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August 26, 2002


A debatable issue

Doctors Beginning to Test for Bacteria in Stomach. Next year, at Grand Rounds, I will debate a colleague on this issue - Resolved: Patients with dyspepsia who are H. Pylori positive should receive antibiotics. I will take the pro side, as I am concerned about the risk of GI malignancy. He will argue against, and I am interested in what his arguments will be. What do you think?

Posted by on August 26, 2002 06:33 AM | TrackBack




Comments:


Well, a lot of people have Helicobacter without problems - but if they have problems and H. pylori is present, I think it wise to try to get rid of it and keep checking on the problem. Do doctors no longer believe in an ounce of prevention?

This may be debatable as overuse of medicines, leading to resistant strains of various bacteria, but I don't off-hand see much else against getting rid of something known to cause problems. After all, if I understand the case properly, AIDs has never killed anyone - it just allows otherwise minor and treatable illnesses to escalate until the victim dies. So why bother getting rid of it, since it is not the actual disease at fault for death?

Analogy may not make for good argument or debate, but it is the way my mind works - sorry 'bout that, but not sorry enough to stop...

Posted by: John Anderson on August 26, 2002 03:35 PM






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It would be nice if everybody could find a doctor with half the common sense of this one. - Junkyardblog

An academic general internist comments on medical issues and the current state of medicine.

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