[Is it because I am a pediatrician that this doesn't seem reasonably healthy, lol.
There is nothing worse than when patients just start themselves on antibiotics...
Bert,
Welcome to my world!
There are certain patients with relapsing conditions (UTI, occasionally diverticulitis) for whom I will trust to start antibiotics when they need, then let me know after the fact. You can certainly argue this, but usually it keeps them out of the ER.
Gene