Saturday, June 19, 2010

It's High Time Malaysian Doctors Ditch Neckties

The MMA made the call a few years back and then the DG was quoted to say:

…the policy of requiring doctors to wear their white coats, shirts and neckties would not change unless there was a “body of evidence” which proved that neckties caused infections to spread. It is a long established policy that we have had since Merdeka. Doctors must maintain their dignity and dress properly,” he said.

A study by Jimbo et al shows that there is indeed a High prevalence of methicillin-resistant Staphylococcus aureus (MRSA) on Malaysian doctors’ neckties.

We discovered that more than half (52%) of neckties worn by doctors were contaminated with Staphylococcus and out of these, 62% of them were identified as MRSA. In contrast, none of the student’s ties were contaminated with MRSA. Due to the high prevalence of staphylococcus detected on doctors’ neckties, we recommend that health care workers do not wear neckties.

So DG and MOH – perhaps the “dress code” for doctors should change now that there is local evidence?


This entry was taken from here. Just for Sharing. Selamat membaca! =)

11 comments:

Jonjon said...

For MRSA in pneumonia, we used Oxacillin + Vancomycin + Linozalid!

Haha..i just read this for my medicine test tomorrow!

Thanks anyway doctor ramdan! =)

Fuzzy A! said...

Preposterous. That’s what tie clips are for. Unless you’re hugging a patient, which you shouldn’t do for obvious reasons, the probability of transferring bacterias from your clipped tie should be non-existent.

Next, they will say that collared shirt shouldn’t be worn because the extra cloth that makes up the collar carry extra bacterias. And we should wear shorts for the same reason. You know what, it’d be better to work naked then. I mean, imagine the billions of extra bacterias carried on 2 square meters of clothes!

One mustn’t forget that the idea of dressing up smartly, coats and ties and all, is not to please the superior. Believe me, if he wants to torture you, there’s thousands of other ways he could do that more satisfyingly.

One shouldn’t forget the ‘useless information’, as some of my colleagues put it, that one learned in basic psychology and deonthology. Like it or not, the human animal places a lot on first impressions.

Put yourself in the patients’ shoes. Here comes a man in a untucked collared t-shirt, even if it’s clean. Another man is looking his best in his ironed shirt, ties, shiny shoes and all with a white coat. Which would you choose, not knowing anything except that they’re both doctors?

Yes, in a perfect world, we’d choose the one better qualified but we don’t live in a perfect world, do we? We live in a world that everything is judged by first impressions. The white coat, the tie, the shiny shoes inspire confidence in patients and that would make them calmer. As doctors, shouldn’t we take all the extra steps to make the patients, not us, more comfortable? Even if it means we have to sacrifice our own?

Anonymous said...

Agree not the wear neckties lah! Pakai smart2 tapi otak xleh jalan xguna juga..lepas tu baru nak komplen panaslah, rimaslah, itulah inilah..hohoho!

Anonymous said...

Staphyococcus aureus is also one of the microbial flora on the human skin. Then, there are also a lot of bacteria placed on our dress too.

But, if you attentively read this entry, what is actually MRSA? and what this entry about?

Yes, this is all about NOSOCOMIAL PNEUMONIA, which recently comes to be hot topic of discussion on how to prevent it, especially with lack of etiological dx to for MRSA!

I think, I agree about this article, and this is the best prophylactic measures to the unknown cause of MRSA.

Thanks for sharing it with us Ramdan =)

Also medicine.com.my member said...

Those who knows medicine.com.my will surely not asking about 'where the credits for this entry?'

They just provacative indeed, maybe because they disagree with this article and have such a hobby of labelling others, to show your lackness. So poor mind =(

Keep blogging ramdan. The important is, entries in your blog are informative. Good job & thanks for sharing =)

Ahmad said...

Jazakumullah for all your comments. The main point is about the idea that we shared. Anyone has right to say, and we have to admit it intactly. But, people mind can be pseudo-hesitated too when they trying to make disagreement of ones statement or just to support their members of chambers (like sufism). But it's just ok. InsyaAllah, I have a strong immunity from those with provocative allergens. =)

Fuzzy A! said...

It took me a while to understand the last two comments because seriously, it's illegible but I digress.

This is not about you; or about me provoking anyone. Yes, I do disagree with this article but that's not the point when I mentioned about crediting where credit's due.

It's basic journalistic ethics to credit others on their work. What would you feel if one uses your notes without you knowing it and gain fame through it? Yes, now you can say, oh I don't mind. Wait till it happens to you.

The idea of sharing information is commendable, yes, but the fact that a future doctor could not even respect the basic human rights of another individual, even if that victim consents to such act, is despicable.

Even if it's not your intention, those who do not know will credit you with the idea and not the original author. And that deprives him of his intellectual property.

And Ramdan, do not speak of 'provocative allergens' when you do the same.

Ahmad said...

"It's basic journalistic ethics to credit others on their work. What would you feel if one uses your notes without you knowing it and gain fame through it? Yes, now you can say, oh I don't mind. Wait till it happens to you."

It already happened to me a lot. And as for me, once I got the permission directly from the author, then the author said it's ok without credit, so it will be ok. As a conclusion, our professionalism point of view is about sharing the idea, far and far from aprreciation, standards. The highly civilized person put its professionalism in their box of mind and knowlegdes, not on the cover of their books.

Anyway, jazakallah for comments.

Fuzzy A! said...

I don't understand something. Are you PURPOSELY trying not to understand my point? Are you really THAT obstinate?

This is too taxing for me. As a 'member of chambers', I have to go 'pseudo-hesitating', whatever that means.

Chon-Jones said...

Haha..lawak la baca..

I agree with ramdan, absolutely. If people looked this matter as a problem of ethics and bla-bla-bla..it's a problem between ramdan & the real author. But unfortunately, i didnt see any problem here once ramdan had got the permission directly from the real author because this is also an ethics in journalism and blogging too!

Haha,so funny la.. thanks for sharing and welcome ramdan as a member of pbl medic ukm for next season. Keep blogging!

Arif UK said...

Ramdan, suddenly i remembered our moment in debate. You're still the same, the best debater!

I'm so miss that moment.Well done!


Arif UK

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