Oct 1, 2017

I’m so tired.

So, the weeks drag on and I keep telling myself the goal is to just put one foot in front of the other and soldier on. This is the road to any accomplishment of a goal, staying on a path and moving forward incrementally. There are times when even the smallest step is hard to make but I am fortunate in that I have people around me who keep reminding me to stay the course.

The whole staff thing has been a huge struggle as I’ve detailed but the goal is to spend the time and make the bridge to another part of life.

In the meantime, I keep talking about balance and I don’t have any.

The teeth that came out a few weeks back sat over an infection and even though the thing got ‘cleaned out’ and I took a round of antibiotics (the second round I’ve taken for this). The infection still hasn’t cleared up.

I know this because I’ve had this weird dry cough thing going on (likely due to drainage down my throat) and blow out the kind of stuff you blow out when you’re dealing with a sinus infection. Overall, not a lot of fun and the ancillary benefit is that I am tired and run down from my body fighting this.

I’m loathe to run back to my GP for a couple of reasons, there’s the thing about missing work when I’m under a bit of a microscope and the only way I can get in to see my doctor is by coming in late or leaving way early and the other concern about over using antibiotics for something that may not need it and that the body can ultimately deal with on its own.

As I get older and we don’t have new miracle antibiotics in the pipeline I don’t want to put myself in the position where I need them and they don’t work because of overuse.

TABLE 1
History of introduction of new classes of antibiotics

Year introducedClass of drug
1935Sulphonamides
1941Penicillins
1944Aminoglycosides
1945 Cephalosporins
1949Chloramphenicol
1950Tetracyclines
1952Macrolides/lincosamides/streptogramins
1956Glycopeptides
1957Rifamycins
1959Nitroimidazoles
1962Quinolones
1968Trimethoprim
2000Oxazolidinones
2003Lipopeptides

This is a bit of a problem that is only going to get worse for our society. There is a dearth of new drugs, new necessary drugs ahead and with all the advances we’ve grown used to in medicine that golden age may be over for the time being.
 




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