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Subject: Doctors don't give injections Author: Lilly [ Next Thread | Previous Thread | Next Message | Previous Message ] Date Posted: Sunday, September 28, 2014, 08:25: am It seems that since the oral antibiotics became available, it is hard to get a doctor to give you an injection anymore. Personally I would rather have a shot to either jumpstart the oral antibiotics or eleminate them completely. When I was a child it was always Drop your pants and get a butt load of penicilin. Now many doctors don't even carry injectable antibiotics in the office. Because of a medical condition I am required to take 4 antibiotic pills before dental procedures as a profilaxis to pervent infections. Once I asked for a shot rather than taking the oral pills. The doctor told me he no longer carries injectable antibiotics. After making some phone calls the only place to get a shot was Health Department. Does anyone know why this is or have any comments? [ Next Thread | Previous Thread | Next Message | Previous Message ]

Replies:

[> Subject: Re: Doctors don't give injections Author: Rich [ Edit | View ] Date Posted: Sunday, September 28, 2014, 02:28: pm Lilly, It's only my opinion, but many of the protocols and practices from our younger days have given way to newer, more potent drugs administered orally, or have given way to practices because of technology advances such as the time honored "gold standard" of temperature taking which was usually taken rectally. But both shots and temperatures, particularly administered or taken in the buttocks and rectum, are pretty much left out unless really needed, and I'm sure as a RN answered me on the RT message board, when certain circumstances arise, rectal temperatures are taken As well, I had a nurse explain why flu shots, though having been administered in the buttocks, fell off because a study revealed many patients suffered with the shot to the point some had difficulty walking or fell. So between newer more powerful drugs and antibiotics, and newer technologies many things are not done that often any more as in the past. [ Post a Reply to This Message ]

[> [> Subject: Re: Doctors don't give injections Author: Walt [ Edit | View ] Date Posted: Monday, September 29, 2014, 01:58: pm In response to Lilly: Perhaps it's changed in 13 years, but I was to be sent to hopital to be admitted to receive an intravenous drip of an antibiotic to treat an infected cat bite. This was the day before Christmas so I pleaded with the doc for an alternative that would NOT require hospitalization. It turned out to be a whopper dose of Rocephin injected into my buttock to jumpstart the treatment which included a two-week regimen of oral antibiotics. [ Post a Reply to This Message ]

[> [> [> Subject: Re: Doctors don't give injections Author: rutabaga [ Edit | View ] Date Posted: Tuesday, September 30, 2014, 07:13: am Doctors are business people. Injectable antibiotics are inventory they must buy and maintain. They expire if not used promptly. Long acting penicillin, a mainstay of earlier days is extremely expensive in the US because of patents so old they are permanent that allow a monopoly on its production for human use. Outside the US, it is available at reasonable cost and is used more widely because one shot given at the time of care is easier than taking 30 doses of oral meds for Strep. Also, other than long acting penicillin, injections have effective doses for a maximum of 24 hours and repeated use of oral medicines allows therapeutic doses for several days which is more effective in stopping infection. There is also the issue of patients objecting or refusing injections (another uniquely American idea) and parents being upset that their child cries from an injection, although after having several oral doses spit in their face, some parents change that attitude. [ Post a Reply to This Message ]

[> [> [> [> Subject: Re: Doctors don't give injections Author: Lilly [ Edit | View ] Date Posted: Tuesday, September 30, 2014, 06:59: pm I understand all of this but the injections always seemed to be much faster acting. A couple daus after the shot you wrer feeling alot better. [ Post a Reply to This Message ]

[> [> Subject: Re: Doctors don't give injections Author: Rich [ Edit | View ] Date Posted: Tuesday, September 30, 2014, 01:12: pm Walt, was the cat known to you or was it a stray, or what? I know that bites from animals sometimes require a treatment for the potential of rabies. Was that what you were going to be given the IV drip for? If it's a treatment to prevent or it is believed rabies could be involved, I believe it's all injections over a month's time. But nowadays at least it's not in the stomach for 21 days. I had that! No fun. [ Post a Reply to This Message ]

[> [> [> Subject: Re: Doctors don't give injections Author: Walt [ Edit | View ] Date Posted: Wednesday, October 01, 2014, 03:25: pm Rich, It was my cat Scrappy that bit me. When he sunk his four fangs into the heel of my thumb, I had been carrying him back to the room where he could be shut in while I made sure my wife's cat was also shut in again. My cat was fully "clawed" & was a mean brawler. The wife's cat was declawed & was no match for Scrappy. I held his head so that he could not get another bite at me until I put him down. It was probably 10 seconds or so that his teeth were in my flesh. That's probably why the bite got infected so quickly. I don't remember if the doc told us what kind of antibiotic the IV drip would have been. Having spent many Christmases alone (in the military stationed overseas), I was trying to avoid starting out married life that way! The soreness from the gluteal injection lasted some 4-5 days. As a kid in the 1950s & '60s, I remember hearing many times about the Pasteur rabies shot treatment if we had been bitten by an animal. No kid ever wanted to have to undergo that treatment back then. [ Post a Reply to This Message ]