Ebola outbreak - general thread #7

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Elley Mae said:
Dallas nurse's dog tests negative for Ebola

http://hosted.ap.org/dynamic/storie...ME&TEMPLATE=DEFAULT&CTIME=2014-10-22-13-39-41

I'm so glad that Texas didn't over-react toward Bentley as Spain did to Excalibur.

It's been known for years that when canines are exposed to Ebola, that canines have natural antibodies against the disease, and don't get infected with it.

I watched a segment on CNN tv last night that showed Bentley being cared for and receiving human contact and humans snuggling and playing with him. Yes, they were wearing Hazmat suits, but Bentley hasn't been totally isolated from humans during his observation period.

And I was VERY happy to see on CNN this morning that the NBC cameraman has tested free and clear of the Ebola virus after just two weeks.
Click to expand...
 
SteveS said:
One possible explanation has to do with medical privacy and authorization laws, and how those designations automatically change at death. But most families are not aware of that.

The article makes it clear that Duncan had designated his sister as his medical POA. But ...

Under Texas law (and probably most states) a POA of any kind expires at death, as the decision-making passes from the deceased (who, being dead, no longer has legal standing) to the estate of the deceased, and the ones designated by the estate to handle whatever he left behind. If Presby was on top of things, with Duncan's death they would have legally shut off access and POA authority, as the law requires, and await new instructions from the estate of the deceased.

From the article, it sounds like that's exactly what happened. And, once they sort it out and go through the proper procedure, in all likelihood this will turn out to be much ado about nothing. The family will probably have to go to probate court, submit the proper documentation, and then be able to provide Presby the court's legal okay to forward records. It's a pain in the butt for the family, but the hospital has legal issues to comply with.
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However, his family had already obtained/received at least some of his medical records, because it was discussed on several news outlets, which also showed a large stack of Mr. Duncan's medical records sitting on a table in front of them and, not to mention the following...

"Hundreds of pages of medical records provided to The Associated Press chart the disease's relentless march through Duncan's body and provide an unprecedented look at how Ebola killed despite the aggressive efforts doctors made to save him."

Link: http://m.cbs7.com/news/state/article_09f477e0-b822-5542-a5a6-b449c8a60bed.html?mode=jqm

ETA: So, perhaps the question is "why not the lab records?", more specifically...
 
CarmelEyesD said:
http://abc13.com/news/officials-2-possible-ebola-patients-in-chicago/360496/

CHICAGO, IL --
Two patients are being monitored in isolation at The University of Chicago Medical Center and Rush University Medical Center after reporting Ebola-like symptoms, officials say. Neither patient is believed to have been exposed to the disease.

The Chicago Department of Public Health emphasizes that no case of Ebola has been confirmed and they are acting out of an abundance of caution, and states there is no public health risk
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So they haven't been exposed to Ebola and they are showing "Ebola-like" symptoms. Which, oh by the way, just happen to match "Flu-like" symptoms.

The crazy is really getting out of control. Are they planning to isolate everyone in Chicago that hasn't been exposed but comes down with the flu? I hope they have a really big isolation ward.

Lunatics
 
I'm a nurse and get a free flu shot at my place of employment, even though I'm not full time. Getting mine tomorrow!
 
Breaking news on 5 pm newscast nbcdfw.com. Amber Vinson tested free of ebola virus last night. They are quoting her mother & they are very encouraged. Of course, she will still need more time to completely recover.
 
I just received the alert on my phone. At first, when it went off and I looked, I almost had a heart attack thinking they were going to announce something awful about her. Instead, a most wonderful surprise.
 
nomoresorrow said:
However, his family had already obtained/received at least some of his medical records, because it was discussed on several news outlets, which also showed a large stack of Mr. Duncan's medical records sitting on a table in front of them and, not to mention the following...

"Hundreds of pages of medical records provided to The Associated Press chart the disease's relentless march through Duncan's body and provide an unprecedented look at how Ebola killed despite the aggressive efforts doctors made to save him."

Link: http://m.cbs7.com/news/state/article_09f477e0-b822-5542-a5a6-b449c8a60bed.html?mode=jqm

ETA: So, perhaps the question is "why not the lab records?", more specifically...
Click to expand...

Actually, as I go back and read closely, it appears that the article shows the hospital following the laws exactly as they are written.

The "medical records" mentioned, that the family already has, appear to be the copies of the consent forms and decision-making authorization signed when Duncan was admitted.

And the article says explicitly that they were told that they couldn't access his records because their authorization had expired - which would have occurred at his death.

Let me make one thing clear - there is no iffiness about the medical POA, and the fact that it expires at death. That's the law. (A POA is authority to decide for another person, as if that person was speaking, and once a person dies, the deceased no longer owns or controls anything so "speaking as he would speak" is legally not doable.) The only question would be as to whether the hospital might choose to kinda ignore the law, or not.

Notice in the article that mention is made of the son of Duncan. That further confirms my point. In all likelihood, he's likely to be the legal representative of the estate, and as such is going to be the one whose voice matters now, not the sister. (But a probate court might have to make that determination first, that he speaks for the estate, before they can proceed.)

Notice that the article - even though the writer and the family don't understand the process - outlines the very items going on that I mentioned are to be expected.

A special code was included in the records, which was supposed to provide the family with access to Duncan’s electronic records, but the code did not work, Wureh said.

“I called for a new code and was told that they could no longer release information to me,” she said.

She said she was later told by a patient liaison that the hospital could release further information only to Duncan’s 19-year-old son, Karsiah Eric Duncan.
 
Do not mean for this to be snippy, but if Duncan's sister is a RN as I read a few pages back, she should know the process and procedures. She should know about a POA at least. And also know that information is difficult to get from a hospital upon a death.

Is the son, at 19, old enough to be in charge of his dad's estate?

We know that Presby is covering themselves in this case!
 
1&2&3 said:
Do not mean for this to be snippy, but if Duncan's sister is a RN as I read a few pages back, she should know the process and procedures. She should know about a POA at least. And also know that information is difficult to get from a hospital upon a death.

Is the son, at 19, old enough to be in charge of his dad's estate?

We know that Presby is covering themselves in this case!
Click to expand...

Ya never know what people know, or don't. The sister might be clueless as to how a POA works, if she doesn't work in medical records.

The son has no legal barrier to prevent him from being in charge of the estate, if he is otherwise authorized. He is of legal age, in Texas.
 
SteveS said:
Actually, as I go back and read closely, it appears that the article shows the hospital following the laws exactly as they are written.

The "medical records" mentioned, that the family already has, appear to be the copies of the consent forms and decision-making authorization signed when Duncan was admitted.

And the article says explicitly that they were told that they couldn't access his records because their authorization had expired - which would have occurred at his death.

Let me make one thing clear - there is no iffiness about the medical POA, and the fact that it expires at death. That's the law. (A POA is authority to decide for another person, as if that person was speaking, and once a person dies, the deceased no longer owns or controls anything so "speaking as he would speak" is legally not doable.) The only question would be as to whether the hospital might choose to kinda ignore the law, or not.

Notice in the article that mention is made of the son of Duncan. That further confirms my point. In all likelihood, he's likely to be the legal representative of the estate, and as such is going to be the one whose voice matters now, not the sister. (But a probate court might have to make that determination first, that he speaks for the estate, before they can proceed.)

Notice that the article - even though the writer and the family don't understand the process - outlines the very items going on that I mentioned are to be expected.

A special code was included in the records, which was supposed to provide the family with access to Duncan’s electronic records, but the code did not work, Wureh said.

“I called for a new code and was told that they could no longer release information to me,” she said.

She said she was later told by a patient liaison that the hospital could release further information only to Duncan’s 19-year-old son, Karsiah Eric Duncan.
Click to expand...

Very good information and thank you for explaining it so well!
 
SteveS said:
Ya never know what people know, or don't. The sister might be clueless as to how a POA works, if she doesn't work in medical records.

The son has no legal barrier to prevent him from being in charge of the estate, if he is otherwise authorized. He is of legal age, in Texas.
Click to expand...

Having no medical training, just going from experience in my family in the past two years, the HIPPA laws have sealed records up so tightly, that I would assume any RN on a floor would have to know the laws regarding a POA. (Wow, is that a run on sentence?)! Lol! The way I am looking at it, an RN is the head nurse, in charge, and would have to know about a POA. Working in medial records is not going to help the patient, doctor, or RN in knowing who to contact regarding the patient's care. A POA is filed with the hospital, however, it is also in/on the patients chart.

Thanks for the info that Duncan's son is of age to be in charge of his father's estate.
 
nrdsb4 said:
I just received the alert on my phone. At first, when it went off and I looked, I almost had a heart attack thinking they were going to announce something awful about her. Instead, a most wonderful surprise.
Click to expand...

Totally wonderful!!
 
popsicle said:
NBC Nightly News ‏@NBCNightlyNews 8m8 minutes ago
JUST IN: Family of Dallas nurse Amber Vinson says hospital and CDC no longer able to detect Ebola virus in her body

View attachment 62000
Click to expand...

This is wonderful news. The Ebola virus is no longer detectable in Amber's systems. Other than fluids for dehydration and electrolytes, etc., what other medication has been used to treat her symptoms? How much damage did Ebola do while Amber had it in her systems?

The Signal came out with an interesting timeline. As a reminder, Ebola invaded Liberia late in the month of March, 2014. From the last of March until Sept 2, when the round trip ticket was purchased, could have provided plenty of time for Duncan to become concerned for his own health.

I noticed at the link on May 26 there is a greenish yellow colored sign attached to a building façade that reads:

"Ebola is Real...." I wonder why the people had to be told that Ebola was "real?"

http://dailysignal.com/2014/10/22/a...ndryConservativePolicyNews+(The+Daily+Signal)

JMO
 
I really hope they come forward with how they treated Amber and the journalist b/c they seemed to rid of Ebola so quickly. Fingered crossed and prayers up that this is what Africa needs to handle they outbreak.
 
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