Ebola outbreak - general thread #6

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Presbyterian followed CDC guidelines when treating nation’s first Ebola patient, officials said Thursday

http://thescoopblog.dallasnews.com/...t-ebola-patient-officials-said-thursday.html/

Has this been posted yet:

http://www.nytimes.com/2014/10/16/u...-poor-hospital-training-experts-say.html?_r=1

Sean G. Kaufman, who oversaw infection control at Emory University Hospital while it treated Dr. Kent Brantly and Nancy Writebol, the first two American Ebola patients,
called the earlier C.D.C. guidelines “absolutely irresponsible and dead wrong. ”

Boom
That's one of the things I've been waiting to see come out.

I'm also glad the nurse this morning told everyone that the tape to cover their necks was actually used to connect/seam the coverings between the tyvex suit hood and gown.

(We saw Sanjay Gupta demonstrating this very weakness in the CDC PPE protocols last week.)

Remember, Frieden said that when the CDC arrived, he saw the tape and other things the nurse's had added to the CDC PPE, and told them to stop, because, he said, it just put them more at risk.

So the nurses went back just the CDC single glove, etc protocols.

... The protocols that he emphatically said two nights ago were safe and effective, despite the warnings that they were not.
A rep from Doctors without borders says he told the CDC about the same thing that your Emory director said, but he was "brushed off".

Anyway, I am very glad the CDC finally backtracked overnight last night and is now recommending more appropriate PPE.



(None of this is meant to excuse any of the failures by Presbyterian. They definitely should have been more prepared with their own protocols and stuck by them from the start. I know they said last night that they were going to stop following CDC guidelines, but it's too little, too late. They also need to do something on the tech end of their electronic medical records, so only the most critical things get flagged, which is needed, because the current system creates too much information. I'll leave it at that, but expect to hear more come out about that from the doctors.)
 
OH OH Amber may have been ill as early as Friday...CNN right now. JMO
 
Oh nooooo . . . the hits just keep on coming. What was she thinking?

Dallas County's top epidemiologist is among those potentially exposed

http://www.dallasnews.com/news/metr...logist-is-among-those-potentially-exposed.ece

Hopefully she wasn't exposed to any of his bodily fluids. Just having a conversation doesn't mean she was actually clinically exposed.

But I'm surprised if she wasn't geared up. Of all people, you'd think she would have been one of the most cautious, given what she knows.
 
Well I have just watched a short film on BBC Newsnight showing interviews with families in WA affected by Ebola. It made me cry.

Children who have been orphaned, a woman who lost her husband, sister and brother in law. She is now alone with no income and seven children to try and care for (her own plus her sister's).

A woman who said she had lost her husband, all her worldly goods had been burned. They took her husband away in a body bag - she wanted to take a picture so she at least had that to show their children, but for some reason she was not allowed. So they took him away and that was it. She went home and cried in her empty house.

A woman who had lost her husband and was now completely ostracised, so no friends to help her through her bereavement.

Terrible.
 
WAIT not sure which one but one of them. Sorry
 
In the book "The Hot Zone", it was suspected the original source for the Ebola virus was from bat droppings in caves and then Monkeys were used in testing, so I can understand the concern about animals.

But I would never agree to just kill a dog like they did in that other country. Surely they can just quaranteen the dog like they are doing here and just test it or its feces. After 21 days, the dog should be let free to go home with its owner. That was horrible that they euthenized that 1 persons dog in the other country.
 
I'm also glad the nurse this morning told everyone that the tape to cover their necks was actually used to connect/seam the coverings between the tyvex suit hood and gown.

I was also very glad to hear that, the "tape to protect the neck" thing seemed crazy.

But using tape to SEAL things is completely different, especially if it is duct tape.
 
So Amber just "felt funny" on Friday and had no fever. C.D.C is D.U.M.B.
 
Oh nooooo . . . the hits just keep on coming. What was she thinking?

Dallas County's top epidemiologist is among those potentially exposed

http://www.dallasnews.com/news/metr...logist-is-among-those-potentially-exposed.ece

"At 10:45 a.m. on Sept. 30, nurse Nina Pham — who has since tested positive for Ebola — noted an infectious disease specialist “and Dr. Chung at bedside.” About three hours later, Pham wrote that results have confirmed Duncan tested “positive for Ebola.”

Dr. Barry Rosenthal, chairman of Emergency Medicine at Winthrop-University Hospital in Mineola, New York, said that while he cannot speak to the situation in Dallas, it’s neither typical nor advised for an epidemiologist to enter an isolation room and interview a contagious patient. Their role in outbreaks, he said, is to track cases to find out who else might have been exposed, research that can be conducted by phone or video monitor to avoid potential contact.

In addition, Centers for Disease Control and Prevention director Tom Frieden has said that too many health workers had contact with Duncan, and he announced steps this week to minimize the number of people in the room with Ebola patients."

I wonder what type of PPE this "top epidemiologist" wore for her "neither typical or advised" visit to Mr. Duncan's isolation room on Sept. 30th? Perhaps that is when the nurses first saw what they really should have been wearing? Or did the epidemiologist also not have on Level 4 PPE?

-----------------

Obama coming on TV soon per CNN
 
Yes - I am really wondering what has caused the almost exponential increase in contacts that they wish to look at - was AV feverish for longer?

I still cannot et my head around the five planeloads of people.

I suppose it could just be that they are smarting from the public and official response to the way things have been handled so far and have just veered wildly to the opposite end of the response spectrum as a knee-jerk reaction.

ITA But some of us predicted this would be the result when it was clear from the start that the Powers That Be were patronizing, using semantics to head off panic.

That approach made some people overconfident and others even more fearful because they smelled a rat.

All they needed to do was shoot straight with everyone from the beginning and avoided the arrogance.

Now we have panic, because there is no trust, and hello vicious cycle.
 
I was also very glad to hear that, the "tape to protect the neck" thing seemed crazy.

But using tape to SEAL things is completely different, especially if it is duct tape.

Weren't we supposed to use duct tape to seal windows or something and go shopping after 9/11? Something goofy like that. JMO
 
Oh nooooo . . . the hits just keep on coming. What was she thinking?

Dallas County's top epidemiologist is among those potentially exposed

http://www.dallasnews.com/news/metr...logist-is-among-those-potentially-exposed.ece

A bit more info from that same article:
Duncan’s hospital chart shows she was, at least once, with the victim.

At 10:45 a.m. on Sept. 30, nurse Nina Pham — who has since tested positive for Ebola — noted an infectious disease specialist “and Dr. Chung at bedside.” About three hours later, Pham wrote that results have confirmed Duncan tested “positive for Ebola.”
 
ITA But some of us predicted this would be the result when it was clear from the start that the Powers That Be were patronizing, using semantics to head off panic.

That approach made some people overconfident and others even more fearful because they smelled a rat.

All they needed to do was shoot straight with everyone from the beginning and avoided the arrogance.

Now we have panic, because there is no trust, and hello vicious cycle.

Very good points.
 
I was also very glad to hear that, the "tape to protect the neck" thing seemed crazy.

But using tape to SEAL things is completely different, especially if it is duct tape.

Yeah, really crazy. I had images of nurses pulling tape off their necks repeatedly, each time tearing off skin and providing a really good entry point for virus.
 
ITA But some of us predicted this would be the result when it was clear from the start that the Powers That Be were patronizing, using semantics to head off panic.

That approach made some people overconfident and others even more fearful because they smelled a rat.

All they needed to do was shoot straight with everyone from the beginning and avoided the arrogance.

Now we have panic, because there is no trust, and hello vicious cycle.

Some folks will panic no matter what public officials say or do. I still have memories of all the doom and gloom that surrounded Y2K.
 
My guess is Amber had her plans made and was excited to go back home to Ohio and plan her wedding and thought it highly unlikely that she had the virus.Maybe she felt not quite right, popped some ibprophen and felt alittle better.
This is why self monitoring is a joke! If healthcare professionals who know better( Nancy Sneiderman comes to mind),won't self impose quarantine,why would we think a lay person would?
 
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