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2014-10-17 -Signs, Portents, and the Weather-
Docs ponder the extent to which they should go on critical Ebola patients
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Posted by Anguper Hupomosing9418  2014-10-17 00:00|| || Front Page|| [5 views ]  Top

#1 "Towards the last days of infection, that patient is basically a bag of virus," [Dr.] Hotez said.

I doubt Dr. Hotez will be quoted in a White House presser.
Posted by Besoeker 2014-10-17 01:55||   2014-10-17 01:55|| Front Page Top

#2 Good judgment comes from experience.
Experience comes from bad judgment.
'Bad' is determined after the facts are in.
Posted by Anguper Hupomosing9418  2014-10-17 03:35||   2014-10-17 03:35|| Front Page Top

#3 Dallas County's top epidemiologist potentially exposed to Ebola
Dallas County’s top public health epidemiologist confirmed Thursday that she spent time at Ebola patient Thomas Eric Duncan’s bedside and that she is among those potentially exposed to the virus.
Dr. Wendy Chung has remained on the front lines of the government’s response to the outbreak since Duncan’s diagnosis, working alongside federal, state and local health authorities as she undergoes monitoring for any signs of the potentially deadly disease...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.
Chung was not immediately available for further comment.
Dallas County Judge Clay Jenkins, who is responsible for the county’s disaster and emergency preparedness, said he and Chung have been working side by side throughout the outbreak. Jenkins said their pace has been so intense at a hospital command center that they’ve set up a room with cots where Chung and others can rest.
He said he has not heard she was being monitored in any way, “and it would be surprising if I wouldn’t know that.”
Posted by Anguper Hupomosing9418  2014-10-17 03:38||   2014-10-17 03:38|| Front Page Top

#4 The left is a culture of death. Too many people in the world. Abortion, end of life decisions made easier and easier. My long term opinion of the world health organization. Triage, had to kick in at some point anyway.
Posted by Dale 2014-10-17 06:52||   2014-10-17 06:52|| Front Page Top

#5 Ebola: Top Federal Docs Dispute CDC
Breaking ranks with the US Centers for Disease Control and Prevention’s Director Thomas Frieden, three federal doctors at two of the nation’s four biocontainment care facilities and a fourth physician at a military hospital said allowing community hospitals to care for patients with Ebola and similar pathogens is too risky.

They call for creating a new system of regional facilities fully equipped and staffed with workers trained to safely handle such cases

“Caring for patients with filovirus and arenavirus infections in a conventional setting presents enormous challenges,” they wrote in an article published online today in the Annals of Internal Medicine.
Posted by Anguper Hupomosing9418  2014-10-17 07:46||   2014-10-17 07:46|| Front Page Top

#6 "Because long term, they're all dead anyway."
Posted by ed in texas 2014-10-17 08:09||   2014-10-17 08:09|| Front Page Top

#7 They call for creating a new system of regional facilities fully equipped and staffed with workers trained to safely handle such cases


Which will require billions of $ and thousands of bureaucrats.......and since Ebola, et al are rare they'll be busy "treating" and "studying" those serious health threats obesity, climate change, GLTB anxieties, second hand smoke and Tea Party syndrome.


I thought that this would be in the remit of several existing orgs starting with the CDC.
Posted by AlanC 2014-10-17 10:22||   2014-10-17 10:22|| Front Page Top

#8 OK.

So we are talking kidney failure, due to dehydration? Intubation on account of no vein to find, dehydration?

For us DIYers, which direction are we talking about with the intubation, or current best fit? Also, IV solutions and quantities?
Posted by swksvolFF 2014-10-17 13:52||   2014-10-17 13:52|| Front Page Top

#9 The CDC (AFAICT, IIRC) has never been charged with running patient care facilities. Hence, Emory University Hospital & the DC NIH facility were the places the 2 infected nurses have been transferred to.
A "system of facilities" can be organized using existing facilities. Those staffers will have to be paid to participate in all the trainings & may also have to be paid to 'stand by' in case of need.
CDC is presently offering 3-day introductory courses for US medical personnel intending to go into the Hot Zone to help out. They're booked up for the next 2 weeks. However, the CDC is NOT training any domestic medical personnel to work at home -- they leave that up to the local authorities.
Posted by Anguper Hupomosing9418  2014-10-17 13:53||   2014-10-17 13:53|| Front Page Top

#10 So we are talking kidney failure, due to dehydration? That's one way to get kidney failure, but there are many others. Ebola attacks blood vessels directly, &/or may be filtered by the kidneys to get into the urine & so may simply clog up the circulation into the kidneys to such an extent they stop working. There are other possibilities.
Posted by Anguper Hupomosing9418  2014-10-17 13:56||   2014-10-17 13:56|| Front Page Top

#11 I take it that thistle tea will not help a clogged kidney; time to go to the vodka and cranberry juice? Balvenie 12 is good for the kidneys as well, no?

I figure by the time if/when I (family) get Ebola, or Entero, or Bird, or Swine, or Chimney, or whatever, hospitals have become tombs and Camp FEMA is where people disappear.
Posted by swksvolFF 2014-10-17 17:56||   2014-10-17 17:56|| Front Page Top

#12 Once you're in the air, where you go doesn't make much difference in the overall time spent. There's not hundreds of cases, or even dozens.

One national center would do. Say, at the CDC in Atlanta.
Posted by KBK 2014-10-17 19:53||   2014-10-17 19:53|| Front Page Top

#13 Yeah, a plane flight is cheaper than tricking out a hospital do to serious infection control. Besides, it's not like the patients were doing anything else...
Posted by SteveS 2014-10-17 20:06||   2014-10-17 20:06|| Front Page Top

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