tag:blogger.com,1999:blog-4968787219619380438.post7700273149580319123..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: It's time to discuss surgeon headgear againSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-4968787219619380438.post-44124593091583133882018-10-06T15:21:13.930-04:002018-10-06T15:21:13.930-04:00We are mammals. We have arm hair, pit hair, eyebro...We are mammals. We have arm hair, pit hair, eyebrows, ear hair, hair, hair, hair. I shaved my face because I got sick of the asinine beard covers that I was made to wear. Those things are ridiculous and have gaps all over them, but oh no: Can't have *gasp* facial hair!! Perish the thought!Frank H. Weedenhttps://www.blogger.com/profile/12657157958928132686noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-19318644796714126992017-06-08T13:24:05.725-04:002017-06-08T13:24:05.725-04:00Rules are rules. As I said in the post, they wante...Rules are rules. As I said in the post, they wanted me to wear a bouffant when my head was shaved.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-31813604544283638272017-06-08T11:44:01.918-04:002017-06-08T11:44:01.918-04:00When I worked at the university, we had an orthope...When I worked at the university, we had an orthopedic resident who had alopecia totalis. <br /><br />They made him wear a (bouffant) cap.<br /><br />Because it's the rules.George Gasmanhttps://www.blogger.com/profile/05047584545571558203noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-9005343036221934352017-06-08T09:59:39.583-04:002017-06-08T09:59:39.583-04:00Anon, thanks for the comment. Over the years I hav...Anon, thanks for the comment. Over the years I have seen hair fall into a wound several times. The wounds never got infected. You are free to wear as many bouffant caps as you want. Be sure they cover all of your have though. Don't be like the women in the photos shown on this post [http://skepticalscalpel.blogspot.com/2016/08/or-head-covering-controversy-acs-vs-aorn.html].Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-57983589122298234992017-06-07T18:41:53.673-04:002017-06-07T18:41:53.673-04:00It's funny to see people,I presume are atleast...It's funny to see people,I presume are atleast 15-20 yrs older than me, fret about having to wear a 'bouffant' I would gladly wear, while some of us here still live in the era of autoclaving our cotton gowns along with the headgear. Shouldn't we have switched places? It is comfortable for female surgeons(I'm not one yet) or female OT staff I guess. Very similar to a shower cap. I for one stock them up whenever I find them. I don't know how well infection can be controlled in the US. However, hairfall can happen with anyone and if that hair happens to fall into an open wound during surgery, all you can do later is wonder that why did you not get your head tonsured and offer your hair to some god. Just an opinion.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-56065952363867178452017-03-12T11:59:55.065-04:002017-03-12T11:59:55.065-04:00Sorry for the delayed response. I was out of the c...Sorry for the delayed response. I was out of the country. I agree with you. I would not expect much from the state legislature or any state agency but the only recourse is to try to influence them.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-44129227489606907422017-02-23T07:07:41.041-05:002017-02-23T07:07:41.041-05:00I'm late to the party here, but if this is a s...I'm late to the party here, but if this is a state mandate, the effected surgeons need to lobby for a change. Many professional associations have a paid lobbyist already. If not, they at least should have a committee that handles prospective legislation. Those folks should already be familiar with the process in-state and can guide the push for change.<br /><br />Granted, it's not like Legislators care one whit about evidence when creating laws that regulate medicine. Or maybe that's just my state...Anonymoushttps://www.blogger.com/profile/15840727597764190302noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-20575177391233159642016-05-20T08:13:06.035-04:002016-05-20T08:13:06.035-04:00Yes, rules without foundation. You might enjoy thi...Yes, rules without foundation. You might enjoy this post of mine: https://skepticalscalpel.blogspot.com/2012/05/rule-without-foundation.htmlSkeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-45747612794015402372016-05-19T14:19:54.975-04:002016-05-19T14:19:54.975-04:00As someone said it is rule writing just for the sa...As someone said it is rule writing just for the sake of it to justify one's job. Why? Why did I become a physician?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-66278230655540780652016-05-09T11:47:28.403-04:002016-05-09T11:47:28.403-04:00Anon, I enjoyed your comments. It looks like you w...Anon, I enjoyed your comments. It looks like you work in one of those hospitals where rules without justification prevail. Sometimes these rules have unintended consequences as you so clearly pointed out. Discouraging people from looking at their own pathology slides or monitoring the operating room schedule seems like a good illustration of that.<br /><br />Don't worry about ranting. I do it all the time. That's why I blog.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-53300964754184851332016-05-09T05:10:13.863-04:002016-05-09T05:10:13.863-04:00When it was mandated years ago at my hospital to w...When it was mandated years ago at my hospital to wear the bouffant, I tried many things to "modify it for comfort" including the "man bun" you described earlier. The best compromise I found was by pure accident as I was rifling through cabinets trying to locate a new box. In the very back were bouffants so large I couldn't imagine them on even the largest of heads. Combining the impractically large headwear with the "man bun" resulted in the most comfortable compromise I have found. The elastic is comfortable, and bun gathers up all of the loose material. It looks ridiculous, but it's the best I could come up with and stay within the rules. My infection numbers didn't significantly change (what a surprise!).<br /><br />Relating to this topic, shoe covers (or shoes that specifically stay in the OR wing), headgear, and a full mask is required of all personnel within the entire dept, even if one is only running down to the surgical pathology lab to quickly check something (completely avoiding the scrub-in area and ORs). I find it absolutely ludicrous, and I believe it can even be detrimental at times. The hassle of changing shoes or putting covers on every time one goes through the doorway causes many staff to avoid travelling down to view results in person, visit the patient in recovery (technically part of our hospital's OR wing, and thus under the same rules), or any other reason where it normally would be more efficient to just quickly check something yourself. Even going to just to look at the schedule board would technically require it due to the location of the board. I've noticed myself and colleagues completely avoiding checking something in person to avoid the hassle of PPE. It hasn't happened to my knowledge yet, but I can easily picture a mistake made where it could have easily been avoided had one just gone down to look in person rather than call someone and ask them to look/read something to you. Anyway, sorry for the nonsensical babbling - I didn't intend to start a rant, but it seems I did all the same.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-33657544519185829062016-05-06T12:46:51.599-04:002016-05-06T12:46:51.599-04:0020th, I'm not sure that white coats and ties i...20th, I'm not sure that white coats and ties increase infection rates, but at least there are some studies that show they may be contaminated with bacteria.<br /><br />Anon, maybe you are on to something.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-80104657523048206922016-05-05T22:59:21.720-04:002016-05-05T22:59:21.720-04:00Is there any possibility that bouffant manufacture...Is there any possibility that bouffant manufacturers or some other commercial interest is behind this, like in the hand dryer/paper towel post? Maybe the "invisible hand" behind this thought all caps are created equal and no one would notice.<br /><br />Whatever the reason, RobertL39 is spot on.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-64723342916923934882016-05-03T14:58:07.172-04:002016-05-03T14:58:07.172-04:00The practice of medicine should be guided by scien...The practice of medicine should be guided by science. When someone can show me a valid study proving that traditional surgical caps increase infection rates I will happily switch, just as I stopped wearing a white coat and tie.20th century manhttps://www.blogger.com/profile/06876980667028496460noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-73158607302491870192016-05-02T22:18:45.418-04:002016-05-02T22:18:45.418-04:00Michelle, I don't think that will work. The st...Michelle, I don't think that will work. The state made the rule, not the hospital. Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-50113803424389964322016-05-02T21:15:11.633-04:002016-05-02T21:15:11.633-04:00This comment has been removed by the author.michellehttps://www.blogger.com/profile/16319582419357546961noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-70604252806086720052016-04-29T21:04:47.261-04:002016-04-29T21:04:47.261-04:00Artiger, you're in a good spot. Stay with it.
...Artiger, you're in a good spot. Stay with it.<br /><br />Old, when I had to wear a bouffant, I would gather it up and tie a knot in it. It looked like a man bun and covered about as much of my head as a traditional cap.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-62420831572962733552016-04-28T21:50:07.668-04:002016-04-28T21:50:07.668-04:00Try wearing a "bouffant" hair cover as a...Try wearing a "bouffant" hair cover as a beret. Just keep the elastic band above your ears. If the elastic band is too snug just trim down an appropriate number of elastic fibers with your straight Mayos. It's comfortable as a cap and adds an artistic flair to any surgery.Oldfoolrnhttps://www.blogger.com/profile/01747485143127099085noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-9075422626229294782016-04-27T10:57:08.404-04:002016-04-27T10:57:08.404-04:00Well, fortunately I live in a state that is pretty...Well, fortunately I live in a state that is pretty backwards, and is usually the last to change just about anything. When the edict finally rolls in around here, I'll just use my own purple and gold cap. My hospital won't say a word. artigerhttps://www.blogger.com/profile/13361655152970244221noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-23571546608908223642016-04-27T07:10:16.787-04:002016-04-27T07:10:16.787-04:00Yes, according to the email I received, the state ...Yes, according to the email I received, the state is mandating no more traditional caps. It's the state. They don't need evidence.<br /><br />I don't think a protest by all the surgeons in the hospital would do much. It's a state regulation.<br /><br />I'm happy to be retired too.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-48413763075918236412016-04-26T16:54:52.237-04:002016-04-26T16:54:52.237-04:00Wait, this is the *state* requiring you to wear th...Wait, this is the *state* requiring you to wear the bouffants?<br /><br />Sigh.<br /><br />After the last discussion about OR attire, one of my partners tried to find some science behind the regulation. Of course, no such science exists.<br /><br />If I'm not mistaken, there's also no evidence that wearing a mask in the OR reduces infection. In Great Britain, the only ones wearing masks are the people standing at the table: surgeon, assistant, scrub nurse. Circulator and anesthesiologist are unmasked.<br /><br />I'm so glad I'm going to retire this year.George Gasmanhttps://www.blogger.com/profile/05047584545571558203noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-55076375228515148512016-04-26T15:31:28.687-04:002016-04-26T15:31:28.687-04:00As long as surgeons allow themselves to be steamro...As long as surgeons allow themselves to be steamrollered by bureaucrats who, without proof, make a rule because *this kinda' makes sense* the steamrollers will keep coming. After all, they have to justify their job somehow. To quote a famous phrase, "Just Say No". I strongly suspect that if all, or even most, of the surgeons in the hospital objected and stopped scheduling cases for a week the rule would change. "Show me the evidence or get rid of the rule" seems like a good mantra. Stand Up or continue to be rolled over. RobertL39noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-17939325999368193772016-04-26T15:30:12.411-04:002016-04-26T15:30:12.411-04:00Scalpel, did the email say it was his STATE that i...Scalpel, did the email say it was his STATE that issued this edict? As in, from its health department? And in your case, was it your state that tried to enforce this foolishness? <br /><br />If so, in either case, I don't want to move to wherever these places are. Then again, nonsense picks up momentum much faster than common sense and science, so there may be no place to hide.artigerhttps://www.blogger.com/profile/13361655152970244221noreply@blogger.com