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aid to work.
--Pushing fifty (but it feels like sixty) in Potomac
On Dec 19, 2007, at 10:00 PM, Don Zweig wrote:
> The organism was not sensitive to amoxicillin, and the pt still had
> a fever; that is why i changed to keflex (which it was sensitive
> to). There, perfect spelling, no abbreviations and clinically
> sensible. Puntuation suspect... Why do you use contact lenses to
> On Dec 19, 2007, at 4:52 PM, Doc Holiday wrote:
>> From: [log in to unmask]
>>> Any critique of me
>> --> YES!!!
>> Write in ENGLISH!!!
>> I lost 3 contact lenses trying to work out what half the stuff you
>> used here insetad of "words". Forgive me for so severly demoting
>> that literary entity by using it even in comparison with
>> abominations such as "b9" and "+nit" and "mssa"...
>> Not to worry - only kidding. Managed to work them all out and had
>> a good laugh along the way...
>> But forgive me, please, if I have misunderstood what you say after
>> Patient seems to have a UTI... But is active and playing (although
>> with a raised temperature)
>> Urine growing Staph which is sensitive to Methicillin...
>> Patient has had 24 hours' worth of amoxicillin...
>> And you change it at that point to BOTH rocephin AND keflex.
>> Now these are lovely antibiotics and all that, but I am curious as
>> to what sort of urine culture result would have made you give the
>> amoxicillin & fever the chance to work? Seems to me that if
>> finding that a patient who is on amoxicillin DOES indeed have a
>> sensitive organism still does not convince us to let that
>> antibiotic have a "go", then amoxil should be declared as
>> something which people should NOT be giving out to patients with
>> UTI at all. I would be quite happy to have this put on paper - "do
>> not use amoxicillin for UTI" - as I do not think it has a good
>> enough chance to be used empirically with resistance levels as
>> they are, but in this case we SEEM to have got lucky...
>>> I saw one of these yesterday. 3 yo with fever for 4 days. only
>>> complaint was mild abd pain. seen 3d b4 and other doc got cbc,
>>> chem 7, and urine. exam was b9. wbc=24k. urine with +trace
>>> nitrate and 4 wbc/hpf. sent home with no abx. came back the day
>>> b4 i saw her, and repeated wbc=12 and got strep screen altho
>>> throat exam said normal and it was + (although also + in oct).
>>> started on amox. came back yesterday and i saw her. extremely
>>> adorable and pleasant and playful active who"kept mom up all not"
>>> treating the fever. the temp was 102.9. all ohter vitals normal.
>>> urine now groing staph aureus 25-50k that is mssa. was a cath
>>> spec. repeat urine with 4wbc and +nit. I switched to keflex and
>>> gave shot of rocephin.
>> Any critique of me (or others- i would critique others).
>> Free games, great prizes - get gaming at Gamesbox.
>> For more information, send mail to [log in to unmask]
>> with the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
> Donald Zweig MD
> [log in to unmask]
> For more information, send mail to [log in to unmask] with
> the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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