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Date: Tue, 06 Jun 2000 19:10:11 -0400
From: wendell grogan <wgrogan@dc*.ne*>
Organization: @Home Network
To: ScottBonis@ao*.co*
CC: techdiver@aquanaut.com, cavers@ca*.co*
Subject: Re: Nail Fungus
Two ideas-
Generally these things are annoying, but not dangerous.  Really good
hygiene- carefully clean the toes with a nail brush.  Then old fashion
stuff like epsom salts would probably get rid of it- 3 or 4 times a day
until all cleared up.  The other low tech treatment would be the creams
that they use for vaginal yeast infections- same drug as they use for
topic application for toe nail fungus- the beauty of these is that they
are available OTC, but more potent than anything they normally sell OTC
for toe fungus.
The alternate plan would be to get one of your buds with full drug
coverage to get it for you. That would a violation of federal law.
This sporanox stuff is only intended for use in diabetics and people
with poor immune systems who are really at risk for severe, maiming or
life threatening infections from skin fungus.
A third alternative would be to see if you insurance covers podiatry
treatments.  A podiatrist would be very well versed in treating this
kind of infection.  Even if you had to pay for the visits, if plan #1
didn't work, then it would have to be cheaper, and less risky as a
diver, than taking Sporanox.  I'd definitely check with a diving Doc or
DAN before taking it and diving.
Wendell Grogan, MD

ScottBonis@ao*.co* wrote:
> 
> Hi guys,
> 
> I discovered last week that (from diving I think) I have a toe nail fungal
> infection on one of my big toes.  So I went to my local doctor and he
> prescribed the drug Sporanox (generic is Itraconazole), two 100 mg tablets
> taken daily for three months.
> 
> This didn't seem like a big problem until I went to buy the drug.  You see my
> health insurance has limited drug coverage so I check prices carefully on the
> web.  Now I don't know what price you may think is reasonable to kill a
> little nail fungus, but I thought maybe $50 or even possibly $75 on the
> outside.  I couldn't believe my eyes when the prices I got from both Planet
> RX and Drugstore.com were just over ONE THOUSAND DOLLARS.
> 
> So I'm asking the medical types on this list for a plan "B" to consider.
> What other treatments are available that fall somewhere within the ballpark
> of reasonableness.  I'm not asking for detailed treatments, just suggestions
> of what might be possible.
> 
> Thanks a lot for your time.       Scott
> --
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-- 
"There are two kinds of people, those who do the work
        and those who take the credit. Try to be in the
        first group; there is less competition there."
                   (Indira Gandhi)
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