Skip to main content

Hand washing

It's like a birthday party every time you go to the bathroom!

I spend what feels like 10 hours a week asking my daughter if she wiped, flushed and washed after using the bathroom.  That combined with a newsletter I got about "the guys who don't wash their hands" made me think this would be good to talk about.

The recent data shows that only half of men use soap when they wash their hands and 1 in 8 doesn't wash them at all.  That's way lower than women (but I don't know if anyone is surprised by that).

One of my old mentors told me that if you're a clinic doctor, something like 80% of your patients are going to be your gender.  I just ran the numbers and it's 79.68% for me right now.  So I'm sending this to about 1000 people who aren't using soap when they wash their hands, statistically.

Hand washing is one of the best ways to prevent the spread of a lot of disease, especially gastrointestinal bugs you don't want to get and to again quote an old mentor of mine from the infectious disease world, "the whole world is covered in a fine layer of feces."  I know, it's gross.  Hence the hand washing.

Hand washing has contributed to some of the major gains we've made as a species in our longevity.

How to do it?  Water, soap, and wash for about as long as it takes to hum or sing "happy birthday".  It's illustrated quite well by Larry David in this movie.

Hand sanitizers are good, but they don't get everything and they aren't as effective if you have any visible dirt or grease on your hands.  Also, hand washing can be a good time to take a brief break and take a deep breath to relax and reset your mind. 

Popular posts from this blog

NSAIDs

Advil and Motrin are ibuprofen, then you have Aleve (naproxen).  Those are the over-the-counter ones.  Prescriptions are Mobic (meloxicam), nabumetone, indomethacin, Toradol (ketorolac), diclofenac, Lodine, and the list goes on.  All of these medications are in a class called non-steroidal anti-inflammatory drugs (NSAIDs). I'm giving you this list because there is mounting evidence that these medications a) don't work as well as we'd thought and b) have some very serious long term side effects we're finding out more about. NSAID's act by reducing the amount of prostaglandins you make in order to reduce inflammation.  However, prostaglandins have a ton of other effects and are involved in the maintenance of just about AIDs and also stronger if they are taken every day and/or around-the-clock.  every other organ system that you have.  The effect is stronger with higher doses of NS NSAID's work best and are best indicated for times when something is r...

Kidney Stones

I've written about this previously , but it's often hard to explain to people what a 10 is on the "1-10" pain scale if they haven't been in that spot before.  For women who have had children, they generally know what a 10 is, but for men it's a little harder.  When I was a medical student on my psychiatry rotation, we had a patient calmly sitting there saying his pain level was at a 10 and our resident, who was an ex-military sniper with a large skull tattoo on his forearm and a crosshair through the eye, calmly leaned forward and asked, "so if I lit you on fire and ran you over with my truck, you could not be in more pain than you are now, correct?"  The patient changed his answer. Getting to the point, a kidney stone is about the close I can come to describing a 10/10 pain to people who haven't gone through childbirth.  The fundamental issue is similar - your body is trying to move a big solid thing through an opening that was not really desig...

Pain

Sorry to be a pain I would say about 90% of the comments I hear from people about their pain threshold is that they think they have a high pain tolerance.  Which is statistically impossible unless I just attract people who have a high pain tolerance. We traditionally ask people to rate their pain on a 1-10/10 scale and while we hear a lot of 9's and 10's, I would say that, having been present for a number of them, a 10/10 would be giving birth to a first child.  For those who haven't experienced that, my old psychiatry resident described it as "so if I lit you on fire and ran you over with my truck, you would not be in any more pain than you are now" (he was also a former Marine sniper which might explain that). But this is pretty pervasive throughout the medical system and got me wondering as to how people's understanding of what their pain threshold was matched up to what it really was.  Fortunately, there were researchers who had a yen to poke peopl...