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UK: Doctors to be banned from dishing out antibiotics for sore throats & colds (Rationing)
DailyMail.uk ^ | 23rd July 2008 | Daniel Martin

Posted on 07/23/2008 5:19:54 AM PDT by yankeedame

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To: MaggieCarta
Sorry, dear. YOU are missing the point here.

Socialized (RomneyCARE=HillaryCARE) medicine decreases availability of excellent care.

Despite your handwaving, antibiotics ARE promptly needed for beta-hemolytic streptococcus infections.

41 posted on 07/23/2008 6:12:56 AM PDT by Diogenesis (Igitur qui desiderat pacem, praeparet bellum)
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To: Philly Nomad
Hey it works! Now my E&T prescribes it but it has only been in the last couple of years. I think he learned it from me.
42 posted on 07/23/2008 6:13:16 AM PDT by Ditter
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To: Amelia
But viruses can cause infections to develop. While overuse of antibiotics is becoming an issue what with mursa and all, but is this the only driver??? Sounds like guv'ment beancounters is also driving it. It's NOT, NOT, NOT just good medical practice. Straight from my wife, the IM doctor's, mouth. Amelia, I'll believe her over you any day.

I for the life of me cannot figure out my the AMA and other medical groups in America push for this crap. Neither can my wife. Misplaced compassion is her only thought; pure liberalism.

43 posted on 07/23/2008 6:20:27 AM PDT by morkfork (Candygram for Mongo)
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To: Ditter

I had a wonderful doctor who told me about the salt water treatment. I was traveling and my sinuses and both ears got blocked. I could barely hear. I called my doctor, 3,000 miles away to get a decongestant. He said to forget about it, the decongestant would just turn everything into glue. Instead he said to go to the coffee shop in the hotel and get some salt and a straw and go back to my room and mix up the salt water. I got relief almost immediately and was able to hear and able to fly home the next day.

That doctor was so smart. One time I had cut my hand and it wouldn’t stop bleeding. He said that if the blood wasn’t spurting out, (it wasn’t), to put a wet teabag on it and I could come in and he’d look at it if I wanted. The tanic acid in the teabag totally stopped the bleeding. Be warned, it stings like heck.


44 posted on 07/23/2008 6:22:46 AM PDT by ladyjane
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To: x_plus_one
Strep Throats and Sore Throats go hand in hand.

True, but strep has more specific symptoms and can be tested for.

Our overuse of antibiotics is making them less effective.

There is a real danger to over prescribing them, and it is possible do a better job of identifying illnesses rather than just handing everyone a prescription for antibiotics and sending them on their way.

45 posted on 07/23/2008 6:25:00 AM PDT by untrained skeptic
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To: hellbender

What you said and double. When I have a sore throat I don’t want antibiotics unless there is a positive strep test. I can call my doctor and schedule just a strep test with his nurse (not wasting his time) and if no strep; I just continue doing the regular voodoo for colds (rest, fluids, and OTC drugs to relieve symptoms. Anything else is just foolish. The fact that the British NHS has figured this out only proves the rule: even a blind hog finds an acorn every once in a while.


46 posted on 07/23/2008 6:30:30 AM PDT by Dogrobber
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To: yankeedame

This is sound practice. Thirty-three years ago when I was a student/working in microbiology the professor I worked for was blasting the habit doctors had for prescribing antibiotics for every sore throat or cold. Her premise which was shared by most clinical and research microbiologists was that overuse would breed out succeptible strains of bacteria and leave only the “superbugs” that had developed the genetic immunity. ABs for viral ailments, especially minor ones created the resistant bacterial strains that are a problem today.


47 posted on 07/23/2008 6:33:08 AM PDT by RJS1950 (The democrats are the "enemies foreign and domestic" cited in the federal oath)
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To: MaggieCarta
Antibiotics will not do anything for viral infections

Doctors in the UK know this. Give them some credit. That is not the problem being addressed here.

48 posted on 07/23/2008 6:38:23 AM PDT by laotzu
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To: morkfork
But viruses can cause infections to develop...It's NOT, NOT, NOT just good medical practice. Straight from my wife, the IM doctor's, mouth. Amelia, I'll believe her over you any day.

Morkfork, could you ask her in what percentage of cases viruses cause infections to develop? And could/should they be tested for and antibiotics given then, rather than antibiotics being given proactively in every case?

49 posted on 07/23/2008 6:43:58 AM PDT by Amelia
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To: yankeedame

Kinda flies in the face of the Hypocratic Oath doesn’t it?


50 posted on 07/23/2008 7:02:57 AM PDT by Virginia Ridgerunner ("We must not forget that there is a war on and our troops are in the thick of it!"--Duncan Hunter)
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To: Diogenesis
Despite your handwaving, antibiotics ARE promptly needed for beta-hemolytic streptococcus infections.

Uh, excuse me, but I don't rightly recollect saying that antibiotics weren't needed for bacterial infections. However, they won't do ANYTHING for viral infections, (like the common cold) and frankly, the docs should be stopped from inappropriately prescribing them.

51 posted on 07/23/2008 7:35:21 AM PDT by MaggieCarta (Cold-hearted Conservative and proud of it, man.)
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To: laotzu
Antibiotics will not do anything for viral infections

Doctors in the UK know this. Give them some credit. That is not the problem being addressed here.

Really? Docs in the US don't always get it, why should our UK and Canadian cousins be any different?

You are preaching to the choir here if you think I don't understand that Socialized medicine = Rationing. However, in this case, stopping antibiotics for common colds is simply prudent practice.

52 posted on 07/23/2008 7:41:59 AM PDT by MaggieCarta (Cold-hearted Conservative and proud of it, man.)
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To: yankeedame
A lot of kids will die if they stop treating bacterial throat infections and secondary bacterial infections from viral upper respiratory tract infections.

This is the trend in the US as well. My local doctor's office recently put up a sign in every waiting room explaining to the average patient that they don't need antibiotics. The sad part is that many do and they aren't getting them.

And yes, I studied a great deal of micro in grad school.
53 posted on 07/23/2008 7:45:16 AM PDT by mysterio
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To: RJS1950

My youngest is now 36, and I would always refuse antibiotics for the kids’ sore throats unless a strep test was done, and positive. Drs. back then would argue with me, but I insisted.

I had read about the overuse of antibiotics in various womens’ magazines, even way back then!

Who needs the side effects of antibiotics, if these can be avoided? And what about the benefits of strengthening the immune system? Ya got to give it something to do!


54 posted on 07/23/2008 7:49:12 AM PDT by jacquej
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To: MaggieCarta
Antibiotics will not do anything for viral infections

While this is true, many children out there have a propensity for developing serious secondary infections as their immune system tackles the virus. And these children are often denied antibiotics as the infection is dismissed as viral. I was one of those kids. Every sore throat for me ended up in pneumonia before my doctor would consider giving me antibiotics, and I spent a lot of time pretty seriously ill until my parents found a doctor with a stitch of common sense.

So it should be considered on a case by case basis taking patient medical history into account.
55 posted on 07/23/2008 7:50:51 AM PDT by mysterio
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To: yankeedame
Excuse me, is there a more direct link to this article? Or, has it been pulled from the website? I can't seem to find the article to which you refer.

But, here is another fun piece about UK docs from the July 23rd Daily Mail: All Doctors Face Annual Competence Tests to Protect Patients lives

56 posted on 07/23/2008 7:54:31 AM PDT by MaggieCarta (Cold-hearted Conservative and proud of it, man.)
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To: MaggieCarta
However, they won't do ANYTHING for viral infections,
(like the common cold) and frankly, the docs should be
stopped from inappropriately prescribing them.

Most American trained physicians and surgeons do not inappropriately use antibiotics.

57 posted on 07/23/2008 7:57:22 AM PDT by Diogenesis (Igitur qui desiderat pacem, praeparet bellum)
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To: yankeedame

Nevermind, found it:
http://www.dailymail.co.uk/news/article-1037358/Doctors-banned-dishing-antibiotics-sore-throats-colds.html


58 posted on 07/23/2008 7:59:13 AM PDT by MaggieCarta (Cold-hearted Conservative and proud of it, man.)
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To: MaggieCarta
Docs in the US don't always get it, why should our UK and Canadian cousins be any different?

Thank you for protecting us from the morons masquerading as healers, hiding behind their worthless medical degrees. Hopefully, your degree didn't come from one of those schools jokingly referred to as 'accredited'.

59 posted on 07/23/2008 8:02:28 AM PDT by laotzu
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To: mysterio
So it should be considered on a case by case basis taking patient medical history into account.

I agree. Even our cousins across the pond will concur. From the article (which I've now actually read):

For some patients, such as children younger than two, the elderly and those with complications or pre-existing conditions, antibiotics should still be handed out immediately, the guidance says.

60 posted on 07/23/2008 8:05:58 AM PDT by MaggieCarta (Cold-hearted Conservative and proud of it, man.)
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