When is it time for antibiotics?

I woke up this a.m. worse than ever, 10 days into this illness. The viral aches of last week and the fever are history. I actually felt better two days ago and tackled a large backlog of laundry and a pile of patient charts. This morning, I could barely tackle the drive to my son's high school and back.

As I tell those of you who come to my office, if you start feeling worse instead of better in the second week of an illness, it may be time for antibiotics for a secondary bacterial infection. My cheeks and upper teeth are throbbing as is the back of my head. I'm taking my own advice and starting Ketek for sinusitis.