jillio

Do no harm.

Deafness

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Tousi

Dat's right, part of the Hippocratic oath. I guess it doesn't mean much these days.

LTHFAdvocate

I think you are imagining it. I actually intended ot sound annoyed because I had to say the same thing three times because Jillio kept ignoring my point. And if I weren't altruistic, I wouldn't be doing non-profit work for people with hearing impairments, I would be back in corporate law making twice as much money.

rick48

I think that is not a fair comment to make about LTHF. She is very rationally and articulately explaining a point and not necessarily saying that it is her personal belief. I also think that she has consistently strived to stay out of the many petty arguments that myself and others flood this board with and has conssistently strived to provide useful and helpful information to all.
Rick

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Restoring the universe to order will have to wait until next season.

Tousi

Ok, sure, sorry for singling you out--there was no one else around; I should have had the head to say/mean the profession, generally.

jillio

I'm not ignoring your point. I am countering your point. Quite a different thing. If I were ignoring your point, I would not respond.

And I believe Tousi was addressing the altruism of the medical profession, not the legal.

R2D2

Do you also believe that all professionals who work with deaf children regardless of whether the child has a CI or not should also do the same? We've already had a discussion on how compared to the hearing population, deaf children are at greater risk of contracting meningitis. I'm just wondering if your view is across the board?

It would be quite difficult at this stage to work out what the additional risk for a child with a CI is compared to another deaf child of the same etiology who was not implanted.

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Left ear implanted 9th June 2006 Activated 29th June 2006
Right ear implanted 31st August 2007 Activated 18th September Both Nucleus Freedom

Cochlear implant myths

InTheGenes

I ran across the following article this morning, about parents who "fake" religious objections in order to refuse vaccinations for their children.

The story can be found here: Parents claim religion to avoid vaccines for kids - Kids & Parenting - MSNBC.com

Liebling:-)))

wow

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*sniffing you*

john57

That's a good link since it is updated frequently and some parents were concern about mercury in some vaccinates and the live Polio virus vaccine causing problems in some cases but I see no good medical reason that I can find to refuse a meningitis vaccine.

jillio

It has been shown that there is an increased risk with invasive surgeries. Therefore, a physican should not be performing a surgery that is not to correct a life threatening condition and is categorized as "elective" without first insuring that all precautions have been taken to reduce the risk. Again, do no harm.

jillio

And if we stop vaccinating, the diseases that we intend to prevent recurr in even more virulent strains. I.E., we thought that we had irradicated small pox through vaccination, so we stopped requiring that chidlren be vaccinated for small pox. And, in fact, the disease has started to recurr. The same with polio.

LTHFAdvocate

All you need to do is look at any of the 50+ scientific citations on the Wiki page on Smallpox to know this isn't true. The last case of "wild" smallpox was over 30 years ago. The cases that have occurred since then have all been connected to vaccinations or laboratory research stock. So a) smallpox HASN'T started to reoccur, and b) the occasional case that is occurring couldn't possibly be more virulent than the original strain since it is the same stock being used for vaccinations that has caused the occasional artificial case.

While there is a thing called Polio relapse, where people who had polio have something called Post Polio Syndrome decades later, this isn't related to the vaccine either, and this is not considered a relapse or reinfection by any of the researchers on the topic

shel90

It is not all of the families... I meant to say some. I wasnt clear before. My mistake.

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~Shel~

shel90

and yet there are those families who know the brands, therapists, and so much more but their children havent done well with their implants. There are too many variables involved to really identify which one was the cause for each child.

My only point is that these things do happen.

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~Shel~

jillio

Cases have occurred since then, by your own admission. What is an "artifiical case" of small pox? And, yes, the strain can become more virulent, as cases are still occuring in thrid world countries.

As with any infectious disease, failure to vaccinate results in carriers of the disease. I am not talking about Post-Polio Syndrome. That is a complication experienced by those with the antibodies resulting from having contracted the disease.

Do you really use Wiki for your research?

jillio

Exactly.

LTHFAdvocate

Show me a citation that backs up what you are saying. An artificial case is what they refer to as one that was directly traced to a vaccination source or a laboratory source rather than occurring with no known source in the population.

First you said failure to vaccinate causes virulent strains, now you say it creates "carriers" Which is it?

I merely referenced Wiki for convenience since it had a good collection of WHO and other very reputable citations. And I went and visited several of those pages individually to verify they stated what the Wiki entry claimed they said. Better to cross-check reputable sources and reference Wiki then post scientific pronouncements without any scientific backup at all

jillio

Without carriers, we have no transmission, and therefore, no disease. I said failure to vaccinate creates carriers.

Show me yours, I'll show you mine. But now, back to the issue of whether or not physicians are ethically responsible for insuring that a patient has been vacinnated against bacterial meningitis prior to doing surgery..........

LTHFAdvocate

Hey, I'm not the one who threw out the red herring about Smallpox and Polio. Plus, I've already pointed you to the WHO research. I dare you to read it then find something reputable that refutes it.

jillio

Again with the childish games. I will find what you request, but will do so without the use of WIKI. And while I take the time to do that, how getting back to the discussion regarding whether a doctor who is aware of an increased risk of bacterial meningitis is responsible for insuring through documentation, that a patient who he is putting in the situation that increases the risk?

GarnetTigerMom

Bacterial Meningitis is a airborne can spread unless the doctor give you shot to reduce the risk of getting meningitis. I had my shot before I got CI. It important to be warn about meningitis. I had that shot before I went to college and I got CI later in life. Bacterial Meningitis can spread through schools and colleges too since it is airborne. My sister had meningitis when she was two years old that causes her to be come deaf. But she can't have CI because of the past history that she had meningitis. Doctors today should be giving shots on meninigitis to reduce the risk before giving CI. I been fine for almsot 4 years.

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GarnetTigerMom

"The rain may be falling hard outside,
But your smile makes it all alright.
I'm so glad that you're my friend.
I know our friendship will never end."
-- Robert Alan

Tousi

I guess, tonight, we are gonna hafta have something a little stronger than the coffee we had last night.

GarnetTigerMom

Bacterial Meningitis

Bacterial meningitis is a serious infection of the fluid in the spinal cord and the fluid that surrounds the brain.
Bacterial meningitis is most commonly caused by one of three types of bacteria: Haemophilus influenzae type b, Neisseria meningitidis, and Streptococcus pneumoniae bacteria.
The bacteria are spread by direct close contact with the discharges from the nose or throat of an infected person.
Bacterial meningitis can be treated with antibiotics.
Prevention depends on use of vaccines, rapid diagnosis, and prompt treatment of close personal contacts.


What is bacterial meningitis?

Meningitis is an infection of the fluid in the spinal cord and the fluid that surrounds the brain. Meningitis is usually caused by an infection with a virus or a bacterium. Knowing whether meningitis is caused by a virus or a bacterium is important because of differences in the seriousness of the illness and the treatment needed.

VIRAL MENINGITIS is usually relatively mild. It clears up within a week or two without specific treatment. Viral meningitis is also called aseptic meningitis.

BACTERIAL MENINGITIS is much more serious. It can cause severe disease that can result in brain damage and even death.



What bacteria cause bacterial meningitis?

Bacterial meningitis is most commonly caused by one of three types of bacteria: Haemophilus influenzae type b (Hib), Neisseria meningitidis, and Streptococcus pneumoniae.

Before the 1990s, Hib was the leading cause of bacterial meningitis, but new vaccines being given to children as part of their routine immunizations have reduced the occurrence of serious Hib disease. Today, Neisseria meningitidis and Streptococcus pneumoniae are the leading causes of bacterial meningitis. Meningitis caused by Neisseria meningitidis is also called MENINGOCOCCAL MENINGITIS. Meningitis caused by Streptococcus pneumoniae is called PNEUMOCOCCAL MENINGITIS.

It is important to know which type of bacteria is causing the bacterial meningitis because antibiotics can prevent some types from spreading and infecting other people.



Where is bacterial meningitis found?

Bacterial meningitis is found worldwide. The bacteria often live harmlessly in a person's mouth and throat. In rare instances, however, they can break through the body's immune defenses and travel to the fluid surrounding the brain and spinal cord. There they begin to multiply quickly. Soon, the thin membrane that covers the brain and spinal cord (meninges) becomes swollen and inflamed, leading to the classic symptoms of meningitis.



How do people get bacterial meningitis?

The bacteria are spread by direct close contact with the discharges from the nose or throat of an infected person. Fortunately, none of the bacteria that cause meningitis are very contagious, and they are not spread by casual contact or by simply breathing the air where a person with meningitis has been.



What are the signs and symptoms of bacterial meningitis?

In persons over age 2, common symptoms are high fever, headache, and stiff neck. These symptoms can develop over several hours, or they may take 1 to 2 days. Other symptoms can include nausea, vomiting, sensitivity to light, confusion, and sleepiness. In advanced disease, bruises develop under the skin and spread quickly.

In newborns and infants, the typical symptoms of fever, headache, and neck stiffness may be hard to detect. Other signs in babies might be inactivity, irritability, vomiting, and poor feeding.

As the disease progresses, patients of any age can have seizures.



Who is at risk for bacterial meningitis?

Anyone can get bacterial meningitis, but it is most common in infants and children. People who have had close or prolonged contact with a patient with meningitis caused by Neisseria meningitidis or Hib can also be at increased risk. This includes people in the same household or day-care center, or anyone with direct contact with discharges from a meningitis patient's mouth or nose.



How is bacterial meningitis diagnosed?

The diagnosis is usually made by growing bacteria from a sample of spinal fluid. The spinal fluid is obtained by a spinal tap. A doctor inserts a needle into the lower back and removes some fluid from the spinal canal. Identification of the type of bacteria responsible for the meningitis is important for the selection of correct antibiotic treatment.

What complications can result from bacterial meningitis?

Advanced bacterial meningitis can lead to brain damage, coma, and death. Survivors can suffer long-term complications, including hearing loss, mental retardation, paralysis, and seizures.



What is the treatment for bacterial meningitis?

Early diagnosis and treatment are very important. If symptoms occur, the patient should see a doctor right away. Bacterial meningitis can be treated with a number of effective antibiotics. It is important, however, that treatment be started early.



How common is bacterial meningitis?

In the United States, bacterial meningitis is relatively rare and usually occurs in isolated cases. Clusters of more than a few cases are uncommon.

In parts of Africa, widespread epidemics of meningococcal meningitis occur regularly. In 1996, the biggest wave of meningococcal meningitis outbreaks ever recorded hit West Africa. An estimated 250,000 cases and 25,000 deaths in Niger, Nigeria, Burkina Faso, Chad, Mali, and other countries paralyzed medical care systems and exhausted vaccine supplies.



Is bacterial meningitis an emerging infectious disease?

With the decline in Hib disease, cases of bacterial meningitis have decreased since 1986. Meningococcal meningitis is a continuing threat in day-care centers and schools. Healthy children and young adults are susceptible, and death can occur within a few hours of onset.



How can bacterial meningitis be prevented?

Vaccines -- There are vaccines against Hib, some strains of Neisseria meningitidis, and many types of Streptococcus pneumoniae.
The vaccines against Hib are very safe and highly effective. By age 6 months of age, every infant should receive at least three doses of an Hib vaccine. A fourth dose (booster) should be given to children between 12 and 18 months of age.

The vaccine against Neisseria meningitidis (meningococcal vaccine) is not routinely used in civilians in the United States and is relatively ineffective in children under age 2 years. The vaccine is sometimes used to control outbreaks of some types of meningococcal meningitis in the United States. New meningo