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Pohl posted:No one is panicking, except that one guy. Why does everyone think we are panicking? We are talking about how loving stupid our government and healthcare systems are. I'm referring specifically to the one guy. Possibly also sources external to this thread, but mostly him.
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Oct 3, 2014 04:24
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Salt Fish posted:Source? I'm particularly interested in the numbers you used for "all other infections diseases combined" in Africa. This being D+D and not GBS you did make a calculation right? By late January the highest CDC estimates have 10% of the entire population of Liberia and Sierra Leone having caught the disease. Normally these countries have a death rate of ~9/1000... or .9% of the population die every year. Unless Ebola is immediately under control more people are going to die in January of 2015 than the entire previous year.
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Oct 3, 2014 04:26
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Rabble posted:American healthcare and crisis response.jpg Correct, American healthcare and crisis response.jpg is a picture following scientifically vetted procedure for cleaning up a biohazard of this type. A good post. Pohl posted:Everyone made fun of me for talking about Capitalism and cost. Look at this poo poo. What about it? It's a cheapy wrap and paint job. fits my needs posted:I don't think proper containment procedures are being followed in Dallas. That's literally as much containment as you need for people in this condition. Sheng-ji Yang posted:No, but you'd think they'd directly handle the first cases to prevent a larger outbreak where they can't directly control things. Yeah you'd expect that... if you know nothing of how they operate, and how they prefer to keep their best trained agents safe as long as possible in case something needs to be done in a real hurry - say a few hundred people needing stuff done. For this, every major city area has to have tons of people trained to the same standards and there's little need to waste a jet flight from ATL. CheesyDog posted:Unpaid sick leave doesn't feed your kids. And after all, it's probably just a cold, nothing to really worry about! ConGlomCo Franchise #584 can easily find someone else desperate for a minimum wage job at a lower risk to their bottom line than letting people stay at work visibly sick during a disease emergency. Alas Boobylon posted:I know all the cool kids are saying Ebola's not very infectious, but please PLEASE keep in mind that the bulk of our knowledge of how this virus operates comes from small populations that were quickly stamped out. We now certainly have novel strains that are specializing in aerosol resilience. We know we have these strains because countless iterations of virus have been selectively pressured to reproduce in this manner for months now: those that do it well, live, those that don't, die and Ebola overall is definitely NOT dying! Early in the outbreak every conversation was bracketed by the tut-tuting of "the fear is worse than the disease." Well, we've left that point behind. Yes in a perfect utopian world the combined efforts of ten thousand medics would easily eradicate the virus in weeks, but if such a world existed the virus wouldn't ever be propagated in the first place. We have been stupid, the virus has exploited this by flooding West Africa with quadrillions of novel iterations. They aren't airborne but anyone who isn't wearing a full hazmat suit is vulnerable to symptomatic people in close quarters, even for a moment. Oh, and if the virus evolves to shed BEFORE the host is symptomatic? Don't think that can't happen with essentially unlimited genetic dice rolls. Goon's idea: this post Reality: a man falls through the earth and into parisian catacombs. taking a torch from the wall he spies row upon row of skeletons. grasping the nearest by the shoulders, he shakes it madly, yelling "my nigga have u tried zmapp???" Pohl posted:Why does a resident have access to the people inside? Once again, failure. Correct, you have a failure to understand quarantine requirements needed for ebola. Don't know why you felt you had to admit it, but whatever. Pohl posted:A quarantine is useless if people can just walk up and knock on the door. No it ain't. Brannock posted:Ebola will be inconsequential. Just because some people here have trouble hearing truth does not mean you people are actually right. Trabisnikof posted:To be fair, its horrible image control regardless. Not exactly inspiring confidence in the public even if it ends up not being as dangerous as it appears. And what's going to happen from "losing confidence"? People refusing to get treatment out of spite? Pohl posted:No one is panicking, except that one guy. Why does everyone think we are panicking? We are talking about how loving stupid our government and healthcare systems are. Yes you're talking about falsehoods in this case. Good for you, that means you're panicking.
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Oct 3, 2014 04:27
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It won't mean anything. It will be a trifle. You pathetic peasant -- why are you panicking? Trust.
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Does becoming aware of my lack of preparations for riding out some kind of epidemic count as panicking? Because I don't think I'm panicking, but the whole situation has engendered a feeling of "Hmm, I wouldn't mind stocking up a bit on some basic necessities over the next few months."
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Oct 3, 2014 04:31
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Ebolavirus 2014: my nigga have you tried zmapp??? e: Bel Shazar posted:Does becoming aware of my lack of preparations for riding out some kind of epidemic count as panicking? Because I don't think I'm panicking, but the whole situation has engendered a feeling of "Hmm, I wouldn't mind stocking up a bit on some basic necessities over the next few months." Same. I'm <1mi from Target, but we live in a fairly highly-trafficked section of town - in an epidemic (assuming at least partial risk to health from normal outside activity), we'd have easy access to food, but we're sandwiched between train tracks and a six-lane highway and 1/2mi from the town hospital, so I think rebasing to somewhere less vulnerable to trafficked pathogens or violence as important as stocking up. Gotta get somewhere more fortified. I'm just going through thought exercises but survivalists actively plan for/base large portions of life around this poo poo - jesus, that must be a strain zgrowler2 fucked around with this message at 04:40 on Oct 3, 2014 |
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Oct 3, 2014 04:32
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Nintendo Kid posted:a big post What the hell? Tell me what I've been false about, I'd appreciate it. I mean that sincerely, because I will consider it and stew on it and whatnot. I'm keeping an open mind about this entire thing, so if you can tell me what I did wrong, I'd appreciate it. Pohl fucked around with this message at 04:38 on Oct 3, 2014 |
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Oct 3, 2014 04:34
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Bel Shazar posted:Does becoming aware of my lack of preparations for riding out some kind of epidemic count as panicking? Because I don't think I'm panicking, but the whole situation has engendered a feeling of "Hmm, I wouldn't mind stocking up a bit on some basic necessities over the next few months." Having a first-aid kit, some basic medical supplies and more than a couple days' worth of grub and water on hand is always a good idea, if you can afford it.
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Oct 3, 2014 04:35
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Bel Shazar posted:Does becoming aware of my lack of preparations for riding out some kind of epidemic count as panicking? Because I don't think I'm panicking, but the whole situation has engendered a feeling of "Hmm, I wouldn't mind stocking up a bit on some basic necessities over the next few months." Just remember that the same preparations help for all other disasters. And no matter where you are theres some manner of disaster that's common to your area that ya need to be ready for anyway. Pohl posted:What the hell? Tell me what I've been false about, I'd appreciate it. I mean that sincerely, because I will consider it and stew and it and whatnot. I'm keeping an open mind about this entire thing, so if you can tell me what I did wrong, I'd appreciate it. Practically everything you've posted with regard to the healthcare system and actual and future responses thereof. Including your clownish sub-GBS level understanding of what's needed for quarantine of asymptomatic individuals.
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Oct 3, 2014 04:38
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Bel Shazar posted:Does becoming aware of my lack of preparations for riding out some kind of epidemic count as panicking? Because I don't think I'm panicking, but the whole situation has engendered a feeling of "Hmm, I wouldn't mind stocking up a bit on some basic necessities over the next few months." There's nothing panicky about being prepared for an emergency. You won't likely need it it for Ebolamania 2014, but there's always natural disasters and so on. Basic first aid, couple days worth of food/water, basic toiletries, flashlight + extra batteries, portable weather radio, etc. all in a bag that you don't go dipping into and you keep somewhere you can grab it in a hurry. Feel free to go Frank Bates level crazy, but it's not really necessary. e: that said, if you do have a firearm (and you should, if you're responsible enough), never hurts to have a box of ammo in there too ReidRansom fucked around with this message at 04:43 on Oct 3, 2014 |
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Oct 3, 2014 04:39
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Alternatively, you're already probably dead by the time you need to grab your bug-out bag.
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Oct 3, 2014 04:42
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Berke Negri posted:Alternatively, you're already probably dead by the time you need to grab your bug-out bag. The scenario I'm worried about is the scare grows and at the same time a few additional cases pop up around Dallas and all of a sudden it's Martial Law from El Paso to Beaumont and I'm stuck at home for a month
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Oct 3, 2014 04:44
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Arsenic Lupin posted:I think it is reasonable to hope that most of the hospitals in the U.S. will look at the PR disaster -- to say nothing of the health disaster -- Presbyterian is in, and have an immediate review of Ebola procedures for all hands. I imagine a lot of this came about because no nurse/doctor really thought they'd be the first person to actually run into an ebola case in the U.S. Now that it has happened, I'd sure hope doctors and nurses will take the possibility a lot more seriously.
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Oct 3, 2014 04:44
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Bel Shazar posted:The scenario I'm worried about is the scare grows and at the same time a few additional cases pop up around Dallas and all of a sudden it's Martial Law from El Paso to Beaumont and I'm stuck at home for a month For real those buckets of mre food they sell on like Amazon are pretty ok. We'd get them for big scout camping stuff and they'll last forever and are reasonably cheap for what they are. You'd almost certainly be sick and tired of eating them after day 20 but whatever ya know.
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Oct 3, 2014 04:47
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Epitope posted:Your post freaked me out, but it is wrong. This is one of the residents, not an aid worker. Also you were leaching, so i rehosted it. Here's the series since nobody else seems to have clicked this link, or have reading comprehension this image isn't a worker giving them food.  It's one of the folks under quarantine retrieving food the North Texas Food Bank left for them at their door step.
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Oct 3, 2014 04:47
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Bel Shazar posted:The scenario I'm worried about is the scare grows and at the same time a few additional cases pop up around Dallas and all of a sudden it's Martial Law from El Paso to Beaumont and I'm stuck at home for a month Eh, even if you had absolutely nothing in your pantry, most people can go a lot longer than they think without eating anything if they're just sitting around doing nothing. Weeks. lovely weeks, but you won't die. Water, on the other hand, if for whatever reason your municipal supply gets shut off, unlikely as that is, just fill as many containers as you can when martial law is declared and you should be fine. Berke Negri posted:Alternatively, you're already probably dead by the time you need to grab your bug-out bag. Unless the bag itself kills me, no harm. v  v
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Oct 3, 2014 04:48
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Sheng-ji Yang posted:By late January the highest CDC estimates have 10% of the entire population of Liberia and Sierra Leone having caught the disease. Normally these countries have a death rate of ~9/1000... or .9% of the population die every year. Unless Ebola is immediately under control more people are going to die in January of 2015 than the entire previous year. 1% of the population of Africa is 10,000,000 people. The original claim is more people than all infectious disease in Africa combined.
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Oct 3, 2014 04:48
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Bel Shazar posted:The scenario I'm worried about is the scare grows and at the same time a few additional cases pop up around Dallas and all of a sudden it's Martial Law from El Paso to Beaumont and I'm stuck at home for a month I don't know where you live but in that wide stretch of area you'd be better just dumping $100 or so on non-perishables which would last you a very bland, terrified month at least. Better than venturing into the desert with a flashlight and some rations. If you have the money to not work for a month than I guess just buy a lot of campbell's and never open the door but this is still extreme.
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Oct 3, 2014 04:50
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Or gently caress, make some hardtack tomorrow. It is literally just flour, water, and a bit of salt. It's unpleasant, but it lasts decades.
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Oct 3, 2014 04:52
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Berke Negri posted:I don't know where you live but in that wide stretch of area you'd be better just dumping $100 or so on non-perishables which would last you a very bland, terrified month at least. Better than venturing into the desert with a flashlight and some rations. If you have the money to not work for a month than I guess just buy a lot of campbell's and never open the door but this is still extreme. Small acreage in central Texas. I'm basically shooting for "buy like you're preparing for a hurricane in Houston" since that's something I can relate to. More than anything I'm just surprised I hadn't already done it, once I got to thinking about it.
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Oct 3, 2014 04:53
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Ok, I guess now the thread is freaking out. Way to go people.
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Oct 3, 2014 04:53
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Pohl posted:Ok, I guess now the thread is freaking out. Way to go people. That kinda gets to the root of my original question... does that count as freaking out or is that just a pretty good idea regardless of the current Ebola scare.
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Oct 3, 2014 04:55
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Was only a matter of timequote:In the face of an Ebola outbreak unlike any other seen before, officials are turning to unprecedented measures: makeshift clinics that will offer little or no care. http://m.apnews.com/ap/db_268781/contentdetail.htm?contentguid=1vcMmPwg
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Oct 3, 2014 04:55
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Pohl posted:Ok, I guess now the thread is freaking out. Way to go people. It's one person really, at best, while you've been posting all day that our (admittedly lovely) system is going to infect us all because of for-profit hospitals.
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Oct 3, 2014 04:56
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Pohl posted:Ok, I guess now the thread is freaking out. Way to go people. I wouldn't call it freaking out until people start suggesting poo poo like radiation pills and powered respirators.
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Oct 3, 2014 04:56
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Salt Fish posted:1% of the population of Africa is 10,000,000 people. The original claim is more people than all infectious disease in Africa combined. I said West Africa, not Africa as a whole. Again, worst case CDC estimates have between 550,000 to 1+ million cases by late January in Liberia and Sierra Leone alone. The populations of Sierra Leone and Liberia are around 10 million combined. More people are going to die of Ebola next year in these countries, the rest of West Africa, and I wouldn't be surprised Africa as a whole in 2015 than all other causes of death, and certainly other infectious diseases.
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Oct 3, 2014 04:57
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According to the statement, doctors and nurses all followed the necessary protocols when administering to a patient with suspected communicable disease. However, the way the electronic health records at the hospital are set up, if a nurse enters travel history into the nursing workflow portion of the electronic health record, that information doesn’t automatically show up in the doctor workflow portion of the record. Our health system sucks.
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Oct 3, 2014 05:56
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Pohl posted:According to the statement, doctors and nurses all followed the necessary protocols when administering to a patient with suspected communicable disease. However, the way the electronic health records at the hospital are set up, if a nurse enters travel history into the nursing workflow portion of the electronic health record, that information doesn’t automatically show up in the doctor workflow portion of the record. Computers make everything worse, from healthcare to pickups.
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Oct 3, 2014 06:02
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Presby uses the Epic system. You don't need a news article to tell you that Epic is a complicated, hot mess.
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Oct 3, 2014 06:07
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http://www.wfaa.com/story/news/loca..._medium=twitter DALLAS -- Five members of the Dallas County Sheriff's Department who were briefly inside the apartment where a man with Ebola stayed have been temporarily put on leave. "They're very concerned," said Christopher Dyer, president of the Dallas County Sheriff's Association. "Their families are concerned. You've got to go home and tell your spouse, 'Hey, I was just inside this house where a guy had Ebola.'" The three deputies, a sergeant, and a lieutenant accompanied the head of Dallas County Health and Human Services Department and a doctor into the apartment late Wednesday night. They had gone there on the orders of Sheriff Lupe Valdez to get the people inside to sign a court order forbidding them from leaving the apartment. Dyer said deputies should never have been involved to begin with, because he considers it a federal issue and not a local matter. "My anger is really with the feds," he said. "Let's move that family. Let's move everybody out of that building. I don't care if it's overkill. Let's do overkill. I don't think sending a few deputies in there is the right course of action."
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Oct 3, 2014 06:12
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Lote posted:Presby uses the Epic system. You don't need a news article to tell you that Epic is a complicated, hot mess. I sat with my mom in the hospital last May, and the nurse had to enter her personal information twice, on two devices. She explained that the hospital was upgrading, but the computers could not talk to each other. I was totally floored. The US spends more money than any other country on health care. When you actually have the unwilling privilege of being at the point of service, however, it is a joke.
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Oct 3, 2014 06:19
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So, I've seen this discussed elsewhere by HCWs:quote:If they haven't bothered to contact the crews, they sure haven't contacted the potential 50 patients that rode on the same stretcher and potentially used the same bp cuff, the same pulse oximeter as the patient In re: this quoted article. One spoiler: http://www.breitbart.com/Breitbart-Texas/2014/10/2/Dallas-Paramedic-We-Werent-Contacted-After-Working-in-Ebola-Exposed-Ambulance quote:A Dallas paramedic claimed he drove the ambulance that the US Ebola patient was transported in and that he was not contacted by anyone about the potential exposure. He claims he drove the ambulance sometime after the patient was transported... Yeah, yeah, I know the source and the source's reputation. I'd appreciate seeing this confirmed or denied by a more reputable source. Know the hospital sent the family back to a house that I'm unsure has been adequately disinfected yet, with environmental contamination left ourside and not disnfected for what appears to be a few days, I haven't been inspired with confidence by the local response.
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Oct 3, 2014 06:27
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"Preventing an epidemic in Dallas is not a local matter. I am deeply disappointed."
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Oct 3, 2014 06:30
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It turns out one of the children who had a form of contact with the Liberian patient zero went to school...quote:
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Oct 3, 2014 06:39
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My Imaginary GF posted:So, I've seen this discussed elsewhere by HCWs: Confirmed what? Ambulances get disinfected after every run for obvious reasons. Infectious disease is not a new problem.
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Oct 3, 2014 06:45
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Sheng-ji Yang posted:I said West Africa, not Africa as a whole. Again, worst case CDC estimates have between 550,000 to 1+ million cases by late January in Liberia and Sierra Leone alone. The populations of Sierra Leone and Liberia are around 10 million combined. More people are going to die of Ebola next year in these countries, the rest of West Africa, and I wouldn't be surprised Africa as a whole in 2015 than all other causes of death, and certainly other infectious diseases. It's also having a ripple effect since the surge in Ebola cases means diseases and other health problems are now longer getting addressed.
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Oct 3, 2014 06:51
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BetterToRuleInHell posted:It turns out one of the children who had a form of contact with the Liberian patient zero went to school... I don't understand how this is possible. How did they get past the police officer that was supposed to be at the door? More than a concern about the infectiousness of these kids I'm horrified at the incompetent response to this.
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Oct 3, 2014 07:05
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I think what happened is they were asked not to leave their home but initially did anyway and now they have law enforcement sitting outside making sure they don't.
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Oct 3, 2014 07:10
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So assuming this patient zero chap lives, he's getting charged with something, right? I mean he flat out lied about having been in contact with Ebola patients.
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Oct 3, 2014 07:13
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Salt Fish posted:I don't understand how this is possible. How did they get past the police officer that was supposed to be at the door? More than a concern about the infectiousness of these kids I'm horrified at the incompetent response to this. Its really not a big deal. The kid attended school before the quarantine order (and thus the cop) and doesn't have a fever and thus isn't contagious.
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Oct 3, 2014 07:22
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Nostalgia4Infinity posted:So assuming this patient zero chap lives, he's getting charged with something, right? I mean he flat out lied about having been in contact with Ebola patients. Statistically, he is going to die. So who cares? I wrote a post before about blame, but I guess I need to make it again. This is not about patient zero, this is about our stupid health care system. Sooner or later we are going to have an epidemic in the US, and blaming a person really doesn't do us any good. We can blame him, but what the hell does that do for us? And he did tell the nurse he was in Africa, the hospital is blaming software for the miscommunication. Pohl fucked around with this message at 07:26 on Oct 3, 2014 |
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Oct 3, 2014 07:22
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