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Hi everyone,

I'm in the UK. I was told to take antibiotics - 3 grams of Amoxicilin

powder in water an hour before I visited the hygenist as this is more

invasive (can make your gums bleed) than having fillings. My dentist

said that current guidelines state that it's only necessary to take

antibiotics in the three-month period post op, until the hip capsule

heals. But my surgeon said that the reason they say this is purely

to save money on giving loads of people antibiotics on a " regular "

basis, not because it becomes " safe " after three months. So who do I

believe?

I agree with a post in this thread and do not want to take

antibiotics at all (I hadn't for five years pre op) but am quite

scared now as I don't want to get a major infection. My mother, who

had a total hip replacement about nine years ago, was never told

anything about antibiotics for dental work and she is fine.

Lili

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Hi everyone,

I'm in the UK. I was told to take antibiotics - 3 grams of Amoxicilin

powder in water an hour before I visited the hygenist as this is more

invasive (can make your gums bleed) than having fillings. My dentist

said that current guidelines state that it's only necessary to take

antibiotics in the three-month period post op, until the hip capsule

heals. But my surgeon said that the reason they say this is purely

to save money on giving loads of people antibiotics on a " regular "

basis, not because it becomes " safe " after three months. So who do I

believe?

I agree with a post in this thread and do not want to take

antibiotics at all (I hadn't for five years pre op) but am quite

scared now as I don't want to get a major infection. My mother, who

had a total hip replacement about nine years ago, was never told

anything about antibiotics for dental work and she is fine.

Lili

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Good for you Heidi ! More money in antibiotics and other drugs than there is

in natural products. That is the bottom line.

ec

My husband has a degree in pharmacy and one of the first things the professor

told the class, " Remember one thing and that is every drug is a potential

poison ! " .

Heidi Eisenmann- wrote:

> The old dental dilemma raises its head again... I agonized over this for

> some time, especially because I got such conflicting reports. Mr. Treacy,

> who did my operation, was not concerned about dental work unless it was

> something major. My dentist here in the states said the general

> recommendation was to take antibiotics for the first two years after the

> operation even for teeth cleaning. Since then I've changed dentists, and my

> new one said the info he has says it's not generally recommended for people

> with hip replacements. So there you have it. I think the US doctors do

> recommend antibiotics a lot more than the UK doctors. It's a problem we all

> have to wrestle with and make up our minds about. I think age, general

> health and maybe other factors play a large role. I took antibiotics the

> first two times after my operation, at six months and one year. I have now

> decided not to take them except for drastic things like root canal. My gums

> are in pretty good shape, I'm in good general health, and I believe that

> taking big doses of antibiotics twice a year could very well weaken the

> immune system and make one more prone to infection. I use echinacea and

> golden seal, garlic and vitamin c and hope for the best.

> Those stats on infection rate in the UK were encouraging. Thanks for

> sharing.

>

> Best,

> Heidi

>

> _________________________________________________________________

> Get faster connections -- switch to MSN Internet Access!

> http://resourcecenter.msn.com/access/plans/default.asp

>

>

>

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Good for you Heidi ! More money in antibiotics and other drugs than there is

in natural products. That is the bottom line.

ec

My husband has a degree in pharmacy and one of the first things the professor

told the class, " Remember one thing and that is every drug is a potential

poison ! " .

Heidi Eisenmann- wrote:

> The old dental dilemma raises its head again... I agonized over this for

> some time, especially because I got such conflicting reports. Mr. Treacy,

> who did my operation, was not concerned about dental work unless it was

> something major. My dentist here in the states said the general

> recommendation was to take antibiotics for the first two years after the

> operation even for teeth cleaning. Since then I've changed dentists, and my

> new one said the info he has says it's not generally recommended for people

> with hip replacements. So there you have it. I think the US doctors do

> recommend antibiotics a lot more than the UK doctors. It's a problem we all

> have to wrestle with and make up our minds about. I think age, general

> health and maybe other factors play a large role. I took antibiotics the

> first two times after my operation, at six months and one year. I have now

> decided not to take them except for drastic things like root canal. My gums

> are in pretty good shape, I'm in good general health, and I believe that

> taking big doses of antibiotics twice a year could very well weaken the

> immune system and make one more prone to infection. I use echinacea and

> golden seal, garlic and vitamin c and hope for the best.

> Those stats on infection rate in the UK were encouraging. Thanks for

> sharing.

>

> Best,

> Heidi

>

> _________________________________________________________________

> Get faster connections -- switch to MSN Internet Access!

> http://resourcecenter.msn.com/access/plans/default.asp

>

>

>

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In my practice here in the US I have patients who are never told about the need

for pre-med prior to dental treatment. We screen our patients by taking a

current health history at each visit. I do not treat without pre-med. It is

prescribed either by my office or the patient's surgeon. Every dental practice

should do the same, but many don't. Dr De Smet recommends pre-med for his hip

patients as well. I asked. The ADA is revising its recommendations for patients

whose artificial joints have been in place 7 years.

Re: Dental Treatment

>

> hello everyone,

> Firstly let me thank everyone for their contributions - I really

appreciate

> hearing other peoples experiences.

> Reading your messages, I have become rather concerned about the

possibility

> of infection due to dental treatment.

> I was resurfed in the UK 24.09.02 and am recovering happily.

Although I was

> given fairly comprehensive post - op behaviour instructions NO

MENTION WAS

> EVER MADE ABOUT TAKING ANTIBIOTICS PRIOR TO DENTAL TREATMENT. Is

this

> simply a N American / Antipodean problem or do we Europeans run the

same

> risk? (LOL). I would appreciate more information about this.

> Additionally, have any other UK surfers been given instructions

about

> antibiotic treatment pre dentistry?

> Thanks once again.

>

>

,

I'm a UK surfer (McMinn, April 02) and have never been given

instructions about antibiotics pre-dentistry. Went for my 6 month

check last week and no mention made of this (we discussed my op.!)and

I didn't ask about it.

Stella

>

>

>

>

>

>

> _________________________________________________________________

> Internet access plans that fit your lifestyle -- join MSN.

> http://resourcecenter.msn.com/access/plans/default.asp

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In my practice here in the US I have patients who are never told about the need

for pre-med prior to dental treatment. We screen our patients by taking a

current health history at each visit. I do not treat without pre-med. It is

prescribed either by my office or the patient's surgeon. Every dental practice

should do the same, but many don't. Dr De Smet recommends pre-med for his hip

patients as well. I asked. The ADA is revising its recommendations for patients

whose artificial joints have been in place 7 years.

Re: Dental Treatment

>

> hello everyone,

> Firstly let me thank everyone for their contributions - I really

appreciate

> hearing other peoples experiences.

> Reading your messages, I have become rather concerned about the

possibility

> of infection due to dental treatment.

> I was resurfed in the UK 24.09.02 and am recovering happily.

Although I was

> given fairly comprehensive post - op behaviour instructions NO

MENTION WAS

> EVER MADE ABOUT TAKING ANTIBIOTICS PRIOR TO DENTAL TREATMENT. Is

this

> simply a N American / Antipodean problem or do we Europeans run the

same

> risk? (LOL). I would appreciate more information about this.

> Additionally, have any other UK surfers been given instructions

about

> antibiotic treatment pre dentistry?

> Thanks once again.

>

>

,

I'm a UK surfer (McMinn, April 02) and have never been given

instructions about antibiotics pre-dentistry. Went for my 6 month

check last week and no mention made of this (we discussed my op.!)and

I didn't ask about it.

Stella

>

>

>

>

>

>

> _________________________________________________________________

> Internet access plans that fit your lifestyle -- join MSN.

> http://resourcecenter.msn.com/access/plans/default.asp

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In my practice here in the US I have patients who are never told about the need

for pre-med prior to dental treatment. We screen our patients by taking a

current health history at each visit. I do not treat without pre-med. It is

prescribed either by my office or the patient's surgeon. Every dental practice

should do the same, but many don't. Dr De Smet recommends pre-med for his hip

patients as well. I asked. The ADA is revising its recommendations for patients

whose artificial joints have been in place 7 years.

Re: Dental Treatment

>

> hello everyone,

> Firstly let me thank everyone for their contributions - I really

appreciate

> hearing other peoples experiences.

> Reading your messages, I have become rather concerned about the

possibility

> of infection due to dental treatment.

> I was resurfed in the UK 24.09.02 and am recovering happily.

Although I was

> given fairly comprehensive post - op behaviour instructions NO

MENTION WAS

> EVER MADE ABOUT TAKING ANTIBIOTICS PRIOR TO DENTAL TREATMENT. Is

this

> simply a N American / Antipodean problem or do we Europeans run the

same

> risk? (LOL). I would appreciate more information about this.

> Additionally, have any other UK surfers been given instructions

about

> antibiotic treatment pre dentistry?

> Thanks once again.

>

>

,

I'm a UK surfer (McMinn, April 02) and have never been given

instructions about antibiotics pre-dentistry. Went for my 6 month

check last week and no mention made of this (we discussed my op.!)and

I didn't ask about it.

Stella

>

>

>

>

>

>

> _________________________________________________________________

> Internet access plans that fit your lifestyle -- join MSN.

> http://resourcecenter.msn.com/access/plans/default.asp

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Hi Sue,

I think there are some homopathic remedies one can take and possibly in our

situation we would all be advised to keep our immune system functioning well

.............. again some homopathic remedies are suggested for

that........... though I would have to go find out what those are and

probably should.............

Otherwise I suspect just keeping the health in good nick with eating well,

exercising - which most of us are so glad we can do again...........and not

getting too stressed etc............ i.e. all those boring things most

people are advised to do to preserve their

health..............smile...........

Edith

>

> > Hi,

> >

> > I don't know all this sounds like too much antibotic taking for

> > me.............

>

> I'm with you, " ecrow " .... not that I have dental work done that often,

> but regular rounds of antibiotics can damage the immune

> system, right? As you said, killing off the good bugs as well...

> are there any alternative ideas to anti-biotics?

> Sue

>

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Hi Sue,

I think there are some homopathic remedies one can take and possibly in our

situation we would all be advised to keep our immune system functioning well

.............. again some homopathic remedies are suggested for

that........... though I would have to go find out what those are and

probably should.............

Otherwise I suspect just keeping the health in good nick with eating well,

exercising - which most of us are so glad we can do again...........and not

getting too stressed etc............ i.e. all those boring things most

people are advised to do to preserve their

health..............smile...........

Edith

>

> > Hi,

> >

> > I don't know all this sounds like too much antibotic taking for

> > me.............

>

> I'm with you, " ecrow " .... not that I have dental work done that often,

> but regular rounds of antibiotics can damage the immune

> system, right? As you said, killing off the good bugs as well...

> are there any alternative ideas to anti-biotics?

> Sue

>

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Here is the joint recommendation of the American Dental Association

and American Academy of Orthopaedic Surgeons on antibiotic prophylaxis

after joint replacement:

http://www.aaos.org/wordhtml/papers/advistmt/denta.htm

Assuming no other risk factors (immunosuppression, diabetes, etc.),

they recommend taking a single dose of antibiotics one hour prior to

dental work for the first two years after joint replacement.

Jim

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Following is a copy of my e-mail I sent to the group in December of

2001. I am posting this again because of the current discussion about

the use of anti-biotics before dental work. I've read how some people

think they are " helping " their immune systems by not taking the

antibiotics. I think in a situation where a large amount of bacteria is

released into the bloodstream, i.e. during dental work, you are actually

helping your immune system deal with an atypical situation by taking the

antibiotics. Plus with metal implants the bacteria has a tendency to

congregate at the implant site. I wouldn't want to be three years in

with my Conserve+ to then have it removed while my infection clears. I

also will be going to the dentist on Wednesday for a teeth cleaning. I

will be taking my usual dose of 2,000 mg of Amoxicillin for " cheap

insurance " .

I thought it was common knowledge to take antibiotics before dental

work. But last week when I went in for my first annual checkup, left

hip Conserve+ 12/18/00, I saw a person who was three years post-op with

a Conserve+. They were limping and explained that there was going to be

an exploratory surgery on the next day. They had not taken any

antibiotics before dental work the week before because they didn't think

they were necessary and neither did their dentist. I thought it was

clear from the handbook and in taking to Dr. Amstutz and my dentist that

it was " cheap insurance " . I just wanted to let anybody know who didn't

know this already.

Talk to you later,

Darrin Pampaian

dpampaian@...

_________________________________________________________________

Get faster connections -- switch to MSN Internet Access!

http://resourcecenter.msn.com/access/plans/default.asp

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Following is a copy of my e-mail I sent to the group in December of

2001. I am posting this again because of the current discussion about

the use of anti-biotics before dental work. I've read how some people

think they are " helping " their immune systems by not taking the

antibiotics. I think in a situation where a large amount of bacteria is

released into the bloodstream, i.e. during dental work, you are actually

helping your immune system deal with an atypical situation by taking the

antibiotics. Plus with metal implants the bacteria has a tendency to

congregate at the implant site. I wouldn't want to be three years in

with my Conserve+ to then have it removed while my infection clears. I

also will be going to the dentist on Wednesday for a teeth cleaning. I

will be taking my usual dose of 2,000 mg of Amoxicillin for " cheap

insurance " .

I thought it was common knowledge to take antibiotics before dental

work. But last week when I went in for my first annual checkup, left

hip Conserve+ 12/18/00, I saw a person who was three years post-op with

a Conserve+. They were limping and explained that there was going to be

an exploratory surgery on the next day. They had not taken any

antibiotics before dental work the week before because they didn't think

they were necessary and neither did their dentist. I thought it was

clear from the handbook and in taking to Dr. Amstutz and my dentist that

it was " cheap insurance " . I just wanted to let anybody know who didn't

know this already.

Talk to you later,

Darrin Pampaian

dpampaian@...

_________________________________________________________________

Get faster connections -- switch to MSN Internet Access!

http://resourcecenter.msn.com/access/plans/default.asp

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Great post Darrin. I hear all too often of infections created by bacteremias

following dental visits. That is why my office is so careful about screening

patients prior to dental procedures.

Jude

De Smet 09/11/02

RE: dental treatment

Following is a copy of my e-mail I sent to the group in December of

2001. I am posting this again because of the current discussion about

the use of anti-biotics before dental work. I've read how some people

think they are " helping " their immune systems by not taking the

antibiotics. I think in a situation where a large amount of bacteria is

released into the bloodstream, i.e. during dental work, you are actually

helping your immune system deal with an atypical situation by taking the

antibiotics. Plus with metal implants the bacteria has a tendency to

congregate at the implant site. I wouldn't want to be three years in

with my Conserve+ to then have it removed while my infection clears. I

also will be going to the dentist on Wednesday for a teeth cleaning. I

will be taking my usual dose of 2,000 mg of Amoxicillin for " cheap

insurance " .

I thought it was common knowledge to take antibiotics before dental

work. But last week when I went in for my first annual checkup, left

hip Conserve+ 12/18/00, I saw a person who was three years post-op with

a Conserve+. They were limping and explained that there was going to be

an exploratory surgery on the next day. They had not taken any

antibiotics before dental work the week before because they didn't think

they were necessary and neither did their dentist. I thought it was

clear from the handbook and in taking to Dr. Amstutz and my dentist that

it was " cheap insurance " . I just wanted to let anybody know who didn't

know this already.

Talk to you later,

Darrin Pampaian

dpampaian@...

_________________________________________________________________

Get faster connections -- switch to MSN Internet Access!

http://resourcecenter.msn.com/access/plans/default.asp

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I agree with you, and sure hope that poor soul doesn't lose their

C+! I'm even allergic to most antibiotics - particularly

amoxicillin (break out in a lovely case of hives after a few days of

taking them) so it was with some trepidation that I took my huge

dose before a dental cleaning last month.

But the one large dose didn't affect me at all (yay!) and I sure

feel like this hip is waaaay too precious to risk with an infection

that is preventable; even if it is a remote possibility, as some

have posted.

Deb

>

> Following is a copy of my e-mail I sent to the group in December of

> 2001. I am posting this again because of the current discussion

about

> the use of anti-biotics before dental work. I've read how some

people

> think they are " helping " their immune systems by not taking the

> antibiotics. I think in a situation where a large amount of

bacteria is

> released into the bloodstream, i.e. during dental work, you are

actually

> helping your immune system deal with an atypical situation by

taking the

> antibiotics. Plus with metal implants the bacteria has a tendency

to

> congregate at the implant site. I wouldn't want to be three years

in

> with my Conserve+ to then have it removed while my infection

clears. I

> also will be going to the dentist on Wednesday for a teeth

cleaning. I

> will be taking my usual dose of 2,000 mg of Amoxicillin for " cheap

> insurance " .

>

>

> I thought it was common knowledge to take antibiotics before dental

> work. But last week when I went in for my first annual checkup,

left

> hip Conserve+ 12/18/00, I saw a person who was three years post-op

with

> a Conserve+. They were limping and explained that there was going

to be

> an exploratory surgery on the next day. They had not taken any

> antibiotics before dental work the week before because they didn't

think

> they were necessary and neither did their dentist. I thought it

was

> clear from the handbook and in taking to Dr. Amstutz and my

dentist that

> it was " cheap insurance " . I just wanted to let anybody know who

didn't

> know this already.

>

> Talk to you later,

>

> Darrin Pampaian

> dpampaian@e...

>

>

>

>

>

>

> _________________________________________________________________

> Get faster connections -- switch to MSN Internet Access!

> http://resourcecenter.msn.com/access/plans/default.asp

>

>

>

>

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Hi Darrin,

Well I ended up giving in.............just swallowed 6 capsules of antibotic

before my dental appointment in 1 and half hours........... I guess I just

couldn't bear placing any risk on my new hip, I love my freedom too much

when I thought about it.......... smile.............. My surgeon advised it

and as he has gotten me this far I figured I would be wise following his

advice........

Edith

>

> Following is a copy of my e-mail I sent to the group in December of

> 2001. I am posting this again because of the current discussion about

> the use of anti-biotics before dental work. I've read how some people

> think they are " helping " their immune systems by not taking the

> antibiotics. I think in a situation where a large amount of bacteria is

> released into the bloodstream, i.e. during dental work, you are actually

> helping your immune system deal with an atypical situation by taking the

> antibiotics. Plus with metal implants the bacteria has a tendency to

> congregate at the implant site. I wouldn't want to be three years in

> with my Conserve+ to then have it removed while my infection clears. I

> also will be going to the dentist on Wednesday for a teeth cleaning. I

> will be taking my usual dose of 2,000 mg of Amoxicillin for " cheap

> insurance " .

>

>

> I thought it was common knowledge to take antibiotics before dental

> work. But last week when I went in for my first annual checkup, left

> hip Conserve+ 12/18/00, I saw a person who was three years post-op with

> a Conserve+. They were limping and explained that there was going to be

> an exploratory surgery on the next day. They had not taken any

> antibiotics before dental work the week before because they didn't think

> they were necessary and neither did their dentist. I thought it was

> clear from the handbook and in taking to Dr. Amstutz and my dentist that

> it was " cheap insurance " . I just wanted to let anybody know who didn't

> know this already.

>

> Talk to you later,

>

> Darrin Pampaian

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> I agree with you, and sure hope that poor soul doesn't lose their

> C+! I'm even allergic to most antibiotics - particularly

> amoxicillin (break out in a lovely case of hives after a few days of

> taking them) so it was with some trepidation that I took my huge

> dose before a dental cleaning last month.

Deb,

Does the doc who prescribed the amoxicillin know about your hives?

Most won't prescribe any penicillin/amoxicillin variety if you've ever

had any kind of reaction, even just hives, because of the risk that

you might develop a more severe reaction. (Anaphylactic shock is not

something to mess with.) You might want to discuss your reaction with

the prescribing doctor, if you haven't already. There are lots of

alternatives to amoxicillin available. The AAOS recommendation I

posted earlier in this thread suggests using clindamycin in

penicillin-allergic patients.

> But the one large dose didn't affect me at all (yay!) and I sure

> feel like this hip is waaaay too precious to risk with an infection

> that is preventable; even if it is a remote possibility, as some

> have posted.

Agree completely!

Jim

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> Deb--

>

> Tell your health care provider about your allergy. There are many

alternatives if you are allergic to Amoxicillan. Erythromycin,

clindamyacin are a few. You DO NOT want to risk anaphylactic shock!

>

> Take care,

> Jude

Thanks for the concern, Jude :) I've broken out in hives from just

about all the antibiotics - but it's never been more life-

threatening than just plain itchy. Happens to my mom and sis, too -

obviously a flaw in the genepool!

One large dose, or by IV (like during and after surgery) doesn't

seem to bother me. weird......

Deb

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> Deb--

>

> Tell your health care provider about your allergy. There are many

alternatives if you are allergic to Amoxicillan. Erythromycin,

clindamyacin are a few. You DO NOT want to risk anaphylactic shock!

>

> Take care,

> Jude

Thanks for the concern, Jude :) I've broken out in hives from just

about all the antibiotics - but it's never been more life-

threatening than just plain itchy. Happens to my mom and sis, too -

obviously a flaw in the genepool!

One large dose, or by IV (like during and after surgery) doesn't

seem to bother me. weird......

Deb

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> Deb--

>

> Tell your health care provider about your allergy. There are many

alternatives if you are allergic to Amoxicillan. Erythromycin,

clindamyacin are a few. You DO NOT want to risk anaphylactic shock!

>

> Take care,

> Jude

Thanks for the concern, Jude :) I've broken out in hives from just

about all the antibiotics - but it's never been more life-

threatening than just plain itchy. Happens to my mom and sis, too -

obviously a flaw in the genepool!

One large dose, or by IV (like during and after surgery) doesn't

seem to bother me. weird......

Deb

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> Does the doc who prescribed the amoxicillin know about your hives?

> Most won't prescribe any penicillin/amoxicillin variety if you've

ever

> had any kind of reaction, even just hives, because of the risk that

> you might develop a more severe reaction. (Anaphylactic shock is

not

> something to mess with.)

Gee, I'm surprised that several of you are worried about this :)

Yes, I have one doctor (GP) who knows my entire history/family

history, etc and he is the one who prescribed the amoxycillin. He

also knows my " medical training " and that I would have recognised

the symptoms of anaphylactic shock. (I did have my husband stay

with me for a while after I took the meds, just in case....)

This is also the doc who told me that I'm " too darned young to be

walking with a cane - but don't let them whack off your femur,

either! Go and do research... " He totally supports resurfacing!!

Deb

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> Does the doc who prescribed the amoxicillin know about your hives?

> Most won't prescribe any penicillin/amoxicillin variety if you've

ever

> had any kind of reaction, even just hives, because of the risk that

> you might develop a more severe reaction. (Anaphylactic shock is

not

> something to mess with.)

Gee, I'm surprised that several of you are worried about this :)

Yes, I have one doctor (GP) who knows my entire history/family

history, etc and he is the one who prescribed the amoxycillin. He

also knows my " medical training " and that I would have recognised

the symptoms of anaphylactic shock. (I did have my husband stay

with me for a while after I took the meds, just in case....)

This is also the doc who told me that I'm " too darned young to be

walking with a cane - but don't let them whack off your femur,

either! Go and do research... " He totally supports resurfacing!!

Deb

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> Does the doc who prescribed the amoxicillin know about your hives?

> Most won't prescribe any penicillin/amoxicillin variety if you've

ever

> had any kind of reaction, even just hives, because of the risk that

> you might develop a more severe reaction. (Anaphylactic shock is

not

> something to mess with.)

Gee, I'm surprised that several of you are worried about this :)

Yes, I have one doctor (GP) who knows my entire history/family

history, etc and he is the one who prescribed the amoxycillin. He

also knows my " medical training " and that I would have recognised

the symptoms of anaphylactic shock. (I did have my husband stay

with me for a while after I took the meds, just in case....)

This is also the doc who told me that I'm " too darned young to be

walking with a cane - but don't let them whack off your femur,

either! Go and do research... " He totally supports resurfacing!!

Deb

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