Simbi, I know others have pointed it out to you on other topics (your lack of medical knowledge), but let me put a name to it for you;
Dunning and Kruger effect
You should refrain from giving medical advice because;
1. It is against the forum rules
2. It is unethical to give a patient medical advice when you have no access to the patient or are unable to do an exam
3. You are unqualified to do so--And no being and EMT or "certified" in "eastern and alternative medicine" doesn't qualify you.
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
There are drugs for viruses.Most are completely ineffective.
The reasons given are,THE VIRUS IS RESISTING THE DRUG!
Thats crap.Tamiflu has been repeatedly shown to be completely ineffective against viruses,and has major side affects.
A bunch of kids in Japan committed suicide while on a bad batch of Tamiflu.
This is simply incorrect. As I pointed out above, there are many antivirals which are very effective. Oseltamivir (Tamiflu) and other neuraminidase inhibitors work well (such as zanamivir). Of course there are resistance problems because as other have pointed out--Things evolve (even non-living things such as viruses, not a prerequisite for natural selection isn't human's definition of 'life'). Influenza, specifically influenza A, evolves rapidly because of its segmented genome and its ability to infect multiple species (pigs, birds, humans) which gives it the opportunity for antigenic shift (antigenic drift on the other hand creates smaller variation responsible for the yearly differences).
The problem with the NI's though isn't so much with resistance, its with the time table you have to work with. For NIs to work you really need to have the patient start them within 2 days of becoming symptomatic--The problem then is people often are outside of the treatment window for efficacious use. If given in the appropriate time table however, they are very efficacious at reducing severity and duration of influenza infection. Zanamivir has few, if any side effects--In head to head with placebo, the "side effects" were no different than placebo. Oseltamivir also has mild side effects (some nausea and diarrhea) which were reported slightly higher than placebo, more serious adverse effects are quite rare.
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
As for bacterial infection,drugs we have ,once given to us,make it so if we have a repeat of the same strain of bug,the more we take the antibiotic,the more resistant it becomes.This premise comes from who ?
Doctors ? Drug companies ?
Where is the proof of this ?
It comes from life--Its how evolution works, but I suspect after "2 years as a pre-pharm major", that (evolution) probably isn't one of your strong points either. Like others have pointed on the topic, the real problem is when people fail to take a full course of antibiotics; which leads to an insufficiently lethal concentration and exposure to the drug. Enter evolution; organisms which die first are those most susceptible to the drug. Those which survive because non-lethal concentrations then go on to reproduce--Some of their offspring will be tougher and more resistant to the drug than the parent. Rinse and repeat till you get bugs which are MDR.
Its important to also note though, that not all drugs are bactericidal and some are bacteriostatic; searchable terms if you aren't sure of their meaning.
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
Given these germs mutate all the time,and there are numerous strains.Chances of getting exactly the same bug,every time,is not impossible,but unlikely.
In deed, but immunity works because even though the bugs mutate they retain enough characteristics that the memory leg of you immune system can make antibodies with antigen binding sites sufficient enough to still bind to surface antigens. Further, every time your humoral immune system is activated B cells go through affinity maturation (basically evolution for antigenic binding affinity--again a searchable term if you want to know more).
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
I have very weak lungs,and I get upper respiratory infections frequently.
I've taken the same antibiotics for 20 years.They still work on me.
I think some of this is hype,to scare the public into taking new drugs.
I could be wrong.
I needed a course of zithromax in 2009,but I had pneumonia.
I've taken zithromax many times before.It worked.
I don't how your "lungs are weak", but if you suffer from frequent respiratory infections and pneumonia the culprit is probably
Streptococcus pneumoniae (you should speak to your GP about that though--It could be an non-lung related problem since S. pneumo is encapsulated you could actually have a problem with antibody production for opsonization or spleen problems). S. pneumo has a very low incidence of resistance to azithromycin and respiratory fluoroquinolones (such as moxifloxacin or levofloxacin)--0.9% for the respiratory fluoroquinolones the last time a large clinical isolate survey was done if memory serves correct.
The reason is because different bacteria are....different. Not all bacteria can develop resistance to certain drugs, it depends on the drug (how it works, etc) and the biochemical and molecular properties of the bacteria. For example, we've been using penicillins (Pen V) to treat
Streptococcus pyogenes and
agalactiae effectively since their implementation in the 30's. Whereas bugs which produce beta-lactamases were quickly resistant to beta-lactam antibiotics (such as many gram negative rods and the Staphylococci)
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
Drug resistant TB might be the only one of these issues,that has serious implications.
Yes, MDR TB is a serious concern....
Simbi Laveau, on 06 April 2012 - 08:34 PM, said:
MRSA,can also be a concern,as people who get it,are usually immuno compromised to begin with,so the drugs seem to not work,but the persons constitution is just shot.
This is uninformed. MRSA, while certainly it does effect immunocompromised people, certainly affects healthy people as well. In fact, MRSA (CA-MRSA) actually effects healthy people more often than the immunocompromised (its actually the most common community acquired skin/soft-tissue infection in the US).
Also whether someone is immunocompromised or not isn't particularly important for whether a drug will work or not--Unless we are talking about bactericidal vs bacteriostatic (the latter requiring you to have some function of the immune system). Regardless the DOC for MRSA is vancomycin--Which is bactericidal (also newer drugs like oxazolidinones and streptogramins).
Edited by Copasetic, 07 April 2012 - 01:13 AM.