With my recent bout of strep, they prescribed meds before the swab came back. I was as symptomatic as it gets. However, and don't birth a duck, Ducay lol - that was partly because we have someone that is immunosuppressed in the house, and they prefer not to fool around, thus the reason I was on antibiotics immediately, even before the swab gave them the final 100% reason to say it was strep. I recalled our peds specialists saying it was one of the illnesses we needed to be very careful of, for our household, so I was at the doctor fairly quickly. I pretty much hid out in our room, with my own set of dishes/cutlery etc, for several days, trying not to spread it around.
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