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Details of Duncan's Hospital Course During His Lost Fight with Ebola
Posted on 10/12/14 at 8:14 am
Posted on 10/12/14 at 8:14 am
quote:Couple of observations:
Despite five days of intensive treatment, Thomas Eric Duncan's condition was deteriorating.
Then, suddenly on the afternoon of Oct. 2, came a hopeful sign. Duncan was hungry.
Nurses at a Texas hospital raised the 45-year-old welder from Liberia into a sitting position and gave him a packet of saltine crackers and some Sprite.
Six days later, Duncan was gone. The first person ever to be diagnosed with the dreaded Ebola virus on United States soil was the first in this country to die of it.
Grieving and angry family members wonder whether the man they called Eric might have survived had health care workers not sent him home when he first presented himself at the hospital, Sept. 25, and whether doctors really did everything in their power to save him.
Hundreds of pages of medical records provided to The Associated Press chart the disease's relentless march through Duncan's body. And they provide an unprecedented look at how Ebola killed despite the aggressive efforts doctors made to save him.
===================
On Sept. 28, an ambulance carrying Duncan pulled into the emergency bay at Dallas' Texas Health Presbyterian.
Not 55 hours earlier, Duncan had been at the hospital complaining of a headache and abdominal pain. His temperature spiked to 103 at one point, and on a scale of one to 10, he rated his pain as an eight.
Doctors ran tests, decided it must be sinusitis, sent him home with antibiotics and told him to follow up with a doctor the next day.
===================
Now, Duncan was back, only this time his symptoms included vomiting and diarrhea. His temperature was 103.1 degrees.
This time, the nurse's notes made it clear that Duncan had "just moved here from Liberia." This time, the doctor got the message.
"I followed strict CDC protocol," wrote Dr. Otto Javier Marquez-Kerguelen, referring to the U.S. Centers for Disease Control and Prevention guidelines for treating potentially infectious patients. Wearing a mask, gloves and full gown, Marquez-Kerguelen began his examination and took a history.
"Pt states he has not been to any rural areas or funerals recently," he noted. "Pt denies any sick contacts. Pt denies chills. The pt does not do (sic) any other associated signs of sx (symptoms) at this time."
Among the possible diagnoses: malaria, gastroenteritis, influenza and Ebola.
Duncan was put into isolation. The nurses notified county officials; the doctor called the CDC.
LINK
(1) Even on Duncan's return to the Hospital, he apparently did not realize he'd been in contact with an Ebola patient in Liberia. Hopefully will put to rest the narrative that this fellow deliberately deceived Liberian embarkation screeners.
(2) Despite instructions to follow up with a Doctor the day after his first ED visit, he apparently did not. Instead, he remained at home for 55 more hrs.
Posted on 10/12/14 at 8:18 am to NC_Tigah
Didn't the guy openly speak about assisting a pregnant woman with Ebola? How is that not realizing he came in contact?
Posted on 10/12/14 at 8:19 am to JumpingTheShark
quote:No.
Didn't the guy openly speak about assisting a pregnant woman with Ebola?
Posted on 10/12/14 at 8:21 am to NC_Tigah
If he didn't speak about it, it was very well documented, then. In fact, the NBC cameraman contracted it while they were filming the details about the event.
Posted on 10/12/14 at 8:27 am to JumpingTheShark
quote:After it was clear Duncan had Ebola, further investigation revealed the contact with a sick pregnant woman. There was apparently contemporary confusion about her diagnosis. Crews in Liberia established retrospectively she died of Ebola.
If he didn't speak about it, it was very well documented
Posted on 10/12/14 at 8:46 am to NC_Tigah
I mean I understand Liberia isn't disneyland but how many life threatening plagues are occurring there?
Posted on 10/12/14 at 8:50 am to C
quote:If you're talking about Duncan's contact with the woman, they were apparently told by hospital workers she was "suffering from complications of pregnancy".
I mean I understand Liberia isn't disneyland but how many life threatening plagues are occurring there?
Posted on 10/12/14 at 9:26 am to NC_Tigah
The pregnant woman's family told neighbors she has malaria. He probably assisted her under that assumption.
Posted on 10/12/14 at 9:29 am to NC_Tigah
...you mean we have to stop being self righteous and mad?
Posted on 10/12/14 at 9:59 am to NC_Tigah
quote:
(1) Even on Duncan's return to the Hospital, he apparently did not realize he'd been in contact with an Ebola patient in Liberia. Hopefully will put to rest the narrative that this fellow deliberately deceived Liberian embarkation screeners.
Or, more likely, he didn't want to admit it for fear of the consequences.
Posted on 10/12/14 at 10:54 am to moneyg
quote:
Or, more likely, he didn't want to admit it for fear of the consequences.
I don't believe this. The consequences of NOT telling them was death. He needed life saving treatment. If he knew, he would tell. The pregnant woman's family lied to their neighbors.
Posted on 10/12/14 at 11:22 am to LSUGrrrl
quote:
The pregnant woman's family told neighbors she has malaria. He probably assisted her under that assumption.
And that assumption cost him his life.
Its one thing to assume that a very young woman of 19 or 20 years(?) had complications from pregnancy or even malaria in normal situations.
Liberia is in a state of emergency & public & private institutions (like churches , etc....) are discouraging handshaking, hugging or kissing one another upon basic greetings.
Some entire Liberian neighborhoods have been on temporary lockdown & one outside of Monrovia(Dola) was quarantined up until Sept 8.
Next door in Sierra Leone there was an entire NATIONWIDE lockdown from Sept. 19-21 outside of essential workers.
Duncan did not help this woman under normal circumstances & should have erred on the side of caution & let it be clear he helped this woman dying in the streets . I am sure Liberian officials(who desperately do not want to be isolated) would not have allowed him on that plane.
Duncan seems to be a man of means /some education & could have even self quarantined himself before leaving. No wonder the government of Liberia was pissed at him.
Helping a pregant 19 year old in Louisiana is one thing , but in an Ebola hot zone like Liberia one must assume the worst at this time
This post was edited on 10/12/14 at 11:26 am
Posted on 10/12/14 at 12:03 pm to LSUGrrrl
quote:That's the point.
The consequences of NOT telling them was death. He needed life saving treatment. If he knew, he would tell.
quote:Maybe so.
The pregnant woman's family lied to their neighbors.
Sounds like she may also have been misdiagnosed by Liberian medical personnel there. Either that, or the family lied about what medical personnel told them.
Regardless, what anyone thinks Duncan should have known about his contact though, it is painfully obvious he did not know he'd been exposed.
It is equally obvious that authorities both here and in Liberia benefit from characterizations of Duncan as a guilty culprit, rather than appropriately blaming the system.
Posted on 10/12/14 at 12:16 pm to NC_Tigah
quote:
Despite instructions to follow up with a Doctor the day after his first ED visit
His dick wasn't working?
Posted on 10/12/14 at 12:57 pm to NC_Tigah
quote:Weren't the early reports that they tried to drive the pregnant woman from hospital to hospital but no one would admit her? That doesn't sound like "complications of pregnancy" to me.
If you're talking about Duncan's contact with the woman, they were apparently told by hospital workers she was "suffering from complications of pregnancy".
Posted on 10/12/14 at 12:59 pm to NC_Tigah
quote:
Even on Duncan's return to the Hospital, he apparently did not realize he'd been in contact with an Ebola patient in Liberia. Hopefully will put to rest the narrative that this fellow deliberately deceived Liberian embarkation screeners.
frick no.
They will just say it was all part of his genius master plan. Can't tip his hand too early....
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