CDC confirms Texas patient is first case of Ebola diagnosed in U.S.

Discussion in 'Politics' started by CaptainObvious, Sep 30, 2014.

  1. Lucrum

    Lucrum

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    #81     Oct 3, 2014
  2. Anti-Obamacare Congressman Urges Obama To Use Obamacare To Fight Ebola



    A Republican congressman, who voted to repeal the Affordable Care Act more than 30 times, called on the federal government on Monday to use a fund embedded in the law to help prevent a national outbreak of Ebola.


    “It’s section 4002 in the Patient Protection and Affordable Care Act, it’s called the Prevention and Public Health Fund, and this is a self-replenishing fund, at the first of the fiscal year every year,” Rep. Michael Burgess (R-TX) explained during an appearance on 660AM’s Mark Davis Show.

    “Two billion dollars washes into the Secretary’s offices of Health and Human Services for her to use, do whatever she wishes,” he added, before asking, “But how about we take these $2 billion and we fight this darn disease?”

    http://thinkprogress.org/health/201...ium=referral&utm_campaign=pubexchange_article
     
    #82     Oct 7, 2014
  3. Tsing Tao

    Tsing Tao

    Totally misleading, of course. But who would actually expect the article (or you) to tell it like it is. The guy wants to take money appropriated for HHS and use it to combat Ebola. He's not saying to "use Obamacare to fight Ebola".

    And you moonbats wonder why the mainstream media is going broke from lack of viewership.
     
    #83     Oct 7, 2014
  4. Lucrum

    Lucrum

    #84     Oct 7, 2014
  5. #85     Oct 12, 2014
  6. JamesL

    JamesL

    Actually is was Obamacare that caused the Duncan's death because the systems could not communicate with each other, a system that was implemented by a billionaire bundler for Obama that got the contract during the Obamacare rollout.

    http://www.independentsentinel.com/obamacares-costly-deadly-electronic-medical-records/
     
    #86     Oct 12, 2014
  7. dbphoenix

    dbphoenix

    AP Enterprise: Records chronicle how Ebola kills
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    By EMILY SCHMALL, LAURAN NEERGAARD and ALLEN G. BREED


    . . . On Sept. 28, an ambulance carrying Duncan pulled into the hospital's emergency bay. It was just after 10 a.m.

    Not 55 hours earlier, Duncan had come to the same emergency room complaining of a headache and abdominal pain. His temperature spiked to 103 at one point, and on a scale of one to 10, he rated his pain as an eight.

    Doctors ran CT scans of his head and abdomen and did extensive blood tests before deciding it must be sinusitis. They sent him home with a course of antibiotics and told him to follow up with a doctor the next day.

    A nurse's note said Duncan told her he recently had arrived from Africa. Somehow, that information did not make it to the attending physician.

    Now, Duncan was back, only this time his symptoms included vomiting and diarrhea. His temperature was 103.1 degrees.

    This time, the nurse's notes made it clear that Duncan had "just moved here from Liberia." This time, the doctor got the message.

    "I followed strict CDC protocol," wrote Dr. Otto Javier Marquez-Kerguelen, referring to the U.S. Centers for Disease Control and Prevention guidelines for treating potentially infectious patients. Wearing a mask, gloves and full gown, Marquez-Kerguelen began his examination and took a history.

    "Pt states he has not been to any rural areas or funerals recently," he noted. "Pt denies any sick contacts. Pt denies chills. The pt does not do (sic) any other associated signs of sx (symptoms) at this time."

    Among the possible diagnoses: malaria, gastroenteritis, influenza and Ebola.

    Duncan was put into isolation. The nurses notified county officials; the doctor called the CDC,

    By evening, Duncan was suffering from explosive diarrhea, abdominal pain, nausea and projectile vomiting. Efforts to bring down his fever failed.

    Three more doctors were put on the case. Duncan received intravenous fluids to counter the dehydration, but there was still no firm diagnosis.

    Because Duncan had recently traveled from Liberia, Dr. Gebre Kidan Tseggay noted, "Ebola virus disease should be high on the list" of differential diagnoses.

    Shortly before noon on Monday, Sept. 29, Duncan asked the nurse to put him in a diaper, "because he feels too tired to keep getting up to the bedside commode." His fever spiked again to 103, and Duncan was wracked with chills.

    "Pt said he just doesn't feel good and doesn't want to stay in the hospital and expressed concern that the doctor had not been here to tell him what was going on," a nurse wrote.

    Blood tests showing damage to the liver and kidneys, and fluctuating blood sugar levels kept doctors scrambling. Tests ruled out influenza, hepatitis, parasites and C-diff, the germ notorious for spreading diarrhea in hospitals and nursing homes.

    "Feels miserable. Says he is suffering," Dr. Oghenetega Abraham Badidi wrote in the chart. "The patient seems to be deteriorating."

    Finally, at 2 p.m. on Sept. 30, doctors received the confirmation that all had been dreading: "Patient has tested positive for Ebola ..." The staff attending to Duncan traded their gowns and scrubs for hazmat suits and attendants would scrub the room with bleach.

    By Oct. 1, sepsis had set in. Doctors ordered aggressive IV care in hopes of preventing kidney and liver failure.

    Duncan tried to remain upbeat.

    "Pt requested to watch an action movie," the doctor noted. "States he is feeling better."

    Duncan told his nurse he wanted to try solid food, then refused his lunch tray.

    The next morning, Duncan told his attendants that his abdominal pain had lessened. He said he was "trying to keep up good spirits and 'stay strong.'"

    But there was now blood in his urine. Worried about his lung function, doctors added advanced antibiotics to Duncan's medication.

    That afternoon, he ate his crackers and drank less than 2 ounces of Sprite.

    In the morning note on Friday, Oct. 3, a nurse-practitioner wondered, "concern for liver failure?"

    Nurses were urged to tempt Duncan with applesauce, bananas and other bland foods; at one point they offer ice cream. A nutritionist wanted to start total parenteral nutrition, a kind of IV feeding used in the severely ill, and the doctors sought advice from the CDC.

    That afternoon, a doctor's note declared Duncan's kidney function "much worse."

    Stymied, physicians contacted Chimerix, a small pharmaceutical research firm based in Durham, North Carolina. They wanted to try the firm's experimental antiviral drug, brincidofovir.

    The Food and Drug Administration gave its blessing.

    "They were not holding anything back," said Dr. Amesh Adalja, an infection disease and critical care specialist at the University of Pittsburgh Medical Center who reviewed the records for the AP. "They were trying to support every organ system."

    Just after midnight Oct. 4, nurses noted that "patient is restless. Coughing." Duncan's oxygen levels were dropping, and he went into multiple organ failure.

    "Patient's condition is life-threatening and without immediate intervention would deteriorate," a doctor wrote. They placed a tube in Duncan's airway to help him breathe.

    The body can compensate for a while, Adalja said. "But then "you go over this cliff."

    "He's not slowly coming to a wreck, veering off the road. It's crashing," Adalja said.

    Later that morning, a shipment of brincidofovir arrived and Duncan got the first dose.

    The following day, Sunday, Oct. 5, the Texas doctors consulted with their colleagues at Emory University in Atlanta about additional options. Emory had cared for three Ebola-stricken aid workers airlifted there from West Africa; two had recovered and the other was stable.

    One of those survivors, Dr. Kent Brantly, had donated blood for other patients, in hopes that his antibodies might help them fend off the virus. But Brantly's blood was not a match for Duncan's. There would be no transfusion for the Liberian.

    ___

    Monday morning, as doctors increased Duncan's dialysis, Weeks was picking his way across Louisiana in a hail storm. Riding with him were his son, Josephus Jr., Duncan's sister, Mai Wureh, and Duncan's mother, Nowai Korkoyah.

    So close in age, uncle and nephew were raised more like brothers.

    After more than a week of listening to his uncle's failing voice over the phone from his home north of Charlotte, North Carolina, Weeks decided it was time to go to him.

    That evening, hospital staff escorted the family members to a room in the basement of Texas Presbyterian. It was the only way they would be allowed to see Duncan was via closed-circuit television.

    "My son is dead!" Korkoyah cried out when she saw him. To Weeks, the immobile, expressionless face was "like a mask."

    Haunted by the image of her son with a tube protruding from his mouth, Korkoyah could not sleep that night. When they returned to the hospital with the Rev. Jesse Jackson around noon on Tuesday, the mother declined the doctors' offer to turn on the screen.

    Throughout the day, doctors watched helplessly as Duncan's condition continued to deteriorate. His blood pressure was dropping, his fever and carbon-dioxide levels rising.

    Wednesday morning, as nurses took Duncan's vital signs, they found his heart rate had dropped into the 40s.

    The nurses administered several rounds of atropine and epinephrine in an attempt to bring Duncan back. But he was beyond help.

    "No palpable pulse," they noted, "time of death called." It was 7:51 a.m.

    Dr. Badidi had just hung up from giving the family an update when he learned of Duncan's death. He called them back "and passed on the sad news."

    "Please accept our condolences regarding your loss," James A. Berg, the hospital's interim president, wrote in a letter to Duncan's sister later that day. "The staff at Texas Health Dallas share in your and your family's sorrow."

    As infectious in death as he was in life, Duncan's body was cremated.
     
    #87     Oct 12, 2014
  8. Supposedly 2nd case followed all protocol while treating patient zero. Really? One of four things.
    A. Protocol was not followed.
    B. Protocol is not sufficient.
    C. Disease is spread in a way that's different than we're being told.
    D. Scariest of all, mutation. The disease spreads in a way that they aren't yet aware of.

    Next potential hot spot. Two words. Chicago marathon. Taking place right now. Thousands of people from around the world. Lot's of sweating, puking, spitting, shared water stations, plenty of close contact. Perfect spot to spread it if one was so inclined.
     
    #88     Oct 12, 2014
  9. Lucrum

    Lucrum

    But...but...Odumbo, douche bag phoenix and Rectum said there is noting to worry about
     
    #89     Oct 12, 2014
  10. Even Baghdad Bob would be concerned.:eek:
     
    #90     Oct 12, 2014