Re: BV, metronidazole allergy, no insurance

From: Harrison Sheld (hsheld@anv.net)
Tue Mar 19 09:01:24 2002


Very well written.

ainsron@sbcglobal.net wrote:

> 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
> >





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