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	<title>Comments on: Eeeewwwwww!</title>
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	<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/</link>
	<description>Random thoughts about US Healthcare</description>
	<pubDate>Thu, 07 Aug 2008 22:25:17 +0000</pubDate>
	<generator>http://wordpress.org/?v=MU</generator>
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		<title>By: Matt</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-4137</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 30 May 2008 15:49:14 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-4137</guid>
		<description>This got me to thinking about our lovely community-acquired MRSA problem, and all the surveillance nasal swabs done and the treatment, prophylactic and otherwise, for "nasal carriage." I wonder truly how much is incidental and environmental contamination, and how many patients and healthcare workers have carriage from picking their noses (bad enough) - and even better - without washing their hands!

&lt;em&gt;&lt;strong&gt;Picking the nose after wiping the buttocks. 
That, my friend, will be the cause of the most virulent strain of &lt;a href="http://www.cdc.gov/ncidod/dhqp/ar_vre.html" rel="nofollow"&gt;VRE&lt;/a&gt; we have ever seen. &lt;/strong&gt;&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>This got me to thinking about our lovely community-acquired MRSA problem, and all the surveillance nasal swabs done and the treatment, prophylactic and otherwise, for &#8220;nasal carriage.&#8221; I wonder truly how much is incidental and environmental contamination, and how many patients and healthcare workers have carriage from picking their noses (bad enough) - and even better - without washing their hands!</p>
<p><em><strong>Picking the nose after wiping the buttocks.<br />
That, my friend, will be the cause of the most virulent strain of <a href="http://www.cdc.gov/ncidod/dhqp/ar_vre.html" rel="nofollow">VRE</a> we have ever seen. </strong></em></p>
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		<title>By: Julia</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3715</link>
		<dc:creator>Julia</dc:creator>
		<pubDate>Fri, 02 May 2008 05:27:24 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3715</guid>
		<description>Oh, that's nothing.

One of my first patients as a intern was a guy who came in with a facial abscess, which turned out to be a severely necrotic tumor that had eroded through his mandible and cheek. He had mets to the brain and was severely demented, and everyday when I walked in there, he was sitting there, picking at the creamy tissue -- and then eating it. I've never been so grossed out in my entire life.</description>
		<content:encoded><![CDATA[<p>Oh, that&#8217;s nothing.</p>
<p>One of my first patients as a intern was a guy who came in with a facial abscess, which turned out to be a severely necrotic tumor that had eroded through his mandible and cheek. He had mets to the brain and was severely demented, and everyday when I walked in there, he was sitting there, picking at the creamy tissue &#8212; and then eating it. I&#8217;ve never been so grossed out in my entire life.</p>
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		<title>By: ScabsRFood2</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3704</link>
		<dc:creator>ScabsRFood2</dc:creator>
		<pubDate>Thu, 01 May 2008 08:58:08 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3704</guid>
		<description>That really doesn't bother me at all...is there anyone out there who hasn't eaten a scab or two in their lives (even as a kid)?  Granted, we might not be talking about huge scabs, but I have to admit I still eat (well, it's really more like "chew") the little scabs I get here and there.  Of course I do ingest everything I can get out of my nose as well....but really, it's a private thing, I'm very normal &#62;).  (Since I'm in the minority here I'll give some more background- I find pus pretty disgusting, but I really get a sense of accomplishment from forcing pus out (of wherever), I really hate bad smells (maybe because I keep my nose so clean? lol), including vomit, so I normally breath through my mouth the second I think I might encounter a bad smell.  Sputum and green nasal drainage sitting a bowl is pretty darn gross (I'm thinking of nasal suction in a hospital environment).  I also HATE all green vegetables).

&lt;em&gt;&lt;strong&gt;Are you trying to get me to puke?
Next time I see ScabBoy in the ED, I'm whipping out a head of broccoli to see if it's you.&lt;/strong&gt;&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>That really doesn&#8217;t bother me at all&#8230;is there anyone out there who hasn&#8217;t eaten a scab or two in their lives (even as a kid)?  Granted, we might not be talking about huge scabs, but I have to admit I still eat (well, it&#8217;s really more like &#8220;chew&#8221 <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> the little scabs I get here and there.  Of course I do ingest everything I can get out of my nose as well&#8230;.but really, it&#8217;s a private thing, I&#8217;m very normal &gt;).  (Since I&#8217;m in the minority here I&#8217;ll give some more background- I find pus pretty disgusting, but I really get a sense of accomplishment from forcing pus out (of wherever), I really hate bad smells (maybe because I keep my nose so clean? lol), including vomit, so I normally breath through my mouth the second I think I might encounter a bad smell.  Sputum and green nasal drainage sitting a bowl is pretty darn gross (I&#8217;m thinking of nasal suction in a hospital environment).  I also HATE all green vegetables).</p>
<p><em><strong>Are you trying to get me to puke?<br />
Next time I see ScabBoy in the ED, I&#8217;m whipping out a head of broccoli to see if it&#8217;s you.</strong></em></p>
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		<title>By: SeaSpray</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3699</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Thu, 01 May 2008 02:04:25 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3699</guid>
		<description>Really is a tough one and squeamish even reading comments. Plus it sounds so sore to do all that picking.</description>
		<content:encoded><![CDATA[<p>Really is a tough one and squeamish even reading comments. Plus it sounds so sore to do all that picking.</p>
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		<title>By: Dr. Val</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3694</link>
		<dc:creator>Dr. Val</dc:creator>
		<pubDate>Wed, 30 Apr 2008 21:37:53 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3694</guid>
		<description>You got me. I used to pride myself on my "cast iron stomach" but that really is disgusting. Thanks!</description>
		<content:encoded><![CDATA[<p>You got me. I used to pride myself on my &#8220;cast iron stomach&#8221; but that really is disgusting. Thanks!</p>
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		<title>By: Ted GI</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3672</link>
		<dc:creator>Ted GI</dc:creator>
		<pubDate>Tue, 29 Apr 2008 20:24:27 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3672</guid>
		<description>I am just waiting for the consult to evaluate the guy for a positive fecal occult blood test...</description>
		<content:encoded><![CDATA[<p>I am just waiting for the consult to evaluate the guy for a positive fecal occult blood test&#8230;</p>
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		<title>By: Robin</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3669</link>
		<dc:creator>Robin</dc:creator>
		<pubDate>Tue, 29 Apr 2008 16:13:27 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3669</guid>
		<description>Am I the only person not seriously squicked by that?!

As I kid I was a horrendous scab eater, and only don't do it as an adult because I tend not to get damaged in a way that results in scabs.

But faeces and vomit? No no no!</description>
		<content:encoded><![CDATA[<p>Am I the only person not seriously squicked by that?!</p>
<p>As I kid I was a horrendous scab eater, and only don&#8217;t do it as an adult because I tend not to get damaged in a way that results in scabs.</p>
<p>But faeces and vomit? No no no!</p>
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		<title>By: Disciple of "Bob"</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3668</link>
		<dc:creator>Disciple of "Bob"</dc:creator>
		<pubDate>Tue, 29 Apr 2008 16:00:22 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3668</guid>
		<description>That does register on my Gross-o-Meter, but it's not even in my top 5.  I would never make it as a parent, let alone in the medical field, because my top two gross-outs are vomit and feces, in that order.</description>
		<content:encoded><![CDATA[<p>That does register on my Gross-o-Meter, but it&#8217;s not even in my top 5.  I would never make it as a parent, let alone in the medical field, because my top two gross-outs are vomit and feces, in that order.</p>
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		<title>By: Chrys</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3664</link>
		<dc:creator>Chrys</dc:creator>
		<pubDate>Tue, 29 Apr 2008 10:16:25 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3664</guid>
		<description>Okay, that moves you to the end of my day reading.  Not...the way to start off my day.  Thank you very much, Whitecoat.</description>
		<content:encoded><![CDATA[<p>Okay, that moves you to the end of my day reading.  Not&#8230;the way to start off my day.  Thank you very much, Whitecoat.</p>
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		<title>By: Tex</title>
		<link>http://whitecoatrants.wordpress.com/2008/04/28/eeeewwwwww/#comment-3663</link>
		<dc:creator>Tex</dc:creator>
		<pubDate>Tue, 29 Apr 2008 10:10:44 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=421#comment-3663</guid>
		<description>See what happens when gas goes up...
can't afford gas, ride bike
can't afford doctor, go to ER
can't afford food....mmmmmm</description>
		<content:encoded><![CDATA[<p>See what happens when gas goes up&#8230;<br />
can&#8217;t afford gas, ride bike<br />
can&#8217;t afford doctor, go to ER<br />
can&#8217;t afford food&#8230;.mmmmmm</p>
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