Page 10 of 11 FirstFirst ... 891011 LastLast
Results 271 to 300 of 321

Thread: Curbside Consult Thread

  1. #271
    Semper infra dignitatem PaloAltoCougar's Avatar
    Join Date
    Nov 2008
    Location
    Pleasanton, CA
    Posts
    9,090

    Default

    Quote Originally Posted by BigPiney View Post
    What I did was call the Sherriff and contacted Animal Control. They verified that the dog was up to date and kept it in lockdown until tests were run. Anything to inconvenience the owner.
    Same with me, and I was impressed with how fast and thorough the response was. I saw my primary care doc just to be safe (the German Shepherd inflicted a couple of puncture wound in my lower leg) and because both the dog and I (tetanus) were up to date with our shots, I was fine. But as ER mentioned, rinse it thoroughly.

  2. #272

    Default

    Quote Originally Posted by wuapinmon View Post
    Is there any reason to use hydrogen peroxide at home (in a healthcare sense)?
    Not that I can think of.
    To wash blood out of clothing?
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  3. #273

    Default

    Quote Originally Posted by wuapinmon View Post
    Shoot the dog, gut it, find the liver. If it's brown, you should be ok.
    This made me laugh.
    A few weeks ago, we had to arrange for a dog to be decapitated and his head to be sent in to the state lab.
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  4. #274
    Liberal Feminazi Pheidippides's Avatar
    Join Date
    Nov 2008
    Location
    Houston, TX
    Posts
    14,656

    Default

    Quote Originally Posted by ERCougar View Post
    Not that I can think of.
    To wash blood out of clothing?
    Can you educate me on the reasons why it is bad to use to clean out wounds? This was a staple of my mother and grandmother.
    Awesomeness now has a name. Let me introduce myself.

  5. #275

    Default

    Quote Originally Posted by nikuman View Post
    Can you educate me on the reasons why it is bad to use to clean out wounds? This was a staple of my mother and grandmother.
    It kills healthy tissue. There are millions of bacteria on every wound and you can't possibly kill all of these. Your best defense against bacteria is well-perfused healthy tissue. Yes, the hydrogen peroxide will kill a lot of bacteria but it also lays waste to ALL of your superficial cells--your best defense and barrier against infection. It also creates all kinds of free radicals (it's an oxidizer)--we don't really know how important these are or what role they play, but if you ever pay attention to your antioxidant intake, you're demonstrating your belief that they're bad.
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  6. #276

    Default

    Good hell, I had a horrible cold last week and I'm still dealing with the aftermath. I feel like there's a big air bubble behind my right eardrum (yeah, I know someone could tell a pretty good joke off that statement). I would be willing to pay a couple hundred dollars for my eustachian tube to just clear the eff out (I'm assuming it's a clogged tube).
    Part of it is based on academic grounds. Among major conferences, the Pac-10 is the best academically, largely because of Stanford, Cal and UCLA. “Colorado is on a par with Oregon,” he said. “Utah isn’t even in the picture.”

  7. #277
    Moral actor San Juan Sun's Avatar
    Join Date
    Dec 2009
    Location
    Standing On Corner, Minding Own Business
    Posts
    7,357

    Default

    Quote Originally Posted by ERCougar View Post
    It kills healthy tissue.
    Besides, peroxide hurts.

    Dilution is the solution to pollution, wuap.
    "Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."

    - Ty Cobb

  8. #278
    To Win is to Honor Him doctorcoug's Avatar
    Join Date
    Jun 2009
    Posts
    2,294

    Default

    About 6 weeks ago I had a patient with a bite. She saw me 12 hours after the bite and had streaks upbher arm, fever, tachycardia. I smashed her with fluids and abx. She developed septic shock and multi organ failure. She grew pasturela in her blood, which is what I expected, so she survived without major morbidity, barely.

    So if you develop red streaks, beware.

    via a galaxy s3 far far away
    "Don't expect I'll see you 'till after the race"

    "So where does the power come from to see the race to its end...from within"

  9. #279
    Stepping Razor wuapinmon's Avatar
    Join Date
    Dec 2008
    Location
    Hartsville, South Carolina
    Posts
    24,756

    Default

    Quote Originally Posted by doctorcoug View Post
    About 6 weeks ago I had a patient with a bite. She saw me 12 hours after the bite and had streaks upbher arm, fever, tachycardia. I smashed her with fluids and abx. She developed septic shock and multi organ failure. She grew pasturela in her blood, which is what I expected, so she survived without major morbidity, barely.

    So if you develop red streaks, beware.

    via a galaxy s3 far far away
    Well, from what he posted, I think he should get checked for blastomycosis.
    "LDS people need to lighten up and not take religion so seriously." --CardiacCoug
    "[...]
    liberals tend to take the moral teachings of the New Testament literally and the stories figuratively while conservatives do the opposite." -- Harry Tic

  10. #280
    Senior Member Katy Lied's Avatar
    Join Date
    Dec 2008
    Location
    Center of the Salt Lake Valley
    Posts
    6,688

    Default

    Dear doctorcoug:

    What happened with the fecal transplant? Did the patient decide not to go through with it?

  11. #281
    Liberal Feminazi Pheidippides's Avatar
    Join Date
    Nov 2008
    Location
    Houston, TX
    Posts
    14,656

    Default

    Quote Originally Posted by ERCougar View Post
    It kills healthy tissue. There are millions of bacteria on every wound and you can't possibly kill all of these. Your best defense against bacteria is well-perfused healthy tissue. Yes, the hydrogen peroxide will kill a lot of bacteria but it also lays waste to ALL of your superficial cells--your best defense and barrier against infection. It also creates all kinds of free radicals (it's an oxidizer)--we don't really know how important these are or what role they play, but if you ever pay attention to your antioxidant intake, you're demonstrating your belief that they're bad.
    What about my peroxide contact lens cleaner? Am I frying my eyeballs?
    Awesomeness now has a name. Let me introduce myself.

  12. #282
    Stepping Razor wuapinmon's Avatar
    Join Date
    Dec 2008
    Location
    Hartsville, South Carolina
    Posts
    24,756

    Default

    Quote Originally Posted by San Juan Sun View Post
    Besides, peroxide hurts.

    Dilution is the solution to pollution, wuap.
    Peroxide never hurts, that's why my parents always used it. I've used it on my kids skinned knees. I will stop now. Is Bactine worth a damn? What about Betadyne?
    "LDS people need to lighten up and not take religion so seriously." --CardiacCoug
    "[...]
    liberals tend to take the moral teachings of the New Testament literally and the stories figuratively while conservatives do the opposite." -- Harry Tic

  13. #283

    Default

    Quote Originally Posted by nikuman View Post
    What about my peroxide contact lens cleaner? Am I frying my eyeballs?
    I didn't know there was peroxide in lens cleaner. It makes some sense there because it's not killing healthy tissue (assuming you're not putting them directly in your eyes....).

    Quote Originally Posted by wuapinmon View Post
    Peroxide never hurts, that's why my parents always used it. I've used it on my kids skinned knees. I will stop now. Is Bactine worth a damn? What about Betadyne?
    Water. Water. More water. SJS may disagree with me here, but the plastic surgeons taught me that Betadyne does more harm than good on wounds. Skin prep for surgery is a different matter.
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  14. #284

    Default

    Quote Originally Posted by doctorcoug View Post
    About 6 weeks ago I had a patient with a bite. She saw me 12 hours after the bite and had streaks upbher arm, fever, tachycardia. I smashed her with fluids and abx. She developed septic shock and multi organ failure. She grew pasturela in her blood, which is what I expected, so she survived without major morbidity, barely.

    So if you develop red streaks, beware.

    via a galaxy s3 far far away
    Pasteurella sepsis in an otherwise healthy patient? I'm guessing that's publishable.

    You're like the Soonercoug of the medical community.

    But yes, red streaks from wound=bad.
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  15. #285
    lollygagger hostile's Avatar
    Join Date
    Dec 2009
    Location
    SLC
    Posts
    3,919

    Default

    Quote Originally Posted by ERCougar View Post
    Water. Water. More water. SJS may disagree with me here, but the plastic surgeons taught me that Betadyne does more harm than good on wounds. Skin prep for surgery is a different matter.
    Iodine in open wounds does the same thing as peroxide - basically kills living cells/tissues. Water and then more water is best. If you think you've washed the wound enough, do another liter of water.

    As a side note, I had a patient swear that drinking a teaspoon of Hydrogen of Peroxide daily was the secret to a long and healthy life.
    "You interns are like swallows. You shit all over my patients for six weeks and then fly off."

    "Don't be sorry, it's not your fault. It's my fault for overestimating your competence."

  16. #286
    Senior Member Bo Diddley's Avatar
    Join Date
    Jul 2012
    Location
    Orem, UT
    Posts
    906

    Default

    Quote Originally Posted by hostile View Post
    Iodine in open wounds does the same thing as peroxide - basically kills living cells/tissues. Water and then more water is best. If you think you've washed the wound enough, do another liter of water.

    As a side note, I had a patient swear that drinking a teaspoon of Hydrogen of Peroxide daily was the secret to a long and healthy life.
    What about isopropyl alcohol?
    I don't like Congress. In fact, I hate them. I hate everything about them. I hate their House, I hate their Senate, I hate everything.... I think the whole Congress, their Senate and their House, is classless. They threw beer on my family and stuff last year, and they did a whole bunch of nasty things, and I don't respect them, and they deserve to lose.

  17. #287
    lollygagger hostile's Avatar
    Join Date
    Dec 2009
    Location
    SLC
    Posts
    3,919

    Default

    Quote Originally Posted by Bo Diddley View Post
    What about isopropyl alcohol?
    Putting it on open wounds or drinking it?

    I don't think either one would be beneficial.
    "You interns are like swallows. You shit all over my patients for six weeks and then fly off."

    "Don't be sorry, it's not your fault. It's my fault for overestimating your competence."

  18. #288
    Senior Member Bo Diddley's Avatar
    Join Date
    Jul 2012
    Location
    Orem, UT
    Posts
    906

    Default

    Quote Originally Posted by hostile View Post
    Putting it on open wounds or drinking it?

    I don't think either one would be beneficial.
    Surely antibacterial ointments are good though, right?
    I don't like Congress. In fact, I hate them. I hate everything about them. I hate their House, I hate their Senate, I hate everything.... I think the whole Congress, their Senate and their House, is classless. They threw beer on my family and stuff last year, and they did a whole bunch of nasty things, and I don't respect them, and they deserve to lose.

  19. #289
    To Win is to Honor Him doctorcoug's Avatar
    Join Date
    Jun 2009
    Posts
    2,294

    Default

    Quote Originally Posted by ERCougar View Post
    Pasteurella sepsis in an otherwise healthy patient? I'm guessing that's publishable.

    You're like the Soonercoug of the medical community.

    But yes, red streaks from wound=bad.
    Acute kidney injury, cardiac demand ischemia (trop elevated), levophed drip, lactic acid of like 5. Positive blood cultures two sets within 18 hours (always a bad sign when they come back that fast). CVP was 0 for hours. I think in gave the patient around 8 liters of fluid in the first 12 hours. A couple of units of PRBCs. Was out of the unit in two days and home two days later.

    Now, every wound gets a 99212 within 24 hours.

    via a galaxy s3 far far away
    "Don't expect I'll see you 'till after the race"

    "So where does the power come from to see the race to its end...from within"

  20. #290
    lollygagger hostile's Avatar
    Join Date
    Dec 2009
    Location
    SLC
    Posts
    3,919

    Default

    Quote Originally Posted by Bo Diddley View Post
    Surely antibacterial ointments are good though, right?
    In an open wound, to lower the risk of infection, they are OK. Still not an adequate substitute for thorough debridement.

    I wouldn't recommend taking them orally.
    "You interns are like swallows. You shit all over my patients for six weeks and then fly off."

    "Don't be sorry, it's not your fault. It's my fault for overestimating your competence."

  21. #291

    Default

    Quote Originally Posted by Bo Diddley View Post
    Surely antibacterial ointments are good though, right?
    I used to say no. I still say no to Neosporin, due to some ugly neomycin allergies I've seen, but the other antibiotic ointments (without neomycin) are fine. I actually just came across a study that said they were beneficial so I've changed my tack a little on this (really, in the end, I don't think they make much of a difference).

    Here's a tidbit I just found on medscape:
    The efficacy of topical antimicrobial formulations in the prevention of wound infections caused by surface contaminants has been evaluated.[10] In a prospective study examining infection rates of traumatic wounds sutured in the emergency room, use of topical antibiotics (bacitracin zinc ointment; TAO; silver sulfadiazine cream) resulted in significantly lower infection rates compared with a petrolatum control. There were no differences among groups in patient characteristics, wound care (scrubbing or debridement), suturing, compliance with topical applications, tetanus immunization, or wound treatment characteristics The lowest infection rate of the tested topical antibiotics was 4.5%, seen with TAO. Bacitracin prophylaxis produced an infection rate of 5.5%, and silver sulfadiazine, 12.1%.
    http://www.medscape.org/viewarticle/457542_5
    Last edited by ERCougar; 01-29-2013 at 08:15 PM.
    At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
    -Berry Trammel, 12/3/10

  22. #292
    Liberal Feminazi Pheidippides's Avatar
    Join Date
    Nov 2008
    Location
    Houston, TX
    Posts
    14,656

    Default

    Quote Originally Posted by ERCougar View Post
    I didn't know there was peroxide in lens cleaner. It makes some sense there because it's not killing healthy tissue (assuming you're not putting them directly in your eyes....).



    Water. Water. More water. SJS may disagree with me here, but the plastic surgeons taught me that Betadyne does more harm than good on wounds. Skin prep for surgery is a different matter.
    It's a special kind my eye doc recommended. Most of them don't have it. Based on the amount of time I spend running, cycling, etc. he said it would help me get gunk off better. Not sure how much truth there is to it but I did get much longer life out of my contacts this last year.

    My wife thought it was normal solution at first and rinsed her contacts and then put them in. It was really funny - in hindsight.
    Awesomeness now has a name. Let me introduce myself.

  23. #293
    To Win is to Honor Him doctorcoug's Avatar
    Join Date
    Jun 2009
    Posts
    2,294

    Default

    Quote Originally Posted by nikuman View Post
    It's a special kind my eye doc recommended. Most of them don't have it. Based on the amount of time I spend running, cycling, etc. he said it would help me get gunk off better. Not sure how much truth there is to it but I did get much longer life out of my contacts this last year.

    My wife thought it was normal solution at first and rinsed her contacts and then put them in. It was really funny - in hindsight.
    Hydrogen peroxide has a disk in the case that causes a chemical reaction. I don't remember the chemistry, but it most definitely isn't caustic after it is complete.

    via a galaxy s3 far far away
    "Don't expect I'll see you 'till after the race"

    "So where does the power come from to see the race to its end...from within"

  24. #294
    Operation Hot Mother Parrot Head's Avatar
    Join Date
    Nov 2008
    Location
    Southern Part of Heaven
    Posts
    1,874

    Default

    Thanks for all the advice -- and the interesting conversation that followed. In the end, I chose to follow the good doctor's advice and return to pursue the animal, go Quentin Tarantino on that mofo and cut it open to find out what color all its innards were. Should I have followed the advice of an MD instead of a PhD?

    I checked and my last tetanus was fairly recent, I'm keeping it clean, though I wish I had washed it even more and more quickly now, and the story is already fun to tell. I will definitely keep an eye out for red streaks and Alien-like creatures protruding.

    I felt like a wuss calling animal services but, as my wife pointed out, how crappy would I feel if I read in couple of days that this dog attacked some kid and I had just sat on my arse? There was a grandma with a 2-year old maybe 200 feet behind them on the trail and I warned her so hopefully others will be on the lookout for this dog.

    I am surprised though by some of the people on my FB post who came to the defense of the dogs, laying more blame on owners. Sorry, but in the case of the state of today's pit bulls, that doesn't hold water to me.
    I have nothing else to say at this time.

  25. #295

    Default

    As someone who has 2 sisters who like animals more than people, it drives me nuts when people stick up for the animals. It's not responsible for the owner to keep an animal that acts like that around other people. Owners are responsible to make sure they don't bite or attack people, especially if they have a questionable breed. Screw people who defend that poorly socialized animal. That's horseshit.
    Will donate kidney for B12 membership.

  26. #296
    Stepping Razor wuapinmon's Avatar
    Join Date
    Dec 2008
    Location
    Hartsville, South Carolina
    Posts
    24,756

    Default

    Quote Originally Posted by The_Douger View Post
    As someone who has 2 sisters who like animals more than people, it drives me nuts when people stick up for the animals. It's not responsible for the owner to keep an animal that acts like that around other people. Owners are responsible to make sure they don't bite or attack people, especially if they have a questionable breed. Screw people who defend that poorly socialized animal. That's horseshit.
    "there are no bad pets, just bad owners."

    I hate that shit.
    "LDS people need to lighten up and not take religion so seriously." --CardiacCoug
    "[...]
    liberals tend to take the moral teachings of the New Testament literally and the stories figuratively while conservatives do the opposite." -- Harry Tic

  27. #297

    Default

    Quote Originally Posted by wuapinmon View Post
    "there are no bad pets, just bad owners."

    I hate that shit.
    I dunno. I think it's sad when an entire kennel of dogs is euthanized because they've been trained to dogfight. It's not their faults. I'm not saying it's the wrong decision (they're dangerous fighting machines by the time most of them are saved) but there's no reason to believe they couldn't have been perfectly normal dogs in different circumstances. I realize this is an extreme example, to be sure.
    "You know, I was looking at your shirt and your scarf and I was thinking that if you had leaned over, I could have seen everything." ~Trial Ad Judge

  28. #298

    Default

    Quote Originally Posted by Mrs. Funk View Post
    I dunno. I think it's sad when an entire kennel of dogs is euthanized because they've been trained to dogfight. It's not their faults. I'm not saying it's the wrong decision (they're dangerous fighting machines by the time most of them are saved) but there's no reason to believe they couldn't have been perfectly normal dogs in different circumstances. I realize this is an extreme example, to be sure.

    I recall reading an article in SI on the Michael Vick dogs. Of the 50 or so dogs, only one had to be destroyed for behavior-related reasons. A few others died naturally, or were put down for medical reasons. In fact, a few months ago I read a follow-up article by BAD RAP and a good majority of the dogs they received, earned their GCC title or became therapy dogs. Most dogs, including so-called pit bulls, regardless of their past, can be rehabilitated, especially as it relates to people.

  29. #299

    Default

    Quote Originally Posted by mUUser View Post
    I recall reading an article in SI on the Michael Vick dogs. Of the 50 or so dogs, only one had to be destroyed for behavior-related reasons. A few others died naturally, or were put down for medical reasons. In fact, a few months ago I read a follow-up article by BAD RAP and a good majority of the dogs they received, earned their GCC title or became therapy dogs. Most dogs, including so-called pit bulls, regardless of their past, can be rehabilitated, especially as it relates to people.
    Perhaps I spoke too strongly based on an episode of Animal Cops I watched. (I don't routinely watch Animal Planet but I do find Animal Cops interesting from a legal perspective.) They found more than 20 dogs who had been trained to dogfight and most of them were euthanized due to being dangerously aggressive and too strong to control (they had been chained up with chains links an inch and a half thick to make them crazy strong as they fought the chains).

    I'm glad to hear this isn't the fate for all of these animals. If anything, what you said somewhat reinforces the "No bad animals, just bad owners" statement.
    "You know, I was looking at your shirt and your scarf and I was thinking that if you had leaned over, I could have seen everything." ~Trial Ad Judge

  30. #300
    I ♥ gateway sex FN Phat's Avatar
    Join Date
    Feb 2009
    Location
    Surfah's Clan
    Posts
    8,630

    Default

    It is a shame to see the outcome of the dog fighting circles. My neighbor received an American Bulldog that was rescued, from a drug compound, as a pup. He is very intimidating (read:looks and bark) but is the biggest sweetheart of a dog. I have never hesitated having my young children play in the neighbors yard. He could be a rare example or not, I don't know. Just a casual observation.
    I'm your huckleberry.


    "I love pulling the bone. Really though, what guy doesn't?" - CJF

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •