SORE THROAT, FEVER, COUGH and FLU NEEDs a PHYSICIAN?

Dr. Gaston Saint Martin comment:

Is that a “Strep Test“?   (See below: “A NEW Test …..”

Just 2 questions anybody can answer at home, without the need to call the hospital?  

The kid question should be: IS THERE? or THERE IS NOT STREPT A BETA HEMOLYTIC STREPTOCOCUS BACILLI  in that throat?    

Because if that is the infecting bacteria, the patient NEEDS TO GO TO his/her physician to be treated with antibiotics, not only to be cured, but to avoid the spread of that dangerous bacilli and also to avoid serious complications, such as artritis reumatoidea, endocarditis, scarlet fever, toxic shock sindrome, pneumonia, corea. meningitis and …………..  

If to day any female can do a pregnancy test by herself without the need to chase a frog, Why shouldn’t we be able to do “rapid strep test” at home to avoid unnecessary  consultations for the much more frecuent viral infection? 

A new test being researched could get rid of unnecessary doctor visits.

http://www.everydayhealth.com/news/diagnosing-strep-home/?xid=aol_eh-flu_1_20140203_&aolcat=ESO&icid=maing-grid7%7Cmain5%7Cdl15%7Csec1_lnk2%26pLid%3D438935

Home Strep Test Coming Soon?

https://i2.wp.com/images.agoramedia.com/everydayhealth/gcms/Will-at-home-strep-tests-work-article.jpg

Thursday, January 23, 2014

More than 230,000 unnecessary doctor visits a year could be prevented if an experimental strep throat test becomes a reality.

More than 12 million Americans go to the doctor complaining of a sore throat each year, many expecting to get antibiotics for a strep throat infection. Yet a majority of these cases are caused by viruses like the common cold and will get better on their own without a prescription. Those caused by the bacteria group A streptococcus, commonly known as strep throat, do need antibiotics for treatment.

Researchers from Boston Children’s Hospital and the University of California, San Diego, School of Medicine have devised a simple way to assess whether or not you have strep throat using an over-the-phone assessment of symptoms along with real-time rates of infection with the strep throat bacteria in your community. Evaluating this information could let you know your likelihood of having strep and whether or not you need to go to the doctor.

By asking two questions — do you have a cough and have you had a fever in the last 24 hours– people at home could easily know whether or not it’s worth making a doctor’s appointment.

Symptoms of strep throat include sore throat, headache, fever, and sometimes vomiting. But if your sore throat comes with just nasal congestion and a cough, it’s more likely to be caused by a virus.

To validate the accuracy of this concept, researchers analyzed information from 71,776 people age 15 and over who visited CVS Minute Clinics in six states for a sore throat between 2006 and 2008. They took into account the patients’ symptoms and strep test results to determine their findings.

Then they calculated what the benefits would be for people who go to the doctor in any given year for a strep throat evaluation. Almost a quarter of a million people would likely be able to estimate that their chance of strep throat was less than 10 percent and save themselves a doctor visit.

Experts are concerned about whether or not this test would actually work. “Doctors should be the ones who are making the decision whether or not to give antibiotics,” said pediatrician Heather Lubell, MD, of St. Christopher’s Hospital for Children in Philadelphia. “I’m afraid the test will miss too many.”

However, the health risks of missing a case of strep throat is much lower for people over age 15, the age group looked at in the study. In general, adults usually get better from strep throat on their own within about a week. Treatment with antibiotics is recommended to prevent the infection from spreading to others as well as to reduce the rare but serious risk of rheumatic fever (a disease that can affect the heart and other organs) or kidney complications.

Among children, complications of strep throat are more common and can include ear infections, sinus infections and scarlet fever.

Dr. Lubell said the idea of doing more at home testing to prevent unnecessary office visits and medication is interesting, but, “I worry about this one in particular.”

One current limitation with the at-home assessment is that the other component — real-time infection rates for the strep bacteria — are not currently available in most areas of the United States.

“I don’t think it’s very practical at all,” said Lubell. “At any given time, I don’t know what’s going on in the community with strep.”

Still, according to the researchers, most hospitals and large group physician practices may already have enough information to generate their own real-time surveillance data.

Although Lubell said she gets a lot of parents who ask for strep tests for their children, she doesn’t think it’s enough that it would justify the costs versus benefits of maintaining a strep infection database. Lubell added that most pediatrician and primary care physician offices already ask people who call in with sore throat concerns the same questions about symptoms recommended by the at-home strep test.

“If you have good people answering the phones they should be asking these questions anyway so we know if patients need to come in or not,” Lubell said.

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PatAgonica

Soy el Dr. Gastón Alejandro Saint Martin (ARDMS. RVT. RPVI eligible, MD. CCPM). Medico patagónico; me gradué en la UNBA (Universidad Nacional de Buenos Aires, en 1961) Recién graduado y casado fui a hacer mi entrenamiento en la Universidad de Louisville, (UdeL) Kentucky, USA, la mas antigua Universidad Municipal de La Unión; pobre, pero de excelente nivel académico; con una pequeña escuela de medicina. Louisville está en la margen izquierda del rio Ohio (afluente del Mississippi) Elegí a UdeL por estar entre los rio Ohio y Tennessee, que era la zona mas subdesarrollada de La Unión, (cuna de los "Hillbillies") montañeses pobres, poco ilustrados, casi analfabetos pero gente honrada, noble y muy trabajadora; donde era de esperar encontrar problemas de patología medica y socio económicos similares a los de la población rural patagónica indigente. Los médicos residentes de la Universidad de Louisville atendíamos al Louisville General Hospital y al Children’s Hospital of Louisville. Finalizado mi entrenamiento, y al tener yo visa de emigrante, me pude quedar en USA, donde los abogados jueces y los médicos con residencias de entrenamiento completas, teníamos un brillante futuro económico, estabilidad y brillo social. La tentación para quedarse fue muy grande, pero cumplimos mi plan regresando a casa; Argentina (No a Buenos. Aires.) sino a La Patagonia (Gral. Roca, Rio Negro), donde trabajé intensamente, no solo en medicina asistencial sino en política. Para el inicio, recluté un pequeño grupo de médicos argentinos jóvenes entrenados en USA y Canadá con quienes creamos al Instituto Medico del Comahue, el pequeño hospital austral privado pionero en medicina asistencial moderna. Construimos el edificio por esfuerzo propio, y por administración, con la dirección técnica de mi padre (Ingeniero Prospero Saint Martin). Tuvimos muchos éxitos y fracasos. Nos integramos al Colegio Medico de General Roca, donde fui el primer organizador de la primer biblioteca medica patagónica. De nuestros Colegas Veteranos aprendimos la Filosofía Ético Moral Medica Hipocrática) y a ser médicos humanistas, antes que corporativos." Allí, practicando, aprendimos las normas básicas de cortesía entre colegas y pacientes. No fue fácil la convivencia y el pasaje armonico de lo (clásico) antiguo a lo (bueno) moderno, pero ¡lo logramos ... y muy Bien! En el ano 2000/2002 La Anarquía establecida Argentina desde el 10 de Septiembre de 1930 estalló y ya “no pude tolerar al criminal anárquico mamarracho republicano Argentino" que culminó con el "Robo Legalizado" (Google "The Legalized Theft" by Steve Hanke - CATO Instituto and/or Johns Hopkins economist) Como muchos de los argentinos ordenados, responsables, con importante capital de trabajo sin deudas, con algunos ahorros PERDIMOS TODO! Yo no perdí mis edificios, mi casa, mi Consultorio Radiológico) ni mi costoso instrumental diagnostico pero al quedar fuera de corporaciones medicas-hospitalarias corruptas, y fuera de los canales de facturación y cobro ... me encontré despojado de uno de los derechos humanos mas importantes “EL DERECHO A TRABAJAR” , del que depende mi “DERECHO A LA PROPIEDAD” y derecho a de “VIVIR en LIBERTAD” como me de la gana y sin pedir nada a nadie (¡LIBRE ALBEDRIO!) Por ello decidimos volver (ya estando jubilados) por segunda vez a USA. Hoy tengo otra residencia legal en Chicago (Oak Park, 60301) Mi mentor (en USA y Argentina) ha sido el Dr. Rene Favaloro (pionero del bypass coronario), con quien (cada uno por su lado) hemos compartido los mismos dilemas, para decidir volver, y para adaptarnos a esta ANARQUÍA Argentina (ver www.29deJulio.wordpress.com ) – La ANARQUÍA en la que cayó La Republica Argentina el 10 de Septiembre de 1930, fue causado por errores garrafales del GOBIERNO DE LOS ESTADOS UNIDOS DE NORTEAMÉRICA. (Presidente Herbert Hoover (POTUS 31) ...MAS... errores garrafales en la "ACORDADA UNÁNIME de LA TOTALIDAD DE LOS JUECES DE LA CORTE DE JUSTICIA ARGENTINA" ...MAS... errores garrafales del Gobierno del Reino Unido de Gran Bretaña (UK) ...MAS... el error de un soldadito con grado de General y cáncer de estomago Gral. Félix Uriburo) que no se atrevio a desobedecer al Jefe de su jefe cuando le ordenaron "violar a La Constitucio ... "en nombre de ella??) y asi TODOS ELLOS JUNTOS, en un contubernio internacional, por primera vez en la historia de La Republica Argentina depusieron a un Presidente Constitucional, (Presidente Hipólito Yrigoyen) electo dos veces (en periodos NO consecutivos), por el voto popular, y depuesto con la absurda e ignorante excusa (si no fue mentirosa) de ser "ser viejo e inoperante..."

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