tag:blogger.com,1999:blog-714028479313834812.post7106398846022652541..comments2024-03-28T11:58:42.109-07:00Comments on Raconteur Report: Do The MathAesophttp://www.blogger.com/profile/07834464741531503378noreply@blogger.comBlogger45125tag:blogger.com,1999:blog-714028479313834812.post-74863014305182387762014-10-13T03:20:58.075-07:002014-10-13T03:20:58.075-07:00When they start keeping patients outside those twe...When they start keeping patients outside those twenty-three beds, the emmeffs are endangering hospital staffs. Robin Dattahttps://www.blogger.com/profile/15358491380192365005noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-20339318767780012182014-10-12T23:41:29.299-07:002014-10-12T23:41:29.299-07:00Why dont pilots and flight attendants go on strike...Why dont pilots and flight attendants go on strike not to fly there? It is their lives also...pb2014https://www.blogger.com/profile/16905623260077266339noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-20673535119482197972014-10-10T12:48:41.953-07:002014-10-10T12:48:41.953-07:00EBola from a somewhat wider and longer-term perspe...EBola from a somewhat wider and longer-term perspective:<br /><br /><a href="http://cluborlov.blogspot.com/2014/10/ebola-and-five-stages-of-collapse.html?m=1" rel="nofollow"><br />Ebola and the Five Stages of Collapse</a>Robin Dattahttps://www.blogger.com/profile/15358491380192365005noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-63942663625354350402014-10-09T13:21:23.490-07:002014-10-09T13:21:23.490-07:00Good article, lots of excellent points. As an ind...Good article, lots of excellent points. As an industrial hygienist from industry, I know how the suit-up, work, clean-p scenario goes, even with well trained, experienced personnel.<br /><br />One question: I believe that all specimens should be handled in level 4 labs with level 4 procedures. How many hospitals, even those with isolation rooms are equipped and trained in their labs?mcridgenoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-29638172933811513202014-10-08T02:57:38.114-07:002014-10-08T02:57:38.114-07:00@Anonymous 12:34
Pull up a chair and sit for a spe...@Anonymous 12:34<br />Pull up a chair and sit for a spell, my friend.Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-37038038733929565042014-10-08T00:34:10.477-07:002014-10-08T00:34:10.477-07:00Thank you for this blog! I have been telling anyon...Thank you for this blog! I have been telling anyone that will listen (pretty much nobody) that what we are being told by the CDC is downright unconscionable. I live in Dallas, and have been watching local and internet coverage of the breakdown in care/isolation for the ebola patient, subsequent handling of his family, apartment, the sidewalk outside his apartment - all with my jaw on the floor. I saw the apartment's maintenance man power washing the ebola laden vomit wearing nothing but a t-shirt, jeans and sneakers. I saw the mist from said power washing swirl around him as well as an Indian woman standing roughly 10 ft away from him, and about 2 feet away from the runoff in nothing but her street clothing and sandals. <br /><br />I watched as the local crazy judge man walked into the ebola hot zone apartment with two assistants in nothing but street clothing to speak with the now quarantined family of the ebola patient. Two days later I saw the same local crazy judge man transport said family to a different locale in his own car. Four days after that I watched a hazmat team decontaminating his vehicle. <br /><br />I've also worked in hospitals as a mental health clinician. EDs, ICUs, step-down units, med-surg floors. I often had patients with MRSA that required a psych eval. Most times I didn't realize that the patient even had MRSA unless I happened by chance to see a gown cart parked outside the patient's room, and gowned-up on my own. None of the clinical staff felt it necessary to relay that info to me. As a side note, I once remember speaking to a psychiatrist that followed-up on one of my patients, and when I mentioned to her the patient had MRSA, she said "Great. I didn't gown-up. If I catch MRSA on my butt it's because I sat on the chair next to the patient's bed while I spoke to him." Yep, that's hospital communication for you.<br /><br />Given what I've experienced working in medical environments, the audacious and somewhat hostile attitudes that are rife in such places, as well as watching step by step the complete and total failure of the CDC and local gov't to handle a single ebola patient, I am just shaking my head wondering how long before I turn on the news and hear that we have 100 patients with ebola here in Dallas. <br /><br />Like a lot of people have previously said, it may be too late to contain ebola in the US. Given our government's abject refusal to limit air travel to necessary medical personnel, and ideally a 21 day mandatory isolation period before those people return to the US, I just don't see a lot of hope of containing it to a single patient.<br /><br />The only beacon of light I see are blogss like this one where at least everyone isn't in a constant state of denial, gazing admiringly at the emperor's new clothes…Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-85726013505812978552014-10-07T18:13:10.355-07:002014-10-07T18:13:10.355-07:00One case crushed Dallas' ability to cope.
To d...One case crushed Dallas' ability to cope.<br />To date, I'm still waiting for news of anything they did right the first time.<br /><br />Ten such patients would utterly crush medical services in that city.<br /><br />One hundred, and it would be no different there than in Monrovia, Liberia, in a matter of days.<br /><br />Not least of which because I don't expect the staff anywhere to continue to work at Ebola General Hospital. They'll simply stay home, and that will be that.Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-79442615602949513422014-10-07T17:04:16.750-07:002014-10-07T17:04:16.750-07:00Just found you, Aesop. Wonderful blog, this one, a...Just found you, Aesop. Wonderful blog, this one, and grand trip down Ebola Lane. I will return often.<br /><br />Surely most people with brains already know all this and knew it would be the case if the disease ever got here. What remains unknowable is how many people here and in Europe it will kill before it burns itself out or does whatever it does so it is no longer killing people we notice. <br /><br />Your math on what makes sense using hospital isolation rooms is unanswerable. But we won't control their use that way -- not soon anyway. Not until they are full of ebola patients. Surely hospital managers and medical staff are already having very bad dreams about this. <br /><br />What number of cases, do you think, Will that be enough to put our society and values on tilt? And then what? Not a pretty picture.Percyhttps://www.blogger.com/profile/08771215690327580086noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-27771232567935394472014-10-07T14:31:15.176-07:002014-10-07T14:31:15.176-07:00Actually, he was by all accounts a legitimate ment...Actually, he was by all accounts a legitimate mental health case, even more so because on the loose he was quite literally a danger to himself and others.<br /><br />The problem comes in that it's pretty tough to do isolation quarantine concurrently with psych holds.<br /><br />The concept of a roomful of people trying to maintain contact precautions while trying to restrain him if he flips out is the point at which a taser becomes a medical device.Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-30507580080072622232014-10-07T14:01:25.768-07:002014-10-07T14:01:25.768-07:00And please don't forget that the police issued...And please don't forget that the police issued a warrant of arrest under mental health for the homeless man that was exposed to the Ebola patient. When the homeless man had no idea what was going on......can anyone say abuse of power???Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-34712717878951795722014-10-07T08:21:15.418-07:002014-10-07T08:21:15.418-07:00As a recently retired nurse, I will agree that eve...As a recently retired nurse, I will agree that everything you've said is true, if not worse. I worked ER and isolation. I volunteered for the bio response team at our hospital after 9/11. Ebola has the potential to burn through America and make Africa look like a wet match. When the average person comes to the hospital for a broken nail or constipation, and can travel 500 miles at the drop of a hat, there will be no containing it. And people assume that doctors and nurses will stay and die for ebola patients. Some will. Lots will quit on the spot.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-34982730889303140522014-10-06T22:10:55.927-07:002014-10-06T22:10:55.927-07:00The AirForce has pressurised suits for aviators ab...The AirForce has pressurised suits for aviators above 40,000 feet. Those should work to keep eBola out. But those suits are perhaps not suitable for long-haul flights: the aviator can't eat or drink, and has to relieve oneself in the suit. <br /><br />And then again, chopping off 40% or so of the "entitled" folks (Social Security, Medicare, Welfare, etc.) will be immensely helpful to Uncle Sam. So the elites and oligarchs may actually welcome eBola!Robin Dattahttps://www.blogger.com/profile/15358491380192365005noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-7286928360052492832014-10-06T21:53:14.727-07:002014-10-06T21:53:14.727-07:00@Anonymous 6:59
Yeah, I saw the CNN report from t...@Anonymous 6:59<br /><br />Yeah, I saw the CNN report from the Liberian doc several days ago.<br /><br />A 10-day course for a notional 20,000 patients would run $1M, call it $2M for clinical field studies.<br /><br />The .gov pisses that away in 5 minutes, and the (expired) patent holder GlaxoSmithKline made $11B in profits last year, so in exchange for the US and UK extending patent protection for this new use, they should be asked to supply it absolutely gratis to W. Africa, starting five minutes ago.<br /><br />It's already tested and proven to be safe for human use, and if it works, even only partially, it could kick this outbreak right on its ass overnight. Worst case, they write the $2M off on their taxes as a research dead end. Win-win for everyone, and a potential anti-Ebola drug in hours, not years. <br />And the Liberian doc and the CEO of GSK get Nobel Prizes for Medicine and/or Peace.Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-17568691719190338782014-10-06T21:45:56.025-07:002014-10-06T21:45:56.025-07:00YW, Robin.
Thanks for the link on NBL!YW, Robin. <br />Thanks for the link on NBL!Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-47733288877969968442014-10-06T20:22:21.474-07:002014-10-06T20:22:21.474-07:00Raconteur:
Really appreciate your shovelling asid...Raconteur:<br /><br />Really appreciate your shovelling aside the mountain of male bovine faeces to expose the reality to the light. <br />- a retired ED doc. Robin Dattahttps://www.blogger.com/profile/15358491380192365005noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-54166283433354660832014-10-06T18:59:53.907-07:002014-10-06T18:59:53.907-07:00Some limited success has been reported by treating...Some limited success has been reported by treating Ebola patients with the older AIDS anti-virals, specifically Lamivudine.<br /><br />This drug is readily available and relatively cheap.<br /><br />Success in this context means a mortality rate of 15% instead of 70%.<br /><br />The sample population was rather small (about 20 people in Liberia) and could be a statistical fluke or merely wishful thinking.<br /><br />If anything is found that works, you can be sure that it will not be through randomized, double-blind clinical studies approved by the FDA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-80516597329756575292014-10-06T18:18:34.305-07:002014-10-06T18:18:34.305-07:00Who will then spread it among the 20M illegals her...Who will then spread it among the 20M illegals here now, any number of legal residents, and 80M residents of Mexico?<br /><br />Because what we <i>need</i> is a large minimally-educated, non-Emglish speaking population living in crowded conditions with poor/no healthcare, to become the next batch of handy Ebola disease carriers, at (among other places) potentially every food vendor from Texas to Minnesota?<br /><br />Are you out of your mind??Aesophttps://www.blogger.com/profile/07834464741531503378noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-82401106733007284722014-10-06T12:07:18.723-07:002014-10-06T12:07:18.723-07:0023 total, eh? And Duncan has already infected poss...23 total, eh? And Duncan has already infected possibly that many by himself - who if infected will have to be flown all over the country for treatment. Which risks a multi-location outbreak, starting with the treatment experts. What's not to love about this deal?<br /><br />And the 24th Duncan recipient? Hell, that one stays in Texas to infect everybody in town because there's no room for him. Well, maybe we should just put these folks in tents along the border, eh?, and let them infect all the drug smugglers. There could be a sliver lining in this storm cloud after all.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-21650517903692449992014-10-06T10:53:39.540-07:002014-10-06T10:53:39.540-07:00Here is a petition to sign in an attempt to stop p...Here is a petition to sign in an attempt to stop passenger flights from W. Africa. It may or may not work, but at least it is an attempt. It definitely won't work if people don't sign it.<br />https://petitions.whitehouse.gov/petition/have-faa-ban-all-incoming-and-outgoing-flights-ebola-stricken-countries-until-ebola-outbreak/FFJHH9yXChristinehttps://www.blogger.com/profile/10037577654471567704noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-66637080192557233382014-10-06T10:51:52.008-07:002014-10-06T10:51:52.008-07:00The CDC and the government are in "don't ...The CDC and the government are in "don't panic the masses mode". What they don't seem to comprehend is most of us out here have the internet. Most people out here are not fooled by the lies. I listen to them and only believe a quarter of what they say. And that has to be the common sense information. They are lying to us and they know it. Time could get really interesting here in the US in the near future. More cases will cause at least some of the sheep people here to wake up.Christinehttps://www.blogger.com/profile/10037577654471567704noreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-71829171902875413092014-10-06T10:15:04.150-07:002014-10-06T10:15:04.150-07:00I also work in a hospital- RRT. Could not agree mo...I also work in a hospital- RRT. Could not agree more. No one that I know of is the least bit prepared. Infection control as a general principle is already a joke. If hospitals were on top of ID, then where are all these MRSA and C Diff infections coming from?<br /><br />We had a couple of emails go around a few weeks ago- forwards from the CDC about ebola. But like someone else said, we often run short even of regular masks. I doubt I could get an N95 or 100 mask for love or money at work if I were to go in there today looking for one.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-20850573757928727292014-10-06T09:50:57.211-07:002014-10-06T09:50:57.211-07:00The incentives for the infected to procure Western...The incentives for the infected to procure Western medical care and perhaps increase their odds of survival by 30-50% is a problem. As the infections spread to countries like Haiti, Mexico, India, and every other country unprepared to isolate and treat patients, there will be individual proactive efforts to move sick patients towards the best care available. All of this advertising of Ebola survivors walking from the hospitals with big smiles on their faces may be counterproductive. The Western nations could become magnets for Ebola patients with transmission happening all along their travel routes. If my child contracted Ebola in Africa and I had family in suburban Atlanta, I'd be looking for a ticket on Pan(demic) American Airlines without a doubt.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-35391178942649879512014-10-06T09:42:43.404-07:002014-10-06T09:42:43.404-07:00Yikes, and I was having such a good day, even for ...Yikes, and I was having such a good day, even for a Monday. I think I hate you. thanksAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-87824850255755870632014-10-06T09:12:28.187-07:002014-10-06T09:12:28.187-07:00Army of the 12 monkeysArmy of the 12 monkeysAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-714028479313834812.post-90330272505784053522014-10-06T09:08:34.105-07:002014-10-06T09:08:34.105-07:00I'm no medical professional, but I'm well ...I'm no medical professional, but I'm well aware that present protocols are a clown show. To prevent disease spreading, STOP THE MOVEMENT of vectors. Merchant vessels of old were required to go into quarantine upon arrival in a foreign port, and remain isolated for set periods of time. I've read how typhoid was spread throughout the Northwest native populations, and also how it was stopped (in the rare instances it was). And our "protectors" in government refuse to end commecial flights from affected areas, and impose quarantines? Insane. <br /><br />Your "best case scenaria" detailed in hospitals shows some hope of effectiveness in such settings. But yuo never addressed what WILL happen when symptomatic individuals begin showing up at community health and urgent care centres. There will be no stopping it at that point, if indded we are not already past the point of no return. <br /><br />The kinyun is rattling his gums prattling on about how "we've got this"... no, clown, your (in)action proves you/we do NOT. Will it take pilots and flight crews refusing to take flights to/from affected areas to preempt your failures? Our Resident is on a whinge because his "appointment" for replacement surgeon general is being rejected (due to his rabid anti-gun stance and attendant plans to use his new position to further restrict them). He seems to have nothing to say regarding handling of this REAL crisis. One can only guess (most likely accurately) that he's as clueless in real world medical issues like "how to stop ebola". Tioniconoreply@blogger.com