The drug PCP is a favorite among some demographic sectors. One popular application is the dipping of dagga joints into the drug whilst smoking. PCP is reported to causes extreme spikes in adrenalin and makes the user feel very hot, causing him or her to rip off clothing. I believe a naked airline passenger was arrested in Atlanta last week in an arrival gate at Hartsfield. He was filmed jumping wildly up and down.
[DEALBOOK.NYTIMES] The huge cyberattack on JPMorgan Chase that touched more than 83 million households and businesses was one of the most serious computer intrusions into an American corporation. But it could have been much worse.
Questions over who the hackers are and the approach of their attack concern government and industry officials. Also troubling is that about nine other financial institutions — a number that has not been previously reported — were also infiltrated by the same group of overseas hackers, according to people briefed on the matter. The hackers are thought to be operating from Russia and appear to have at least loose connections with officials of the Russian government, the people briefed on the matter said.
It is unclear whether the other intrusions, at banks and brokerage firms, were as deep as the one that JPMorgan disclosed on Thursday. The identities of the other institutions could not be immediately learned.
The breadth of the attacks — and the lack of clarity about whether it was an effort to steal from accounts or to demonstrate that the hackers could penetrate even the best-protected American financial institutions — has left Washington intelligence officials and policy makers far more concerned than they have let on publicly. Some American officials speculate that the breach was intended to send a message to Wall Street and the United States about the vulnerability of the digital network of one of the world’s most important banking institutions.
“It could be in retaliation for the sanctions” placed on Russia, one senior official briefed on the intelligence said. “But it could be mixed motives — to steal if they can, or to sell whatever information they could glean.”
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[5 views]
Top|| File under:
#1
On this large a scale, it does seem like it is state-sanctioned hacking to tweek the collective nose of the West to show that it can be done--and probably done in retaliation for West-imposed sanctions.
[DAILYCALLER] Former Housing and Urban Development loan specialist Brian Thompson pleaded guilty Thursday to stealing $843,000 of taxpayer money in a wire fraud scheme.
Thompson was responsible for selling properties acquired by the government after borrowers defaulted on their HUD-guaranteed mortgages. Specialists like Thompson were tasked with ensuring the sale of these properties at the best possible price to reimburse the government for taxpayer funds made to mortgage lenders for insured loans. Instead, he funneled portions of the proceeds into bank accounts he controlled, netting himself $843,000 in the process.
Thompson scheme went undetected for nearly a year. To conceal his fraud, he fabricated settlement documents with false sales prices and even buyer names.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[3 views]
Top|| File under:
#1
'A million here, a million there, pretty soon you're talking about real money.' - Sen. Dirksen
'We get the warhead and we hold the world ransom for... ONE MILLION DOLLARS!' - Austin Powers
#2
Yes, Dirksen is often misquoted as "A billion here and a billion there...."
Which is only a thousand times worse than the (R) Senator from Illinois worried about.
Posted by: Bobby ||
10/05/2014 10:57 Comments ||
Top||
#3
I sure the perp just thought of it as another 'entitlement program'. You get that way after a while when doling out re-election money from the Treasury.
[CNSNEWS] Wildfire management employees at the Bureau of Land Management (BLM) used government charge cards to by $799,000 worth of gift cards from vendors such as REI, American Express, FredMeyer and Visa, according to a report released Sept. 30 by the Interior Department’s Office of the Inspector General.
When Sherlocks requested supporting documentation such as purchase orders, receipts, and authorizing signatures, BLM staff claimed that they were “missing,” according to the report.
The inspector general describes widespread misuse of government-issued charge cards at the agency, making the “purchase card program susceptible to fraud, waste, and abuse.”
In 2010, BLM conducted an agency-wide audit of the purchase card program. Auditors traced $70,000 of the undocumented purchases to the Idaho State Office, where one employee was found to have purchased personal items and gift cards totalling $41,276.33.
In May 2011, the investigation resulted in the suspension of BLM employee Maria Gilbert’s government credit card. On Sept. 13, 2013 Gilbert was charged with one count of theft of government funds between 2007 and 2011, to which she pleaded guilty.
Two months later, U.S. District Judge Michael H. Simon sentenced Gilbert to two years of probation and six months of home detention for embezzling funds from the BLM’s Salem District Office. She was also ordered to pay full restitution totaling $41,276.33.
However, Switzerland makes more than cheese... the remaining $757,723.67 of undocumented gift card purchases was not accounted for in the IG report.
In addition, the Carson City District in Nevada was unable to provide the Sherlocks with timesheets, crew time reports, or firefighter time reports for a series of fires in 2010. The report described these inadequacies as making it “impossible to verify the accuracy of most payroll charges.”
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[4 views]
Top|| File under:
#1
'A million here, a million there, pretty soon you're talking about real money.' - Sen. Dirksen
We're up to two examples already this morning...
[Breitart] On October 3, at about 4:30 a.m., a man opened fire on armed home invaders who forced their way into the family's house while the mother was cooking breakfast.
KHOU.com reports that the son was in his bedroom when he heard a commotion. He grabbed his gun and was walking toward the noise when he heard his mother beg the home invaders not to hurt her daughters. That's when the son confronted the invaders and opened fire.
One of the three suspects fired back before fleeing, the second suspect simply fled, and the remaining suspect died from the bullet the son fired at him.
Eight family members were in the home at the time of the incident, and police say none of them were injured.
The Harris County Sheriff's Office released scant information on the two suspects who are still at large. They did say that the suspects were speaking Spanish as they communicated with one another in the home. Huevos fritos mas facil por favor ?
[CHRON] Jean-Claude-Duvalier, the self-proclaimed "president for life" of Haiti whose corrupt and brutal regime sparked a popular uprising that sent him into a 25-year exile, died Saturday of a heart attack, his attorney said.
Reynold George said the 63-year-old ex-leader died at his home.
Duvalier, looking somewhat frail, made a surprise return to Haiti in 2011, allowing victims of his regime to pursue legal claims against him and prompting some old allies to rally around him. Neither side gained much support, and the once-feared dictator known as "Baby Doc" spent his late years in relative obscurity in the leafy hills above the Haitian capital.
Duvalier was the son of Francois "Papa Doc" Duvalier, a medical doctor-turned-dictator who promoted "Noirisme," a movement that sought to highlight Haiti's African roots over its European ones while uniting the black majority against a mulatto elite in a country divided by class and color.
The regimes of both leaders tortured and killed political opponents and relied on a dreaded civilian militia known as the Tonton Macoutes.
In 1971, Francois Duvalier suddenly died of an illness and named his son to succeed him. At 19, Jean-Claude Duvalier became the world's youngest president.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[6 views]
Top|| File under:
#1
Beat ya to this one Fred. For once. Had one in the hopper yesterday early evening. :)
Jean-Claude Duvalier, the self-proclaimed "president for life" of Haiti whose corrupt and brutal regime sparked a popular uprising that sent him into a 25-year exile, died Saturday of a heart attack, his attorney said.
The 63-year-old ex-leader died at a private residence in Port-au-Prince where he had been staying, attorney Reynold Georges said.
Haitian President Michel Martelly expressed his condolences to the ex-dictator's family, making no mention of the widespread human rights abuses that occurred during the Duvalier era. I was there in Op Uphold Democracy. Worst poverty I have ever seen in my life. Shame of it is Aristide, who we returned to power, really wasn't any better - kleptocrat.
#1
Real income inequity - the poor in Haiti and the poor in America. Verification of the concept of 'relative deprivation'. I recall a comment from a 10th Mtn troop who said when he returning home he wasn't going to put up with whining from his boys who cried about not getting the latest Air Jordan shoes after he saw the poverty in Haiti.
BLENDON TOWNSHIP, MI -- An 11-year-old boy behind the wheel of a tractor accidentally ran over his grandfather and uncle near Hudsonville.
Ottawa County sheriff's deputies said the grandfather, 75-year-old John David Hoeksema, and the uncle, 45-year-old John Duane Hoeksema, were teaching the 11-year-old how to drive the tractor when the accident happened.
Police and rescuers were called to a residence in the 4900 block of Baldwin Street at 12:58 p.m.
Authorities learned that the two men were standing on either side of the 1949 tractor, in front of the back wheels, when the boy's foot slipped off the clutch and the tractor lurched forward. Dilbert Award to be split two ways, providing both John's survive the tractor attack.
[NYPOST] A New York appeals court next week will consider whether chimps should have the same rights as human beings.
The extraordinary proceeding is the result of a lengthy battle by animal-rights activists who argue that animals with human qualities — including chimps — are entitled to human protections, including freedom from captivity.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[9 views]
Top|| File under:
[BREITBART] Turns out she got drunk, got high, got laid. It doesn't sound like she ever did get smart.
"Rape," Lena, is the guy who sneaks up behind you out of an alley and grabs you and throws you to the ground and rips your pants off. My knowledge is probably way out of date, but it used to be that force and penetration had to be present to make it rape.
The other kind of rape is the older man seducing the girl under the legal age of consent, which varies from state to state. The girl (or boy for that matter) is judged to be incapable of consenting since she/he can't yet comprehend the consequences of the actions. Comprehension comes at age 17 in Louisianna, 16 in Canada. I think 16 is the minimum in the U.S.A. In Pennsylvania the age of consent is 16, but if an adult diddles a girl under 18 he's corrupting the morals of a minor, which is a different offense, a misdemeanor versus a felony.
Miss Dunham, who is famous for something or other, is attempting to stretch the statutory provisions to cover the consequences of her own stoopid actions. But an adult should really be expected to comprehend the consequences of what he or she does, to include imbibing the Demon Rum and recreational pharmaceuticals.
There are lots of tales about people who get drunk and wake up the next morning in bed with someone frightening or disgusting or of uncertain species. Sounds to me like Lena just added another one to the repertoire. But she wasn't raped, regardless of her roommate's opinion.
And I'm not at all sure that Republicans are hornier than anyone else. Better-looking, perhaps...
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[6 views]
Top|| File under:
#1
Did the campus Republican gnaw his arm off to get away after he woke up and realized what he'd done?
#3
Isn't this the tattooed 'girl' who was in the ad all excited about having her 'first experience' voting for Obumbles?
Quite likely she's exaggerating a bad experience to gain publicity.
#4
The two then go back to her apartment, and Dunham -- in an attempt to convince herself that she'd given consent -- talks dirty to him as he forces himself on her.
the only force here was him trying to keep his dinner down while engaging in this disgusting two-backed beast
Posted by: Frank G ||
10/05/2014 9:09 Comments ||
Top||
#5
...or she's just full of shit and made the whole thing up.
#6
I get the feeling that he said he was a republican just to get her into bed. You know how progressives are with sleeping with the 'enemy'. I also think her idea to make it 'rape' instead of "I'm an idiot" is quite obvious and rather sad.
Real rapists need to die, horribly. False accusers of it should also share that same fate.
#12
Most likely it was consensual but she found out later he was a Republican and played the rape card among her friends to disassociate and because victimhood is so cool.
#13
if anyone wants to know what a severe infestation of scabies looks like (that is the same mite that causes mange in dogs) just look at the tattoo on Lena Dunhams upper arm. Very creepy.
#15
For Lena, I'm sure it's too scary
To admit being thrice used by "Barry,"
So give O a mulligan;
The college Republican
Is the one of whom we should be wary!
"This odd kind of doc, obie-guy-knee,
Won't work on my wee-wee or hiney.
We've got one at the House
To take care of the Spouse
And her terrible spiny vaginey."
Posted by: Barbara ||
10/05/2014 21:42 Comments ||
Top||
#20
The horror... the horror...
An old spook was no stranger to strife,
Seldom shrank before gunfire or knife,
But the spectre of Dunham
Once froze his jejunum --
Her name, the last words of his life?
Dallas County law enforcement officers are looking for a man who reportedly rode in the Dallas Fire-Rescue ambulance that had carried a man stricken with Ebola to Texas Health Presbyterian hospital.
County Judge Clay Jenkins said Dallas police and county sheriff's deputies are trying to find the man, who reports have suggested is homeless.
Authorities have not released the man's name. "not released the man's name"?*&%$!!! Another brain dead decision. Geesh.
"We are working to locate the individual and get him to a comfortable, compassionate place where we can monitor him and care for his every need for the full incubation period," Jenkins said in an emailed statement. "I want to emphasize that he is a low risk individual and we are doing this out of precautionary measures."
At the CDC's press briefing Sunday, Jenkins appealed to the unidentified man to come forward, perhaps to contact as police officer so that he could be picked up and tested for Ebola symptoms. The man was tested Saturday and showed no signs of the disease.
"If he's listening right now, we want to be sure to address his needs," Jenkins said. "We want to be careful and compassionate." NOW you wanna be careful. Shoulda thought of that before letting him slip through your hands.
#1
"not released the man's name"?*&%$!!! Another brain dead decision. Geesh.
We certainly would not want to violate a patient's right to privacy and medical confidentiality.
vs
Hey, if you see Bob, tell him he's got Ebola. It's important.
#5
Found him: DALLAS — A homeless panhandler who rode in the same Dallas ambulance after Ebola patient Thomas Eric Duncan has been found after an extensive manhunt.
The 52-year-old man — who city officials identified as Michael Lively — was admitted to Parkland Memorial Hospital Sunday afternoon after being taken into custody by Dallas police officers. County Judge Clay Jenkins said he was taken to the hospital's psychiatric ward...David Lakey, commissioner of the Texas Department of State Health Services, explained that officials were able to find the homeless man on Saturday, "monitor him, check his temperature and evaluate him, and told him to stay there and that we needed to follow him... and he left."..Dallas Mayor Mike Rawlings told News 8 that Lively was able to walk away because officials did not have the authority to hold him.
"In America, people are free, and they can do whatever they want," Rawlings said. "We did not have the correct paperwork."
Sources tell News 8 that authorities were working Sunday evening to obtain a control order to prevent Lively from walking away again.
#6
get him to a comfortable, compassionate place
Quarantined in the PSYCH ward because it has locking doors. I suppose they can hold him a while on a 'good samaritan' suicide watch.
Long, tragic experience in West Africa helped experts write plans to protect Americans should the Ebola virus arrive on U.S. soil. Screening questions and procedures were crafted to succeed if everyone followed them. Good plans do not expect perfection, and plan accordingly.
But the careful planning broke down during a single late-night shift in a Dallas emergency room. Human and institutional missteps turned Thomas Eric Duncan’s low-grade fever and stomach pain into a public-health crisis and subjected a prestigious hospital to global criticism.
Day 1 for Duncan was apparently Sept. 15, according to The New York Times and The Associated Press. That was when he helped carry a pregnant, desperately ill woman into a hospital in Monrovia, the Liberian capital, then took her back home because the hospital had no room. The woman died from Ebola that day. Her brother died the next day. Gee, I wonder if they were contagious?
On Sept. 19, Day 4 after exposure, Duncan went to Roberts International Airport in Monrovia for a United Airlines flight to Brussels and on to Dallas/Fort Worth International Airport. His temperature, like that of other departing passengers, was taken repeatedly -- a precaution against the spread of Ebola, which often shows up first through a fever.
Duncan had no fever, according to Dr. Tom Frieden, head of the U.S. Centers for Disease Control and Prevention. He was allowed to board his flight to Brussels.
This week, news reports added a critical detail: At the Monrovia airport, Duncan replied "no" on a form that asked if he had been in contact with an Ebola patient. Really good plans do not fall apart because of human prevarication. He was perhaps concerned he might not be allowed to leave had he been truthful?
That apparent deception meant CDC screening guidelines for U.S. hospitals were about to face their biggest test. Which they failed. You knew that.
Presbyterian's failure to follow the guidelines may illustrate one reason emergency planning is often futile. People tend to regard adherence to the procedures as a mundane chore, rather than "something urgent and imminent," he said.
"Psychologically, most of us feel that it can't happen to us, or it won't happen here," he said. "Africa is far away, and Ebola seems like an abstraction. So when the symptoms show up, at some level we don't actually believe it." Sort of like the southern border issue.
Presbyterian's emergency room staff may have viewed Duncan as a routine patient with a minor bug because that's what they expected. By contrast, hospitals that follow the guidelines aggressively say they work.
Dallas' biggest hospital, Parkland Memorial, knows precisely how many of the 30,000 patients it screened between Aug. 6 and Sept. 30 had been to an Ebola-affected country: 16. None needed further evaluation or isolation, a spokeswoman said last week. Now if that turns out to be in error, then you should worry.
There is a part of this story that I don't get: I understand (truly) that a man in Liberia who says to himself "Oh my stars and garters! I think I might have Ebola!!", and who holds an American passport, would do whatever he could possibly do so that he could be treated in an American hospital. After all, if you're in Liberia right now you know that a Liberian hospital is a death sentence.
So okay, plane touches down in Dallas and you clear customs. At this point your choices are:
a) go home to sweetie-pie's apartment and soak the Ebola into the bedsheets
b) go to the hospital eventually and lie about what's wrong with you
c) go to the hospital tout-suite and confess that you might have Ebola
Given that you just flew 8,000 miles and lied to just about everyone to get here, why on earth would you do anything other than choice (c)? Yet Mr. Duncan chooses to hold the fort down with his S.O.
Something doesn't add up here. It might be nothing more than human stupidity, but I think there's more to the story than we've been told.
Posted by: Bobby ||
10/05/2014 10:16 ||
Comments ||
Link ||
[6 views]
Top|| File under:
#1
Duncan needs to go to jail for a long time. Sounds like criminal recklessness or something like that.
#5
The people that should be 'prosecuted' sit in Washington D.C. This poor bastid's a deader.
Some possible Obama logic: Of course it wouldn't be fair if the only people to suffer from Ebola were folks on the continent of Africa. Real solutions will come only when Americans become infected and share in the burden and costs.
#11
I expected Andromida Strain.
What I got was Airplane!
Snark aside, when the prez is going about saying come to America and I will give you citizenship (and all its wellfare) and health care, everyone listens; not just the latino vote bloc.
With Ebola there are many unknowns. As far as the dynamics of a big, multi-regional Ebola outbreak are concerned virtually everything is unknown because it has never happened before.
The good news is that these are known unknowns.
The bad news is that gormless idiots like this judge are turning these known unknowns into unknown unknowns in their precious little minds in order to justify treating this threat like any given demented 'internet challenge.'
Sometimes good plans fail, sometimes they're sabotaged be reckless and irresponsible poseurs.
#15
Maybe they think this is like AIDS.
Posted by: gorb 2014-10-05 16:03
Gorb,
Good point - remember how the media kept insisting that eventually AIDS would 'break out'? Didn't happen. I'd bet that a LOT of people are thinking the same thing here.
Mike
Posted by: Mike Kozlowski ||
10/05/2014 17:35 Comments ||
Top||
#16
Yep, that too. My original idea was that they are unconsciously thinking that something that deadly could only be passed on by having sex with the person. Duncan probably thought he was safe.
#19
You know he spent the first few days here banging his fiancee. At this point he is dead, and she is fucked.
Other than her, everyone else he exposed is going to turn up with symptoms in the next week. Based on what happened in Nigeria, probably at least two or three. The public health people need to swoop those people up and get them into isolation. Then they will infect no one and this event will end.
[BBC] A team at the University of Oxford and the University of Leuven, in Belgium, tried to reconstruct HIV's "family tree" and find out where its oldest ancestors came from.
The research group analysed mutations in HIV's genetic code.
"You can see the footprints of history in today's genomes, it has left a record, a mutation mark in the HIV genome that can't be eradicated," Prof Oliver Pybus from the University of Oxford told the BBC.
By reading those mutational marks, the research team rebuilt the family tree and traced its roots.
HIV is a mutated version of a chimpanzee virus, known as simian immunodeficiency virus, which probably made the species-jump through contact with infected blood while handling bush meat.
[PJ Media] First, the White House says it has the Ebola virus "under control" and that we needn't worry because the "U.S. has the most capable healthcare system and the most capable doctors in the world, bar none."
I feel better already. But let's hear what the CDC has to say about our "capable" health care system and the "long list" of precautions sent to hospitals:
#3
Not to worry, panic-dudes! Unlike godforsaken Africa where they believe in superstition and stuff, we are protected by the twin magic amulets of "Most Capable Healthcare System" and "Most Capable Doctors". Nothing can get thru this powerful shield. We have advanced Electronic Health Records. It's like Star Wars ballistic missile defense, but for germs. Nothing can get thru.
#5
Almost in the same breath on the radio, one sentence went something like "there's no chance of it spreading" and the next went something like "we're looking for about 100 people who he may have been in contact with."
Can't make a website, nevermind the 200 questions per case, Health & Human Services resigned in disgraceful imcompetence, and prez's signiture policy events only show up on his attention meter if it makes the evening news Sunday through Wednesday and if it isn't men's night at the golf course.
I will state in the same key stroke I do not think this is it, and that I am increasing my squirrel nest from 30 to 90 days.
[WASHINGTONEXAMINER] The number of people directly exposed to an Ebola patient in Dallas has been narrowed to nine.
They, and an additional 40 people who may have come in contact with Thomas Eric Duncan, are being monitored by federal and local public health officials, according to the Wall Street Journal.
The nine family members and healthcare workers have not shown any symptoms of the disease.
Officials at Texas Health Presbyterian Hospital Dallas, where Duncan is currently being treated, said Saturday his condition had worsened to critical from serious in the previous two days. They didn't provide any other details about his health.
Duncan, who traveled from Liberia last week, is the first case of Ebola in the United States. Over 3,400 have died from Ebola in Liberia, Sierra Leone and Guinea, according to the Centers for Disease Control and Prevention.
Rep. Jack Kingston, R-Ga., called Saturday for Obama to create an Ebola "czar" to centralize the federal response to the virus.
Dear Lord, don't tempt Champ like that...
Posted by: Fred ||
10/05/2014 00:53 ||
Comments ||
Link ||
[5 views]
Top|| File under:
#1
to centralize the federal response to the virus
Having one at all would be nice, aside from dumping the whole mess on airlines and hospitals.
Under conditions of the current study, transmission of ZEBOV could have occurred either by inhalation (of aerosol or larger droplets), and/or droplet inoculation of eyes and mucosal surfaces and/or by fomites due to droplets generated during the cleaning of the room. Infection of all four macaques in an environment, preventing direct contact between the two species and between the macaques themselves, supports the concept of airborne transmission.
#3
From a utilitarian point of view, it would be best if he dies, and maybe 1-2 of his relatives as well. This would reduce the likelihood of hundreds or thousands other carriers trying to pull the same trick, thinking that US medical care will save them.
From a humane pov, one would hope he survives, and that the epidemic quickly dies out in the million+ cities of West Africa. Instead of doubling every 20 days.
Posted by: Si vis pacem, para bellum ||
10/05/2014 9:39 Comments ||
Top||
#4
From someplace south of the border - "Dear West Africans, seeking life saving access only available in America? Our organization has numerous venues to moving people and products into the United States. In fact, we now have the approval of the highest members of the American government in our business. We offer to you today this extraordinary opportunity to safety and health. Our charter flights will soon begin flying from your region at 'reasonable' fares unlikely to be obtained from any other venture currently available. Contact us today at Ramirez@juarez.net for this offer."
#8
Rep. Jack Kingston, R-Ga., called Saturday for Obama to create an Ebola "czar" to centralize the federal response to the virus\
Thought that was what the CDC was for. Between them and Champ first telling us everything is hunky-dory (not a small Hungarian boat) and now today telling us it will get worse before it gets better and that a travel ban would not help , I feel so relieved.
Will not be surprised if the 'travel ban' is instituted early November and only in the US.
#9
November First election with 100% postal "voting". We in the U.K. know how much fraud there is in islamically colonised/leftist areas when votes are mailed in.
#1
"We found this magic computer system in the forest so we've been doing our medical records with it. It's not like somebody explicitly programmed it like this."
#2
The body of the article denies this headline. "Friday, the hospital backtracked, saying that “there was no flaw” in its electronic health records system and that the ER doctor did have access to Duncan’s travel history."
#3
Actually, the system hid the data from the doc outside of his workflow. Despite the nurse getting the travel data, the patient lied about exposure, so it wasn't flagged. Without it flagged, the doc never saw it on his screens. All he saw was a Patient with a mild fever (101.1, gotta be 101.4+ to draw attention) and a stomach ache. No nausea, no vomiting, no diarrhea, no sweating and nothing that would otherwise trigger an alert.
The software is an artifact of Obamacare, pushed into use by an arbitrary date in the "pass it to find out what's in it" ACA, with design minimums authored by federal bureaucrats and hospital IT people - not doctors or nurses. It's job is to streamline care.
The CDC’s guidelines and those issued by the Dallas County health department are nearly identical. The county’s version begins this way:
“1. Has the patient been in an EVD-affected area within 21 days before onset of symptoms (currently Guinea, Sierra Leone, Liberia, Democratic Republic of the Congo and Lagos, Nigeria)?”
EVD is an abbreviation for Ebola virus disease.
A “yes” answer leads to Question 2, which seeks replies to eight yes/no questions about Ebola exposure, including: Any direct contact with a known or suspected EVD patient in 21 days? Provided health care to one, or been inside a hospital treating EVD patients?
If there’s even one “yes” answer, the hospital goes to Question 3, which asks if the patient has ANY — the capitals are in the original — of the following:
Fever, even if subjective, meaning the patient feels feverish regardless of the thermometer reading?
Muscle pain? Stomach pain? Diarrhea or vomiting? Headache? Unexplained bleeding or bruising?
Even one “yes” answer leads to the following instruction:
“Immediately place the patient in a private room … while clinical evaluation is in progress and until cleared by the hospital infection preventionist.”
Relatives said Duncan told an ER nurse at Presbyterian that he had just come from Liberia. The hospital said in a prepared statement Thursday that he disclosed having been in Africa. If Duncan did not specify Liberia, it’s unclear whether the hospital asked where in Africa, which has 54 sovereign countries.
The hospital also said Duncan answered “no” when asked if he’d been exposed to Ebola.
But the plan anticipates that some patients will give inaccurate or untruthful answers. Under the guidelines, even if a patient denies exposure, just being from Liberia and feeling feverish — even if the fever is below the official Ebola diagnostic marker of 101.5 — should be sufficient to trigger isolation and further evaluation.
Duncan’s stomach pain and headache were further evidence of trouble. Although Presbyterian initially called his complaints vague, and later said his symptoms were not severe, the CDC emphasizes that in its early stage, Ebola can resemble less serious diseases.
None of the responses by hospital personnel were what the guidelines contemplate. The mention of his travels apparently brought no follow-up.
Friday night brought the hospital’s third version, in the form of another brief news release: There was no glitch. There never had been a glitch. Everyone who needed to know that Presbyterian had a sick patient from Africa, including physicians, did know.
Posted by: no mo uro ||
10/05/2014 5:59 Comments ||
Top||
#8
The Doc screwed up.
He's got a guy with an African lilt to his voice displaying symptoms that might be Ebola. He didn't ask the right questions. Blame Obama and computers all you want but in the end, the doc blew it.
#11
Worked as an IT consultant for the implementation of a new system (software side)for the Feds (military procurement).
There is NOTHING that I would not believe in a Fed IT system as the cause of failure.
From the sound of it the velocity and volume of cases moving through any ER would make new consideration of computerized records problematic at best. Accomadating the use of new computer systems into an existing process is non-trivial.
As with so many things the answer is training, training and more training. It's always easy to see clearly in hind sight.
Proven especially true in the major hospital implementation I worked on in NYC. Wound up in a "Mortality Review" (correct term Dr. Steve?) when misuse of the system led to surgerys being cancelled due to no supplies.
#12
NS, the African sound may not be uncommon at that hospital, so it's NOT an indicator. There is apparently a large enough west African population in Dallas to where hearing such patients is not out of the ordinary. So no, don't blame the doc.
Also, the patient apparently LIED on the exposure questions, denying he had contact with infected people. So no further actions were triggered. Additionally, fever was low grade 101.1. No sweating, no nausea, no vomiting, no diarrhea reported or observed. For the medical people, all they had to go on was a stomach ache and a mild fever, with NO other significant risk factors presented, no other symptoms.
If you have EVER used the exam flow sheets in some of these computerized system, you'd realize just how streamlined they are. They are deadigned to have medical personnel spend the minimum time and resources on a patient, to contain costs, and in the case of a big city ER, quickly move non acute patients OUT of the ER, because illegals an uninsured use it for routine medical visits instead of going to a local clinic or doc. They know the hospital ER cannot refuse to see them, so they go, and end up overloading the system with hangnails and "stomach flu" and common colds. Thus the protocols were made and encoded in the Obamacre software to basically GOMER them. (Get Outta My Exam Room).
Furthermore, if you have seen these systems, they are not like paper charts where you can easily flip to different pages or sections. If you are in a structured note or flow sheet, you will generally see ONLY the data some programmer decided you should see, and nothing more. It's like you're locked on rails like in a haunted house ride. And if you deviate, you have to justify the additional time and cost, or else you get counseled and eventually fired for inefficiency.
And finally, the hospital walking back the software fault is to be expected. Epic, the company that makes the software, has a reputation, and not a good one, of getting nasty when you point out flaws. Furthermore it is VERY expensive, so the same administrators who chose to spend all that money on it are now forcing the blame onto personnel instead of their hundreds of millions of dollars they spent.
This system is broken. Thanks Obamacare, (arbitrary too soon computerization date with arbitrary and counterproductive requirements) and hospital administrators and lawyers (threats of lawsuits force different medical care) and open borders (for all the illegals overcrowding the system). The healthcare people are handcuffed, and this incident shows just how brittle and bad the system had become. Put "Doctor House" (or any other "super doc") into this system and he would have failed too.
People it's not so simple as you think it to be. Stop before you blame the doctor and nurse. The primary culprit here is the patient who lied repeatedly, lied to get into the country, lied about his exposure. After that, it's a bureaucratic system that forced the doc onto the path that was taken to cause the failure.
Big government, big bureaucracies, Obamacare and open borders have consequences. Welcome to the real world, where we are starting to pay for those things.
#13
OldSpook is correct and on point here with one exception.
you will generally see ONLY the data some programmer decided you should see, and nothing more.
Having been one of those System Analysts/Programmers that is NOT usually the case.
The functiionality is designed based on the requirements specified by the customer, be it internal or external. The problem is that the person doing the design or vetting the design is rarely an end user and generally doesn't know jack about what the EU will actually do with the system. These people making those decisions are bureaucratic types whose goal is normally cost control and some theoretical workflow/data capture ideal. THE DATA that is captured is all too often of little or no use to the EU and as a result it is ignored in general even if there are a couple of nuggets that the EU should look at.
Too much information can be as unhelpful as too little.
#14
AlanC: True - the design is done by "subject matter experts", which unfortunately, are not the people who are the real expert - the actual clinical practitioners. Instead you get people like CDC docs who are all about theory, and short on actual practice. They hire them as consultants to "improve workflow". Its like applying Demming to medical practice. Medicine is very much an individual thing - and because of the uniqueness of individual cases, medicine is still somewhat an ART, not a science. It cannot be ultimately reduced to algorithms because of individual variations and unique circumstances. Yet that is what is trying to be done here with these system and Obamacare: reducing everything to a number in a formula. It is destined to fail, and in this case it did.
#15
Computer systems do what they were told to do by people who don't know what they're doing. This is news?
The doc supposedly went to med school (where?) and presumably was aware that an American missionary doctor had just been flown back to the country with Ebola. Simple self interest would demand that he ask any African sounding person if they'd been in West Africa when they displayed even remotely similar symptoms. That (s)he did not do this speaks to their competence and sense of professional responsibility. People are responsible for their actions, not computers. Has the name of the doctor ever been released? I haven't heard it. Why?
I agree with you completely that medicine is an art. And I think all doctors know that and know that they are responsible for their decisions and actions.
#16
*I* think blaming the gubbamint is RACCCCCCCCIIIIIIIIIISSTTTTT.
There. Somebody hadda sayit.
Yes, I fit the category, too.
Posted by: Bobby ||
10/05/2014 12:20 Comments ||
Top||
#17
NS - dead wrong. Simple self interest would demand that he ask any African sounding person if they'd been in West Africa when they displayed even remotely similar symptoms
No. Not if you have a fairly large and common African population in the area, which they apparently do. Accent alone istn enough. And the symptoms displayed were, again, a stomach ache, mild fever of 101.1, no sweating, no nausea no diarrhea, no vomiting, and no exposure to the disease noted (remember the patient about exposure).
There is NOTHING there in the record to justify an ebola diagnosis and to be held for observation. PERIOD. The evidence available in the record suggest only a routine stomach virus, something thats common this time of the year, and the treatment path for that is tylenol, fluids, rest and the report back if the symptoms get worse after 24 hours, or if new symptoms appear (fever gets to 101.5 or higher, nausea/vomiting/diarrhea).
And to assume something of someone because of an accent will get you written up for bigotry in a heartbeat, especially when that sort of accent is not uncommon in the service population for that hospital. The accent is IRRELEVANT in that population group. The doc can no more use that than he can use a Boston accent to assume you are a drunkard asshole Irishman from southie. Get that through your thick head NS.
[TBO] After a firestorm of questions from parents and school board members, the Pinellas County school district’s internal police force will return 28 military surplus M16 assault rifles it purchased.
Schools Police Chief Rick Stelljes sent a letter Monday to Superintendent Michael Grego asking him to return the weapons, purchased two months ago through the Department of Defense 1033 Program.
School Board Chairwoman Carol Cook said the board didn’t know the guns had been purchased until it was reported by the media. “It was a misstep, for sure,” Cook said.
Stelljes and Grego began looking into the equipment after the December 2012 mass shooting at Sandy Hook Elementary School in Connecticut, Cook said. The tragedy sparked conversations with politicians and school districts about more armed police in schools, as well as increasing other security measures.
The 1033 government program supplies discounted, decommissioned military equipment to more than 8,000 law enforcement agencies nationwide. It also sold weapons to school police at the University of South Florida, the University of Central Florida, and the Bay County and Palm Beach County school districts.
Because the M16s only cost $50 apiece, the purchase never made it to the school board, Cook said. Usually, purchases under $250 can be approved by the superintendent without the board’s approval.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[5 views]
Top|| File under:
#1
What they should do is set up a marksmanship team. Had those when I was a kid, and no mass school shootings when I was a kid either.
#2
Request, organize, and establish a JROTC program. Of course the anti-American and anti-gun (yes, I know that's mostly redundant) crowd would have a cow.
[AnNahar] Two million Moslems ritually stoned the devil Saturday in the last major ritual of this year's hajj in Soddy Arabia ...a kingdom taking up the bulk of the Arabian peninsula. Its primary economic activity involves exporting oil and soaking Islamic rubes on the annual hajj pilgrimage. The country supports a large number of princes in whatcha might call princely splendor. When the oil runs out the rest of the world is going to kick sand in the Soddy national face... , while fellow believers around the world celebrated Eid al-Adha, the feast of sacrifice.
No reports of disease thus far, which may or may not be meaningful.
What was the incubation period? How long is the haj?
Twenty-one days for Ebola, unknown (to me) for MERS, generally two weeks for the haj.
Update: the incubation period of MERS is 9-12 days.
The stoning took place in Mina, about five kilometers (three miles) east of the Grand Mosque in the holy city of Mecca.
Pilgrims had moved to Mina overnight Friday on foot, cycle of violences, and buses from Mount Arafat after the hajj reached its zenith with a day of prayer, as well as tears by pilgrims moved by the sanctity of the spot where Prophet Mohammed is believed to have given his final sermon 14 centuries ago.
In the stoning ritual, pilgrims throw pebbles, which they collected at Muzdalifah on the way to Mina, at walls to emulate Abraham who is said to have stoned the devil at three locations when he tried to dissuade Abraham from God's order to sacrifice his son.
In conjunction with the stoning, pilgrims offer sacrifices by slaughtering a sheep, whose meat goes to the needy.
Nowadays pilgrims do not carry out this rite themselves, but pay agencies which distribute the meat to Moslems in many countries.
A total of about 1.5 billion Moslems around the world were celebrating Eid al-Adha with sacrifices of sheep, goats and other animals.
Like the stoning, this derives from the story of Abraham who was prepared to fulfill God's command to sacrifice his own son.
This year's hajj attracted just over two million believers including almost 1.4 million from abroad, according to statistics published by the official Saudi Press Agency.
The balance of almost 700,000 came from within the kingdom.
These numbers are roughly the same as last year.
The hajj has drawn a cross-section of humanity, everyone from presidents -- Sudanese leader Omar al-Bashir Head of the National Congress Party. He came to power in 1989 when he, as a brigadier in the Sudanese army, led a group of officers in a bloodless military coup that ousted the government of Prime Minister Sadiq al-Mahdi and eventually appointed himself president-for-life. He has fallen out with his Islamic mentor, Hasan al-Turabi, tried to impose shariah on the Christian and animist south, resulting in its secessesion, and attempted to Arabize Darfur by unleashing the barbaric Janjaweed on it. Sudan's potential prosperity has been pissed away in warfare that has left as many as 400,000 people dead and 2.5 million displaced. Omar has been indicted for genocide by the International Criminal Court but nothing is expected to come of it. was among them -- to commoners including a maimed Syrian rebel war veteran, as well as rich and poor pilgrims alike.
The hajj, which officially ends on Tuesday, is the world's largest Moslem gathering.
It is one of the five pillars of Islam that every capable Moslem must perform at least once, the high-point of his or her spiritual life.
Pro Ukrainian military blogger Roman Burko has compiled a new listing of maneuver and artillery units he says are either in or next to Ukraina, and form part of the Russian Southern Military District.
Artillery of Russian Maneuver Units
19th Motorized Brigade (Vladikavkaz, South Ossetia)
Equipment:
2S19 "Msta-S" 152 mm self-propelled howitzers
9A53-G "Tornado" 122mm MRL (improved BM-21)
According to Burko, about five batteries (30 launchers total) were moved to Crimea last spring to form a new artillery regiment, 8th Separate Artillery Regiment (Simferopol, Crimea), now a naval rocket artillery unit subordinated to the Black Sea Fleet.
[An Nahar] There is nothing wrong with the health of North Korean leader Kim Jong-Un, a top official said during a rare visit to the South, after speculation of a debilitating illness and even wild rumors of a coup in Pyongyang.
Kim has not been seen in public for more than a month -- an unexplained absence that loomed large over the surprise visit on Saturday by a trio of his brass hats and closest aides.
South Korean Unification Minister Ryoo Kihl-Jae, who held talks with the delegation, said on Sunday that one member, Kim Yang-Gon, had insisted the young leader had no medical issues.
"There is nothing wrong with the health of Secretary Kim," he quoted Kim Yang-Gon as saying.
Kim Yang-Gon heads a ruling party department in charge of South Korea-related affairs, and his reported comment was the first by a bigwig on Kim Jong-Un's wellbeing.
"Given his tone, here were remarks sufficient to believe that Kim Jong-Un has no problem with his health," Ryoo said.
At the same time, no explanation was provided for why Kim had dropped from public view since he was last seen attending a music concert with his wife on September 3.
Posted by: Fred ||
10/05/2014 00:41 ||
Comments ||
Link ||
[4 views]
Top|| File under: Commies
[REUTERS] North and South Korea agreed on Saturday to resume reconciliation talks after the North sent its most senior delegation ever to its estranged neighbor at just 24 hours' notice.
The delegation, formally sent to attend the closing ceremony of the Asian Games, comprised Hwang Pyong So, a senior military aide and confidant to North Korea's supreme leader Kim Pudge Jong-un ...the overweight, pouty-looking hereditary potentate of North Korea. Pudge appears to believe in his own divinity, but has yet to produce any loaves and fishes, so his subjects remain malnourished... ; another close adviser, and a bigwig in the ruling Workers' Party and veteran of talks with the South.
The team were given a demonstratively warm welcome by South Korean Prime Minister Chung Hong-won, Unification Minister Ryoo Kihl-jae -- the main policymaker on inter-Korean affairs -- and President Park Geun-hye's national security adviser, Kim Kwan-jin.
Park has been pushing for a resumption of high-level dialogue, stalled since February, to ease bilateral tensions, and the North agreed that bigwigs would meet sometime between late October and early November.
No reason was given for the 12-hour visit, but the change in tone was striking after months of near daily-invective from state media directed at the South, and at Park in particular.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[5 views]
Top|| File under: Commies
[DAWN] International Islamic University, Islamabad (IIUI) has been marred by administrative mismanagement, which is evident from the fact that eight faculty/departments are being run on ad hoc basis.
According to sources, the faculty of Islamic Studies (Usuluddin), which is one of the pioneer departments of IIUI, is being run by Assistant Professor Dr Haroonur Rashid who is working as a deputy dean – a post which does not exist.
A source said there was no provision for the post of deputy dean in the university’s rules.
He said the president of the university, Dr Ahmad Yousif A. Al Draiweesh, was the dean of the faculty of Islamic Studies but most of its affairs were being run by the deputy dean.
Interestingly, the source said Dr Haroonur Rashid, who was a Grade 19 officer, even had Grade 20 professors working under him.
Similarly, the faculty of Arabic was being looked after by an associate professor, Dr Hafiz Bashir, working as an acting dean for the last two years.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[9 views]
Top|| File under: Govt of Pakistan
When the war ended several years later, the The men and women of Tanna Island had grown to enjoy the radios, trucks, boats, watches, iceboxes, medicine, Coca-Cola, canned meat, and candy, so they set into motion a plan to bring back the cargo. They had surreptitiously learned the secrets of summoning the cargo by observing the practices of the American airmen, sailors and soldiers.
The islanders set to work clearing their own kind of landing strips, and they erected their own control towers strung with rope and bamboo aerials. They carved wooden radio headsets with bamboo antennae, and even the occasional wooden air-traffic controller. Day after day, men from the village sat in their towers wearing their replica headsets as others stood on the runways and waved the landing signals to attract cargo-bringing airplanes from the empty sky. More towers were constructed, these with tin cans strung on wires to imitate radio stations so John Frum could communicate with his people. Piers were also erected in an effort to attract ships laden with cargo...
#2
And there's this unrelated bit from the same site:
A recent development is the appearance of the Prophet Fred, an actual person who claims to have raised his wife from the dead in early 2006. He preaches a turn to more mainstream Christianity, and his followers have had violent clashes with those of John Frum.
As the country’s record of the highest number polio ...Poliomyelitis is a disease caused by infection with the poliovirus. Between 1840 and the 1950s, polio was a worldwide epidemic. Since the development of polio vaccines the disease has been largely wiped out in the civilized world. However, since the vaccine is known to make Moslem pee-pees shrink and renders females sterile, bookish, and unsubmissive it is not widely used by the turban and automatic weapons set... cases in a year was broken, a 20-month-child from Bloody Karachi ...formerly the capital of Pakistain, now merely its most important port and financial center. It is among the largest cities in the world, with a population of 18 million, most of whom hate each other and many of whom are armed and dangerous... ’s Bin Qasim neighbourhood was confirmed with poliovirus on Friday, bringing the tally to 19 in Sindh with 18 reported from its capital alone, officials said.
With eight new cases in the country, the year’s total surpassed the 200 mark with 202 cases while the rest of the world produced just 35 cases, officials added.
Officials in Islamabad and the provincial health department said the poliovirus crippled a 20-month-boy, identified as Sher Khan, a son of Khudadad, resident of UC-2, Illyas Goth of Bin Qasim Town.
The boy was inoculated with the polio vaccine; however, officials said he might have been affected because of lack of immunity. Does that sentence make any sense to anyone? It reads like Gibberish to me.
They added that the department had started an investigation to confirm the exact cause of the disease.
An 18-month-old boy from Gadap was the last victim of polio confirmed just 24 hours earlier. The family of the latest case is also Pakhtun.
Posted by: Fred ||
10/05/2014 00:00 ||
Comments ||
Link ||
[8 views]
Top|| File under: Govt of Pakistan
Thomas A. Duncan, who became ill with Ebola after arriving from West Africa in Dallas two weeks ago, succumbed to the virus today (Sunday), reports Reuters. Duncan was fighting for his life at a Dallas hospital on today after his condition worsened to critical, according to the director of the US Centers for Disease Control.
The Dallas hospital that admitted him did not recognize the deadly disease at first and sent him home, only for him to return two days later by ambulance.
#2
Reports of Ebola death being disputed on Twitter. Some calling the Reuters source quoted "non-existent". Lots of reports that he is fighting for his life on Google News, but I don't see the Reuters death report yet either.
#6
Someone will notice that the only Ebola patient who was treated in America but didn't survive is also the only one who isn't white. The conspiracy will be obvious to anyone who is already certain it's there.
#8
He didn't help himself by lying during his first visit to the hospital. If he had been honest about not only his travel (which he was), but his exposure (which he lied about in Libera and in Dallas), they would have admitted him and started supportive treatment during the first trip to the ER. Not saying that would have saved him, but it might have given him a better chance.
His own dishonesty may not have killed him, but it may end up killing others.
#2
Roman public toilets? Google for image. Maybe they can hire illegals to clean the sponges* as well. What? You expect the ruling class to do that themselves?
* recyclable, ecologically kind to the environment (Hey, if you want to go full green....)
A multi-volume chronology and reference guide set detailing three years of the Mexican Drug War between 2010 and 2012.
Rantburg.com and borderlandbeat.com correspondent and author Chris Covert presents his first non-fiction work detailing
the drug and gang related violence in Mexico.
Chris gives us Mexican press dispatches of drug and gang war violence
over three years, presented in a multi volume set intended to chronicle the death, violence and mayhem which has
dominated Mexico for six years.
Rantburg was assembled from recycled algorithms in the United States of America. No
trees were destroyed in the production of this weblog. We did hurt some, though. Sorry.
[DEALBOOK.NYTIMES] The huge cyberattack on JPMorgan Chase that touched more than 83 million households and businesses was one of the most serious computer intrusions into an American corporation. But it could have been much worse.
[CHRON] Jean-Claude-Duvalier, the self-proclaimed "president for life" of Haiti whose corrupt and brutal regime sparked a popular uprising that sent him into a 25-year exile, died Saturday of a heart attack, his attorney said.
Jean-Claude Duvalier, the self-proclaimed "president for life" of Haiti whose corrupt and brutal regime sparked a popular uprising that sent him into a 25-year exile, died Saturday of a heart attack, his attorney said.
[NYPOST] A New York appeals court next week will consider whether chimps should have the same rights as human beings.
[BREITBART] 
North Korea
North Korea
[DAWN] International Islamic University, Islamabad (IIUI) has been marred by administrative mismanagement, which is evident from the fact that eight faculty/departments are being run on ad hoc basis.
[Washington Post] 
