Where to wear scrubs

So this is something I ran across while reading the Parade Magazine that comes with the Sunday paper.  It was in the "Ask Marilyn" column, which is usually my favorite part of Parade.  This particular question (and her answer, especially) really hit a nerve with me because it is so far removed from the truth.  Since I don’t want my friends and neighbors to be misinformed, I decided to post my thoughts on the subject.

First, here is what was printed:
A question has been bothering me ever since I moved to a city that is home to some of the finest hospitals in the world. When I use public transportation, I see people wearing scrub suits to work. Is this acceptable? I had thought employees were supposed to change into scrubs provided at the hospital in order to leave outside germs at the door.

You’re right. I’ve noticed the same phenomenon in other cities too. If those people are hospital employees, they are endangering patients and should be reported to hospital authorities. Another growing problem is scrubs being stolen and worn in other places (such as the subway) to convey an impression of respectability. Anyone seen wearing scrubs outside an appropriate environment should be regarded with caution.

And now my rebuttal:
     Scrubs are worn to protect the wearer from getting their personal clothing contaminated by the wide variety of, shall we say interesting, substances that are present in any medical setting.  They are NOT worn to protect patients from "outside" germs – that is what sterile gowns and gloves, masks, head covers, drapes, and all those other coverings are for.  Those are the items that medical personnel don once they arrive and CHANGE each time they attend to a new patient.
     While it is true that hospitals have problems with scrubs being taken by employees, I assure you that it is the rare person who steals scrubs "to convey an impression of respectability" in other places.  Another point is that while most hospitals provide scrubs for their surgeons and other physicians, nearly all other personnel (nurses, technicians, transporters, etc.) purchase, maintain, and launder their own scrubs.  These people are merely dressing appropriately for their occupation, much as businessmen wear suits and Burger King employees wear those embroidered shirts and visors.
   So, if someone in scrubs approaches you on the subway and tries to get you to take your clothes off by playing on the power of the scrub suit, please don’t be fooled or intimidated.  But please don’t condemn the run-of-the-mill scrub-wearers you see outside a medical setting simply based on their attire.

Portland, here I come!

I got a letter in the mail this weekend letting me know that I was accepted to do an away rotation at OHSU this summer!!  I’m still waiting on the UW to get back to me, but this acceptance boosts my spirits about being accepted at the UW too.  At OHSU I got my first choice, Pediatric Endocrinology and Metabolism, and I’m so excited to  be able to do this!!  I’ll be working with kids who have congenital and acquired endocrine problems – so common things like diabetes mellitus, slow growth, and early or late onset of puberty.. but there’s also the less common more exotic conditions like adrenal insufficiency, the multiple endocrine neoplasia (MEN) syndromes, and maybe even inborn errors of metabolism (PKU, galactosemia, glycogen/lysosomal storage diseases) – but those might be handled by the genetics department, we’ll see.

Anyway, I’m excited to see my schedule working out well so far.  Now I just have to figure out where to live for the month I’m down there… c’mon brasten, help a girl out – won’t you have a place in your beloved Portland by August?  🙂

Amazing House

So, this is the house that belongs to my ambulatory internal medicine attending, Dr. Hawatmeh.  It is huge… HUGE!  It’s a brand new house in a brand new subdivision to the northwest of St. Louis.  He’s lived there for about a year, and he’s still working on some finishing touches, but as you can see it is gorgeous, and huge.  And, I never thought I would say this, but it is actually a bit too big for my tastes.  But, he does have 4 teenage daughters, so maybe that fills it out a bit. 🙂  The pool is in the backyard, and even though you can’t really see it too well, there’s a big waterfall and pond way at the end of the property (past the end of the pool).

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Being Sick is No Fun

     Thumbs down to being sick.

It still baffles me that we have come up with so so SO many antibiotics (meaning, specifically, antibacterials) but the methods of fighting off viruses still eludes us.  Sure, we’ve got some that reduce the suffering during a herpesvirus outbreak (acyclovir, gancyclovir, etc) and even a couple that, if used quickly enough, can shorten the misery of influenza virus infection (amantadine, zanamivir).  And thankfully we’ve come up with a few medications that seem to stave off HIV for a while (the reverse transcriptase and protease inhibitors).  But why can’t we tackle the common cold?  What about these coronaviruses, rhinoviruses, adenoviruses…?

I know, I know:  "They mutate!"  "The antigens change!"  "We just can’t keep up!"

Viruses.  Little capsules of genetic material without brains, without thought, without intent or purpose… just carrying out their hard-coded genetic instructions that just so happen to bring mighty humans to their knees.

The Tempest

Yesterday evening my mom and I went to see the Shakespeare Festival of St. Louis’ production of "The Tempest" in Forest Park.  It was such a great way to spend the afternoon and evening…  We got there early (around 4:00pm) and claimed a nice patch of ground for our blanket right up near the stage.  We did some crosswords and watched the clouds, read the program and wandered the gounds…  Around 6:30m the "Green Show" started.  There were minstrels, jugglers, aerial acts, a shorter/easier to understand production of the play ("Tempest in a Flash") to give people an idea of the plot – many things to keep us entertained.  At 8:00pm the show started and, wow, was it cool.  The stage (see below) was very well crafted and fit right in with the surroundings.  The acting was great, and thanks to "Tempest in a Flash" I could really follow what was going on the whole time.  We had a nice picnic dinner of sandwiches, fruit and veggies, and cheese and crackers.

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Another fun day

Today was totally packed and so much fun.  My mom and I played Whoonu and Hoopla (games from the creators of Cranium) and then set out for City Museum.  We had such a great time there – playing in MonstroCity, watching the Everyday Circus, exploring the Enchanted Caves, and (of course) sliding down the numerous slides!

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There was a snowflake-making table in Art City in the City Museum and there were all sorts of animal designs – they even had a koala!!!  I made the koala one and had it laminated so it wouldn’t fall apart.  It was awesome – the coolest art project I have ever done. 🙂

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After the City Museum, we went and had manicures (three cheers for no more hangnails!) and went grocery shopping for our picnic at the park tomorrow.  Then we stopped at the quintessential St. Louis gathering spot, Ted Drewes, for some frozen custard treats on the way home.

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Golf

Once I was done with clinic and lectures for the day, my mom and I went out to Golf Headquarters to try our hand at the driving range.  Even though I have only had a few short golf lessons, I retained enough to be able to teach my mom how to hit the ball fairly well.  We had a great time (even if it did start to rain a little).

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Miller Fine Art

My mom and I walked up to the neighborhood art gallery yesterday evening for a show….

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We looked at the artwork and met Jeff Miller, the owner of the gallery.  He was an interesting person. 🙂  The whole atmosphere was very laid back and friendly and I enjoyed myself.  I hope he continues to have shows frequently, it’s a nice way to spend some time.

He had an easel set up outside for a "community art project" so my mom and I each added our little bits to it:

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My mom’s corner:

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My weird (and kind of scary looking) doodle:

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