lynnerself
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Post by lynnerself on Oct 25, 2014 15:55:53 GMT -5
This is exactly the response I expected. Asked if workers at Bellevue treating the Ebola patient should be quarantined as well, Mr. Cuomo said they shouldn’t be, noting they “have the best training, the best equipment, the best protocols, the best drills....they are extraordinarily well prepared.”
“Doing the work in West Africa is a much different situation,” Mr. Cuomo said “In West Africa a lot of this work is happening in field hospitals. You don’t have the same kind of conditions, you don’t have the same kind of equipment. So I think it’s really night and day, the two experiences.” online.wsj.com/articles/fiance-of-new-york-ebola-patient-to-return-to-their-apartment-141426
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Angel!
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Post by Angel! on Oct 25, 2014 17:40:04 GMT -5
So you watch for all symptoms, not just fever. Until you have symptoms you are not contagious. If there are any symptoms, they should be quarantined.
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haapai
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Post by haapai on Oct 25, 2014 18:58:56 GMT -5
This is exactly the response I expected. Asked if workers at Bellevue treating the Ebola patient should be quarantined as well, Mr. Cuomo said they shouldn’t be, noting they “have the best training, the best equipment, the best protocols, the best drills....they are extraordinarily well prepared.”
“Doing the work in West Africa is a much different situation,” Mr. Cuomo said “In West Africa a lot of this work is happening in field hospitals. You don’t have the same kind of conditions, you don’t have the same kind of equipment. So I think it’s really night and day, the two experiences.” online.wsj.com/articles/fiance-of-new-york-ebola-patient-to-return-to-their-apartment-141426I suspect that Dr. Spencer will soon disabuse the folks treating him at Bellevue of their superior anti-infection protocols. After working with Ebola patients with MSF, he's probably horrified by the donning and doffing protocols that the CDC recommends. Even the recent updates seem pretty lax to me. The resistance to using a bleach solution particularly baffles me.
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mmhmm
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Post by mmhmm on Oct 25, 2014 19:43:58 GMT -5
"For example, he said, Doctors Without Borders asks health care workers to be sprayed down with a bleach solution over a gravel pit. That is hard to do in an American hospital, said Frieden, so the CDC calls for American workers to wipe down their personal protective equipment with a virucidal wipe before taking it off." Link to Article I imagine the virucidal will do the job, assuming it's been tested against the Ebola virus - and, I'm sure it has. On the other hand, I can't see the problem with spraying the protective equipment with a bleach mix, either. It would probably be cheaper but it may be that it's not felt to be as effective. Don't know, really.
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haapai
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Post by haapai on Oct 25, 2014 20:00:33 GMT -5
@nuh-uh your link in post number 611 opens up this page. I.e. wrong addy.
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mmhmm
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Post by mmhmm on Oct 25, 2014 20:56:19 GMT -5
Sorry, haapai. I've fixed the link.
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djAdvocate
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Post by djAdvocate on Oct 25, 2014 22:46:32 GMT -5
If these volunteers are selfless enough to go work in the hot zone I would think they would be selfless enough to stay at home for 21 days after returning. you're not reading. not everyone can afford to have 3 weeks of unpaid leave turn into six weeks.
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djAdvocate
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Post by djAdvocate on Oct 25, 2014 22:48:59 GMT -5
I wonder the exact moment the dr. goes from being healthy to infectious. I'm sure that was the exact same moment he got himself to the hospital.
this is precisely the line of reasoning we need to stop, imo. you are infectious when you show symptoms. he woke up with a fever, called a hospital, and in 2 hours he was in isolation. that is going to be good enough, given the nature of this disease. we know that. you don't get it from poop stains. this virus has very limited ability to withstand conditions outside the body.
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djAdvocate
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Post by djAdvocate on Oct 25, 2014 22:50:04 GMT -5
Roughly 13% never exhibit fever prior to EBOLA detection? I guess that's an acceptable risk. are they infectious if they show no symptoms? according to everything i have read, the answer is NO.
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Value Buy
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Post by Value Buy on Oct 25, 2014 22:57:36 GMT -5
I do not understand the animosity of posters who ridicule people worrying about a disease that can be basically stopped at the borders of Africa rather than the city limits, of Dallas or NYC.
i am not sure that animus is a fair description of how i feel. it is more like confusion and frustration. i don't understand people that ignore science.
The flu, we know can not be stopped at the border.
that is because it is airborne.
I for one, have no problem implementing a 21 day quarantine for preventive purposes until this disease transmission is officially and more importantly, correctly, figured out. An oz of precaution............ you are not thinking straight, imo. here is how it lays out for me: 1) in order to stop this disease, it has to be fought in AFRICA. 2) in order to be stopped in AFRICA, we and all other developed nations need to deploy resources to those countries. 3) in order to do the above at a minimal cost, we will need volunteers. 4) asking someone to give up a few weeks of their lives is no big deal. lots of people will do that. however, if we subject them to leper colonies on their return, that will mean fewer people will volunteer, which will hamper the effort. you having less trouble understanding now, or is it STILL not making sense to you? your ounce of prevention is killing people, bro. edit: that having been said, a TRAVEL BAN would make volunteering pretty much non-existent. let's all pray it does not get that crazy. dj, just a quick point. When I say quarantine, I do not expect them to be shipped off to area 51 or Guantanamo, if that is what you think I am suggesting. The quarantine can be at home for all I care. I just do not want them going about their every day errand runs as if everything is ok. Since self checks do not seem to mean stay off the subway, grocery shopping, flying somewhere to plan your wedding..........local health officials have to pick up the ball and run with it, and enforce the fact you can not run around as if everything is fine. After all, so far only medical professionals have contracted this disease here in the states. Somehow, some way, they are infecting theirselves and are not really sure how or why, it is happening at this point.
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djAdvocate
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Post by djAdvocate on Oct 25, 2014 23:17:14 GMT -5
you are not thinking straight, imo. here is how it lays out for me: 1) in order to stop this disease, it has to be fought in AFRICA. 2) in order to be stopped in AFRICA, we and all other developed nations need to deploy resources to those countries. 3) in order to do the above at a minimal cost, we will need volunteers. 4) asking someone to give up a few weeks of their lives is no big deal. lots of people will do that. however, if we subject them to leper colonies on their return, that will mean fewer people will volunteer, which will hamper the effort. you having less trouble understanding now, or is it STILL not making sense to you? your ounce of prevention is killing people, bro. edit: that having been said, a TRAVEL BAN would make volunteering pretty much non-existent. let's all pray it does not get that crazy. dj, just a quick point. When I say quarantine, I do not expect them to be shipped off to area 51 or Guantanamo, if that is what you think I am suggesting. The quarantine can be at home for all I care. I just do not want them going about their every day errand runs as if everything is ok. Since self checks do not seem to mean stay off the subway, grocery shopping, flying somewhere to plan your wedding..........local health officials have to pick up the ball and run with it, and enforce the fact you can not run around as if everything is fine. After all, so far only medical professionals have contracted this disease here in the states. Somehow, some way, they are infecting theirselves and are not really sure how or why, it is happening at this point.
i am still of the opinion that they should ONLY be quarantined if they are symptomatic. i think what is driving fear on this is that people think that once someone is symptomatic, they are HIGHLY infectious. they aren't. the nurses that got this contracted it from a DYING patient- someone in the advanced stages of the disease. the risk in the early stages is minimal. do you remember that infectious disease chart that someone posted? this disease is as approximately transmissible as Hepatitis C. do you walk around in body armor afraid of getting needle pricks? do you wear face shields when commuting downtown in major cities? of course not. we accept that contracting certain illnesses, though possible, is about as likely as getting struck by lightening, unless you are a junky or having sex with someone with Hepatitis C. so, we are aware of how that disease spreads and we avoid doing things that will lead to contracting it. that is what is required here with ebola. but rather than argue about this indefinitely, let's see if the nurse that just came down with it infected anyone. if he did, PRIOR TO ADMISSION TO THE HOSPITAL, i will admit that i am wrong, and that this is far more serious than i imagined. if not, i expect everyone else to admit they are wrong as well, if not on the board, in the comfort of their homes, beside their presumably healthy families.
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djAdvocate
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Post by djAdvocate on Oct 25, 2014 23:19:17 GMT -5
again, i feel no animus whatsoever to the fearful. i am actually TRYING to be a comfort to them. i simply feel the fearful are hurting the battle against ebola, not helping.
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mmhmm
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Post by mmhmm on Oct 26, 2014 0:04:11 GMT -5
again, i feel no animus whatsoever to the fearful. i am actually TRYING to be a comfort to them. i simply feel the fearful are hurting the battle against ebola, not helping. I'm afraid you can't comfort those who don't wish to be comforted, dj.
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Angel!
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Post by Angel! on Oct 26, 2014 2:18:13 GMT -5
you are not thinking straight, imo. here is how it lays out for me: 1) in order to stop this disease, it has to be fought in AFRICA. 2) in order to be stopped in AFRICA, we and all other developed nations need to deploy resources to those countries. 3) in order to do the above at a minimal cost, we will need volunteers. 4) asking someone to give up a few weeks of their lives is no big deal. lots of people will do that. however, if we subject them to leper colonies on their return, that will mean fewer people will volunteer, which will hamper the effort. you having less trouble understanding now, or is it STILL not making sense to you? your ounce of prevention is killing people, bro. edit: that having been said, a TRAVEL BAN would make volunteering pretty much non-existent. let's all pray it does not get that crazy. dj, just a quick point. When I say quarantine, I do not expect them to be shipped off to area 51 or Guantanamo, if that is what you think I am suggesting. The quarantine can be at home for all I care. I just do not want them going about their every day errand runs as if everything is ok. Since self checks do not seem to mean stay off the subway, grocery shopping, flying somewhere to plan your wedding..........local health officials have to pick up the ball and run with it, and enforce the fact you can not run around as if everything is fine. After all, so far only medical professionals have contracted this disease here in the states. Somehow, some way, they are infecting theirselves and are not really sure how or why, it is happening at this point.
From what I've heard, they weren't wearing the proper equipment. Unless this is untrue, then there is no uncertainty in how or why. At the end stages the disease is very contagious, which is why medical personnel are exclusively who have been getting the disease within the us. This makes it totally unnecessary to quarantine the symptomless, they are not contagious. If even one person in the general public comes down with this disease, then you will convince me. But until then, all these claims that there is a danger and we don't understand the disease is totally unwarranted panic.
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djAdvocate
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Post by djAdvocate on Oct 26, 2014 11:06:57 GMT -5
and...we have a winner!
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Post by Deleted on Oct 26, 2014 12:19:04 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet.
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mmhmm
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Post by mmhmm on Oct 26, 2014 12:34:13 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet. Personally, I don't believe it should have been reported, Pink. If we're not waiting to see what the problem really is, we might as well start reporting everyone who runs a fever, or vomits, or has a belly-ache as "under Ebola watch" if they've so much as been near a hospital where an Ebola patient has been, or even live in a city where one has been. It's ridiculous, IMO.
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Post by Deleted on Oct 26, 2014 12:38:41 GMT -5
mmhmm said: If we're not waiting to see what the problem really is, we might as well start reporting everyone who runs a fever, or vomits, or has a belly-ache as "under Ebola watch"
That's what I was thinking too. People are freaking out on social media because of this story.
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djAdvocate
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Post by djAdvocate on Oct 26, 2014 12:59:31 GMT -5
this is precisely the sort of crap that has to stop. now, preferably.
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Tennesseer
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Post by Tennesseer on Oct 26, 2014 14:10:34 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet. I have not seen it, PC. I am also not concerned about it. More likely, it is the flu as we are already having deaths in the country from complications this flu season.
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mmhmm
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Post by mmhmm on Oct 26, 2014 14:31:11 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet. I have not seen it, PC. I am also not concerned about it. More likely, it is the flu as we are already having deaths in the country from complications this flu season. We need to remember, too, patients aren't living in a vacuum for the most part. They're hearing about Ebola from visitors. It's not at all uncommon for susceptible people to develop somatic symptoms. People who are already sick and in the hospital are very vulnerable to that sort of thing because they already feel pretty helpless.
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Post by The Walk of the Penguin Mich on Oct 26, 2014 15:07:14 GMT -5
After all, so far only medical professionals have contracted this disease here in the states. Somehow, some way, they are infecting theirselves and are not really sure how or why, it is happening at this point.
They have a very good idea though. The nurses that caught it were treating Duncan in his last stages of disease. He was ventilated and on dialysis, both of which cause an exchange of body fluids.
And one of the things that people don't seem to realize is that taking PE OFF is more important than how it's put on. You really need to think about it as this is not the norm.
Look at it this way......nurses from 2 different hospitals treated the first 2 patients that were flown to the US, and none of them became infected. I suspect that this is because both of those facilities were far better educated in how to handle infectious diseases because they have the Level 4 facilities on campus that are used. These are places where other highly infectious/deadly diseases are treated, so they have a better set protocol and better trained employees. You don't learn this stuff on the fly, you need to practice. This hospital was not set up to treat Duncan, despite what they said.
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lynnerself
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Post by lynnerself on Oct 26, 2014 16:39:22 GMT -5
Quarantined nurse is not happy. Quarantined nurse to CNN: 'My basic human rights' are being violated www.cnn.com/2014/10/26/health/new-jersey-quarantined-nurse/Some things I found interesting: 1. The conditions she is living under She was put in an isolation tent inside University Hospital in Newark. She's not allowed to have her luggage and was given paper scrubs to wear. Hickox said she has no shower, no flushable toilet and the hospital gave her no television or any reading material. (I guess later she got computer access and reading material.) Hickox says she has asked repeatedly but hasn't been told how long she'll be held at the hospital.
2. The way Governor Christie keeps referring to her She slammed New Jersey Gov. Chris Christie for describing her as "obviously ill.""I'm sorry, but that's just a completely unacceptable statement in my opinion. For him -- a politician who's trusted and respected -- to make a statement that's categorically not true is just unacceptable and appalling,"
At a news conference Saturday, the governor said, "I'm sorry if in any way she was inconvenienced, but inconvenience that could occur from having folks that are symptomatic and ill out amongst the public is a much, much greater concern of mine. I hope she recovers quickly."
Hickox said she has nothing to recover from. Her temperature is normal, and she feels fine.3. That she would still do it all over again " Someone asked me earlier would I do this again if I knew what would happen, and my answer is categorically yes," she said. "I feel incredibly privileged to be able to do this work."
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Post by The Walk of the Penguin Mich on Oct 26, 2014 17:02:19 GMT -5
Quarantined nurse is not happy. Quarantined nurse to CNN: 'My basic human rights' are being violated www.cnn.com/2014/10/26/health/new-jersey-quarantined-nurse/Some things I found interesting: 1. The conditions she is living under She was put in an isolation tent inside University Hospital in Newark. She's not allowed to have her luggage and was given paper scrubs to wear. Hickox said she has no shower, no flushable toilet and the hospital gave her no television or any reading material. (I guess later she got computer access and reading material.) Hickox says she has asked repeatedly but hasn't been told how long she'll be held at the hospital.
2. The way Governor Christie keeps referring to her She slammed New Jersey Gov. Chris Christie for describing her as "obviously ill.""I'm sorry, but that's just a completely unacceptable statement in my opinion. For him -- a politician who's trusted and respected -- to make a statement that's categorically not true is just unacceptable and appalling,"
At a news conference Saturday, the governor said, "I'm sorry if in any way she was inconvenienced, but inconvenience that could occur from having folks that are symptomatic and ill out amongst the public is a much, much greater concern of mine. I hope she recovers quickly."
Hickox said she has nothing to recover from. Her temperature is normal, and she feels fine.3. That she would still do it all over again " Someone asked me earlier would I do this again if I knew what would happen, and my answer is categorically yes," she said. "I feel incredibly privileged to be able to do this work."The people who know how to deal with this know that the best way to avoid spread is to help Africa deal with the problem as much as possible. How many healthcare workers will volunteer to do this if they have to put up with this crap. Quarantining her isn't the issue. However, the conditions she was quarantined in were. Paper scrubs? They could have given her a set of normal scrubs. A porta-potty? Really? And treating her as a criminal WAS reprehensible. Barking out orders to her was unacceptable, as was keeping her in the dark as to what was happening to her. From what I understand, she was allowed to keep her iPhone, but had a lousy connection. That is how she was able to get the information out about her conditions. I want to know where Chris Christie got his medical degree to determine that she is 'obviously ill'. How many people do you know getting off a very long flight overseas without looking like they've been put through the wringer? From what I understand, the second Ebola test has come back negative, but she still has not been released.
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Tennesseer
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Post by Tennesseer on Oct 26, 2014 17:10:37 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet. The 5 PM local news is suggesting the initial blood test indicated the patient may have malaria. Blood samples have been sent to the state health department in Nashville and then onto Atlanta and the CDC for determination.
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Post by Deleted on Oct 26, 2014 17:42:09 GMT -5
Tennesseer, the article on the internet has also been updated, though it didn't mention malaria. It just says there is an alternate primary diagnosis. The test for ebola has not come back yet. I'm just not sure that the initial news report should have happened. Especially since the italics in my above quote was the entire article and it states that the patient does not fit all of the screening guidelines for Ebola. Even if the hospital is taking precautions just in case, the initial news report seemed premature to me. I'm all for being informed, but people are already panicky about Ebola and reports like this could just be alarming people unnecessarily.
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Tennesseer
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Post by Tennesseer on Oct 26, 2014 17:56:57 GMT -5
Tennesseer, the article on the internet has also been updated, though it didn't mention malaria. It just says there is an alternate primary diagnosis. The test for ebola has not come back yet. I'm just not sure that the initial news report should have happened. Especially since the italics in my above quote was the entire article and it states that the patient does not fit all of the screening guidelines for Ebola. Even if the hospital is taking precautions just in case, the initial news report seemed premature to me. I'm all for being informed, but people are already panicky about Ebola and reports like this could just be alarming people unnecessarily. I agree. Why cause panic when you have zero diagnosed facts. Someone can have the majority of the symptoms (beyond a fever) and not have ebola. Unless the patient has external bleeding, no announcement should be made until a positive diagnosis has been made.
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djAdvocate
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Post by djAdvocate on Oct 26, 2014 19:56:53 GMT -5
Tennesseer, have you seen this? Possible Ebola Case At Methodist University HospitalSunday morning, a patient from Methodist South Hospital was transferred into an isolated room at Methodist University Hospital.
According to a statement from Methodist, the patient does not fit all of the screening guidelines for Ebola, but health officials want to take extra precaution while they wait for the patient's blood test results to return.
Officials cannot confirm whether the patient has Ebola until they receive these test results. In the meantime, hospital officials say that they are well prepared to safely take care of this patient, and that hospital associates have undergone extensive training for this situation.
This isn't far from where I live. I wonder what "the patient does not fit all of the screening guidleines for Ebola" means. It kind of makes me wonder if this should have even been reported in the news yet. The 5 PM local news is suggesting the initial blood test indicated the patient may have malaria. Blood samples have been sent to the state health department in Nashville and then onto Atlanta and the CDC for determination. but but but....the CDC.....they can't be relied on to determine anything, right?
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Tennesseer
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Post by Tennesseer on Oct 26, 2014 20:06:21 GMT -5
The 5 PM local news is suggesting the initial blood test indicated the patient may have malaria. Blood samples have been sent to the state health department in Nashville and then onto Atlanta and the CDC for determination. but but but....the CDC.....they can't be relied on to determine anything, right? Send the sample to Christie, Cuomo, Quinn and Scott for their personal evaluation and diagnosis.
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Post by NastyWoman on Oct 26, 2014 20:26:38 GMT -5
I agree. Why cause panic when you have zero diagnosed facts. Someone can have the majority of the symptoms (beyond a fever) and not have ebola. Unless the patient has external bleeding, no announcement should be made until a positive diagnosis has been made. But why wouldn't you cause a panic if you can be a pompous *ss getting free election air time out of it? All in the name of caution and the greater good of course
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