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Possible strep infection in my knee


Bangkoktraveler

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The saying that comes to my mind is that some one who represents himself (legally) has a fool for a client. Self-medication is a risky route, especially when you start messing around with antibiotics - or a large number of other potentially dangerous things.

 

Where as I would, perhaps, go with what a UK trained (or US trained) pharmacist would advise, I would bloody well think twice before going along with the advice of a Thai trained one!!! Even the lower level Thai doctors can be dangerously inept.

 

The problem for OP is a common one. In bacterial infections, docs normally start with a "best guess" and prescribe antibiotics to deal with that guess. If it responds - fine. Problem solved. If it does not respond (or gets worse), then they *should* do some serious investigating - i.e. do a biopsy, take a bacterial smear - and find out what the bloody hell it really is - then prescribe appropriately. Guess which route is more expensive and time consuming? Its also a pretty good reason to stay with one doc - "hopping" from doc to doc (literally in this case) exposes you to more "best guesses" and less actual investigation...

-j-

 

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[color:red]

"Its also a pretty good reason to stay with one doc - "hopping" from doc to doc (literally in this case) exposes you to more "best guesses" and less actual investigation..."[/color]

 

Actually each doctor except for the Urgent care, referred me to one of their buddies.

 

When I was in 7th grade, I broke my wrist. We went to the doctor's office (no appointment), he x-rayed the hand, made a cast and received his payment for services rendered. The service comparable to the way things are done in Thailand. But now in the USA, the doctors pass you around to all of their friends in which each doctor gets money from your pocket. Likewise when these doctors get a patient, they return the favor and pass the patient on to the other doctors in the group.

 

 

 

 

 

 

 

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Bullshit ! When you were in the 7th grade a neighbor brought around his wagon, threw u in the back and whipped the ponies into a trot into town. The doctor was summoned from a nearby saloon, stumpled into his office, applied a scrap of wood to your arm and wrapped it up. The doctor was paid with a bottle of whiskey, a couple of chickens, or token to a local whorehouse.

 

Bangkoktraveler...medicine has changed. Though doctors "can" set broken bones, few will do so if other alternatives are at their disposal (such as orthopaedic specialists). They've just been conditioned to our public's penchant for lawsuits.

 

Anyway, I hope you get your infection squared away. Sounds nasty.

 

HH

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[color:red]

"Bullshit ! When you were in the 7th grade a neighbor brought around his wagon, threw u in the back and whipped the ponies into a trot into town. The doctor was summoned from a nearby saloon, stumpled into his office, applied a scrap of wood to your arm and wrapped it up. The doctor was paid with a bottle of whiskey, a couple of chickens, or token to a local whorehouse."[/color]

 

Double bulshit! We didn't have ponies we had mules. And we paid the doctor not with chickens but 1 year old roosters. By the way, where did you get all of this info? Did you grow up in my town? I lived on the south-west side on the other side of the tracks.

 

 

 

Seriously, the antibiotics are working so in a week or two from now this will all be history.

 

 

 

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Glad to hear the antibiotics are working. I wasn't too concerned about your initial report of them not working, as 24 hours is a pretty short time for them to take effect...(though some can make a noticeable difference in that time for some things and some people).

 

Keep us posted !

 

Hugh

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Sorry if I've confused you Josh but my posts only were meant to indicate a general lack of confidence in the medical profession at 'general practioner' level. I have my own reasons for this, I've moved around a lot and experienced a number of them, some are excellent dedicated professionals, a few I wouldn't get to cut my dog's toe nails.

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Here is what has happened.

 

 

About 6 months ago, I went to my primary care provider. Reason for the visit was because I was having pain in some of my joints (I have a tendency to have gout). Instead of taking a blood test and seeing what my uric acid level was, she took my blood pressure. My blood pressure was high. This may have been caused by anti-inflammatories I was taking. So what she decided to do is put me on some meds to reduce blood pressure. Nothing for gout. Keep taking the anti-inflamatories. As for pain, take a couple oxycodeines.

 

Before I left for Thailand, I called my primary care provider and said my blood pressure is still high. She put me on a dieuretic (this was done over the phone - no visit).

 

The diuretic brought on low level gout attacks. It left my whole body in pain.

 

When I finally returned to the US, I had a major gout attack in my right knee. It swell up so much, it broke the skin. This allowed infection to sit in. Went to my primary care provider, and she put me on alluporinol. Alluporinol controls gout but is not something you take during an attack. It actually makes it worse.

 

The rest is all history. Right now, I have had it with all of the doctors and their keystone cop tactics. The swelling is down and the infection is going away. If you make a circle with your index finger and thumb touching the index finger and thumb of your other hand, that is how big the infected area was. In the middle, a circle half the size of the infected area was one eleveated puss sack.

 

 

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