patrick.net

nobody claimed it was.
assumption is the mother of all fuckups.

Rew says

The picture posted at the top of this thread is absolutely NOT Ebola:

http://virologydownunder.blogspot.com/2014/08/fake-ebola-virus-disease-images.html

So I thank obamacare for protecting an additional 12 million people from ebola, and you call it a fanciful idiotic claim?
what? is ebola not covered under obamacare after all the massive premium increases??

Vicente says

It was under the thumb of Obamacare in a state that has made every effort to resist implementing it?

In Texas, I would call that UNBELIEVABLE. Meaning here, not surprise/shock, but that it's a fanciful claim that only an idiot would believe.

How long has this recent episode been raging in africa?
and you can't fathom it hitting our shores with modern transportation in place?
so you "don't prepare for it"????
this is the typical laissez-faire attitude that will initiate an ELE...

Rew says

Ebola is an exotic. You don't prepare for it ... it comes ... and you deal based on what you have

WaterGoat says

Why didn't the hospital respond efficiently.

The hospital is just random nurses and doctors with no experience in ebola and it's not their jobs to think about it before it happens.

On the other hand it is the job of the CDC. It is their jobs to have plans ready in case it happens. They had months to prepare and apparently there is absolutely no preparation.

This kind of problem tends to grow exponentially which is why it is critical to react strongly from the start. I don't see any reaction.

SoftShell says

nobody claimed it was.

assumption is the mother of all fuckups.

Rew says

The picture posted at the top of this thread is absolutely NOT Ebola:

http://virologydownunder.blogspot.com/2014/08/fake-ebola-virus-disease-images.html

So you don't have the decency to admit you google searched Ebola images, added the picture here for shock value, and instead are going to claim what ... "I'm just posting it to try and sucker and bait you."

Once again, your credibility tanks hard SoftShell.

SoftShell says

How long has this recent episode been raging in africa?

and you can't fathom it hitting our shores with modern transportation in place?

so you "don't prepare for it"????

this is the typical laissez-faire attitude that will initiate an ELE...

Rew says

Ebola is an exotic. You don't prepare for it ... it comes ... and you deal based on what you have

The point being made is you don't spend years bolstering your medical capabilities against a disease which has killed an insignificant number of people, in remote areas Africa, before 2014. To have made that a national priority would be laughable.

You study the disease for what it is, but there are far bigger medical threats, even virological ones, in contrast to Ebola ... even now.

Incubation period for Ebola can be longer than 42 days. This from the WHO website press release.

"Recent studies conducted in West Africa have demonstrated that 95% of confirmed cases have an incubation period in the range of 1 to 21 days; 98% have an incubation period that falls within the 1 to 42 day interval. WHO is therefore confident that detection of no new cases, with active surveillance in place, throughout this 42-day period means that an Ebola outbreak is indeed over."

So, 2% could incubate longer than 42 days? And 5% longer than the 21 days we've been told was Ebola fact? No wonder this virus tends to flare up later after they isolate an outbreak.

http://www.who.int/mediacentre/news/ebola/14-october-2014/en/

Heraclitusstudent says

The hospital is just random nurses and doctors with no experience in ebola and it's not their jobs to think about it before it happens.

Ok, so someone enters the emergency room and the attending PA asks the patient, 'What do you think you've got?'

Patient: 'I was in west Africa and ppl around me were dying of this thing called Ebola'

PA:'Oh, well that's probably like Malaria or something. Here's some laramin. Please come back in a few days if you don't feel better'

Rin says

PA:'Oh, well that's probably like Malaria or something. Here's some laramin. Please come back in a few days if you don't feel better'

Thank goodness for tort reform.

I would hate to think of that poor, well-intentioned hospital having to pay out more than $250K per death. Particularly tragic would be the loss of any hospital administrators' jobs; I can think of nothing worse than totally incompetent assholes being held responsible for putting profits ahead of human lives.

Rin says

Patient: 'I was in west Africa and ppl around me were dying of this thing called Ebola'

PA:'Oh, well that's probably like Malaria or something. Here's some laramin. Please come back in a few days if you don't feel better'

Hindsight is 20/20. They were in their routine of sending sick people back home and they did something stupid. This I can understand.

What's inexcusable is to manage to contaminate 2 nurses - out of pure negligence - when you know you are treating a guy with ebola. And then worse, let these nurses travel etc... Where were the hazmat suits and bleach baths at the exit? It should have been taken care of by a CDC specially trained team, not local nurses.

WaterGoat says

I can think of nothing worse than totally incompetent assholes being held responsible for putting profits ahead of human lives.

Heraclitusstudent says

What's inexcusable is to manage to contaminate 2 nurses - out of pure negligence

Welcome to Corporate America.

Call it Crazy says

Rew says

What more proof do you need that you are sitting in one of the best countries in the world to deal with, and treat, and incurable exotic disease?

I'm sure EVERY nurse in that Dallas hospital will agree with you.

There is a difference in being ready and confidant versus being capable and able. They will get there. Our capacity to deal with this is far above West Africa's it's not even much of a comparison.

Call it Crazy says

Rew says

They will get there.

After how many that need to die?

I agree. When I was working in a pilot plant facility, I'd stopped the manager from letting ppl in, who didn't wear eye protection during the sodium hydroxide flush of the systems.

I had him put it in the mandatory protocol for even entering the place. Apparently, someone forgot to mention how caustic the agent was. And I was an entry level engineer and even the supervisor knew that such an oversight was a potential disaster/lawsuit on the horizon.

Oh please. It doesn't "jump the ocean" it hitches a ride, like all viruses. The odds were low, unless we directly took someone knowingly that was sick. Not impossible, just low.

"How many need to die?" What an emotionally loaded crap question. What's your solution or axe to grind CiC?

In number of doctors/nurses per person, infrastructure, space to isolate, and straight up infectious diseases experts ... yeah ... the US far and away exceeds West Africa.

Heraclitusstudent says

On the other hand it is the job of the CDC. It is their jobs to have plans ready in case it happens. They had months to prepare and apparently there is absolutely no preparation.

To do what? Send them some training material?

Great idea. Here's some papers in the mail, between mopping up vomit and whatever else you do, try to fit in this IMPORTANT PAPER that you have lightning-strike odds of needing.

Many many hospitals, run by many different groups. Disseminating information deeply in less than a few years is impossible.

CDC having fast-deployment field teams of their own, is something Congress should really look into funding. After they get done with their latest shutdown or sequester or whatever. So they can rob the funds from some other unlikely-seeming contingency that you can complain about later too.

Call it Crazy says

Rew says

"How many need to die?" What an emotionally loaded crap question. What's your solution or axe to grind CiC?

You make a lot of definitive statements at a time when the CDC can't find their ass with both hands...

Since you're so sure of everything, I think you should go replace Frieden as director.

Right now, the solution is a military based quarantine protocol. In other words, no civilian clinics/hospitals, esp in large cities, should be involved. The last thing we need is hospital workers infecting their friends and families, as well as other visitors to the ERs and triage centers.

When I'd heard about a potential infect-ee, heading down to Longwood Ave, to Harvard affiliated Deaconess Hospital in Boston, adjacent to the downtown in a densely populated area, I was astonished. How completely careless and thoughtless was that decision? At least earlier, she was in a south shore clinic (less population density) and going downtown was the last thing anyone would want.

Sure, the CDC can provide assistance, as in Interpol, which disseminates information but doesn't actually have a law enforcement arm. The military should pick up on this one, until ALL civilian hospitals have protocols and treatment programs in place.

Rin, stop making sense.

Here's another angle, which Vincente's post triggered in my head.

All this Homeland Security Spending, and we don't have a medical team for outbreaks?

After all the hype about weaponized anthrax or whatever?

But cops in Buffalo Breath, Wyoming have MRAPs and Darth Vader Outfits in case trouble breaks out at the annual Queen of the Cows Festival, attendance 120 people?

Where is all the money going?

As usual, the union is only interested in collecting it's cut, and not actually protecting it's members.

zzyzzx says

As usual, the union is only interested in collecting it's cut, and not actually protecting it's members.

Wow, did you even read? You came away with the exact wrong idea. The union isn't paid to represent these nurses because they are not members! They're doing it anyway to protect the nurses interests! Reading comprehension ....

Tell the Union to Kiss my Ass where's your President?

Oh that's right giving another confused "Uh-uh-uh" speech.

i knew there was something fishy about a community organizer getting elected on the first pass...

CaptainShuddup says

Look we all know George was NOT his Father.

WaterGoat says

Thank goodness for tort reform.

Spoken like someone who has been sued, as Vincent would say a glibertarian without the libertarian part.

Seconds?

Call it Crazy says

SoftShell says

i knew there was something fishy about a community organizer getting elected on the first pass...

What happened on the Second pass?

thunderlips11 says

Where is all the money going?

Don't you remember the pentagon lost it?

Seconds!