Most BodyBuilders Look Like Crap

Off Topic
441

[quote]Professor X wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

You serious with this? I just walked back in the office.

If a patient arrives with swelling, severe pain, no airway obstruction and a fever, I don’t need to order anything but antibiotics and pain meds.

If my posts on this board over the last ten years haven’t proven I have a clue, nothing will, dude.[/quote]

with an abscess that is turning into a cellulitis, with face and neck involvement, I will bet my kids college fund that any doctor I worked with would have got an scan and started pt on
IV (not oral) IV Clindamycin and Vancomycin. not saying you are not a good dentist, but this proves that I would not trust you to do anything for me other than clean my teeth and fill my cavities(which I have had only 3, none since I was 11 years old)

the fact that you would have sent somebody out of your office in that kind shape with orals and some vicodin…well, I would stop talking about my medical credentials so much…

stick with what you know, dentistry. that is plenty to be proud of, you make bank, have a nice clean quite work environment, probably bang your young lady hygenist at will, you win, stop trying to embellish your abilities.

442

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

You serious with this? I just walked back in the office.

If a patient arrives with swelling, severe pain, no airway obstruction and a fever, I don’t need to order anything but antibiotics and pain meds.

If my posts on this board over the last ten years haven’t proven I have a clue, nothing will, dude.[/quote]

with an abscess that is turning into a cellulitis, with face and neck involvement, I will bet my kids college fund that any doctor I worked with would have got an scan and started pt on
IV (not oral) IV Clindamycin and Vancomycin. not saying you are not a good dentist, but this proves that I would not trust you to do anything for me other than clean my teeth and fill my cavities(which I have had only 3, none since I was 11 years old)

the fact that you would have sent somebody out of your office in that kind shape with orals and some vicodin…well, I would stop talking about my medical credentials so much…

stick with what you know, dentistry. that is plenty to be proud of, you make bank, have a nice clean quite work environment, probably bang your young lady hygenist at will, you win, stop trying to embellish your abilities. [/quote]

Quit being dumb. You said they were waiting for the scanner to clear. Who sent them home?

Did you?

443

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .

444

what a fucked up thread

445

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

LOL at the logic of me being wrong because you hypothetically sent the hypothetical pt home when they were, according to you, waiting for the scanner to clear.

You can’t even pay attentiont to your own medical scenarios.

446

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

Hell remember when we didnt have Staph? Hell I see guys now who still have Doc’s that will write scripts for Keflex for skin infections.

Do you work nights or days?

447

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

You serious with this? I just walked back in the office.

If a patient arrives with swelling, severe pain, no airway obstruction and a fever, I don’t need to order anything but antibiotics and pain meds.

If my posts on this board over the last ten years haven’t proven I have a clue, nothing will, dude.[/quote]

with an abscess that is turning into a cellulitis, with face and neck involvement, I will bet my kids college fund that any doctor I worked with would have got an scan and started pt on
IV (not oral) IV Clindamycin and Vancomycin. not saying you are not a good dentist, but this proves that I would not trust you to do anything for me other than clean my teeth and fill my cavities(which I have had only 3, none since I was 11 years old)

the fact that you would have sent somebody out of your office in that kind shape with orals and some vicodin…well, I would stop talking about my medical credentials so much…

stick with what you know, dentistry. that is plenty to be proud of, you make bank, have a nice clean quite work environment, probably bang your young lady hygenist at will, you win, stop trying to embellish your abilities. [/quote]

Quit being dumb. You said they were waiting for the scanner to clear. Who sent them home?

Did you?

[/quote]

we never send that kind of pt home, always a oral surgeon and hospitalist consult, I mentioned that the scanner was occupied so you would not have the option of waiting for a scan result to base therapy on. you had to make a decision based on clinical presentation.

communication fail, perhaps on my part…and NOBODY cept you of course would say I am being dumb with these last few posts.

448

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

You serious with this? I just walked back in the office.

If a patient arrives with swelling, severe pain, no airway obstruction and a fever, I don’t need to order anything but antibiotics and pain meds.

If my posts on this board over the last ten years haven’t proven I have a clue, nothing will, dude.[/quote]

with an abscess that is turning into a cellulitis, with face and neck involvement, I will bet my kids college fund that any doctor I worked with would have got an scan and started pt on
IV (not oral) IV Clindamycin and Vancomycin. not saying you are not a good dentist, but this proves that I would not trust you to do anything for me other than clean my teeth and fill my cavities(which I have had only 3, none since I was 11 years old)

the fact that you would have sent somebody out of your office in that kind shape with orals and some vicodin…well, I would stop talking about my medical credentials so much…

stick with what you know, dentistry. that is plenty to be proud of, you make bank, have a nice clean quite work environment, probably bang your young lady hygenist at will, you win, stop trying to embellish your abilities. [/quote]

Quit being dumb. You said they were waiting for the scanner to clear. Who sent them home?

Did you?

[/quote]

we never send that kind of pt home, always a oral surgeon and hospitalist consult, I mentioned that the scanner was occupied so you would not have the option of waiting for a scan result to base therapy on. you had to make a decision based on clinical presentation.

communication fail, perhaps on my part…and NOBODY cept you of course would say I am being dumb with these last few posts.

[/quote]

?

You yourself wrote that the treatment was antibiotics and pain meds and then a scan…which they were waiting on.

What are you talking about?

449

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

LOL at the logic of me being wrong because you hypothetically sent the hypothetical pt home when they were, according to you, waiting for the scanner to clear.

You can’t even pay attentiont to your own medical scenarios.[/quote]

you are an idiot. I never said we sent the patient home. not sure how you read that.

450

[quote]NeelyDan wrote:
what a fucked up thread[/quote]

Do anteaters have teeth? Do we have anybody in here that works at a zoo?

451

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

You serious with this? I just walked back in the office.

If a patient arrives with swelling, severe pain, no airway obstruction and a fever, I don’t need to order anything but antibiotics and pain meds.

If my posts on this board over the last ten years haven’t proven I have a clue, nothing will, dude.[/quote]

with an abscess that is turning into a cellulitis, with face and neck involvement, I will bet my kids college fund that any doctor I worked with would have got an scan and started pt on
IV (not oral) IV Clindamycin and Vancomycin. not saying you are not a good dentist, but this proves that I would not trust you to do anything for me other than clean my teeth and fill my cavities(which I have had only 3, none since I was 11 years old)

the fact that you would have sent somebody out of your office in that kind shape with orals and some vicodin…well, I would stop talking about my medical credentials so much…

stick with what you know, dentistry. that is plenty to be proud of, you make bank, have a nice clean quite work environment, probably bang your young lady hygenist at will, you win, stop trying to embellish your abilities. [/quote]

Quit being dumb. You said they were waiting for the scanner to clear. Who sent them home?

Did you?

[/quote]

we never send that kind of pt home, always a oral surgeon and hospitalist consult, I mentioned that the scanner was occupied so you would not have the option of waiting for a scan result to base therapy on. you had to make a decision based on clinical presentation.

communication fail, perhaps on my part…and NOBODY cept you of course would say I am being dumb with these last few posts.

[/quote]

?

You yourself wrote that the treatment was antibiotics and pain meds and then a scan…which they were waiting on.

What are you talking about?[/quote]

shit, posts are starting to run over each other.

i never said we would send them home, i interpreted what you said is that YOU would have put the patient on orals, and sent them home.

452

[quote]heavythrower wrote:

[quote]Professor X wrote:

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

LOL at the logic of me being wrong because you hypothetically sent the hypothetical pt home when they were, according to you, waiting for the scanner to clear.

You can’t even pay attentiont to your own medical scenarios.[/quote]

you are an idiot. I never said we sent the patient home. not sure how you read that. [/quote]

What? You said I sent them out of my office…when I didn’t. They were HYPOTHETICALLY waiting on the scanner to clear, LIKE YOU WROTE. That means the immediate treatment is…wait for it…anbtibiotics and pain meds.

Whether you neeeded IV meds depends on how severe the swelling is.

453

[quote]DJHT wrote:

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

Hell remember when we didnt have Staph? Hell I see guys now who still have Doc’s that will write scripts for Keflex for skin infections.

Do you work nights or days? [/quote]

nights.

we still prescribe keflex for skin staph. but we usually also add bactrim. in fact, we ALWAYS use bactrim and keflex.

454

Shit like this is why I keep relating to crayola crayons.

You made up the scenario and won’t even stick to it.

455

[quote]DJHT wrote:

[quote]NeelyDan wrote:
what a fucked up thread[/quote]

Do anteaters have teeth? Do we have anybody in here that works at a zoo?[/quote]

sure as shit do, they just happen to be small…neelydan can eat a fucking apple through a white picket fence tho

456

[quote]Professor X wrote:
Shit like this is why I keep relating to crayola crayons.

You made up the scenario and won’t even stick to it.[/quote]

you are full of shit. I just misread your post LIKE YOU DID MINE TOO>

you are back pedaling now to cover yourself.

when you said “NOTHING” but “abx and pain meds” I was looking for specific abx and IV vs oral) any peer review would have expected the same specificity.

I know because I have been called on to “testify” for lack of a better word and many peer reviews because I am on multiple quality action teams at my ED.

457

[quote]heavythrower wrote:

[quote]Professor X wrote:
Shit like this is why I keep relating to crayola crayons.

You made up the scenario and won’t even stick to it.[/quote]

you are full of shit. I just misread your post LIKE YOU DID MINE TOO>

you are back pedaling now to cover yourself.

when you said “NOTHING” but “abx and pain meds” I was looking for specific abx and IV vs oral) any peer review would have expected the same specificity.

I know because I have been called on to “testify” for lack of a better word and many peer reviews because I am on multiple quality action teams at my ED. [/quote]

This isn’t a peer review. This is a bunch of guys acting like I can’t discuss any medical issue beyond the mouth when my core training involved a much wider scope.

You got your answer. The immediate treatment for a patient in severe pain with no other vital issues and NO airway obstruction is antibiotics and pain meds.

They were waiting on the scanner to clear according to you.

No one has to backpeddle here.

458

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:

[quote]DJHT wrote:

[quote]heavythrower wrote:
<<crickets chirping
[/quote]

I am out of practice but I would go with Vancomycin. Heavy you work nights or days?[/quote]

yes vanco for the cellulitic face and neck involvement, which almost always is Staph, and you do not want to wait for 3 days for culture results, and anything serious with gums or teeth or mouth you would want Clindamycin. if his face neck was NOT swollen and tender discolored and warm, X was right, oral augmentin, and maybe oral clindo, the vital signs and not rigorous was a trick, based on clinical presentation my docs would have started IV abx and ordered a scan regardless if the patient looked toxic or not .[/quote]

Hell remember when we didnt have Staph? Hell I see guys now who still have Doc’s that will write scripts for Keflex for skin infections.

Do you work nights or days? [/quote]

nights.

we still prescribe keflex for skin staph. but we usually also add bactrim. in fact, we ALWAYS use bactrim and keflex. [/quote]

Covering strep with the Keflex is fine if you are seeing that in your area, Bactrim is what is killing the staph. I figured you worked nights, I always worked nights and you have the same mentality.

459

Lord knows me and X don’t get along, but I think it’s kind of unrealistic to give out a hypothetical case study over an Internet forum. I mean, it’s pure miscommunication and is likely to be rife with missing information, unclear Dx - plus he hasn’t actually seen the patient.

I get case studies to work on in MNT all the time - it would be preposterous to ask me to do it over a message board with the minimal info given…

460


So if an anteater comes into the ER with swollen teeth, should it weigh 250 lbs when its over 60?