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Re:Person carrying bacteria resistant to antibiotics of last... by stephengillie on Thursday May 26, 2016 @09:31PM (#11783249)
But has the warning ever said why you should complete the course? I always assumed (until recently) this was to prevent reinfection, not resistance.

Stern warnings with no information about possible consequences is heavily lambasted in movies, yet we repeat this behavior with medicine and expect different results.

If you tell someone not to do something and don't tell them why not, and the consequences aren't otherwise clear, expect them to do what you said not to do.

Re:Person carrying bacteria resistant to antibiotics of last... by SkyMarshal on Thursday May 26, 2016 @10:44PM (#11783530)
Was going to say the same thing. My doctors have always told me to finish the prescription, but never once why.

My mother was a nurse so she always reminded me of the critical missing reason why, and I've always dutifully finished all antibiotics prescriptions as a result.

But that was a simple thing the doctors writing the prescription should have been doing themselves, and an apparent systemic failure of the medical profession to account for messy human psychology in a critical procedure.

Re:Person carrying bacteria resistant to antibiotics of last... by caf on Thursday May 26, 2016 @11:23PM (#11783691)
It astonishes me that people would be prepared to acquiesce to authority when a doctor tells them to ingest these drugs that they really know very little about, but draw the line at accepting the advice about taking the whole course of drugs.
Re:Person carrying bacteria resistant to antibiotics of last... by goldenkey on Friday May 27, 2016 @02:36AM (#11784299)
Most doctors dont have the types of antibiotics memorized by heart either unless they work in a specialty or ER. There are cell wall destroyers, folic acid synthesis interruptors, protein synthesis disruptors, etc. [1]

Gone are the days where a doctor should be taken at his judgment 100% as if medicine is a black box enigma. The average HNer would be wise to google about their conditions and drugs they consume. A doctor can only remember so much - they are primarily valuable for their experience in hueristic diagnosis -- not for knowing everything medical and everything pharmacutical. It is wise to relinquish some responsibility to a professional but not all.

Most of medicine aside from surgical methods can be understood by a mildly intelligent person who cares enough, because of wikipedia and google, everything except actual experience is very accessible.

I dont see how your astonishment is anything other than misinformed hyperbole.

[1] https://upload.wikimedia.org/wikipedia/commons/8/87/Antibiot...

Re:Person carrying bacteria resistant to antibiotics of last... by jasonkostempski on Thursday May 26, 2016 @11:48PM (#11783779)
People will take all kinds of advice when they're trying to feel better but once they feel good, they want to get back to partying ASAP and the doctor says no drinking while taking antibiotics.
Re:Person carrying bacteria resistant to antibiotics of last... by Patient0 on Friday May 27, 2016 @03:34AM (#11784467)
The no drinking thing is actually a bit of a mythconception - e.g. Penicillin is safe to take while drinking. http://www.abc.net.au/science/articles/2005/06/02/1380836.ht...
Re:Person carrying bacteria resistant to antibiotics of last... by s_kilk on Friday May 27, 2016 @04:16AM (#11784611)
TL;DR - In the early days of penicillin, it was used to treat various STDs. Doctors strongly advised their patients that alcohol was not to be consumed while taking the anti-biotics, not because there was a chemical interaction between the medicine and the infection, but to lower the odds of the patient getting wheeled one night and re-infecting themselves.
Re:Person carrying bacteria resistant to antibiotics of last... by dwaltrip on Friday May 27, 2016 @02:45AM (#11784325)
Nonetheless, that's the way it is. Processes should adapt to humans, not vice versa.

For the most part, of course. Cultural evolution does occur, however it's unpredictable and not something that can be easily forced.

Re:Person carrying bacteria resistant to antibiotics of last... by neilc on Friday May 27, 2016 @06:05AM (#11784965)
I think another factor is just intuition: taking medicine when you feel ill makes sense, but continuing to take the medication for several days after you feel completely recovered seems intuitively wrong to a lot of people.
Re:Person carrying bacteria resistant to antibiotics of last... by awqrre on Thursday May 26, 2016 @09:41PM (#11783306)
I always assumed that it was to completely kill it and that resistance was a side effect of not killing it...
Re:Person carrying bacteria resistant to antibiotics of last... by beambot on Thursday May 26, 2016 @10:09PM (#11783411)
Yep, you're intelligent enough to make the correct assumption. Unfortunately, I presume many others are not and could really use a little extra education by the pharmacist dispensing meds -- so they also understand the why.
Re:Person carrying bacteria resistant to antibiotics of last... by ddt_Osprey on Thursday May 26, 2016 @10:16PM (#11783438)
Meanwhile, here's me over here, thinking throughout my youth that it was advice to prevent the painful, avoidable side effects withdrawal symptoms.

Stepping down off a high dosage in halves is the exact same strategy used to ease people out of addiction.

As a kid, I thought anti-biotics were this far-out medicine, so strong and hazardous that coming down off them was something you had to do carefully.

Re:Person carrying bacteria resistant to antibiotics of last... by eru on Friday May 27, 2016 @12:08AM (#11783851)
A reasonable hypothesis for a kid. Though, if you ever take any antibiotics, they usually don't taper off the dose at the end, do they?
Re:Person carrying bacteria resistant to antibiotics of last... by awqrre on Friday May 27, 2016 @07:19PM (#11789751)
Not the ones that I've encountered... they used the same dose at the same intervals for the whole period of time... maybe to keep a lethal level in your system the whole time.
Re:Person carrying bacteria resistant to antibiotics of last... by ddt_Osprey on Saturday May 28, 2016 @10:15PM (#11794482)
I definitely remember receiving blister packs, decorated with directions and pill groupings that started with 2 pills, at high intervals like every 6 hours, then tapered to 2 pills every 12 hours toward the end of the first week, then 1 pill every 12 hours for the remainder of the pack, and included strict instructions to use the whole thing.

I got strep throat a few times as a kid. I don't have perfect recall about the details of what I had to take and when or why, though. But I do remember having to vary dosage.

Re:Person carrying bacteria resistant to antibiotics of last... by eru on Friday May 27, 2016 @07:55PM (#11789917)
Yes, exactly. And a smart kid might notice that. :)
Re:Person carrying bacteria resistant to antibiotics of last... by Cyph0n on Friday May 27, 2016 @06:11AM (#11784989)
Exactly this. If it's so vital that we finish the dose, why don't you make a bigger deal out of it? I feel that doctors simply don't care enough. Is there any other explanation?
Re:Person carrying bacteria resistant to antibiotics of last... by junto on Saturday May 28, 2016 @06:01PM (#11793766)
This is actually typical bad parenting or poor management. Whilst orders without explanation work in the army through absolute discipline, it doesn't work very well with people who haven't been conditioned to it.

Given an instruction when you don't understand the "why" is highly ineffective. As seen by your experience with your doctor.

There is also a further problem in that antibiotics treat not just you, but prevent infection in the wider population. People in general find it hard to think about the wider impact, which is something we see every day with regards to the world wide population's regards to the impact of their own pollution. It's why we recycle but then drive SUVs.

Re:Person carrying bacteria resistant to antibiotics of last... by janwillemb on Monday May 30, 2016 @11:18AM (#11801692)
I just got a course of antibiotics, so I asked why should I finish it (because it said so on the package)? The answer from the lady of the medical staff: otherwise the inflammation would come back.
Re:Person carrying bacteria resistant to antibiotics of last... by perfunctory on Friday May 27, 2016 @02:46AM (#11784330)
Same with me.