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re: A Dallas hospital worker now has Ebola

Posted on 10/12/14 at 9:31 am to
Posted by BobRoss
Member since Jun 2014
1721 posts
Posted on 10/12/14 at 9:31 am to
quote:

No. Shut down foreign travel until this Ebola thing has passed.


No way bro. I'm coming home and IDGAF how I get there.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27592 posts
Posted on 10/12/14 at 9:34 am to
quote:

Approx how many patients did this work come in contact with?


I mentioned this earlier. Was this guy 1:1 patient ratio? And again what is a proper decontamination room for Ebola? I've seen many decon rooms and showers. They are rarely used properly unless a patient has known active TB. No hospital I have been in has CDC levels of PPE. The money is not in it.

This is a worse case scenario now. A healthcare worker, and CNN now reports a Nurse, is who contracted it. A federal response is needed. I work for a major health care system. I do NOT trust them to properly protect me. Government not really either.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27592 posts
Posted on 10/12/14 at 9:41 am to
quote:

No way bro. I'm coming home and IDGAF how I get there.




I support this. But it reaches a certain point where you (for instance) are an idiot. If you travelled to Sierra Leone this week and a mandate is made that you can't come back? frick you.

This complicates matters with Health Aid workers and missionaries etc etc. These are Americans that want to come home. But I believe there will have to be a 21 day quarantine area for all these people. Guantanamo Bay type facility or internment camp type facility. I know these were prisons, but they HAVE to be isolated until they are MORE than safe to return to the public. The federal government has historically done this for matters of safety and I believe now is a proper time as well. TB Sanitoriums? That type facility is needed for this. CDC runs it.

People are idiots. You already have had the cop walk into an Urgent Care clinic. How many people were in there getting flu shots when CDC moon suit people walked in?

ETA not just checking temps either. Ebola blood tests before being released or similar.
This post was edited on 10/12/14 at 9:44 am
Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 10/12/14 at 9:41 am to
I have online classes for the next two months. I'm apoca-stocking Y2K style and going into my bunker. See you guys on the other side (if you make it).
Posted by Jobu93
Cypress TX
Member since Sep 2011
21235 posts
Posted on 10/12/14 at 9:43 am to
This is making me very nervous because even if there are proper procedures doesn't mean they are being followed to the letter.

Posted by CuseTiger
Member since Jul 2013
8966 posts
Posted on 10/12/14 at 9:43 am to
quote:

No way bro. I'm coming home and IDGAF how I get there.


Ditto. The idea of the guantanamo like camps for people coming from Africa isn't a bad idea IMO
Posted by Jobu93
Cypress TX
Member since Sep 2011
21235 posts
Posted on 10/12/14 at 9:45 am to
I think its smart but it flies directly in the face of american's sense of personal liberties.

Face palm, yes.
Posted by CuseTiger
Member since Jul 2013
8966 posts
Posted on 10/12/14 at 9:49 am to
Absolutely agree with you

If you don't quarantine the people from Africa, you risk exposing more of the US population. If you do quarantine, you'll hear people bitching about not being able to do their jobs, "well i'm not infected so why should i have to wait 2 weeks"
Posted by SirSaintly
Uptown, New Orleans
Member since Feb 2013
3187 posts
Posted on 10/12/14 at 9:50 am to
quote:

Didn't decontaminate properly. That's how most of the health care workers are getting it.




fricking this. The healthcare worker fricked up somewhere. Maybe she got lazy and didn't properly follow protocols. Hospital staffs need to be better trained on this.

No need to panic. Ebola guys family lived n his infected apartment for days even going so far as still sleeping in his bedsheets and they're pretty much in the clear.

Educate yourselves and stop panicking like dumb women.
Posted by Winkface
Member since Jul 2010
34377 posts
Posted on 10/12/14 at 9:50 am to
quote:

No hospital I have been in has CDC levels of PPE. The money is not in it.
This is what I was thinking earlier. They never should have treated the guy there. Sure the hospital probably has some procedures and protocols in place, they probably practice once a year but they aren't experts. The guy should have been sent to one of the 4 hospitals in the country that are EXPERTS at handling ebola. They just mentioned on the news that they are now considering this; sending all patients to these 4 hospitals. That should have been the procedure from the beginning, imo.

If I was this nurse, I'd be screaming to go to one of these places.

I still think it will be contained but they made some dumb decisions in the beginning.
This post was edited on 10/12/14 at 9:52 am
Posted by LNCHBOX
70448
Member since Jun 2009
88720 posts
Posted on 10/12/14 at 9:51 am to
quote:

Hell, obviously they couldn't control it when ONE person had it. Bad news


what did the Feds have to do with the hospital misdiagnosing him exactly?

And all the purple freaking out (looking at you CAD), y'all seem to be forgetting that this worker has been monitored since Duncan was diagnosed. So the chance that she spread this is extremely minimal.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27592 posts
Posted on 10/12/14 at 9:52 am to
quote:

This is making me very nervous because even if there are proper procedures doesn't mean they are being followed to the letter.



They will be now. A nurse got it. I mean the course of the disease causes a lot of fluid exposure. Vomiting and diarrhea. Cleaning the patient after each episode to American hospital standards not Liberian standards. That is a lot of vomit and shite to be exposed to.

I have never seen a bubble or moon man suit in a hospital PPE cabinet. Basically a butchers smock with arms and a surgical gown. It is NOT airborne to this point so N95 masks are probably not being used. Re-Education of ALL staff is needed in how to use PPE. We all know but do not pay attention and have become severely laxed. MRSA? Bitch please that shite don't scare me. Just wash your arse. Chicken Pox/Varicella? Had it. Don't care. TB? over 90% of "TB patients" usually end up testing negative. So again people get lazy.

Only time I see people step up is when TB is active and diagnosed with AFB and C-xRay. And then I do not think it is as transmittable as Ebola apparently is.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 10/12/14 at 9:53 am to
I know the hospital I work at has a special team trained for disasters but its not like every hospital worker is trained on wearing all that gear. I know I'm not. But I don't work in the ER, so maybe they are trained.
Posted by When in Rome
Telegraph Road
Member since Jan 2011
36165 posts
Posted on 10/12/14 at 9:53 am to
His bedsheets, clothes, etc. were incinerated and ashes being brought to Louisiana hazardous waste landfill. Anyone know what city that will be in?

quote:

The linen, bedding and carpet taken from the apartment where Thomas Eric Duncan became ill were taken to the Veolia Environmental Services incinerator in Port Arthur, where they were destroyed Friday. Company spokesman Dan Duncan tells the Beaumont Enterprise that the ash will be analyzed for two days for any remaining contamination before it is sent to the Louisiana landfill.
LINK
This post was edited on 10/12/14 at 9:55 am
Posted by barry
Location, Location, Location
Member since Aug 2006
51337 posts
Posted on 10/12/14 at 9:53 am to
The key to stopping this is to stop it in Africa which can't do if you ban all travel there
Posted by Jobu93
Cypress TX
Member since Sep 2011
21235 posts
Posted on 10/12/14 at 9:54 am to
I think one of the key differences in respects to the Dallas hospital is ADVANCE WARNING or the actual lack of it.

Look at the first two docs flown home: the hospital had a perfect room even pressurized correctly and you can be damn sure the staff was prepped.

The cameraman was flown to a predetermined hospital so they had warning to gear up.

Dallas had no such warning.

If I were an administrator I would maybe set aside a quiet op and gear it up.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27592 posts
Posted on 10/12/14 at 9:56 am to
quote:

what did the Feds have to do with the hospital misdiagnosing him exactly?


There is a doc and a triage nurse out there that are fricked right now.
Posted by BRgetthenet
Member since Oct 2011
118234 posts
Posted on 10/12/14 at 9:58 am to
Maybe. Maybe not.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27592 posts
Posted on 10/12/14 at 10:00 am to
quote:

. But I don't work in the ER, so maybe they are trained.


I do. The answer is NOPE!

Unless maybe a couple of Houston Med Center places are equipped. But those would be the Level 1 Trauma centers. I can't imagine the clusterfrick that would ensue with a high probability Ebola patient strolling into Hermann (non-county) or Ben Taub (county). You shut down one of those places you have a partial collapse of Houstons Emergency Medicine infrastructure.
Posted by Crawdaddy
Slidell. The jewel of Louisiana
Member since Sep 2006
19106 posts
Posted on 10/12/14 at 10:00 am to
We had a town hall meeting about our level of dealing with Ebola. Talked a good talk, but at the same time, no urgency. Almost like it is no big deal, not happening here attitude. They covered themselves with the meeting and emails, but I'm not 100% positive they actually believe what they tell us. I think no one knows what really to think.
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