My thoughts on the antibiotic crisis

For any budding student slightly interested in medicine, science and any interested in current affairs the antibiotic resistance crisis would no doubt have found its way into your thought process at some point. I know it is often on my mind.

The crisis of antibiotic resistance is one that is often documented in the media, and it is in my opinion one of the biggest challenges that modern medicine faces. In 2013 alone, there were about 480 000 new cases of multidrug-resistant tuberculosis according to WHO, this to me is slightly terrifying as without antibiotics we return to the pre antibiotic era, where whether you survived tuberculosis or not was down to sheer luck.

It’s a situation where I am not sure what the answer is, and I don’t expect to know the answer quite frankly, I’m not sure anyone really does. There is of course things we can do as a society to prevent the situation escalating more than it already has, by not overprescribing or overusing antibiotics, having a general understanding of antibiotics and antibiotic resistant. However, I personally fear that it is a situation where antibiotic resistance will occur regardless of our efforts to prevent it, in fact thanks to Darwin and the theory of evolution we know this to be true. The selection pressure that is antibiotics will naturally cause bacteria to evolve to become resistant to them.

So what is the solution?

To me, with what many may call naïve optimism, due to my age, I would say let’s find an alternative to antibiotics. If you ask me what that is, I will tell you this; at the moment I do not know. Yet, I do have ideas and one of them is thanks to my EPQ project, it is called phage therapy, and I will not delve into the technicalities of it at this moment, for I want to keep my posts as short and snappy as possible, but I will say if you are intrigued or rightfully concerned by this global crisis, I say do a bit of research. Phage therapy is highly under researched and doesn’t have the best reputation due to past research and trials, but it is if anything a fascinating idea, and even if it isn’t a possible solution to this crisis it’s worth a look up either way.

One Flew Over the Cuckoo's Nest

When you think of movies that are related to medicine it cannot be denied that One Flew Over the Cuckoo's Nest is definitely one of the great classics, not only in medicine but of all time. It is, for me, a member of my top 10 movies.

The reason why I class this movie as a classic for movies related to medicine is because One Flew Over the Cuckoo's Nest deals with themes such as mental illness, living in a mental institution, and how to treat patients (or how not to treat patients in Nurse Ratched's case). The movie not only tackles these themes, but in my opinion it tackles them perfectly, and to me the movie depicts a very realistic idea of living with a mental illness in such institutions during the late 1950's and early 1960's.

The movie itself to me was eye opening to the transformation of views on mental illness, it shows the change in the connotations with mental illness through the past decades, and how far as a society we have progressed, in both our views on those who are mentally ill and how we treat them. Whilst yes it cannot be denied we still have a long way to go, I think it can be universally agreed that the fact frontal lobotomy has become a disparaged procedure shows we have come a long way and are heading in the right direction. However, to me particularly the movie also highlights the fine line between what we class as sane or insane, it made me question whether Nurse Ratched was insane or not, and if I am being honest, how someone sane could treat patients in the cruel, dictatorial way she did.