Everyone who has worked in the primary health care filed knows that so many people BELIEVE that they NEED antibiotic for the treatment of their common cold. It’s sometimes hard to make the right decision in this regard: On one hand, science tells you that antibiotics have no effect whatsoever on the self-limited viral disease like common cold, and prescribing them for the patient may cause unnecessary cost, side effects and drug resistance. On the other hand, even after you take time to educate your patient about the nature of their symptoms and the (no) effect of antibiotics on them, you may end up hearing something like “but doctor, I know my body better than you do; my body works differently! I know I’m not gonna get better until I get a penicillin shot!”. And after this point, if you still insist on your position, the patient will go doctor-shopping to find one of those “good doctors” who prescribe whatever their patients ask for. Two weeks ago, I had a bad common cold with obvious viral symptoms. One of my friends who is a doctor himself gave me a call and when learned from my cold said:
“Do you want me to bring you some amoxicillin?!!”.
“Why? it’s just a common cold!”.
“I know that ACADEMICALLY !! you only need to have some rest and fluids, BUT whenever I have a cold, I get a couple!! of antibiotics and I’ll get better soon!!”
For the first time in my life I realized that we had two kinds of medicine: academic (which is based on controlled non-biased clinical experiments and also established chemical, microbiological, and … rules), and nonacademic (which is based on our own or other random people’s biased and faulty experiences); and even some medical graduates prefer the latter! The same story is for those who “BELIEVE” (and this word is extremely crucial) in some sort of alternative medicine, as a substitute for the scientific one.
To be continued …
درود!
خیلی وقته آپ کردی و من چقدر دیر رسیدم این جا…. فکر نمی کردم به سرعت آپ کنی…
به هر حال …
وقتی با کسی هستم که پزشکی خونده اصلن بهش چندان اهمیت نمی دم می دونی چرا ؟خب در واقع فکر می کنم این آدما فقط سرشون به پزشکی گرمه و به هیچ چیز دیگه ای فکر نمی کنن… از این جور فکرا و این که از این قشر جامعه بدم میاد تقریبن که حالا این دکتر معمار زاده کمی دید منو تغییر داده… بماند… این دوست تو(تو این پست ازش یادی کردی) که خیلی باحاله دیگه… !!!
بگذریم باز…
موضوع خوبی بود و بازم خوب نوشته بودی… خوش باشی .. تا ادامه ی مطلبت بای!