I want to sell you a car isn’t it gorgeous it’s got the best gas mileage
gorgeous it’s got the best gas mileage
gorgeous it’s got the best gas mileage of anything on the market today all the
of anything on the market today all the
of anything on the market today all the high-end specialty services that you
high-end specialty services that you
high-end specialty services that you want there in this car it’s exactly what
want there in this car it’s exactly what
want there in this car it’s exactly what you need to get you where you’re going
you need to get you where you’re going
you need to get you where you’re going and I know that’s why you came here
and I know that’s why you came here
and I know that’s why you came here today was to get something like this
today was to get something like this
today was to get something like this in fact I’ve sold one to every person in
in fact I’ve sold one to every person in
in fact I’ve sold one to every person in your situation that’s come to see me for
your situation that’s come to see me for
your situation that’s come to see me for the last several months at least now
the last several months at least now
the last several months at least now there is one downside I mean we can sell
there is one downside I mean we can sell
there is one downside I mean we can sell you this car today you can drive at home
you this car today you can drive at home
you this car today you can drive at home we’ll figure out the qualifications and
we’ll figure out the qualifications and
we’ll figure out the qualifications and all the financing sometime in the future
all the financing sometime in the future
all the financing sometime in the future but if it turns out that you don’t
but if it turns out that you don’t
but if it turns out that you don’t actually qualify to buy this car and you
actually qualify to buy this car and you
actually qualify to buy this car and you keep driving it that amazing gas mileage
keep driving it that amazing gas mileage
keep driving it that amazing gas mileage that it has is really gonna start to
that it has is really gonna start to
that it has is really gonna start to drop off in fact that’s not just for
drop off in fact that’s not just for
drop off in fact that’s not just for your car or even just for the cars that
your car or even just for the cars that
your car or even just for the cars that I’ve sold to people around here that’s
I’ve sold to people around here that’s
I’ve sold to people around here that’s for all of these cars all around the
for all of these cars all around the
for all of these cars all around the world the manufacturers even saying now
world the manufacturers even saying now
world the manufacturers even saying now that perhaps if we keep accidentally
that perhaps if we keep accidentally
that perhaps if we keep accidentally giving these cars to people that don’t
giving these cars to people that don’t
giving these cars to people that don’t really qualify for them they’re
really qualify for them they’re
really qualify for them they’re eventually just gonna stop starting all
eventually just gonna stop starting all
eventually just gonna stop starting all together and there’s one other thing I
together and there’s one other thing I
together and there’s one other thing I probably shouldn’t even mention it it
probably shouldn’t even mention it it
probably shouldn’t even mention it it almost never happens but if you happen
almost never happens but if you happen
almost never happens but if you happen to drive this car and not qualify
to drive this car and not qualify
to drive this car and not qualify there’s this off chance that you’ll
there’s this off chance that you’ll
there’s this off chance that you’ll develop a really nasty limp that you’re
develop a really nasty limp that you’re
develop a really nasty limp that you’re gonna have for the rest of your life but
gonna have for the rest of your life but
gonna have for the rest of your life but you’re still interested right so I know
you’re still interested right so I know
you’re still interested right so I know this sounds like a ridiculous situation
this sounds like a ridiculous situation
this sounds like a ridiculous situation but this is more akin to one of the most
but this is more akin to one of the most
but this is more akin to one of the most important situations that we’re facing
important situations that we’re facing
important situations that we’re facing in our health care system today than you
in our health care system today than you
in our health care system today than you might realize
might realize
might realize take a minute and think about the last
take a minute and think about the last
take a minute and think about the last time that you went to see your primary
time that you went to see your primary
time that you went to see your primary care physician because you weren’t
care physician because you weren’t
care physician because you weren’t feeling well maybe you had a cold or
feeling well maybe you had a cold or
feeling well maybe you had a cold or your allergies were acting up maybe it
your allergies were acting up maybe it
your allergies were acting up maybe it was even the dreaded flu
was even the dreaded flu
was even the dreaded flu try to think back and remember what did
try to think back and remember what did
try to think back and remember what did you want in that moment
you want in that moment
you want in that moment out of that interaction so that you
out of that interaction so that you
out of that interaction so that you would feel like you’d been well cared
would feel like you’d been well cared
would feel like you’d been well cared for and gotten some value for your copay
for and gotten some value for your copay
for and gotten some value for your copay if you’re like most Americans you wanted
if you’re like most Americans you wanted
if you’re like most Americans you wanted more than just some reassuring words in
more than just some reassuring words in
more than just some reassuring words in fact recent studies have shown that
fact recent studies have shown that
fact recent studies have shown that Americans are looking for either an
Americans are looking for either an
Americans are looking for either an in-office treatment a referral to a
in-office treatment a referral to a
in-office treatment a referral to a specialist or a prescription to take
specialist or a prescription to take
specialist or a prescription to take home in order to leave happy from their
home in order to leave happy from their
home in order to leave happy from their doctor’s office according to a 2016
doctor’s office according to a 2016
doctor’s office according to a 2016 study over 90% of providers are feeling
study over 90% of providers are feeling
study over 90% of providers are feeling that pressure and giving in 90% of
that pressure and giving in 90% of
that pressure and giving in 90% of general care practitioners have given
general care practitioners have given
general care practitioners have given patients a prescription even if they
patients a prescription even if they
patients a prescription even if they didn’t really want to and 70% of those
didn’t really want to and 70% of those
didn’t really want to and 70% of those prescriptions were for antibiotics even
prescriptions were for antibiotics even
prescriptions were for antibiotics even if the provider couldn’t tell exactly
if the provider couldn’t tell exactly
if the provider couldn’t tell exactly what infection the patient had or even
what infection the patient had or even
what infection the patient had or even if they had one at all
if they had one at all
if they had one at all and within that 50% of the time these
and within that 50% of the time these
and within that 50% of the time these prescribers had been giving antibiotic
prescribers had been giving antibiotic
prescribers had been giving antibiotic prescriptions even when they knew that
prescriptions even when they knew that
prescriptions even when they knew that the patient probably only had a cold or
the patient probably only had a cold or
the patient probably only had a cold or the flu which are diseases caused by
the flu which are diseases caused by
the flu which are diseases caused by viruses and antibiotics won’t help those
this is a pretty staggering thing to
this is a pretty staggering thing to stop and think about especially when you
stop and think about especially when you
stop and think about especially when you realize that there are over 260 million
realize that there are over 260 million
realize that there are over 260 million courses of antibiotics prescribed each
courses of antibiotics prescribed each
courses of antibiotics prescribed each year in the United States that’s enough
year in the United States that’s enough
year in the United States that’s enough for five out of every six Americans to
for five out of every six Americans to
for five out of every six Americans to get a course of antibiotics every year
get a course of antibiotics every year
get a course of antibiotics every year and according to a recent study one out
and according to a recent study one out
and according to a recent study one out of every three of those courses of
of every three of those courses of
of every three of those courses of outpatient antibiotics is either
outpatient antibiotics is either
outpatient antibiotics is either inappropriate or completely unnecessary
inappropriate or completely unnecessary
inappropriate or completely unnecessary and don’t think that this is just
and don’t think that this is just
and don’t think that this is just doctors offices or an outpatient side
doctors offices or an outpatient side
doctors offices or an outpatient side hospitals are suffering the same issues
hospitals are suffering the same issues
hospitals are suffering the same issues when it comes to antibiotic misuse the
when it comes to antibiotic misuse the
when it comes to antibiotic misuse the World Health Organization says that over
World Health Organization says that over
World Health Organization says that over half of the patients admitted to u.s.
half of the patients admitted to u.s.
half of the patients admitted to u.s. hospitals receive at least one dose of
hospitals receive at least one dose of
hospitals receive at least one dose of an antibiotic during their stay and that
an antibiotic during their stay and that
an antibiotic during their stay and that same report goes on to say that half of
same report goes on to say that half of
same report goes on to say that half of those antibiotics
those antibiotics
those antibiotics products are again either unnecessary or
products are again either unnecessary or
products are again either unnecessary or inappropriate all of this antibiotic
inappropriate all of this antibiotic
inappropriate all of this antibiotic misuse on both the inpatient and the
misuse on both the inpatient and the
misuse on both the inpatient and the outpatient side it’s not without
outpatient side it’s not without
outpatient side it’s not without consequences
consequences
consequences the more we expose bacteria to
the more we expose bacteria to
the more we expose bacteria to antibiotics without appropriately
antibiotics without appropriately
antibiotics without appropriately killing them or overuse these
killing them or overuse these
killing them or overuse these antibiotics the more the bacteria become
antibiotics the more the bacteria become
antibiotics the more the bacteria become accustomed to them they evolve they
accustomed to them they evolve they
accustomed to them they evolve they become more resistant in fact each year
become more resistant in fact each year
become more resistant in fact each year over 2 million Americans become infected
over 2 million Americans become infected
over 2 million Americans become infected with bacteria that are resistant to the
with bacteria that are resistant to the
with bacteria that are resistant to the first line of antibiotics that we would
first line of antibiotics that we would
first line of antibiotics that we would choose to treat them those resistant
choose to treat them those resistant
choose to treat them those resistant infections those resistant infections
infections those resistant infections
infections those resistant infections they cost our health care system over 20
they cost our health care system over 20
they cost our health care system over 20 billion dollars in excess healthcare
billion dollars in excess healthcare
billion dollars in excess healthcare costs and lead to 23,000 deaths each
costs and lead to 23,000 deaths each
costs and lead to 23,000 deaths each year so with all of this talk that you
year so with all of this talk that you
year so with all of this talk that you see in the media recently about
see in the media recently about
see in the media recently about so-called superbugs these incredibly
so-called superbugs these incredibly
so-called superbugs these incredibly resistant bacteria for which there’s no
resistant bacteria for which there’s no
resistant bacteria for which there’s no treatment and people are dying every day
treatment and people are dying every day
treatment and people are dying every day you might start to think that this is a
you might start to think that this is a
you might start to think that this is a really modern problem that we’re facing
really modern problem that we’re facing
really modern problem that we’re facing but in fact that’s just not true
but in fact that’s just not true
but in fact that’s just not true in fact this gentleman Sir Alexander
in fact this gentleman Sir Alexander
in fact this gentleman Sir Alexander Fleming the man who discovered
Fleming the man who discovered
Fleming the man who discovered penicillin and the father of modern
penicillin and the father of modern
penicillin and the father of modern antibiotics
antibiotics
antibiotics he called this 172 years ago in an
he called this 172 years ago in an
he called this 172 years ago in an interview that he gave with the New York
interview that he gave with the New York
interview that he gave with the New York Times in 1945 to paraphrase what dr.
Times in 1945 to paraphrase what dr.
Times in 1945 to paraphrase what dr. Fleming said was that as people become
Fleming said was that as people become
Fleming said was that as people become more accustomed to this idea of
more accustomed to this idea of
more accustomed to this idea of antibiotics they’re gonna start thinking
antibiotics they’re gonna start thinking
antibiotics they’re gonna start thinking that they need them maybe even when they
that they need them maybe even when they
that they need them maybe even when they don’t and they’re gonna start asking for
don’t and they’re gonna start asking for
don’t and they’re gonna start asking for them specifically and as we start
them specifically and as we start
them specifically and as we start handing out these antibiotics more and
handing out these antibiotics more and
handing out these antibiotics more and more the bacteria are going to continue
more the bacteria are going to continue
more the bacteria are going to continue to evolve and grow and they’re going to
to evolve and grow and they’re going to
to evolve and grow and they’re going to get smarter and eventually the
get smarter and eventually the
get smarter and eventually the antibiotics that we have just aren’t
antibiotics that we have just aren’t
antibiotics that we have just aren’t gonna work anymore and people are going
gonna work anymore and people are going
gonna work anymore and people are going to start to die we’ve seen that exact
to start to die we’ve seen that exact
to start to die we’ve seen that exact scenario that he talked about play out
scenario that he talked about play out
scenario that he talked about play out over the last eight decades this graph
over the last eight decades this graph
over the last eight decades this graph is an example of perhaps the most
is an example of perhaps the most
is an example of perhaps the most commonly discussed resistant bacteria
commonly discussed resistant bacteria
commonly discussed resistant bacteria it’s called methicillin-resistant
it’s called methicillin-resistant
it’s called methicillin-resistant Staphylococcus aureus
Staphylococcus aureus
Staphylococcus aureus you’ve probably heard about it it’s most
you’ve probably heard about it it’s most
you’ve probably heard about it it’s most commonly referred to as mersa in the
commonly referred to as mersa in the
commonly referred to as mersa in the public okay
public okay
public okay Merce is not special in any way it
Merce is not special in any way it
Merce is not special in any way it doesn’t show some unusual trend in fact
doesn’t show some unusual trend in fact
doesn’t show some unusual trend in fact it’s actually pretty typical of what
it’s actually pretty typical of what
it’s actually pretty typical of what we’re seeing with all bacteria around
we’re seeing with all bacteria around
we’re seeing with all bacteria around the world and that is as we expose them
the world and that is as we expose them
the world and that is as we expose them more and more to these antibiotics a
more and more to these antibiotics a
more and more to these antibiotics a higher and higher percentage of them are
higher and higher percentage of them are
higher and higher percentage of them are becoming resistant to those antibiotics
becoming resistant to those antibiotics
becoming resistant to those antibiotics and we’re having to move on to find new
and we’re having to move on to find new
and we’re having to move on to find new treatments and those treatments are
treatments and those treatments are
treatments and those treatments are difficult to come by but what’s the big
difficult to come by but what’s the big
difficult to come by but what’s the big worry big farmers gonna come and just
worry big farmers gonna come and just
worry big farmers gonna come and just save us all right it’s not a big deal
save us all right it’s not a big deal
save us all right it’s not a big deal they’re just gonna create some new
they’re just gonna create some new
they’re just gonna create some new antibiotics and they’ll just treat the
antibiotics and they’ll just treat the
antibiotics and they’ll just treat the resistant bacteria that way yeah if only
resistant bacteria that way yeah if only
resistant bacteria that way yeah if only it was that simple first of all we need
it was that simple first of all we need
it was that simple first of all we need to talk about the fact that it takes an
to talk about the fact that it takes an
to talk about the fact that it takes an extremely long amount of time to develop
extremely long amount of time to develop
extremely long amount of time to develop a new drug especially an antibiotic
a new drug especially an antibiotic
a new drug especially an antibiotic sometimes as much as a decade from
sometimes as much as a decade from
sometimes as much as a decade from inception to actually hitting the market
inception to actually hitting the market
inception to actually hitting the market then there’s the fact that antibiotics
then there’s the fact that antibiotics
then there’s the fact that antibiotics really don’t make money for the drug
really don’t make money for the drug
really don’t make money for the drug companies think about the way that
companies think about the way that
companies think about the way that medications are used to treat things
medications are used to treat things
medications are used to treat things like high blood pressure or diabetes
like high blood pressure or diabetes
like high blood pressure or diabetes typically when a patient starts one of
typically when a patient starts one of
typically when a patient starts one of those they take them for the rest of
those they take them for the rest of
those they take them for the rest of their lives that’s in direct contrast of
their lives that’s in direct contrast of
their lives that’s in direct contrast of the way that we use antibiotics where
the way that we use antibiotics where
the way that we use antibiotics where the patients usually only take them for
the patients usually only take them for
the patients usually only take them for a few days or maybe a few weeks it’s
a few days or maybe a few weeks it’s
a few days or maybe a few weeks it’s much harder for the drug companies to
much harder for the drug companies to
much harder for the drug companies to make a profit when you’re taking
make a profit when you’re taking
make a profit when you’re taking something for days instead of decades
something for days instead of decades
something for days instead of decades and then there’s the fact that when we
and then there’s the fact that when we
and then there’s the fact that when we do finally get some new antibiotics to
do finally get some new antibiotics to
do finally get some new antibiotics to come to market the prescribers that
come to market the prescribers that
come to market the prescribers that write for them they usually squirrel
write for them they usually squirrel
write for them they usually squirrel them away and keep them only for their
them away and keep them only for their
them away and keep them only for their sickest patients only bringing them out
sickest patients only bringing them out
sickest patients only bringing them out when absolutely necessary so that they
when absolutely necessary so that they
when absolutely necessary so that they don’t fall victim to these same
don’t fall victim to these same
don’t fall victim to these same resistance patterns that we’re seeing
resistance patterns that we’re seeing
resistance patterns that we’re seeing with other antibiotics so when you add
with other antibiotics so when you add
with other antibiotics so when you add all these things up it’s no surprise
all these things up it’s no surprise
all these things up it’s no surprise that over the past thirty five years
that over the past thirty five years
that over the past thirty five years we’ve seen the rate of new antibiotics
we’ve seen the rate of new antibiotics
we’ve seen the rate of new antibiotics hitting the US market dropped from
hitting the US market dropped from
hitting the US market dropped from roughly four per year down to only one
roughly four per year down to only one
roughly four per year down to only one every other year please don’t get me
every other year please don’t get me
every other year please don’t get me wrong I am NOT saying that we need to
wrong I am NOT saying that we need to
wrong I am NOT saying that we need to stop using
stop using
stop using antibiotics far from it antibiotics are
antibiotics far from it antibiotics are
antibiotics far from it antibiotics are miraculous things they are life-saving
miraculous things they are life-saving
miraculous things they are life-saving medications that we use every day in the
medications that we use every day in the
medications that we use every day in the healthcare system
healthcare system
healthcare system to save people and to treat them but in
to save people and to treat them but in
to save people and to treat them but in order to do that we need to use them
order to do that we need to use them
order to do that we need to use them appropriately something has to change in
appropriately something has to change in
appropriately something has to change in the cavalier attitude with which we’re
the cavalier attitude with which we’re
the cavalier attitude with which we’re currently treating them think about the
currently treating them think about the
currently treating them think about the rain forests or rare animals any number
rain forests or rare animals any number
rain forests or rare animals any number of more popular things that have become
of more popular things that have become
of more popular things that have become rare and endangered over the last
rare and endangered over the last
rare and endangered over the last several decades when we see these things
several decades when we see these things
several decades when we see these things happen and we all band together as a
happen and we all band together as a
happen and we all band together as a united people and we say we need to stop
united people and we say we need to stop
united people and we say we need to stop this before we lose these precious
this before we lose these precious
this before we lose these precious things and often these often these tasks
things and often these often these tasks
things and often these often these tasks of moving towards preserving them are
of moving towards preserving them are
of moving towards preserving them are referred to as stewardship so we find
referred to as stewardship so we find
referred to as stewardship so we find ourselves at a crossroads we now realize
ourselves at a crossroads we now realize
ourselves at a crossroads we now realize that creating new antibiotics is
that creating new antibiotics is
that creating new antibiotics is probably not going to be able to occur
probably not going to be able to occur
probably not going to be able to occur fast enough to keep us up with the
fast enough to keep us up with the
fast enough to keep us up with the bacteria as they evolve and so we have
bacteria as they evolve and so we have
bacteria as they evolve and so we have to forge a new path and that new path is
to forge a new path and that new path is
to forge a new path and that new path is called antimicrobial stewardship so
called antimicrobial stewardship so
called antimicrobial stewardship so antimicrobial stewardship is defined a
antimicrobial stewardship is defined a
antimicrobial stewardship is defined a lot of ways but it’s often that we look
lot of ways but it’s often that we look
lot of ways but it’s often that we look at the fact that we need to not only use
at the fact that we need to not only use
at the fact that we need to not only use antibiotics appropriately but we need to
antibiotics appropriately but we need to
antibiotics appropriately but we need to monitor that utilization and see where
monitor that utilization and see where
monitor that utilization and see where we’re going see if it’s making any
we’re going see if it’s making any
we’re going see if it’s making any improvement and the major goal of this
improvement and the major goal of this
improvement and the major goal of this stewardship effort is that we have good
stewardship effort is that we have good
stewardship effort is that we have good clinical impact we’re getting good
clinical impact we’re getting good
clinical impact we’re getting good effectiveness out of the antibiotics and
effectiveness out of the antibiotics and
effectiveness out of the antibiotics and we’re not seeing under the negative
we’re not seeing under the negative
we’re not seeing under the negative consequences whether that be toxicities
consequences whether that be toxicities
consequences whether that be toxicities or increases in resistance so in its
or increases in resistance so in its
or increases in resistance so in its most simple terms antibiotic stewardship
most simple terms antibiotic stewardship
most simple terms antibiotic stewardship can be described as patients getting the
can be described as patients getting the
can be described as patients getting the correct drug to treat the specific type
correct drug to treat the specific type
correct drug to treat the specific type of infection that they have and the
of infection that they have and the
of infection that they have and the specific bacteria with which they’re
specific bacteria with which they’re
specific bacteria with which they’re infected to do that we need to give them
infected to do that we need to give them
infected to do that we need to give them the correct dose and give it via the
the correct dose and give it via the
the correct dose and give it via the most appropriate route whether that be
most appropriate route whether that be
most appropriate route whether that be oral
oral
oral or injection or something else and we
or injection or something else and we
or injection or something else and we need to use these antibiotics for the
need to use these antibiotics for the
need to use these antibiotics for the shortest amount of time possible to
shortest amount of time possible to
shortest amount of time possible to still be effective so now that we have a
still be effective so now that we have a
still be effective so now that we have a general understanding of where we stand
general understanding of where we stand
general understanding of where we stand and how we’re stacking up against the
and how we’re stacking up against the
and how we’re stacking up against the bacteria how can we as individuals as
bacteria how can we as individuals as
bacteria how can we as individuals as patients and is just people in this
patients and is just people in this
patients and is just people in this world becomes stewards of antibiotics
world becomes stewards of antibiotics
world becomes stewards of antibiotics specifically but of our healthcare in
specifically but of our healthcare in
specifically but of our healthcare in general let’s go back to that car lot
general let’s go back to that car lot
general let’s go back to that car lot where we started and see some specific
where we started and see some specific
where we started and see some specific tasks that we might be able to take
tasks that we might be able to take
tasks that we might be able to take really the first question that we need
really the first question that we need
really the first question that we need to answer is do I even need a new car to
to answer is do I even need a new car to
to answer is do I even need a new car to begin with do I have an infection at all
begin with do I have an infection at all
begin with do I have an infection at all and if I do is it the type of infection
and if I do is it the type of infection
and if I do is it the type of infection that an antibiotic can treat remember
that an antibiotic can treat remember
that an antibiotic can treat remember antibiotics only treat bacteria but
antibiotics only treat bacteria but
antibiotics only treat bacteria but things like the common cold or the flu
things like the common cold or the flu
things like the common cold or the flu those are caused by viruses and
those are caused by viruses and
those are caused by viruses and antibiotics won’t treat them then
antibiotics won’t treat them then
antibiotics won’t treat them then there’s the fact that things like coughs
there’s the fact that things like coughs
there’s the fact that things like coughs runny noses ear infections bronchitis
runny noses ear infections bronchitis
runny noses ear infections bronchitis even though these are often caused by
even though these are often caused by
even though these are often caused by minor bacterial infections they’re often
minor bacterial infections they’re often
minor bacterial infections they’re often what’s considered self-limiting meaning
what’s considered self-limiting meaning
what’s considered self-limiting meaning that a healthy person in general with
that a healthy person in general with
that a healthy person in general with good nutrition and some rest
good nutrition and some rest
good nutrition and some rest they can fight off those infections
they can fight off those infections
they can fight off those infections without actually needing an antibiotic
without actually needing an antibiotic
without actually needing an antibiotic at all so what we need to start doing is
at all so what we need to start doing is
at all so what we need to start doing is having these conversations with our
having these conversations with our
having these conversations with our healthcare providers we need to start
healthcare providers we need to start
healthcare providers we need to start establishing a role of do we need an
establishing a role of do we need an
establishing a role of do we need an antibiotic or is it possibly better to
antibiotic or is it possibly better to
antibiotic or is it possibly better to take a stance of watchful waiting give
take a stance of watchful waiting give
take a stance of watchful waiting give it a few days see if we get better
it a few days see if we get better
it a few days see if we get better instead of starting that antibiotic on
instead of starting that antibiotic on
instead of starting that antibiotic on day one not all antibiotics kill all
day one not all antibiotics kill all
day one not all antibiotics kill all types of bacteria it’s very important
types of bacteria it’s very important
types of bacteria it’s very important that whenever possible we have our
that whenever possible we have our
that whenever possible we have our health care providers collect a culture
health care providers collect a culture
health care providers collect a culture of some cells from our body that they
of some cells from our body that they
of some cells from our body that they can send to a lab so they can grow the
can send to a lab so they can grow the
can send to a lab so they can grow the specific bacteria that’s causing the
specific bacteria that’s causing the
specific bacteria that’s causing the infection that we have that bacteria can
infection that we have that bacteria can
infection that we have that bacteria can be
be
be by the lab and then test it against a
by the lab and then test it against a
by the lab and then test it against a myriad of antibiotics to see which ones
myriad of antibiotics to see which ones
myriad of antibiotics to see which ones kill it best
kill it best
kill it best once the provider has that type of
once the provider has that type of
once the provider has that type of information they can be very specific in
information they can be very specific in
information they can be very specific in selecting the most appropriate
selecting the most appropriate
selecting the most appropriate antibiotics to kill the bacteria that’s
antibiotics to kill the bacteria that’s
antibiotics to kill the bacteria that’s infecting our body without accidentally
infecting our body without accidentally
infecting our body without accidentally causing some of the other unintended
causing some of the other unintended
causing some of the other unintended consequences so as patients we need to
consequences so as patients we need to
consequences so as patients we need to get more accustomed to the idea that
get more accustomed to the idea that
get more accustomed to the idea that perhaps in the middle of the course of
perhaps in the middle of the course of
perhaps in the middle of the course of antibiotics that we’ve been prescribed
antibiotics that we’ve been prescribed
antibiotics that we’ve been prescribed the phone’s gonna ring and we’re gonna
the phone’s gonna ring and we’re gonna
the phone’s gonna ring and we’re gonna get a call from the doctor saying you
get a call from the doctor saying you
get a call from the doctor saying you know I need you to stop that one and go
know I need you to stop that one and go
know I need you to stop that one and go back to the pharmacy I know it’s going
back to the pharmacy I know it’s going
back to the pharmacy I know it’s going to be another copay but this is
to be another copay but this is
to be another copay but this is important we need to change the
important we need to change the
important we need to change the antibiotics that you’re on so that we
antibiotics that you’re on so that we
antibiotics that you’re on so that we can be the most targeted and selective
can be the most targeted and selective
can be the most targeted and selective that we need to so that we can be
that we need to so that we can be
that we need to so that we can be healthier people overall and get you
healthier people overall and get you
healthier people overall and get you healthy as soon as possible dosing
healthy as soon as possible dosing
healthy as soon as possible dosing antibiotics is not a trivial task not
antibiotics is not a trivial task not
antibiotics is not a trivial task not only do we need to take into account the
only do we need to take into account the
only do we need to take into account the fact that even the same antibiotic might
fact that even the same antibiotic might
fact that even the same antibiotic might have different doses to treat different
have different doses to treat different
have different doses to treat different bacteria and different infections around
bacteria and different infections around
bacteria and different infections around your body but you also need to make sure
your body but you also need to make sure
your body but you also need to make sure that you always share with your
that you always share with your
that you always share with your healthcare provider what medications
healthcare provider what medications
healthcare provider what medications you’re taking even if those are
you’re taking even if those are
you’re taking even if those are over-the-counter medications or
over-the-counter medications or
over-the-counter medications or supplements because that sort of
supplements because that sort of
supplements because that sort of information could really play into the
information could really play into the
information could really play into the way that antibiotics are dosed we also
way that antibiotics are dosed we also
way that antibiotics are dosed we also need to realize the fact that every once
need to realize the fact that every once
need to realize the fact that every once in a while we might need some bloodwork
in a while we might need some bloodwork
in a while we might need some bloodwork to figure out how well our organs are
to figure out how well our organs are
to figure out how well our organs are functioning where specifically our
functioning where specifically our
functioning where specifically our kidneys and our liver and every once in
kidneys and our liver and every once in
kidneys and our liver and every once in a while we also need to get bloodwork to
a while we also need to get bloodwork to
a while we also need to get bloodwork to monitor antibiotics to see that we’re
monitor antibiotics to see that we’re
monitor antibiotics to see that we’re getting the appropriate levels in our
getting the appropriate levels in our
getting the appropriate levels in our body by taking the doses we are without
body by taking the doses we are without
body by taking the doses we are without causing toxicity to us but while still
causing toxicity to us but while still
causing toxicity to us but while still killing the bacteria appropriately so
killing the bacteria appropriately so
killing the bacteria appropriately so now that we’ve established that we need
now that we’ve established that we need
now that we’ve established that we need to take the right dose of antibiotic and
to take the right dose of antibiotic and
to take the right dose of antibiotic and that we need to use it in the most
that we need to use it in the most
that we need to use it in the most appropriate way possible we need to talk
appropriate way possible we need to talk
appropriate way possible we need to talk about how long we take those antibiotics
about how long we take those antibiotics
about how long we take those antibiotics certain antibiotics can be used to treat
certain antibiotics can be used to treat
certain antibiotics can be used to treat things such as simple urinary tract
things such as simple urinary tract
things such as simple urinary tract infections and as quick as three days
infections and as quick as three days
infections and as quick as three days but some more complicated infections
but some more complicated infections
but some more complicated infections such as those in the bones sometimes
such as those in the bones sometimes
such as those in the bones sometimes required
required
required for weeks or even months we need to be
for weeks or even months we need to be
for weeks or even months we need to be able to have open conversations again
able to have open conversations again
able to have open conversations again with our providers to discuss do I
with our providers to discuss do I
with our providers to discuss do I really need this prescription for 14
really need this prescription for 14
really need this prescription for 14 days or even 10 days is there a shorter
days or even 10 days is there a shorter
days or even 10 days is there a shorter treatment course that I could be on that
treatment course that I could be on that
treatment course that I could be on that would be just as efficacious but won’t
would be just as efficacious but won’t
would be just as efficacious but won’t put me at risk for any of the downside
put me at risk for any of the downside
put me at risk for any of the downside that antibiotics can bring and finally
that antibiotics can bring and finally
that antibiotics can bring and finally be nice to your healthcare providers
be nice to your healthcare providers
be nice to your healthcare providers they have your best interest at heart
they have your best interest at heart
they have your best interest at heart they want you to be happy and healthy as
they want you to be happy and healthy as
they want you to be happy and healthy as much as you do don’t pressure them into
much as you do don’t pressure them into
much as you do don’t pressure them into giving you a prescription for an
giving you a prescription for an
giving you a prescription for an antibiotic or for any other medication
antibiotic or for any other medication
antibiotic or for any other medication for that matter
for that matter
for that matter study after study year after year we’ve
study after study year after year we’ve
study after study year after year we’ve seen that they’ll probably just give it
seen that they’ll probably just give it
seen that they’ll probably just give it to you if you ask and that’s not good
to you if you ask and that’s not good
to you if you ask and that’s not good for you it’s not good for the rest of
for you it’s not good for the rest of
for you it’s not good for the rest of the world so going forward be stewards
the world so going forward be stewards
the world so going forward be stewards of your antibiotics take an active role
of your antibiotics take an active role
of your antibiotics take an active role in your healthcare openly discuss with
in your healthcare openly discuss with
in your healthcare openly discuss with your health care providers whether you
your health care providers whether you
your health care providers whether you have in real infection that can be
have in real infection that can be
have in real infection that can be helped by an antibiotic what dose of
helped by an antibiotic what dose of
helped by an antibiotic what dose of antibiotic what you need to treat that
antibiotic what you need to treat that
antibiotic what you need to treat that infection and what’s the shortest amount
infection and what’s the shortest amount
infection and what’s the shortest amount of time that you can be on that
of time that you can be on that
of time that you can be on that antibiotic while still getting a good
antibiotic while still getting a good
antibiotic while still getting a good outcome in doing this you can to become
outcome in doing this you can to become
outcome in doing this you can to become an antimicrobial steward
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