Re: Antibiotic road

From: Robert (RobertJ_at_hotmail.com)
Date: 09/29/04 

Date: Wed, 29 Sep 2004 16:17:01 -0700

"NorthernSpy1" <northernspy1@aol.com> wrote in message
news:20040929183657.16600.00001261@mb-m16.aol.com...
> >Mak but he already had one done for chlamydia and it came back negative.
>
> 9 months, 5 (or 6? I forget) urologists, and not one did an EPS, and not
one
> did a semen culture.
All come back negative anyways. True bacterial prostatitis shows up in the
urine culture so no need to do semen cultures or EPS.
They use broad spectrum antibiotics anyways early on.

  None did a chlamydia culture until I begged for one, and
> then they did a swab test despite the fact I do not have urethral
discharge.
> The results have not come back yet.

Chlamydial cultures are worthless as PCR is more accurate and you do not
need a discharge ie white cells. The chlamydia infect other cells and they
shed the DNA through the genital urethral passage way.
>
> You don't see a problem there?
>
> > The specialists know common variety chlamydia and they know
> >chronic prostatitis.
>
> The 5 (or 6?) urologists I have met -- including one at Columbia Presb.
and one
> a "doctor of the year" per New York Magazine -- could not find a testicle
if
> they were force fed one. Among their statements:

Then go to a chiropractor.

>
> 1. Cipro kills chlamydia (wrong)

Yes it does most of the time only rare is it that it won't because of
resistance and it is a regional thing that area doctors are well aware of
the strain that is in their community as public health newsletters tell them
exactly where those strains are at.
There are treating protocols as to what antibiotic to use in certain regions
based on this.

>
> 2. Chlamydia cannot be present if there is no urethral discharge (wrong)

That is also a true statement meaning that some discharges are not very
noticeable and sometimes you see very small stains on shorts if at all. They
are asymptomatic and do not notice anything wrong most of the time.

>
> 3. Chlamydia cannot be tested while the patient is taking Cipro.

PCR based testing is used because it does not rely on chlamydial cultures
which are not reliable as the bug is dead before it can grow in culture.
PCR yes and cultures are no.

>
> 4. If Cipro doesn't cure epididymitis, no antibiotic will (wrong)

Cipro is a broad spectrum antibiotic with activity against a large number of
bacteria. If a culture or PCR proven pathogen is detected then resistance
can be taken into account. When no organism is detected then that is a
correct statement.

>
> 5. Zithromax is not the drug of choice for epididymal chlamydia because
it
> does not penetrate. Only Doxycycline is indicated (wrong)

Doxycycline can be used to treat chlamydia without complications in those
not resistance to it. Antibiotic use is regional based on community
epidemiological studies. What to use is based on where you live.

>
> 6. Sometimes prostatitis takes a long time to cure -- 2 months or 3 months
or 4
> months of Cipro, whatever it takes (maybe, but they should have added that
> joint pains and other serious sometimes irreversible side effects are
almost
> inevitable when you take Cipro for such durations).

They are not saying that now and if you tell people every single reaction
one gets to antibiotics then no one will take them. They shouldn't be taking
antibiotics for 2 months.

>
> 7. I should take Flomax (maybe, but I have no urinary frequency or
voiding
> problems, and I was previously prescribed Uroxatral for 3 weeks without
benefit
> -- the uro should have known that Uroxatral and Flomax are both alpha
blockers,
> and both may reduce prostate spasm, and if one didn't work the chance the
other
> will is small -- I'm just being led in circles).

He didn't tell you about the side effects of alpha blockers?

>
> 8. I must have cancer (and oh they are sooooooooo disappointed when PSA
after
> PSA while I am on antibiotics is very very low -- 0.6).

Too bad you missed out on biopsy.

>
> Why has no one suggested I get an EPS?
OK it is normal or no it shows a lot of white cells. So what.

> Why has no one suggested TRUS?
OK you have calcium deposits there and they do surgery to rid the stones and
then the bugs are already resistant to everything after your 2 months of
antibiotics.

>
> Why did *I* have to beg for a testicular sonogram when months of Cipro did
not
> improve my epididymitis? (it revealed non-vascular cysts and swelling
but no
> other abnormality).
>
> Uro after Uro after Uro seems not to order even the basic tests, and it
has
> taken me 9 months of intense pain, sitting with ice cubes on my balls, and
> Internet purchased Tramadol for me to figure out just how poor my medical
> advice has been.
>
> Anyone know any urologist in the New York area who is not COMPLETELY
> incompetent as the record above suggests?
>
> - Carlos
>
>

Relevant Pages

  • Re: For What its Worth
    ... But in mentioning Cipro you repeat an error made by many doctors. ... "Persistence of Chlamydia trachomatis Is Induced by Ciprofloxacin and Ofloxacin ... However, they cannot be killed by most antibiotics, as most ... antibiotics work by damaging a bacteria's cell wall. ...
    (sci.med.prostate.prostatitis)
  • Re: Antibiotic road
    ... >> Hey, I'd love to! ... urinalysis/urine culture and semen culture are ... Good suggestion Mak but he already had one done for chlamydia and it came ...
    (sci.med.prostate.prostatitis)
  • Re: chlamydia pneumoniae, skim milk and other burning questions
    ... some studies that have looked hard for Chlamydia in heart attacks ... I asked my intern about being screened for C. Pneumonia antibodies. ... was respectful of the hypothesis that C pnuemonia causes CHD. ... right back as soon as the antibiotics start? ...
    (sci.med.cardiology)
  • Re: Now what?
    ... Did they ever culture the pus to see what antibiotic to use? ... antibiotics it was pretty self evident that they needed them: ... The barn I was at this winter had a horse with a runny snotty nose, vet ...
    (rec.equestrian)
  • Re: UPDATE Re: Franks not feeling well
    ... is spread evenly over the surface of an appropriate solid culture ... Those antibiotics that kill the specific bacteria taken from this cat ... As long as the measured blood concentration is greater than the MIC, ...
    (rec.pets.cats.anecdotes)