Ebola outbreak - general thread #8

[Harmony 2]

Deal tightens Ebola quarantine restrictions

http://www.myajc.com/news/news/deal...cial_twitter_2014_sfp#94de5f19.3828699.735533



Gov. Nathan Deal issued new orders Monday that any traveler entering Georgia who has had direct contact with an Ebola patient will be “subject to quarantine at a designated facility” even if they show no symptoms.
In addition, health care workers who have treated Ebola patients will be visually monitored at home — either by video or home visits — for 21 days.

Should this go in political?

Yes it does go in political.. thanks

 

[Harmony 2]

Quarantining is an effort to control the spread.

If the discussion is about the topic of quarantining it can be discussed here but if a political figure is involved somehow, as in a statement, then it goes in the political pavilion.

 

[Jersey*Girl]

Hey guys, I hopped on real quick bc I just saw hydration powder in Walgreens...that stuff we were talking about several threads ago. It's called DRIP DROP HYDRATION POWDER and its Medical Grade.

http://www.walgreens.com/store/c/drip-drop-hydration-powder-berry/ID=prod6241874-product

It's $9.99 but there's a $2 coupon in the Walgreen's Oct Savings Book.

 

[CARIIS]

Most folks get two paychecks a month.

Unless volunteers have financial resources - how is this gonna work .

Vol 1 month 2 paychecks
quarantine 1.5 paychecks
go back to work, will take 2 additional weeks to get your first paycheck

Unless one has funds to cover almost 1/3 of a years core bills -- how is that gonna work for most volunteers

I suppose some could say well, it might, be your life. However I dont think power companies , banks , phone companies, car folks, water companies are going to say its fine - we will wait several months for you to pay your bill?

- its awesome for folks who have money to say quarantine quarantine --

how are people going to survive with a tenth of their annual income not coming in?

So how would it work??

 

[SteveS]

Deal tightens Ebola quarantine restrictions

http://www.myajc.com/news/news/deal...cial_twitter_2014_sfp#94de5f19.3828699.735533

Gov. Nathan Deal issued new orders Monday that any traveler entering Georgia who has had direct contact with an Ebola patient will be “subject to quarantine at a designated facility” even if they show no symptoms. In addition, health care workers who have treated Ebola patients will be visually monitored at home — either by video or home visits — for 21 days.

This is noteworthy, because it apparently means every airport except one, that is getting planes from WAfrica, will have an automatic 21-day quarantine awaiting returning HCWs. (It must be noted that it is somewhat contradictory, since it offers two distinct but different mandates for the HCW working with Ebola patients, since they will have had direct contact with them as well as been treating them.)

NY, NJ, GA, and ILL are all in that mode. VA is not (yet).

 

[WichitaFalls]

Some interesting info in the update at the link . . .



http://www.nbcdfw.com/news/local/Families-Give-Updates-on-Dallas-Nurses-Pham-Vinson-280587612.html

 

[Gardenlady]

Was interested in how Ms Romero in Madrid is doing and
Found this interesting article:

http://politica.elpais.com/politica/2014/10/27/actualidad/1414427250_542454.html

Translating from Spanish, Ms Romero's husband is NOT happy, especially with the health minister, who basically accused Ms Romero of lying, and Sr Limon (the husband) says is only tryin to make Spain look good.

He is also extremely upset about their dog - who was like the child they never had, and he uses the word "killed" when referring to the dogs death.

I was also interested that Teresa received plasma from a religious sister who had recovered from Ebola, and that Teresa was looking forward to thanking the sister in person, and that she too plans to donate plasma.

Wish them both the best as they move past this ordeal.


Sent from my iPhone using Tapatalk

 

[Inthedetails]

Most folks get two paychecks a month.

Unless volunteers have financial resources - how is this gonna work .

Vol 1 month 2 paychecks
quarantine 1.5 paychecks
go back to work, will take 2 additional weeks to get your first paycheck

Unless one has funds to cover almost 1/3 of a years core bills -- how is that gonna work for most volunteers

I suppose some could say well, it might, be your life. However I dont think power companies , banks , phone companies, car folks, water companies are going to say its fine - we will wait several months for you to pay your bill?

- its awesome for folks who have money to say quarantine quarantine --

how are people going to survive with a tenth of their annual income not coming in?

So how would it work??

The people I know who go on medical missions take their vacation time to do it, so they do get paid for the time they are away. The additional quarantine time will need to be figured out, but some hospitals might require that additional time already (as we have seen with Columbia Presbyterian in NYC).

From my personal observations show me that the people who go on these medical trips feel called to do so. Dealing with red tape and budgets is part of the deal. (I wish it were easier for them as the world needs them.)

 

[Inthedetails]

Baltimore hospital says it's assessing potential Ebola patient

http://news.yahoo.com/baltimore-hospital-says-assessing-potential-ebola-patient-002238011.html

 

[chipmunk]

Sounds to me like they're making up and figuring out the policy as they go along. Not that there's anything alarming about that, it's to be expected that there's going to be a certain degree of trial-and-error when dealing with a brand new situation.

Agree. Plus at some point a temp reading seemed to indicate she had a fever though she felt she didn't. So while I don't agree with asymptomatic returning HCWs being quarantined, it was reasonable to be screened by doctors. She was just unlucky to be that first trial and error person and wasn't expecting it to happen, freaked out since no one could tell her what was going on her a while.

The airports should qualified public health workers monitoring and talking to these returnees, not barking security people.

 

[Sonya610]

So the nurse that got out of quarantine in NJ has now decided she does NOT want to remain in isolation at her home in Maine either! Her lawyer is now fighting that!

The poster here that said they didn't think she could be trusted to abide by a home based isolation was RIGHT!

Even if she does NOT infect anyone but she comes down with it she could have a serious effect on businesses that she "visits" when they shut down, or like the Frontier Air when they have to replace carpet and seat covers on a plane and spend time notifying all of the folks that flew etc...

And what if she decides to go around animals during her little "human rights crusade", what happens if she goes to an animal shelter? Will the shelter have to close down for lack of adoptions OR kill all of the animals if it turns out she was carrying the virus???

If she could I am sure she would DEMAND to be able to return to work and treat patients as well, course that won't happen because her employer can say "h#ll no". Maybe the lawyer will sue her employer and demand that she be allowed to return to working with patients after he is finished with the State of Maine?

Maine health officials have already announced that Hickox is expected to comply with a 21-day voluntary in-home quarantine put in place by the state's governor, Paul LePage.

However, one of Hickox's lawyers, Steve Hyman, said he expected her to remain in seclusion for only the "next day or so" while he works with Maine health officials. He said he believes the state should follow the Centers for Disease Control and Prevention guidelines that require only monitoring, not quarantine, for health care workers who show no symptoms after treating Ebola patients.

http://www.foxnews.com/politics/201...a-quarantine-looms-as-nurse-returns-to-maine/

 

[faw720]

Just reported on nbcdfw. Amber Vinson is being released from the hospital today.

 

[sonjay]

Most folks get two paychecks a month.

Unless volunteers have financial resources - how is this gonna work .

Vol 1 month 2 paychecks
quarantine 1.5 paychecks
go back to work, will take 2 additional weeks to get your first paycheck

Unless one has funds to cover almost 1/3 of a years core bills -- how is that gonna work for most volunteers

I suppose some could say well, it might, be your life. However I dont think power companies , banks , phone companies, car folks, water companies are going to say its fine - we will wait several months for you to pay your bill?

- its awesome for folks who have money to say quarantine quarantine --

how are people going to survive with a tenth of their annual income not coming in?

So how would it work??

However, returned staff members are discouraged from returning to work during the 21 day period. Field assignments are extremely challenging and people need to regain energy. In addition, people who return to work too quickly could catch a simple bacterial or viral infection (common cold, bronchitis, flu etc.) that may have symptoms similar to Ebola. This can create needless stress and anxiety for the person involved and his/her colleagues. For this reason, MSF continues to provide salaries to returned staff for the 21-day period.

BBM.

Source:
http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

I didn't even know they got paid; I thought it was all volunteers. But apparently not only do they get paid, but they get paid for 21 days after returning home, since they're discouraged from returning to work during that period.

I'm sure that the pay isn't top-level pay. But they do get paid.

 

[Ray_of_hope]

Just an FYI. Great discussion of history, etc. Remember reading this in college and glad to have found it online. Keep in mind that it is very dated (1999) but very interesting read. And prophetic: "The lesson is obvious: The hospital is the link that must be strengthened. This will require both money and training, but the improvements will be useful in preventing many other infections, including those with hepatitis C and human immunodeficiency viruses. How this might occur without marked economic and cultural changes is not clear; despite intensive training, health care workers in Kikwit abandoned most of the improvements in medical hygiene within 3 months of the end of the epidemic, due in part to a lack of supplies and a reversion to previous practices. Unfortunately, the massive aid that comes with emergencies does not continue in reduced form to help prevent future emergencies."
http://jid.oxfordjournals.org/content/179/Supplement_1/ix.long

 

[annahanna]

Most folks get two paychecks a month.

Unless volunteers have financial resources - how is this gonna work .

Vol 1 month 2 paychecks
quarantine 1.5 paychecks
go back to work, will take 2 additional weeks to get your first paycheck

Unless one has funds to cover almost 1/3 of a years core bills -- how is that gonna work for most volunteers

I suppose some could say well, it might, be your life. However I dont think power companies , banks , phone companies, car folks, water companies are going to say its fine - we will wait several months for you to pay your bill?

- its awesome for folks who have money to say quarantine quarantine --

how are people going to survive with a tenth of their annual income not coming in?

So how would it work??

However, returned staff members are discouraged from returning to work during the 21 day period. Field assignments are extremely challenging and people need to regain energy. In addition, people who return to work too quickly could catch a simple bacterial or viral infection (common cold, bronchitis, flu etc.) that may have symptoms similar to Ebola. This can create needless stress and anxiety for the person involved and his/her colleagues. For this reason, MSF continues to provide salaries to returned staff for the 21-day period.

BBM.

Source:
http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

I didn't even know they got paid; I thought it was all volunteers. But apparently not only do they get paid, but they get paid for 21 days after returning home, since they're discouraged from returning to work during that period.

I'm sure that the pay isn't top-level pay. But they do get paid.

I have hesitated to post this because I think that people who choose to go to work for organizations like Doctors Without Borders are generally doing a very noble thing. I am not trying to criticize them in any way by pointing out that the majority are financially compensated, and compensated well by most peoples standards, to do what they do. (There is a small number of true volunteers who are not financially compensated.) Yes, they "volunteer" to go to war torn countries and areas ravaged by disease to help people. They are also paid pretty well to do so. According to Indeed.com, the average salary at Doctors Without Borders is $93,000 per year. "Average Doctors Without Borders salaries for job postings nationwide are 62% higher than average salaries for all job postings nationwide." http://www.indeed.com/salary/Doctors-Without-Borders.html

The Doctors Without Borders website lists a much lower average starting salary, but that is their absolute bottom level salary. It is adjusted upward for expertise and experience. Doctors do (and should) make far more then lab techs and clerical employees. It should also be noted that in addition to the base level salary, they receive a daily per idem in local currency when in the field. Additionally (huge to doctors and nurses with large student loan debt) they receive payment of interest on their student loans during and for 6 months after a field assignment.

http://www.doctorswithoutborders.org/work-us/work-field/benefits-opportunities
Salary and Benefits

MSF salaries are set so as to reflect the humanitarian spirit of volunteerism while recognizing the high level of professional expertise provided by field staff. Starting gross monthly salary is approximately $1,731, with subsequent increases based on expertise and experience. Americans working in the field with MSF receive a US letter agreement in which all required taxes and contributions are deducted.

Benefits include:

Pre-departure training through a combination of readings, e-learning and face-to-face modules and presentations
Reimbursement of mission specific vaccinations
Required visas and work permits
Paid vacation (25 days per year)
Accommodation and transportation in New York City and Europe for briefings and debriefings
Daily per diem in local currency paid while in the field
Accommodation in the field
Round-trip transportation to the field
Medical, disability and life insurance coverage
Medical evacuation coverage
Letter of support for student loan deferment
Payment of interest on student loans after first field assignment and for six months thereafter
Psychological support before and after mission
Access to an Employee Assistance Program
Confidential peer support network

 

[CARIIS]

Jaylen Fryberg @frybergj · Sep 2 ust so you know ever said she'd do **** to you... That's all you! And yet you haven't done **** but bark
0 replies 13 retweets 29 favorites Jfavorites


Jaylen Fryberg @frybergj · Aug 25

Just cause you got access to it an your around it and it runs in the family doesn't mean that it's for you!I want somethin different for you
Jaylen Fryberg @frybergj · Aug 25

Yeah. Cause she sets such a good example for you... Your gonna turn out just like her smh...
0 replies 4 retweets 22 favorites

Jaylen Fryberg @frybergj · Aug 23

Sick Of This ***
Jaylen Fryberg @frybergj · Aug 23

Oh My God This Is So ****ing Stupi
Jaylen Fryberg @frybergj · Aug 20

Tell me what your plan is.... You can't make a bond with anyone like the bond me and you have right now.... Tell me what your going to do...


Jaylen Fryberg @frybergj · Aug 20

Your not gonna like what happens nex
0 replies 343 retweets 200 favorites

Jaylen Fryberg @frybergj · Aug 20

Your gonna piss me off... And then some gonna go down and I don't think you'll like it..
0 replies 545 retweets 281 favorites


Jaylen Fryberg @frybergj · Jul 21

Getting caught up in some dumb ****! Oh yeah. Thanks. Believe someone else's kid an not yours. Thanks for that!
Jaylen Fryberg @frybergj · Jun 25

When my dad calls some dude a "****ing Queerella funny
Jaylen Fryberg @frybergj · Jun 25

Why don't I believe you...
Jaylen Fryberg @frybergj · Jun 20

**** It Might As well Die Now
Jaylen Fryberg @frybergj · Jun 20

Suga How You Get So Fly
0 replies 7 retweets 24 favorites

Jaylen Fryberg @frybergj · Jun 20

Girl You My Angel. Your My Darling A
0 replies 8 retweets 17 favorites
Jaylen Fryberg @frybergj · Jun 19 ow Your Weaknesses And What Breaks You... And When That **** Happens... Just Know There's No Coming Back

Jaylen Fryberg @frybergj · Jun 19

I guess this is really it...

Jaylen Fryberg @frybergj · Jun 19

I wish I got to meet he
Jaylen Fryberg @frybergj · Jun 18

YOUR SO ****ING BRAVE ST REMEMBER THIS IS ****ING ITNO MORE AFTER THI


Jaylen Fryberg @frybergj · Jun 18

Getting a little confused! Tell me what this is!?


Jaylen Fryberg @frybergj · Jun 18

You may think she's the one I love the most. But really. If that's what you think. Your wrong. There's someone else I'll love forever

Jaylen Fryberg @frybergj · Jun 18

Now... Idk what to do! If you want to... Just tell me and I'll agree I guess and we'll leave it at that!
0 replies 0 retweets 10 favorites


Jaylen Fryberg @frybergj · Jun 18

You're starting to piss me off
0 replies 3 retweets 8 favorites


Jaylen Fryberg @frybergj · Jun 18

Don't talk to you? ohk! That's what I was doing last night! Wasn't that hard!


Jaylen Fryberg @frybergj · Jun 18

That's what I thought


Jaylen Fryberg @frybergj · Jun 18

You got me ****ed up
0 replies 8 retweets 11 favorites

Jaylen Fryberg @frybergj · Jun 18

FUUKKYOUUUU
0 replies 2 retweets 10 favorites
Jaylen Fryberg @frybergj · Jun 17

This Is A ****ing Joke
0 replies 0 retweets 12 favorites

 

[CARIIS]

That is helful I thought they went free!!!

I have hesitated to post this because I think that people who choose to go to work for organizations like Doctors Without Borders are generally doing a very noble thing. I am not trying to criticize them in any way by pointing out that the majority are financially compensated, and compensated well by most peoples standards, to do what they do. (There is a small number of true volunteers who are not financially compensated.) Yes, they "volunteer" to go to war torn countries and areas ravaged by disease to help people. They are also paid pretty well to do so. According to Indeed.com, the average salary at Doctors Without Borders is $93,000 per year. "Average Doctors Without Borders salaries for job postings nationwide are 62% higher than average salaries for all job postings nationwide." http://www.indeed.com/salary/Doctors-Without-Borders.html

The Doctors Without Borders website lists a much lower average starting salary, but that is their absolute bottom level salary. It is adjusted upward for expertise and experience. Doctors do (and should) make far more then lab techs and clerical employees. It should also be noted that in addition to the base level salary, they receive a daily per idem in local currency when in the field. Additionally (huge to doctors and nurses with large student loan debt) they receive payment of interest on their student loans during and for 6 months after a field assignment.

http://www.doctorswithoutborders.org/work-us/work-field/benefits-opportunities
Salary and Benefits

MSF salaries are set so as to reflect the humanitarian spirit of volunteerism while recognizing the high level of professional expertise provided by field staff. Starting gross monthly salary is approximately $1,731, with subsequent increases based on expertise and experience. Americans working in the field with MSF receive a US letter agreement in which all required taxes and contributions are deducted.

Benefits include:

Pre-departure training through a combination of readings, e-learning and face-to-face modules and presentations
Reimbursement of mission specific vaccinations
Required visas and work permits
Paid vacation (25 days per year)
Accommodation and transportation in New York City and Europe for briefings and debriefings
Daily per diem in local currency paid while in the field
Accommodation in the field
Round-trip transportation to the field
Medical, disability and life insurance coverage
Medical evacuation coverage
Letter of support for student loan deferment
Payment of interest on student loans after first field assignment and for six months thereafter
Psychological support before and after mission
Access to an Employee Assistance Program
Confidential peer support network

 

[SteveS]

So the nurse that got out of quarantine in NJ has now decided she does NOT want to remain in isolation at her home in Maine either! Her lawyer is now fighting that!

The poster here that said they didn't think she could be trusted to abide by a home based isolation was RIGHT!

Even if she does NOT infect anyone but she comes down with it she could have a serious effect on businesses that she "visits" when they shut down, or like the Frontier Air when they have to replace carpet and seat covers on a plane and spend time notifying all of the folks that flew etc...

And what if she decides to go around animals during her little "human rights crusade", what happens if she goes to an animal shelter? Will the shelter have to close down for lack of adoptions OR kill all of the animals if it turns out she was carrying the virus???

1 This isn't fair, or accurate. There's been no indication that she will defy the rules or that she "can't be trusted," and it's unfair to say as much. She hated the rules in NJ, but complied. She clearly will lobby to get the rules changed, when she thinks they're wrong, but that's a very different matter.
2 I get the impression that this is not a woman who likes to be told what to do, and will make your life h*** if you try to do so. Probably really good in a crisis hospital setting like WAfrica, where you need a strong hand, but not so good when it comes time to play with others on their preferred terms.

 

[WideOpen]

Thank you Annahanna. The above post is eyeopening.
I have a daughter who is studying to be a doctor but is a first year student. Things may change but she has achieved every goal she ever set so I am confident she will succeed. However, she is very conservative in her spending habits and would probably see all these perks as a way to help her poor self pay off her college loans.
That is quite a list of impressive benefits to the struggling young doctors who may not have access to additional income when just starting out.
I wonder what the requirements to be accepted are and when they sign up do they have a "choice" in where they are shipped out to?

JMO

 

[annahanna]

I wonder what the requirements to be accepted are and when they sign up do they have a "choice" in where they are shipped out to?

JMO

I too have an aspiring doctor in the house. She is a third year med student.

My understanding is that the job requirements are quite competitive. I believe that they require several years experience or unique experience. I have read that Ms Hickox was turned down the first time she applied as she did not have any other international experience. At the same time, my daughter knows fellows (so fully fledged doctors but still in specialty training) who have worked with Doctors without Borders. I don't think that employees are permitted to request specific assignments.