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loveumms

Member
So, I got a chance to go back and read through the entire forum since today I was distracted while reading and posting. I was curious to see where things had turned from me asking for advice to me being “obnoxious”.

I’ve come across several things I want to correct.

When I first read this post, I didn’t really give a lot of thought to it.



Rmet4nkx:
Now Kennel cough can be caused by several specific types of bacteria (commonly Bordetella bronchiseptica infection) and virusis, you only gave a common term not the specific infeciton as I asked. Such infections occur approximately 3-5 days following exposure, that should give you a better idea. Like with humans, treatment with antibiotics is not the first course of aciton, docs often respond to Robotussin DM. You may, however consider vaccination especially if your dog is exposed to other dogs such as in dog shows or training classes, dog parks.


When rmet4nzkx wrote this, I was under the assumption that she/he knew all about the illness (she made it sound like she was very well versed in infective tracheobronchitis). Well, I did a quick google search using “kennel cough” and found this website - http://www.vetinfo.com/dkcough.html. She pretty much copied and pasted the info which was nice however, at least give the article’s author credit.

So, when I got home I looked through some of the research I had done when we first found out the puppy had ITB (infective tracheobronchitis). Figured I would share this so if anyone else is unfortunate enough to have a dog come down with the infection you will know about the pathophysiology.

rmet4nzkx was correct; ITB is caused by several pathogens. One of them is Bordetella bronchiseptica which colonizes the upper respiratory tract of dogs and causes the cough. This bacterium is very similar to B. pertussis which causes whooping cough in humans which, actually can cause chronic cough in adults. Previously it was thought that it only caused infection in young children but, now it is known that immunity from the vaccine given during childhood wanes and adults can acquire the infection (it is less serious then in infants though).

Most of the time ITB is a result of more then one infectious organism – the other components being viruses (Parainfluenza, Adenovirus type 2, and canine distemper).

There is speculation that B. bronchiseptica cannot survive outside living hosts. (Keil, DVM “Kennel Cough Facts”). Hence, it must be transmitted via secretions or droplets – therefore, the puppy could not have been infected during transit unless there was another dog on his flight that was infected.



rmet4nzkx:
You have a questionable case at best because you didn't get the culture to prove that the "Kennel cough" was caused by a bacterial form such as, Bordetella bronchiseptica, as you initially claimed. Left shift on neutrophils is not is not proof that your puppy contracted the infection at the breeders. Another reason the breed is important because there may be a genetic reason as you first suspected. You failed to answer how long after the puppy was shipped that the signs of infection began but I am assuming it was more than 5 days due to your avoidance and defensiveness. Most people are dehydrated by air travel and not uncommon to develop a cough or URI, persons with genetic disorders such as A1AD often experience exacerbatons following air travel. Air travel is a stress to the body, human and animal alike



FYI: Not sure where you read that most people become dehydrated by air travel. Yes, it is a low humidity environment however, I don’t think I would use dehydrated and most to describe it. Furthermore, people may develop a cough or URI symptoms following travel however, recent studies have shown inconclusive evidence of anything actually being transmitted due to air travel. (http://www.blackwell-synergy.com/doi/abs/10.1111/j.1445-5994.2004.00696.x;jsessionid=g7uIZt_AfI55dvLdkK?cookieSet=1&journalCode=imj) It is hypothesized that air travel can cause a SLIGHT decrease in the immune response in humans but, this is not enough to cause symptoms.

I didn’t read the response earlier today and am very struck that you put A1AD as a disorder with exacerbation following air travel. It is a pretty rare disorder (1/2500 – 3000 live births). The reason patients afflicted with this disease have exacerbations following air travel is due to the high altitude and their inability to get inspired air back out.

And, I figured I would just plug this also. Taking vitamin C, Echinacea or any other herbal remedy does not promote immune function, nor does it make the cold symptoms resolve any faster.

The reason for dog’s immune system taking a hit after air travel is completely different – they are being taken from their home, put into a ‘scary’ environment (aka a loud jet) and then meeting new parents. So, it’s not just a stress to the body – but to the psyche as well.

I had never claimed that I knew the infection in my puppy was due to Bordetella bronchiseptica. Even a culture positive for B. bronchiseptica does not prove infection because it can be found in the nasal passages of ‘healthy’ dogs.

Furthermore, in going back over my readings I realized that I was completely wrong about the vaccination. The ITB vaccine is a live vaccine – meaning it contains portion of the actual bacteriums antigenic properties that have been changed just a tad. Therefore, it stimulates a response to the bacteria = produced antibodies that will fight off future infections. However, these antibodies are not always enough to fend off an infection hence not completely protective of the animal. A study conducted by researchers at the Department of Pathology and Infectious Disease (London) found in 2003 that “dogs with high antibody levels were just as likely to contract respiratory disease as those animals with low titers. This could indicate that in this natural outbreak of respiratory disease, even though B. bronchiseptica was present and found in increasing numbers in those dogs with respiratory disease, it was not the causative agent of disease or that antibodies to B. bronchiseptica LPS are non-protective … no correlation [was found] between levels of antibodies to B. bronchiseptica antigen in serum and protection”.

http://www.marvistavet.com/html/body_kennel_cough.html - states that the incubation period is actually 2 – 14 days.



rmet4nzkx:
You should have had an appointment to have your puppy examined by the vet the day/next day from arrival at which time the puppy would have received a thorough examination and necessary tests and vaccinations.


I did have him examined right after he got here. He didn’t have any symptoms at that time – but, since the infection doesn’t always present right away he may have been harboring it or his immune system might have been fighting it off without us knowing. Anyway, that is neither here nor there.



And, finally – I don’t think I was the one who was obnoxious first. After me asking rmet4nzkx, out of curiosity how he/she got their career experience I got this response -


rmet4nzkx:
Thank you for the interest in my work. I have extensive education and degrees, none of which can prepare anyone to become an expert witness no matter the field, there is far more to it than that, the key factor being a "gift". Without the "gift" any career aspirations would fall short. Please take this in the best possible light, interesting as it may be, you don't have the "gift". Your task is to study well and perhaps while you are in medical school and your postraduate training and experience you will discover your gift.



I don’t know how anyone couldn’t have found this to be very condescending and offensive even in ‘the best possible light’. rmet4nzkx is basically saying that he/she has a “gift” that makes them somehow better then me (and anyone else who doesn’t posses this “gift”) since without such my career aspirations would fall short.

I think I’m doing just fine career wise and am very proud of myself for getting this far. As, many of you lawyers, doctors, ect know – professional school isn’t easy and anyone who can make it through doesn’t fall short of anything. Furthermore, I may have came off as arrogant however, I see it as self confidence.

And, I’m still left wondering what the “gift” is exactly.

rmet4nzkx when you made the comment that you the comment “now I have to go put my rib brace on because my ribs are killing me from laughing so hard. You see I had fractured most of my ribs when I was hit broadside by a semi, as in truck, not” I didn’t realize it was literal. When you put that NOT in there, I thought you were saying that in fact you were not hit by a semi. That is why I said you have the maturity of a five year old. I didn’t realize that you had actually been hit.

And, finally its pustule – not pistile.

Hopefully, this was at least educational – and you can feel free to consult the “short white coat” anytime for infective tracheobronchitis.
:D
 
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rmet4nzkx

Senior Member
I did not copy and paste therefore I did not provide attribution. Thank you for saying I was correct afterall.

The legal points and burden of proof were never in debate.

Travel is stressful for people and animals, air travel has it's own stresses.

Your dog shuld be vaccinated 2 time a year for ITB.

I brought up the example of A1AD because in fact it is not rare at all it is one of the most common genetic diseases affecting 11-13% of the Caucasian population with at least 1 defective gene. While called Alpha 1 Antitrypsin Deficiency it is also called Alpha1-Proteinase Inhibitor, varients are at higher risk for many conditions yet are untested. In fact a member here had some unusual labs that had the doctors stumped. I suggested they get screened, and as suspected they carries a defective gene, now their doctor has something to explain the unusual labs. Also realize that att is an accute reactant which will affect labs.

Your assignment is to report back what are the other enzymes/factors (@ least 6) affected by ATT and why 3 of those will impact your future career as a dermatologist.

I made no assertion that
Taking vitamin C, Echinacea or any other herbal remedy
In fact Echinacea can make somethings worse such as MS. However, in the case of ATT, Vit E does raise att levels in some varients.

I am lucky to be alive I was pretty well mangled so typing is difficult and not something to be made fun of by you or anyone and the spelling of "pistule" was intentional.

No charge for mentoring.
 

loveumms

Member
Your assignment is to get over yourself - I actually thought that maybe, just maybe you could remain modest and not pompous and arrogant. Boy was I wrong – you can’t help yourself can you?

Anyone can do internet searches and make themselves look smart. I was watching the news while I typed that post. They were discussing how plagiarism was becoming a real problem on college campuses at the moment and a sure fire, easy way to catch plagiarizers was to Google search a few of the terms/sentences the author used and see what hits were generated. Did exactly that and the link I provided was the first hit ... not a coincidence that almost everything you wrote about ITB was in that article.

If I need advice on how to vaccinate my dog, I doubt an expert witness with a “gift” would be the first one I turn too. I think I would trust the guy who graduated from veterinary school or even the person that answers the phone at the office before I resort to taking your advice.

You still have never disclosed what the gift is … and the link you provided to the brilliant work you produced didn’t even work.

Never said that you claimed herbal remedies did anything - just stated it for general knowledge since many of our patients think vit C and such can decrease the duration of cold symptoms when in fact several recent studies have proved no link.

I would be in REAL trouble if I had you for a mentor – I might end up hostile and alone with just my computer. Instead, I have a great fiancé, absolutely adorable dog and wonderful career path.

After my posts defending myself and trying to seek real answers many posters wrote how obnoxious I was. After discussing my pet situation with some of my colleagues at the hospital today I mentioned this website, the posts I wrote and the responses to those posts. Since we had only a few admissions, leaving us sitting around pretty much all day we went onto this thread so they could read the replies for themselves (since they too were interested in the person with the amazing gifts that had so much advice to give).

First, one of the residents asked why on earth I would even listen to anyone that was obviously so bitter with their own lives that they are not able to give sound advice let alone advice on serious matters – we went onto the malpractice threads too. The other resident asked why someone with so much education and so called talent would have so much time to write 14,000+ posts on a free internet site. And my fellow student asked why I am even wasting my time replying to someone who is so unhinged.

Couldn’t answer any of them reasonably, besides that I find it amusing that anyone with such amazing credentials would have so much time to post so often. Also, in our conversation it was pointed out that many of these free forums have cliques – a bunch of people that troll the site trying to fill the void in their own lives. One of the residents made a great point – these free forums are akin to internet dating sites. On the computer, everyone is intelligent, gorgeous and successful, yet they can’t find anyone to date in real life since they are dim, unattractive and a loser.

Oh, and if typing is so difficult how on earth are you able to type so much? And even if typing is so difficult – spell check doesn’t require any typing … and it’s free ;)

I don’t recall anyone making fun of your accident, a little sensitive are we? It is quite a horrible thing to happen to anyone.
 

rmet4nzkx

Senior Member
loveumms said:
Your assignment is to get over yourself - I actually thought that maybe, just maybe you could remain modest and not pompous and arrogant. Boy was I wrong – you can’t help yourself can you?

Anyone can do internet searches and make themselves look smart. I was watching the news while I typed that post. They were discussing how plagiarism was becoming a real problem on college campuses at the moment and a sure fire, easy way to catch plagiarizers was to Google search a few of the terms/sentences the author used and see what hits were generated. Did exactly that and the link I provided was the first hit ... not a coincidence that almost everything you wrote about ITB was in that article.

If I need advice on how to vaccinate my dog, I doubt an expert witness with a “gift” would be the first one I turn too. I think I would trust the guy who graduated from veterinary school or even the person that answers the phone at the office before I resort to taking your advice.

You still have never disclosed what the gift is … and the link you provided to the brilliant work you produced didn’t even work.

Never said that you claimed herbal remedies did anything - just stated it for general knowledge since many of our patients think vit C and such can decrease the duration of cold symptoms when in fact several recent studies have proved no link.

I would be in REAL trouble if I had you for a mentor – I might end up hostile and alone with just my computer. Instead, I have a great fiancé, absolutely adorable dog and wonderful career path.

After my posts defending myself and trying to seek real answers many posters wrote how obnoxious I was. After discussing my pet situation with some of my colleagues at the hospital today I mentioned this website, the posts I wrote and the responses to those posts. Since we had only a few admissions, leaving us sitting around pretty much all day we went onto this thread so they could read the replies for themselves (since they too were interested in the person with the amazing gifts that had so much advice to give).

First, one of the residents asked why on earth I would even listen to anyone that was obviously so bitter with their own lives that they are not able to give sound advice let alone advice on serious matters – we went onto the malpractice threads too. The other resident asked why someone with so much education and so called talent would have so much time to write 14,000+ posts on a free internet site. And my fellow student asked why I am even wasting my time replying to someone who is so unhinged.

Couldn’t answer any of them reasonably, besides that I find it amusing that anyone with such amazing credentials would have so much time to post so often. Also, in our conversation it was pointed out that many of these free forums have cliques – a bunch of people that troll the site trying to fill the void in their own lives. One of the residents made a great point – these free forums are akin to internet dating sites. On the computer, everyone is intelligent, gorgeous and successful, yet they can’t find anyone to date in real life since they are dim, unattractive and a loser.

Oh, and if typing is so difficult how on earth are you able to type so much? And even if typing is so difficult – spell check doesn’t require any typing … and it’s free ;)

I don’t recall anyone making fun of your accident, a little sensitive are we? It is quite a horrible thing to happen to anyone.
You need to stand in front of the mirror and get over yourself.

I don't have to do internet searches to look smart. I am smart, that is a fact, not arrogance. I have test scores which prove I am smart. And my mailbox fills every day with people thanking me for the help I have given them, even when it wasn't what they wanted to hear.

I'm not bitter and pro bono work is much respected in both the legal and medical professions. I have a full life of family, friends, colleagues who respect me.

You have much to learn about respect.

I never said you were obnoxious, you are obviously young and think you know more than you really do, the sad thing is that you don't know what you don't know.

I gave you a link to an index, of course you would have to know something to pull an article. I am not going to reveal who I am.

So you couldn't answer the basic question about A1AD, that's ok I'll give you some more time. It will open your eyes.
 

loveumms

Member
I do stand in front of the mirror every day – and I love the reflection. You have to even plagiarize my words (“get over yourself”) – be creative. With all that brain matter you should at least be able to come up with a better reply.

There is a big difference between pro bono work and sitting on the internet all day giving out anonymous advice. It would probably be better to go and volunteer your time where the people who benefit from the work can actually decide on their own if your credentials are actually real. Like I’ve said before anyone can give advice on the internet but, if you can’t trust that advice because you don’t know if it’s coming from Sister Sally in Wisconsin who dropped out of the 10th grade or a real lawyer/expert witness or the milkman, it’s worthless.

Congrats on your thank you emails – don’t sit around holding your breath waiting for one from me.

I give respect to those who deserve it.

Just like everything else I’ve pointed out – you can make all sorts of claims on the internet but until you back it up you have no credibility. Anyone can take a Tickle IQ test, get a result that puts them in the genius category but, those scores don’t count honey.

Yes, I am young (23 to be exact) and I’m sure I have plenty to learn but, I won’t be learning it from anything on this thread or any guidance you have to offer. Well, except for the ability to let things roll off my back and get a few great laughs at the same time.

What the heck is the point of giving a link to an index – that proves absolutely nothing but that you can successfully pull off an internet search once again. Good job! I was published here - http://www.ncbi.nlm.nih.gov/entrez/query/static/citmatch.html but, I’m not going to give you my name, the paper title or anything else that would identify me.

I’m not going to give you the satisfaction of answering your dumb question. The only PIMP questions I will answer are from people whose opinions actually matter to me. You have not answered any of my questions.
 
rmet4nzkx said:
And my mailbox fills every day with people thanking me for the help I have given them, even when it wasn't what they wanted to hear.
Read through the 300 posts of UnbornChild You will see just one of the many people Rmet has helped. Her mailbox fills daily just from me!!! As she saiid, you may not like her response, but she's usually right on.

She's right, you need to learn some respect. You need to learn your place.
 

rmet4nzkx

Senior Member
OK Missy you asked for it!
loveumms said:
I do stand in front of the mirror every day – and I love the reflection. You have to even plagiarize my words (“get over yourself”) – be creative. With all that brain matter you should at least be able to come up with a better reply.
I was responding to your post, that is not plagerism. Do you own the copyright to the phrase "get over yourself"? Surly someone has said that to you a few times in you short life I dare say.

There is a big difference between pro bono work and sitting on the internet all day giving out anonymous advice.
That is your narrow defination and opinion, how do you know what I do or when I do it. I am not here all the time. In fact, my mail box here filled up and 2 threads were started because people were trying to reach me while I was out. https://forum.freeadvice.com/showthread.php?t=304726 https://forum.freeadvice.com/showthread.php?t=304711

[Quoye] It would probably be better to go and volunteer your time where the people who benefit from the work can actually decide on their own if your credentials are actually real. [/Quote] BTDT

Like I’ve said before anyone can give advice on the internet but, if you can’t trust that advice because you don’t know if it’s coming from Sister Sally in Wisconsin who dropped out of the 10th grade or a real lawyer/expert witness or the milkman, it’s worthless.
People should be discriminiating on the internet. It is their decision to make, their responsibility. That's why I usually provide citations or links, refer them appropriately so they can vet the information. I also remind them of their responsibilities. We do not always agree here and many have personal agendas or promote their personal opinions. But those, mostly senior members, who have enough experience to know who is what they say they are and who isn't. Counterfits are pretty quickly outed. For that reason Senior members will challenge one another at times to bring clarity to an issue.

Congrats on your thank you emails – don’t sit around holding your breath waiting for one from me.
Sorry Missy, I learned long ago not to hold my breath, I much prefer a solid Epihany in the "fullness of time" (Yes, that comes from the Bible)

I give respect to those who deserve it.
Missy, you are begining a journey in the medical field, it is your duty to respect others without qualification, your patients, your elders and your mentors, even when they don't deserve it. I can see this will be a struggle for you,. People will not always be grateful for what you do, in fact they may even be angry with you and give praise to others who played a smaller role and you will have to be gratious. You have a lot of ego lessons to learn.

Just like everything else I’ve pointed out – you can make all sorts of claims on the internet but until you back it up you have no credibility. Anyone can take a Tickle IQ test, get a result that puts them in the genius category but, those scores don’t count honey.
I am qualified to administer and interpret neuro/psychological tests. I have taken both WAIS-R and WAIS-III and scored in the superior range, nice try, no cigar. Tickle IQ test, lol Missy you have a lot to learn.

Yes, I am young (23 to be exact) and I’m sure I have plenty to learn but, I won’t be learning it from anything on this thread or any guidance you have to offer. Well, except for the ability to let things roll off my back and get a few great laughs at the same time.
Missy, that is your loss, not mine, sadly, it will be your patient's loss in time.

What the heck is the point of giving a link to an index – that proves absolutely nothing but that you can successfully pull off an internet search once again. Good job! I was published here - http://www.ncbi.nlm.nih.gov/entrez/query/static/citmatch.html but, I’m not going to give you my name, the paper title or anything else that would identify me.
Why should I give you my name, you don't need my name to learn? I gave you one link to an index, there are more, but it is my choice what I disclose about myself. Stamp your feet, hold your breath all you want. it still doesn't change a thing.

I’m not going to give you the satisfaction of answering your dumb question. The only PIMP questions I will answer are from people whose opinions actually matter to me. You have not answered any of my questions.
I have answered your questions and taken a lot of time answering them. I have been patient, respectful and kind.
 

ellencee

Senior Member
rmet
Don't defend yourself to this arrogant med student. He or she is an overt idiot with an attitude and too stupid to know how stupid he or she is.

I have laughed so hard while reading his/her posts, I had tears running down my face. Our normally grumpy Chief of Staff laughed all the way down the hall, kept mumbling something about "memories".

Let the poor kid keep fooling himself/herself for a little while longer. A few good nurses are waiting to bring him/her into the real medical world.

EC
 

Whyte Noise

Senior Member
*raises hand*

I'm the member that had the A1AD test done. Actually, it was because of my 13 year old daughter's out of whack labs, a liver that's 2 1/2 times the normal size, massive protein dumping she's doing, and doctors that are scratching their heads over biopsy results and treatments that aren't working that led me to ask questions, but rmet is the one that suggested the test for my child and both I and my daughter took it. Come to find out my daughter is indeed a carrier as am I. Hopefully with this new information her PCP can try a different treatment course.

Now, I'm not one to toot rmets horn for her. She and I have butted heads on this forum more than once. She's told me I have no clue what I'm talking about and I've told her the same thing sometimes. However, that aside I do trust her judgment on most issues, expecially when it comes to medical questions. I may not always agree with her advice or her tone, but I do respect her knowledge. So, even though I may be a "senior member" I don't have to belong to any clique nor do I have to suck up or kiss ass. I do however, recognize knowledge and experience and have no qualms asking for advice from a person with that experience. If I did, I'd have never asked rmet for advice about my daughter considering our "history" on this message board.

Now.... tell me about this Tickle IQ test? I'm not ticklish, so would I pass or fail? :p
 

Just Blue

Senior Member
Dear...You really do need to get over yourself! I know that Doctors are supposed to be arrogant...but my dear..you are not there yet.

You are challange a Sr. Member whos credentials have been varified...

Rmet personally has helped me when my little one was Dx with PDD...I was directed to resourses that I would not have know about and she has always taken the time to answer my many questions...with kind and INTELLIGENT answers!

As for the 14,000+ posts...yahoo! What you seem to think of as a fault makes her a knowledgeable and trusted Sr Member!!...and you dont have to spend the day on the net to accrue those posts...an hour ot two would do it...

Try to overcome your visions of godhood...you still have a long way to go!;)
 

rmet4nzkx

Senior Member
ellencee said:
rmet
Don't defend yourself to this arrogant med student. He or she is an overt idiot with an attitude and too stupid to know how stupid he or she is.

I have laughed so hard while reading his/her posts, I had tears running down my face. Our normally grumpy Chief of Staff laughed all the way down the hall, kept mumbling something about "memories".

Let the poor kid keep fooling himself/herself for a little while longer. A few good nurses are waiting to bring him/her into the real medical world.

EC
I waited until post 54 to call her "Missy", and she went on about how she and her colleagues were laughing about me, they were laughing about her and she doesn't know it. lol Don't you wish you could be there when she gets her dose of reality? I am thnking of the possibilities now, but dare not post them. ;)

As I said long ago, my ribs hurt something fierce from all the laughter.

Thanks :D
 

rmet4nzkx

Senior Member
Whyte Noise said:
*raises hand*

I'm the member that had the A1AD test done. Actually, it was because of my 13 year old daughter's out of whack labs, a liver that's 2 1/2 times the normal size, massive protein dumping she's doing, and doctors that are scratching their heads over biopsy results and treatments that aren't working that led me to ask questions, but rmet is the one that suggested the test for my child and both I and my daughter took it. Come to find out my daughter is indeed a carrier as am I. Hopefully with this new information her PCP can try a different treatment course.

Now, I'm not one to toot rmets horn for her. She and I have butted heads on this forum more than once. She's told me I have no clue what I'm talking about and I've told her the same thing sometimes. However, that aside I do trust her judgment on most issues, expecially when it comes to medical questions. I may not always agree with her advice or her tone, but I do respect her knowledge. So, even though I may be a "senior member" I don't have to belong to any clique nor do I have to suck up or kiss ass. I do however, recognize knowledge and experience and have no qualms asking for advice from a person with that experience. If I did, I'd have never asked rmet for advice about my daughter considering our "history" on this message board.

Now.... tell me about this Tickle IQ test? I'm not ticklish, so would I pass or fail? :p
Thank You!
Tickle IQ test is a pop-up on the internet.
 

rmet4nzkx

Senior Member
UnbornChild said:
Read through the 300 posts of UnbornChild You will see just one of the many people Rmet has helped. Her mailbox fills daily just from me!!! As she saiid, you may not like her response, but she's usually right on.

She's right, you need to learn some respect. You need to learn your place.
Thank You! :)
 
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