Zpack why does you Sux?

[ForcedEntry]

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(that was my Ali G voice)

They don't know what's wrong with me, they just know what it is not. So 4:00 a.m. today I get a script for a Zpack from the emergency room.

Why does you sux?

 

[Priapism321]

(that was my Ali G voice)

They don't know what's wrong with me, they just know what it is not. So 4:00 a.m. today I get a script for a Zpack from the emergency room.

Why does you sux?

I don't know if this is a redundant question, but one of the main reasons is because they are rarely truely indicated and vastly overused. Inappropriate prescribing/use contributes to the rapid detioration of our already depleted antibiotic armamentarium.

http://www.reuters.com/article/healthNews/idUSL0826007820070209

Once again, not sure if the question was serious or not, but it is true, azithromycin, especially when sold as a Z-pack, indeed sucks.

 

[cycloketocaine]

Well, I know that Z-pack sux because he lives in Texass. Boo Aggies.

 

[Priapism321]

Well, I know that Z-pack sux because he lives in Texass. Boo Aggies.

Touche.

 

[Caverject]

Well, I know that Z-pack sux because he lives in Texass. Boo Aggies.

Anyone remember the statue of liberty play??

 

[Caverject]

Touche.

I've given you life and I can easily take it away...watch what you say!

 

[ZpackSux]

(that was my Ali G voice)

They don't know what's wrong with me, they just know what it is not. So 4:00 a.m. today I get a script for a Zpack from the emergency room.

Why does you sux?

Because Azithromycin, a macrolide is a bacteriostatic drug at zpack dosing..and now strep pneumo is highly resistant against zpack. That is why zpack is the sux.

 

[ZpackSux]

I don't know if this is a redundant question, but one of the main reasons is because they are rarely truely indicated and vastly overused. Inappropriate prescribing/use contributes to the rapid detioration of our already depleted antibiotic armamentarium.

http://www.reuters.com/article/healthNews/idUSL0826007820070209

Once again, not sure if the question was serious or not, but it is true, azithromycin, especially when sold as a Z-pack, indeed sucks.

good answer

 

[ZpackSux]

Well, I know that Z-pack sux because he lives in Texass. Boo Aggies.

Must I remind you of the Orange Bowl debacle ou performed against my Trojans few years back? You know... a hospital in Muskogee is our account...I could possibly be your preceptor in the future... I could make sure you enjoy your PharmD experience to 5 years instead of 4...

 

[ZpackSux]

Anyone remember the statue of liberty play??

We were talking about that just today!!

 

[ForcedEntry]

Because Azithromycin, a macrolide is a bacteriostatic drug at zpack dosing..and now strep pneumo is highly resistant against zpack. That is why zpack is the sux.

I thought as much.

Nice, considering the only explanation they have for me violently coughing up fresh blood is a bacterial infection/bronchitis, of which strep pneumo is the leading cause.

 

[ZpackSux]

I thought as much.

Nice, considering the only explanation they have for me violently coughing up fresh blood is a bacterial infection/bronchitis, of which strep pneumo is the leading cause.

You need a real antibiotic!

 

[ForcedEntry]

I see my PCP on Thursday. I will ask for a change of meds.

 

[ZpackSux]

I see my PCP on Thursday. I will ask for a change of meds.

You might have coughed up your lungs by then....

 

[Farmercyst]

We're starting to get in the realm of specific health related questions and outside SDN TOS. I hate to be a party pooper, but ......😡

 

[ForcedEntry]

We're starting to get in the realm of specific health related questions and outside SDN TOS. I hate to be a party pooper, but ......😡

shush!

He just offered his opinion on why azythromiacin sux.

it remained general and Zpack didn't recommend a specific replacement and I didn't solicit one. A discussion among internet aquaintances regarding our personal health issues is not a TOS violation unless we solicit medical advice.

Furthermore, it is the same as debating the merits of schedule B.



Anyway, back to me sharing my personal story without soliciting advice...

So there I am, grilling mesquite lime chicken on the grill. The smell was so inviting I took a deep enough whiff to bath my palate in the aroma. Then it began.

It was a short, cursory cough. The kind you get when you accidentally inhale a small, as in two or three drops, amount of saliva. I didn't think much of it.

cough, cough, cough

A small hiccup accompanied each cough. I thought, "Maybe a little more forceful, I only need to clear my throat."

CougH, CougH,CougH

In the back of my throat I felt a constant flow of fluid. When the hell did I forget how to swallow? I needed to cough opened mouthed so I leaned over the kitchen sink.

CoUgH, CoUgH, CoUgH

Blood droplets smattered the stainless steel.

COUGH, COUGH, COUGH

My body was consumed with the feeling of mozzarella cheese in laryngeal purgatory; trapped half way between my mouth and stomach. I felt my body turn inside out. It was uncontrolled violence, and the blood pools were reminiscient of a Tiajuana alleyway mugging. My lungs were immersed in a hard bleed.

Eventually, it subsided, I wiped my watery eyes dry, and caught my breath. I wrote it off as simply being a ruptured blood vessel from a hard cough. But hell, I'm 34 years old. I have coughed plenty of times before and never bled. What the ****? We ate dinner and watched Heroes.

Afterwards, I felt unexpectedly tired. I started to get ready for bed and the cough came back. This time without the gradual upswing. Pure blood all over again. I felt my thorax and abdomen cramp from the force of each cough.

I went to the emergency room.

"Do you smoke?" the triage nurse asked.
"Do you smoke?" nurse Joe asked as he placed a shunt catheter in my left arm.
"Do you smoke?" asked Dr. LeFleche.
"Do you smoke?" asked the chest x-ray tech (I don't have pneumonia).
"Do you smoke?" asked the EKG tech (No cardiac distress from a pulmonary embolism).
"Do you smoke?" asked the CT scan tech (No tumors, tuberculosis, pulmonary embolism, or edema).

In fact, my lungs are clear and yes, I smoke.

4:00 a.m. I get a bill for $75.00 and a script for ****ing antibiotics. They have no idea what is wrong with me, but they know what it is not. I have a follow-up in two days with another in a week. Weird part is I feel perfectly healthy.

The moral of the story: stay away from mesquite lime chicken. and quit smoking

 

[ZpackSux]

mesquite lime chicken is the evil

 

[cycloketocaine]

Must I remind you of the Orange Bowl debacle ou performed against my Trojans few years back? You know... a hospital in Muskogee is our account...I could possibly be your preceptor in the future... I could make sure you enjoy your PharmD experience to 5 years instead of 4...

You mean THE hospital in Muskogee......

 

[ZpackSux]

You mean THE hospital in Muskogee......

so you know which one....

 

[cycloketocaine]

so you know which one....

Well, seeing as there is only one hospital........yeah, I know where it is....

And, I'll respond to the other posts later......gotta go to work........👎

Oh, and my owner's wife works there...

 

[ZpackSux]

Well, seeing as there is only one hospital........yeah, I know where it is....

And, I'll respond to the other posts later......gotta go to work........👎

Oh, and my owner's wife works there...

what a small little world..... 😎

 

[sdn1977]

shush!

He just offered his opinion on why azythromiacin sux.

it remained general and Zpack didn't recommend a specific replacement and I didn't solicit one. A discussion among internet aquaintances regarding our personal health issues is not a TOS violation unless we solicit medical advice.

Furthermore, it is the same as debating the merits of schedule B.



Anyway, back to me sharing my personal story without soliciting advice...

So there I am, grilling mesquite lime chicken on the grill. The smell was so inviting I took a deep enough whiff to bath my palate in the aroma. Then it began.

It was a short, cursory cough. The kind you get when you accidentally inhale a small, as in two or three drops, amount of saliva. I didn't think much of it.

cough, cough, cough

A small hiccup accompanied each cough. I thought, "Maybe a little more forceful, I only need to clear my throat."

CougH, CougH,CougH

In the back of my throat I felt a constant flow of fluid. When the hell did I forget how to swallow? I needed to cough opened mouthed so I leaned over the kitchen sink.

CoUgH, CoUgH, CoUgH

Blood droplets smattered the stainless steel.

COUGH, COUGH, COUGH

My body was consumed with the feeling of mozzarella cheese in laryngeal purgatory; trapped half way between my mouth and stomach. I felt my body turn inside out. It was uncontrolled violence, and the blood pools were reminiscient of a Tiajuana alleyway mugging. My lungs were immersed in a hard bleed.

Eventually, it subsided, I wiped my watery eyes dry, and caught my breath. I wrote it off as simply being a ruptured blood vessel from a hard cough. But hell, I'm 34 years old. I have coughed plenty of times before and never bled. What the ****? We ate dinner and watched Heroes.

Afterwards, I felt unexpectedly tired. I started to get ready for bed and the cough came back. This time without the gradual upswing. Pure blood all over again. I felt my thorax and abdomen cramp from the force of each cough.

I went to the emergency room.

"Do you smoke?" the triage nurse asked.
"Do you smoke?" nurse Joe asked as he placed a shunt catheter in my left arm.
"Do you smoke?" asked Dr. LeFleche.
"Do you smoke?" asked the chest x-ray tech (I don't have pneumonia).
"Do you smoke?" asked the EKG tech (No cardiac distress from a pulmonary embolism).
"Do you smoke?" asked the CT scan tech (No tumors, tuberculosis, pulmonary embolism, or edema).

In fact, my lungs are clear and yes, I smoke.

4:00 a.m. I get a bill for $75.00 and a script for ****ing antibiotics. They have no idea what is wrong with me, but they know what it is not. I have a follow-up in two days with another in a week. Weird part is I feel perfectly healthy.

The moral of the story: stay away from mesquite lime chicken. and quit smoking

Note to self: Decline the invitation for mesquite chicken at the ForcedEntry house!

Oh....anyone mention along the way - stop smoking🙄 j/king!

 

[ForcedEntry]

Note to self: Decline the invitation for mesquite chicken at the ForcedEntry house!

Oh....anyone mention along the way - stop smoking🙄 j/king!

I'm 31 hrs 16 mins smoke free. 🙂 I didn't like the involuntary impression of Val Kilmer's Doc Holliday in Tombstone.

 

[sdn1977]

I'm 31 hrs 16 mins smoke free. 🙂 I didn't like the involuntary impression of Val Kilmer's Doc Holliday in Tombstone.

Good job Forced!!!! Keep at it....you know, right, its a long, long process????

That is one of the hardest things I have to get across to pts....how long the process is & how often you can backslide (which is ok).

Hope you're feeling better now!!!

How's Cyclo btw.....I've lost sight of that thread????? She sure had a rough go - are you anywhere Cyclo????

 

[ForcedEntry]

Yea, I thought better to do it now while I am on a break than wait 4 more years until I have a less stressful environment

When the heck are they going to synthesize a nicotine receptor blocker? Oh wait...Chantix. I was searching while typing. Anyone heard the good or bad of it? Cost?

Hell, they should compound it with wellbutrin. Oh baby...make a million. Gotta call my compounding friend (Dana's compounding professor).

 

[cycloketocaine]

How's Cyclo btw.....I've lost sight of that thread????? She sure had a rough go - are you anywhere Cyclo????

Here I am!!!! I still have a small open wound, but that Wound VAC worked wonders!!! They put it on last Wed, and by Fri, it had gone from almost 2 and 1/2 INCHES deep to 1 CM deep!!! I was quite impressed, as was my home health nurse and my doctor. Anyhoo, I haven't had any Crohn's symptoms since my surgery *knocks on wood* My surgeon is my hero.....(except for the whole cutting me open without any pain med thing.)

Thanks for asking!!!

Hey Z.........I gotta a serious question...😱 😱 ....I thought, at least in OK, that to be a preceptor, you had to have your own license from the state board. I know that I have to fill out this whole test thing for my boss. Anyway, just curious.

Forced....hang in there!!! You can do it!!!!!!👍 👍

 

[cycloketocaine]

Yea, I thought better to do it now while I am on a break than wait 4 more years until I have a less stressful environment

When the heck are they going to synthesize a nicotine receptor blocker? Oh wait...Chantix. I was searching while typing. Anyone heard the good or bad of it? Cost?

Hell, they should compound it with wellbutrin. Oh baby...make a million. Gotta call my compounding friend (Dana's compounding professor).

Chantix is kinda expensive, I think about 90-100 a month without insurance.

 

[DrugDealer]

Chantix is kinda expensive, I think about 90-100 a month without insurance.

At my store it's about $130/month without insurance. At New Year's, when everyone was trying to quit smoking, no one's insurance covered it. Most of the scripts I see now are covered. Most of the patients I've chatted with rave about it, so I think it works in the short-term; don't know about long-term success yet. It does cause stomach upset (I think that's why it's tapered up over a week), and we talked at school about how it causes crazy vivid dreams--and from talking to patients, this seems to be true!

 

[Dustbunny]

Chantix is cheaper than f'n cigarettes, natch.

Stick that in your crack pipe and smoke it.

 

[Jbuprepharm]

chantix is 112.99 at my store without insurance, come on over, we'll get you set up. That's cheaper than coughing up blood

 

[ZpackSux]

chantix and zyban both increase the mesolimbic dopaminergic activity... the feel good chemical in the reward center of the brain. There were 2 large trials past 4 years comparing placebo, zyban 150mg BID and Chantix...measuring continuous abstinence through 9 to 12 weeks..through 52weeks...

Short term, Chantix was most effective...but the continuous abstinence through 52 weeks were achieved by less than 20% for both chantix and zyban.

Read the studies... it's good for ya.

Bottom Line.... Forced Entry... you can't quit smoking. It's stronger than you. Even if you quit and nicotine free with no withdrawal, you'll never be craving free... ever. You're screwed.

 

[ZpackSux]

Here I am!!!! I still have a small open wound, but that Wound VAC worked wonders!!! They put it on last Wed, and by Fri, it had gone from almost 2 and 1/2 INCHES deep to 1 CM deep!!! I was quite impressed, as was my home health nurse and my doctor. Anyhoo, I haven't had any Crohn's symptoms since my surgery *knocks on wood* My surgeon is my hero.....(except for the whole cutting me open without any pain med thing.)

Thanks for asking!!!

Hey Z.........I gotta a serious question...😱 😱 ....I thought, at least in OK, that to be a preceptor, you had to have your own license from the state board. I know that I have to fill out this whole test thing for my boss. Anyway, just curious.

Forced....hang in there!!! You can do it!!!!!!👍 👍

What..... you don't think I can get licensed in ok?😛

 

[ForcedEntry]

Bottom Line.... Forced Entry... you can't quit smoking. It's stronger than you. Even if you quit and nicotine free with no withdrawal, you'll never be craving free... ever. You're screwed.

I'm touched. You remembered.

 

[cycloketocaine]

What..... you don't think I can get licensed in ok?😛

No comment.......😉

 

[ForcedEntry]

[YOUTUBE]http://youtube.com/watch?v=4cT-BQLX6nU[/YOUTUBE]

 

[ZpackSux]

so you cut down to 12 cigs a day?

 

[ForcedEntry]

 

[ZpackSux]

You cutdown to 12 cigs per day Cold Turkey???

You da Man!!!!!

go get you some Nicotine Patches... apply 3 of 21mgs... then keep chewing the nicorette gums...

 

[ForcedEntry]

 

[ZpackSux]

Ahhh...but smoking is so much fun and sexy...

 

[ForcedEntry]

 

[ZpackSux]

 

[sdn1977]

Isn't that the "Winston" or "Marlborough" man?

I think that guy died of lung ca a few years back....he'd become a real militant anti-smoking guy at the end.

So..Forced - I haven't clicked on this thread much, but how's the quitting smoking thing going? You gotta do it now since Zpak is goading you!

 

[ForcedEntry]

Blasphemer, that's James Dean!


After 16 years, I quit cold turkey on 5/15. I also started the looooong path to getting back to my former Marine Corps physique. My 6-pack has been slowly transforming into a kevlar helmet. Give me 4 months and I will be back to 118 sit-ups in 2 minutes, 45 pull-ups, and a 20 minute, 3 mile run. 👍

 

[ZpackSux]

Blasphemer, that's James Dean!


After 16 years, I quit cold turkey on 5/15. I also started the looooong path to getting back to my former Marine Corps physique. My 6-pack has been slowly transforming into a kevlar helmet. Give me 4 months and I will be back to 118 sit-ups in 2 minutes, 45 pull-ups, and a 20 minute, 3 mile run. 👍

A real marine would do 120 sit-ups...in 2 minutes.

 

[ZpackSux]

And in 4 months...you'll be in pharmacy school...... pharmacy school will leave you with less time to workout than your marinehood dayz.....

Then you can go back to your post-marine physique.....

😛

 

[ForcedEntry]

And in 4 months...you'll be in pharmacy school...... pharmacy school will leave you with less time to workout than your marinehood dayz.....

Then you can go back to your post-marine physique.....

😛

You're a bizarro Anthony Robbins

 

[sdn1977]

Blasphemer, that's James Dean!


After 16 years, I quit cold turkey on 5/15. I also started the looooong path to getting back to my former Marine Corps physique. My 6-pack has been slowly transforming into a kevlar helmet. Give me 4 months and I will be back to 118 sit-ups in 2 minutes, 45 pull-ups, and a 20 minute, 3 mile run. 👍

Sorry! I guess I should be embarassed, but really - he died when I was a little child. I admit, I wasn't a James Dean follower - as old as I am - I'm NOT THAT OLD!!!!! (I do admit though to wondering about what everyone was getting all worked up about with Elvis's hips - I was about 11....😳. I figured it out later...😉).

Good job though on the quitting! Almost at the one month point....

Is a kevlar helmet look a good thing???🙄

Whatever - I don't care how many sit ups you do or how fast you can run - as long as you don't smoke at all - at whatever you do!

Good job!!!😀

 

[howsoonisnow]

I just read this post through from the beginning. Mesquite chicken, tuberculosis, followed by forced entry by a guy with a kevlar physique. Sounds like a dream date.

In the immortal words of Rosanne Rosannadanna- "you sound like a real attractive guy."

Seriously though, kudos on quitting smoking.👍

 

[ForcedEntry]