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07/05/2013 11:15:01
John Ryan
Captain-Cooker Appreciation Society
Taumata Whakatangi ..., Nouvelle Zélande
 
 
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07/05/2013 09:44:25
Dragan Nedeljkovich (En ligne)
Now officially retired
Zrenjanin, Serbia
Information générale
Forum:
Visual FoxPro
Catégorie:
Autre
Divers
Thread ID:
01571054
Message ID:
01572886
Vues:
55
>>But now after a few decades of prescribing them for just about anything, even as a placebo (which miraculously cures many cases of hypochondria), and making huge money on mass-produced cattle variant, which went on for decades after the danger of resistant strains was trumpeted (I've been hearing about that since the seventies)..

Easy to point the finger but you yourself advocate penicillin for infections... I wonder what sort of infection? Unless you swabbed and confirmed strep, you're part of the overuse problem.

>> Perhaps the practice is different in your neck of the woods, but I've heard of cases where the doctors rather gave newer drugs (with bunch of side effects... cases in the wider family) instead of simple antibiotics. And, ah, yes - these newer drugs cost much more.

The big problem is that there aren't so many indications for cheap antibiotics these days. Ideally physicians would swab and confirm the sensitivity before prescribing... in real life it's often cheaper and makes the patient happier to prescribe on the spot. So you prescribe something that's likely to work. There are other issues- consider rheumatic fever that can result from untreated strep throat. It damages heart valves and should be preventible. If you were the physician, would you swab the throat and wait to see whether it's strep, or would you prescribe an antibiotic that probably costs less than the test? What if it were your child and the physician delayed for the test result and your child's heart valve was damaged? As always it's easy to sit in the bleachers and shout advice, not so easy if you're the dude with the bat.

>>This practice of doctors avoiding the good old generics in favor of more profitable new ones has come here as well - I've seen a case when a psych drug was administered to suppress hallucinations... while one of its side effects was "may cause hallucinations". And the list of these side effects was longer than the list of indications. The only sure thing about it was that the price was high.

That's anecdote from a position of ignorance- neither you nor I am competent to decide whether a particular unstated drug was indicated. And potential side effects are "potential" side effects. One potential side effect of antibiotics is diarrhea or proliferation of other sorts of bug- which by your logic would mean that antibiotics can't be used for gut infections.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us.
"
-- Shakespeare: Coriolanus, Act 1, scene 1
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