Second Ebola patient

<p>I can still hear the train announcement announcing “125th st./Fordham” in my head, oldmom! Rode the New Haven line a lot…</p>

<p>Also remember driving down Amsterdam Ave and seeing some storefront place called “Lord of the Chicken”. Still makes me smile</p>

<p>Igloo, I suggest you go back and read the article you posted carefully. </p>

<p>emilybee,
whoever wrote that chicago article doesn’t know the name of the Atlanta airport.</p>

<p>Didnt even notice that, jym! But there is no mistaking that, according to the article, it was Illinois who had a voluntary quarantine before their Guv issued a mandatory quarantine. </p>

<p>Anyway, I’m completely knackered (hope no one with Ebola sneezed near me when i was doing my marketing :wink: ) so heading off to bed. </p>

<p>Allegedly Dr. Spencer has received a plasma donation from Nancy Writebol:</p>

<p><a href=“New York Ebola Patient Craig Spencer Receives Blood From Writebol”>http://www.nbcnews.com/storyline/ebola-virus-outbreak/new-york-ebola-patient-craig-spencer-receives-blood-writebol-n234056&lt;/a&gt;&lt;/p&gt;

<p>^^ says he got it yesterday, too, which was pretty quick. I wonder if the people who have recovered from Ebola have already made plasma donations and they’re being stored somewhere. I don’t know how long plasma can be stored properly. </p>

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<p>[Ebola-negative</a> nurse quarantined in Newark: I was treated ‘as if I was a criminal’](<a href=“http://www.nydailynews.com/life-style/health/feverish-nurse-quarantined-newark-tests-negative-ebola-article-1.1986753]Ebola-negative”>Ebola-negative nurse quarantined in Newark: I was treated ‘as if I was a criminal’ – New York Daily News)</p>

<p>Not a good move, NY and NJ.</p>

<p>The part I disliked most about that story (which I posted in this thread or maybe the other one) was that Hickox was locked up for hours at the airport, with no food, with them taking her temperature with an inaccurate forehead thermometer, and then when the inaccurate thermometer incorrectly said she had a temperature her captors said, Ah hah, we’ve got you now. </p>

<p>This is not the way to encourage selfless health care workers to help out in a humanitarian tragedy overseas.</p>

<p>I don’t get why health care workers would be “frightened” about a quarantine. If I had worked with ebola patients, I would appreciate being carefully monitored for 21 days until it was clear that I was ok. The most effective treatment is the best treatment. </p>

<p>Keep in mind that one of the reasons why people are recovering is that they are receiving plasma from recovered ebola patients. The amount of plasma available is limited by the number of times a person can donate a month, so it’s absolutely imperative that we don’t have an outbreak. </p>

<p>The ebola drugs are still experimental. Some people are having negative reactions (allergy?) to them, so even if effective, they may not be able to work with everybody. </p>

<p>I guess that depends on whether quarantine is like waiting for a police interview or hanging out in a relatively nice place with Internet access, a Kindle, and free room service.</p>

<p>This is from the New York Times (<a href=“Details of Duncan’s Treatment Reveal a Wobbly First Response to Ebola - The New York Times”>Details of Duncan’s Treatment Reveal a Wobbly First Response to Ebola - The New York Times).</p>

<p>The excerpt details what protective gear was used. It appears the nurses who contracted ebola were wearing </p>

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<p>I meant to say “the most effective treatment is an early treatment.”</p>

<p>“The nurses add triple shoe covers, triple gloves and aprons.”</p>

<p>I dunno if you ever done any hazmat training, collegealum, but that is a darn bad idea to triple everything! The gear becomes really hard to take off without messing with it. Also, I have to wonder if the triple-gloved nurses had to spend more time on doing the procedures than they normally would because their hands lost the dexterity due to the extra bulk.</p>

<p>BTW, MSF protocols call for double-gloving in the extremely messy situations, but I have not heard of any talk of tripling everything.</p>

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<p>I suspect it won’t be as much as an affront once people coming in from ebola hot spots are aware of what is going to happen. Also, the comfort level of the accommodations may depend also on the volume of people that are coming into the U.S. every day. Feasibility depends on numbers–organized quarantining is easier with a small number of people. </p>

<p>In the old days, they used to quarantine immigrants who were sick on Ellis Island. </p>

<p>One of the things which surprised me most about the Duncan treatment was how long they waited to give him the drug. I wonder how many people are able to recover with rehydration alone. Also, I wonder if they didn’t give him the treatment because they couldn’t get it earlier (red tape), or they just didn’t have any confidence in its efficacy and safety.</p>

<p>They waited a long time before giving the head Ebola physician in Liberia (Khan) any drug treatment. It was available, and there was a fierce debate over whether they should give it to him. This was from the New Yorker article–may have missed a few facts as I have not read it in awhile (not sure whether they did give it to him, etc.), </p>

<p>The nurses tripling up, if true, is incredibly stupid. It actually goes directly against every protocol I’ve ever seen. </p>

<p>It’s like using a dull knife. It may seem that you’re less likely to cut yourself, but in fact you’re more likely. Triple gloving makes you more prone to mistakes, because it makes you clumsy. </p>

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<p>You’re conflating monitoring and treating. They are not the same thing.</p>

<p>“Also, I wonder if they didn’t give him the treatment because they couldn’t get it earlier (red tape), or they just didn’t have any confidence in its efficacy and safety.”</p>

<p>Damned if you do, damned if you don’t. If you give an unproven treatment to a human being without proper consent, you are liable. If you are the company that made the drug, you will be liable, too, if you have not cleared it with the FDA. Please don’t start yelling that it was the FDA’s fault - I work in the industry and should, by definition, hate the FDA, but I think highly of the agency despite some issues. It is out there to protect the public from snake oil peddlers.</p>

<p>As I believe the head of the nursing union said, the protocols given to the nurses have been constantly changing. It sounds like people have been making it up as they go. </p>

<p>I wouldn’t be surprised if the nurses’ superiors suggested an extra layer or two to be safer, not knowing that it might be less safe.</p>

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<p>I’ve never needed hazmat training. It makes sense to me, though. I do have to maintain a sterile environment in lab, and the trickiest part is taking off the gloves properly.</p>