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ER Doctor: What Scares Me Even More Than Ebola
linkedin.com ^ | October 25, 2014 | Louis M. Profeta MD

Posted on 10/25/2014 6:55:04 PM PDT by Gadsden1st

I’ve been walking the earth for a half a century, so I’m sure I’ve picked up a bit along the way. I know the Gettysburg Address by heart. I can recite all the presidents. I can taste the difference between Diet Coke and Diet Pepsi, and I’m fairly certain I can tell you the starting lineup from the 1976 Cincinnati Reds. But if you ask me if I’m worried about Ebola, if our hospital is ready or if our nurses and staff are up to the challenge, chances are you will probably hear me say this:

“Hell if I know.”


TOPICS: Culture/Society; News/Current Events
KEYWORDS: ebola
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To: Balding_Eagle

Again, I apologize the manner that I posted this article has caused you so much anguish. Should you bother to actually read the article, you will see I simply excerpted the very first part of his article. It was his article and I showed him the respect of presenting the beginning of his article as he wrote it.

I did not get the impressing he was trying to be “scary” and I did not selectively excerpt the article to try to be “scary”.

While I realize there are a great number of “over the top” ebola items blazing around the internet, I thought this was an honest look at the issues facing the professionals that we are looking to for answers. Since I may be faced with the same type of decisions he is expecting to face, I guess I found some comfort in the article.

I promise not to post any articles next Friday night. I wouldn’t want to be accused of trying to be “Scary”, Trick or Treat.


21 posted on 10/25/2014 7:59:30 PM PDT by Gadsden1st
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To: Gadsden1st
"Now imagine that huge numbers of hospital staff – from doctors to housekeepers, from food services to registration, from security and parking to transportation will decide not show up. They will call in sick or simply just say: “No, I’m not coming to work today.” In just a few days, human waste, debris, soiled linens, the sick, the dying and the bodies will pile up. We will be overwhelmed and unable to offer much in the way of assistance because the labor-intensive protocols that allow us to safely care for even one patient are just too exhausting. These procedures are barely repeatable more than once or twice of day, and fraught with so many steps and potential for mistake that it becomes too physically and emotionally taxing for the staff to do … so they simply wont show up."

-->"Hospital staffers reportedly take sick day rather than treat New York’s first Ebola patient"

22 posted on 10/25/2014 8:00:51 PM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: exDemMom

“Thanks for the summary, I didn’t want to go to the link.”

That is a very interesting take. You seem to post as presenting yourself as a very knowledgeable, scientific, expert on health issues. Yet, you are happy to take other’s opinions about an article written by an Emergency Doctor than bother to spend no more than ten minutes to read it for yourself. Some read it and see the alarm about the flu, I read it and see the alarm about HCWs saying “Screw It”. Not to mention the various approaches to treating flu vs ebola that have not been mentioned in the comments here.


23 posted on 10/25/2014 8:10:38 PM PDT by Gadsden1st
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To: Gadsden1st
One of my research labmates studied the Avian Influenzas, I worked with Bovine respiratory viruses, and another labmate Coronaviruses. My labmate that studied the Avian orthomyxoviridae teaches at a major university and is used by the CDC quite often. My other labmate was used almost exclusively by the CDC during the SARS outbreak, he recently passed. Life is ironic in how relationships come full circle. The Avian mutations do have the game changer potential.
24 posted on 10/25/2014 8:15:04 PM PDT by vetvetdoug
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To: Gadsden1st

People need to remember to show us that these are excerpts.


25 posted on 10/25/2014 8:18:07 PM PDT by ansel12
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To: Gadsden1st

“More times than Lois Lerner has hit her hard drive with a hammer.”

Sounds like a Freeper.


26 posted on 10/25/2014 8:18:32 PM PDT by 9YearLurker
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To: Sooth2222

New York has declared HCWs comming back from treating patients in Africa have to go into 21 day quarantine.

Will everyone treating our good Doctor in New York have to be in quarantine NOW while they are treating him, and then remain in quarantine for 21 days after he is cured or dies?

If not, WHY not?


27 posted on 10/25/2014 8:19:07 PM PDT by Gadsden1st
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To: Gadsden1st

Great article.


28 posted on 10/25/2014 8:26:48 PM PDT by Yaelle
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To: Gadsden1st
"Will everyone treating our good Doctor in New York have to be in quarantine NOW while they are treating him, and then remain in quarantine for 21 days after he is cured or dies?"

That's a question that I've had, too.

It's beginning to look like there really are only a handful of hospitals in the US that are capable of dealing with a single Ebola patient without it having a major impact on their normal functions.

29 posted on 10/25/2014 8:28:39 PM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: Gadsden1st

I am not sure i buy any of this.

the Flu of the 1920 era.

the world was recovering from World War 1.
hundreds of thousands of sick soldiers were moved by ship.
there are food shortages during a war.
there are everything-shortages during a war.
many governments were wiped out.
other governments were bankrupt.

and on and on


30 posted on 10/25/2014 8:30:43 PM PDT by RockyTx
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To: Gadsden1st

Thank you for posting this. I read the entire article.

Very honest and interesting.


31 posted on 10/25/2014 8:31:58 PM PDT by Christie at the beach
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To: Gadsden1st; Squantos; DoughtyOne; SmokingJoe

Thanks for posting this.

I admire the doctor’s straightforwardness... rare these days.


32 posted on 10/25/2014 8:39:37 PM PDT by glock rocks (Whenever I find myself in a conumdrum, I ask myself: What would Elvis do?)
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To: Gadsden1st

One answer to the problem might seem unrelated, but it’s not. We need much more distributed, community-based production of all necessities: agricultural, manufacturing, etc.

Very centralized production in a few places of the world owned by a few rulers of the world is counter to our security. It necessitates too much travel and migration that cannot be stopped without terrible consequences. We should be able to make most of what we need in each community and home, but activities to make it possible are outlawed by our corrupt system of many state and local regulations against domestic competition.


33 posted on 10/25/2014 8:47:47 PM PDT by familyop (We Baby Boomers are croaking in an avalanche of corruption smelled around the planet.)
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To: Gadsden1st

“I read it and see the alarm about HCWs saying “Screw It”.”

I was saying that about Ebola when it first broke. (And all other sorts of workers that don’t want to catch it, or are staying home with sick family).

There was a headline that many of the HCW at Bellevue called in sick upon finding out that Dr. Ebowla was there.


34 posted on 10/25/2014 8:51:57 PM PDT by 21twelve (http://www.freerepublic.com/focus/f-news/2185147/posts 2013 is 1933 REBORN)
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To: Gadsden1st
We have the ability to treat and contain a small number of Ebola patients. When and if we have more Ebola patients than suitable rooms (negative pressure isolation Rooms) we will have no place to put these patients. You can not put them on a general ward least we infect all on the ward. At that point there is no alternative but isolation at home. They will be cared for by family members whom many of which will become infected and thus compound the problem.

As a health care professional I “probably” could do this. The vast majority of people could not. I as others would not abandon a family member. This is a recipe for logarithmic spread of the disease.

We must isolate any and all travelers from an Ebola infected nation. If we do this, we will have sufficient beds and facilities to treat the few cases we will have. If we do not, we may be on the verge of a medical catastrophe.

35 posted on 10/25/2014 8:53:38 PM PDT by cpdiii (DECKHAND, ROUGHNECK, GEOLOGIST, PILOT, PHARMACIST, LIBERTARIAN The Constitution is worth dying for.)
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To: glock rocks

I’m not a physician or a nurse, but I have participated in Emergency Preparedness committees, and these are the sorts of things that are contemplated.

When a large out-break of a communicable disease takes place, you have to screen people before they get inside the hospital. You don’t want to contaminate the general staff and the broad body of patients already inside.

An overflow tent situation is considered a likely way to respond to these types of situations.

As for treating these people in large open spaces in a big tent, it may be a great idea. Now, if you can just get the inner city people to play along...

Boy, the racial tension that will come about in nanoseconds will be something to behold.


36 posted on 10/25/2014 8:55:57 PM PDT by DoughtyOne (Dunam, Duncan, man what infections these folks brought over.)
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To: Gadsden1st

Thank you for this post, a fascinating read from the doctor’s perspective....


37 posted on 10/25/2014 8:59:32 PM PDT by Tamzee (Man is not free unless government is limited. ~~~ Ronald Reagan)
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OK, I missed the comments on the article the first time — NoScript was blocking them. Had not previously seen this part of linkedin.com.


38 posted on 10/25/2014 9:02:12 PM PDT by steve86 (Prophecies of Maelmhaedhoc OÂ’Morgair (Latin form: Malachy))
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To: Sooth2222

I found the nurses calling out sick pretty interesting from your link, but was struck even more by this...

“The Post said Spencer, who is in stable condition, has been playing an active role in his recovery, putting his medical skills to use, lecturing the staff about proper treatment. “As a doctor, he knows a lot about medicine, so he would call the nurse’s station all day and going back and forth the doctors on what to do,” the source told the Post.”

If he is such an esteemed expert, why was he riding the NYC subway with symptomatic Ebola?


39 posted on 10/25/2014 9:04:53 PM PDT by Tamzee (Man is not free unless government is limited. ~~~ Ronald Reagan)
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To: DoughtyOne

Tents in Iowa cornfields in February may not attract many sick people. I suspect we will need quickly erected field triage buildings with heaters and negative pressure rooms with HEPA filtration and disinfectant showers for those exiting in biohazard level 4 suits. Sounds like something the Army Corps of Engineers could handle. Or perhaps the large engineering firms.


40 posted on 10/25/2014 9:05:51 PM PDT by ProtectOurFreedom
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