I thought it was under control

Obviously its not. Last spring after coping with multiple colds that would last for two weeks and getting them every 8 weeks, we cut my methotrexate dose down. Some of the colds turned into ear infections.  With the lower MTX dose my immune system would not be as suppressed and I was less likely to have as many colds.

I haven't had a cold since last February. Until today.

Last week I was feeling crappy so I hibernated for a day and didn't feel that bad, for a few days. I also skipped my weekly MTX injection.

This week I had my weekly injection on Wednesday night. Yesterday I was getting tired and I thought I had done too much. But I woke up at 3 am, sleeping on my right side, because my left ear hurt enough to wake me up. I then rolled on my back and decided that both ears hurt. Even with all the pain meds I am on, my ears hurt.

When I got up at 8, I called my doctor's office and got a 9 am appointment. There I learned that while it looked like I had two ear infections but there was also a virus going around with similar symptoms. But with my medical history, they need to be sure. (I hate that line.) Maybe I had the virus last week which got worse.

But I did think this was under control and I wasn't going to get as many colds any more. Since I haven't had a cold since the end of February, I guess it is better. But I hate having a cold. And being on antibiotics, again. Grrr.

A very real problem

Drug resistant bacteria are now a real problem world wide. Think of the world before antibiotics where a simple cut could kill someone if it became infected. I find this very scary. As someone with multiple health issues, I am deeply concerned about getting a germ that can't be cured because it is antibiotic resistant.

The causes of this are multiple (from my layperson understanding):

• Doctors over prescribing antiobiotics for ailments that do not require them.
• Patients not taking entire doses of antibiotics so that the germs are not destroyed but adapt and become resistant to the antibiotic.
• In the food industry, livestock is given antibiotics for some silly reason - this leads to low level exposure that help build resistance.
• Discarded antibiotics end up in the water supply - this also leads to low level exposure that help build resistance. 

Now the problem is much more rampant. The World Health Organization recently released a report on this topic.

"Antimicrobial drugs are one of the foundations of modern health care – something we all hope to rely on when we get sick with ailments including pneumonia, urinary tract or blood infections, diarrhea or sexually transmitted diseases, Fukuda says. These infections occur worldwide on a daily basis.
But because of overuse or misuse or improper use of existing treatments, the ability to fight these infections is getting harder and harder, he says.

In its first global report on antimicrobial resistance, released Wednesday, the WHO says " a post-antibiotic era – in which common infections and minor injuries can kill – is a very real possibility for the 21st century."..."

"Conservative estimates in the United States alone suggest 2 million people get antibiotic-resistant infections each year, and at least 23,000 die because current drugs no longer stop their infections."

This is the part that is most scary to me:

"Some people may wonder why they should worry. Fukuda says that anyone who gets a serious infection, develops cancer and needs chemotherapy or requires any kind of surgery could be in a bad situation with no drugs left to treat them. The same is true for premature babies or malnourished children.

After two cancers and eight surgeries, and penicillin allergies, am I going to end up this way?
 
"Bottom line," says Fukuda, "we should expect to see that there are going to be some people who have untreatable infections."

The WHO says there's a need for a global action plan, including:
– better use of vaccines;– basic hand hygiene to reduce infections, such as washing hands;– reduction of non-health uses of antimicrobial drugs;
– support of research that will lead to new and better diagnostic tests;– and better surveillance, to get a better overall global antimicrobial resistance."
 
A lot of this is up to the patient/consumer. We should not demand/expect antibiotics unless they are for an infection. If given them, we should use them properly and finish the entire dose. We need to demand meat that has been raised without antibiotics. We need to go back to the basics and wash our hands and take care of minor injuries before they become infected.

Its too scary a world for those of us with not the best health.