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    This website was created by someone who has no medical training. The author makes no claim that he offers better advice than medical professionals offer. Various friends of the author have been afflicted with Lyme disease and/or bartonellosis. Their suffering has motivated him to gather the following information from doctors, online articles, afflicted friends, and personal experience in watching a loved one suffer. The accuracy of the technical information is dependent upon the accuracy of what he has heard and read from medical professionals and online articles including Wikipedia (although Wikipedia can be edited by anyone, it is heavily monitored and moderated so that the vast majority of information is provided by learned authors). The purpose of this website is to educate and help sufferers and their loved ones. The content may be freely used and distributed by anyone without notifying or compensating the author. Overview Transmission Detection Symptoms Effects on relationships Chronic Lyme disease Treatment Side effects of antibiotic treatment Alternative remedies Adjunctive substances and treatments Who needs to get tested Where to go for help Further reading and resources There are many vector-borne illnesses. sildenafil 25 (IV) or V (PO) Spectrum: Many strains of Streptococci (Drug of choice for Group A Strep - universally PCN sensitive), minority of Staphylococci (most are resistant) and some Enterococcus, most oral anaerobes, Syphilis (universally PCN sensitive). Used for: Strep throat and other infections due to Group A Strep, Syphilis (for neurosyphilis or pregnant women, must desensitize to PCN), bacteremia/endocarditis due to PCN sensitive Streptococcus, Enterococcus, or Staph aureus ( (PO) Spectrum: some Gram positives (Strep, Enterococcus, Listeria) but NOT MSSA, and limited Gram negative coverage. Notable gram negative holes include Klebsiella, Moraxella, and SPICE A organisms. Used for: Upper respiratory infections, sinusitis, otitis media, cellulitis, Listeria infections, UTI’s, early Lyme disease (alternative to Doxycycline), and more. Used for: Drug of choice for MSSA infections (unless PCN sensitive, which is rare). Good choice for cellulitis, osteomyelitis, endocarditis, and bacteremia from MSSA. Usually combined with beta lactamase inhibitors (see below) which confers broader activity; however, beta-lactamase component does not add activity vs Pseudomonas (so if Pseudomonas is sensitive, could use Piperacillin alone). addition of beta lactamase inhibitor confers broader spectrum against common beta-lactamase producing organisms (such as MSSA, some gram negatives including H.influenza, Moraxella, and virtually all anaerobes).

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    Waking up with a headache, and on top of it a blocked nose is a rough start to the day. If this becomes a routine occurrence and even the face hurts with general heaviness in the head, it’s a medical condition called Sinusitis. Sinuses are air-filled cavities within the skull bone. These hollow spaces in the skull are situated in cheek bones, forehead, behind the bridge of the nose and between the eyes. Another set is situated in the upper region of the nose and behind the eyes. All the sinuses have the same lining that is present in the nose. This lining produces mucus, which is drained out of the sinuses through an opening in the nose. As experienced and professional physicians, our doctors enjoy taking care of all skin problems such acne, eczema, psoriasis, skin cancer, abnormal moles, rashes, warts, as well as hair and nail problems. Sometimes the procedure may be performed in an outpatient surgical center with the assistance of an anesthesiologist. Our Mohs surgeons perform Mohs micrographic surgeries, excisions, and other state-of-the-art laser and cosmetic procedures.• What is Mohs micrographic Surgery (MMS)? Rarely, it is performed in an inpatient hospital setting. • Where can I find a doctor board certified in Mohs? Mohs micrographic surgery is usually performed in an outpatient setting like a doctor’s office and under local anesthetic (lidocaine). Most of these procedures are generally performed with the patient waiting in the office for the tissue to be “read” or interpreted by the Mohs surgeon. • What if I have artificial joints or other health issues? Mohs is usually scheduled only on certain days in the doctor’s office because of the required equipment, tissue stains (dye), Mohs technologists, and microscopes. Mohs allows for examination of 100% of the tumor margins thereby reducing the chance that tumor cells will be left behind. With regular or traditional surgery only about 1 to 3% of the tumor margins are actually examined thereby increasing the chances that a small tumor root would be missed and left behind.

    Azithromycin joint pain

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  3. Abstract. This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media AOM guideline from the American Academy of Pediatrics AAP and American Academy of Family Physicians.

    • The Diagnosis and Management of Acute Otitis Media - Pediatrics
    • Skin and Medical Topics - The Skin Center
    • Table 1 - UpToDate

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