General Medical issues thread

[blackcat20]

I think that's what the tablets were for and yes, they take ages to resolve and be fully cleared More risk in stopping too quickly. Do the course the doctor suggested. Even though my eyes are good - was it just a week ago I couldn't see properly - I'm using drops for the time suggested by the specialist but maybe mine is complicated by recent cataract surgery.

The problem is the pack says 5 days but also to take all, which is 10 days worth.

 

[Major]

I think that's what the tablets were for and yes, they take ages to resolve and be fully cleared More risk in stopping too quickly. Do the course the doctor suggested. Even though my eyes are good - was it just a week ago I couldn't see properly - I'm using drops for the time suggested by the specialist but maybe mine is complicated by recent cataract surgery.

Thanks for that. I'm on my way for cataract surgery later this morning

 

[Pushka]

The problem is the pack says 5 days but also to take all, which is 10 days worth.

I thought that you usually had to take all the pack. Maybe you were supposed to take more each day?

 

[Pushka]

Thanks for that. I'm on my way for cataract surgery later this morning

The first couple of hours are a bit weird after you take off the patch. The pupils are huge. The next day others like me having the second one done still had very dilated pupils. But mine had gone back to normal.

Surgery is totally painless but you are aware that something is happening. You are asleep just before surgery but they awaken you somewhat just as they start. The worst was the anesthetist drawing three dots on your eyeball! And the pre op drops sting a bit. Three lots. I was just excited to get it done. No pain.

You must do all the drops suggested. I think I got my infection from the toddler in the family. Touching her. Then doing three lots of drops four times a day, well, it's going to get messy. Just stay away from little kids with bugs.

But now just over five weeks and my eyesight is fantastic. Have thrown away all reading glasses. Just sometimes need a pair for long distance and eg sunnies. Everything seems so BRIGHT now.

 

[cove]

Friends on Ozempic weight loss/diabetes drug my age are experiencing some vision problems. All over 65.

 

[blackcat20]

I thought that you usually had to take all the pack. Maybe you were supposed to take more each day?

It said "one tablet twice a day for five days. Take until pack finished".

 

[Quickstatus]

I'm more worried the sinus Infection will reappear...

Speaking generally:
"Finishing the course of AB" does not necessarily prevent sinus infection reappearing
In many cases antibiotics use in sinusitis is very controversial (and has been for the last 20-30 years) and certainly there is no evidence which promotes use of antibiotics when bacterial symptoms (not just any symptoms) have subsided.
There is a huge push currently to only use antibiotics in most cases where there is evidence of bacterial infection and where there are symptoms. Evidence of bacterial infection is not the same as symptoms.

Outside of opiate prescribing, there are a lot of issues surrounding antibiotic prescribing. The greatest issue is the emergence and prevalence of bacteria with resistance to not one but multiple antibiotics.
Antibiotics generally should not be used to "prevent an infection reappearing" . That is actually one of the worst ways to use an antibiotic.
If sinusitis recurs, the treatment would not be recurrent antibiotic use but likely ENT referral.

But specifically to your situation, giving weight to above, another 2 days /finishing the pack is likely to be neither here or there.

 

[prozac]

The cousin of SWMBO was diagnosed with a non cancerous growth behind an eye 15 years ago. Even though it was non malignant it was wrapped around a carodit artery so removal was considered not possible due to the major possibility of a stroke.
Things deteriorated seriously over the last year, to the point that he couldn’t see, couldn’t eat, couldn’t speak, he could understand and mentally was with it.
So he made decision to end it. Closure for his poor wife and kids, so sad that he was was only 67.

I have been thinking about this and the gradual deterioration like a veil being lowered. Very sad.
Did anyone watch the program about last night about Sam Neill and the mention about his non-Hodgkin's battle?

 

[Pushka]

Speaking generally:
"Finishing the course of AB" does not necessarily prevent sinus infection reappearing
In many cases antibiotics use in sinusitis is very controversial and certainly no evidence which promotes use of antibiotics when bacterial symptoms (not just any symptoms) have subsided.
There is a huge push currently to only use antibiotics in most cases where there is evidence of bacterial infection and where there are symptoms.

Outside of opiate prescribing, there are a lot of issues surrounding antibiotic prescribing. The greatest issue is the emergence and prevalence of bacteria with resistance to multiple antibiotics.
Antibiotics generally should not be used to "prevent an infection reappearing" . That is actually one of the worst ways to use an antibiotic.
If sinusitis recurs, the treatment would not be recurrent antibiotic use but likely ENT referral.

But specifically to your situation, giving weight to above, another 2 days /finishing the pack is likely to be neither here or there.

I think @blackcat20 is more concerned that the abs haven't totally wiped out the infection, plus it's pretty much drummed into patients that you must finish the whole course as not doing so creates the situation of ab resistance. I don't think she's considering using them as a prevention tool.

 

[Quickstatus]

I think @blackcat20 is more concerned that the abs haven't totally wiped out the infection

Assuming this is bacterial infection, the best way to tell if infection is gone is the absence of symptoms relating to the bacterial infection. A runny nose is not one of those. In the absence of symptoms if a swab was taken of random people's sinuses, germs would be detected. That is not a sign of an infection.

We have a patient at the moment with an ulcer on the foot - non healing for 9 months. Someone decided to swab it and the swab is showing multiple germs in the ulcer. There were no other signs of infection such as feeling ill, inflammation of the ulcer and surrounding area. No antibiotics were started because that is not an infection - just colonisation meaning that the germs are there because its an ulcer. Antibiotics would not have cured the problem.

Antibiotic resistance is a massive problem in hospitals and in the community currently.

 

[blackcat20]

I have a permanently runny nose anyway, surgery has reduced it but never quite got rid of it. I'm certainly feeling mostly better, and my eyes have cleared up. But another two days of ABs is neither here nor there except for the horrendous reflux which my somac is not fully preventing.

 

[tgh]

So all a bit messy at chateu tgh, the antivirals have made a big difference but I am still not well.
To add insult to injury swmbo has tested positive this morning.

 

[Quickstatus]

I have a permanently runny nose anyway

? Allergic rhinitis?

 

[drron]

So all a bit messy at chateu tgh, the antivirals have made a big difference but I am still not well.
To add insult to injury swmbo has tested positive this morning.

Was it acquired on the Whisper?

 

[prozac]

MasterProzac called and told me his flat mate, separate rooms, has tested positive for covid. I suggested he might wear a mask when at home. What do you think of his chances avoiding infection?

 

[Flyfrequently]

MasterProzac called and told me his flat mate, separate rooms, has tested positive for covid. I suggested he might wear a mask when at home. What do you think of his chances avoiding infection?

It really is still out there , son in law last week, grandson yesterday - just waiting for the rest of their family dominoes to fall.
Happy for once we live 2 freeways and 100 minutes away!

For MasterProzac, hand sanitiser, avoid contact/door handles/ any communal contact surfaces and keep his distance - especially from you and Mrs P

 

[Quickstatus]

What do you think of his chances avoiding infection?

Pretty good

There are lots of examples of people not getting the Rona even if living in same house with someone with Rona.
Jut follow the usual precautions.....

 

[TheRealTMA]

ahha! Now on Allopurinol for my gout! GP "suggested" I lower my alcohol intake. But he was just kidding.

 

[Flyfrequently]

The anchovies might be to blame?!

 

[JohnK]

So all a bit messy at chateu tgh, the antivirals have made a big difference but I am still not well.
To add insult to injury swmbo has tested positive this morning.

So sorry to hear that you have not recovered.

I consider myself extremely lucky not to have covid yet. I don't want know what it's like either. I'm up to 5 vaccines and considering a 6th vaccine but does this one need to be 6 months from previous vaccine? Last vaccine was July from memory and we're back in Thailand at Christmas for 3-4 weeks and I have a feeling the floodgates are going to open this time.