Category Archives: Notes from Your Doctor

Notes from your Doctor: Protecting Yourself

One of the microbiology journals recently reported on the transference of MRSA and C.diff in hospitals. Why do you care? Because you, or someone you love, is going to end up in the hospital and this may save a life. A group of researchers were puzzled about how secondary infections often showed up in patients who were in rooms where the patient a week earlier had had the infection. Over that week, the room was cleaned top to bottom, and possibly had an uninfected patient in said room. What they found was that MRSA and C.diff were washed down the sink, where the bacteria colonized and grew in the S-curve of the drain pipe and then worked its way up the drain, and ended up splashing out when someone washed his/her hands. How long did that process take? Yup, a week.

They’re still experimenting to see how to best take care of this issue. My guess is that they’ll need a viscous bleach that clings like drain cleaner to make sure all the bacteria is killed. But while they’re still working on it, what can you do? Personally, I’ll be pouring a cup of bleach down the sink in any hospital rooms I visit.

Next: The Muslim Ban may affect your health. Any idea how many doctors are from foreign countries? Tens of thousands. Of note, 8,400 are from Syria and Iran. And we need them, we have a huge doctor shortage because we don’t produce enough doctors to meet demand. (More on that further down.) The effects are in two general areas: newly minted doctors for hospital residency programs, and practitioners in Appalachia and the Rust Belt. If you think people won’t die because of the ban, you’re wrong. (Source 1, Source 2.)

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Hate in America

Last night, we in Philly heard that hundreds of headstones were turned over Saturday night at a Jewish cemetery, a week after similar vandalism in St. Louis. Many people are saddened, appalled and surprised. They should be sad and appalled, but not surprised. This is Trump’s America.

I have been working with Indivisible locally, and I am heartened by the number of people completely new to politics who are suddenly aware, and ready to take action to both resist the Trump agenda, and help elect people who will serve America, and not what is actually the Bannon administration.

I keep hearing two themes through my work with Indivisible. First, people are concerned about what they can do to stop hate. And by “hate” I mean not just the vandalism, but the verbal abuse people see foisted upon innocent people, just for the colour of their skin,  The ICE roundups are another form of hate: people question what they can do to help those who will be caught up in the dragnets. Hate also in the form of the administration’s moves against sick people (“repeal Obamacare” and dismantle Medicaid), Hate in the form of transgender bathroom rights. I’m a doctor, and I’m telling you, the only thing that matters is that you wash your hands. (If you’re a long-term reader, you remember back to SARS and fingers, nails, fingers, fingers, fingers.) And let’s not forget the hate of literacy in terms of claiming the media is the “enemy of the people”.  The hate is creeping down from the Cheeto Team, and up from the GOP state legislatures.

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Orlando

no_more_hate (2)This morning on the radio, they were asking for people to tweet whether the problem related to Orlando was whether there were too many guns, or not enough oversight on the mentally ill. How very, VERY, wrong a question.

The tragedy at Pulse has so many root causes, and so much blame to go around. I am struck by all the lives affected: the dead, the injured, their families, friends and co-workers, plus everyone who is LGBTQI. And I have questions. Many questions.

First, I have LGBTQI friends. I don’t think of them as L or G or B or T or Q or I — they are my friends. The people I share a meal with, dance with, go shopping with….just plain friends. I used to have a lot more gay male friends, sadly lost to what was then called GRID, before it was AIDS. I’ve watched the struggles over the years: the hiding before Stonewall, the discrimination, the beatings for having been born. The evangelicals say that we are all created in G-d’s image: how do they integrate their supposed love of G-d with their obvious hatred of those created in her image? Rumor has it that the shooter was “incensed” by seeing two men kissing. I don’t get it.

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A Note from your Doctor: Politics of the Zika Virus

Aedes_aegypti_feedingAs many of us shiver here in the Eastern United States, mosquito season seems very far away. The mosquitoes that carry it also carry Dengue Fever and Chikungunya. Zika is a disaster for pregnant women, and the latter two are bad for everyone.

Right now, they’re close to pandemic throughout most of South and Central America, and marching towards the Caribbean and onto the US. The mosquitoes themselves don’t actually have to fly here. Instead, people are infected, come home, are bitten by a local mosquito, and then the diseases are carried to other people.

If you think this is a remote issue, and not a political one, you’re wrong on both counts.

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