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If Getting My Blood Pressure Checked Is Wrong, I Don't Want To Be Right!!


Gar1eth
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Unfortunately bad practitioners will always exist. All that clindamycin used by dentists leading to C diff diarrhea and all those excessive pain medications. "Take the pain medication until you can dig up the money for the procedure"

No one profession has a monopoly on abuse by bad practitioners.

On the other hand, the standard of care was and is to use antibiotics for certain procedures and that is not abuse.

I guess this means let's begin the battle between the MD's and DMD's! LOL!

 

Well I never practiced dentistry in that manner. I always attempted to treat the source of the problem or made the appropriate recommendation or referral and always made sure to get the patient comfortable. I'm quite sure that many others practiced "take the pain med" version of dentistry, but not I. Heaven knows I stopped going to a doctor because of that very approach.

 

The only time I ever prescribed clindamycin was if it was recommended by the patient's physician and even then I usually preferred that the MD write the prescription at least to get things started. And while we are at it I never overly prescribed antibiotics when it was not necessary even though at times patients begged for a prescription being conditioned by other health practitioners who routinely did so. Incidentally, it always seemed that orthopedic surgeons were most involved in prescribing antibiotics to protect any prosthetic devices, implants etc. Nothing against orthopedists! Believe me, but that was my experience, and they usually went WAAAAY above and beyond the standard of care.

 

Speaking of the standard of care, we all practiced according to what was recommended at the time. Times change. Fortunately I am out of the game now. However, I had a conversation about this very topic with my dentist at my checkup last week and she says that she sees patients who are still being given prescriptions for prophylactic antibiotics according to "fantasy" (her word) recommendations often based on thoughts and ideas of times past.

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Rheumatic fever without carditis requires antibiotic treatment for 5 years or until the patient is aged 18-21 years (whichever is longer).

 

Gman

That was the patients situation and his doctor was having him take it daily well into his 50's! Of course times change and some practitioners don't change with the times. Also, patients get comfortable with a given regimen and such was the case with this patient. He did not want to change doctors for that very reason.

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