The practice of Medicine is largely reflective of human living through generations and what we humans go through in peace and suffering has its basis on the interpretation of what we think are Truths, Facts and Belief Systems . With this in the background I would like to highlight the interplay of the above three in Medicine with a small example of a disease process, our understanding of the same and its implications on our lives. My fall guy is Group A Streptococcus and its association with Rheumatic Heart Disease and how it reflects on Antibiotic prescribing practices today Truth : Group A Streptococcus Pharyngitis is known to cause Rheumatic Heart Disease and Appropriate Antibiotic usage can prevent the sequlae.
Fact: Most cases of Pharyngitis are Viral in etiology. According to studies Virus is implicated as the organism in about 75-80 % of cases. Group A Streptococci in about…
