tag:blogger.com,1999:blog-13628251.post116640883715358105..comments2024-03-21T20:19:27.398+11:00Comments on Hareega: Gimme a breakHareegahttp://www.blogger.com/profile/03506185925815988104noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-13628251.post-1166939385581849942006-12-24T16:49:00.000+11:002006-12-24T16:49:00.000+11:00Ya Hareega, The common pathogens important to repo...Ya Hareega, The common pathogens important to report in the bacterial respiratory diseases laboratory are usually Haemophilus infuenza, Moraxella catarrhalis and Streptococcus pnemonia. They are only reported when the level of growth is heavy and exceeds that of the normal flora by one quadrant of the plate out upon culturing.<BR/><BR/>The reporting out of sensitivities to antibiotics for these pathogens and others is also done after an automated suppression of most of the results so that the doctor.. you.. does not know the extra antibiotics unless the consultant decides to release them. <BR/><BR/>The detection of less important bacterial pathogens is also supressed and treatment is always reccommended using regular antibiotics. <BR/><BR/>Viral causative agents of Pneumonia are also identified if the patient was not responsive to treatment.<BR/><BR/>If you were to have a CF patient then it would be totally different and every single POSSIBLE bacterial pathogen will be found, isolated and profiled in details. <BR/><BR/>It is true that pathogens are not isolated or totally reported out from pneumonia patients' specimens, but don't you think that me and you KNOWING THEIR NAMES means that they were or are isolated IF NEEDED?!<BR/><BR/>Unless it was a Viral Pathogen, the patient will improve from introduction of antibiotics. <BR/><BR/>To rephrase it: We always identify the causative agents of every pneumonia patient, in details, on records and with a full profile.<BR/><BR/>Hareega, we also predict pattern of future possible causative agents and the mutational trend of viral resp pathogens. ie not only do we know what we have but what we might get in the future.<BR/><BR/>Now dr hareega, let's stay focused on the joys of blogging. I am sorry if I stimulated your doctoral senses when I contradicted you point of view of isolation of pathogens from pneumonia patients. I had mine.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166743980714614082006-12-22T10:33:00.000+11:002006-12-22T10:33:00.000+11:00aaaakh ya zalameh.... I'm talking about PNEUMONIA....aaaakh ya zalameh.... I'm talking about PNEUMONIA. I don't know what are the chest infections?? I am referring to PNEUMONIA. In 80% of the patients admitted for pneumonias you CANNOT isolate the specific microorganism causing the pneumonia. You can predict it but usualy cannot isolate it. If he's 20 yrs old coming with a walking pneumonia you can predict it's Mycoplasma but it can very much be pneumococcus. If he's itubated in the ICU with a post-obstructive pneumonia you can predict it's Pseudomonas but it can be Legionella or five or six other bugs. In any case, you can isolate the MO in only 20% in the clinical setting, ya3ni 1 out of 5 only. In research settings the chance of getting the bug is 60% but that is reasearch setting which don't apply to almost all hospitals in the US and Jordan, so in real life it is 20%. <BR/>That's not my opinion, that's what has been documented. I'll be happy to steal some articles about that and email them to you they are quite an interesting read.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166739342325368572006-12-22T09:15:00.000+11:002006-12-22T09:15:00.000+11:00I could write an article to reply to you, but I th...I could write an article to reply to you, but I think now I understand what you are talking about. <BR/>I am talking about Pneumonia and you are talking about chest infections :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166663379027649402006-12-21T12:09:00.000+11:002006-12-21T12:09:00.000+11:00man i don't know what is your reference, but when ...man i don't know what is your reference, but when someone has pneumonia there's only a 20% chance of isolating a bug, in 80% of cases you cannot isolate a bug, the blood cultures are negative, the sputum grows normal flora and the patient gets better on whatever you placed him on.Hareegahttps://www.blogger.com/profile/03506185925815988104noreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166656712201468682006-12-21T10:18:00.000+11:002006-12-21T10:18:00.000+11:00Dr Hareega (I wanted to say it!),I'm sorry to cont...Dr Hareega (I wanted to say it!),<BR/><BR/>I'm sorry to contradict you but, we always identify the causative agents of every Pneumo patient. In details, on records and with a full antibiotics profile.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166589020125176742006-12-20T15:30:00.000+11:002006-12-20T15:30:00.000+11:00summer... anyone can treat pneumonias, but the hip...summer... anyone can treat pneumonias, but the hip fracture.... that kills people<BR/><BR/>lubna... yes hospitals are really dangerous places<BR/><BR/>amer... yeah his lungs work now, everything else is shutting down !<BR/><BR/>tealover, there's a good reason to avoid hospitals, but once you're in one tham make sure your nurse doesn't fall on you<BR/><BR/><BR/>Hey Avery... welcome here, thanx for your comment, the problem with pneumonias is that in 80% of cases you cannot identify the bug, what you've described only works in 20%, so you gotta treat with empirical antibiotics. the good thing is that this usually works.<BR/><BR/><BR/>Oriental blog... thanx for your remark, i hate Scrubs so much it's one of the most stupid shows ever made since the 7th season of 7aret abu 3awad, but thanx for readingHareegahttps://www.blogger.com/profile/03506185925815988104noreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166574304877636132006-12-20T11:25:00.000+11:002006-12-20T11:25:00.000+11:00You reming me of J.D, the star of the sitcom Scrub...You reming me of J.D, the star of the sitcom Scrubs.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166574257881223172006-12-20T11:24:00.000+11:002006-12-20T11:24:00.000+11:00You remind me of J.D the star of the citcom Scrubs...You remind me of J.D the star of the citcom Scrubs.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166566704452902472006-12-20T09:18:00.000+11:002006-12-20T09:18:00.000+11:00The real person who treated this patient is Clinic...The real person who treated this patient is Clinical Scientists, or Biomedical Scientists. They take a specimen from him, run several tests then in two days they find the exact bug that caused his Pneumonia and a dozen of possible antibiotics to treat it, then tell his doctor. <BR/>If the patient was a little..bit.. old, then even the slightest accidental touch to his/her waist area would've caused it to break!<BR/>Some of the older generation simply die if someone bumped into them accidently on the street!<BR/><BR/>Hareega, this is my first comment on your site, but I've always been following your posts dude :)<BR/>Inshallah bashofak someday fi amman.<BR/>AveryAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166566606258235602006-12-20T09:16:00.000+11:002006-12-20T09:16:00.000+11:00Waw .. he came with lung infection .. got cured an...Waw .. he came with lung infection .. got cured and ended up with a blood clot ! <BR/> I hate hospitals .. they creep me one way or another .. brrrr ...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166468749471800082006-12-19T06:05:00.000+11:002006-12-19T06:05:00.000+11:00El muhim u fixed his lungs, doc :DEl muhim u fixed his lungs, doc :DAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166450462333703622006-12-19T01:01:00.000+11:002006-12-19T01:01:00.000+11:00someone comes to hospital to fix his problems, not...someone comes to hospital to fix his problems, not to get one free:Slubnahttps://www.blogger.com/profile/08050189264665100603noreply@blogger.comtag:blogger.com,1999:blog-13628251.post-1166428871452436822006-12-18T19:01:00.000+11:002006-12-18T19:01:00.000+11:00Look at the bright side, you did a good job healin...Look at the bright side, you did a good job healing his pneumonia! <BR/>is he suing the nurse that fell on him?Anonymousnoreply@blogger.com