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re: Woman dies after contracting flesh-eating bacteria, Husband blames delayed diagnosis

Posted on 5/11/18 at 2:07 pm to
Posted by LeMarteau
Hoover, AL (B.R. native)
Member since Mar 2008
2165 posts
Posted on 5/11/18 at 2:07 pm to
quote:

2 things... 1.That’s fricking awful 2.Florida


Let me add 3. hot tub. Those things are gross.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/11/18 at 2:11 pm to
quote:

The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though.


How would you have treated it Dr. House?

This sounds like classic Monday morning quarterbacking. I love how people expect nothing bad to happen if a doctor is around, all while complaint that they make too much and healthcare is too expensive. life still happens. shite still happens. Do you honestly expect to never hear of someone dying from an infection?

If every doctor started culturing and treating every butt pimple with the most expensive antibiotics y’all would be screaming even louder how expensive healthcare is and medicine shouldn’t cost this much.
This post was edited on 5/11/18 at 2:14 pm
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:13 pm to
quote:

The doctor should have tested the sore on the first visit to rule anything out and to see if it was staph, so he could properly treat it.


No, they should not have. Are you an MD? Staph skin infections are rarely deadly in normal healthy adults. I cannot remember the last time I cultured an abscess...maybe a diabetic with Fournier's...but never a young healthy patient with an abscess.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/11/18 at 2:15 pm to
quote:

No, they should not have. Are you an MD? Staph skin infections are rarely deadly in normal healthy adults. I cannot remember the last time I cultured an abscess...maybe a diabetic with Fournier's...but never a young healthy patient with an abscess.


Exactly. But people in this country want EVERYTHING. right now. Right away. With 100% accuracy and never any mistakes.

Everyone is in for a real rude awakening when socialized medicine comes down the pipe. The entitled people in this country are going to shite a brick.
Posted by Thib-a-doe Tiger
Member since Nov 2012
35455 posts
Posted on 5/11/18 at 2:16 pm to
My dad had this back in 93. His leg started changed colors the night he went in the water


No chance this is what killed her
Posted by Thib-a-doe Tiger
Member since Nov 2012
35455 posts
Posted on 5/11/18 at 2:17 pm to
quote:

Fournier's



The Fournier’s from bayou blue?
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/11/18 at 2:20 pm to
Also, if everyone was responsible for their own healthcare costs and this doctor asked every patient to pay for a culture and expensive antibiotic to treat every butt pimple they would be saying how greedy the doctor is.

Fact is, how an abscess is usually treated works 99.999% of the time. Should we increase our healthcare spending exponentially to never have a story like this?

It’s easy to complain. It’s hard to come up with a good solution?
Posted by JamesLang
Member since Mar 2018
388 posts
Posted on 5/11/18 at 2:27 pm to
quote:

No chance this is what killed her


This isn't vibrio. The article doesn't say it was vibrio. All it says is necrotizing fasciitis. It can be caused by many things. Vibrio obviously has a different course that whatever caused this.
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:30 pm to
quote:

Exactly. But people in this country want EVERYTHING. right now. Right away. With 100% accuracy and never any mistakes.

Everyone is in for a real rude awakening when socialized medicine comes down the pipe. The entitled people in this country are going to shite a brick.


You're preaching to the choir...I see these types every single day in the ED. It's like they think they are at Burger King or something.
Posted by Centinel
Idaho
Member since Sep 2016
43386 posts
Posted on 5/11/18 at 2:35 pm to
quote:

Everyone is in for a real rude awakening when socialized medicine comes down the pipe. The entitled people in this country are going to shite a brick.


Not everyone. Those of us who have had the joy of dealing with the VA are already fully aware of what's in store.

Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:35 pm to
I did not read the article so I am not sure if it stated the pathogen, but I bet people assumed Vibrio since the lady got sick in Florida.
The most common cause of necrotizing fasciitis is Group A Strep...
Posted by lsupride87
Member since Dec 2007
95901 posts
Posted on 5/11/18 at 2:36 pm to
quote:

You should probably learn more about standard of care before making statements like these...
I specifcally said I do not know about this specific case.

But I am an auditor for a large healthcare system.

doctors lazily handing out antibiotics is alway a hot topic issue we have


I am simply saying it is a flag to me when I hear an antibiotic was given. However, in this case, it may have 100% correct protocol. Which I even stated in my original posts


But I am not surprised a few doctors in here blew by this. Doctors getting angry at non MDs saying anything about medicine is pretty standard I am used to them wanting to kill me and anyone else in management
Posted by lsupride87
Member since Dec 2007
95901 posts
Posted on 5/11/18 at 2:38 pm to
quote:

How would you have treated it Dr. House?
I dont know Dr. DidntRead, which is why I put this in the same post you quoted

quote:

possible negligent practice though.


Not necessarily though


I also said this right after Dr. DidntRead

quote:

In this specific case it could have been perfect practice though. Ill leave that to the doctors in here to discuss
This post was edited on 5/11/18 at 2:40 pm
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:45 pm to
quote:

I am simply saying it is a flag to me when I hear an antibiotic was given. However, in this case, it may have 100% correct protocol. Which I even stated in my original posts


But I am not surprised a few doctors in here blew by this. Doctors getting angry at non MDs saying anything about medicine is pretty standard I am used to them wanting to kill me and anyone else in management


LoL...it's a flag when an antibiotic is given? News to me...I will call you as an expert witness when I am sued for not giving grandma antibiotics for her pyelonephritis.

And I am not angry...I just get aggravated when ignorant people post their ignorant opinions about medicine. You're an auditor, not an MD. Your comment was ignorant and condescending...but I have come to expect that on this board.

Carry on.
This post was edited on 5/11/18 at 2:46 pm
Posted by lsupride87
Member since Dec 2007
95901 posts
Posted on 5/11/18 at 2:47 pm to
quote:

And I am not angry...I just get aggravated when ignorant people post their ignorant opinions about medicine. You're an auditor, not an MD. Your comment was ignorant and condescending...but I have come to expect that on this board.
Good night.


This is why running a business with MDs is so difficult. The most sensitive group of humans alive


We literally have seperate policies across the board for the MDs because they are so coddled



From the beginning I said I have no clue about the medicine behind this case. Simply that giving antibiotics to treat everything is an issue with medical practices in this country


Scruffy even agreed


Team Scruffy

He is the type of Dr that makes my job possible
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:51 pm to
quote:

From the beginning I said I have no clue about the medicine behind this case. Simply that giving antibiotics to treat everything is an issue with medical practices in this country



quote:

The antibiotic and heating pad diagnosis screams lazy, possible negligent practice though. Not necessarily, but it is like the highlights of a lazy diagnosis


quote:

True. Was it a misdiagnosis due to the nature of medicine not being a perfect science, or was it a misdiagnosis because the physician was lazy and prescribed an antibiotic and sent her on her merry way


That is not what you said...you implied that this doctor was lazy and incompetent.
Posted by lsupride87
Member since Dec 2007
95901 posts
Posted on 5/11/18 at 2:54 pm to
quote:

That is not what you said...you implied that this doctor was lazy and incompetent.

No

I implied that the indicating triggers in my head went off for a lazy diagnosis


When I hear antibitic given, go home, I immediately perk up due to the nature of my job.


I am fully aware that is 100% proper protocol in some cases. I am just also aware it is simply what some doctors/clinics do because they want to treat everything quickly


I in no way know jack shite about medicine. Which is why I blindly let a doctor give my child zithromycin for a simple wheeze when he inhaled
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/11/18 at 2:54 pm to
quote:

I did not read the article so I am not sure if it stated the pathogen, but I bet people assumed Vibrio since the lady got sick in Florida. The most common cause of necrotizing fasciitis is Group A Strep...


Yea it was necrotizing fasciitis which could be a bunch of different bacteria. There is no guarantee that culturing it earlier would have even helped. What is the culture came back regular old staph aureus? Doubtful they change anything. Not to mention cultures take time to come back. This was just an unfortunate freak thing that they turned into a clickbait article

Not to mention....

quote:

They finally decided to do a biopsy of the area after the third trip. That's when they found out it was the flesh-eating virus, bacteria," Martin said.


Wtf is a virus bacteria? Martins probably not the best person to be asking about the medical history or what was done wrong
This post was edited on 5/11/18 at 2:56 pm
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/11/18 at 2:59 pm to
quote:

Which is why I blindly let a doctor give my child zithromycin for a simple wheeze when he inhaled


Yeah...that is ridiculous. You should have taken the child to the ER. He was not wheezing...he had inspiratory stridor, which can get ugly very quickly in a young child.
Posted by lsupride87
Member since Dec 2007
95901 posts
Posted on 5/11/18 at 3:01 pm to
quote:

he had inspiratory stridor
Correct
quote:

You should have taken the child to the ER.
It was very minor though

Went to his primary peds the next day when we returned home from vacation

He said it was croup and no big deal. And he recovered a few days later



But now you have me freaked out and if I hear it again should I really go to ER? My pediatrician said it wasnt a big deal
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