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Old 12-10-2012, 11:09 AM
 
Location: San Antonio, TX
11,423 posts, read 22,574,535 times
Reputation: 27523

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Quote:
Originally Posted by lawmom View Post
Really???

Not all antibiotics work for all things. You are really not doing yourself any favors, in my non-medical opinion.
In the last 20 years, I have probably had 10 prescriptions for antibiotics. 9 of them were amoxicillin. The one that wasn't amoxicillin was for a UTI that I got during surgery, a problem I'm unilkely to encounter again. So it makes sense that if I'm going to keep an antibiotic on hand, it would be amoxicillin.
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Old 12-10-2012, 11:42 AM
 
Location: NoVa
18,434 posts, read 30,820,814 times
Reputation: 19702
I was most recently rx antibiotics last Monday. I had surgery on my foot. I have been soaking it and also putting the a/b cream he rx as well as taking the a/b 3x a day for a week.

Because I have RA and take MTX my immunity is down so he was concerned I would possibly get an infection.

Foot looks good and my f/u is tomorrow.

OP< I understand what you are talking about. I've worked in the medical field for around 13 years now, and in Internal Medicine for the most part. Many angry patients.
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Old 12-10-2012, 11:56 AM
 
Location: stuck in the woods with bears and moose
22,341 posts, read 21,425,152 times
Reputation: 39671
Quote:
Originally Posted by bluedevilz View Post
What are you basing your assumptions regarding "most people" on???

Clearly, facts state otherwise. MANY, MANY people walk into offices every day demanding antibiotics for their "colds" as already pointed out by the OP.

I also don't understand about your husband "having to carry you in" as if that is a bad thing? Were you upset that a physician wouldn't prescribe antibiotics over the phone WITHOUT seeing you? In 20 years of practice I have never called in an antibiotic without actually seeing the patient.
My husband had to carry me in because I had already been to that doctor TWICE and she still would not prescribe an antibiotic. She told me to go see my ENT who has a two month waiting list! Maybe she had a bad previous experience with some other patients but please treat me as an individual.

I always tried to treat sinus problems on my own first before ever bothering a doctor and I go to the doctor only as a last resort. I use a neti pot, as my ENT taught me, I rest, take lots of fluids and if it doesn't go away and I am still in pain, and feeling weak and sick, I go to the doctor.

Well, that time, I tried to wait out the two months for the ENT but finally I was so sick that my husband insisted I go back to the doctor. I couldn't even sit up in the waiting room I was so weak. That time I finally DID get antibiotics.

When I finally got in to see my ENT he said I should have had antibiotics to begin with (which I already knew) and that I should never let a sinus infection go on and on because it builds up scar tissue and I would need to have sinus surgery again. I have changed pcps since that incident.
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Old 12-10-2012, 03:00 PM
 
Location: St. Louis, Missouri
9,353 posts, read 17,851,964 times
Reputation: 11561
op, i feel your pain.....

as a mrsa survivor, it drives me INSANE to see antibiotics prescribed for everything..... i have a friend who takes her young daughters into the doctor pretty much at the first sniffle and always comes out with a script for antibiotics.....

i refuse to take antibiotics unless i am without a doubt sick with something bacterial.....
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Old 12-10-2012, 03:56 PM
 
Location: Maine
2,274 posts, read 6,014,591 times
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Quote:
Originally Posted by latetotheparty View Post
op, i feel your pain.....

as a mrsa survivor, it drives me INSANE to see antibiotics prescribed for everything..... i have a friend who takes her young daughters into the doctor pretty much at the first sniffle and always comes out with a script for antibiotics.....

i refuse to take antibiotics unless i am without a doubt sick with something bacterial.....
Yep. I was lucky with MRSA, and only had to have a chunk of my left breast cut out where a sebaceous cyst got infected with it. It could have been much, much worse.
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Old 12-10-2012, 04:23 PM
 
Location: Middle of the valley
37,542 posts, read 23,561,483 times
Reputation: 53805
I rarely go to the doc for a cold of any kind, only when fever gets over 102 and accompanied by ucky mucus.

Just realized... the only time that happened I had influenza and a temp of 104.

Otherwise, if I have a UTI they test for the type of infection and then give antibiotics.
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Old 12-10-2012, 06:51 PM
 
787 posts, read 1,500,820 times
Reputation: 983
Quote:
Originally Posted by CSD610 View Post
You would love me as a patient, the last time I was sick I was sick for almost 3 months because what I thought was a simple cold turned into infection in both ears, full blown sinus infection, upper respiratory infection and just for fun after I took a few days of the zpac I got a urinary tract infection and I have Primary Biliary Cirrhosis. Yet I still do NOT go to the Doctor until I pretty much have to crawl into the office.

Wow! Don't wait that long!

Quote:
Originally Posted by lawmom View Post
Yep. I was lucky with MRSA, and only had to have a chunk of my left breast cut out where a sebaceous cyst got infected with it. It could have been much, much worse.
Yikes! Glad it wasn't worse!

I think part of the problem is that for a respiratory illnesses, a major part of determining whether something is bacterial or viral is the "time factor". In other words, early in the infection, it is most likely viral...beyond a certain # of days, it's more likely to be bacterial. So people who are aware of that often insist on the antibiotic because they figure they'd rather not wait till day #10 of their sinus infection to take an antibiotic that may have had a small percentage chance of working on day #4. I do like doing the "pocket prescriptions" where you give the antibiotic with instructions not to take the pills until a certain number of days have passed. I know half of them just walk out and fill it immediately.
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Old 12-10-2012, 07:15 PM
 
1,430 posts, read 2,057,834 times
Reputation: 1966
[quote=55degrees;27272581]It's that time of year, again: when every person that comes to my office with a simple cold/cough wants an antibiotic. As a doctor, I've come to dread these visits. I know that most of these illnesses are viral (thus antibiotics will not work) and that they will go away on their own with time. It seems no amount of attempting to educate/convince my patients will do for about 30% of patients. Taking an antibiotic when you have a viral infection is like taking a placebo--except that you could get adverse effects from the antibiotic (like when people end up growing the potentially serious "c diff" bacteria in their colon due to killing the "good bacteria" in the gut) and the antibiotic may not work when you actually need it (like the people who may end up needing to be hospitalized for IV antibiotics for a urinary tract infection because the bug is resistant to regular antibiotics). There's obviously a role for antibiotics for some upper respiratory illnesses, but not most--this is where seeing the doctor can help. We can decide whether it is a bacterial infection and thus warrants an antibiotic. I'm getting weary of the struggles to protect people from themselves, only to have them become demanding, rude, and confrontational. I'm tired of people saying "I can't afford to be sick!! I'm a busy mom/executive/xyx, or I have a big vacation planned! I want to try the antibiotic!!! THAT'S the only reason I came here today!!!! Now I've wasted my time!". As a doctor, I totally "get" being too busy to be sick or not wanting to be sick on vacation, but when I'm sick, I deal with it the same way I ask my patients deal with it.[/QUOTE

Think of them as helping you with satisfying your student loan debt
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Old 12-10-2012, 10:53 PM
 
5,587 posts, read 11,777,836 times
Reputation: 13929
Quote:
Originally Posted by Hedgehog_Mom View Post
In the last 20 years, I have probably had 10 prescriptions for antibiotics. 9 of them were amoxicillin. The one that wasn't amoxicillin was for a UTI that I got during surgery, a problem I'm unilkely to encounter again. So it makes sense that if I'm going to keep an antibiotic on hand, it would be amoxicillin.
Congratulations on doing your part ( and THEN some) to contribute to the growing problem of antibiotic resistance!!!

Well done!

Nothing like "guessing" at an antibiotic when you have NO idea what the heck you are doing....
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Old 12-19-2012, 03:07 AM
 
495 posts, read 610,305 times
Reputation: 800
Well I just went to the doctor today and was given an antibiotic for a combination of chest flu that has lasted two weeks and for two possibly infected teeth. But the doc almost forced me to get bp meds with a reading of 164 over 124. So I relented to the water pill. This will be the second prescription in my life, I'm 37. The first was penicillin for strep throat when I was 14.
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