Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Patient Safety Video: “Hand Hygiene Saves Lives”

The Centers for Disease Control and Prevention (CDC) has produced a patient safety video about the importance of handwashing for hospital patients and their healthcare providers. The instructional piece entitled “Hand Hygiene Saves Lives” is available for hospitals to offer their newly-admitted patients. I think everyone should watch and learn:

Source: CDC-TV

Microbiology And The “Cooties” Epidemic

Remember “cooties” in grade school? You know, the germs or disease that girls gave boys or boys gave girls in grade school if they touched? Well, it seems they’re becoming an epidemic. Thank goodness someone checked for “cooties” on the Stanley Cup:

The NHL champion Blackhawks’ beloved trophy stopped by the Chicago Tribune newsroom, and so we took the opportunity to do something the Cup’s keeper said had never been done: We swabbed it for germs. We sent the samples to the Chicago lab EMSL Analytical, which found very little general bacteria and no signs of staph, salmonella or E. coli. “It’s surprisingly clean,” lab manager Nancy McDonald said. Just 400 counts of general bacteria were found, she said. By comparison, a desk in an office typically has more than 10,000.

No staph species detected? Hmmm. I think there was a sampling error…

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

Controlling Infectious Disease: A Handwashing Dilemma

So I’m at work the other day and I see this Glade bathroom air freshener sitting in a bathroom and it hits me: What’s the appropriate bathroom air freshener protocol? I know everyone should always wash their hands when they use the restroom to help control infectious disease, but having a touchable canister of bathroom air freshener instead of an automatic air freshener made me think:

Should I wash my hands before I spray the bathroom air freshener or should I spray the air freshener before I wash my hands?

You just never know what’s on the spray nozzle of these manual  bathroom air fresheners. So do you wash your hands and then spray the air freshener out of common courtesy for others and not trust that others have done the same and then wash your hands again? What’s the protocol for this? Take the Bathroom Air Freshener Poll and put the controversy to rest once and for all. The world wants to know.

*This blog post was originally published at The Happy Hospitalist*

A New Way To Wash Your Hands?

Forget the debate over soap and water vs. alcohol sanitizers. Soon you may be cleaning your hands with plasma. The New York Times is reporting on research into plasma as a method of hand cleaning. Basically, you’ll stick your hand in a little box for a few seconds and then the plasma will zap all the germs, including MRSA. The technology is not ready for action yet, but sounds pretty cool. Except for one thing–if you look at the photos that accompany the article, you’ll notice that a normal-looking human hand is inserted in the box, but the hand that comes out the other side (in the next photo) looks creepy and synthetic. What else is that plasma doing?

*This blog post was originally published at ACP Hospitalist*

H1N1 Flu: Where Germs Are Hiding

With news reports about the H1N1 flu all over the place, you may not think about the old “stomach flu” right now. Did you know that there really is no such thing as the stomach flu? If you have diarrhea or vomiting, it is usually not from influenza virus, but rather from another bug that got you. Often these bugs get us from not properly handling our food or from unsanitary conditions in our kitchens. Don’t go blaming the restaurant so quickly because studies show our homes are a breeding ground for bacteria that make us sick, too!

Top places germs reside

  1. The kitchen sponge and/or dishcloth is the number one place for nasty bugs to hang out. Replace your sponge every few weeks, or put it through the dishwasher so the heat can kill off some of the bacteria.
  2. The bottom of the sink is also very high in bacterial count. Just think about the conditions that germs love: Warm, moist environments. Your sink, sponges, and dishtowels are often wet and bacteria love it!
  3. Keyboards, computer mouse, remote controls, doorknobs, etc. I am guilty of this too: You are working on your computer and then you reach for a snack. There is a ton of bacteria on surfaces all over your office and home. Wash your hands every time you go to eat something. The toilet actually has less bacteria than many commonly touched surfaces around your office and home.

Tips to prevent getting sick

  • WASH HANDS. I can’t emphasize this enough. Wash your hands before you go to prepare food or eat food. Wash your hands after you go to the bathroom. A good rule of thumb is to wash for at least 20 seconds using hot water and lots of soap. Use a hand sanitizer if you cannot always wash in a sink.
  • Wash all surfaces food will touch before and after you prepare food. Wipe the counter clean before you get the food out, and wash it off after as well.
  • Wash all produce well. Even if you don’t eat the outside of it (think watermelon, cantaloupe, oranges, etc) you still want to wash it. Once you cut into it or peel it, the outside is getting on the inside with the trail of the knife or your hands.
  • Always cook meats to an internal temperature of 165 degrees. Use a food thermometer to be sure.
  • Do not keep perishable food out for more than 2 hours at room temperature. Get all food back into the fridge in 2 hours or less to minimize bacteria multiplying.
  • Keep your fridge at 40 degrees or less.

Check out this research from the USDA:

Best Ways To Clean Your Kitchen Sponge

Your microwave or dishwasher can make sponges safer to reuse in today’s kitchens.

Heating your used kitchen sponges in your microwave for one minute, or washing them in your dishwasher and leaving them there through a drying cycle, are the most effective household ways to inactivate harmful bacteria, yeasts and molds.

ARS food safety experts who specialize in research on foodborne pathogens, like E. coli O157:H7, looked at several simple, convenient and often-recommended ways of cleaning reusable kitchen sponges. Techniques included soaking sponges for three minutes in a 10-percent chlorine bleach solution, soaking in lemon juice or sterile water for one minute, heating in a microwave at full power for one minute, or washing in a dishwasher—including through a drying cycle.

At the outset of the experiment, they soaked all the sponges for 48 hours at room temperature in a slurry of ground beef and laboratory compounds which allow bacteria, yeasts and molds naturally present in the beef to grow on the sponges.

Microwaving and dishwashing each killed nearly 100 percent of the bacteria, with dishwashing being only slightly (0.0001 percent) less effective.

And, microwaving and dishwashing each killed nearly all yeasts and molds; less than 1 percent (only 0.00001 percent) survived.

This post, H1N1 Flu: Where Germs Are Hiding, was originally published on by Brian Westphal.

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles