by AgentR11 » Sat 21 Nov 2015, 12:44:44
$this->bbcode_second_pass_quote('Tanada', 'T')he scary thing to me is, Doctors have horribly over prescribed antibiotics and patients have frequently failed to follow directions when taking them. Add in that unmetabolised antibiotics enter the waste stream and encourage resistance in the bacteria of all types in the sewage treatment system.
This really can't be over emphasized. Doctors, especially in a fee for service model like the US with high litigation exposure, are very vulnerable to the temptation to not only prescribe antibiotics, but also to prescribe fairly high up on the food chain of antibiotics. Patients don't come in and say, Doc, I have a cold, hack hack, sneeze sneeze, ewww you got that on my lab coat. No, patients come in and say, "Doc, I need some SUPERmycin, cutie on TV said so." The instance of refusal to prescribe is much more challenging than just writing the script. The drug is more or less harmless in its single usage, mild risks, and the patient goes away happy; and he'll get better even if you prescribed sugar pills. And the patient gets a positive reinforcement in the doctor saying "ok", and honestly, any nagging cuts and bruises will heal up quite fast, and the patient does get well, so double down dose of positive reinforcement for repeat performance.
But of course... they don't take the whole card, they feel better, they stop, they stay well. And whatever bacteria that survived in their lungs, sinuses, etc, end up supplied with a substantial but non-lethal evolutionary selection pressure for immunity to the drug. Patient then walks in an office building and turns a door knob. AgentR follows shortly thereafter, nursing the aftereffects of influence, and grabs said knob. AgentR being, an idiot, rubs his eyes whenever they itch, because that's what humans do. AgentR now has a lung infection that is immune to SUPERmycin. TY, come again, be sure to tip the undertaker on the way out.
Now, AgentR's trevails aren't particularly important, post reproductive age, gimping along, kid is basically an adult and well provided for. But that bacteria's immunity is a big deal. Because once its immune, it doesn't stop being immune.
I don't know that I'm very convinced about the waste water side, but the other two parts are undeniably true, and more than sufficient to put an end to our victory over infectious bacteria.