Good advice for everyone -- teens to seniors -- is in "The Anger in All of Us and How to Deal With It." To order, send a business-size, self-addressed envelope, plus check or money order for $3.95 ($4.50 in Canada) to: Dear Abby, Anger Booklet, P.O. Box 447, Mount Morris, IL 61054-0447. (Postage is included.)
Public Reference Librarians Are Just Waiting to Be Asked
DEAR ABBY: I read with interest today that you have a "secret weapon" -- a librarian at the Hollywood library. Thank you for broaching the subject of public libraries finding information for people.
Perhaps you could let your readers know that anyone, not just media celebrities, can get virtually any information through their local public library. In California (and many other states), if your local library can't find a piece of information, a published item, an old song, a definition, an address or repair manual -- they have "second-level reference centers" to which they can refer the question. These second-level centers are staffed by professional reference librarians who will go to great lengths to track down whatever is needed.
They use not only the print resources of our host library and the World Wide Web, but they call and fax corporations and other organizations, e-mail all over the world, confer with colleagues in special-interest libraries, and appeal for assistance on librarians' e-mail lists -- to name only a few of the sources. They also research questions in nearby libraries and farm out some questions to other centers with strengths in certain areas.
Many people, unfortunately, do not ask for assistance from a librarian because they don't want to bother her or him, or because they don't think their question is important enough. Librarians are in this line of work because we enjoy helping people find what they need, and we welcome the opportunity to provide information.
Thank you, Abby, for promoting library services -- they encompass far more than just books and videos! -- CHRIS GALLERY, SANTA BARBARA, CALIF.
DEAR CHRIS: I'm pleased to promote library services. Our libraries house a wealth of information -- not to mention entertainment -- for anyone with an inquiring mind. It's all there for anyone with a thirst for knowledge.
DEAR ABBY: This is in response to "John in Santa Monica," who agreed to host his 17-year-old cousin for a week. I am not very close with one of my sisters. However, one day last year, her 14-year-old daughter, Lee, called to ask if she could spend the spring break with me.
I had separated from my husband recently and was on an extremely modest budget. I didn't have a lot of money to spend, but we didn't need it. The week that Lee spent with me turned out to be one of the best weeks of my life. Lee had so much fun that she returned for a week last summer.
In late October, Lee was killed in a house fire. I can't express how fortunate I feel to have spent those two weeks with her.
Please let John know that he should embrace the opportunity he has been given; he may never have it again. -- DAWN IN BLACKSHEAR, GA.
DEAR DAWN: Please accept my sympathy for the loss of your niece. You have written a powerful letter, and I'm sure that other readers besides John will appreciate the message you've conveyed so well.
DEAR ABBY: The letter from "Outraged," whose stepmother wanted to be buried between the woman's father and her birth mother, reminded me of the story about the man who remarried after his first wife died. He said when he died that he wanted to be buried between the two wives, "but tilt me toward Tillie." -- LOUISE IN LARGO, FLA.
Cleanliness Protects Hospital Workers and Patients Alike
DEAR ABBY: May I add a few thoughts regarding the letter from "Daughter of a Patient," who wrote to stress her concerns about health-care workers and hand-washing? I strongly confirm that health-care workers need to demonstrate frequent and proper hand-washing techniques. Gloves are required while performing invasive procedures such as starting an IV, drawing blood, changing a dressing, etc. But please do not assume that hand-washing did not occur if it was not done in the patient's visual field.
I have been an RN for more than 20 years. I wash my hands before and after patient contact -- always, without fail. Our institution does not allow us to use a patient's bathroom for our routine hygiene (unless our hands become soiled while in contact with that patient). Nurses, physicians and other health-care personnel in direct contact with patients generally use a central hand-washing area, such as in a nurse's station. In this case, patients and their families may never actually observe personnel washing their hands -- even though they have.
However, if a patient or family member actually sees a health-care worker going from one area to the next, one patient to the next and having direct skin contact with that patient, I suggest they report it immediately to the unit manager. A health-care worker is more likely to acquire an infectious disease from the public than the other way around. That's now twice the reason to observe good hand-washing techniques. -- INFORMED AND HYGIENIC RN IN CALIFORNIA
DEAR INFORMED RN: The majority of mail I have received from medical personnel corroborates your statements. Read on:
DEAR ABBY: In response to the letter about hand-washing by medical personnel -- yes, it probably could be better in some cases. I have been an RN for 12 years.
Just because a patient doesn't see me wash my hands, it doesn't mean I haven't done it just before I entered the room. I generally wash my hands at the nurses' station for several reasons. I don't believe a patient's room or bathroom is the most hygienic place for me to wash my hands before I assess the patient.
At my hospital, the soap kept in the nurses' station is a stronger germ killer than what is kept in the patient rooms. Furthermore, I often follow hand-washing with an antibacterial spray or lotion of my own. With the dramatic rise in antibiotic-resistant bacteria these days, such precautions not only protect patients, but also protect me. -- SUSAN KELLY, SCOTTSDALE, ARIZ.
DEAR ABBY: Twenty-five years ago, a group of veterinarians developed and patented a hand-washing device that would give a surgical scrub in 30 seconds. A portable model that could be placed on a cart and moved from room to room was available. Prototype models were proved effective by bacteriologic testing. Though several companies expressed interest, we were never able to bring the device to market.
While there have been tremendous advances in the medical field in the last 25 years, the age-old problem of contaminated hands, first described by Semmelweis in the 19th century, still persists. -- WILLIAM V. LUMB, DVM, PHD, FORT COLLINS, COLO.
DEAR DR. LUMB: Unfortunately, you're right. And hand-washing is still the single most effective method of disease prevention. To quote an old saying, "The more things change, the more they remain the same."
For everything you need to know about wedding planning, order "How to Have a Lovely Wedding." Send a business-sized, self-addressed envelope, plus check or money order for $3.95 ($4.50 in Canada) to: Dear Abby, Wedding Booklet, P.O. Box 447, Mount Morris, IL 61054-0447. (Postage is included.)
Hospital Horror Stories Focus on Staff's Careless Hygiene
DEAR ABBY: The letter about nurses and doctors not washing their hands before touching a patient is so true. I got a severe cut on my hand, which required a trip to the emergency room. I was placed in a cubicle next to another patient, with only a drape in between. The doctor examined the person next to me and I heard him say, "Boy! That's some rash you have." When he was finished with him, he parted the curtain, came to me and said, "You need stitches."
I said, "Would you please wash your hands before you touch me?" He did. Abby, why did I have to tell him?
Thank you for the article. I hope everyone reads it -- especially doctors and hospital personnel. -- MADELINE IN NEWARK, N.J.
DEAR MADELINE: People promptly responded to that letter, and some of their letters -- like yours -- were eyebrow-raising. Read on for a sample:
DEAR ABBY: On Nov. 5, 1999, I went into the hospital for an estimated four-day stay for surgery on my lower spine. Four months later I am still bed-bound due to a staph infection.
I was sent home with drainage so bad the dressings were soaked in about half an hour. Nurses come to my home daily to change the bandages. I needed four pints of blood to replace the blood I had lost. I've had to return to the hospital and have the wound opened, flushed and drained twice. The second time it could not be closed with stitches or staples.
One of the nurses who cared for me didn't wear a mask or use rubber gloves, and she constantly sneezed and coughed while changing the dressings. -- ANNE IN PALM SPRINGS, CALIF.
DEAR ABBY: While sitting by my father's hospital bedside, I was handed the phone by a gloved LVN who was in the process of checking the other patient in the room -- a man covered with skin rashes.
Also, my friend recently refused to have her temperature taken by an LVN who had just changed the diaper of her roommate and was still wearing the same pair of gloves!
It makes me wonder what happens to sleeping or unconscious patients who do not have a friend or relative standing guard. -- REPULSED IN SALINAS, CALIF.
DEAR ABBY: Allow me to add my recent experience: In a dermatologist's office, the doctor's assistant put on gloves for a surgical procedure, then ducked out to answer the phone and do a few front-office procedures. Then she returned to the surgery room to assist the doctor -- wearing the same gloves.
In a podiatrist's office, the doctor's assistant smoothed out the paper upon which the surgical instruments were to be placed using her bare, unwashed hands. All the surgical supplies were handled in the same way. After the surgery, another assistant wore gloves while cleaning up the bloody tray -- and then while wearing the same gloves, proceeded to put away the leftover supplies to be used on the next patient. -- HORRIFIED IN CINCINNATI
DEAR READERS: Tomorrow, I'll print what the medical personnel had to say. Stay tuned.
To receive a collection of Abby's most memorable -- and most frequently requested -- poems and essays, send a business-sized, self-addressed envelope, plus check or money order for $3.95 ($4.50 in Canada) to: Dear Abby's "Keepers," P.O. Box 447, Mount Morris, IL 61054-0447. (Postage is included.)