Spiky Bugger
Well-Known Member
- Joined
- Jan 5, 2014
- Messages
- 6,201
Okay, so the new doctor who SOUNDED like he knew about wls is going to be replaced. On December 23rd...cannot do it before then.
He disagreed with our surgeons and us and was SURE, beyond a shadow of a doubt, that once you have the DS your PTH will ALWAYS be out of range, too high, nothing you can do about it. He's an ass. He would, I guess, ignore test results...if he even tested PTH, which he says he won't do...and patients would lose teeth and bones.
Anyway...the current problem. I have a hx of C Diff...so I have not taken antibiotics-except the vancomycin prescribed for C Diff, for over a year. And I'm REALLY afraid of them. But for over a week, I have had, more or less, UTI symptoms. Urgency, frequency, spasms...that kind of thing. BUT, I also have interstitial cystitis, which is, essentially, those symptoms with no bacteria to kill. (So you treat the symptoms and/or live with the pain, which is why that disease has a fairly high suicide rate.)
So, I finally call the Know It All PCP and tell them I have UTI symptoms and I'd like to have a urinalysis. The results came back today, and--I haven't seen them--I'm guessing from what they told me that I don't have the required 100,000 colonies of bacteria needed to call it a UTI, but there are random, unidentified bacteria wandering around in my urinary tract trying to set up housekeeping. Which also means there is no Culture and Sensitivity telling me which drugs to use to combat this possible threat.
So Doctor Genius prescribes 500 mg Cipro, bid x 10 days. I mention that the gastro docs told me to avoid broad spectrum abx, and--insisting that I know nothing about such things--politely ask if this is the best drug to take given those instructions. His response is that the advice I was given only counts while I have active C Diff and I don't need to worry about that now. (Of course, that is NOT the case...the advice to avoid those drugs was given in response to my question about how to avoid future occurrences of C Diff. But I'm not going to argue with this guy...at least not yet.)
So...here I sit with a bunch of Cipro. Which in my mind, is something we are just throwing at the symptoms with no really good reason to choose that drug. But, I'm intermittently in a lot of pain and if the cause is bacterial, then maybe I shouldn't opt to do nothing.
My first thought is that I will take it for THREE days...it is often used to treat cystitis. It might help. And maybe by limiting my exposure to that antibiotic, I won't be killing myself.
My second thought is that if I want to throw random drugs at this, I *DO* have vancomycin and it is safe in regards to C Diff and that might work, too. Although...it may not even work in the urinary tract, I have to go look that up.
Soooo....
•if YOU had been dealing with a spasm-y bladder (and tenderness but not full-blown PAIN in the kidney area) for over a week...and
•you had another disease that could cause those symptoms and, if that's the problem, the only thing possible is to treat the symptoms...and
•you had a shitload of drugs on hand...to include Cipro (ciprofloxacin), Bactrim DS (sulfamethoxazole and trimethoprim), Vancomycin, plus Urispas (flavoxate HCl) to treat the spasm plus a whole shitload of Norco and Vicodin (both hydrocodone) to treat the pain...
•what would YOU do, especially keeping in mind the warning to stay away from broad-spectrum abx? (And I already have an appointment with my Urologist, but he's out of town right now and I'm leaving town before he gets back and it's going to be about a month and until then all I have is the ER and they don't know any more about this mess than anyone else.)
While awaiting your responses, I will go take yet another Norco. Because PAIN.
ETA...also in possession of metric shit tonne of Macrobid and macrodantin (nitrofurantoin or however you spell it.)
He disagreed with our surgeons and us and was SURE, beyond a shadow of a doubt, that once you have the DS your PTH will ALWAYS be out of range, too high, nothing you can do about it. He's an ass. He would, I guess, ignore test results...if he even tested PTH, which he says he won't do...and patients would lose teeth and bones.
Anyway...the current problem. I have a hx of C Diff...so I have not taken antibiotics-except the vancomycin prescribed for C Diff, for over a year. And I'm REALLY afraid of them. But for over a week, I have had, more or less, UTI symptoms. Urgency, frequency, spasms...that kind of thing. BUT, I also have interstitial cystitis, which is, essentially, those symptoms with no bacteria to kill. (So you treat the symptoms and/or live with the pain, which is why that disease has a fairly high suicide rate.)
So, I finally call the Know It All PCP and tell them I have UTI symptoms and I'd like to have a urinalysis. The results came back today, and--I haven't seen them--I'm guessing from what they told me that I don't have the required 100,000 colonies of bacteria needed to call it a UTI, but there are random, unidentified bacteria wandering around in my urinary tract trying to set up housekeeping. Which also means there is no Culture and Sensitivity telling me which drugs to use to combat this possible threat.
So Doctor Genius prescribes 500 mg Cipro, bid x 10 days. I mention that the gastro docs told me to avoid broad spectrum abx, and--insisting that I know nothing about such things--politely ask if this is the best drug to take given those instructions. His response is that the advice I was given only counts while I have active C Diff and I don't need to worry about that now. (Of course, that is NOT the case...the advice to avoid those drugs was given in response to my question about how to avoid future occurrences of C Diff. But I'm not going to argue with this guy...at least not yet.)
So...here I sit with a bunch of Cipro. Which in my mind, is something we are just throwing at the symptoms with no really good reason to choose that drug. But, I'm intermittently in a lot of pain and if the cause is bacterial, then maybe I shouldn't opt to do nothing.
My first thought is that I will take it for THREE days...it is often used to treat cystitis. It might help. And maybe by limiting my exposure to that antibiotic, I won't be killing myself.
My second thought is that if I want to throw random drugs at this, I *DO* have vancomycin and it is safe in regards to C Diff and that might work, too. Although...it may not even work in the urinary tract, I have to go look that up.
Soooo....
•if YOU had been dealing with a spasm-y bladder (and tenderness but not full-blown PAIN in the kidney area) for over a week...and
•you had another disease that could cause those symptoms and, if that's the problem, the only thing possible is to treat the symptoms...and
•you had a shitload of drugs on hand...to include Cipro (ciprofloxacin), Bactrim DS (sulfamethoxazole and trimethoprim), Vancomycin, plus Urispas (flavoxate HCl) to treat the spasm plus a whole shitload of Norco and Vicodin (both hydrocodone) to treat the pain...
•what would YOU do, especially keeping in mind the warning to stay away from broad-spectrum abx? (And I already have an appointment with my Urologist, but he's out of town right now and I'm leaving town before he gets back and it's going to be about a month and until then all I have is the ER and they don't know any more about this mess than anyone else.)
While awaiting your responses, I will go take yet another Norco. Because PAIN.
ETA...also in possession of metric shit tonne of Macrobid and macrodantin (nitrofurantoin or however you spell it.)
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