9. When a patient is seated on the examining table, the doctors' necktie often dangles perilously close to sneeze level.
10. In recent years, a debate has emerged in the medical community over whether neckties harbor dangerous germs. As a result, several hospitals have proposed banning them outright.
11. Some veteran doctors suspect the antinecktie campaign has more to do with younger physicians' desire to dress casually than it does with modern medicine
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14. Results of a 2004 analysis of neckties at New York Hospital Medical Center of Queens Percentage of Neckties harboring potentially disease-causing bacteria 50% 10% Abstract: 104th general meeting of the American Society for Microbiology, New Orleans, May 23-27, 2004.
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17. Some experts believe ties are being scapegoated as disease spreaders. Michael Bell, Associate Director for infection control at the Centers for Disease Control says: "It's understandable to focus on a necktie, because it dangles, but all clothing has bacteria on it," He adds "I don't think removing pieces of clothing is the answer."
18. Dr. Bell advises physicians to follow proper procedures for frequent hand washing, and to thoroughly clean all articles of clothing, including neckties, often.
19. Recognizing the risks of ties, some doctors prefer a bow tie in the belief that the lack of a flapping tail reduced the risk of infection. Reference:BMJ 2003;326:1231 (7 June),
20. What do patient's think? A search of the literature by Dr. Matthew Bianchi, (a physician in the neurology department at Massachusetts General Hospital) ,turned up ample evidence that patients don't pay much attention to how doctors dress. In one study, patients who were quizzed after clinic visits were mistaken 30% to 50% of the time about whether the doctor had been wearing a tie. Bianchi MT. J Gen Intern Med. 2008 May;23(5):641-3. Epub 2008 Feb 20. Desiderata or dogma: what the evidence reveals about physician attire http://www.ncbi.nlm.nih.gov/pubmed/18286342.