bigstockphoto_Couple_Reading_Together_1990927.jpgThere’s a scene that gets played out many times each day overseas. It’s one I know well, because I’ve played it out a few times. You’re an American out in the countryside in a foreign country and you’re trying to find some location or another. You stop a local, and ask, “Where is the local farmer’s market?” The local shakes her head, clearly not understanding, so you repeat the question, only this time louder. Same response. If you’re as dense as me, you sometimes do it a third time, louder still.

That’s how we Americans deal with lots of problems. I’ll avoid citing examples in foreign affairs and politics (where there are many), but I think Dave Milano makes the point well in his comment following my last post: more skin infections and less effectiveness from the antibiotics? Well, just prescribe more frequent use of the antibiotics. Go team.

 

If some treatment not only doesn’t work, but seems to be producing new sets of problems, you don’t do more of it…or do you?

 

That’s what this MRSA situation seems all about. We as a society have known for a long time that antibiotics create disease-resistant bacteria. Our approach has been to try to find new antibiotics for each set of disease-resistant bacteria, rather than inquiring about the underlying causes of infection (which I don’t pretend to have a complete answer to, only some intriguing explanations), and spreading the use of antibiotics on the farm.

 

I’d like to say, especially to Gwen/Elderberryjam, that if I seemed to be criticizing health care workers, I definitely didn’t mean to, and I’m sorry if I offended anyone. I’ve been treated by and collaborated with too many health care workers to take their efforts and commitment lightly. I’ve often said to family and friends that I could never do what most of them do, because I’m not up to it, it’s too difficult, too stressful, too demanding.

 

Nor do I think that hospitals and doctors are necessarily at fault. I’m not sure any one group or another is at fault. Rather, we as a society want quick fixes to big problems, and want someone to blame if the quick fixes aren’t forthcoming. So a teenager in Virginia got sick, the antibiotics didn’t work, he died, and the blame game started right up. The schools aren’t sanitary enough.

 

My gripe is with the old double standard. MRSA caused more than 18,000 deaths, so is obviously a huge problem.  I had a cousin die in the hospital from a staph infection about ten years ago, and it was an aberration then. It now seems to be occurring more frequently outside of hospitals. I don’t think washing your hands more carefully or scrubbing school lockers is the long-term answer to the problem. In other words, MRSA is not being treated as if it’s a huge problem.

 

Listeria monocytogenes in raw milk intended for direct consumption is not a huge problem. But it is treated by government authorities as if it were a huge problem. Small farms are shut down and consumers denied an important food product, even though there’s not been a documented illness (let alone a death) from listeria monocytogenes in raw milk for 35 years.

  

We seem incapable of saying as a society: okay, let’s step back from these situations and acknowledge that the way we’ve been dealing with such problems for the last sixty years is no longer working. In fact, what we’re doing seems to be counter-productive. Maybe we need some different solutions, some different approaches.

 

Is it possible, as several readers suggest, that too many of us are out of balance in our intestinal flora? Perhaps some major studies could help determine the role of diet in building up immunity against MRSA. Are there nutritional steps than can help reduce the chances of contracting MRSA? Maybe even some herbs you might take for a month or two before going to the hospital. Possibly a temporary ban on antibiotics being fed to farm animals, leading to a permanent ban? Sure it would cost some money, but if the authorities are really concerned with "protecting" us, who cares about profits?

 

Or how about this: supposing the brightest minds in the alternative and conventional arenas collaborated on some new approaches? Sounds pretty crazy, huh? But that’s what you do in a crisis, and from the looks of this situation, a fast-spreading bacteria that kills 20% of those infected and can’t be eliminated with antibiotics seems like a crisis.

 

I think a big part of the challenge facing health care workers at all levels is that it’s difficult to come face-to-face with the possibility that some substantial part of your hard work over many years has been misdirected, especially when the work is as difficult and demanding as it really is. When you’ve been taught theories and techniques that have been developed by the supposed best minds in the world, it’s tough to admit that they may not be working any longer (if they ever did).

 

For any addict (whether to drugs, booze…or profits), the biggest challenge is simply admitting there’s a problem. We’re not there yet.