It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Infectious Diseases Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 10-21-2009, 09:12 AM   #16
Newbie
(male)
 
Join Date: Oct 2009
Posts: 7
jonnyv HB User
Re: Recurring Staph Infection

These stories sound all to familiar. I'm 24, with the exact same problem. Reoccurring staph.

Started on my Lip, to my Neck... to under my arm pit on the right side, then again under the armpit on the right side... now under the arm pit on the left side.

Interesting to note, that on my left temple, I have some what looks like to be Acne, just like the op said...

Been on Septra and Cloxacillin... Septra for 10 days, and Cloxacillin for a month. Keeps coming back. I wash with phisohex soap...

I dont even know what to do anymore. Please note that these all start as a small, itchy bump... and it looks like theres a super small black spot in the center. eventually it turns into something pimple like, but WAY larger. The one on my neck was probably half the size of a GOLF BALL! They look like GIANT pimples that have a circular hole/scab that fills with puss...

I'm left with scars all over my body. But they always start the same way... a small dot, thats itchy... and looks like theres a dark speck in the center.

 
Old 10-22-2009, 09:42 PM   #17
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Hi Jonnyv - were you tested for mrsa? Make sure they take a culture from the skin site as well as the nasal swab test because it's debateable or hides sometimes or is just a false reading. I'm still waiting to find out 100%.

I had a cyst or boil - killer painful on my back and went to numerous dermatologists that were doing more harm than good just squeezing it and bruising it- prescribing Keflex without taking any cultures and basically sending me on my way. Ridiculous. Keflex is a joke to mrsa from what I've heard. My PCP put me on something different.

I'm actually going to an infectious disease dr. tomorrow after having a nasal swab test negative for MRSA and yet the nurse (from seeing my PCP) said the culture showed conditional signs of mrsa and the dr. (PCP) never got back to me today so I don't even know all of the details.......... but mind you - I was prescribed clindamycin, septra, and bactroban for a week, well bactroban was for 5 days twice a day without evening knowing what the culture said??? Although I do like my dr. personally - not so sure I agree with his findings without doing the culture first, but maybe it was a visual diagnosis just to get me on something in the meantime???

Then this morning at 5am I feel a UTI (urinary tract infection) coming on and bouts of diarrhea (yeah sorry I know it's gross but hey this is life) so I worry about the c-diff thing since they've had me on all of these antibiotics for a cyst. My dr. didn't call me, but yet called in a prescription for Flagyl. I'm afraid to take it because of the "too many antibiotics" thing just lowers your immune system. So for now I'm waiting.

I did go out and buy the Hibiclens which I plan to use tonight. My cyst is healing and isn't draining anymore but it's still somewhat open. I'm not sure if I should start the Hibiclens or not right now? I've heard it used both ways.

At any rate - it's very hard to find reviews on dr.'s these days so I did find one and a patient gave a good review on the mrsa issue so I'm hoping this dr. will ensure I'm treated right.

I wish they could tell how/when you contract these things. I've heard of DNA Plasma tests and broth, but don't know much about it or how useful they are or if they're even covered on insurance. OH and mind you - my insurance is over the end of this month so I'm appealing with BCBS, but I feel a little doomed if I don't get this taken care of immediately.

Any and all thoughts/suggestions are greatly appreciated.

 
Sponsors Lightbulb
   
Old 10-23-2009, 05:19 AM   #18
Newbie
(male)
 
Join Date: Oct 2009
Posts: 7
jonnyv HB User
Re: Recurring Staph Infection

Quote:
Originally Posted by LL29 View Post
Hi Jonnyv - were you tested for mrsa? Make sure they take a culture from the skin site as well as the nasal swab test because it's debateable or hides sometimes or is just a false reading. I'm still waiting to find out 100%.

I had a cyst or boil - killer painful on my back and went to numerous dermatologists that were doing more harm than good just squeezing it and bruising it- prescribing Keflex without taking any cultures and basically sending me on my way. Ridiculous. Keflex is a joke to mrsa from what I've heard. My PCP put me on something different.

I'm actually going to an infectious disease dr. tomorrow after having a nasal swab test negative for MRSA and yet the nurse (from seeing my PCP) said the culture showed conditional signs of mrsa and the dr. (PCP) never got back to me today so I don't even know all of the details.......... but mind you - I was prescribed clindamycin, septra, and bactroban for a week, well bactroban was for 5 days twice a day without evening knowing what the culture said??? Although I do like my dr. personally - not so sure I agree with his findings without doing the culture first, but maybe it was a visual diagnosis just to get me on something in the meantime???

Then this morning at 5am I feel a UTI (urinary tract infection) coming on and bouts of diarrhea (yeah sorry I know it's gross but hey this is life) so I worry about the c-diff thing since they've had me on all of these antibiotics for a cyst. My dr. didn't call me, but yet called in a prescription for Flagyl. I'm afraid to take it because of the "too many antibiotics" thing just lowers your immune system. So for now I'm waiting.

I did go out and buy the Hibiclens which I plan to use tonight. My cyst is healing and isn't draining anymore but it's still somewhat open. I'm not sure if I should start the Hibiclens or not right now? I've heard it used both ways.

At any rate - it's very hard to find reviews on dr.'s these days so I did find one and a patient gave a good review on the mrsa issue so I'm hoping this dr. will ensure I'm treated right.

I wish they could tell how/when you contract these things. I've heard of DNA Plasma tests and broth, but don't know much about it or how useful they are or if they're even covered on insurance. OH and mind you - my insurance is over the end of this month so I'm appealing with BCBS, but I feel a little doomed if I don't get this taken care of immediately.

Any and all thoughts/suggestions are greatly appreciated.
I have found squeezing these things only makes them worse. However, I do realize they have to be drained... the key here is wait until it doesn't have to be squeezed hard to drain it...

I have been tested for MRSA, came back negative, but positive for staph. I would not worry about "taking too many antibiotics" if I were you at this point. I thought the same way, but this is something serious and needs to be dealt with properly. He probably gave you Septra because thats one of the common anti-biotics used against Staph/MRSA -- I think that was a smart move on his part. Not so sure about the clindamycin... I know its made for the skin, but if you look up treatments for MRSA/Staph its usually Cloxacillin, Floxacillin, etc you get the point...

Another thing my doctor suggested is to eat a lot of yogurt and take acidophilus while on this many anti-biotics, as the anti-biotics kill all the pro-biotics in your intestine... Don't know how helpful this is, but its what he told me to do.

You are right... its hard to find a good doctor that actually knows what they're doing. This MRSA/Staph garbage is so brutal they need a specialist for this specific "disease"!

Gladly I'm from Canada and dont have to worry about insurance...

 
Old 10-23-2009, 06:25 AM   #19
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Thx jonnyv and yes I've read everywhere that yogurt was good to take so each day I've had at least one, but may have to increase that. What is/are acidophilus? I haven't heard of that before.

Yes I wish he would just call me back so I could ask him a few things. I'm definitely curious to the see the actual lab results to see if any testing was done or a C&S to see what bacteria was sensitive vs. resistant. I was told and saw on numerous research pages that's the only way they'll know what to treat you with.

I'm praying my slight sore throat this morning is of no concern.

Yes they def. do need a specific dr. for this - it's crazy. I def. want retested though for sure. Too many unanswered questions.

 
Old 10-23-2009, 01:29 PM   #20
Newbie
(male)
 
Join Date: Feb 2009
Location: denver, co
Posts: 7
esorb11 HB User
Re: Recurring Staph Infection

So I've been battling this same thing for quite some time and very recently found a decent doctor who appears as though she might actually know what the hell she's talking about (please excuse the pessimism but I've lost a considerable amount of faith in the medical community since dealing with this - the ability to respond to and treat this disease is, simply put, pathetic).

My PCP diagnosed my staph as normal Staph Aureus. However, the dermatologist that i recently went to took one look at the culture results (many cultures from many different areas where these enormous "pimples" have popped up), and immediately diagnosed it as MRSA?!?! Why the hell my PCP (who is now no longer my PCP) did not pick up on this is unbelievable to me! No telling how much time and money I've spent going down the wrong path!

Anyway, this new doctor (a dermatologist) prescribed another wash (10% Benzoyl Peroxide wash), which I was obviously skeptical about after all I have been through with this, but I decided to give it a shot. I have had one minor outbreak since beginning this new treatment but overall this wash has kept things under control much better than I expected. Another good thing (unlike Hibiclens - sp) is that the staph cannot adapt and become resistant to the Benzoyl Peroxide (this according to my dermatologist).

I'm not sure if this will work for others too but it has worked very well for me (I've been using it for about 3 months now with no major outbreaks - only 1 small sore and that was right after I started using it). I've been through the constant anti-biotics, soaps, etc. and this is the only thing I've found that works. Normally, i believe they use this type of wash for acne but also appears to do well to keep MRSA outbreaks under control.

Hopefully this helps.

-Bryan

 
Old 10-23-2009, 05:39 PM   #21
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Thx for the info Bryan Can you tell me what the name of it is or is it over the counter? I've heard a few others mention swabbing a cotton ball with peroxide over the new outbreak for a few minutes and seemed to help.

So you don't like Hibiclens or ??? What about Betadine? I've heard that some do 2x Hibiclens then 3rd day Betadine, etc.. This is new to me as well so not sure.

My doc finally called me back today and said that I wasn't a "carrier" since my nasal swab was negative and that I only had the abscess infection or mrsa???? I have no clue what the difference is or if it's truly true, but of course I would love to take his word for it. After reading so many message boards - it's hard to know 110% what's right. I'm sure I'll know if I get another outbreak. I would like to not have to wash with some expensive wash for the rest of my life??

He also said that they're working on a vaccine for mrsa right now. It's just not out yet.

I do know that anytime you get a lesion or outbreak - most have said to immediately treat it (one common option was to put triple antibiotic ointment over it with a bandaid immediately) and that's the biggest thing. Hand washing, etc.

I'll def. keep ya posted on my progress though. Right now the cyst on my back is pretty much healed up, but I'm keeping it covered until I know it's fully closed so my clothes don't irritate it. I have the ointment and gauze over it.

Laurie

 
Old 10-24-2009, 02:20 PM   #22
Senior Veteran
(male)
 
Join Date: Jul 2008
Location: Canada
Posts: 999
harka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB User
Re: Recurring Staph Infection

Augmentin or amoxicillin/clavulanate is not exactly the best antibiotic for Staph aureus. It works, but it's not as good as cephalexin or one of the semi-synthetic penicillins like cloxacillin.

You're right that Staphylococcus aureus can infect the bone, but that is unlikely in you. Bone infections with SA do not present as recurrent skin infections; rather, you either have high fevers and a lot of bony pain (when the bacteria gets to the bone via the bloodstream) or you already have a chronic open wound which continues to drain pus and stays ulcerated on a daily basis. In other words, staphylococcal osteomyelitis presents very differently than what you have.

That said, one of the problems is that you may have large reservoirs of the bacteria in your nose and on your skin. SA is a normal constituent of skin flora, but can be significantly increased in number in people who have recurrent skin infections. Have you ever had a decolonization protocol?

Also, just because the SA is susceptible to many antibiotics does NOT mean it's not MRSA. MRSA, though not susceptible to any beta-lactams (other than the new ceftobiprole and ceftaroline) is still susceptible to a wide range of antibiotics including doxycyline (which I suspect is the dermatology drug you were speaking of), septra (or bactrim as you say in the states), clindamycin etc. etc.

 
Old 10-24-2009, 04:31 PM   #23
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Hi Harka and yes my doc put me on septra, bactroban nasal 2% ointment and clindamycin for a week. Well bactroban only 5 days vs 7.

Can you explain to me how I tested negative on the nasal swap test for mrsa, but yet it was mrsa that came out of my abscess on my back??? Does this mean it's in my bloodstream or ??? It's very confusing to have one test negative and one positive.

You seem to be very well versed on the subject matter so I'd greatly appreciate your input.

Thanks,
Laurie

 
Old 10-25-2009, 04:04 PM   #24
Newbie
(male)
 
Join Date: Feb 2009
Location: denver, co
Posts: 7
esorb11 HB User
Re: Recurring Staph Infection

Laurie - the wash I've been using is made by Perrigo and its simply called Benzoyl Peroxide Wash 10%. I did need a prescription for it. The bad part is that it won't get rid of the staph, just control it (this according to my doctor). However, since you're not a carrier then maybe you won't need to use it continually... not sure how the whole host/carrier thing comes into play in all this, but it sounds like harka might have some good input here.

Also, as for the Hibiclens... it just didn't work for me. I was prescribed to use it a couple times in an effort to de-colonize, but it just wasn't effective for me... not saying it won't work for you or for others though.

Harka - some of the things you noted are basically echoing what my new doctor has been telling me. My doctor put me on this Benzoyl Peroxide wash in hopes of controlling the outbreaks and it seems to be working. After learning of my history with staph, she thought it might be best to avoid further antibiotic use. I think largely because I had been on antibiotics almost contsantly for a year (even better to learn that they were ineffective antibiotics for staph). But she also said that those who are infected with MRSA generally recolonize easily. Meaning that she thought she could get me on some antibiotics that very likely might erradicate the staph, but only temporarily. She said I would almost certainly re-colonize and continue to have problems. So she stuck me on the soap and it seems to be working. Anyway, I only bring this up because I'm curious to get your thoughts on my treatment. Not that I am complaining because the wash does seem to be working and I am very pleased about that. However, it would be nice to just get rid of the staph for good so I wouldn't have to continue with this fairly expensive wash for the rest of my life.

Sorry for the long post, but I do have one more question. Is it possible for the tonsils to become colonized with staph in such a way that I would experience these recurring infections? I only ask because even though the outbreaks have been controlled by the wash, I do continue to experience swollen lymph nodes in my throat and jawline. The swelling never goes away completely... basically just differing degrees of swelling. I feel quite normal when the swelling is down and feel pretty terrible when they are inflamed to a greater degree. I only ask about the tonsils because of the proximity to where my lymph nodes seem to be reacting. May be completely unrelated but just curious if there might be a connection there.

-Bryan

 
Old 10-25-2009, 04:22 PM   #25
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Hi Bryan and I'll have to ask my dr. about that this week. I really hope you get better or actually get rid of it for good. I know they're supposed to be coming out with a vaccine for it, but I'm sure it's a day late dollar short so to speak.

I know other threads have always preached about hot compresses (neck) - have you tried that at any time they were inflamed?

 
Old 12-25-2009, 08:53 PM   #26
Senior Member
(female)
 
Join Date: Sep 2009
Posts: 133
coping1 HB User
Re: Recurring Staph Infection

I have been experiencing severe staph infections for years. I have never talked to anyone who has had the same problem! Mine start out looking like spider bites with a definite center point but then become huge abscesses. The last one they called an abdominal wall abscess and it did culture MRSA. The one before was on my forearm and cultured Staph Aureus and was "suspected to be MRSA". I also had a a strep A (flesh eating) on my thigh a few years ago. Each time I have been hospitalized and been put on IV Vancomycin and Zyvox and have had to have a surgeon go in and open it up and drain and culture it.

These are so painful and I get really sick with a high fever. They have no idea what causes them. I have been seen by a ID doctor each time and use hibiclens etc but I continue to get them. I have had about 5 on my stomach and have always wondered if they could have anything to do with several abdominal surgeries I have had. One of my doctors mentioned that there has been research on a genetic component but I really didn't understand exactly what she was explaining. Has anyone heard of anything like this? Do yours start out with a center point and are they under the skin or open?

Sorry I am rambling but I have never heard of anyone else who has had this problem!

 
Old 12-26-2009, 07:12 PM   #27
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

So sorry to hear about your infection coping - hope you get better or it stays away.

No, I've never heard of any genetic relation. I believe MRSA is just a bacteria that loves to stay around. I don't want to jinx myself, but I haven't had any after that one. There are also alot of home remedies or the homeopathic route such as Kefir (yogurt - where you're feeding your body the good bacteria to help kill the bad, etc..) and other yogurts - try to stay away from the sugary ones though I think. Also Bryan noted the wash earlier??

The one I had (which I believe was caused by my dermatologist yeah go figure) was under the skin and I just kept apply hot compresses (microwaved a wet washcloth over and over) and eventually it started to drain. Just stay with it and take something for your fever. Also alot of vitamin C and garlic. You should google a lot and read MANY so you can weed thru the bad ones. I believe everyone has a different case of it from what I've read or everyone's body reacts a lil differently with diff. technics so you'll prob. just have to try and see what works for you. Some say to stay AWAY from antibiotics.... I'm starting to believe them.

Prayer always works wonders as well. )) Best to you and I hope you get better.

Laurie

 
Old 12-26-2009, 08:46 PM   #28
Senior Member
(female)
 
Join Date: Sep 2009
Posts: 133
coping1 HB User
Re: Recurring Staph Infection

Thanks Laurie,

I am a firm believer in prayer also .

I also have an autoimmune blood disorder and unfortunately this last episode triggered this so my hematologist has a standing order for IV Vancomycin anytime I get any type of skin infection/cellulitis. I tend to get septic easily so therefore I end up in the hospital if we just use oral antibiotics or just try to drain the abscess. I am also now on Cytoxan for my blood disorder which doesn't help!

I have had 2 c-sections and the second one split open and I had to have five surgeries to repair the surgery site and had problems with infections and abscesses. In the back of my mind I keep wondering if this could have anything to do with the recurring abdominal abscesses (that was 20 years ago however). I asked one of my doctors this and she said the question is why did my incision split open in the 1st place-that there must be a piece of the puzzle missing and that is what they need to figure out.

I am lucky to have some wonderful doctors but they obviously all tend to concentrate on their own specialty and so far no one has put the whole big picture together. I would love to find a way to just stay out of the hospital when I get these infections!!

I do eat yogurt and do skin washes, but I need to reread some of the regimens listed above and try them.

As far as not using antibiotics, how far do you go? I have been through so much with my blood disorder and so many infections that I have kind of lost my judgement on knowing when I need help. The last time I waited a little too long and was really sick and in the hospital for over a week. My doctors were really upset with me, but I wanted to try and stay off of antibiotics and out of the hospital. Does anyone else experience this-pushing the envelope a little too far and not knowing when to call the doctor? I know it sounds weird but when you have reccurring acute illnesses, it is sometimes hard to know when to get help and when to try and get through something yourself!

 
Old 12-28-2009, 06:35 AM   #29
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 701
LL29 HB User
Re: Recurring Staph Infection

Hi coping and wow - you've been thru quite a bit. Yes, I'm shocked as well as to why/how your c-section split open?? That doesn't even sound right. Did you ask the dr. how this happened or what was their explanation?

I tested negative in my nose for Mrsa, but did have some sort of staph infection or cyst on my back, but it didn't show up until a dermatologist wanted to cut a very small cyst (from me picking) on my upper back. Long story short - he should've never touched it and it would've healed on its own. Such a shame you can't trust a doctor to do the right thing. Greed!

From the threads I read awhile back - those people had been thru the ringer and had tried everything so I really urge you to read as much as you can. I've reformatted my computer so not sure what the web address was nor am I sure I would even be allowed to post it, but I'm sure you'll find it researching.

As far as the antibiotics go... maybe you should try and see an alternative med dr. just to see what they have to offer. I understand that you may need them anyway, but your body will not be able to fight infections if you keep antibiotics in there all the time or at least that's what they say.

You know your body better than anyone so yes - never wait around for something to get worse, but def. seek out other therapies or treatments.

I wish you the very best with your health. Sounds like you have a positive attitude about everything and that is very important so stay happy regardless.

Laurie

 
Old 01-14-2010, 01:50 AM   #30
Newbie
(female)
 
Join Date: Jan 2010
Location: Page, AZ, USA
Posts: 1
n8tv HB User
Re: Recurring Staph Infection

Quote:
Originally Posted by esorb11 View Post
Hi,

I have been experiencing a recurring staph infection for several years now. My guess (because these infections were not cultured until about a year ago) is that it all began in college with an infection on my right index finger. This (what I believe to be the initial infection) was actually quite bad. It basically ate away all the skin on my right index finger from the fingertip down to the second joint. Since then I have been subject to recurring staph infections about every 4 to 6 months. However, in the last year they have been happening more frequently... about every 2 months, and even more recently almost once a month sometimes.

Initially they were located only on the fingertips but over time have spread to different areas. It seems now to attack my face almost exclusively. It starts out looking like a pimple or a small spider bite and then progresses into (depending on the severity) anywhere from a dime to quarter size wound. I have had it cultured now several times from several different areas of my body. Each time it tests as staph aureus. It is not MRSA because it is vulnerable to several different antibiotics.

Over the years I have been able to treat outbreaks with Augmentin; however, it obviously does not completely erradicate it. The outbreaks are becoming more frequent, it is spreading to new areas and is really beginning to worry me because my doctor seems to have run out of answers.

We have tried Augmentin 500mg - 10 days, Augmentin 875mg - 10 days, Augmentin 875mg with Rifampin (however you spell that) - 15 days, some dermatology antibiotic for 30 days (i forget the name of this one), and now most recently Augmentin 875mg for 45 days. It is now back after my most recent cycle of antibiotics and I do not know what to do now.

We have tested for just about everything imaginable... hiv, aids, herpes, any other std, general blood tests, etc. According to my doctor I am a perfectly healthy individual. But quite obviously, we are missing something.

After some research I brought up the notion that maybe the infection had gotten into my bone and it is spreading that way. He immediately shot that down suggesting that I would be very ill. I also suggested this to a so-called specialist that I went to. She said the same thing. However, this is about the only thing I can think of... we seem to have tested for just about everything else.

I fear that if immediate measures are not taken to address this, I will find myself hospitalized with this infection. Possibly sometime soon with the way it seems to be progressively getting worse (most notably over the last year).

Can anyone provide some sort of insight? Suggestions of doctors I should see (i am in the Denver, Co area)? Suggestions of treatments I might consider or bring up to my doctor? Anything will help as I am becoming extremely concerned with my health.

Also, in case it helps. Each time this infection breaks out, the lymph node in my jawline (right side only) gets swollen and tender. Also, there is still a very small lump remaining on my left elbow (the site of one of my outbreaks)... I have also noticed the formation of similar small lumps around my left temple and right eye and my left armpit.

Sorry for such a long post.

Thanks
Bryan
Bryan:
I hope you are well. Have you had any new developments in treating your condition? new explanations, diagnosis?

I am getting worried about my condition, some things you described are similar to my symptoms, no lumps, just itchy spots. I am afraid to find out, but I am planning on scheduling an appointment with an ID specialist. I am not looking forward to the possibility of the time frame to figure out what the heck this "thing" is.

On a brighter side, I have heard success stories about treating skin infections with liquid silver and/or silver gel, can be found at your local health food store. You might research this more.

I feel for all the people who responded to your post, I feel very sad, I pray we all find the answers and the treatment to help our conditions.

Blessings

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Recurring staph infection on legs carlm Skin Problems 3 08-02-2010 06:29 PM
staph infection and other underlying health problems cakecracker Skin Problems 4 03-17-2010 10:18 AM
recurring staph infection? athomas5883 Open to All Other Health Topics 1 11-20-2009 12:12 PM
Recurring Staph Infections phineas77 Infectious Diseases 3 10-22-2009 09:45 PM
MRSA staph infection? seta37 Infectious Diseases 2 06-29-2008 07:34 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 01:00 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!