National Geographic & Antibiotics

That sounds like I’m out sick – but I’m not.

The article “When You Swallow A Grenade” looks at the microbe impact of taking antibiotics.  It talks primarily about about it in a broad, layman’s way – just as they should.  Carl Zimmer does a great storytellers job of talking about what happens to a persons entire body chemistry when they are on antibiotics.  (Ladies, you know what we’re talking about here, right???)

It leads me to a minor confession – I am selectively dishonest about taking antibiotics that have been prescribed for me.

IF I am prescribed antibiotics and in the conversation with the MD/PA/NP it appears to be an actual *infection* of some sort, I will take them – as prescribed – every last one of them.  I generally add a probiotic / yogurt / kefir but not in immediately adjacent to the antibiotic.

IF the doctor mumbles something about a virus, or worse, appears to walk in the door with a prescription in mind — theeeeeeeen, I’m much less likely to get the prescription filled.  I am perfectly comfortable with feeling like crud while my body works it out on it’s own.

The other confession – I practice poor communication because I do not turn down the prescription.

I do not engage my MD/PA/NP by saying that I’m not planning on taking it, in doing so I don’t give them the chance to tell me that it is important, or that it is fine, or any of that other stuff that they might want to say.  I never open that door.

It isn’t completely my job, obviously, I wish MD/PA/NP felt more comfortable telling patients to rest and take care of themselves in a way that doesn’t involve antibiotics – but they aren’t.  I believe in patient engagement and a patient being a partner in their care … I suppose that next time it means I’ll need to own my choices and let them know when I’m not going to fill a prescription.  I want to open that door.

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