List Archives

Wed Jul 9 23:55:59 BST 2008

How long does the antibiotic effect on the tendons last? 

Jeffrey Hammond MD, MPH

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Charlene M Morris
Sent: Wednesday, July 09, 2008 6:41 PM
To: Surgblumm at aol.com; acc-circle at listserve.com; PAFORUM at mc.duke.edu;
trauma-list at trauma.org
Subject: FDA Warning: it's about time!!

As mentioned, Bob-- this was a spontaneous rupture-- WALKING ACROSS HIS
yard. Nothing strenuous, nor athletic-- and he'd been out of golf for
months-- because of the shoulder.

And so the "less than 2%" incidence meant the world of difference to my
friend.

And yes-- the onus is upon us to KNOW our drugs/interactions and dare I
say-- inform our patients?! If we are going to prescribe these medications,
we need to be aware of their potential problems.

I was never on the rezulin bandwagon-- reading the overseas problems and the
vioxx studies were there to scrutinize, if we looked. (Those are 2 of the
more recent debacles I recall.)

Charlene

Every [wo]man's work, whether it be literature or music or pictures or
architecture or anything else, is always a portrait of himself.
- -- Samuel Butler (1835-1902) British writer.

On Wed, Jul 9, 2008 at 5:50 PM, <Surgblumm at aol.com> wrote:

>  I agree Charlene, however I do ask patients if they engage in heavy 
> sports activities such as tennis, soccer,basketball, football, etc as 
> these are the type of sports that create the higher incidence of this 
> unfortunate problem. We are all armed with a prescription pad and have 
> the ability to study the PDR to advance our knowledge of potential 
> complications but as the number of drugs increase and the indications 
> multiply we are caught in the middle of this conundrum. I guess this 
> is the reason that many of us have thirty or so drugs that we 
> frequently prescribe; it affords us the opportunity to become 
> knowledgeable about contraindications, pharmokenetics and potential side
effects , etc.
> Cheers,
> Bob
>
>  Robert M. Blumm, MA, PA-C, DFAAPA
>
> " Always bear in mind that your own resolution to succeed is more 
> important than any other" *Abraham Lincoln, 1809-1865*
>
>   In a message dated 7/9/2008 5:15:40 P.M. Eastern Daylight Time, 
> cvmmorris at gmail.com writes:
>
> Of course you are correct, Bob-- but honestly-- how many of us READ 
> and
> heed-- and advise our patients on the PIs of the drugs we prescribe?! 
> This issue goes back to the discussion of a week or so ago: The 8 
> drugs your Dr won't take and calling drugs "poisons".
>
> My friend/patient said if he had been warned of the possible side 
> effect of tendon rupture, he would not have taken it!! 
> (Retrospectoscope:20/15)
>
> The orthopaedic physician now has a big sign by his nurse's phone: "no 
> more Levaquin:.
>
> C M Morris
>
>
> On 7/9/08, Surgblumm at aol.com <Surgblumm at aol.com> wrote:
>>
>>  i served as an expert witness on a case such as this five years ago 
>> and made the same findings and quoted the literature as this being a 
>> side effect 1% of the time.
>> Bob
>>
>> Robert M. Blumm, MA, PA-C, DFAAPA
>>
>> " Always bear in mind that your own resolution to succeed is more 
>> important than any other" *Abraham Lincoln, 1809-1865*
>>
>>  In a message dated 7/9/2008 2:05:20 P.M. Eastern Daylight Time, 
>> cvmmorris at gmail.com writes:
>>
>> WELCOME TO THE ACC-CIRCLE DISCUSSION LIST!
>> Strength in Unity: Join the ACC today: http://www.amcollege.org
>>
>> *********************************************************
>> Problem: http://www.fda.gov/bbs/topics/NEWS/2008/NEW01858.html
>> Solution for consideration:
>> http://www.injuryupdate.com.au/forum/archive/index.php/t-2505.html
>> http://www.injuryupdate.com.au/issues/nitratepatches.php
>>
>> ~1 year ago, a patient/friend was placed on postoperative levofloxin, 
>> for his R rotator cuff repair. He subsequently experienced TWO 
>> (bilateral) spontaneous achilles tendon ruptures. He is just now 
>> gettin' back on the golf links and despite multiple calls and visits 
>> to attorneys, he is just now getting calls about taking his case. 
>> (Note: no editorial comment!!)
>>
>> He improved on conservative care, yet was SIGNIFICENTLY better just a 
>> few weeks after using nitropatches, locally.
>>
>> Comments, expeiriences?
>>
>> C M Morris
>> *********************************************************
>> TO UNSUBSCRIBE OR CHANGE YOUR OPTIONS GO TO:
>> ACC-Circle mailing list
>> http://mailman.listserve.com/listmanager/listinfo/acc-circle
>> NOTE: To post a reply to the entire list, use your email program's 
>> *Reply To All* button; To reply to the sender only, use your email 
>> program's
>> *Reply* button.
>> NEED TO UNSUBSCRIBE?? *Please unsubscribe me* messages posted to the 
>> list are IGNORED. Go the the list web page to set your options.
>> PROBLEMS? Email the list administrator at 
>> acc-circle-owner at listserve.com
>>
>> Wear your professions patch proudly. If enough of us do, we will have 
>> a great PR campaign. WE NOW ALSO HAVE PINS.@$5.00 EACH 
>> http://amcollege.org/Patches.html
>>
>>
>>
>>
>>  ------------------------------
>> Get the scoop on last night's hottest shows and the live music scene 
>> in your area - Check out 
>> TourTracker.com<http://www.tourtracker.com/?NCID=aolmus00050000000112
>> >
>> !
>>
>
>
>
>
>  ------------------------------
> Get the scoop on last night's hottest shows and the live music scene 
> in your area - Check out 
> TourTracker.com<http://www.tourtracker.com/?NCID=aolmus00050000000112>
> !
>
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

FDA Warning: it's about time!!