shellgal

A newborn doctor who is enthusiastic about her career and passionate for her life and of course, she also dreams a lot when she is awake...

Friday, March 10, 2006

To tie, or not to tie?




I remember the Professor whom we invited to be one of the judges for a debate "To Tie, or Not To Tie?", gave a very humorous speech before announcing the results. He claimed that the title of the debate was actually quite confusing in the sense that it can mean to tie the knot (to get married), or to tie the Fallopian tubes* for tubaligation*? He was thinking of the latter when he saw the other O&G professor, Dato' S, attending and judging the debate as well. (This O&G professor is his old friend). However, Dato' S who was sitting next to me that day, whisppered in my ears "nowadays I don't tie the Fallopian tubes anymore, I clip them instead!" [The fallopian tube is a narrow muscular organ arising from the uterus and ending just next to the ovary. The inner tubal lining is rich in cilia, the microscopic hair-like projections that beat in waves and move the egg to the uterus.
Tubaligation is the general term for any surgical procedure that blocks the fallopian tubes to prevent pregnancy.
]
The meaning of the title of our debate was actually "should medical professionals wear ties or not?" The idea derived from the ongoing controversial issue that ties carry significant source of infection to the patients in the ward, meanwhile those doctors who practise professionalism insist on the culture of wearing ties despite its risk of harbouring germs. It is still a sizzling hot arguable issue to date!
The British Medical Association (BMA) has recently warned all the doctors to wear CLEAN ties when on duty. It did not abolish the rule of wearing ties as part of a doctor's so called "dress code", but it did strongly urge all of them to wash and change their ties daily, to reduce the infection rate of MRSA (Methicilin resistant Staphylococcus aureus). Studies have already proved that the germs that nurture on ties can survive up to 80 days! Only by frequently washing and changing ties can we prevent the spread of this superbug that has long been recognised to be resistant to antibiotics. Besides ties, doctors' white coats were also found to be potential culture media for most bacteria. During one of the BMA meetings held last year, doctors in the National Health Service (NHS) were informed that the traditional white coat might in fact be the guilty agent in the transmission of the super bug MRSA, besides ties. There is also a reported move to abandon the white coat for the green scrub vest used in North America. Perhaps, the Ministry of Health Malaysia should also study the evidence for these, both ties and white coats!

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