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slawmd27

07/21/09 12:02 AM

#3146 RE: moxa1 #3144

Yes, meropenem or any of the carbapenems are an option, but they can induce seizures in some patients. Zithromax works well but many get severe nausea. Penicillin, also a beta-lactam, can cause severe diarrhea. Patients do have tetracycline allergies, as well as allergies to almost any antibiotic you can think of right now including the beta-lactams like meropenem. Sulfa is an option but then again it carries the risk of Stephens-Johnson. Fluoroquinolones--who wants an Achilles tendon rupture?(I've never seen it, but doesn't mean it can't happen!) MMS, yes, a good alternative but not so good for a diabetic with poor kidney function--the salt load can trigger renal failure or congestive heart failure. Many many factors to consider in each unique case, not as simple and easy as it may seem. MMS, won't work fast enough for someone in septic shock. All treatments, traditional and alternative, have there proper indication. One must understand the risks and benefits of all options-- traditional, alternative, and no treatment so that one can make the proper choice and be watchful for side effects related to that choice. For example, licorice has some benefits but do you know what the toxic side effects are of this non-toxic alternative? All of this debate over who is right and who is wrong is crazy. There is no right or wrong--there are just options. While we were all distracted over the best course of treatment, traditional or alternative, the government silently crept in and took away our freedom to chose which option we want. Individual physicians are victims of this just as the patients are victims. Remember physicians are also at times patients too. And no, there is no secret treatment that physicians only give to each other.