Hepatitis and Lomeli Medical Data 82108

Medicine is an extremely fascinating and intriguing field and what is most precious is to study the gift of thought that has been given to Man. "We think; therefore, we are."

The first case on the video is of a lady that has an Amalgam Tattoo, benign. A dentist that saw the lesion panicked and tried to refer her to an oral surgeon. She consulted me instead and no surgery was needed. I followed this lady until her death of pancreatic cancer. Continuity of care with one provider is not only sacred, it is clinically important. A fragmented, market-based, healthcare system is absurd; it is too expensive and leaves many without insurance (47 million in the United States).

The second case is that of a white male with fibrosing basal cell carcinoma. When it was small, l/4th of inch, the HMO ignored it as nothing. Now he is uninsured, and it is going to take me a lot of work to cure him under local anesthesia. The biopsy took me less than two minutes. I applied a local anesthetic to small part of the lesion, and I performed a 2 mm punch biopsy. I cauterized the wound with silver nitrate. The whole procedure took me less than 5 minutes. Interesting, he was consulting me for acute prostatitis and then he said, "Can you look at this little rash?" It was all done a few months ago for less than $100.

The third case is of a 17-year-old with cellulitis that developed from the right foot, dorsal lateral aspect, after an insect bite. At first, he was very toxic, had high fever and his right groin was hurting (2º inguinal adenopathy). It finally resolved by treating him with two different antibiotics. He developed oral thrush (Candidiasis) due to the antibiotic, which resolved with Nystatin suspension. Why was he able to open his mouth so well? His brother has Ehlers-Danlos Syndrome (EDS). This patient's temporomandibular joint is hypermobile and seems to have a less degree of EDS. I treat my patients collectively and the data gathered allows me to connect rare events into an elegant form, which I find fulfilling.

The fourth case is of a young male with acute Hepatitis A. He looked well. If a patient seems toxic, the clinician must consider systemic bacterial infections, i.e., pneumonia, sepsis and infrequently Leptospirosis. Acute hemolysis can present with icterus (jaundice) and clinicians must keep this in mind. At present, some doctors are treating children with ear infections (otitis media) with Zithromax® oral suspension. Zithromax can cause jaundice. About two years ago, a girl was treated with this antibiotic and almost lost her liver. The clinician has better choices in the treatment of ear infections, especially if the child is not allergic to the penicillins. I still prefer Amoxicillin since its absorption is about 85% and there is less risk of pseduomembranous colitis, as compared to Ampicillin. Education paid by drug makers can hurt your patients. I don't trust the selective data they try to give us. It is often wrong and biased.

The next case is of a child with a non-pigmented nevus, benign.

The young girl I adopted out of Welfare is my half-sister, as well. My mother, while I was in high school, met a deadbeat dad that had kids all over. As soon as my sister was born, he abandoned her. By then, my mother was not at her best, and one day I took her to court and adopted my own sister. The welfare system is very good at dispensing our money without insuring that the responsible male (impregnator) is held accountable in some form. The system is collapsing. It is sad. All societies need a safety net in the form of limited social Welfare.

We need to reform our healthcare system at various levels so that the funding goes to the patient, nursing staff and physicians with medical value and medical infrastructure. Amgen Inc., a "powerful powerhouse," is at present boosting its capital lobbying. According to the L.A. Times, "Amgen now has more than two dozen politically connected lobbyists and consultants on the payroll." Amgen is in second place, just behind Pfizer, (Pfizer Inc. is the largest drug maker in the world; Pfizer lobbied, at the expense of humanity, to keep pseudoephedrine legal). According to the Los Angeles Times, Friday, August 17, 2007, Amgen, this summer, "held a fundraiser a its Ventura County headquarters for House Speaker Nancy Pelosi. Are we being governed like a third world banana republic? Our politicians make strange bedfellows. We need a third party, now more than ever, and we must make PSEUDOEPHEDRINE, THE DESTROYER OF LIFE, UNAVAILABLE.

Technorati: amalgam amgen cellulitis eds hepatitis lomeli luis md nancy oral pelosi pfizer pseudoephedrine tattoo thrush zithromax