http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/ Cleaning the Augean Stables of the Health Care Debate Mon, 13 Oct 2008 02:22:15 +0000 http://wordpress.org/?v=2.3.3 http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-23102 Frustrated Canuck Thu, 31 Jan 2008 03:04:12 +0000 http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-23102 Bronchitis is not necessary a self-limiting condition. I've required IV antibiotics to treat bronchitis associated with my pre-existing lung disease. Bronchitis has also caused my lungs to go into respiratory failure resulting in an ICU stay, so it can be very serious, especially for those who already have a lung condition. Bronchitis is not necessary a self-limiting condition. I’ve required IV antibiotics to treat bronchitis associated with my pre-existing lung disease. Bronchitis has also caused my lungs to go into respiratory failure resulting in an ICU stay, so it can be very serious, especially for those who already have a lung condition.

]]> http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-1778 Catron Wed, 30 May 2007 15:08:42 +0000 http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-1778 Being a finance guy, I can't speak to the clinical implications of Cordova's comments. But I think his basic point had more to do with the dearth of resources than with any particular treatment strategy. It's hard to take seriously the suggestion that such shortages are an advantage. Being a finance guy, I can’t speak to the clinical implications of Cordova’s comments. But I think his basic point had more to do with the dearth of resources than with any particular treatment strategy. It’s hard to take seriously the suggestion that such shortages are an advantage.

]]> http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-1763 Robert Maddox Wed, 30 May 2007 03:15:49 +0000 http://www.healthcarebs.com/2007/05/27/cuban-health-care-stinks-according-to-the-new-york-times/#comment-1763 But why would Dr. Cordova want to prescribe antibiotics for bronchitis, a self-limiting illness? The cochrane review gives NNT's between 6 and 13 (depending on subjective or objective improvement) at 1-2 weeks and a NNH of 15. We are harming as many as we are helping. So maybe Cuba is no further behind by not having the antibiotics in this case. But why would Dr. Cordova want to prescribe antibiotics for bronchitis, a self-limiting illness? The cochrane review gives NNT’s between 6 and 13 (depending on subjective or objective improvement) at 1-2 weeks and a NNH of 15. We are harming as many as we are helping. So maybe Cuba is no further behind by not having the antibiotics in this case.

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