Re: BV, metronidazole allergy, no insurance
From: art fougner, md (evsono@pipeline.com)
Tue Mar 19 07:29:33 2002
ever wonder about "all-natural" products that come in a vacuum - sealed
package, sold in your grocer's frozen food section?
art
At Tue, 19 Mar 2002, Braun, R. Daniel wrote:
>
>I concur with everything except the comments about the wrong foods. The
>"Wrong" foods are the cheaper ones. It is much more expensive to eat
>healthy.
>Dan
>
>R. Daniel Braun, MD
>
>There are strange things done in the midnight sun
> By the men who moil for gold;
>The Arctic trails have their secret tales
> That would make your blood run cold;
>The Northern Lights have seen queer sights,
> But the queerest they ever did see
>Was that night on the marge of Lake Lebarge
> I cremated Sam McGee.
> Robert W Service
>
> -----Original Message-----
>From: ainsron@sbcglobal.net [mailto:ainsron@sbcglobal.net]
>Sent: Tuesday, March 19, 2002 1:43 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: BV, metronidazole allergy, no insurance
>
>I'm not trying to be arrogant or unsympathetic to a patient's financial
>situation, but since when is it our responsibility to provide
>substandard treatment for patients because of their lack of resources? I
>think we should always be aware of what treatments cost our patients and
>give them the least expensive treatment that will give them the best
>chance of cure. Although it is certainly annoying, BV is not
>life-threatening. If she doesn't have the money for appropriate
>treatment, she can save up, borrow from family, apply for welfare, etc.
>I find it interesting that often the patients who complain the most
>about the cost of their medicines are also the smokers, the individuals
>who buy the latest vitamin fad at the health food store, the obese
>patient who buys all the wrong foods at the grocery store, etc. and
>they don't think twice about their discretionary spending, just the
>prescription drug costs. I may be off base with this particular
>patient, but the trend is something I also see in my own practice.
>
>>I'm looking for treatment ideas for a client with recurrent BV, no
>>prescription coverage, and a fixed drug reaction-type allergy to oral
>>Flagyl. We have limited access to Cleocin vaginal samples. There's no
>>patient assistance program for Cleocin. We are actively looking for
>>opportunities for lifestyle changes that might reduce the incidence. I
>>would appreciate any ideas.
>>
>>--
>>Patricia K. Tessler, BSN, MSN, family nurse practitioner
>>
--
art fougner, md
ich bin ein New Yorker
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