General Medical issues thread

If you think about the fact it takes between 2-4 hours for the assessment then same to wrote a very detailed report and that neuropsychologists are minimum Masters/Phd trained the fee is not unreasonable but -I agree- it IS a lot of money. If she was attending a public hospital for assessment of the clinical situation warranting this there would be no fee. It may take longer (both to see the doctor and the ensuing assessment).
 
I got test results back on Saturday night from the urine test last week. Didn't know that the walk in center had sent it off for additional tests after they did the dip test.

Got a call from the walk in center with the results. The predominate bacteria detected (pseudomonas aeruginosa) is resistant to the antibiotic they gave me, and also appears to be resistant to the different antibiotic my GP gave me (to have something on hand if needed when I'm overseas soon) on Friday.
Trying to get another GP appointment for review of the antibiotics before I go on holiday while working around limited availability (more so at this time of year). :oops:
Surely in the situation they could do a telehealth - sounds like you're having a rough time - good luck
 
I got test results back on Saturday night from the urine test last week. Didn't know that the walk in center had sent it off for additional tests after they did the dip test.

Got a call from the walk in center with the results. The predominate bacteria detected (pseudomonas aeruginosa) is resistant to the antibiotic they gave me, and also appears to be resistant to the different antibiotic my GP gave me (to have something on hand if needed when I'm overseas soon) on Friday.
Trying to get another GP appointment for review of the antibiotics before I go on holiday while working around limited availability (more so at this time of year). :oops:
The only currently available oral antibiotic of any use against pseudomonas is ciprofloxacin - and it develops resistance very quickly. A very tough bug to deal with as an outpatient.
 
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The problem with pseudomonas is that it is often a coloniser and not an infection. If found in blood or in other organ specimens it needs urgent treatment and usually not oral antibiotics.
If found in specimens collected outside the body you really need other evidence of infection such as elevated white cells or ESR/CRP.
Most infectious disease physicians I met were not happy using too much Ciprofloxacin because of the risk of developing antibiotic resistance to it.
 

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