What if I am in extreme pain but it is not life threatening and the lab test for the bacteria takes two days?
Opiates do amazing things. Pity, really, that some humans have a problem with moderation, because vicodin counts as the single best flu remedy ever.
Are you going to be the one that rejects giving the whiny mother the antibiotic only to have her child die?
Not too many people die of ear infections - Even mild hearing loss counts as a relatively low-frequency outcome. And unlike the whiny mother, a real live doctor can actually tell whether the screaming kid has a serious risk of dying or not. That said - Yes. Yes, I would make that call, and I would defend it after-the-fact, if felt I had made the right decision up front. People die, and that includes sick kids, that even includes me! And I can accept that. But y'know, if I someday die of polydrug resistant TB rather than heart disease or cancer or a bus or "misadventure", I sincerely hope an afterlife exists just so I can haunt every GP who helped make the fluoroquinolones useless rather than dare say "No!" to their patients.