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[Aristus]

This message was self-deleted by its author (Aristus) on Tue Mar 20, 2012, 10:03 PM. When the original post in a discussion thread is self-deleted, the entire discussion thread is automatically locked so new replies cannot be posted.

[Kali]

1. eh, it won't hurt him

who knows, might clean up some problem he doesn't even know about

don't beat yourself up over it.

[CaliforniaPeggy]

2. Oh my dear Aristus...

That is a tough place to be, and no doubt about it.

I think you're being way too hard on yourself. As you say, he would not take NO for an answer. You had to satisfy him somehow, and get him to go away, so you could treat someone who really needed you and your care...

I wonder if giving him some cleverly labelled placebo would have worked? Or are there such things?



Hang in there, sweetie...

[bluedigger]

3. With as much of that crap as there is already in our foodstream, I wouldn't worry about it.

You eased his suffering.

[Chan790]

4. Look at it this way...

perhaps he really does have an abscessed tooth that you're unaware of. Would you hate yourself more if you refused him the rather-mild antibiotic and he developed endocarditis or brain lesions? (I know those are the rare complications but they do still occur.)

[Duer 157099]

5. Maybe someone he knew that was uninsured had the need?

Maybe he was trying to get them for somebody else?

[Aristus]

6. Most of my patients are uninsured; they're homeless.

And the medications at the clinic are free, paid for through a grant. If his friend needed them, he (or she) could have simply come in to the clinic to be evaluated.

[Duer 157099]

11. Ah, ok. That is so refreshing to hear about.

People getting care when they need it

But maybe it was for a friend who was in denial about the need, or didn't like going to doctors, or whatever. Could be.

I think you did ok and they will be used for something good.

[Justice wanted]

12. One of two things. Maybe the friend is afraid to come into the clinic. Let's face FOX"NEWS" has

scared people about free health care. Even someone who is homeless manages to hear the talking points of the GOP. My friend's aunt refused to go to a clinic -she is under insured- but refused to go to a clinic for help with a leg infection because she was afraid that she going to that clinic would somehow get her on a death panel. This woman is terrified of lists. She was involved with McCarthy list thing. Blacklisted from getting a job for a couple years.

OR

Perhaps in someway the guy needed to feel like someone cared. Not just shoving him off or just humoring him. maybe you giving him the medication made him feel like he was important to you for a few minutes that day.

[hlthe2b]

7. If you HAVE to do so... why not at least go with a farless expensive and less critical antibiotic...

in terms of drug resistance. Like say, Amoxicillin?

I know the pressure you felt to treat and surely most HCP have fallen victim to this at some point, but given the rise of Azithromycin resistant Neisseria gonorrhoeae and Staph.... well, you know...

[elleng]

9. Oh, Amox, the 'pink stuff!'

[Aristus]

13. Thanks. You picked me right up there.

Dental abscess or not, I gave him the standard indicated treatment for dental abscess and/or empiric pre-dental surgery treatment: azithromycin.

And I treat gonorrhea with Rocephin IM in the butt. One would think a shot like that would discourage people from running right back out and getting re-infected. But I've found this is not necessarily true...

[elleng]

8. You're human!

[Go Vols]

10. uh

would you do the same with pain meds.

Didn't you take an oath or something saying you would uphold medical standards or some such?