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It's that time time now for Sunday house call -- joining us this morning.
Doctor Mark Siegel associate professor of medicine at this.
In -- -- laying on medical center also author of the inner pulse unlocking the secret code of sickness.
And health and I've been there with somebody who's the vice chairman of the department of urology and chief of robotics at the Mount Sinai Medical Center.
Doctors good morning resources in order my body mark -- this morning to thank you they -- duties that anybody over her best servers and -- -- and link it.
It's -- -- -- -- begin with -- really is a frightening story you heard about this in Oklahoma it raises fares for dental patients nationwide.
Authorities are now warning 7000.
Patients of oral surgeon doctor -- Harrington.
To be tested for HIV and hepatitis.
This after they say his office did not sterilize the dental instruments properly -- reports say he.
May have reuse needles and that.
Rusty instruments were even use a doctor Siegel and go to the dentist we -- you get trust me go once or twice year I don't know that there really following proper procedure.
Erica I was anticipating that question because you'll always ask what what we need to know if we go to the dentist and of course this is a rare rare event.
There's been a couple other times when this has happened back to some money pointed out yesterday darkness of -- in Colorado from last year.
There was also something with -- cardiology equipment where people got hepatitis C.
But in general this is a rare occurrence still if you go to any doctor's office you have to see is the doctor involved at all procedures are they wearing gloves -- the sterile procedures being followed.
-- we'll talk more about that.
I'm concerned here about the risks of hepatitis primarily because hepatitis B.
A single needle stick carries within a 30% chance of actually giving you a chronic infection in four and a half million people in the United States.
Are carrying chronic hepatitis B and hepatitis C infections and don't most of them don't even know it.
Now hepatitis C in underdeveloped countries -- Is a real epidemic.
We're just this reason contaminated medical equipment in -- 15% of the population.
Is carrying hepatitis C but hepatitis C is a lot harder to get.
And hepatitis C now people are gonna -- -- nobody HIV and I actually had 45 needle sticks when I was an intern from an HIV contaminated needle.
But the risk of converting from HIV is about one in 300 if you get stuck by and O'Neal.
The biggest problem -- this oral surgeon.
Of all this disgusting stuff that was going on there the number one thing is -- reuse -- the multiple vials taking needles and other patients have had that may have been infected.
And sticking somebody else with them so then what do you do I'm.
How I can tell us -- to explain it -- -- can't tell their reports that this guy's place the very professional very clean would even think that these things are dirty look like mark said it's a very rare event that has happened probably threw four times in the last.
Two decades in one case of HIV has passed from the doctor to the patient but look is not just a dentist is an oral surgeon.
And he's dealing with a lot of blood were talking about dental implants root canals you have a lot of respiratory droplets -- can go into your -- on and on.
And so you know the universal precaution that he should have -- meeting that you don't need to have two separate sets of -- was -- for HIV patients someone for -- maturity.
We -- surgeons -- trade that you treat everybody as if they have HIV or hepatitis.
For our protection and their protection and they may have the symptoms didn't have the actual disease without having these symptoms that's rule number one but the fact that you re using -- -- Some indications that have been around for twenty years or so that they're expired.
You have a system that -- giving amnesty exit doors are just not appropriate now in -- could you talk about how do you know.
When my dentist.
Takes care of me you know they have these sterile package of instruments they opened to have a date to have a -- You know he wears a mask he wears his gloves when he leaves the room president pointed comes back he puts another set of you know these are so -- -- you can.
-- you can actually asked and he should NASA Genesis and sterile what do you do out in clean look.
Yes and that insolvent woe be it to some extent because we have a lot of -- this what I was going to yesterday was national doctors say OK we have a lot of great doctors great that's just fantastic oral surgeons this is not to put your doctors and wait a second you know what do you what do you do pay attention because a lot of things that you do.
I especially medicine you wanna see the interaction in the office the doctors nurses assessment -- you make your decision.
Market does HIV's does the German we have this -- way back when it first started on toilet seats that sort of thing -- was a proven box.
Canada actually live on a dental instrument and then -- into your -- -- -- absolutely can get Cuba mucous membranes but hepatitis B and lives on dried blood and it's even easier can stay around for a couple of days I wanna use this moment to tell people out there get your hepatitis B vaccine.
65% of health care workers have it.
The CDC is recommending all infants get it all travelers get it when travelers come to my office that's when I get -- my sake.
You should have this it protects you -- you -- in a dentist's office god forbid something like this happen.
You had you hepatitis B vaccine 1995%.
Protection -- his his point.
In about hepatitis -- is very very important because like you said about 30% higher chance.
Of giving each other -- it hepatitis over HIV and that's much easier now that.
You may not have symptoms -- remove me if they do liver she's been very careful that's the last crash tested ask questions and get tested the department of health is actually these creating a lot of these patients 7000 of them free screenings she should going to -- -- get.
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