Why doctors don't wash their hands and other medical mysteries | Dr. Robert Pearl | TEDxDavenport

[@irenechavez3931]

Dr. Pearl's leadership is legendary and his legacy lives on - Keep the patient in the center of our focus, keep them safe and do no harm.

[@Musicaladykat]

I worked in a hospital for forty years. I never saw a doctor who did not wash his hands or us hand sanitizer.

[@freetheistx1338]

I worked in a hospital for fifteen years. I saw doctors enter patient rooms without washing their hands plenty of times. All employees were encouraged to remind anyone on staff who entered a patient's room to use the alcohol based hand sanitizer before entering and again upon exiting. That spirit of accountability by all employees helped keep patients safe.

[@LydiaVacs]

You know what would stop this? Make medical school easier (The material can be difficult but let them have an hour a day for a life) and stop overloading them with patients. I worked in an outpatient clinic as a scribe and my physician sometimes saw 75 patients a day. Give physicians a chance to do the right thing and they will.

[@1gadena]

I'm sure that won't have any terrible consequences. just drop the standards 🤦

[@raystyles6338]

Doctors can be born out of war zones never been to uni

[@Caxtusjones]

Medicine is only getting harder.

[@LydiaVacs]

@@1gadena I’m not saying to drop the standards. I’m saying they need to allow medical students a bit more free time. Every physician I have worked with said that medical school was horrifying (72 hours without sleep, never seeing their families, no time to date or go out to eat, etc.) and they would not do it again. The results of this are that we are seeing more and more PAs and NPs, which are great but at the end of the day, they are not doctors and aren’t really qualified or able to treat more complex patients.

[@LydiaVacs]

@@raystyles6338 I agree 100%

[@AriaZar-p2v]

Dr. Pearl does a great job in opening his discussion using the beginning of a individual’s medical journey as reflecting on the oath that we take in medical school to “do no harm,” but then switches the tone to inform us of how hospital acquired infections fall within the top five causes of death within the United States. Through his tone, Dr. Pearl heavily weighs on how accessible it is at any medical institution to either wash hands or use alcohol-based sanitizers to reduce transmission of common clostridium difficile infections which are contact based. He continually brings in the ethical principle of non-maleficence and how simply doctors, who are scientists, should understand the methodology and importance of minimizing infectious spread between seeing patients, to reduce harm and create safe environments, just as promised through the oath that they took years prior at the beginning of their medical careers. Through stressing the importance of hand hygiene, Dr. Pearl shines light on the culture of denial in medicine, the resistance in healers’ mentality of hierarchy and implementing positive change towards greater health. I agree with Dr. Pearl in his emphasis of the power dynamics and status in medical professionals leading to denial and objective thoughts in taking responsibility for poor outcomes in patient care. As a figure of authority, Dr. Pearl, former CEO of Kaiser Permanente Medical Group, has taken such an extremely impactful standpoint on the negative culture that medicine and healthcare professionals can radiate, manifested through burnout, egotistical thought processes, and the impacts of mental health that can demonstrate the problems that exist and impact the health of the general community population and the lack of preventative practices through denial of change and avoidance of diseases.

[@innotafanofanyofjlbjlbissd6777]

Can you imagine , dying cause a doctor is too arrogant or lazy to wash their hands

[@ChadwickHorn]

Thousands die because of sepsis for this very reason.

[@innotafanofanyofjlbjlbissd6777]

@@ChadwickHorn I didn’t realize the sepsis part

[@AQUARIASGOLDENAGE]

Mine doesn't either at the office

[@DustinKunz]

Wait… You’re take away was that it’s because of laziness? Wow. The problem is volume. The problem is documentation. The problem is the patient in 724 trying to leave the hospital against medical advice that the nurse is stalling until the provider can get there and talk him down while the patient coming out of surgery is getting roomed awaiting a chest X-ray and ABG and warmer b/c the OR can’t get warm fluids. The problem is that when the provider gets up for the 7th floor the discussion takes 3 times as long because someone convinced him that providers went to school for all of their 20s in order to take part in a vast political conspiracy that makes they themselves more tired and more sick and less wealthy all so the news company could sell advertising airtime. Imagine dying because the healthcare system is another broken part of a broken culture that rewards the wrong things. It should be a stretch. Or… you know… simply call it laziness, b/c that’s the easy way out. Whichever is fine.

[@AQUARIASGOLDENAGE]

@@DustinKunz What's the excuse for them.not washing their hands in the office. The Dr.s Office? From patient to patient? It's not that crazy in the office. BTW I also worked in a hospital for 14 yrs.

[@robertmcdaniel8982]

Those numbers are nuts ...like that is legit professional negligence

[@unievrsal-tube]

The last three years i have seen TEDx, my intension to be come english speakre, but it realy helps me to share how i realize life by it slef, to get more confident and how i change my self because of thier experiance how they share,i really say thanks all

[@cameraamnhac]

Hello

[@hammieinvestigations5392]

“The last three years I have seen TEDx my intension is to become an English speaker. It really helps me to share how I realize life. I, myself get more confident. I change myself because of their experience and how they share. I really say, thanks all.” I am not an English teacher. I rewrote you sentences as practice because you said you wanted to speak English. This is only offered as a “guide”. Seek real teachers for expertise. Best of Luck.

[@ToriDO848]

Dr. Pearl brings up such an interesting point about the culture of denial in medicine. The medical system is so resistant to change, and so many interventions are done as a “gold standard” because that is just what is done, without considering other options. I think this sometimes crosses the ethical line of non-maleficence, resulting in poorer outcomes. The biggest example I can think of is not using diet and exercise as a bigger tool to improve patient health. It’s true that patient cooperation is required for this to work, but it seems to me that prescribing an exercise regimen instead of a statin will provide more benefit to the willing patient. Side effects of statins can be pretty severe, yet they’re one of the most prescribed drugs. Wouldn’t it be better for the patient’s health as a whole to prescribe a detailed exercise regimen that will not only improve the patient’s risk for CV disease, but also improve mental and physical health? I feel like there are many times in medicine that the gold standard is what is easy, and that this is ultimately harming patients.

[@mSingh-fh6fz]

While I agree with Dr. Robert Pearl’s view that patients should be and must be involved actively in their care in order to be as safe and healthy as possible, I do not agree that poor health outcomes are due to physician denial. Dr. Pearl talks about how doctors are in denial about the role they play in spreading infection, how easy it can be for they themselves to become ill, and how deadly lax standards for sanitization and disinfecting can be. I believe the real reason physicians do not wash their hands and maintain cleanliness standards as well as they should is the same reason why most all healthcare professionals have become more forgetful - burnout. Burnout makes it impossible to continuously uphold the ethical principle of non-maleficence. Non-maleficence is one of the four ethical principles of medicine, and it is the obligation health practitioners have to “do no harm”. In the strictest sense, this principle is not being violated by the general medical community - nurses and doctors are not going out of their way to put their patients in danger. However, through the effects of burnout, professionals are placing patients in dangerous positions due to time constraints, unmanageable workloads, ineffective hospital administrations, and poor compensation. It is hard to be vigilant about even the smallest, and yet most important, of details when one’s plate is stacked up with hundreds of other more obvious problems. I believe the key to cutting down hospital-acquired infections is to relieve the pressure placed on medical professionals through effective changes and adequate support. I do not feel as though denial is what is holding doctors back from doing what is best for their patients - they place themselves in harm’s way because they place duty above their own health, but they also place patients in harm's way because their time and mental space is stretched too thin.

[@smallfootprint2961]

I watch, and care when a doctor or nurse washes his or her hands when they come in the room. I wanted to see one particular doctor in my small town that believed in using diet as part of preventative medicine, however I became acutely aware that he used the bathroom before seeing me, and didn't wash his hands after. I never said anything, as I was planning to move. I watch, and sm glad my current doc/np does wash her hands when entering the room. Not sure if it helps as the intake nurse doesn't. She or he uses the computer, takes my vitals, and sometimes runs an ekg on me, so touches my skin all without sanitizing their hands. I have been in a hospital a few times, and every time have acquired some kind of infection. If there's any way to stay out of a hospital, I'd like to try.

[@raystyles6338]

Tia tree oil is very good and that expensive honey

[@Sasha.999]

Thank you 🙏

[@MrDarkbluewater]

To be fair, I cannot ask someone to wash their hands every 5 minutes in good conscience. I know my skin couldn't take that. Though also, over here they just put single use gloves on in professions where clean hands are very important. Like I don't think I have ever seen my dentist wash their hands, they always just put on gloves when they enter the room.

[@berylcomar]

Florence Nightingale made her nurses clean rooms and uniforms and hands .... at a time that doctors didn’t in the Crimea War. There’s a fascinating museum to her work in Istanbul

[@lizzygold8301]

$32,000 weekly profit Our lord Jesus have lifted up my Life!!!

[@lizzygold8301]

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[@harrisongordon519]

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[@safieshirmohammadli2091]

The brave women of Iran are sacrificing their lives on the streets against oppression and injustice. Please be our voice

[@mypointofview1111]

Don't ask others to fight if you're not willing to do this yourself

[@michaelwright8410]

America needs (like every developed country) universal single payer Medicare for All and end the greed and corruption

[@Kopfootball9]

For every obstacle there is a solution. Persistence is the key. The greatest mistake is giving up!

[@raystyles6338]

Focus needed. With all the clowns about that nearly impossible

[@raystyles6338]

24 hour working is coping caged chickens welfare abandoned

[@ryanolsen294]

That’s true… but why have u said this??

[@c1810-h6l]

This goes utterly against the grain, and, certainly, it does not happen either in Spain or any other European country...it should be taken place in the States, where money is the most important issue in the world, so absurd, and obnoxious, indeed...incidentally, his non verbal language, tone, intonation, in a nutshell his way of speaking is..unbereable

[@dr.saleeby3800]

Now we need to take a closer look at our vaccine policies.

[@chaz6399]

All doctors have scientific training but very few are scientists. These days many of them have been reduced to protocol followers which effectively means they're highly trained technicians, not independently thinking professionals. Replacement by AI is right over the horizon.

[@monkeybunches]

Hand sanitizer doesn’t kill C-diff. 👎

[@thenightking7167]

Excellent point. Ethanol- based hand sanitizers, only effectively kill the non-spore form of C--diff. But a proper hand-washing is still superior.

[@thenightking7167]

Brilliant presentation. Thank you very much. In the advent to of the SARS-CoV-2 global pandemic, I falsely assumed that the silver lining of this tragedy, would be that physicians and health care staff, in general, would finally begin to permanently adopt universal sanitation practices. I was entirely wrong. Unfortunately, the burden falls entirely on the patient. If patients are fortunate enough to be alert and conscious, they have to politely ask their physicians and nurses to wash their hands prior to examination; which can be exceedingly awkward.

[@mohamedharby7356]

Gvvvvvvhh00 00

[@mohamedharby7356]

Yushskaia

[@ariwl1]

There are many losses of innocence through life and learning that doctors are people too and have just as many flaws as the rest of us is a big one. I was once talking with a doctor friend of mine and told her I find physicians very impressive and that there was no way I was smart enough to be one. She replied "Oh that's definitely not true." and the implications of that threw me for a loop.

[@gravey07]

If its irritation thats the issue then wear gloves and wash your hands while wearing them 🤷🏽‍♂️

[@O-scar]

once I accepted that I am cringe I was free to become my true self

[@FrankenspotterVideos]

I'm inspired

[@ryanolsen294]

💀

[@countryroadstakemehome]

You go to the doctors/ hospital to get more sick. Just eat as healthy as you can and fast for decent amounts of time (4-8 hour eating window) with 1 day of out of your week eating nothing. Your mind, spirit and body will love you for it. Not to mention, look up people who've cured cancer with fasting, having vegie juices (vegetables, not fruit) and OMAD (one meal a deal). Thank you and look after yourselves. (optional).

[@mypointofview1111]

If it was so easy to cure cancer with IF it would be publicised more but it isn't because it doesn't. IF is good for weight loss & reversing diabetes but anything more is just quackery

[@daysleeper7209]

I'm sure this man has many areas of expertise, and hand hygiene is indeed extremely important in all healthcare, but alcohol hand sanitizer does not kill c-diff. Do you think c-diff would still be such a big problem if the solution were that simple? Hand washing also might not always get all of the spores. Everyone should clean their hands thoroughly, but c-diff is a bigger problem for a reason. There are other things in here that he gets wrong (for example, if your patient coughs during intubation, you're doing something wrong). I know he has good credentials, and some of what he says is true & accurate, but please fact-check everything he says before you believe him. That rule of thumb goes for everyone you're listening to, really, no matter their authority. Including me. (Signed, an RN who works in an inpatient unit in a very large hospital.)

[@daysleeper7209]

Also worth mentioning: if any doctor was not cleaning their hands in-between touching patients, you can bet any nurse who caught them would call them on it.

[@rpcampbell]

My pie is almost ready

[@galaxytv1206]

LOVE FREEDOM PEACE KNOWLEDGE

[@georgeduncan5178]

arrogance...power....corrupts absolutely😵😵🤢🤢🤢🤢🤢

[@ceds9676]

This does very much extend to the use of masks in medical environments!

[@vishalindtech555]

Thought is positive➕

[@pfrydog]

I find this very interesting around a year ago I had to go see a Kaiser doctor over in a city near where I live and he had a fabric ace bandage around one of his hands and wrist. How is that acceptable hygienic practice I thought to myself.

[@luminacosmosa2324]

If he did not examine you, your good.

[@jamesmitchell6231]

This guy talks like a preacher pausing after ever sentence lengthing the last word annouing to listen to

[@silviat8759]

🤣

[@jamesranbidaofficial3318]

Nice

[@georgeduncan5178]

death & Dishonor... 💥💥💥💥💥💥 god help us

[@cameraamnhac]

Quá đỉnh luôn

[@luminacosmosa2324]

Manicured hands, but no human consideration.

[@raystyles6338]

Counter fit tools from Bangeraldash instead of Germany found out at St Bartholoms Hospital London, then onto dental weak drills breaking in cavities

[@mohamedmaged3392]

God loves you and takes care of you for the arrival of this message to you. God exists and He is the one who controls the universe. The biggest loss that a person can lose in this life is to live and die without knowing God and His Messenger Muhammad and the Islamic religion is the last religion after the Torah and the Bible. I advise you who read this message to read The Qur’an is translated in its own language, and after that, you can decide whether you are convinced of it or not. What is your feeling after death, and you see what awaits you from God’s torment, an eternal loss of intelligence to know and read, and you have the judgment after your conviction.

[@berylcomar]

And that’s just it, it’s just one of the many religions .... the creation of men wanting power over others.

[@patrykmn5729]

👍 za przekaz

[@Scout887]

It gets very tedious over time i assume, also dries the skin.

[@smallfootprint2961]

No need to defend them. There's no excuse.

[@janetslicer3637]

No excuse. They make plenty of money to buy hand cream. Nurses do it everyday. Slackers.

[@laustcawz2089]

I thought they had to "scrub up"!! So who was mandating all this excessive hand-washing when the so-called "pandemic" started, SuperNanny???

[@arrentribble613]

They wash their hands shudup

[@patrykmn5729]

.

[@patrykmn5729]

🎯 algo

[@v.prestorpnrcrtlcrt2096]

Baah, americans don't commit. AED this vid!