Articles, Blog

She Asked For Antibiotics & I said NO | Wednesday Checkup

November 4, 2019


– A patient walks into my
office expecting a prescription for an antibiotic but I don’t write one. Let’s talk about what happens on this week’s Wednesday Checkup. Bee-whoop! (smooth jazz music) Let’s set the scene here, we have a 38 year old female that comes in with a chief complaint of upper respiratory symptoms. It’s been going on for a
period of two to three days and her main complaints come
from fatigue, sore throat, dry cough and runny nose. A little bit of background on the patient, she has two children,
is currently married, and has a very stressful job. Probably the most important
part of this story is that she has a vacation
coming up in 11 days and she’s worried that this infection may interfere with those plans. Normal vital signs, no fever, pert positives: inflamed
nostrils, inflamed throat. Pert negatives: no exudates on the tonsils which means those nasty little white plaques that you sometimes see, clear lungs, no abdominal pain, no rashes and very importantly,
no swollen lymph nodes. At this point, I had a
very strong suspicion that my patient has a viral illness. I didn’t even know which viral illness. But it doesn’t make much of a difference because it doesn’t change my management. Viruses are treated in the same manner. We give supportive care to the patient, treat their symptoms, make
sure they get enough rest, hydration, in order for their own bodies to fight off those infections. When I told the patient
about my diagnosis, she met it with hesitation and wanted to know if she was going to get a prescription for antibiotics. I explained to her that antibiotics don’t work on viral conditions, like the one I suspect
that she was having. I had to explain to her
that weighing the risks versus benefits here, I still thought that not using antibiotics
was the right move. She put her trust in me and told me that she would call me over the weekend if any problems were to arise. Come Sunday, two days later, the patient calls my
office and lets me know that she’s not getting better and she’s wondering if she should go to a urgent care facility. I talked to her about her symptoms it just to me seems like her viral illness still hasn’t improved
because she hasn’t reached that day six, day seven where
we usually see a turn around. And I told her that it
was in her best interest to stick with the symptoms management, treat herself with rest,
hydration, with green tea and honey and stick through it and give me a call in two days. Surprise, surprise, patient
calls me in two days, let’s me know that she’s
feeling a lot better and turned around on day 6 all her symptoms pretty much resolved. She did let me know that
on Sunday she ended up going to an urgent care facility and got a rapid strep test done which came up negative
as we initially thought so she was very grateful
that we didn’t unnecessarily treat her with antibiotics
and it was a good result. And I thought it was
important to talk about this result because it’s
a very common situation where doctors either
over-prescribe antibiotics or doctors don’t prescribe an antibiotic and then patients get
really upset about it. So let’s talk about that. The situation of a patient coming in and requesting antibiotics
when their not actually needed or indicated happens quite often. And I want to start off
telling you why doctors should not be prescribing
antibiotics unnecessarily. Reason number one: resistance. Antibiotics work against certain bacteria that are not resistant to them. However, when you give
patients antibiotics over and over again you
create a type of bacteria known as a super bug which
actually becomes resistant to that antibiotic and therefore that antibiotic becomes useless. And there’s only so many
antibiotics out there where we can actually run out of antibiotics to give a patient because they have such a multi-drug resistant bacterial infection. Second: adverse reactions. I’m talking about allergic reactions where the throat closes
up, rashes, diarrhea an infection known as
clostridium difficile, where you kill all the good
bacteria in your bowels so that this bad bacteria
grows and festers and you have the worst bacteria ever. Three: Antibiotics don’t
work against viruses I know many people say “Well
as soon as I got the antibiotic I felt better,” you would have felt better without the antibiotic. In fact, when we treat a
strep throat with antibiotics, we’re not even really
treating the strep throat. It would get better on it’s own. The reason we give antibiotics here is to prevent the
complications of strep throat. Like rheumatic fever, kidney issues. Let that sink in for a moment. And finally fourth: the cost. Why would you spend money on antibiotics when you have a virus, they’re
not even gonna be helping you and possibly harming you. The art of medicine is about balancing the risks versus
benefits to be in your favor. Now let’s move on and talk about what pressures doctors face
to prescribe antibiotics even though they may not be the appropriate choice of treatment. First: Patient request. Like we had in my story, patient comes in and requests firmly an antibiotic. You can discuss very clearly with them why you think an antibiotic
isn’t the optimal choice. You can explain the risks, the benefits, and the patient can still
request an antibiotic. So, you go ahead and write one. The second connects very
closely with the first, and it’s these doctor review sites like Zocdoc, Yelp and so forth. Where if a patient
doesn’t get the treatment they expected to get, they can leave a nasty
review that can truly hurt your own business. Think about it, if I open my own practice, and I’m trying to establish
myself and have a good name and give quality service, and not give unnecessary antibiotics, but a patient really wanted them, they leave me a bad review, that can really hurt my business. Three is something you
may not have heard of, it’s CYA medicine, Cover
Your “Butt” medicine. Essentially what doctors
are doing, is that they’re afraid that if you
don’t prescribe antibiotics for a patient, and they actually do have a bacterial
infection, they get worse, they may be held liable through a lawsuit, and that’s scary stuff for a doctor. You don’t wanna be sued by a patient, especially in the age we live in where it seems everybody’s
just suing everybody all the time. Fourth is patient satisfaction. If a patient pays to go
to the doctor’s visit and leaves with no prescription, and instead leaves with advice to drink green tea, honey and hydrate, they feel like they didn’t
get a lot out of the visit and can leave very unhappy. But we have to remember, the reason we pay for a doctor’s visit is
not to buy a prescription, it’s to consult a doctor
on their medical opinion as to what’s going on with you and what is the best treatment option to solve that problem. Please don’t think I’m anti antibiotics. Antibiotics are a life saving
drug, and when appropriate is so important to give. In fact, if someone has a viral infection, they become more susceptible to getting a bacterial infection on top of it. So that if you initially have symptoms of a viral illness that
suddenly get worse, you may need antibiotics. I’m definitely for antibiotics, but I’m for responsible
use of antibiotics. We covered antibiotics
and I told you my story, but I also happened to
go to my P.O. box today and picked up some packages (shaking box) Pennsylvania Oh my god why is everyone
sending these shirts? It’s a Newfoundland
with a little heartbeat. Bear, what do you think about this shirt? (laughing) What do you think? California, San Diego. Oh my (laughing) god. Chest compressions! Chest compressions! Cynthia, thank you so much for this shirt. “If you don’t start making
merch soon I swear to god.” I’m sorry! I’m working with the trademark attorney, there’s so much nonsense when it comes to making your own merch. I’m a doctor, I have
no idea what I’m doing, but I promise there’s gonna be merch soon. Japan! (surprised) Ooh! A little
Japanese Kit-Kat action. Kit-Kat Easter eggs,
white chocolate Kit-Kats. Thank you my Japanese friend. This is from Denmark, look at this. Look at these candies. Look at these candies! This is what’s leading
the obesity epidemic but I’m gonna love it. Thank you so much. “Safe guard your families health with a mild laxative. Healthaway products from 195-” (gasp) Is this like, this looks genuine. This is like an artifact. Carol, this is amazing! I’m gonna save this, I don’t
even wanna show you guys what this is. This is weird health
products from the 50’s. This one’s from Jamaica. Ooh! “Our Daily Bread” because everybody needs a carb. Bear, bomb check? Good. “First aid kit, do not
open unless emergency” That’s so sweet. You guys need to watch my
video that I did with my nephew Ari where we did a Disgusting
Science Experiments, so click here for that bad boy. And as always, stay happy and healthy. (laugh)

100 Comments

  • Reply Gina Wonderwoman August 7, 2019 at 2:16 am

    Dr. Mike, can you react to Dr. Mike, Medicine Woman or call the Midwife, please? 😀

  • Reply Yeros Syle August 7, 2019 at 6:29 am

    “Bear, bomb check” 😀

  • Reply Marko Juric August 7, 2019 at 9:08 pm

    Without even watching video I'll reply with: Good, no need to contribute to multi-resistant bacteria.

  • Reply Pa Hillbilly August 7, 2019 at 10:07 pm

    Need to get drug srores to carry placebos this way you can give them something to satisfy there minds and think they got what they wanted

  • Reply Julie Anderson August 8, 2019 at 10:01 am

    I'll tell you what happens. She thinks you suck.

  • Reply Benthe August 8, 2019 at 8:34 pm

    Why do all Americans go to the doctor when they are sick like a sore throat or a fever (I get that babies need to go to the doctor) ? here in the Netherlands you just deal with it. It blows my mind that the lady asked if she should go to the ER for what seems to be just a sore throat? lmao no hate, I’m not a doctors. It’s just so different

  • Reply Birdman PB August 9, 2019 at 1:05 am

    I like to imagine she and her husband convincing themselves they are right and going to urgent care and realizing they are wrong and the doctor was right lol

  • Reply John Strader August 9, 2019 at 4:46 am

    When a vet watches this and wonders how someone gets to a doctor during a cold… Who has a cold for 4 months?

  • Reply Jeremy Lang August 9, 2019 at 5:29 am

    Soft focus is killing me. Focus on the EYES, not the background!

  • Reply Super Ayaan August 9, 2019 at 6:53 am

    Me just sitting here being like WAIT strep throat is a virus!?!

  • Reply Sue Rose August 10, 2019 at 5:11 pm

    Viral illnesses suck. It usually takes a week.

  • Reply OneTeaPotatoBoi 1 August 10, 2019 at 7:11 pm

    0:32 Hmm, sounds like Karen to me…

  • Reply Darragh McInally August 11, 2019 at 12:07 am

    Is he not breaking confidentiality I don’t mean to be bad but if I went In to his office and found a video about me a week later I’d be like what the fuck

  • Reply Dan Zeigler August 11, 2019 at 6:36 am

    Serious question for you: I read a while back that sometimes an effective way to deal with a doctor that refuses to consider what may be a reasonable request from a patient is to ask that the denied treatment/test/whatever be noted in their patient file as requested and refused. How do you feel about this approach? Is it a logical extension of CYA medicine or is it unfair to the attending physician?

  • Reply Riko Lime August 11, 2019 at 7:48 am

    Honestly I don't see how people can be so stupid. A cough, cold, sore throat, fever, etc is almost always just a cold or the flu. Antibiotics would be more like… One side of your face is swollen (happened to me, had infection in parotid gland), or severe sinus pain and swelling (mom had sinus infection), etc. My point being most antibiotic curing infections have some sort of obvious and un-parallell swelling.

  • Reply Karolis 1 August 11, 2019 at 8:25 am

    Beewoop

  • Reply Karolis 1 August 11, 2019 at 8:25 am

    I'm gonna whoop yo ass

  • Reply Blue Star Mom August 11, 2019 at 9:32 pm

    MRSA

  • Reply Bayleaf9514 August 12, 2019 at 5:51 pm

    I come here for the bee woops

  • Reply Heather Dunham August 13, 2019 at 11:03 am

    Americans go to the doctors for cold symptoms????

  • Reply Sophie June August 15, 2019 at 1:30 am

    This is so true. I went to the doctor once thinking I needed a prescription but turned out I had a weird virus that meant I needed more sun. I followed the doctors instructions with no meds just sun and was fine in no time.

  • Reply It's Princess Peaches August 15, 2019 at 5:34 am

    Whenever I go to the doctor they just throw antibiotics at me. Like no stop. They literally do it for everything here in South Africa. And that's why I try not to go to the doctor.

  • Reply A K August 16, 2019 at 5:45 am

    Antibiotics don't help a virus. The flu shot doesn't give you the flu. The flu is not a stomach virus. A lot of people still think these things. I know people who would take antibiotics like candy if they could. They have. I do not know how they could even work for them anymore.

  • Reply AimenTheAlmond 360 August 16, 2019 at 11:58 pm

    BE WOOP!

  • Reply Ramón Ontiveros August 17, 2019 at 3:07 am

    I really sympathize with medical professionals when it comes to antibiotics and drug resistance but I also really hate the current culture around antibiotics. As a patient with a very consistent and sadly lengthy health record that indicates that I need antibiotics, on top of being able to know the difference between what a viral and bacterial infection feels like to my body, I expect to be treated accordingly. What I’ve experienced outside of my primary provider is quite different and overall ridiculous. Older doctors are now afraid to prescribe antibiotics to a person my age and with their seasoned experienced they are very rigid and refuse to let me and my records be a factor in their decisions. And with my experiences with younger and newer doctors are even worse because they have this attitude they carry where they feel the need to flaunt their credentials and over prove themselves. On top of that the culture around antibiotics they were taught in makes them very reluctant to listen to me and look at my records before they make a final decision. In my case I need antibiotics because I have severe allergies and asthma that I am now able to mange due to age and my primary providers full on approach to my illnesses. Without antibiotics I will be asymptomatic or show little to no symptoms while having an infection for months until it progresses quickly into severe symptoms. Which means I’m not able to maintain my quality of life for that month, and by then I’ll have several weeks before the antibiotics kill off the infection and I return to normal. Not fun at all, and I hate when it will spread to my lungs or ears or I catch something that affects my lungs or ears due to being down already. This is all made worse given the fact I have a severe case of Bipolar II disorder. Which means illnesses, antihistamines and other medications you’d take over the counter when you’re sick, and antibiotics cause me to cycle from hypomania to depression faster or prolong those episodes while make them more intense and unmanageable. Which means I could end up self harming to the point of severe injury or get an infection or end up sducidal and be inpatient for a week. There’s also the factor of a successful attempt which is really not a good look for the doctor who refused antibiotics or the inpatient facility who won’t treat me given the fact that the doctor refused a script. Which has happened and I ended up inpatient for two week and received no treatment for my infection for over a month. Mostly due to the wait time to prove it’s not viral and the wait time to be discharged from inpatient and then wait for another appointment which can take weeks.

  • Reply Otto Knoph August 17, 2019 at 7:43 am

    I'm very grateful my doctor didn't give unneccesary dises of antibiotics when I grew up. A couple of years ago I got yellow streps at a hospital after surgery, and when I was getting treatment for that I've got an inflated heartsack. Without antibiotics I wouldnt have been here today. When that happened I got a saturation on 69, and a fever of 105. Antibiotcs saved my life, but it eould have been a major problem if I had multiresistance

  • Reply GogglesAreSexy August 18, 2019 at 3:18 pm

    About a year ago my lymph nodes swelled up to the point that I couldn’t open my mouth. Strep tests came back negative, and they gave me muscle relaxers and antibiotics. I ended up in the er three times due to the pain, and on my third visit the er doc referred to my antibiotics as “gorilla-cillin” and said he thinks I have a viral infection. He kept me on the antibiotics though? Is this an example of CYAM, or am I missing something?

  • Reply 09mrmarshall August 18, 2019 at 11:43 pm

    I appreciate your vantage point here, but the last time I was denied an antibiotic, it actually was bacterial, worsened over the course of a couple of weeks and left me with bronchitis.

  • Reply Angelina Eastman August 19, 2019 at 3:02 am

    I agree. My son got strep for the third time. I decided to keep him home a week and that’s all he needed. No antibiotics. Just rest and fluids.

  • Reply Riley Ridgway August 19, 2019 at 4:10 pm

    Things you never want to hear from a doctor; "I'm a doctor, I have no idea what I'm doing."

  • Reply Rachel Hook August 19, 2019 at 4:45 pm

    So I'm 28 as a child had a ton of ear and sinus problems then 2 years ago I had a bad ear infection i used a heating pad over the counter meds nothing helped went to a walk in clinic was denied antibiotics at the time I was seeing an ent for long series of sinus infections called him for a second opinion got an appointment 9 days out in the time In between my sinuses became clogged and I had green snot dripping uncontrollably my eyes began hurting and one closed up my ent looked at me for 5 seconds asked me why I wasn't on antibiotics I told him the doctors name and that they told me they don't treat ear infections with antibiotics for adults I had a double ear infection sinus infection and conjunctivitis I was close to staff infection according to my ent DR. Mike what's up with that????

  • Reply LeadTrumpet1 August 20, 2019 at 10:41 pm

    I try to avoid urgent care unless I pass day 10 of being sick and I’m not improving as it has set deep in my lungs because they give antibiotics out like candy and I don’t want to take more meds than I’m already on. My primary doc, on the other hand, can tell the subtle differences between my asthmatic cough, post nasal drip cough, acid reflux cough, and bronchitis that when she prescribes the rare antibiotics, I trust that I actually need them.

  • Reply St0rm Ranger August 21, 2019 at 5:11 pm

    Dr Mike. Doing his part to prevent new outbreaks of super chlamydia. What's next? Super gonorrhea?

  • Reply crystal maybee August 22, 2019 at 1:56 pm

    I have a question I had a rare rare infection well I guess bacteria after birth they let me leave after having a kid after 2 days I was very sick and new my body but my doctor said it's my first child and I'll feel better well i didnt i ended up going back 4 days later barely could walk was throwing up and diarrhea long story short went through hell and back 4 months later they found out it was a gram negative bacteria but i was very very sick do u no anything about this no one could say how i got it or anything just wondering if u had any opinions? it's been 4 years and I still I am not right after what happened to me being 22 and dying was very scary I am 26 now and still very much so wanting to no more.
    [email protected]
    If u can help that would be great

  • Reply elchamber August 22, 2019 at 11:57 pm

    I remember going to see a doctor, and the doctor asked what was wrong. Within two minutes I got a prescription. I forgot to get it from the pharmacy. And within 3 days it was gone. I rarely went to the doctors anymore.

  • Reply lilgypsy31 August 23, 2019 at 3:14 am

    K so love you love what you do. With that said. One suggestion. Just say ass. ?? Don't make me say ass in my head and do your dirty work for u. ??? We know what C.Y.O.A is. If you're going to say it. Say it. Don't make us do your cursing for you in our heads. JUST SAY ASS!???

  • Reply Brainreaver79 August 23, 2019 at 11:04 am

    you can request a certain medication even if its useless? i am not 100% sure here… i am from germany, and i am fairly certain the doc has the last word,.. regardless what the patient wants,.. if the doc say no,.. you wont get the medication because the doc has to justify the given prescription to the insurance company because they would have to pay for a medicine thats useless, you can bet they want to know why they should pay. i know there are "private" prescriptions that the patient has to fully cover themselves, but even then you wouldnt get something thats completely useless, even after request… is that something normal in the states?

  • Reply sharkrunaway August 23, 2019 at 5:23 pm

    I'm always baffled by the amount of times doctors prescribe antibiotics unnecessarily. You only get them in severe cases here in the netherlands.

  • Reply haliechristiansen August 24, 2019 at 12:32 am

    My first obgyn was so antibiotic happy. I had five antibiotic prescriptions when I was pregnant with my now 5 year old ??‍♀️. Every time my white blood count was a tiny bit elevated, bam I was getting a prescription for an antibiotic. I put my trust in her thinking she new what she was doing since she was the doctor. Ended up changing doctors when she told me I was a bad mom for choosing to breastfeed my son (she was pro formula). When I was around 37 weeks pregnant with my now 1 year old, my white blood count was elevated a little bit. My new obgyn let me know, but wanted to hold off until my appointment the next week to see if the count went down. He didn’t want to put me on an antibiotic if it could go away on its own. Went in the next week and my white blood count was perfect. My son has always struggled with constipation since birth, my daughter is a pooping machine. I think the antibiotics I was on messed my sons gut up… we had him on probiotics starting at a year and lasting for a good 1.5-2 years. He is finally getting “regular”.

  • Reply Somnorila August 24, 2019 at 7:08 am

    I could say i'm pretty lucky because i'm not sick too often. If i have something, most of the times it goes away specially after a good night's sleep. If it's something more serious, i treat myself with stuff like vitamin C, ibuprofen or aspirin, tea, fruits, rest, paracetamol. I always read the medicine information so i'm aware of paracetamol being potential harmful if overused, so i don't exceed taking more than 1 at 8 hours. I rarely use antibiotics and probably because of that i don't need to take them long time or in high dosages. Usually 1 pill or 1-3 days with 3 pills per day (500mg pills) and only for infections.
    For other stuff that doesn't seem plausible for me to use any of those, i then consult a doctor. I would like better ways to interact with my family doctor but here that system is in the toilet. I'd rather not set aside almost an entire day just to ask something. So i mostly use that part only for trivial stuff like getting a certificate that i don't have chronic illnesses i may need somewhere else. So the only options available left are the internet or a private practice and of course E.R.

  • Reply FOREVER All Girls August 26, 2019 at 12:52 am

    do you still have roxey?

  • Reply Ahmed Abd El Aziz August 26, 2019 at 1:30 am

    A bunch of pharmaceutical reps disliked this video.

  • Reply cencie b.c.c August 27, 2019 at 1:01 am

    The dog is very cute!!?

  • Reply 911 Tech August 27, 2019 at 5:08 am

    Yep. And know when to take your kids to the doctor rather than taking them in for the most minor symptoms. If you want yourself or you child to get even sicker sit in a pediatricians/ ER waiting room for a few hours. Who was playing with that toy before your child picked it up? Our bodies can heal themselves in most cases. The trick is knowing when they cannot and we need a doctors help.

  • Reply cameron railton August 27, 2019 at 6:26 pm

    I heard "we have a dirty 8 year-old female" at the start and I was like what?

  • Reply DJ speedywolf August 28, 2019 at 5:04 pm

    ????

  • Reply Nikky K August 29, 2019 at 5:33 am

    Wow, US doctors really have a lot of worries. Where I'm from, doctor are always well respected and don't have to fear a lawsuit if they misdiagnosed you. Most of the times, when they are unsure, they will send you to a specialist for a second opinion.
    #freehealthcare

  • Reply BuzzedAldrin August 29, 2019 at 5:37 pm

    Who the hell goes to an urgent care facility for those symptoms? She basically had the symptoms you'd get with a cold and she wastes the time of doctors by asking for help.

  • Reply Johanna Crupi September 2, 2019 at 9:37 pm

    Had the same problem I get chronic UTI last time I had to go to the ER cause u was bleeding pretty bad the took a UA could not go so the did a Mini Cath all blood sense I used in the hosp I ask the nurse could it be my kidneys liver etc thank God. It was only a UTI and the wanted to put me on a regiment of antibiotics sense I'm allergic to a lot if them one solfa. Bactrim the Don't have much options left what is this with the md giving u antibiotic. Are the RX happy

  • Reply winterhell September 3, 2019 at 4:58 pm

    Doctor refuses to prescribe antibiotics.
    After the encounter the doctor is the one needing antibiotics

  • Reply angie gilles September 3, 2019 at 6:23 pm

    i had c diff and it was BAD, but then later on i was diagnosed with ulcerative colitis

  • Reply Edward McIver September 3, 2019 at 10:04 pm

    Good segment a good info keep it up

  • Reply John Harbour September 4, 2019 at 3:25 am

    Is Clostridium Dificile truly a "bad" bacteria? I mean, it exists in the gut, it's an opportunistic pathogen, yes. But, couldn't it offer benefit to other bacteria residing in the gut that are/could be essential to good gut health? I know research on gut biome's is SORELY lacking. But do you have any insight on this? Thanks

  • Reply Punnattha Phokaphornpiwat September 4, 2019 at 7:10 am

    thank you sooo much for making this video so i can tell this to my mom lol

  • Reply BigPaaryna September 5, 2019 at 10:27 am

    7:24 when u go to the dr's office and ask if they know what's wrong with u

  • Reply TheIronCollecter September 5, 2019 at 10:38 pm

    We’ve got 666k video views! 😀

  • Reply Moritz Kropf September 9, 2019 at 8:07 am

    Out of context "I'm a doctor, i have no idea what i'm doing" ?

  • Reply Fausto Fernandez September 12, 2019 at 5:01 pm

    I am an MD, and I love you. We do medicine the same way

  • Reply Alli Mulcahy September 13, 2019 at 1:26 pm

    I had a dr recently who prescribed me antibiotics because he THOUGHT I had a sinus infection… OR allergies… those antibiotics are still sitting on my shelf unopened. If you dont even know what I have I'm not taking those pills.

  • Reply Brittany Nicole September 15, 2019 at 6:27 pm

    This is why I don't go to the doctor EVERY TIME I'm sick. 9/10 I end up feeling better within a week and something as simple as mucinex or nyquil helped me

  • Reply Satoru Kuroshiro September 15, 2019 at 9:17 pm

    I have had strep throat about three times in my life. The first time I had to take two different liquid medicines to help with treatment. The second I had not used medicine and it sucked, but it lasted for only a week rather than half a month. The third time I didn't even realize I had it because it felt like a normal sore throat and barely lasted three days. Neither of the medicines I used during that first time were, as far as I know, a form of antibiotic, but it is possible as one of them my mother is allergic to and her main allergies are to molds, which antibiotics tend to be made from.

  • Reply Dave Cheney September 18, 2019 at 6:21 pm

    That's why when my dentist prescribed antibiotics i didn't use them

  • Reply Phyllis Dicks September 18, 2019 at 7:50 pm

    When I was a kid, back in the sixties, my mom took me to the doctor every time I got a sniffle. Our family doc always gave me antibiotics. Surprised I survived my childhood.

  • Reply Aleya Julias September 21, 2019 at 1:15 am

    DO A COLLAB WITH MAMMA DOCTOR JONES!!!!!!!!

  • Reply Bruce Hearn September 21, 2019 at 4:45 pm

    So, business concerns trump public safety. You CANNOT contribute to the over-prescription of antibiotics! This practice is rife in China and those multiple billions of bio-reactors are going to breed superbugs like crazy. Don't contribute. We (Westerners) are supposed to be smarter than that.

  • Reply Its GG Gamer September 23, 2019 at 8:00 am

    That woman in the story is def a karen

  • Reply Hannah Buzulak September 23, 2019 at 6:08 pm

    Is drinking green and peppermint tea good for me? Like as a main beverage? I don't drink enough water but I love drinking tea

  • Reply Gaming Garden September 25, 2019 at 5:32 am

    I once had pink eye after coming back from camp, my rotor prescribed ANTIBIOTIC eyedrops. One drop in each eye 3 times a day for 10 days. Now I'm curious. Is pink eye caused by a virus or bacteria and how can you tell without a blood test so you know whether or not antibiotics will do any good. Also, IDK how I got it, because I didn't come in physical contact with anyone exhibiting symptoms. But I did get 3 feet close to a little boy with puffy eyes when I walked past him and the counselors trying to help him so I could get to talk to someone about the white water rafting trip. I also got really badly burned on my legs and for the first time ever a tan on my arms. How do you stop a tan from peeling and please do a travel video where you talk about how to prevent getting sick when you're camping. We also have bed bugs and are trying to get rid of them to no avail, there r bumps on my shoulder blades that itch a lot. I can't tell if they're bug bites or body acne. How do I make the itching stop because half the time I can barely reaches where it itches and leave red marks from scratching so hard

  • Reply The M.A.S.A September 25, 2019 at 9:49 pm

    What is the BeE-wOoP thing he does?? It’s just hilarious I love it! ?

  • Reply Sam September 26, 2019 at 5:10 pm

    yum

  • Reply Christine Baughman September 27, 2019 at 12:56 am

    Not bacterial, so no antibiotics. Duh!

  • Reply Sunflower Girl Rules September 27, 2019 at 6:18 am

    Here’s an idea make a prescription that does nothing give to them they feel satisfied u feel satisfied ?

  • Reply Rebecca Meyer September 27, 2019 at 6:46 pm

    If she isnt suffering an infection that NEEDS it then there is NO REASON for her to be prescribed anti biotics!

    The reason we have super bugs now is because no one can follow their doctors directions and actually FINISH THEIR PERSCRIPTION! they start getting better and think oh well I dont need it anymore.
    And dont finish.

    I commend you for not giving in! It pissed me off so much when my ex husbands mom did this. Oh she always had bits of antibiotics everywhere. Never a full script finished so just a few pills here and there. Any time something happened to her son she just gave the pills away to him. But its just….*eye twitch* entire family is medical so it greatly gets to me so MANY DO THIS!

  • Reply Woman Today September 28, 2019 at 5:44 am

    Before discussing placebo treatment and other things like that, you should make a video where to insist on doctors do an actual visit, listening to lungs and really perform medicine not just listening and counseling because lately too many doctors act like clercks. I know a case where a person presented to a doctor with a 103 fever that lasted for over 3 or 4 days. Got sent some because flu, came back a week later with respiratory symtoms, never got an actual visit but received a prescription for an x ray and indications to take lots of aspirins even if the fever never backed down. The x ray apparently showed pneumonia and the doctor, not a specialist on the field, since there was no expetoration said it was a viral pneumonia that would have healed by itself. When arriving to the third week of very high fever the person couldn't stand on her feets any longer and couldn't breathe no more, the family took her (a child to be precise) to another doctor that actually visited her and hospitalized her right the way because it couldn't hear any sound from her lungs. The girl got diagnosed with pleuresy, by that time it almost covered both her lungs completely. In the end it turned out to be bacterial, TB to be precise and it got cured with antibiotics. But this person almost died because a doctor never performed an actual visit and never listened to her chest. Some years later the same person developed a nasty autoimmune desease and as a normal person with no medical degree, I suspect that almost 5 weeks of high fever, 103 to 104 degrees had something to do with that. Therefore a doctor should behave like a doctor first and perform actual visits even when patients apparently look well if they complain symptoms. My grandma can also prescribe rest, warm tea and honey to someone feeling sick and guess what I already know to do that when I start feeling sick and almost everyone knows and does that. There are so many chronic bacterial infections because doctors don't prescribe antibiotics when needed and the immune system tries to overcome the bug by itself but it can't. Therefore you should make a video where to insist on doctors to perform real visits, prescribing some fucking swabs that can't hurt nobody but can detect bacterial, fungus and so many nasty bugs. Prescribing antibiotics when not needed is also a practice of the doctor-clerck operators because they are afraid of touching patients and that makes me wonder why the fuck did they studied medicine, they should have done something else.

  • Reply Alec Aquino September 28, 2019 at 12:31 pm

    You should react to kurzgesagt's medical videos. We'd like your reactions to all of it, especially nutrition videos they also have.

  • Reply Don't Worry be Happy October 1, 2019 at 7:24 pm

    Doctor Mike binge 2019 ?

  • Reply Pusheen Provolon October 2, 2019 at 11:33 am

    •_•

  • Reply Mari Anna October 4, 2019 at 1:50 pm

    I'm 32 and I've only taken antiobiotics once in my life.

  • Reply Nicole Jessica October 5, 2019 at 7:08 am

    Joke's on you… You can my amoxicillin through online pet stores… It's called Fin Mox Forte and it's identical to "human" amoxicillin.

  • Reply Heidi Ah Sue October 9, 2019 at 6:51 am

    I once went to the doctor presenting with pretty similar symptoms to the woman in the story. No fever or spots and it just didn't feel like strep (which I have had probably too many times before) but I had this lump in my throat that was really bothering me. Before I even saw the doctor the nurse took a strep culture and it was negative. When I talked to the doctor he said he was fairly certain I didn't have strep and it was just viral but there was something he could do about the lump I was feeling. The lump was just a dry spot from having a sore throat that then because it was dry, became irritated and inflamed. For that he prescribed me a steroidal anti-inflammatory. My response was, "oh good, I didn't think it would be strep, but I just went to visit my family recently and my mom and sister were on the last couple days of an antibiotic course for strep." The doctor then completely changed his mind and said, "well maybe it is strep. We better give you antibiotics just in case." I fought him on that though saying, "but you just said you were 99% sure it wasn't strep! My symptoms don't line up and the test came back negative. I don't want to take antibiotics if I don't need them" (for all the reasons Dr. Mike mentioned). The doctor wouldn't listen and insisted I take the antibiotics "just in case". So I stopped arguing and just got both prescriptions. The anti-inflammatory I could take as soon as I got home but the antibiotics I had to wait until that evening. Wouldn't you know, as soon as the anti-inflammatory kicked in, I felt better! So I called the office and explained the situation to the nurse and asked if I should still take the antibiotics. The nurse said no, if the anti-inflammatory made me feel completely better, it definitely wasn't strep, especially when the culture had come back negative.

    So I didn't take the antibiotics. It just made me so mad that the doctor was trying to push them on me when I clearly didn't need them. Needless to say, I never went back to see that doctor again.

  • Reply Jackie B October 11, 2019 at 3:34 am

    Please do a video about migraines. I get them chronically and most people don’t understand how severe they are.

  • Reply Mahima Bhat October 11, 2019 at 1:19 pm

    Is it okay to take antibiotics if the sinus infection does not get better even after 10 days? I live in India and every time I go to doctor to get my sinusitis checked I am always prescribed antibiotic.
    Please reply. Thank you !

  • Reply Mitchy October 11, 2019 at 5:31 pm

    I've literally just had antibiotics thrown on me. I had a viral infection and I went to the hospital twice for it because I was very sick for 2 weeks. The first one gave me antibiotics treating me for strep, even though I didn't test positive for it. The second hospital just gave me fluids because I couldn't drink or eat very much because I was so sick. I'd rather just be left alone then be put on necessary medications that are going to mess up by birth control, and that I'll also have to take a probiotic with it to keep me from getting sick from the antibiotic.

  • Reply Natalie T7945 October 12, 2019 at 9:16 pm

    I was prescribed antibiotics because the walk-in physician I saw wasn’t sure what was causing my symptoms, “just in case it is an infection”. Turned out it was Erythema Nodosum, and I didn’t need the meds. Unfortunately, the antibiotics caused a c-diff episode!!! Wish I had come across your channel earlier. Thank you for helping me be a more informed patient, and be able to advocate for myself in my healthcare experience in the future. Cheers!

  • Reply Sean Confer October 15, 2019 at 2:32 am

    What's your opinion on bacteriophage treatments? Do they show real promise? Do they show very limited use? Is it BS? I've always wanted to ask a real MD this question.

  • Reply HadridarMatramen October 15, 2019 at 10:18 pm

    …………………………………People really go to the doctor for a sore throat and dry cough???? I have a chronic knee injury, frequent stress-related pain in my right shoulder, my left wrist is kinda messed up, especially when it gets colder and wetter outside, but it helps to just keep it warm. I cough like 70% of the year…. I SHOULD probably see my doctor for a general check-up, but uh…. I'm probably not gonna do that, because I don't feel sick enough. I'll probably only go to the doctor if it's a legit emergency, and then it'll be the ER.
    The last time I saw a doctor, it was a young last-year student intern who was VERY relieved to find out I was 22 (he'd misread it at first, and expected a 2-year-old). I had an ear infection, as I expected, and it just felt good to get it confirmed. That was six years ago.
    I get the flu, I get colds, last year I slipped and fell and my tailbone STILL hurts like hell when I sit in the wrong position, but….but…. I still don't have a valid enough reason to go bother some overworked doctor, you know? Like, I get by. I'm fine most of the time. I'm healthy-ish, as far as I know. …
    How do people make themselves go to a doctor just for something that…..unimportant?

  • Reply Tabitem Markly October 16, 2019 at 7:30 pm

    "Ooh our daily bread, because everybody needs a carb"… Yes q carb for the soul too ????

  • Reply MR WADE solo October 20, 2019 at 6:41 am

    b woop!!

  • Reply Ka So October 22, 2019 at 3:08 am

    bruh i got a prescription for anti biotics for my pimples LOL
    i came in with other issues and figured since i was having a break out i'd just ask if there was anything more i could do about it. my man gives me my first ever perscription of anti biotics. Me: yeah alright leggo (hint: it worked very well, until it was over then it came back. but for those 4 month my face was lit. but in a no pimple kind of lit. i was still ugly)

  • Reply ThatGuy Man October 24, 2019 at 1:20 am

    It’s nice to have a family friend who’s a pharmacist who lets me know what prescriptions do what and why they’re commonly prescribed

  • Reply betty bardin October 24, 2019 at 5:38 am

    I agree with you 100%. I am a mother of four and grandma of eight. When my children were young their pediatrician and I had this same talk. I already knew about the differences in bacterial and viral infections. Therefore, the doctor knew my stand on unnecessary medicine was in line with his. Now my adult children have the same knowledge and they are taking their children to the same pediatrician they went to.
    Keep up the good work.

  • Reply Amira Ezz October 24, 2019 at 2:26 pm

    Sugary i swear i am dieing please save me

  • Reply Mrs. Riddle October 24, 2019 at 8:59 pm

    I asked for codeine at the pharmacy once for a really bad cough once (couldn't sleep because of it), they said no…

  • Reply Dino Sarma October 24, 2019 at 11:17 pm

    Dr. Mike, a c diff infection isn't there because the bacteria in your insides are all killed off. What happens is that the balance of the microbiome. Here's the study I am referencing: https://www.ncbi.nlm.nih.gov/pubmed/24445449

    It's fascinating to look at, because after they weighed the guts, the bacterial mass was the /same/. But the types were vastly different. The niche that the bacteria who compete with c. diff take up is destroyed by regular antibiotics.

  • Reply Emily Pyles October 25, 2019 at 4:48 pm

    At my local doctors office you can literally just walk in and go "give me pain pills" you got it. Antibiotics? Sure. Anything you want as long as they get their money.

  • Reply Anne-Marie The Turtle Chick October 26, 2019 at 5:57 am

    7:24 "I'm a doctor I have no idea what I'm doing" wow relieving

  • Reply BedsideTunes October 29, 2019 at 10:39 pm

    "I'm a doctor, I have no idea what I'm doing"

    Out of context, that could sound really bad

  • Reply Drecon84 October 30, 2019 at 11:59 am

    Don't forget: resistant bacteria spread to other people too. That means that giving one patient antibiotics could actually put other people at risk.

  • Reply Michael Vezie October 31, 2019 at 1:11 pm

    The other side of this is doctors who prescribe antibiotics unnecessarily even though the patient neither asks nor needs them.

  • Reply Loveless Cosplay November 1, 2019 at 12:47 am

    I'm afraid of antibiotics.

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