[DocL]

Originally Posted by Kick 6

Prescribing practices of a majority of the dentists on pre-meds has not changed. A search showed incidence rates of 4.6/100000y with a significant linear incidence increase in 2017. Death rate was 1.2/1000 and in an increasing trend. Those caused by dental procedure would be very low.

That is what I have been trying to educate the physicians about for many years. I haven't personally heard of a death due to lack of premedication. However I do know of death due to anaphylactic shock as a result of taking high dose of premedication.

I always have the cardiologist or orthopedist assume the risk of death and write the prescription for the patient. And when I've presented my concerns they have also said they don't want to assume the risk. Gotta love our litigious society.

[tranquility]

Originally Posted by Kick 6

No, viruses just want to keep going and live. They'll do whatever they can to live and that is why mutations tend to be less lethal. They don't survive if they kill their host.

Tx. Is there a theory for the cause of these mutations?

[Kick 6]

Originally Posted by tranquility

Tx. Is there a theory for the cause of these mutations?

It's what they do.

[UncleWede]

Shouldn't we be moving on to COVID-22???

[wdb]

Originally Posted by DocL

In 2008, dentists were advised that pre-medication wasn't needed like we thought. Dentists used to over prescribe antibiotics for even the slightest murmur. Now it's pre-med for valve repair/replacement, and joint replacement for three years post-op. I'd still like to see the data on deaths related to dental procedures and endocarditis.

I had a hip done in 2013. It took my dentist and myself 5 years to get the surgeon to agree to let me stop taking 4 gut-killers before every dentist visit. But we did it.

Originally Posted by UncleWede

Shouldn't we be moving on to COVID-22???

Neal Stephenson has it at -23 (and -27). Guess we'll see.

[DocL]

Originally Posted by wdb

I had a hip done in 2013. It took my dentist and myself 5 years to get the surgeon to agree to let me stop taking 4 gut-killers before every dentist visit. But we did it...

The AHA and AMA only recommend pre-med for the first three years. It used to be for life. I'm glad your dentist was proactive and became your advocate.