RE: Proper clothing

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From:"Janssen,Mark X" <Mark.X.Janssen@kp.org>
To:"'David Anderson'" <histomanual@hotmail.com>, histonet@pathology.swmed.edu
Reply-To:
Content-Type:text/plain

Thanks for your story.

I work minutes away from Disneyland (the original one).  
I can't keep the boss from washing coffee mugs out in the lab sink, etc.
Don't feel like the Lone Ranger.  
Today most believe Semmelweis was an alarmist.

For another point of view see:
http://www.stlcc.cc.mo.us/fp/users/kkiser/History.page.htm 

MJ



 

> -----Original Message-----
> From:	David Anderson [SMTP:histomanual@hotmail.com]
> Sent:	Tuesday, May 16, 2000 8:29 AM
> To:	histonet@pathology.swmed.edu
> Subject:	Re: Proper clothing
> 
> One of the reasons I came back to Saudi Arabia was to get away from an 
> almost smothering regulatory environment. However, I never intended to get
> 
> quite as far away as I did.
> 
> Safety is not even a secondary concern here. We are required to wear white
> 
> lab coats at all times in the lab and gloves are to be worn when handling 
> specimens and chemicals. Our lab coats are cloth  and will only keep out
> the 
> air-conditioning. I think we have a pair of goggles somewhere, but I'm
> sure 
> there are no safety glasses.
> 
> Our pathologists don't accept the germ theory. We get fresh lymph nodes 
> occasionally from patients known to have TB. Rather than divide the
> specimen 
> in surgery for histo and microbiology, or send it to microbiology first so
> 
> they can take their part and we can immediately fix our part, the 
> pathologists insist they want to see it first. So when we get one of these
> 
> fresh nodes, they plop it out on a paper towel on an open bench in an open
> 
> room, slice through it, make touch preps from the cut surface, then WAVE
> THE 
> SLIDES AROUND IN THE AIR (excuse me for shouting)to dry them off! And
> these 
> are supposed to be pathologists. Needless to say, I refuse to go into the 
> room when one of these things comes in; I didn't come here to commit 
> suicide. One day I walked by and saw one of the residents cutting a node 
> while another resident stood by watching and drinking coffee! I followed
> up 
> that particular node and discovered microbiology later got a positive TB 
> culture from it.
> 
> The ladies who work in the TB culture room in microbiology wear lab coats,
> 
> gloves, and VEILS rather than masks, then they wear the lab coats and
> veils 
> everywhere they go, including home.
> 
> Last year we got a spleen from a TB patient. It was filled with large,
> white 
> caseous lesions. The following day, the surgeon came and wanted to see the
> 
> spleen. Outside the pathologists' offices is a 10-head microscope where
> they 
> just happened to be having a little "tea party". While one of the 
> pathologists moved the food aside, another one got the spleen out of 
> formalin, spread the slices on a tray, brought it out like a plate of
> spare 
> ribs and set it down on the same table where they were having the party. 
> They all stood around and oohed and aahed over it, then took it back to
> the 
> gross room, moved the food back over and continued on with their party.
> 
> A friend said "You have to make your own personal safety zone around 
> yourself and not worry about anyone else."
> 
> Some days I miss those overbearing inspectors.
> 
> David Anderson
> Riyadh Armed Forces Hospital
> Saudi Arabia
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