Dear Silver Listers:

I thought the following exchange on the Health Fraud forum might put your use 
of CS in perspective. So unless you are ready to make the following 
substitutes, don't leave home without it. Roger

"That figure doesn't seem plausible.  Looking just at outpatient treatment of
common bacterial, viral, and fungal infections, most primary care physicians
probably couldn't get by with fewer than 20 antimicrobials without
significantly compromising quality of care .  A quick, back-of-the-envelope
list:  an oral and a parenteral penicillin , amoxicillin, an oral and a
parenteral penicillinase-resistant penicillin for staph infections,
azithromycin, doxycycline, trimeth-sulfa, metronidazole, a cephalosporin, a
fluoroquinolone, a herpes drug (acyclovir or an analogue), an influenza
drug, at least two oral antifungals, topical anti-infectives for eye, ear
and skin infections.....did we hit twenty yet?

For outpatient asthma treatment, four drugs at the very, very least (inhaled
bronchodilator, inhaled steroid, oral leukotriene antagonist, oral
prednisone).

Cardiovascular drugs?  For high blood pressure, four or five drugs bare
minimum.  Then there's congestive heart failure, hyperlipidemia,
arrhythmias, anticoagulation.......

What about arthritis drugs?  Pain medications?  Psychiatric drugs for
depression, anxiety, schizophrenia?  Drugs for seizure disorders,
Parkinson's disease?  How about hormone replacement drugs, hormonal
contraceptives, drugs for osteoporosis prevention and treatment.  Thyroid
drugs.  Drugs for acid reflux, peptic ulcers, GI motility disorders,
colitis.

Trying to find a grain of truth in the "twenty drugs" story, it may simply
reflect the banal truism that common problems account for the majority of
visits to doctors.  Maybe the twenty most frequently recorded diagnoses
together account for 99% of visits, or something like that.  That fact would
not make the remaining 1% of visits (which would include hundreds of
diagnoses) less important."

Stan Polanski

  


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