That is not dead which can eternal lie, and with strange aeons bring us some web forums whereupon we can gather
http://octopusoverlords.com/forum/
Electronic medical records often force providers to ask all the right questions but in some ER settings, depending on what's going on, things can get missed. If they're on paper charts, that likelihood goes up even higher.Isgrimnur wrote: Even from watching Scrubs, I know that getting a full and complete history is important. They treated and streeted him, and it wasn't until he came back two days later that he was sick enough that they finally caught it.
They don't. But considering the CDC issued advisories last month to make sure that doctors, hospitals, etc... are all asking people with those early, non-specific symptoms if they've traveled in the last 21 days, or been around people that had been traveling, it's a HUGE oversight on their part.Ralph-Wiggum wrote:How do the early symptoms of Ebola differ from some more common diseases?
A Rhode Island child hospitalized with Enterovirus D68 has died of a bacterial infection in what state public health officials described on Wednesday as an unusual and dangerous combination.
The child, a 10-year-old girl who was not named, died last week as a result of a staphylococcus aureus sepsis alongside the respiratory virus, the Rhode Island Department of Health said in a statement, calling it a "very rare combination that can cause very severe illness in children and adults."
She had been hospitalized for less than 24 hours when she died, and doctors do not know how or when she acquired the bacterial infection, said Christina Batastini, a spokeswoman for the state health department.
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Officials were careful to remind the public that very few people who contract the Enterovirus D68 will develop symptoms beyond a runny nose and low fever.
"Many of us will have EV-D68. Most of us will have very mild symptoms and all but very few will recover quickly and completely," said Michael Fine, director of the state Department of Health, in a statement.
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The EV-D68 virus has been confirmed in 472 people, mostly children, in 41 states plus the District of Columbia, according to the U.S. Centers for Disease Control and Prevention.
EV D68 is one of more than 100 non-polio enteroviruses, a group of viruses that are common at this time of year and cause 10 million to 15 million infections in the United States annually.
The children had contact with the patient and are being monitored at home, Texas Gov. Rick Perry said today in a press conference.
So much for HIPAA.The first Ebola patient diagnosed in the United States told health care workers on his initial hospital visit that he had recently been in an area affected by the deadly disease, but that information was not widely shared, a hospital official said Wednesday.
Thomas Eric Duncan went to a Dallas emergency room Friday and explained that he was visiting the U.S. from Liberia. He was sent home with antibiotics, according to his sister, Mai Wureh.
If only Texas had a department of education, healthcare workers in the state might know where Liberia is.Isgrimnur wrote:Perry: US Ebola Patient Exposed School Age Children
The children had contact with the patient and are being monitored at home, Texas Gov. Rick Perry said today in a press conference.
Mr. Duncan, the first person to develop symptoms outside Africa during the current epidemic, had direct contact with a woman stricken by Ebola on Sept. 15, just four days before he left Liberia for the United States, the woman’s parents and Mr. Duncan’s neighbors said.
In a pattern often seen here in Monrovia, the Liberian capital, the family of the woman, Marthalene Williams, 19, took her by taxi to a hospital with Mr. Duncan’s help on Sept. 15 after failing to get an ambulance, said her parents, Emmanuel and Amie Williams. She was convulsing and seven months pregnant, they said.
Turned away from a hospital for lack of space in its Ebola treatment ward, the family said it took Ms. Williams back home in the evening, and that she died hours later, around 3 a.m.
Mr. Duncan, who was a family friend and also a tenant in a house owned by the Williams family, rode in the taxi in the front passenger seat while Ms. Williams, her father and her brother, Sonny Boy, shared the back seat, her parents said. Mr. Duncan then helped carry Ms. Williams, who was no longer able to walk, back to the family home that evening, neighbors said.
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Sonny Boy, 21, also started getting sick about a week ago, his family said, around the same time that Mr. Duncan first started showing symptoms.
In a sign of how furiously the disease can spread, an ambulance had come to their house on Wednesday to pick up Sonny Boy. Another ambulance picked up a woman and her daughter from the same area, and a team of body collectors came to retrieve the body of yet another woman — all four appeared to have been infected in a chain reaction started by Marthalene Williams.
A few minutes after the ambulance left, the parents got a call telling them that Sonny Boy had died on the way to the hospital.
And patient zero couldn't possibly think that he maybe, possibly had Ebola?Isgrimnur wrote:Contact history
Mr. Duncan, the first person to develop symptoms outside Africa during the current epidemic, had direct contact with a woman stricken by Ebola on Sept. 15, just four days before he left Liberia for the United States, the woman’s parents and Mr. Duncan’s neighbors said.
In a pattern often seen here in Monrovia, the Liberian capital, the family of the woman, Marthalene Williams, 19, took her by taxi to a hospital with Mr. Duncan’s help on Sept. 15 after failing to get an ambulance, said her parents, Emmanuel and Amie Williams. She was convulsing and seven months pregnant, they said.
Turned away from a hospital for lack of space in its Ebola treatment ward, the family said it took Ms. Williams back home in the evening, and that she died hours later, around 3 a.m.
Mr. Duncan, who was a family friend and also a tenant in a house owned by the Williams family, rode in the taxi in the front passenger seat while Ms. Williams, her father and her brother, Sonny Boy, shared the back seat, her parents said. Mr. Duncan then helped carry Ms. Williams, who was no longer able to walk, back to the family home that evening, neighbors said.
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Sonny Boy, 21, also started getting sick about a week ago, his family said, around the same time that Mr. Duncan first started showing symptoms.
In a sign of how furiously the disease can spread, an ambulance had come to their house on Wednesday to pick up Sonny Boy. Another ambulance picked up a woman and her daughter from the same area, and a team of body collectors came to retrieve the body of yet another woman — all four appeared to have been infected in a chain reaction started by Marthalene Williams.
A few minutes after the ambulance left, the parents got a call telling them that Sonny Boy had died on the way to the hospital.
It is...but it's something new and the fact that it's relatively rare and suddenly spreading rapidly across the U.S. is something to raise an eyebrow over. The fact that it's causing severe complications in children with existing respiratory ailments (like asthma) is also upping the fear factor. There's also been the question as to whether or not it's causing paralysis in some children, like its cousin Polio. That has potential to change everything as our generation hasn't dealt with outbreaks causing permanent damage for decades - and part of the reason why some parents today are so anti-vaccination. The collective memory of chronic impacts for diseases like mumps, polio and the measles is getting smaller and smaller.PLW wrote:Why do people get all upset about Enterovirus? The seasonal flu seems worse.
Two days after he was sent home from a Dallas hospital, the man who is the first person to be diagnosed with Ebola in the United States was seen vomiting on the ground outside an apartment complex as he was bundled into an ambulance.
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Texas health officials said that up to 18 people, including five children, had contact with the Ebola patient after he traveled to the United States from Liberia in late September. The children had gone to school early this week but have since been sent home and are being monitored for symptoms.
The Dallas County Health and Human Services agency said that the list of individuals being interviewed and monitored for possible Ebola symptoms has grown from more than a dozen to around 80. The expansion comes as officials try to assess how far exposure to the disease may have rippled since a Liberian man, Thomas Eric Duncan, was diagnosed with the disease on Tuesday.
The list of about 80 includes people who had direct contact with Mr. Duncan, as well as individuals who subsequently had contact with those people, said Erikka Neroes, a spokeswoman for Dallas County Health and Human Services.
Don't confuse the labels. There's about 18 people he had direct contact with and another 62 they identified as people he was in casual contact with. Perhaps people he was on a bus or elevator with them. Those 62 some-odd people need to risk-assessed and then set aside. Oh, and the article said they're expanding the circle to contacts of contacts, so the number balloons even more.coopasonic wrote:Just how many people did that guy share fluids with?
Duh.Fretmute wrote:I just read my first Facebook post suggesting that I should not believe the government's lies about Ebola, and that essential oils and colloidal silver are my best defense.
Just watch yourself with the colloidal sliver. I'd probably avoid making your own.Fretmute wrote:I just read my first Facebook post suggesting that I should not believe the government's lies about Ebola, and that essential oils and colloidal silver are my best defense.
Funny you should mention that. I finished reading a book a few weeks ago that covered (in part) the public health response to the Anthrax attacks waaaaaaaay back in 2001. As suggested, there was a ridiculous influx of money that was injected into public health infrastructure from the feds but it was horribly mismanaged and overall the preparedness levels did not universally improve nationwide. I was the recipient of training and education directly related to those funds provided, so reading about the cluster-f associated with how the money was spent nationally was quite an eye-opener.Blackhawk wrote:Well, it will make for a good test of the system if nothing else - and a public scare like this can help make the case for budget increases.
Smoove_B wrote:Ugh, seeing reports that the patient's status is deteriorating. If he dies...
.Smoove_B wrote:Just watch yourself with the colloidal sliver. I'd probably avoid making your own.Fretmute wrote:I just read my first Facebook post suggesting that I should not believe the government's lies about Ebola, and that essential oils and colloidal silver are my best defense.
Isn't the survival rate around 50% in Africa right now? Most people who work with me think it is much lower - and that's without our health care system. No one thought he was going to make it. There are also some people going into full survival mode (which tends to amuse me).Smoove_B wrote:Ugh, seeing reports that the patient's status is deteriorating. If he dies, people are going to become unhinged.
I work in terms of case fatality rates and historically, it's been around 80-90%. However, if you look at the number of people with Ebola in 2014, it's now more than everyone that we ever knew with Ebola from 1976-2013, so calculating the case fatality rate is getting muddy.stessier wrote:Isn't the survival rate around 50% in Africa right now? Most people who work with me think it is much lower - and that's without our health care system. No one thought he was going to make it. There are also some people going into full survival mode (which tends to amuse me).
So essentially, we can't really calculate the true CFR yet until the outbreak ends - we can only take a snapshot of how things look at any given time.Because different outbreaks of the same disease can demonstrate different CFRs, there’s usually a range of possible CFRs for a given disease. In the past, outbreaks caused by Zaire ebolavirus have demonstrated a mean end-of-outbreak CFR of 80% [1]... But based off of the WHO's most recent report, it seems that only about 53% of reported Ebola cases thus far have ended in death since the 2014 outbreak began.
However, if we want to be particular, that 53% isn't really a CFR; it's actually the proportion of fatal cases - or PFC. This is a critical distinction. Because the outbreak in West Africa is still ongoing, we can't calculate end-of-outbreak CFR yet. We don’t know how many people will die from Ebola in the weeks ahead or how many total cases will ultimately accumulate by the end of the outbreak. So, for the time being, we have to make do with the PFC, which is essentially the number of deaths thus far divided by the number of cases to date.
My news feed seems to be working itself into a lather. Haven't read any of the stories; I trust only Smoove.stessier wrote:Isn't the survival rate around 50% in Africa right now? Most people who work with me think it is much lower - and that's without our health care system. No one thought he was going to make it. There are also some people going into full survival mode (which tends to amuse me).Smoove_B wrote:Ugh, seeing reports that the patient's status is deteriorating. If he dies, people are going to become unhinged.
It gets better!Smoove_B wrote:Ugh, seeing reports that the patient's status is deteriorating. If he dies, people are going to become unhinged.
DallasNews.com wrote:One of five Dallas ISD students who had contact with Ebola patient went to school Wednesday.