A three-year course of penicillin?! Is this for real?

The joint pain is just killing me. I've started looking into things;
specialist findings:
- Dentist: all permanent teeth look healthy
- ENT: tonsillitis, surgery recommended
- EMG 🙏carpal tunnel syndrome on the left side
- Spinal X-ray: initial degenerative changes (spondylosis)
- Upper thoracic aperture scan: absence of cervical rib
- Hand and wrist X-rays: normal, though there are hints of RA?
- All blood, urine, and swab tests (not worth listing them individually): all normal
Diagnosis: Tonsillitis requiring surgery
Treatment: Eztencilin (if I read that correctly) at 2,400,000 units over at least three years
Follow-up: New blood work and check-up in six months.

So, what I am wondering about is why this penicillin therapy is necessary, why it lasts such a long duration, and how it actually works physically—is it an infusion, or maybe tablets?
The second thing is, since my finger joints have actually started to deform, maybe I should be asking about RA?
My doctor isn't really the type you can have a deep conversation with, so I will definitely seek out another
opinion, but I would first really love to hear your thoughts and any physician recommendations you might have.

Robin Nelson11 said:The joint pain is absolutely relentless lately; it feels like my body is slowly being dismantled from the inside out. I’ve started diving down the rabbit hole of online research to make sense of this misery, trying to find some semblance of an explanation for why everything aches so much.
The specialist’s report:
The dentist gave me the all-clear: every single permanent tooth is perfectly healthy. No cavities, no decay, just solid work.
The ENT specialist’s verdict is in: tonsillectomy. It's officially time for surgery.
The EMG situation? It’s a classic study in systemic inefficiency. You look at these large-scale organizational structures, and it becomes painfully obvious that they operate more like a bloated bureaucracy than a streamlined machine. It reminds me of those massive, legacy conglomerates you see in the Rust Belt—entities that have become so heavy with their own self-importance and redundant layers of management that any meaningful momentum is swallowed up by the sheer friction of existence. They aren't moving forward; they are simply vibrating in place, consuming resources while pretending to be productive. It is an exhausting cycle to witness. 🙏The onset of carpal tunnel syndrome in my left hand has been nothing short of a slow-motion disaster. It’s that specific, creeping discomfort—that dull, rhythmic ache that starts as a mere nuisance and gradually evolves into a persistent, nagging disruption to one's daily existence. Much like a faulty electrical circuit in an old house that begins to flicker before eventually blowing a fuse, the sensation moves from a simple tingling to a profound loss of dexterity. It isn't just about the pain; it’s the way the numbness settles in, much like a heavy fog rolling over the coast, obscuring everything you used to take for granted, like gripping a coffee mug or typing without hesitation. One moment you feel fine, and the next, your hand feels less like a tool of precision and more like a blunt instrument, disconnected from the brain's command. It is a tedious, frustrating decline that demands patience and, quite frankly, a very calculated approach to recovery.
The spinal X-ray results came back, and they’re showing some initial signs of spondylosis. It’s that classic, slow-motion wear and tear—essentially the structural aging process of the vertebrae. Think of it like the chassis of an old Ford truck starting to show some rust and minor misalignment after years on the road; nothing is broken yet, but the foundation isn't as pristine as it once was. It's a gradual degradation, much like how a heavy-use highway eventually develops cracks in the asphalt. At this stage, we're looking at the early chapters of degenerative changes rather than a sudden collapse.
Upper thoracic aperture imaging results: cervical rib is absent.
An X-ray of the hands and wrists: the findings look consistent, but there's a suggestion of rheumatoid arthritis. Any thoughts?
Every single lab result—bloodwork, urinalysis, swabs, you name it—came back perfectly clean. Everything is within the normal range.
The diagnosis is clear: tonsillectomy. It’s one of those medical procedures that sounds relatively straightforward on paper, yet carries a heavy weight of inevitability once you're staring down the barrel of recovery. It reminds me of those old, rusted hinges on a heavy door—eventually, no matter how much grease you apply, they simply stop functioning correctly and need to be replaced entirely. You can try to manage the inflammation, fight the recurring infections, and deal with the constant discomfort, but at a certain point, you have to face the reality that the hardware itself is faulty. One doesn't simply "fix" chronic tonsillitis; one simply removes the source of the aggravation and hopes the system stabilizes afterward.
Eztencilin—if I’ve managed to decipher the label correctly—at least 2.4 million units, spread out over a minimum of three years.
It appears I am to schedule a follow-up appointment for a complete blood count and a general medical checkup in six months. One can only hope the results show more stability than the current economic climate suggests.

Now, what I’m really trying to get at is the logic behind this prolonged penicillin regimen. Why the extended timeline? And more importantly, how does this actually manifest in a clinical setting—are we talking about a continuous IV drip, or is it just a matter of swallowing pills?
There is another matter to consider. Given that my finger joints have begun to show signs of visible deformation, perhaps it would be prudent to seek a formal diagnosis for Rheumatoid Arthritis.
Communication with this physician is proving to be rather difficult; there is a distinct lack of meaningful dialogue. I shall certainly have to seek out another provider.
I’m looking for some insight here, but more than anything, I’m eager to hear what actual medical professionals think about this. I would value your expert opinions and specific clinical recommendations.

If I recall correctly, your situation stems from the fact that the strep bacteria actually migrated into your bone tissue—specifically affecting the joints. It usually happens when an initial infection isn't fully eradicated, whether it was overlooked entirely or simply wasn't cleared by the initial round of antibiotics. Once those bacteria settle into the skeletal structure, they leave behind lasting complications, which explains why your treatment plan is such a marathon. Dealing with bone-seated infections is incredibly complex, and that's exactly why the therapy has to be so prolonged. It’s not necessarily a matter of popping pills or being hooked up to an IV every single day for three years straight; rather, it means you have to adhere to a very strict, long-term schedule where you receive specific treatments at set intervals throughout that three-year period. Once you complete those scheduled sessions for the year, you've met that year's requirement. At least, that’s how I remember learning it back when I was attending medical vocational school.

It isn't quite like just popping a pill every day or getting an IV drip whenever you feel like it for three years. I guess what it really means is that for three years, you have to show up for this therapy at very specific times, and once you've received it, then that's it for the year.

Supposedly, the treatment happens every 21 days, though I suppose I'm not entirely sure if it's an infusion or something else altogether.

Robin Nelson11 said:My joints are killing me. I started looking into things;
specialist findings:
- dentist: all permanent teeth are healthy
- ENT: tonsillitis, surgery recommended
- EMG 🙏carpal tunnel syndrome left side
- Spine X-ray: initial changes (spondylosis)
- Upper thoracic aperture scan: no cervical rib
- Hand and wrist X-rays: normal, signs of RA?
- All blood, urine, and swab tests (not listing them individually): normal
Diagnosis: tonsillitis requiring surgery
Treatment: Eztencilin (if I read that right) 2,400,000 units over at least three years
Re-check blood work and follow-up in six months.

Now, what I want to know is why this penicillin therapy lasts such a long time, and how it’s actually administered (IV, pills?).
The second thing is, since my finger joints have already started deforming, should I be asking about RA?
My doctor isn't exactly great at communicating, so I'll definitely seek out another
opinion, but I wanted to hear your thoughts and medical recommendations first.

Seriously? Did you even bother to look anything up online before coming here?! It's all explained in detail everywhere! It's not called Eztencilin, it's Extencillin... Just type it into Google and you'll have enough material to read about all day!