Unusual treatments

Nurses General Nursing

Published

Here's a few things I've seen:

The Russians insist for gastroenteritis vodka with black pepper. A couple of kids even got out of detention when they found vodka in their rooms, because the parents explained it was medicinal. It turns out this was not just an excuse, but is widely believed. They use vodka for many of their health problems. I've never tested this theory out, but they truly believe it, Who knows?

A grain of sugar in a hard to get out splinter - a Zimbabwean nurse showed me this, and it really worked. The sugar apparently draws in fluid, and the splinter works its way out. Never used it myself, but watched the result when my colleague has. There have been some stories in the papers about the use of sugar lately, so they might have some hard evidence soon.

Fractured clavicles - we had some problems because the Russian parents insisted a middle clavicle fracture should be operated and put back in alignment, while local doctor's said no. Parents still angry despite 3 doctor's recommendations, and flew child home for surgery.

Bedrest - for minor coughs/colds, Russian parents insist on complete rest in bed, and the insist that a temp of 37.0 centigrade is a fever.

Just some of the interesting things I've come across.

Raspberry leaves and berries contain a chemical with formula similar to salycilic acid (aka. early aspirin), so raspberry tea for fever actually works.

Traveling in IIsrael, I constantly see people coming there for soaking in the Dead Sea with hope to cure exzema, psoryasis and tons of other skin disorders, and I really think that at least some of them should feel better, or why they would spend that much money otherwise?

It is a pity that US medicine is do closed to the whole other world's ideas, experiences or even hard evidence. I really do not know what, beside plain greed, might prevent US physicians from starting to prescribe melatonin (which is cheap, absolutely non-addictive and has few side effects) instead of benzos to elderly patients for insomnia if there is well-supported, peer-reviewed evidence about its benefits in this age group. When it successfully works in Germany, Belgium and Netherlands, why should any questions at all be asked on the other side of the Big Puddle? And I do not even mention evidence about possible benefits of melatonin for cancer prevention.

"Natural" cures are huge here in the USA. (That's not necessarily good if people completely turn their backs on medicine though and that is happening).

Local woman with 6 kids is advertising for money through one of those online fundraiser things - she has metastatic breast cancer and refused traditional treatment due to her mother's experience with chemo being so bad. She wants money for natural treatments.

Physicians do mention melatonin - I just went to a Grand Rounds on insomnia and melatonin was mentioned but it only works in one part of the sleep cycle.

Sorry about the attachments. Not sure how I ended up with 3 and they are so big. I've asked for some help from staff in fixing the images in the post.

:bag:

Specializes in ICU, LTACH, Internal Medicine.

Spidey's mom,

how many of patients aged 65 and above with insomnia do you know receiving melatonin (prescribed by licensed provider) vs. receiving zaleplon (which is direct melatonin analogue) vs. benzos and benzos analogues like eszopiclone?

This statistics will look especially impressive if combined with relative cost of the above meds, especially benzos analogues, and side effects comparison. The fact that a whole bottle of melatonin costs as much as one pill of brand Lunesta must be just a coincidence. BTW, benzos surely work with all stages of sleep, that's for sure, and that's why one should just pull out a prescription pad and write it instead of doing that stupid old-fashioned thing named "clinical diagnosis and differential".

I do not talking about curing cancer by herbal fumes and snake oil here. I even do not talking about things which were, and are continuing to work in spite of lack of evidence, like valerian root (used for thousands of years in Europe for insomnia, mild depression and similar things but, in spite of good planned and executed research studies found to work just as much as placebo, apparently... still one of my favorite things when I feel my nerves are about to break). I am talking about therapies about which we have hard evidence, multiple reports done under well controlled circumstances, clinical trials and which are still rejected by US allopathic medical community for reasons taken from the blue sky.

Even leaving alone multiple and well - described case reports of successful treatment of specific forms of childhood epilepsia by specially prepared products of cannabis because, apparently, such severe forms of epilepsia are rare enough to form a good-sized cohort and that it could be ethically unacceptable to expose either group for potentially harmful/beneficial treatment or lack thereof for years in a row to observe potential long-term effects, some things just cannot be explained. Peppermint oil is used all over the world for treating what is summarily named "irritable bowel syndrome". It has well- known side effects and is contraindicated in certain groups but it still works great. Yet, my pediatrician, GI and several other physicians were extremely sceptical and none of them recommended it for my child. They had no doubts, though, regarding octreotide, Zelnorm (which was not even approved for pediatric use, to begin with), diets incompatible with basic common sense, multiple antidepressants and even opioids long-term, all that for a purely functional disorder which in itself could not be half as harmful as those "treatments". Especially interesting was that a nurse practitioner of one of those not so great docs recommended peppermint (as well as careful but reasonable diet) and was very supportive for my search of less risky and more suitable for long-term management "alternatives".

Cases like I described above, as well as promoting long-term statins for children where authors had balls to present, without due shame, their financial connections with manufacturer of the drugs in question, denying addictive potential of stimulants and pushing them instead of attempting family and behavioral therapy for ADHD "diagnosed" on the base of a single complain of a parent or teacher, and many others really make me thinking about the way American medical science is going, and I cannot say I like what appears to lie just ahead. Where I work, it is not a surprise to see an elderly, chronically critically sick patient with multiorgan borderline failure getting 5 to 10 meds only for "prophylaxis" of this and that, with all the sequale while totally denying the fact that good basic nursing care would successfully prevent 9 out of 10 of the conditions and complications.

I agree with the above post.. to a point. There is a huge push towards lining pharmaceutical companies' pockets-along with those of prescribing providers-while downplaying the effectiveness of many low cost natural remedies.

However, the advances in medication science cannot be disputed either. Medications prescribed properly can enhance quality of life for people suffering from debilitating illness...I can attest to that having seen it beyond the healthcare arena in my own family.

It would be fantastical if a world existed where providers presented an array of proven pharmaceutical and herbal/natural options tailored to each patient, rather than the standard rote treatments. But then one could argue that first-line treatments have become the standard because they work.

Specializes in ICU, LTACH, Internal Medicine.

Kiszi,

I do not deny modern health science as well. I just wish it could be used according to universal golden rule, I.e. with moderation and within reason.

It is not reasonable to propose refusing of everything "not natural" and come back to the world where half of the children did not reach adulthood. But it is similarly unreasonable to push drugs with known high potential for addiction and blockers of growth hormone action into a developing, growing child just because "they work" for symptoms. Similarly, the fact that Eliquis "works" for prevention of stroke and is the "first line" med for the purpose at the present time does not justify its administration to a patient who is already getting ASA full dose (first line med to prevent heart attack, proven working) plus horse-sized dose of heparin at least q48 (first line med which really works to prevent clotting duting dialysis) and has ESRD one symptoms of which, not correctable by the dialysis, is decreased clotting capacity due to thrombocytopathy, removing/destruction of clotting factors during dialysis, liw serum calcium, etc. While the patient in question was in the process of transferring into ICU due to both spontaneous intracranial and GI bleeds (Hb 4.5, prognosis grave) doctors had a near boxing match trying to prove whose "first line med"was real first line and therefore more important, - and who of them got to speak with irate family of the very VIP patient.

Spidey's mom,

how many of patients aged 65 and above with insomnia do you know receiving melatonin (prescribed by licensed provider) vs. receiving zaleplon (which is direct melatonin analogue) vs. benzos and benzos analogues like eszopiclone?

This statistics will look especially impressive if combined with relative cost of the above meds, especially benzos analogues, and side effects comparison. The fact that a whole bottle of melatonin costs as much as one pill of brand Lunesta must be just a coincidence. BTW, benzos surely work with all stages of sleep, that's for sure, and that's why one should just pull out a prescription pad and write it instead of doing that stupid old-fashioned thing named "clinical diagnosis and differential".

.

I'm assuming you are being sarcastic here in saying that "benzos surely work with all stage of sleep, that's for sure . . .".

During that Grand Rounds on Insomnia - benzos were NOT indicated as a good answer for helping with insomnia. Wish I could find the outline for that . . . . . probably at work. Maybe that particular speakers opinion. We talked about the different kinds of sleep we go through every night and benzos only work on part of that.

I live in a rural area - lots of older folks are on melatonin here. I have no statistics at hand though.

I'm exhausted so forgive me if I'm not making sense - had a bout of insomnia and only slept two hours.

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