Tag: medicine

Tuesday Top of Mind 11/18/25- Robin getting slapped by Batman for saying he needs antibiotics for a cold

Less than a century ago, common illnesses such as appendicitis or pneumonia, or even extremity abscesses were often lethal. That means the infection, that there was no way of stopping, killed the patient.

It was in 1928 that the miracle of the petri dish occurred. Well, some say miracle, I call sloppy lab control. The petri dishes weren’t cleaned before Dr. Alexander Fleming went on vacation. He got back to his lab and the dirty petri dishes to find the newly grown mold that had developed was keeping the bacteria from growing.

Penicillin enters the chat.

But penicillin would worked on many different bacteria. Today we call it broad spectrum.

Then they called it amazing. And wondered what other antibiotics could be found and developed. Sulfa medications soon followed. And then resistances to the antibiotics started appearing.

Really the march to where we are now is fascinating.

There is a really good article. “Antibiotics: past, present and future” by Matthew Hutchings, Andrew Truman, and Barrie Wilkinson. It has good graphs, tables, and illustrations. But it points out the present we are living in and the future we should all fear.

The present that we are all living in is the rise of antimicrobial resistance (AMR).

This is when the causative agents of the infections are no longer susceptible to the antibiotics used to treat them. This means that the drugs no longer work for that infection.

I am not kidding when I call that the scourge of the modern age.

Because when the antibiotics we have are not the right antibiotic to treat an infection we might as well be back where we were 100 years ago. Shit out of luck (SOL).

And dying from appendicitis.

But how did we get here?

From the free and loose prescribing of antibiotics for nearly 100 years.

I have a cold, try these antibiotics. They aren’t the medication for viruses, but hey, it might help.

I feel better, I think I will stop these antibiotics. Yeah, I’ve only taken them for 3 days and it is a 7 day course but I feel better now.

A new friend from another place, let me shake your hand and give you what I might have and pick up what you might have. From the casual contact.

Oh, is that a rescue animal. Can I pet it?

Germs are like people, they want to live. And to do so they mutate and learn to overcome the antibiotics. Worse, yet, they have the ability to learn from other germs that are nearby. Germ A learns to be resistant to antibiotic a because germ B taught it to be so.

It is a huge problem.

This week is Antibiotic Awareness Week, November 18-24. It is meant to raise awareness of appropriate antibiotic and antifungal use. (not for colds, jan!)

Because we are rapidly approaching the cliff where none of the antibiotics will work and limited new antibiotics in the pipeline.

Your mission:

  1. Try rest and fluids for illness first, especially a cold
  2. always finish the course of antibiotics
  3. do not ask for antibiotics for a cold. The reason you feel better is the placebo effect
  4. when your child needs antibiotics for a cold don’t give your leftover ones from last year
  5. listen to the medical professionals about antibiotics

Governments and scientists are working on it. They were slow to wake up to it, and slow to get going, but everyone is aware that this is a problem.

And hope really hard that it is not too late.

Best Kept Secrets of the OR #24- There is always one

This can apply to many, many things.

There is always that one surgeon who demands perfection, except from the people they like. The one who tirades and demands and threatens but only if you are not their chosen ones. You know, the ones who flatter the surgeon and know which side their bread is buttered on. And then use that access and favoritism to get what they want.

There is always that one team member who rides the clock like it is their business. These are the ones who go home late “because they were doing X”. Even though no one asked them to do X and another person had been assigned to X but the first person perhaps overrode the second person who gladly gave up X. Go home means go home.

There is always the one surgeon who asks for something that they’ve used for twenty years that only came out two years ago. Reacting and dealing with the insanity of this is what keeps us young.

There is always that case that looks like it will run over and that makes you sweat bullets and frantically plan to get the team out on time. You end up calling the call team in only for the case to finish 15 minutes before the end of shift. And now you have the call team there and nothing for them to do.

There is always the one team member that drives you incandescent with rage. That’s it, that’s the end of this instance. There isn’t anything to do about that one team member. We all have our trials. If it makes you feel better you are that team member for someone else.

There is always the one policy that infuriates the department. Until you realize why the policy was created. Hint, it usually has to do with safety, both staff and patient.

There is always the team member who works in the background, quietly. They are not the squeaky ones and they don’t cause the drama. These are the ones that should be cultivated and celebrated. Be aware they may not enjoy much being made of them.

There is always that one patient who you always remember, long after they are gone. It is memories like this that keep you in nursing.