Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
*rolls eyes*
No ,but I see you're still trying oh so hard to convince everyone that I am ,with your incessant lack of any actual practical hands on knowledge ,sitting behind a computer screen,cutting and pasting .
I had to take a very unpleasant course of rafampin when I was exposed via a patient .
Actually as I've pointed out to you before, I'm not copying and pasting anything. You can copy bits of my text into Google and check if you'd like. Nor am I sitting around with an open book or webpage writing as read. Believe it or not, there are people in this world that have this knowledge from studying it. Being 2/3 of the way through the US medical licensing process that was all things I needed to know for medical boards. Any second year med student in the US with any hope of passing step 1 would be able to rattle off what I just did (and probably in more detail to boot as I'm now further removed from step 1). So please stop with the accusations that I am just copying and pasting this material and maybe refamiliarize yourself with the site rules.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
How does one get fungal meningitis again ?
Are you asking because you would like to learn? I don't have time to cover the fungals like I did with bacteria at the moment. It is infectious meningitis and you can get it through exposures. Unlike bacterial and viral meningitis, when there is a fungal etiology it normally is not transmissible from person to person. It is more rare than bacterial or viral, but still happens in perfectly healthy people. We just had a M&M on a patient, non-immunosuppressed, with histoplasma meningitis.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
Who need a vaccine for a meningitis that isn't contageous ?
Bacterial and viral meningitis IS contagious. Especially again, the two most common bacterial causes in adults: pneumococcus and meningiococcus. Hence you know, the whole vaccine thing. Also why it is important to get pneumococcal vaccines, especially in people immunosuppressed or who have trouble with encapsulated organisms.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
And I wasn't an EMT .I was a NYC paraMEDIC.
I can do a few surgical proceedures ,give meds,intubate,read a 12 lead EKG , ,and we work in lieu of an MD ,hello.
My hospital was the first to give throbolytics in nyc because we were under the auspices of Dr Stephen Lynn.
I'm trained to do any internal line ,nasally intubate ,ans place a chest tube .
Google dr Lynn .Yes,Roosevelt hospital .
Knock yourself out.
I have to know to recognise a medical issue,and make a diagnosis ,before i give a med ,now dont I .
I'm a 911 first responder btw ,which I did after I left the service .
I have had more patients who were in cardiac arrest ,,that I and my partner recussitated ,who actually walked out of the hospital ,than any other team in Manhattan .
I have commendations from Gullianni ,Dinkins and mayor Koch ,for bravery ,valor ,and excellence ,in the line of duty .
That's great Simbi. And the world needs paramedics too they do an important job. I love talking call in the ER and working with paramedics and EMT on call in, all of ours are great guys and girls. Here's the rub though, you were a paramedic. Not a doctor. A paramedic is trained in basic life support. You don't learn about the pathophysiology of meningitis--Or heck even the pathophysiology of anything. You don't learn the art of the differential, you don't learn a lot of things about medicine. You learn life support through algorithms--While that is no doubt important, that certainly doesn't make you any more of an expert on vaccines, meningitis etc than some Joe off the street who didn't even graduate high school.
What you are trying, and failing to do, is make an argument from authority. The problem is you aren't credentialed nor an authority on what you are arguing about and the knowledge you've expressed thus far on the topic is indicative of someone who is uneducated about the subject. Sure you might know enough lingo to fool a layperson here and there, but to anyone who's done a more intensive study of the subject your ignorance shows through.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
Any meningitis you cannot catch,has nothing to do with this kind of vaccine,now does it,so i only noted ones that are of a concern to someone who would get the vaccination .... .
I'm not really sure what you are trying to say here, its kind of disjointed and abstract. I suspect you are trying to defend your position that there are only "2 kinds of meningitis". It would reflect much better on you, if you actually learned something here instead of persisting in trying to maintain the illusion that you knew what you were talking about. I'm sure people who like your posts would actually be more impressed that you were able to assimilate new information, than just seeing your double down on your ignorance of the subject.
Any type of medical practitioner, whether that be a paramedic or a doctor should know when they don't know and know when to ask. That's something I see on a regular basis at the hospitals I'm at and it is a pretty intensely graded area in the clinical years of medical training. I hope you are humble enough in real life and for people who are trusting you as "patients" to know when your out of your depth of knowledge and seek help and this charade here is part of your internets-persona. At least if you are this arrogant and cocksure about what you think you know of medicine in real life its hard to sue CAM practitioners (watch out though that medicolegal landscape is quickly changing and will be even more so in the near future)!!!
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
And isn't meningitis ,the IATROGENIC KIND ,what all those people got from that vaccine made up in massachutsets .so ya,those kinds don't need a vaccine .No need to note them ... ..again ,you cannot catch it from another person .No need to discuss them in light of a vaccine .Right ?
Some moron has to give you a shot of a medication to get that one,or you need a previous ongoing medical condition ....
Yes, it wasn't a vaccine though. It was lumbar steroid injections and the steroid was made a
compounding pharmacy in MA. It looks at this point the problem was there sterility practices and contaminants of a couple different types of molds, but I haven't been following it that closely--You know the free time of a clinician and all
No this vaccine (again this is for serogroup B meningiococcus) wouldn't have helped. I'm not sure what your point is about that. As I pointed out previously both viral and bacterial meningitis are contagious and a real-life problem here in the US and in other parts of the world. Again as I pointed out there are about 3-4,000 meningiococcial meningitis infections each year with a dangerously high mortality rate. Meningiococcus can spread like wildfire through young adult populations living in tight quarters, like college dorm rooms or military barracks.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
ahem
I don't cut and paste,I type out what I know,because I don't have to google it or cite an article .
That's great Simbi, neither do I. Perhaps it would behoove you though to research something before you write about it when it is a subject you really don't know about. It might reflect better on you.
Simbi Laveau, on 29 January 2013 - 03:49 AM, said:
Oh and ,I have my masters in Chinese medicine . I also graduated from St Johns university with a degree in biology .
My first two years were pharmocology ,and I hated it,so I switched over to bio .
Just because I was a medic ,doesn't mean I don't have a degree *snip*
Again that is great. I remember from our previous talks that you had an undergrad degree in biology. Good stuff that is one of my 3 undergraduate degrees as well. Again though, as an undergrad in biology you really don't learn much about this subject. An undergrad biology degree gives you the basics and introduction to many fields of biology. Most institutions you take 1 microbiology class--Never mind a medical microbiology class (which you take a full year of in medical school). You don't take pathology as an undergrad biology student (again you do in medical school, note not paramedic), nor gross anatomy (most undergrad biology programs in the US don't even require you to take human anatomy, only some type of vertebrate anatomy). You get an intro to physiology etc. The point is, none of that really qualifies you to be an authority on this subject so using that to "bolster" your argument about it is moot.