Friday, November 15, 2013

Getting real, can't afford to use my insurance!

There is a need for a change in the health care system but there will always be people like
in my town that won't be able to afford their medicines, that pushes why go to the
Doctor if I won't be able to get the medicine to get better.

So they have insurance but won't use it. That is really the same as being uninsured!
When they have to go to the Doctor it's bad like they had no insurance in the first place!
It cost more to fix just like not having insurance!

I have been like that much of my time. I am really poor myself, I worked a lot of time
at poor places like Walmart. My rent at the time was $360, Car payment $160,
Car insurance $130 Internet $25, food, gas for the car etc,
I would only have $45 in my bank.

With my job now and my bills I have its more like $4 in my bank most times.
So with that view you see the not being able to use my insurance, with the co-pay,
Dr bill in the mail, being able to buy the medicines, you see the mess!

I got sick once went to the DR that gave me a DR bill for $50, and my medicine at
Walgreens was $130+ I only had $45 in the bank, I only got the antibiotic that cost
$30, leaving me $15 for rest of the month!

So why did I go to the DR in the first place? Was it worth $80? No!
I found out a guy I knew put a small spoon full of Neosporin in some hot tea and
drank it. It helped him he said!
Also heard about getting antibiotics at a pet store for fish. It works!
Superglue to fix cuts with out stitches I did that many times!

Anyway you see it It's about income! ObamaCare is needed, but in low pay towns
it won't work. The workers will still be like uninsured but with insurance they cant use!
In fact it's not Obama making it bad it's your low pay.
If you got paid better you could afford to go to the Doctor,
but your pay won't let you!

So comes the self sufficient way of Superglue it and take some fish antibiotics!
Go to a Doctor? Not with my pay!

~~~FYI Fish-Mox!
"How To Use Fish-Mox (to treat your sick fish, of course)"
Over the years, I have discussed the importance of having a stockpile of antibiotics to deal with the common infections that we might encounter in a survival situation. Simple activities of daily survival, such as chopping wood, could easily cause injuries that could be contaminated with bacteria.  Today, we have access to antibiotics through our healthcare providers that nip problems in the bud.  Unfortunately, these “minor” issues can become life-threatening if we are denied such access:  Skin infection bacteria could enter the blood, causing “septicemia”.  In the past, this was not uncommon as a cause of death.

Therefore, it’s important to accumulate antibiotics.  I have told you about my experiences as an aquacukturist (tilapia at present) and the availability of aquatic and avian antibiotics that can be used to treat your sick “fish” in times of trouble.  The classic example I have used is Fish-Mox (Amoxicillin 250mg) and Fish-Mox Forte (Amoxicillin 500mg).  Some of you may have purchased some for your medical supplies, but do you know when and how to use this medication?

Amoxicillin (veterinary equivalent: FISH-MOX, FISH-MOX FORTE, AQUA-MOX):  comes in 250mg and 500mg doses, usually taken 3 times a day.  Amoxicillin is the most popular antibiotic prescribed to children, usually in liquid form.  It is more versatile and better absorbed and tolerated than the older Pencillins, and is acceptable for use during pregnancy.
Ampicillin (Fish-Cillin) and Cephalexin (Fish-Flex) are related drugs. Amoxicillin may be used for the following diseases:

  • Anthrax  (Prevention or treatment of Cutaneous transmission)
  • Chlamydia Infection (sexually transmitted)
  • Urinary Tract Infection (bladder/kidney infections)
  • Helicobacter pylori Infection (causes peptic ulcer)
  • Lyme Disease (transmitted by ticks)
  • Otitis Media (middle ear infection)
  • Pneumonia (lung infection)
  • Sinusitis
  • Skin or Soft Tissue Infection (cellulitis, boils)
  • Actinomycosis (causes abscesses in humans and livestock)
  • Bronchitis
  • Tonsillitis/Pharyngitis (Strep throat)
You can see that Amoxicillin is a versatile drug. It is even safe for use during pregnancy, but all of the above is a lot of information. How do you determine what dose and frequency would be appropriate for which individual? Let’s take an example: Otitis media is a common ear infection often seen in children. Amoxicillin is often the “drug of choice” for this condition. That is, it is recommended to be used FIRST when you make a diagnosis of otitis media.

Before administering this medication, however, you would want to determine that your patient is not allergic to Amoxicillin. The most common form of allergy would appear as a rash, but diarrhea, itchiness, and even respiratory difficulty could also manifest. If you see any of these symptoms, you should discontinue your treatment and look for other options. Antibiotics such as Azithromycin or Sulfamethoxazole/Trimethoprim (Bird-Sulfa) could be a “second-line” solution in this case.

Once you have identified Amoxicillin as your treatment of choice to treat your patient’s ear infection, you will want to determine the dosage.  As Otitis Media often occurs in children, you might have to break a tablet in half or open the capsule to separate out a portion that would be appropriate.  For Amoxicillin, you would give 20-50mg per kilogram (2.2 pounds) of body weight (20-30mg/kg for infants less than four months old).  This would be useful if you have to give the drug to a toddler less than 30 pounds.

A common older child’s dosage would be 250mg and a common maximum dosage for adults would be 500 mg three times a day.  Luckily (or by design), these dosages are exactly how the commercially-made aquatic medications come in the bottle. Take this dosage orally 3 times a day for 10 to 14 days (twice a day for infants).  All of the above information can be found in the Physician’s Desk Reference.

If your child is too small to swallow a pill whole, you could make a mixture with water (called a “suspension”). To make a liquid suspension, crush a tablet or empty a capsule into a small glass of water and drink it; then, fill the glass again and drink that (particles may adhere to the walls of the glass).  You can add some flavoring to make it taste better.

Do not chew or make a liquid out of time-released capsules of any medication; you will wind up losing some of the gradual release effect and perhaps get too much into your system at once.  These medications should be plainly marked “Time-Released”.

You will probably see improvement within 3 days, but don’t be tempted to stop the antibiotic therapy until you’re done with the entire 10-14 days.  Sometimes, you’ll kill most of the bacteria but some colonies may persist and multiply if you prematurely end the treatment.  This is often cited as a cause of antibiotic resistance. In a long-term survival situation, however, you might be down to your last few pills and have to make some tough decisions.

Don’t use veterinary equivalents (except on your fish) in normal times. Consult your physician or other healthcare provider. Overuse of antibiotics is one of the main causes of antibiotic resistance today.

~~~FYI Superglue!
"Can I Really Use Superglue to Close My Wound?"
Using superglue to close a wound is possible, but not advisable. While using glue that you can buy in the store to close a wound would work, it also may produce extreme skin irritation and skin death when purchased in over-the-counter form. There are medical superglues that are often used in place of stitches to close certain types of wounds.

Superglue is made of a substance called cyanoacrylate. When it comes into contact with liquids like water, it forms a plastic mesh that will keep skin, or anything someone wants glued, neatly bonded together. Regular superglue has methyl alcohol, however, which creates heat in order to produce the bonding effect. Using this type of glue to close a wound in deep tissue could result in killing some of the surrounding skin cells.

It is true that the US military used superglue to close wounds during the Vietnam War. Most of the studies of problems resulting from use were recorded during this time. It is likely that doctors did save many lives with this procedure, however, because it gave them time to transport patients to M.A.S.H. units where they could have needed surgery.

Today, many medical facilities do use a medical form of superglue to close a wound, but only of certain types of wounds. This medical form includes cyanoacrylate, but also butyl, isobutyl, or octyl. These are thought to help prevent bacteria from infecting the wound. In the US, the Food and Drug Administration (FDA) has only approved the use of a few types of glue to close wounds.

Deciding to use medical superglue to close a wound is usually based on the type of wound. A long straight skin wound where the tissue naturally flaps back together is the ideal choice. Generally, it is not appropriate to use it to close a wound that is deep and reaches far into the body. Even with the medical form, some skin deterioration or irritation may occur and delay healing.

The best application of superglue to close a wound is on minor skin lesions. For someone who is not a medical professional, this should be a last choice decision, rather than a first choice one. It is far better to allow an expert to decide how to treat a wound when it is severe and bleeding may be occurring internally.

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