General Medical issues thread

[drron]

@drron it really isn't difficukt to choose an antibiotic. I can cycle through them just as easily as a doctor.

My point was Urology outpatients chose to do absolutely nothing with confirmed bacteria in urine. What do they expect will happen? Body will fight bacteria without assistance? In my mind this is incompetence. You can think what you want.

Our GP showed some concern and called wife but prescribed Keflex which is what is usually prescribed for UTI.

Hospital gave wife 1 dose of intravenous tobramycin followed by Augmentin x 3 per day for 10 days and discharged her.

Had wife listened to me we would not be in this predicament today. Doing something is much better than doing nothing.

Hospital also did ultrasound this morning. Is there a difference between pyelonephritis and tubulo-interstitial nephritis. Both very dangerous if left untreated which is why Urology outpatients lack of action stuns me.

I'm sorry John but you are so wrong. read my previous post gain. You may end up causing problems for your wife.

 

[Katie]

Remember that every MRI on "elderly people" will find a host of issues. Whether they actually cause any physical pain etc or are abnormal is to be debated with a sane specialist who doesn't want to overservice. And I'm not touching the coconut!

Who are you calling elderly??
I’m not even 50! Yet.

But there is pain, I’ve been in pain for about a year (though the cortisone injection into one hip for bursitis has helped with some of the pain, but not the spine pain; the facet joint cortisone injection did bugger all other than give me numbness along my thigh).
I’m just sharing the part of the report that I can have a laugh at due to the language.

I’ve been having to get onto my knees to pick up after our dog on walks, which is annoying.

 

[Aeryn]

How much coffee.?

None at all that day, 1 the day before. I average about 6-7cups a week.

 

[JohnK]

It sounds like your wife is getting recurrent infections.

Have you considered a consult with a urologist and/or a gynaecologist?

We've been seeing Urology outpatients. They don't know what to do. They are the cause of the most recent hospitalisation. She should have been on antibiotics 5 weeks ago.

I'm sorry John but you are so wrong. read my previous post gain. You may end up causing problems for your wife.

I did read your post.

Please tell me you would not neglect a patient that has bacteria in urine sample?

What would you recommend for recurring UTI? Trimethoprim? Ciprofloxacin? Ampicillin? Azithromycin? Fosfomycin? Rifaxicin?

I've had most of the above yet every doctor chooses their own preferred antibiotic. Yesterday one GP prescribed Cephalexin and hospital prescribed 3 x Augmentin Duo Forte per day.

These are all for e-coli UTI. How I could possibly go wrong and make it worse? I would have given wife Cephalexin or Augmentin as I have stock for both. Please don't tell me a GP prescribing the exact same thing is going to have different results?

Anyway I'm not being argumentative. I want what's best for my wife and I need to research and to understand so next time I can push to make sure my wife gets best care and is not left to suffer and run off to hospital to sit in waiting room for 3 hours.

That also gets me worked up. Patient with recurring UTI and pyelonephritis comes to emergency and is a mess and is left in waiting room for 3 hours. I know they are busy but that is so wrong it's beyond belief. There's a serious chance of sepsis with pyelonephritis.