Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The unscientific lure of antibiotics

David Mokotoff, MD
Physician
May 22, 2018
Share
Tweet
Share

Although my father did not discover penicillin, he helped do the research showing its effectiveness in curing infective endocarditis. As an internist, he then became enamored with the role antibiotics could play in treating infections. Growing up, my siblings and I can attest to his unbridled enthusiasm, as every time we contracted a cold, we would get a shot of the wonder mold in our butts. The fact that colds were caused by viruses and not bacteria did little to dissuade him from the utility of the treatment. When I finally developed a rash after another shot, I celebrated the fact that the painful solution would never enter my buttocks again.

Fast forward 60 years, and we now know that there is still scant evidence that antibiotics help to shorten the duration of the common cold, or viral sinusitis or bronchitis. Yet, patients plead with us to “do something” after their Vitamin C, zinc, and other natural supplements fail to make them feel better. We know that by prescribing them, we might be contributing to antibiotic-resistant bugs and dangerous side effects. Nonetheless, we prescribe them.

Colds affect everyone differently. For me, they always seem to end up in my chest with purulent bronchitis. A few years back my illness was so bad that I actually had post-tussive syncope. As a doctor, I know that antibiotics may or may not help. Yet I continue to take them. You see as a patient, the scientific part of my brain takes a back seat to the less rationale victim side. I know that 50 percent of patients respond positively to placebo. I am also mindful of the old adage, “You can take an antibiotic and be better in three days or not take it and be better in three days.”

I recently had two teeth pulled and a bone graft placed in preparation for dental implants. The oral surgeon prescribed ten days of clindamycin even though there was no overt evidence of infection but the surgery was “deep.” During practice, I had seen enough antibiotic-induced C. diff to make me wary, but I still took the full course. Then a few days after that I contracted a cold and cough and rummaged through my medicine drawer and found a few doxycycline pills from my bronchitis last summer. Yes, I took them.

Thus I plead guilty to “do as I say and not as I do.” I have come to appreciate the frailty of human nature. I can now appreciate in retrospect my former patient’s needs and desires. But if you ask me “do antibiotics help treat a common cold?” I would still have to answer, “of course not.”

David Mokotoff is a cardiologist who blogs at his self-titled site, David Mokotoff.  He is the author of The Moose’s Children: A Memoir of Betrayal, Death, and Survival.

Image credit: Shutterstock.com

Prev

An aging physician muses on end-of-life care

May 21, 2018 Kevin 7
…
Next

A Hippocratic Oath for technology

May 22, 2018 Kevin 0
…

Tagged as: Infectious Disease, Primary Care

Post navigation

< Previous Post
An aging physician muses on end-of-life care
Next Post >
A Hippocratic Oath for technology

ADVERTISEMENT

More by David Mokotoff, MD

  • How tunnel vision can lead to bad medicine

    David Mokotoff, MD
  • Why doctors don’t like to retire

    David Mokotoff, MD
  • What life is like for this retired physician

    David Mokotoff, MD

Related Posts

  • Why developing new antibiotics is a losing battle

    Christopher Johnson, MD
  • Why you should think twice about prescribing antibiotics

    Rich Rodriguez, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Should only infectious disease specialists be allowed to prescribe antibiotics?

    Craig Bowron, MD
  • Inappropriate antibiotics are the new drugs of abuse

    Rosemary Eseh-Logue, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD

More in Physician

  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • How to balance clinical duties with building a startup

    Arlen Meyers, MD, MBA
  • When life makes you depend on Depends

    Francisco M. Torres, MD
  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...