Ebola in NYC

[berettafan]

Originally Posted by island911

+1

He kept a close watch on his temp and reported immediately. .

while he wandered all over enjoying himself bowling and such.


how is it HIS decision that he should be exempt from quarantine? somehow HE knows best for the rest of us?

is this the God complex shining through?

[island911]

Originally Posted by berettafan

Screw that doc. he had the time to donate to help people in Africa but couldn't spare 21 days for his own countrymen because he just HAD to go bowling.

I heard the other day that the new policy is quarantine for 21 days. (travel out of the hot zone)

I think that policy came just after he reported his temp.

[Rikao4]

Hydration & support meds..
figure one big reason for survival here..
your not laying in some hut next to 20 others barfing..
& not being feed by some helper who just finished his burial detail..

Rika

[Rikao4]

[QUOTE=island911;8321951]I heard the other day that the new policy is quarantine for 21 days. (travel out of the hot zone)
QUOTE]

it is..
goes ito effect MONDAY !

Rika

[berettafan]

Originally Posted by island911

I heard the other day that the new policy is quarantine for 21 days.

I think that policy came just after he reported his temp.

As I understand it he is a medical professional. How many years of schooling is that? How many microscopes has he looked through...how many cases of disease transmission has he learned about...

again, he decided for the rest of us....it wasn't his decision to make.

he has done more for people in Africa suffering from ebola than 99% of the US population. he has also done more than 99% of the US population to bring the disease to us.

ISIS couldn't develop a better plan than what this assclown has perpetrated.

[island911]

Originally Posted by berettafan

As I understand it he is a medical professional. How many years of schooling is that? How many microscopes has he looked through...how many cases of disease transmission has he learned about...

again, he decided for the rest of us....it wasn't his decision to make.
...

All of that schooling, medical training, continuing education (specifically on ebola) informs him that he is still far from being contagious when his temperature breaks 100.x

[bivenator]

The accounts that I have read indicated the doc behaved prudently with regards to his actions after feeling feverish. The days/hours leading up to the onset of his symptoms he could have been more isolated but was probably following the directions of DWB. Lacking a travel ban, the CDC should be more aggressive in monitoring the people coming back.

This doc and so many others who volunteer to go to areas of the world to treat the worst patients in the most difficult of circumstances need to be celebrated.

We should IMHO revisit the concept of quarantines for those returning from countries with Ebola. More strict than our current guidelines

[berettafan]

The CDC shouldn't have to tell a medical professional to quarantine himself.

I'm sorry but when someone rolls dice on a bet they can't cover I get a touch pissed. The guy is 4 hrs from me and I meet and work with people who come and go from NYC on a regular basis.

The prudent thing was to quarantine himself. He decided that 21 days of freedom was more important than anyone else.

[island911]

Originally Posted by Rikao4

Hydration & support meds..
figure one big reason for survival here..
your not laying in some hut next to 20 others barfing..
& not being feed by some helper who just finished his burial detail..

Rika

Originally Posted by Rikao4

it is..
goes ito effect MONDAY !

Rika

Thanks

I do see that as a smart policy. Appearances. And of course, the idea of relying on travelers, out of the hot zone, to closely monitor their body temperature AND to report that in a timely manner is not terribly comforting.

That is, Even for those who self-monitored and reported, like this and Dr., There is a sense that they're playing with fire. That they're getting too close to a contagious state for people's sense of safety.

[J P Stein]

Hay, what's the problem.

The Governments graduated response to the Vietnam problem worked out, didn't it?

[Nathans_Dad]

Thanks Rick. So what are they doing to get such high survival rates?

It's a conspiracy!

Seriously, do you want to know what I actually think?

[island911]

Originally Posted by Nathans_Dad

It's a conspiracy!

Seriously, do you want to know what I actually think?

Not if you're hitting the Cap-lock key in prep to spell panic in green font.

Otherwise, yes.

[island911]

Originally Posted by berettafan

The CDC shouldn't have to tell a medical professional to quarantine himself.
...

Actually, they should.

Doc's don't have a great record for taking extra precautions. Hell, this doc went into a hot-zone.

[speeder]

If the details as reported in the NY Times today are accurate, he made some irresponsible decisions and may well have infected others. The system is definitely broken if something like this can happen after the events of the last month in Texas, etc.

Still, it's important to keep things in perspective. As I read this am, more Americans have been married to Kim Kardashian than have died from Ebola. This also illustrates that there are things worse than death.

[onewhippedpuppy]

Originally Posted by speeder

Still, it's important to keep things in perspective. As I read this am, more Americans have been married to Kim Kardashian than have died from Ebola. This also illustrates that there are things worse than death.

LOL, I plan to quote this in every ebola thread.

[island911]

Are you also going to contend that we should welcome another guy to marry Kim Kardashian ?

[Nathans_Dad]

Quote de Nathans_Dad

It's a conspiracy!



Seriously, do you want to know what I actually think?

Not if you're hitting the Cap-lock key in prep to spell panic in green font.



Otherwise, yes.

No, nothing like that.

Honestly I think the main difference is that in Africa Ebola patients sit at home until they develop the diarrhea and vomiting. Here we intensively manage patients from their first fever.

Ebola kind of follows phases. Initially you have flu like symptoms, fever, muscle aches, fatigue, etc. This lasts a couple days. Then the diarrhea/vomiting starts. After a few more days of this the bleeding phase starts.

I think the real killer may be that vomiting/diarrhea phase. If not aggressively treated this leads to dehydration and kidney failure. Then once the bleeding phase hits you're already too sick to survive.

With aggressive treatment and early IV fluids you can hopefully avoid the kidney failure and be in much better shape to survive the bleeding phase.

There may also be some contribution from your initial viral inoculation. If you get a small amount of virus your course may be initially slower, giving you time to get care before the bad phases hit. This would be like what happens to nurses or doctors who were wearing protective gear but still got contaminated in some way. With a larger initial viral burden the disease may advance more rapidly in the first few days, cutting the time doctors have to get the body optimized to weather the storm. That's more like the people in Africa who get massively exposed to dying family members.

[island911]

Yikes!

So all of these survivors went thru the bleeding phase? -Not pretty

[Nathans_Dad]

My understanding is the bleeding phase is variable and depends on how sick you are overall. Plus we can manage some of the bleeding problems with blood products over here.

[island911]

Thanks.

So early detection/treatment maps to survivable bloody hell. (something like that)