I stumbled across this thread in a google search and just wanted to make a couple of points. My background is in veterinary medicine first and foremost (I am a "breeder"), but I would like to make a couple of points based upon what I have learned that relate to this. I work very closely with my vets and we trust each other - they know I'm not an idiot and I know they really care about my animals and their well being. I am a firm believer when it comes to health of my animals, my vet is a great resource, but they are not the be all or the end all. It is up to me to educate myself so I can have an intelligent conversation with my vet and/or being able to tell them the things pertinent to issues at hand. I teach my clients the same thing - who is going to be your animals best advocate? The vet who see many animals each day for 15 minutes or you who spends day in and day out with your critters. You are. I have a level of knowledge that is higher than most of my clients. I can see where my vets become very complacent in certain areas of their practice. Sometimes I find they have a bit of tunnel vision and that is to be expected - it is very easy to only see what you always see.
I firmly believe that we as humans should also be expected to be our own advocates - and educate ourselves and work hand in hand with our doctors. I certain a lot of you see ill-informed or just plain ignorant (human) clients, just as my vet does (or lazy ones), but there are those out there that are not as irresponsible as a lot of you seem to assume. I completely understand HiDefGator's frustration that each time they have the same issue and show up at the (costly) ER they are prescribed the same exact thing, a steroid and an antibiotic. Whether they are prescribing the antibiotics because that doc throw z-packs at everything (including viruses) or they are concerned about a secondary bacterial infection, that is what they have treated this person with every time. Be it a placebo effect or not, I don't think it is unreasonable that HiDefGator has now decided to purchase it on her own (via fish antibiotics) and treat once a year when she feels the onset of symptoms that have in the past lead to the same path but via a doctor/ER/huge expense! Is it the right answer? Maybe/maybe not. But unless they have a doctor who will work with her and come up with a different plan on how to treat this issue during hours the doctor is not available, what would you want them to do? They stated their primary care doc will not prescribe anything unless they are showing symptoms. This is where we have a HUGE disconnect.
Let me share with you a few things about fish antibiotics - if you googled them you would learn the pills come in various sizes dependent upon the drug. Generally speaking most of them in 250mg or 500mg capsules or tablets. As HiDefGator pointed out, they look and smell the same as their "human" counterparts and from what I understand they are manufactured in the same places as the human ones.
I get that so many of you are schooled to think that we non-doctors shouldn't make a judgement call when it comes to our health unless we run it by a physician (I also understand fears about making more drug resistant bacteria, but let's call a spade a spade, the medical establishment has been and continues to be more of a danger to create and cause drug resistant bacteria then a few fringe people treating themselves incorrectly). In a perfect world, we could call up our physician directly and literally run things by them. Most of us don't live in that world and I don't see it coming anytime soon. In fact the ACA has made things even more complex - so many more rules that everyone must follow so they are in compliance. Ridiculous . Basic health care should be cheap and easy, period. The more complex the care, more money it should cost. Instead we are making basic access very complex and therefore costly. For those that can't afford it, or hell can't afford their new co-pays, you will see a lot more "educated" people using things and "self-medicating" but I can guarantee you they will know what they are putting in their body, it's side effects, correct dosage/length of use, and they won't use it unless they really need it (not treating a virus with an antibiotic) or like HiDefGator that keep spending thousands of dollars and countless hours waiting to seen at an ER only to be prescribed something they can get for $40 and no hassle. Someday, once this ACA thing is actually corrected one way or another, you may find you have better patients that are able to have an intelligent conversation with you about their body and their health.