Held hostage? In a way, yes. Patient satisfaction depends on the patient getting what he wants. Patient satisfaction surveys impact the salaries of employed physicians.

https://www.aafp.org/fpm/2016/0100/p23.html

One common antibiotic requested by patients is azithromycin. It may not treat the infection itself, but it can help reduce inflammation and symptoms. In other words, it makes people feel better.
Maybe read some of the thread again. fluoroquolines appear to be the most discussed...
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Old 07-29-2018, 01:40 AM
 
Location: Georgia, USA
21,494 posts, read 26,089,700 times
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Quote:
Originally Posted by jaminhealth View Post
Maybe read some of the thread again. fluoroquolines appear to be the most discussed...
Maybe you should read the link in this post again, because it is what I responded to, and it is not about fluoroquinolones. It is about antibiotic prescribing in general.

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Old 07-29-2018, 09:17 AM
 
Location: Wonderland
40,904 posts, read 32,658,014 times
Reputation: 57027
Quote:
Originally Posted by suzy_q2010 View Post
"Experts say the problem is caused in part by patients who demand them when they aren't needed."
Well, no worries here.

Any doctor who would kowtow to "demands" by a patient, when it isn't in the patient's best interests is a pretty sorry doctor in my opinion. Doctors are paid to know about medications and their potential issues. That's part of their training - past and ongoing - which is why the FDA sends these warnings out directly TO doctors. In addition, of course, to press releases.
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Old 07-29-2018, 03:30 PM
 
Location: Georgia, USA
21,494 posts, read 26,089,700 times
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Quote:
Originally Posted by KathrynAragon View Post
Well, no worries here.

Any doctor who would kowtow to "demands" by a patient, when it isn't in the patient's best interests is a pretty sorry doctor in my opinion. Doctors are paid to know about medications and their potential issues. That's part of their training - past and ongoing - which is why the FDA sends these warnings out directly TO doctors. In addition, of course, to press releases.
Doctors are human. They want to keep their jobs as much as anyone else. Urgent care center physicians are almost always employees.

Refuse to prescribe the Z-Pak, get a bad review. Too many times and the bean counters fuss over losing patients.

Do you think patients have no responsibility in this?
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Old 07-31-2018, 07:20 AM
 
Location: Wonderland
40,904 posts, read 32,658,014 times
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Quote:
Originally Posted by suzy_q2010 View Post
Doctors are human. They want to keep their jobs as much as anyone else. Urgent care center physicians are almost always employees.

Refuse to prescribe the Z-Pak, get a bad review. Too many times and the bean counters fuss over losing patients.

Do you think patients have no responsibility in this?
No, why would you think otherwise? I've stated repeatedly on many threads that people need to research prescriptions before just taking them willy nilly, which is why I posted the information on a public forum.
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Old 07-31-2018, 07:24 AM
 
Location: Georgia, USA
21,494 posts, read 26,089,700 times
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Quote:
Originally Posted by KathrynAragon View Post
No, why would you think otherwise? I've stated repeatedly on many threads that people need to research prescriptions before just taking them willy nilly, which is why I posted the information on a public forum.
I was talking about patients who demand antibiotics. How do doctors make them stop doing that?
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Old 07-31-2018, 07:28 AM
 
Location: Orlando
1,792 posts, read 2,384,767 times
Reputation: 6417
Quote:
Originally Posted by suzy_q2010 View Post
I was talking about patients who demand antibiotics. How do doctors make them stop doing that?
Obviously doctors can't stop their patients from demanding anything, but a doctor certainly can educate his or her patient about the usefulness (or not) of antibiotics in the patient's situation, as well as about the dangers of using antibiotics when they're not needed.
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Old 07-31-2018, 07:34 AM
 
Location: Georgia, USA
21,494 posts, read 26,089,700 times
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Quote:
Originally Posted by WellShoneMoon View Post
Obviously doctors can't stop their patients from demanding anything, but a doctor certainly can educate his or her patient about the usefulness (or not) of antibiotics in the patient's situation, as well as about the dangers of using antibiotics when they're not needed.
There is a subset of patients who cannot be educated, though. Even after the doctor's speech about antibiotics, they still want their Z-Pak. As I mentioned above, that is because they feel better sooner when they take it, even if they do not have a bacterial infection, due to an anti-inflammatory effect.
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