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Obtaining Antibiotics without a Prescription (2002)

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41–50 of 99 posts

Re: Obtaining Antibiotics without a Prescription (2002)

#41
post #29

[deleted]

When actions taken based on the perceived self-interest of individuals put the public health at harm, any public health program will probably be perceived as paternalistic. The cavalier approach to antibiotic custodianship you are describing is exactly why we have limitations on antibiotic availability in this country.

[deleted]

Re: Obtaining Antibiotics without a Prescription (2002)

#42
post #6

This actually might be good for my grandparents. They live pretty far out from the nearest town and during storms in the winter the roads can be blocked for a week or more. It seems like this would be something good to have in their first aid kit. Are there antibiotics that keep well and are good for general infections? (Purely as a last resort if there's no way for them to get medical attention)

A very large percentage of infections are viral and antibiotics would be of no use. Hence the reason antibiotic abuse in humans is so common. I suspect antibiotics in livestock/food supply are an even greater contributor to resistance, because they are used as preventative medicine in that sector, but really, neither is good.

So are his grandparents going to catch a cold from the trees? If they don't have contact due to blocked roads then I think they can rule out viral infections?

Or have I forgotten something.

Re: Obtaining Antibiotics without a Prescription (2002)

#43
post #41

Earlier quoted context omitted.

When actions taken based on the perceived self-interest of individuals put the public health at harm, any public health program will probably be perceived as paternalistic. The cavalier approach to antibiotic custodianship you are describing is exactly why we have limitations on antibiotic availability in this country.

[deleted]

You're reading too much into my post. I'm neither advocating nor opposing the current model of who gets to prescribe antibiotics and how hard it is to see the gatekeepers (currently doctors). But I do endorse some sort of system in which there are (hopefully somewhat enlightened) gatekeepers. Plenty of miserable, painful infectious diseases are not bacterial in nature.

This is an issue that pits public health against the perceived (not actual) self interests of people who want antibiotics. Public health is not medicine, though it does guide medicine.

Also, "Fuck you doctor" is a greeting that I've never seen before. Hilarious.

Re: Obtaining Antibiotics without a Prescription (2002)

#45

Earlier quoted context omitted.

By what means did you self-diagnose MRSA? At a hospital, that would involve a Gram stain / culture/speciation / sensitivities and take a few days. Gram stain, because it's very fast (minutes) and can tell you, e.g., that you have Gram positive cocci in clusters (thus, likely staphylococcus species ). Culture, then, to grow the bugs and see what nutritional requirements they have and what biochemical modifications the…

A really determined person could probably do almost all of those at home if they really wanted to, with the exception of the sensitivity test and PCR. A makeshift incubator wouldn't be that hard to fashion, TSA plates are cheap, gram stain kits are relatively cheap, and you can do a catalase test with hydrogen peroxide. I guess you'd need a decent microscope, but the hypothetical person that's gram staining their own…

Totally agreed; I don't doubt that anyone on HN could do this in their own apartment with the right tools. Many HNers probably have done this in bio lab back in high school or college. I'm just doubtful of the actual claim of self-diagnosis of MRSA.

Re: Obtaining Antibiotics without a Prescription (2002)

#46
post #21

ICU doctor here. I frequently see complications of overuse of antibiotics. C diff colitis (1) is certainly the most obvious, but resistant pneumonias and urinary tract infections are becoming more common as well. Many resistant organisms set up shop in chronically ill patients who see multiple rounds of antibiotics through their lives; however, in just my short 10 year history as a physician, the increasing amount of…

Curious: Do these problems exist in other countries where even strong antibiotics are sold OTC?

I would guess not as bad, the culture in the US is to medicate immediately at first sign of illness. When I get sick, I try to just let it run it's course.

Re: Obtaining Antibiotics without a Prescription (2002)

#48
post #29

[deleted]

When actions taken based on the perceived self-interest of individuals put the public health at harm, any public health program will probably be perceived as paternalistic. The cavalier approach to antibiotic custodianship you are describing is exactly why we have limitations on antibiotic availability in this country.

Well that's too bad his post got deleted. While the following doesn't address all the issues [he has], depending on location int he U.S. many "express clinics" are popping up in convenient locations (like grocery and retail stores) that do not require an appointment, can diagnose common ailments (such as ear infections), write prescriptions (for such common ailments as ear infections), and are relatively inexpensive.

Re: Obtaining Antibiotics without a Prescription (2002)

#49

Earlier quoted context omitted.

A very large percentage of infections are viral and antibiotics would be of no use. Hence the reason antibiotic abuse in humans is so common. I suspect antibiotics in livestock/food supply are an even greater contributor to resistance, because they are used as preventative medicine in that sector, but really, neither is good.

So are his grandparents going to catch a cold from the trees? If they don't have contact due to blocked roads then I think they can rule out viral infections? Or have I forgotten something.

Can't rule it out. You don't have to be showing symptoms to be a carrier, and you can be a carrier for extended periods. It's quite possible (in fact likely) that there are plenty of virus sources waiting to get you, including inside yourself.

Re: Obtaining Antibiotics without a Prescription (2002)

#50
post #37

Earlier quoted context omitted.

I don't live in the US, so I can only tell from my country, that I think is even more what pisses you off. I don't think, that every use of medicine should be regulated, but antibiotics I see different and I am really not amused hearing, that you can get them in fish stores ... The problem of modern medicine today is, that more and more resistances occur. The reason is: Overuse or wrong use of antibiotics. That probl…

Ok, but the guy takes antibiotics, and the pain goes away. Seems pretty clear-cut, no? How long should he wait in pain? I get sinus infections like that. They drag on for weeks at a time, I take some antibiotics, and bang, better in a day or two. Those weeks when I'm miserable have costs in terms of not being able to work as much, not being as much help around the house, not going out/seen friends, and generally gett…

It is that notion in modern people "pain must go away, fast!" that makes things worse.

Because people think that way, many will go to hospital and get said: There is nothing we can do for you (anymore).

And wait some years, than the problem will widespread.

We are indeed really lucky: Only 100 years before, there was no cure for many diseases where we just throw a pill today. But we today just take it for granted and we gamble the advantage away. They day will come and has yet come, that nature is throwing back onto us.

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