Dealing With Frustration - NOT

Guest · Postby **Guest** » Tue Jun 15, 2004 6:11 pm

By Allison (205.188.116.199 - 205.188.116.199) on Tuesday, June 08, 2004 - 10:43 pm: Hi all, The "article from Montreal" thread is interesting and has prompted me to post something I've often thought about. It helps me with the frustration alot of us have experienced when dealing with the medical community and cdiff. I have the utmost respect for physicians everywhere and mean no offense, but I've often "wished" that more doctors would just once aquire a retractable case of cdiff themselves to better understand our plight. Those doctors who understand cdiff and are willing to work with us are truly appreciated. We need more of them. Disclaimer: the following is meant to be a sarcastic JOKE. Bobbie or Lauren: please delete if you think it's a bit too "conflictive". "HANDY GENERAL PRACTITIONER'S GUIDE TO TREATING PATIENTS WITH CLOSTRIDIUM DIFFICILE" 1. First and foremost, don't suspect cdiff when the patient has been taking a third generation cepholosporin that you prescribed. When they present themselves at your office with bloody diarrhea and a raging fever, it's probably just gastroenteritis, so tell them so. 2. When the patient has actually gotten worse after two weeks with no treatment, maybe a cdiff test is required after all. Order a toxin test from the slowest local lab. 3. If patient ends up in the ER while waiting for the test results, tell them this is the first time you've seen this and that they are truly weird. 4. When symptoms return after a short course of flagyl, tell them to wait it out 'cos it's probably just IBS leftover from the infection. 5. After patient demands a second test and the results are negative, again explain that the reoccuring symptoms are just IBS. Don't refer and mark chart "TC" - treatment challenge. 6. If patient is persistent, finally order vanco just to keep them off your back. Prescribe just 7 days worth and plan a two week golf outing. Don't refer. 7. After your return, check hospital admission records. Visit patient who has by now been admitted and finally refer them to a specialist. Mark chart "neurotic female". 8. If you have become rundown from dealing with the stress of these types of patients and feel a cold coming on, bypass the usual remedies and go for the big guns. In the hopes of thwarting any further complications, we suggest Cipro or Vantin.

Guest · Postby **Guest** » Tue Jun 15, 2004 10:26 pm

I just adore this. So, so, so true.

Guest · Postby **Guest** » Sun Jun 27, 2004 4:27 pm

LOL very true

Dealing With Frustration - NOT

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