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75 Comments
- inactive, on 05/03/2008, -2/+16***** yourself to death.
- alphaterminus, on 05/03/2008, -2/+12It's not that simple. I prescribed Cephalexin (not really a broad spectrum antibiotic) for a lady with cellulitis back in the 90s. It cured the cellulitis but she got C. Dif and nearly died. Ironically, it was my "overprescribing" of Vancomycin and Flagyl that prevented her death.
- ishakir, on 05/03/2008, -0/+10I am also a physician,
Here's another case of the media overplaying something that's basically been dealt with since the advent of the antibiotic. C. diff is apart of our normal flora, you and I all have it in our gut right now. Say you come in with a bacterial pneumonia, you'd want antibiotics right? I have NO choice but to treat you, otherwise there's a chance you may go septic and die. Over the course of the antibiotic regimen, the antibiotic I prescribed selectively kills some of the bacteria in your gut, allowing C. diff to OVER GROW. When this happens, diarrhea and symptoms ensue. This is such a common thing, I see it almost on a daily basis on the internal medicine floor, especially in the overtly debilitated and it is completely unavoidable without prescribing EVEN MORE antibiotics. In my somewhat limited experience, (relatively fresh out of medical school) I have never seen it progress to the complications mentioned in the article.
Just like the MRSA scare, take everything the media puts on regarding infectious disease with a grain of salt. - greenlight2001, on 05/03/2008, -8/+18Quit over using antibiotics and we wouldn't have this problem. Oh, and that plate was swabbed wrong.
- cvxdes1, on 05/03/2008, -1/+9They're right, you do.
Unless you of course work in a third world country.. or NYC. - guyincognitoo, on 05/03/2008, -0/+8If you get it really bad, they can fix it with a fecal transplant. Yes it is exactly what it sounds like. If necessary, we run a tube down the throat to the small intestine and add some feces from a "donor" to replenish the bacteria.
http://en.wikipedia.org/wiki/Fecal_bacteriotherapy - googooly, on 05/03/2008, -2/+10typing on keyboard and eating a burger now. mmm...
- jpaolini, on 05/03/2008, -1/+6*sighs*
It's an algorithm. Put very simply, it's just how Digg works - many different factors contribute to what stories hit the front page and when. - DeadlyCouncil, on 05/03/2008, -1/+6So now on top of cancer, AIDS, and heart disease, I need to worry about ***** myself to death.
Sweet. - Ellipsys, on 05/03/2008, -0/+5Yep. And Medical Students too.
- jeffty57, on 05/03/2008, -1/+6This is one bad bug. My mom acquired this beast during her last hospital/nursing home stay and she's been fighting it for 8 months now. It almost took her out twice in that time and doesn't want to let her go. Very bad bug!
- Arghblarg, on 05/03/2008, -0/+4Has your Mom's doctor suggested a fecal transplant? Look it up -- it's been used in Europe and there are some in Canada now doing it (one here in Calgary, AB in fact) -- basically they completely clear out the flora including the C.diff, then re-introduce normal flora from a relative's fecal matter.
Sounds gross, but the radio show I listened to stated nearly 90% of people were cured of C.diff using this technique. - inactive, on 05/03/2008, -3/+7And my co-workers say I have OCD for washing my hands and using alco-gels after touching phones and door knobs.
- freqk, on 05/03/2008, -0/+3In french C difficile phonically translates to "C'est difficile", meaning "It's Difficult"
Kind of odd hearing "It's Difficult" as the name of a disease. - the_snitch, on 05/03/2008, -0/+3wow, there's doctors on digg?
- cvxdes1, on 05/03/2008, -2/+5Stop ***** complaining about what hits the front page.
- Farik, on 05/03/2008, -2/+5Wait, how is this still a mystery to people... WTF?
- salmonfish, on 05/03/2008, -0/+2you are a tard
- Pinkertinkle, on 05/03/2008, -1/+3Vancomycin please.
- DaFunk, on 05/03/2008, -2/+4I take it you didn't bother to read the caption for the culture image.
- jster89, on 05/03/2008, -0/+2Oral vancomycin is not absorbed into the body that's why its only given orally in certain GI infections such as C. diff. There's no way a competent clinician would prescribe vancomycin tablets after dental work. It makes no sense. It is mainly used as a "drug of last resort" in MRSA infection and is given IV.
- rpetty, on 05/03/2008, -1/+3I love this quote from the article, "Some changes have been obvious, Koll said. A switch from reusable rectal thermometers quickly contributed to C. diff rates that have fallen by 25 percent."
Re-usable? Um.. Doc, did you wash that? - dsmx, on 05/03/2008, -0/+2It also hasn't helped that drug companies haven't been researching new antibiotics.
- cvxdes1, on 05/03/2008, -0/+2Indeed, you can.
I believe they developed aids in New Orleans, some time after Katrina. It involved quite a few shady people and dirty phones. - nienhulm, on 05/03/2008, -0/+2I've heard about this! I work in a hospital laboratory and we found a research article about it a while ago. Sounds disgusting, but from a medical standpoint its pretty interesting.
- Informationator, on 05/03/2008, -1/+3I will be a graduate Nurse here in a couple of weeks... I got C. Diff. once. SICKEST I HAVE EVER BEEN in my life. I woke up at 3AM vomiting for two hours. I was so weak I lay on the tile floor waking up every 30 minutes to an hour for the next few hours, then I managed to slowly crawl downstairs and get a bowl and rag for my head (I couldn't stand and I had a high temperature. It hit 102.5F). My family was out of town so no one could help me. I could barely move.
The worst part is... C. Diff. is now part of my normal flora, so all of my poop is yellowish and it smells worse than normal crap. It ticks me off... C. Diff. is the only present nursing ever gave me, which is why I'm starting a media company instead of working as a nurse. - inactive, on 05/03/2008, -0/+2You know, I knew there was a reason I didn't got into the medical profession...
- inactive, on 05/03/2008, -0/+1UV nasty killer http://www.thinkgeek.com/gadgets/security/8f84/
- cvxdes1, on 05/03/2008, -0/+1No, it's the hand of a nurse..
- Pinkertinkle, on 05/03/2008, -0/+1I just know what they taught me in medical school. First line metronidazole, second line vanco.
- arduenn, on 05/03/2008, -0/+1By the way, thats not a C. difficile on that agar plate. It's Stap. aureus.
- nienhulm, on 05/04/2008, -0/+1*applauds*
You know what annoys me the most? When media rats refer to MRSA as the "MRSA-Virus". Who's doing their fact checking?! - cl2yp71c, on 05/03/2008, -1/+2This article scared the ***** out of me.
And quite literally too.
Diarrhea + reading this article really don't mix! - Informationator, on 05/04/2008, -0/+1My symptoms are in keeping with a sever C. Diff. infection. Furthermore, I was caring for a patient with C. Diff. very soon before the symptoms arose and the characteristic smell and color of C. Diff. were present. There is no doubt in my mind it was C. Diff. I don't know what you mean about it not taking hold without antibiotic therapy unless you're talking about a hyperinfection.
- JibberGeorge, on 05/03/2008, -0/+1That's really *****.
- dwhitbeck, on 05/03/2008, -0/+1My granddaughter was extremely ill with C. Difficile. She was so dehydrated they could not find a vein for an IV. The test for C. Diff came back negative. They sent her to Children's Hospital in Pittsburgh and after two cultures finally detected the germ. It seems that it can be treated but only a couple of antibiotics work and the tests to detect it are not too reliable.
- alphaterminus, on 05/05/2008, -0/+1Of course, we are nerds too!
- Ellipsys, on 05/03/2008, -0/+1You "Took some" Vancomycin after dental work? Vancomycin, the IV "Last resort-level" antibiotic? Also, "Probiotic" isn't an herb, its a classification of healthy bacteria, or bacteria promoting compounds (like acidophilus, bifidus, S. Boulardii [this one is technically a good yeast]) that you want to colonize your gut, because they keep the "bad guys" from frakking around in there.
- onux16, on 05/03/2008, -1/+2Coincidently, the caption next to that same picture starts off by saying "Scientists cultured the imprint of a health care worker's gloved hand..." Wow!
- widoka, on 05/03/2008, -0/+1http://digg.com/odd_stuff/Your_computer_keyboard_i ...
- jster89, on 05/03/2008, -0/+1Unless you were actually tested for C. diff I would find it highly unlikely that this infection was caused by it. Symptoms don't really fit and without antibiotic therapy its unlikely to have taken hold.
- jwk4heels, on 05/03/2008, -0/+1That's a pretty big jump...you can go from getting the squirts to death.
- Myztry, on 05/03/2008, -0/+1Gloves give a false sense of security unless they are disposed off constantly. The worse situation is with food handling where everything is handled with gloves which is okay until it come time for payment.
The money gets handled with the same gloves that will again handle food. Money is DIRTY. It's handled by thousands of people. Sits in pockets next to the genitals along with lint, used tissues and heaven knows what else...
I saw a fascinating story about chemical transference where they sat a group of people at a table. One person had their cup tainted with an invisible fluorescing chemical. The group went about simulating a dinner part. They then turned of the light, and used a UV lamp to show that everyone single person at the table was covered with hundreds of blotches of transferred chemical. The implications were quite disgusting... - nienhulm, on 05/03/2008, -0/+1"She’s acutely aware that it took three doses of vancomycin, the strongest antibiotic available...." Disagree. As far as I know there are still a couple drugs/combinations that are stronger for gram positive bacteria. Media fear mongering.
- Farik, on 05/03/2008, -1/+2That is easily the gayest ASCII post I've ever seen. If it was Admiral Ackbar it would have been a) more fitting and b) funny.
- RobotCitizen, on 05/03/2008, -0/+1Over-prescribing is only half the problem. People need to also stop over-demanding antibiotics when they go to their doctor. If you run to the doc every cold season for a simple case of the sniffles, and your doc says you antibiotics are not appropriate for a simple cold virus, try not to throw a tantrum in his office and threaten to find another doc.
- sassip, on 05/03/2008, -0/+1Vancocin® comes as capsules. "VANCOCIN HCl Capsules are contraindicated in patients with known hypersensitivity to vancomycin." Maybe that's what he's talking about.
- eablokker, on 05/03/2008, -4/+4One more reason to start using bacteriophage medicine.
What is a bacteriophage? Watch this video.
http://video.google.com/videoplay?docid=8887931967 ... - MrLarryLarry, on 05/03/2008, -0/+0Quote from the link: "Please remember - this is ultra-violet radiation, and care must be taken when using it. Don't use it on any part of your body."
While the premise is cool I'll take the risk of Cdiff & diarrhea over repeatedly holding a device that's basically a miniature super-strong tanning bed.
Cdiff > Melanoma.
I would know I've had the latter. -
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