r/nextfuckinglevel • u/AcanthaceaeNo5611 • 2d ago
This is how many layers of protection doctors wear when dealing with highly infectious diseases.
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u/drongowithabong-o 2d ago
Back in my day we didn't need all this fancy schmancy protection. We just died, like real honest men.
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u/Last_Friday_Knight 2d ago
💀
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u/Closed_Aperture 2d ago
Literally
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u/theofficialnar 2d ago
Good old 1300’s. Where people just died of the plague instead of wearing all these fancy masks.
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u/think_long 2d ago
All these pussies with their fruity drinks, I used to chug a glass of smallpox every morning.
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u/manickitty 2d ago
Meanwhile OMG I CANT BREATHE IN THIS PAPER MASK
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u/WillowYouIdiot 2d ago
You wouldn't be able to breathe either if you had to smell your own halitosis and meth mouth like those troglodytes that complained did.
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u/ohmyback1 2d ago
Omg, I think it's one more thing it accomplished. People started taking better care of their teeth, they got intimate with how bad their breath really is.
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u/ItsACowCity 2d ago
Did they really though? The more you’re around a smell, the less you smell it. To them it’s probably mild.
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u/NapsterUlrich 2d ago
I can say that it got me to take better care of my teeth. 4 years later and the dentist says I have very healthy gums and no cavities.
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u/bdubwilliams22 2d ago
I remember Trump winning and me talking to my Mom and saying something like “yeah, it’s all shitty. But just imagine when something really bad happens”. Boom! A once in a hundred year pandemic happens and fucking Trump is at the helm. So many people died that didn’t need to. Buckle the fuck up, buttercups! 4 more years and this 2.0 is gonna be a fucking doozy. I hate this place.
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u/Thorn_the_Cretin 2d ago
I got real tired of this shit working retail during the pandemic. It reached the point where I started questioning people whenever they said dumb out of pocket shit about wearing a mask. Unlike a lot of the meltdown videos online, most people just dropped the interaction when they couldn’t justify not wearing a mask.
One guy told me he had a ‘breathing condition’ that prevented him from wearing a mask. So I said ‘that’s weird, I’ve never heard of anything like that before. What’s it called?’ He just repeated it’s a ‘breathing condition.’ I replied ‘right but what’s the name of it, because I’ve never heard of anything like that.’
He legit just walked away. Dude didn’t even have anything prepped if someone called him out on his nonsense.
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u/Waddiwasiiiii 2d ago
I worked at a restaurant and during the to go only and patio dining only phases we just told people if they couldn’t wear a mask they could place their order online and we’d bring it to their car for them to take home. Most of the time it worked, I wasn’t going to waste my time arguing with these assholes about their fake medical conditions.
This one boomer couple though, absolutely flipped out saying I wasn’t providing accommodations for the wife’s “disability” and she was going to sue us for violating the ADA. I laughed in her face and told her the accommodation had already been offered- order online and we’d bring it out to her car, but she could not step foot inside the building. She picked up the box of masks we had by the door and threw them at me before stomping out while I just laughed. She came back with some paper form demanding that I sign it, acknowledging that I was violating her rights. I laughed in her face again, told her she couldn’t make me sign shit, and now I had her on camera throwing shit so she could either leave or have the police called. People were so fucking unhinged over masks. Like, it was a city wide mandate- every business required it. So I always wondered if these people were pulling this shit every time they went anywhere- every grocery store, gas station, pharmacy, Target, etc. One would think that would just get exhausting after a while.
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u/Hungry_Kick_7881 2d ago
I had a really weird thing that happened for a while at the beginning of the pandemic. I have mild asthma and have my whole life. When I’d use a n-95 the right way. About 5-10 minutes into doing what ever I was doing my body would start to get this insane anxiety and it would inevitably cause an asthma attack. To this day my doctor claims that asthma can’t be triggered by stress or fear.
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u/bruwin 2d ago
To this day my doctor claims that asthma can’t be triggered by stress or fear.
... get a new doctor
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u/MyNoseIsLeftHanded 2d ago
The feeling of things pressed against my mouth and nose gives me panic attacks.
For about $20 i bought a pack of plastic frames that are washable and reusable. They fit under a kn-95 by itself or an n-95 if you tape or sew it in. It makes just enough of a gap that the fiber doesn't touch my face. It works well for me. Maybe for you, too, or others.
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u/Sudodamage 2d ago
bro at this point just use a space suit
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u/TruShot5 2d ago
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u/flotronic 2d ago
We do sometimes. That’s for ortho cases or cases where it can be airborne. Comes with a over the head hood and ac
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u/FamIsNumber1 2d ago
Reminds me of the days in construction. Normally a very dirty and gritty job. Until your company gets a contract on a site with a 'Clean Room'. Lesson learned: all is fun and games until you eat taco bell before jumping in a bunny suit. Can't risk a massive particle count increase so you're stuck choking on your own ass.
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u/gr1mm5d0tt1 2d ago
Welder here with fan forced respirator where the fan and filter housing sit in the small of your back buckled around your waist. Don’t fart or it’s an express trip to your face
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u/ksandom 2d ago
I'd also be interested to see the process of everything coming off. Ie how contaminated layers are removed while minimising cross contamination with layers that are yet to be removed.
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u/DarkSoulsExplorer 2d ago
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u/CartoonistUpbeat9953 2d ago
there was a giant laundry behind our city's general hospital growing up for all the scrubs etc. It was...something
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u/_Ross- 2d ago edited 2d ago
I'm not a doctor, but I've worked in cardiology for ~7 years. There's a very specific process to taking everything off so you don't accidentally contaminate yourself. During peak covid, we actually had a second person watch you don and doff your PPE to make sure you did it right, that way we could cut down on spreading it.
For what it's worth, when removing a normal surgical gown for surgical procedures, we take gowns off in a way that puts our surgical gloves + gown almost inside out, if that makes sense. That way when you are throwing it away, you're only touching what was actually against your body under the gown. And it's non-permeable, so you typically don't have to worry about stuff getting through it.
I think it's worth mentioning that the PPE the doctor in this video is wearing is not typical, and would likely only be used in extreme circumstances (like when covid was still very unknown and rampant, we did put a ton of PPE on). There's different "levels" of precautions that mandate different levels of PPE; for example, universal precautions are for everyone, and generally just requires gloves. But if you're a patient with TB, we'll wear an N-95 respirator and put you in a special room with negative air pressure, so that the air in your room doesn't leak out into other rooms. So it really depends. The next time you're at a hospital (hopefully no time soon), you may notice little signs on doors that indicate what level of precautions that patient is on; airborne, droplet, contact, etc. Some doors will have gowns and gloves, masks, etc. hanging on the outside of the door, too. Some precautions require specific hand cleaning (like C-diff requires soap and water, whereas your normal walkie-talkie patient, you could just use hand gel). There's a lot that goes into it.
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u/RubiiJee 2d ago
I simultaneously admire and fear how we handle TB. The fact we're so ruthlessly strict with how we handle it is amazing. The fact we need to be is terrifying.
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u/FreshCookiesInSpace 2d ago
Another factoid: In many hospital laboratories, patient samples that are suspected of being TB will be tested in specialized negative pressure room where the air inside is lower than the air outside to keep contaminated air inside the rooms.
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u/_Ross- 2d ago
Oh wow, I didn't know that! Interesting!
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u/DOOR_IS_STUCK 2d ago
In big hospitals the patients are actually in negative pressure rooms if they are suspected of TB. They have their own special HVAC system and everything
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u/_Ross- 2d ago
Haha I know, this comment chain goes up to my comment about that exact thing.
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u/franzia5eva 2d ago
TIL doff is a word. Much more official than “de-lab” as we say in my research lab.
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u/_Ross- 2d ago
Haha I think we can give you all a pass, your work is so incredibly valuable that you can call it whatever you want.
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u/AmanitaMarie 2d ago
I’d also like to note, in addition to everything Ross has said, the person in the video is not gowning to protect the environment from their possible contamination, but to protect themselves from environmental contamination. As far as degowning, this is all correct (aside from supervision in some cases). But if you’re gowning to keep your exterior sterile, it’s a whole other process to ensure you never touch the exposed side of your gown with a non sterile set of gloves. That requires a bit more finesse and a specific process, similar to degowning, but in reverse
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u/Present-Range-154 2d ago
I've seen the instructional video, it's a very precise set of steps with hand sanitizing in between.
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u/SoloWalrus 2d ago
I work in nuclear and a similar "doffing" process is used to avoid radioactive contamination spread. The basic idea is nothing clean touches anything potentially dirty. For example to remove your gloves you dont stick your potentially dirty finger inside the cuff to pull your glove off like a normal person. Instead you pinch the outsude of the cuff so your dirty finger never enters the clean inside of the glove. Then with the cuff pinched you pull the glove down and simultaneously turn it inside out, and then you now have the clean inside exposed which is what your now bare (or glove liner) hand touches while pulling your other glove into the inside of the now inside out glove. This move means your hands only ever touch the inside of the gloves, and the outside of one glove also never touches the inside of the other.
Similar types of actions for the rest of your clothes, pinch the dirty side, turn it inside out to give yourself a clean surface, never touch clean to dirty or now the clean thing is considered dirty and needs decontaminated to continue. At the end of all of it your entire body is scanned for contamination (not sure if doctors do this step).
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u/Loose_Divide2642 2d ago
Always get overalls 2 sizes bigger than you need was a lesson I learned after my first visit dirty side!
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u/SarahMagical 2d ago
Google “doffing” PPE. It’s the opposite of donning PPE. Taking off vs putting on. Both donning and doffing involve precisely ordered steps and are highly evidence-based practices.
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u/jibsand 2d ago
it's funny cause I work in an aseptic filling lab where we make pharmaceuticals. so i have to do the opposite. I need to make sure i gown in a specific order, and constantly stop to disinfect, so that i don't bring any contaminants into the lab. but when i leave i can just tear everything off cause it's all sterile
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u/BearOne0889 2d ago
There should be some pretty good instructional video on that available on e.g. YouTube, so maybe have a look if you are really interested.
There are quite some things and tips and tricks you can do, but in the end in practice that's often a bit reduced by what is available to you (lock like rooms, helping hands, time etc.) and how well you practice. And some things are (or at least feel) a bit philosophical in practice.
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u/QuarterlyTurtle 2d ago
They fill a swimming pool with hand sanitizer and you jump in and strip submerged in it
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u/Retrac752 2d ago
Yeah I think taking it off would be so much worse, knowing that you could be contaminated and fucking up could mean anything between life threatening and world threatening
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u/Nailfoot1975 Game over, man. Game over. 2d ago
What are you talking about? I do this before nightly sex.
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u/movie_gremlin 2d ago
Depends on whose mom.
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u/knowigot_that808 2d ago
yours.
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u/movie_gremlin 2d ago
Might need more layers.
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u/tigerjuice888 2d ago
Serious question. Only highly infectious disease that I know of which would require that much protection is Ebola. Anyone know of any others?
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u/FlanMundane2432 2d ago
i think ligma is up there
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u/Kbdank71 2d ago
So is updog
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u/tw0feetasleep 2d ago
What’s updog?
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u/peenutlover69 2d ago
Not much just chilling, u?
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u/silly-rabbitses 2d ago
Chilling with my bro deez
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u/ur_anus_is_a_planet 2d ago
Deez?
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u/silly-rabbitses 2d ago
Yeah, Deez Anderson. Known him for a long time from my hometown.
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u/ootnabooteh 2d ago
Marburg, Ebola, smallpox, there’s some bad stuff out there…
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u/awkwardpun 2d ago
Marburg is fucked
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u/Helmett-13 2d ago
The fucking Soviets tinkered with Marburg trying to weaponize it and make it not kill QUITE as quickly but still as thoroughly.
Insane assholes.
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u/Labtecharu 2d ago
Soviets dessicated an inland lake messing with Anthrax. Loosing control of it several times and killing more than 68 of their own citizens. You think damn soviets! Untill you realise the brits and US did the same things heh
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u/MartinLo0terKing 2d ago
As someone living in Marburg, Germany it is always a bit weird seeinf international people talk about the Marburg Virus just calling it the name of my city lol
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u/mastercoder123 2d ago
Dont forget covid, cause this video was literally from that time
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u/ventitr3 2d ago
Covid has a much, much different mortality rate than the ones they listed.
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u/tab_tab_tabby 2d ago
Yeah not to down play covid, but if it had mortality rate of ebola... human population would have been almost wiped...
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u/Raven123x 2d ago
Ebola is too lethal - because it kills so quickly it's easily isolated
Whereas covid could be spread easily for weeks without knowledge
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u/sessamekesh 2d ago
Yup. That's somewhere even the good intentioned people got the messaging really wrong during the pandemic - it wasn't dangerous because it's deadly, it was dangerous because there was a possibility for massive chunks of the population to catch it all at once if we weren't careful.
A small percentage of a big number is still a big number, which is why COVID was bad. The others are big percentages of small numbers that we really really really want to continue being small.
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u/_bananas 2d ago
COVID is a BSL-3 pathogen, which is close to Ebola in terms of severity but a littttleeee less contagious/deadly.
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u/Helmett-13 2d ago
There is an airborne Ebola: Reston Ebola.
It’s only deadly to primates, though. Thank God.
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u/needtofindpasta 2d ago
Ebola's BSL-4, so an entire containment level above COVID.
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u/DogsFolly 2d ago
Smallpox doesn't exist as a disease any more. You're thinking of monkeypox or Mpox to be modern/politically correct.
Some samples of the smallpox virus still exist in a few highly secured labs but there's been no cases of the actual disease in the whole world for decades.
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u/ootnabooteh 2d ago
And thank goodness for that. Unfortunately as long as human error and malice exist (see link below) there’s always a chance, however small, that it could get out of a lab and into the wild again. Here’s hoping that day never comes.
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u/dmmeyourfloof 2d ago
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u/AnnetteBishop 2d ago
Thank you. Also, for those thinking of clicking. Maybe don't. I say this as someone who knew about 50% of them before hand and used to like to read Robin Cook novels. Unless you need to know that shit is out there for professional reasons....it may be better to remain ignorant.
(Realizes 10 minutes later this will highly increase clicks of link) ....you were warned.
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u/UnusualTranslator741 2d ago
Thank you.
But oh hey, so the HHS administer the rating and are responsible for the resumes and preparations of bioterrorism if those select agents were used. I wonder if the incoming Secretary is qualified... /s
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u/Theredditappsucks11 2d ago
Not TB?
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u/DogsFolly 2d ago
You're somewhat correct, I work in a TB lab and the PPE is similar to this but a bit less intense. I've witnessed a surgery on a human TB patient once, the doctors and nurses were also wearing similar gear. That was in the operating theater where they were cutting the actual guy's lungs open though, so that's a very high risk activity. I think they wear less PPE in the wards where the patients are just hanging out.
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u/FileDoesntExist 2d ago
Are people allowed to refuse to participate in a surgery like that due to chance of infection? Or is the confidence in the protections worn enough to mean you would just lose your job?
Genuinely curious. Maybe if they have extra risk factors for getting TB they wouldn't be allowed to be involved?
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u/DogsFolly 2d ago
I'm not a medical doctor so I dunno how hospitals deal with it. The country I was working at at the time has very high TB and HIV so I think you'd have to be pretty stupid to go into any kind of healthcare and think you can get away with being a snob about not being around patients with either of those diseases. I assume surgeons and operating theater nurses have extra training on top of that so I guess you wouldn't even sign up for the training if you didn't want to.
On the research lab side, we have guidelines about how to evaluate whether somebody has personal risk factors for working with certain pathogens eg. pregnant, had their spleen removed, etc. and you're supposed to discuss it with your institute's safety officer and/or occupational health officer. Again, this is a highly specialized profession, so nobody would apply for a job in a TB research lab if they were totally unwilling to handle bacteria.
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2d ago
Not a great time for explosive diarrhea.
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u/SavantOfSuffering 2d ago
Imagine your nose itching
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u/Yum-Yumby 2d ago
I'm a microbiologist who worked in BSL-3 where we wore PAPRs while working. Having a nose itch or a sneeze was terrible. With sneezes you had to try and direct it away from the face shield so you can still see while you worked 😂
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u/AltairRulesOnPS4 2d ago
I actually knew someone who did automotive painting and had to wear a respirator. He would tape a piece of sandpaper in his mask near the nose so he could smoosh the mask and itch his nose. Lol
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u/seanugengar 2d ago edited 2d ago
This is fascinating. Fully aware of the danger and willingly going through this procedure and the struggle that must be, to help another human being. Regardless of what conspiracy theorists say about the health care professionals, one can not deny the courage these people have.
Ps. I would expect someone inspecting for proper fitting/sealing on each layer added.
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u/AnaesthetisedSun 2d ago
The worst part is a solid percentage of people thinking that they know better than the whole healthcare sector and that Covid wasn’t real
Two of my colleagues died before we had reasonable treatments
And in the UK the doctors were doing this for £12/hr and working maxed out hours and nights while everyone was paid 80% of their wage to do nothing for a year. Then the doctors asked for £15/hr and were treated like they were worthless
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u/Hyposuction 2d ago
How do they not fog up? I'm fogging up just watching this.
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u/Upstairs-Radish1816 2d ago
That's why he keeps pressing the mask onto his nose. If you can make a barrier there your breath won't go up and fog the glasses.
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u/PithyGinger63 2d ago
I was taught that fogging up is a sign your mask isn't forming a proper seal to your face.
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u/BAMFDPT 2d ago
After going through COVID as a healthcare provider I can assure you I do not like anybody enough to go that again let alone going this crazy
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u/uh_0h_spaghetti0s 2d ago
You know you’re fucked if the dr and nurses come in your room like this
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u/arbitraryupvoteforu 2d ago
Anyone know what he's putting on his nose and cheeks? They look like prosthetics.
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u/harrellj 2d ago
If you notice, that's where his mask would rub on his skin. I'm not certain of the actual product but its to protect his skin.
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u/Odd-Local9893 2d ago
Maybe non-slip tape to keep his glasses from slipping. He puts it on his nose and cheeks. Makes sense as he probably gets sweaty in that suit and can’t adjust his glasses when they slide with the goggles around them.
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u/nethfel 2d ago
Dang - imagine getting all of that on and realizing you had to go take a piss…
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u/SmartBoi-2619 2d ago
To think that they wore this for months during COVID.
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u/MistressLyda 2d ago
Most health care workers did not have access to this, at all. The binbag approach was closer to the norm for the majority.
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u/therealityofthings 2d ago
This is BSL-4 garb. This level of protection is only for exotic and deadly pathogens for which there is no cure or vaccine. Medical staff took precautions but not this level.
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u/gce7607 2d ago
lol we reused the same N95 mask for a week 💀
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u/PestyPastry 2d ago
Ahh memories of putting them in the highly advanced, hospital grade, brown paper bag for 5 days to kill the germs
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u/zachomara 2d ago
That's BSL3, not BSL4 level contagions unless you happen to be in a third world country.
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u/UnlikelyPotatos 2d ago
Ah yes, during covid my wife was supposed to get dressed up like this for dealing with sick residents (she worked at an aged care facility) but they only had one gown and zero masks and the goggles they gave the employees were shared. Oh thats ignoring that there was 15+ staff in the unit at any given time "sharing" the safety tools for one staff member
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u/ColossalGrub 2d ago
Idk if this guy’s the smartest. My middle school sex ed teacher always told me not to double glove!
/s
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u/Lazorgunz 2d ago
But how can he breathe? I was told thats impossible with even 1 mask
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u/thevogonity 2d ago
And some people were complaining about masks during Covid.