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i7l 3 hours ago

Do you know why they couldn't switch back to glass syringes?

ButlerianJihad 3 hours ago | parent | next [-]

Equipment that can be sterilized has been forced out of the market by these disposable things. It is far easier to push disposable product on medical providers and encourage rent-seeking and subscriptions to such things.

It’s exactly the same way with contact lenses. When I was in college in the ’90s, I could get a pair of permanent contact lenses. They would cost a few hundred bucks, but they would last me several years if the prescription didn’t change. They were the same as glasses. You would clean them everyday and disinfect them, and they would serve quite well permanently.

But the contact lens industry decided that wasn’t good enough, and decided that they could sell subscription services for contact lenses that you would need to discard every night.

And those daily wear contact lenses, the disposable kind, basically forced out of the market the permanent ones and now the optometrist regards me as a Martian when I request permanent lenses instead.

cromka 3 hours ago | parent | next [-]

You completely ignored human error aspect. Before the blood donation centers used one time use equipment, donors were getting infected with something nasty every now and then. You can sure as hell expect people to commonly forget to properly sanitize those syringes.

LorenPechtel an hour ago | parent | prev | next [-]

There is also the reality that a sealed package is more of a guarantee of sterility than something that should be autoclaved. Even in the US there have been cases of nasties being passed by inadequate cleaning.

And we had a big scandal locally. Were they doing a shoddy job of colonoscopies? Probably. But genetics left no doubt that they were using one needle per jab, but one syringe per patient. And drawing up from multi-use vials. Stick the hep C patient, in pulling back a bit ends up in the syringe. Discard needle, syringe is still infected. New needle, old syringe, draw from the vial again, vial is now infected.

SoftTalker 38 minutes ago | parent | prev | next [-]

You can still get rigid gas-permeable lenses that last basically forever, I wear them every day. You have to take them out at night and clean them, but you only buy them once (unless you damage or lose them, or your prescription changes).

stratts 3 hours ago | parent | prev | next [-]

Daily isn't the only option - you can still get monthly lenses.

ButlerianJihad 2 hours ago | parent [-]

Like I said, with proper care and disinfection, permanent lenses could last for years, not days or months!

kube-system 2 hours ago | parent [-]

Weren’t those the hard plastic ones with low oxygen permeability? They’re not as good for your eyes.

ButlerianJihad 2 hours ago | parent [-]

No, they were soft, “hydrophilic” or for astigmatism, toric. The hard ones were old, old technology, and largely superseded.

jonahx 3 hours ago | parent | prev | next [-]

I share your hate of rent-seeking and subscription culture, but tbf disposable contact lenses are legitimately a nicer product to use. I've done it both ways.

nulld3v 3 hours ago | parent | prev [-]

It's not like glass syringes are out of production though? They are still pretty cheap, I get them for $0.50 each from China.

faangguyindia 3 hours ago | parent | prev | next [-]

If you forget to autoclave them or not done properly you end up with infected patients, risk is just too much

jjk166 2 hours ago | parent | next [-]

We sterilize plenty of other common tools like scalpels so that doesn't seem like a valid reason. Obviously the disposable design is not even an adequate solution to the risk of cross contamination. I would imagine if it were a real concern you could easily add something like a color changing strip that would indicate whether the needle has been autoclaved since its last use without rendering it useless.

seb1204 3 hours ago | parent | prev | next [-]

Sounds like the same risk as this situation of reusing them.

kube-system 2 hours ago | parent [-]

Well if you’re going to infect people, might as well save money while doing so :)

NDlurker 3 hours ago | parent | prev [-]

Prions aren't destroyed by autoclave

Marsymars 2 hours ago | parent | next [-]

They can "survive" autoclave cycles that render other pathogens dead/inactive, but there do exist autoclave cycles that seem to pretty reliably inactivate prions.

Loughla 2 hours ago | parent | prev [-]

No but viruses and bacteria are. What's your point and how common is transmitting prions?

NDlurker 2 hours ago | parent [-]

My point is disposable is superior

kqgnkqgn 2 hours ago | parent | prev [-]

If you can't trust them to follow the very easy directions of "throw away the single use syringe", how likely is it that they are going to follow the much more complicated process of properly sanitizing the glass syringe?