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<p>That’s a really good question jym626. </p>
<p>And how does a trained healthcare professional make a decision like this?</p>
<p>For the umpteenth time- the CDC provides public health and safety recommendations for the facilities to implement. The National Highway and Traffic Safety Administration recommends to not text and drive, but it is up to the states to enforce the regulations. The NHTSA is not responsible for implementing these guidelines and therefore is not culpable when someone dies due to texting and driving.</p>
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<p>If the CDC has no policy of containment for people who cared for ebola patients re quarantining and preventing them from flying for 21 days out of hot zone countries, then it is not surprising the CDC does not even think of doing any sort of flight restriction here. </p>
<p>With airplanes and flying, we use a term called “tombstone technology.” It refers to that fact that most advancement in safety policy is not the result of forward-thinking of known safety issues, but only after an accident takes place and people actually die. Something similar is occurring here, as effective policies are going to be put into place only after tragedy strikes.</p>
<p>Could someone please move the needle off that broken record?</p>
<p>I really think that both of the Dallas patients should be transferred immediately to Atlanta or Nebraska, and treated there, to avoid creating yet more exposures and infections.</p>
<p>On another note, I’m wondering why Keith Brantly seems to be the only person donating blood to other victims…there are limits! I’m assuming it has to do with blood type, since Nancy Writebol reportedly volunteered to donate for Duncan.</p>
<p>Isn’t type O a universal donor? I’m assuming that he has that type, and other survivors do not. </p>
<p>^^ I agree that they should be moved if possible (should be with 2nd nurse, not sure about Nurse Pham).</p>
<p>I was just running the blood type thing through my head - I’m guessing Brantley has type A (fairly common in North America) while Duncan had B. In my scenario then Writebol could be AB.</p>
<p>If Brantly had O, universal donor, then Duncan could have received plasma from him. </p>
<p>I read that Brantly’s blood type did not match Duncan’s. But the idea was pursued with Duncan as well. </p>
<p>scholarme, you could be right. If Brantly were type O, then presumably he would have been able to donate to Duncan, and he was not. </p>
<p>I’m wondering about Dr. Sarca. </p>
<p>Forgive me for being ignorant, but does the RH factor still com into play when giving serum only?</p>
<p>I am dumbfounded also that the second nurse flew. I just assumed they were self-quarantining at home checking their temperatures, etc. No wonder the Dallas County health commissioner was suggesting isolating all of the 70 plus health care workers for a quarantine period. Flying or any sort of unnecessary public contact is just irresponsible.</p>
<p>A person has to be 0 negative to be a completely universal donor.</p>
<p>Oh, that’s right. Duncan did not get plasma from Brantly because it was the wrong type. So Brantly couldn’t be type O.</p>
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<p>Because monitoring is not the same as mandatory quarantining, it seems. </p>
<p>As per official policy, people are allowed to self-monitor by taking their own temperature. That is how the first infected nurse figured out she had an issue. She saw her temp rise via a self-check.</p>
<p>Full quarantine seems to be only currently reserved for people who had known direct exposure. Since nurses had some sort of protective gear, I am assuming they are not considered to have been directly exposed and thus are only monitored.</p>
<p>EDIT: This is the same "on faith’ issue that got us the Duncan problem in the first place. There is an assumption that people will faithfully tell of their potential exposure and faithfully follow any directions, which we know is not the case re the Doctor who went out for soup.</p>
<p>If Duncan was Rh negative he couldnt get blood from an Rh positive donor. The use an Rh immune globulin for babies with Rh incompatability, but suspect its not an option in a critically ill patient.</p>
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<p>Then what should be done with those patients?</p>
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<p>GOOD QUESTION. I am absolutely stunned at the stupidity here. </p>
<p>It’s sickening that the only way we can get people to utilize common sense is to FORCE them to. We can excuse Duncan for not knowing the score (maybe), but in this instance I can come up with no reasonable explanation for this behavior. </p>
<p>You gotta wonder if she is being honest that she wasn’t symptomatic while on that plane. </p>
<p>Did anyone hear Sanjay Gupta on CNN this morning? He said the nurses were following protocol, but the protocol was wrong. He mentioned using tape to cover their necks and having no place to dispose of all the hazardous waste material. At one point they had a pile that reached to the ceiling.</p>
<p><a href=“Ebola | Mediaite”>http://www.mediaite.com/tv/cnns-sanjay-gupta-has-had-it-with-dallas-hospital-its-not-that-challenging/</a></p>
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My husband is 0 negative and gets calls all the time. He is very proud to wear his galloneer pins. I am very proud of him, as well.</p>
<p>I suspect that NYMomof2 might have hit on something. Some people will surely be exposed and not contract the illness. Heaven only knows why. Did anyone read the recent article (I think in Slate, but I could be wrong) about the initial spread of HIV? Fascinating read. Talked about how only in the exactly right set of circumstances could the disease spread. Which, of course, it did. Makes you wonder about what viruses exist/existed and didn’t spread because the perfect conditions didn’t occur.</p>
<p>^^^I heard something about the possibility that some people have a genetic mutation which gives them protection. I don’t know how strong a theory this is and if it is backed up by evidence. I just heard a snippet.</p>