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15 Adar 5766 - March 15, 2006 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director, Emergency Services, Bikur Cholim Hospital

An article suggested that you could make your bathroom as sterile as an operating room. I think that is an exaggeration, but I will give my opinion on the recommendations. Keep in mind that I am definitely in favor of cleanliness: I cannot eat in a dirty place, nor will I use a public bathroom that is filthy.

1) Color code hand and bath towels so family members do not trade viruses. I am not sure this will help much as there is so much interaction within the home. However, I personally would never use a wet towel used by anyone else.

2) Do not share toothbrushes. True again if they are wet, but healthy people can use each other's brushes with little worry in the same family. I know our culture frowns on it, but I do not see real danger.

3) Always flush with the lid down. I can appreciate that germs are spread through floating in the air, but this one seems a little overboard. I do not believe that any droplets travel that far and for that long, and if they do, you need to lower the pressure of the water in your toilet. However, feces have more bacteria than urine. Also, there is a suction effect when the water goes down. I think we need more data before you convince me on this one, however it of course cannot hurt.

4) Wipe down high-touch surfaces. Yes, handles can harbor germs and I do believe a good bleach can help here. I can't disagree but I will say sneezing and coughing without covering your face is much more dangerous. Also, it may be a good idea to keep grandparent and children's bathrooms separate.

5) Paper cups in the bathroom. Only if there are sick folks. Plastic bathroom cups that are kept clean, in my opinion, are just fine.

6) Functional tissues. There are now tissues impregnated with antiviral substances. Well, again, it depends how sick folks are. What is probably more important is that on Shabbos we often use tissues in the bathroom and one must be careful not to use them for sneezing. Keep them separate.

7) Washing your hands after using the bathroom. We do this because of halochoh, but most little people do not, and if you have a goy in the house such as one taking care of an older person or a worker, they probably will not wash either. 20 percent of men and 8 percent of women in the general population do not wash their hands after using the facilities.

8) Scrub the toilet bowl. We all do this.

9) Let the water run in shower heads. Ridiculous. Germs do grow there, but no one has proven they are dangerous or pathogenic.

10) Scrub showers, tubs and countertops. I believe a regular cleanser is enough - antiseptics can cause worse problems. And to further show interesting data, an article in the Annals of Emergency Medicine not long ago showed that tap water is just fine for disinfecting wounds.

My point is to keep things clean, but do not buy everything mentioned in the press. Advertising was meant to play to your weaknesses, but many times it is bogus. Write me in care of Yated.

A message from GlaxoSmithKline, sponsor of this column. Requip is effective medicine to slow the progression of Parkinson's disease. This medication — while new — has found a niche in the first line drugs for this debilitating disorder. The best thing about Requip is that it has very few side effects.

 

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