General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forumsoh for all the heaven's sake!!! Dallas, Presbyterian Hospital? EBOLA!!!
This is not happening!!!
Traveled here from Liberia,tested positive on the 28th and isolated. Oh for f's sake. Done, it is here. They just keep repeating it is all ok. We will stop it here. You sorry sons of bitches. You can't and you won't.
Dallas, Tx.
Cali_Democrat
(30,439 posts)It's probably best not to panic about this and approach this in a cautious and scientific manner.
JustAnotherGen
(31,869 posts)CoffeeCat
(24,411 posts)...is that this man went to the hospital when he was very sick. He had symptoms, so he was very contagious. He was sent home with antibiotics after being examined in the ER.
Medical personnel examined this man and came in close contact with him. What about the people on the waiting room?
Those medical personnel who examined and discharged this man, most likely came in contact with hundreds of patients during the next few days.
Seems like this situation is fairly serious.
Texasgal
(17,047 posts)7wo7rees
(5,128 posts)Texasgal
(17,047 posts)a year. I don't tend to see much concern by way of our community when it comes to that.
It was really inevitable that Ebola would find it's way here with global travel so prevalent in our society now days. I hope the patient survives.
customerserviceguy
(25,183 posts)With current procedures, yes, it was inevitable. Given that, why didn't the President change the procedures, in fact even keep ANYONE from Africa from travelling to the US in the last few months? Maybe because he sympathizes more with Africans that with Americans?
That's the October surprise the Repukes are going to spin. And they have three 24/7 'news' networks who will be only too willing to run with the ball for them.
Flu isn't scary, Ebola is.
Texasgal
(17,047 posts)Flu isn't scary? Really?
You tell that to the family of someone that died because over it...including a large portion of children!
customerserviceguy
(25,183 posts)No. Americans are familiar with flu, and most don't know anyone who has died from it.
However, if this ebola spreads to other people in contact with this one traveller, then you ain't see nothing yet with what the media is going to do with this story. And all in the month before the election.
Hope like hell that it stays with this one person, and no more cases arrive on our shores. The wingnuts will find a way to blame it on the President, and by extension, the Democratic Party. Reason and sanity will not have a chance to prevail until after the election. Perhaps you remember the hysteria over AIDS some thirty or so years ago?
Texasgal
(17,047 posts)over this ONE dude with ebola is seriously deluded compared to the issue of influenza.
customerserviceguy
(25,183 posts)It assumes that the media will go hysterical, and the mushy middle (who are so politically clueless that they decide the weekend befor an election) will be consumed with irrational fear.
Yes, flu will kill many more people in this country than Ebola ever will, but it's a damned inconvenient time for this story to have happened here.
kestrel91316
(51,666 posts)kestrel91316
(51,666 posts)You'd better hope the patient and his family don't lie or otherwise mislead public health investigators.
My money is on them lying. I have prior experience with a public health investigation over a rabid cat many years ago where the cat's owners LIED THROUGH THEIR TEETH for unknown reasons, putting dozens of lives at risk.
elehhhhna
(32,076 posts)Been expecting this for weeks. Oil and gas are HOT in W Africa - thus lots of folks traveling to and fro, not to mention the many professional class Africans who live and work here in O&G. I figured it would be here, actually - and particuliarly mid-Sept, when families return from their holidays "back home" and the kids go to school.
Settle down.
Texasgal
(17,047 posts)I assumed that Houston would be the first place it would come as well.
I hope the patient survives.
seabeyond
(110,159 posts)he has been sticking in europe. so, ya. not that you all mention it. that is very true.
Texasgal
(17,047 posts)as well.
Not shocked that it's Texas though, we have alot of global movers and shakers here.
snooper2
(30,151 posts)I guess that is what happens when you don't travel outside your little sanctuary
CoffeeCat
(24,411 posts)I'm curious why you though that Ebola would come to Houston first?
Texasgal
(17,047 posts)there for the Oil and Gas industry.
cali
(114,904 posts)7wo7rees
(5,128 posts)cali
(114,904 posts)Hysterics about a non-existent threat are not a good thing.
Union Scribe
(7,099 posts)The CDC's definition is: "The occurrence of more cases of disease than expected in a given area or among a specific group of people over a particular period of time."
cali
(114,904 posts)Union Scribe
(7,099 posts)Read that definition again. Then ask yourself how many cases of Ebola are typical in the US. One can be an epidemic if zero cases were typical. If people are going to pretend to be epidemiology experts, they can at least try to use the correct language in telling the rest of us there's nothing to see here.
kestrel91316
(51,666 posts)Union Scribe
(7,099 posts)Feel free to take it up with the CDC, and the Dean of Medicine at the University of Hong Kong, who is currently teaching a course on Epidemics on edX.
with this in the very first lecture:
You will also note in this definition the phrase "in excess of normal expectancy". For example, even a single case of smallpox today would, by definition, constitute an epidemic because our current expectancy for the occurrence of smallpox is zero.
No offense, but they have more cred than you or me or anyone here.
kestrel91316
(51,666 posts)Ebola, while technically rare, has not been eradicated. The use of the term epidemic is not appropriate to the single US case.
And yes, I am a medical professional. I know how to use the language. My skills go a bit beyond googling, cutting, and pasting.
kestrel91316
(51,666 posts)zero immunity to it.
Is it likely? I don't know.
Is our public health system able to address it adequately? Yes, as long as numbers remain low.
Does the public health system's investigation and control of ebola depend highly on victims and families being truthful to investigators? ABSOLUTELY.
Are those people likely to be truthful? In my experience, NO.
I learned in 1987 that even people exposed to rabies who know vital information about the animal and other exposed people will LIE THROUGH THEIR TEETH to investigators.
And the gubmint haters and black helicopter crowd and science deniers and armageddonists will be the first to lie, along with frightened, superstitious foreigners.
Just sayin'.
TheCowsCameHome
(40,168 posts)JoePhilly
(27,787 posts)Cali_Democrat
(30,439 posts)TheCowsCameHome
(40,168 posts)Oh wait, that didn't go so well, did it?....................
Silent3
(15,259 posts)In_The_Wind
(72,300 posts)[img][/img]
calimary
(81,441 posts)Frankly, the one thing about this that worries me (other than the usual, of course) is that this is now a talking point. The assholes on the other side can point to this and say - "SEE!?!?!??!?? Texas!!!! It came OVER THE BORDER with those damned illegal aliens!!!! JUST LIKE WE SAID!!!!!" And even though, when you read past the screaming headlines - and you see this was an individual who flew in from West Africa and had nothing to do with the immigrant crossings at the Texas/Mexico border - the idiots who believe only what Pox Noise and the liar-limbaugh&co clones tell them will swallow this whole. Without even chewing. It's liable to feed the idiocy faster than anybody can stop it - OR Ebola.
7wo7rees
(5,128 posts)Peace always to you, and with the most respect.
Sherry
Adsos Letter
(19,459 posts)...before you start with the insults.
Ishoutandscream2
(6,663 posts)And coming from an Eagles' fan, this kind of comment doesn't surprise me. I'm sure the only thing that would make you happier is if an atomic bomb was dropped on Dallas.
Blue_Tires
(55,445 posts)I'd put San Antonio and Houston as higher bomb target priorities than DFW...
MohRokTah
(15,429 posts)cbayer
(146,218 posts)There is a verified case of a deadly virus in the US. That's a big deal.
Sounds like they are taking it very seriously and doing everything they can to stop any spread.
Do you really think that the people in Dallas can't and won't do that?
hlthe2b
(102,343 posts)measures can and will contain this, just as we have SARS and MERS cases and every other emerging infection, of which there have been several in recent years. The big advantage with Ebola (as opposed to SARS and MERS) is that patients are symptomatic when they are infectious and Ebola is not air-borne. The fact this patient was not symptomatic on the plane bodes well that no on the plane, at least was exposed. Health officials will still very closely track and quarantine any contact exposures among friends/family members since arrival. (Note EXPOSED non-ill contacts are quarantined. Ill exposed contacts are placed in isolation. The difference in these two terms is frequently confusing to many)
7wo7rees
(5,128 posts)Union Scribe
(7,099 posts)What happens in the hospital isn't so much a concern as is what happens outside of it, by the way.
hlthe2b
(102,343 posts)30 years experience with infectious disease diagnostics, infectious disease epidemiology and disease control.
Adsos Letter
(19,459 posts)...you're interfering with the hysteria.
Union Scribe
(7,099 posts)I do see some people trying to act like there's nothing whatsoever to be even remotely concerned about and comparing it with relatively innocuous diseases, which is idiotic.
Union Scribe
(7,099 posts)People in public places aren't following hospital protocols. That's where any spread would happen.
kestrel91316
(51,666 posts)and worries me A LOT, is the possibility of victim(s) and/or contacts LYING to the public health investigators about their activities and whereabouts.
That happened with the rabies case I diagnosed in 1987 and so I know it can and does happen, even in the case of a 100% fatal disease.
Humans can be complete asswipes.
Vinca
(50,302 posts)If someone who might have been on Medicaid becomes ill, they're apt to stay home thinking it's the flu.
Cali_Democrat
(30,439 posts)Perry rejected Medicaid expansion...because....Obama.
Millions of them screwed.
They have the highest uninsured rate in the country.
elehhhhna
(32,076 posts)Dreamer Tatum
(10,926 posts)Plug an ebola victim in a red state, let thousands get infected, and hope that one of the infected will
get on a plane, fly to DC, jump the White House fence, and INFECT THE PRESIDENT.
TBF
(32,086 posts)Marrah_G
(28,581 posts)The sky is not falling.
seabeyond
(110,159 posts)tammywammy
(26,582 posts)I just texted a friend that lives in Dallas proper that he's probably gonna die.
seabeyond
(110,159 posts)Texasgal
(17,047 posts)Time for happy hour!
tammywammy
(26,582 posts)I'm safe. Haha.
snooper2
(30,151 posts)LostOne4Ever
(9,290 posts)Ill worry about it right after I get done panicking about Hep-C.
Union Scribe
(7,099 posts)I don't usually see Hepatitis patients transported in specially made pods surrounded by workers wearing respirators and anti-contamination coveralls. They're probably all overreacting, I guess.
LostOne4Ever
(9,290 posts)They simply don't want to risk getting anyone else sick.
So unless you have an occupation or activities that puts you at risk of things like Hep-C, then you are more likely to shorten your life span worrying about this than you are of actually contracting it.
Union Scribe
(7,099 posts)And you made the comparison to Hepatitis, not me. So again, if they're equally contagious then that means the workers don't know what they're doing with all that unnecessary protective gear on, a notion which I find difficult to take seriously.
LostOne4Ever
(9,290 posts)So it was actually you who changed the subject. They were used because of its mortality rate and to relieve the irrational panic of the public....not because of it there was a risk it spreading.
The comparison to Hep-C with regards to how contagious it is, however, is still completely accurate. Or do you have some actual evidence to suggest otherwise? As opposed to implied fears from the medical professionals being extra cautious?
http://en.wikipedia.org/wiki/Hepatitis_C#Transmission
http://en.wikipedia.org/wiki/Ebola_virus_disease#Transmission
Both transmitted via bodily fluids. Neither is airborne.
LostOne4Ever
(9,290 posts)And alluding to these measures is not evidence of it being more contagious.
magical thyme
(14,881 posts)and you won't give me Hep C.
It requires dirty needle, dirty tattoo, accidental needlestick, contaminated transfusion, etc. to transmit. Rarely it is transmitted sexually or mother to newborn. And most direct exposures do not lead to infection. It takes a fairly high viral load to transmit. Even with a needlestick from known patient, the rates vary from 1.5% to 20+% depending on the viral load, type of needle and how deep the stick went.
With Ebola, all body fluids are potentially infectious, and transmission can be from exposure to mucus membrane, cuts, abrasions, scratches, any opening in the skin. It may persist for a few hours on fomites and in large droplets.
It is also very virulent; whereas Hep C takes a long time to kill you, Ebola does not.
LostOne4Ever
(9,290 posts)They are both transmitted by bodily fluids as opposed to being airborne. Ebola has more vectors (vomit, sweat diarrhea, etc.) while Hep C is as you say mainly (probably entirely) blood (with some nebulous associations with sex and transmission from mother to child).
I even gave links in another of my post to transmission so that all of this could be seen here:
http://www.democraticunderground.com/?com=view_post&forum=1002&pid=5608655
The point is that its not something to panic about in a country with health and sanitation standards like ours.
magical thyme
(14,881 posts)it does not require droplet or contact level precautions.
And chronic Hep C is a slow acting disease with a mortality rate of 20-50%, whereas Ebola is fast acting with a current mortality of 70% treated, with expectation of of dropping to 50% with advanced treatment in this country.
Simply not comparable.
People don't need to panic about Ebola because they are extremely unlikely to be in direct contact with any Ebola patients.
LostOne4Ever
(9,290 posts)Its about the same when it comes to how infectious it is.
The fact that Ebola is fast acting actually makes it LESS contagious than if it were a slow acting virus. It will burn itself out faster and the person will be contagious for a shorter period of time. This makes up for the fact that it has more vectors and gives the two diseases about the same danger of spreading.
Its mortality rate, and how it is handled has nothing to do with my comments.
But if you don't believe me here is NPR and the CDC on the subject:
http://www.npr.org/blogs/health/2014/10/02/352983774/no-seriously-how-contagious-is-ebola
Note that Both Ebola and Hep C have Ro values of 2.
magical thyme
(14,881 posts)villages and what has kept is R# at 1.5-2. What has caused this epidemic is that it is in densely populated areas with plenty of opportunity to spread.
You don't see doctors and nurses approaching Hep patients in biohazard gear. Just normal PPEs, and you don't have to worry about Hep patients vomiting on you or wear 3 layers of gloves when doing urinalysis or processing fecal matter. With Hep C, only needlesticks are of concern unless you are their sexual partner. There's a reason for that.
"So to stop the chain of transmission, all health workers in Texas have to do is get the people possibly infected by the sick man into isolation before these people show signs of Ebola."
Written clearly by a non-health worker.
LostOne4Ever
(9,290 posts)And as I replied to another poster the precautions have more to do with it's mortality rate and public panic than it has do with its infectiousness. In our country its Ro value would probably be lower due to our sanitation regulations. So again, that proves not a single thing I said wrong.
As the doctor from the center on infectious disease said on Colbert last night , to get infected you have to pretty much take your hand and dip it in a patients bodily fluids (mainly blood) and then smear it on your own face to get infected. But I guess you don't think that health worker knew what he was talking about either?
Oh, and the chart is from the CDC and the author is a Phd on Biophysics. OBVIOUSLY she has no clue what she is talking about. Damn these experts!
magical thyme
(14,881 posts)to whatever sick person brings into the 2 EDs I work in.
Damn those lousy frontline people who actually are taking the risks.
I'm familiar with statistics. I'm also familiar with how statistics work in the real world.
LostOne4Ever
(9,290 posts)What I said:
[div class="excerpt" style="background-color:#dcdcdc; padding-bottom:5px; border:1px solid #bfbfbf; border-bottom:none; border-radius:0.4615em 0.4615em 0em 0em; box-shadow:3px 3px 3px #999999;"]LostOne4Ever[div class="excerpt" style="background-color:#f0f0f0; border:1px solid #bfbfbf; border-top:none; border-radius:0em 0em 0.4615em 0.4615em; box-shadow:3px 3px 3px #999999;"]Ebola is about as contagious as Hep-C
Ill worry about it right after I get done panicking about Hep-C.
What the CDC says:
Now, getting over the fact that you tried to prove how smart you think you are by trying to make someone else look like an idiot when they actually knew full well what they were talking about, how does anything you posted disprove a single thing that I said?
Oh wait, it doesn't. Everything I said is 100% correct and now you are dancing around that fact trying to save face. Going so far as trying to question the knowledge of an author who you didn't even do a simple google search to see their credentials.
You are a med lab tech, wow, good for you. That means you and I have about the exact same amount of college education on the subject. The author, on the other hand, has far more than either of us. She is the type of person you work for, you know, a real scientist.
Ill write an email to her telling her you know more than she does if you want. I'm certain the fact that you think she is wrong will make her quite contrite.
magical thyme
(14,881 posts)world. I don't need you to post your little chart. I've seen it in my own reading. I'd already read the R-values last week on Ebola.
Write your email. I don't give a fuck what your expert claims based on statistics because, for the 3rd time, I understand how they work in the real world.
Don't bother replying. You're going onto ignore.
LostOne4Ever
(9,290 posts)You don't care what an expert says? Cause you are smarter than every other person on the planet right? If facts disagree with YOU they must be wrong?
Seriously get over yourself.
And im heart broken that you are putting me on ignore. Seriously I think I just might
What am I gonna do without someone trying to tell me I am an idiot on something I am 100% correct on?
Skidmore
(37,364 posts)because it is hitting young kids hard. Two of my grandchildren have asthma and one has been hospitalized several times.
dflprincess
(28,082 posts)and now the CDC is trying to figure out if it's also what is causing muscle weakness and paralysis in some kids in Colorado.
larkrake
(1,674 posts)951-Riverside
(7,234 posts)Texasgal
(17,047 posts)From what I am seeing. http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm
seabeyond
(110,159 posts)Texasgal
(17,047 posts)people dying from the Flu and people dying from Flu related problems.
let's say you have the flu, you get fluid built up in your heart because of it and you have a massive heart attack. It's hard to trace that kind of thing. Especially if hospitals and Doctors offices are not saying "the flu" .
seabeyond
(110,159 posts)kestrel91316
(51,666 posts)doubling every 20 days.
I think those stats are a tad different from flu.
Texasgal
(17,047 posts)Seriously?
kestrel91316
(51,666 posts)Though with our better healthcare it could be as low as 50%.
kestrel91316
(51,666 posts)background who go spouting off about deadly viruses.
DeadLetterOffice
(1,352 posts)Bad information & hysteria serve no one's interests except the 24 hr news networks'
magical thyme
(14,881 posts)Ebola kills (formerly) healthy people.
longship
(40,416 posts)Yup! It's mostly been within medical labs with high isolation procedures.
The reason why cases of Ebola traveling by airplane here are not a worry of any kind here is that we still have a population which trusts our medical infrastructure, which is the best on the planet. (Outliers like Jenny McCarthy, RFK Jr., Andrew Wakefield, Oprah Winfrey, Mehmet Oz, Depak Chopra, and other such utter kooks, notwithstanding -- and don't get me started about the homeopaths.)
Logical
(22,457 posts)7wo7rees
(5,128 posts)Never in my wildest dreams could I ever imagined the responses on this thread. Ever. I wish you all well.
FSogol
(45,524 posts)tridim
(45,358 posts)TeeYiYi
(8,028 posts)...that the United States is not immune to ebola.
TYY
Fred Sanders
(23,946 posts)blogslut
(38,010 posts)A world-class hospital in one of the largest cities in the United States!
magical thyme
(14,881 posts)Seriously, I've been waiting for our first case and waiting for our first fuckup. Didn't expect them to be the same one, though.
I figured at least the first couple would be jumped on before we got complacent.
blogslut
(38,010 posts)I still haven't been able to find that out. Do we know that it was Presbyterian that sent him home initially? It's possible that man could have initially gone to another hospital like Parkland.
magical thyme
(14,881 posts)here's a quote from one:
"Hospital officials have acknowledged that the patient's travel history wasn't "fully communicated" to doctors, but also said in a statement Wednesday that based on his symptoms, there was no reason to admit him when he first came to the emergency room last Thursday night.
"At that time, the patient presented with low-grade fever and abdominal pain. His condition did not warrant admission. He also was not exhibiting symptoms specific to Ebola," Texas Health Presbyterian Hospital Dallas said."
http://www.cnn.com/2014/10/01/health/ebola-us/index.html
Apparently he was living just a mile or so down the road from it.
blogslut
(38,010 posts)I'm betting they and most other hospitals won't do it again.
magical thyme
(14,881 posts)either a nurse failed to transmit info or a doctor failed to read it. You get in a hurry and are tired and miss things.
The single most important thing drilled into us in school, for example, is verification of identity. Reporting results after labeling a spec for the wrong patient. I caught myself almost doing it just last week. A senior tech I work with got confused when she'd been running and reporting a series man's test results and then had a spec arrive of his wife's pee. She missed the first name and ran and reported it for the husband. Caught it later on and had to write herself up.
What will happen is the team in question will double-down and check and re-check things. But sooner or later, a slip up will happen again. Not necessarily them, but somebody, somewhere, because we are human, are overstressed, overworked, understaffed, tired, whatever.
A HERETIC I AM
(24,376 posts)Of something.
Sooner or later.
But unless you are in the habit of rubbing against sweaty people you don't know, this ain't it.
LeftyMom
(49,212 posts)7wo7rees
(5,128 posts)There are more threads related to this.
All i said was oh for F's sake. Not Dallas, not today. You sorry SOB's. That is all. No "gibberish".
Period.
LeftyMom
(49,212 posts)7wo7rees
(5,128 posts)Oh never mind.
Sissyk
(12,665 posts)is that it seems you are overreacting in your OP, a bit.
It's gonna be okay. Chill a bit.
Zorra
(27,670 posts)were mocking those of us who expressed concern about the spread of Ebola in Africa when the epidemic was in its early stages there as well.
TBF
(32,086 posts)no worries they can't catch anything in Dallas.
Heh.
I was just gonna post something similar.
ForgoTheConsequence
(4,869 posts)No? Then calm down, you'll be fine. Turn off cable news and go outside.
p.s. "son of a bitch" is a sexist insult.
valerief
(53,235 posts)I'm sure someone will be shooting Ebola soon.