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.

FFS Friday 8/29/25- Free the CDC

Additional furor over the CDC.

This time it’s personal.

The CDC director was asked to step down after refusing to support the administration’s agenda. Newly confirmed Susan Monarez refused. So they fired her for refusing to toe their line of bullshit and refusing to listen to RFK Jr.’s nonsense.

Basically they fired her for choosing public health over politics.

Good for her.

Also good for the wave of resignations that followed of an additional four high level department heads including the head of the National Center for Emerging and Zoonotic Infectious diseases. The others who resigned in protest were the deputy director and the heads of the National Center for Immunization and Respiratory Diseases, and the head of the office of Public Health Data, Surveillance, and Technology. Like that’s not going to shoot us in the foot. Or, rather, in the public health.

For those who are not aware of what public health is, the definition that the American Public Health Association goes by is that “Public health promotes and protects the health of all people and their communities.” The association goes further to explain that their solutions are science-based, and evidence-backed that strives to give everyone a safe environment to live, work and play in.

For those who are not aware what science-based means broadly that there has been use of “rigorous, systematic, and objective methodologies to obtain reliable and valid knowledge.” This definition is by the American Education Research Association and is used as a framework to members of Congress. As someone who has spent the last three years learning how to do research I can assure it is not “vibes” only.

For those who are not aware what evidence backed means it is another way to phrase evidence-based. This means that the information used to back up the care or the data as been found through credible, reliable science. It is important to understand that there is a hierarchy of evidence that is used to rank research. The strongest is systematic reviews. This is a systematic investigation of the meta- analyses of research. There are nine steps to the pyramid of hierarchy of evidence pyramid with the last, lowest step being expert opinion. There are many hierarchy of evidence lists from the NIH, from the Canadian Task Force on the Periodic Health Examination’s Level of Evidence, and many other. Not one of the progenitors say “vibes” only.

Former HHS Secretary Xavier Becerra was understandably concerned with this development. He said, “Politicians don’t do science well. It is dangerous to put politics over public health.”

It is my opinion that is also costly to put politics over public health. Not just in lives of the people that will die but also fiscally. It is expensive to care for those who are caught up in the web of deceit that now descends on the agency.

Unless of course you don’t care about scientific inquiry and base your entire secretary-ship on the lies you tell yourself. And other people. That is cold comfort to those who have to bury the dead from the misinformation.

Don’t forget that over 80 people died when RFK Jr’s lies led them not to trust the Mumps, Measles, Rubella vaccination. They decided that he knew what he was talking about and didn’t vaccinate and a cluster soon followed. A deadly choice on their part. This information is in part from Senator Brian Schatz (D, HI) at the circus of confirmation of RFK.

This information is also widely known and you’d think it would be enough to sink his ego.

But that’s not a bad enough vibe for these people.

International Womens Day March 8th

Much like declining to wish people a “Happy Veterans Day”, I will also be declining to wish women a “Happy International Women’s Day”. This is for many of the same reasons.

There is nothing happy about this.

Google and Apple took it off of their calendars.

In an obvious sop to more than half of the country, Google did incorporate 5 images into its search page. An atom, a double helix strand of DNA, an Erlenmeyer flask, a dinosaur skull, and an astronaut in full gear.

And that’s it.

It is up to us to decipher which scientist or woman matches up with each image.

The atom is a bit of a head thumper to start us off. I imagine that it is supposed to represent Marie Curie. I guess. One of her TWO Nobel prizes is in physics.

The double helix of DNA is much easier to parse. Rosalind Franklin was the woman who took Photo 51, the first x-ray picture that clearly showed the double strands. Her work was stolen by the heralded discoverers of DNA, without her permission. She was robbed of the Nobel prize when the two men who had taken her data did not credit her. Worse, they tried to cover up this fact by saying that she couldn’t grasp the concept of DNA.

Bitch, please.

The Erlenmeyer flask is meant to be the contributions of all women in chemistry? I guess. It’s not really clear. There have been a lot of women in chemistry, after all.

The dinosaur skull could represent Dorothy Garrod. She was the one who first explained that the First Mesozoic era encompassed the history of man. Or perhaps it is representing the first woman archeologist, Margaret Murray, who worked in the late nineteenth and early twentieth centuries. There have also been a lot of women in archeology.

The astronaut could be any number of women. The first woman in space was Valentina Tereshkova. She orbited the Earth for 3 days in June 1963.

If you click through the Google doodle, it is just a celebration of women in STEM. No woman is named specifically by name.

But we know or can guess at the inspiration for each doodle image.

Women in science and STEM is an international effort.

One that we have to give all respect for and homage to.

But it isn’t enough. What other woman has had her data stolen or was forced to give her work to a man for recognition? There remains a lot of work to do.

One thing that must be acknowledged is the contributions that are not STEM related. Because the entire world and all of its discoveries are not solely STEM related. To act as if it is devalues the woman writers and thinkers and philosophers who have fought and bled and died and were forgotten for their contribution to the current world.

Despite the men. Not because of them.

But we still have to recognize that all these women were once girls. And these girls had books.

Gravity tolls for everyone

Summer means being outside frolicking. Biking, skateboarding, skating, walking the dog, playing outside with the kids, yard work…

The list is endless.

As are the ways that these activities can injure the human body. Injure in ways that need surgical interventions.

You name it, I’ve seen it.

Fractures of all sorts from the tips of your toes to your facebones.

Lacerations of all sorts everywhere there is skin. A laceration is a cut or an owie as we medical professionals call it.

Infected bug bites that subsequently need to be drained or otherwise surgically treated.

Random infections sometimes from the lacerations.

Summer has many ways to hurt people.

Most of them start with gravity exerting its will on people.

Word the wise, babies bounce but adults thud.

And with a fall and it’s sudden stop at the end, things can happen to the human body.

No one can escape gravity. And bubble wrap suits would be expensive, not very sustainable, and hot. Can you imagine the sweat?

Yep, gravity has everyone’s number. It is just a matter of time before you feel the impact of gravity.

No one is getting away from it.

In fact, gravity is in the room with you right now!