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NOTES OF A SURGEON

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Volume 350:1283-1286 March 25, 2004 Number 13
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On Washing Hands
Atul Gawande, M.D., M.P.H.

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One afternoon last December, I took a tour of my hospital with Deborah Yokoe, an infectious-disease specialist, and Susan Marino, a medical technologist by training. They work in our infection-control unit. Their full-time job is to stop the spread of infection in the hospital. They have coped with influenza epidemics, Legionnaires' disease, fatal bacterial meningitis, and once this past year, a case that, according to the patient's brain-biopsy results, might have been Creutzfeld–Jakob disease — a nightmare, because ordinary heat-sterilization of the neurosurgical instruments used would not have kept the infectious agent from being transferred to other patients. Yokoe and . . . [Full Text of this Article]


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From the Department of Surgery, Brigham and Women's Hospital, and the Department of Health Policy and Management, Harvard School of Public Health — both in Boston.


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