MedStudent_18
Member
A deadly virus is introduced to the US by a patient from northeast Texas...where have I seen that before?
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Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died
- Thread starter MedStudent_18
- Start date
A deadly virus is introduced to the US by a patient from northeast Texas...where have I seen that before?
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
In all of this, you have to wonder if other countries have missed imported cases. If it can make it to Dallas, it can make it anywhere.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
In all of this, you have to wonder if other countries have missed imported cases. If it can make it to Dallas, it can make it anywhere.
MHSC
Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly, why don't they answer that? I can visit family too, but I'm a citizen.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly, why don't they answer that? I can visit family too, but I'm a citizen.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Because it will start up a whole lot of hate about "other" people.
What does it matter if he's a citizen or not. That's a completely irrelevant question unless we want to isolate this country from the world.
I'm very glad we transferred those HCW here and got much needed experience treating this earlier in the outbreak.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Because it will start up a whole lot of hate about "other" people.
What does it matter if he's a citizen or not. That's a completely irrelevant question unless we want to isolate this country from the world.
I'm very glad we transferred those HCW here and got much needed experience treating this earlier in the outbreak.
MHSC
Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
That may be the case, but transparency is what is needed here. If they are hiding this info, what else are they not telling us.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
That may be the case, but transparency is what is needed here. If they are hiding this info, what else are they not telling us.
JimO
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Wow, this is precisely what folks here on FT have feared for months. First, the authorities insisted that someone with ebola would be too sick to travel (wrong), that if they did get on an airplane they'd be too ill to get around when they arrived (wrong again), and they insist they aren't contagious until symptomatic (I hope they aren't wrong on this count).
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Wow, this is precisely what folks here on FT have feared for months. First, the authorities insisted that someone with ebola would be too sick to travel (wrong), that if they did get on an airplane they'd be too ill to get around when they arrived (wrong again), and they insist they aren't contagious until symptomatic (I hope they aren't wrong on this count).
Nika
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Oy gevalt ... It is 100% non-germane as to whether this person is a US citizen ... Unless one is an isolationist prone to hysteria. I state the obvious when i point out that pathogens such as viruses are not racist - they are equal opportunity infectors. This sort of question MUST be consistently replied to in the fashion that the CDC has done - not relevant. That consistency may serve as a teachable moment for some.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Oy gevalt ... It is 100% non-germane as to whether this person is a US citizen ... Unless one is an isolationist prone to hysteria. I state the obvious when i point out that pathogens such as viruses are not racist - they are equal opportunity infectors. This sort of question MUST be consistently replied to in the fashion that the CDC has done - not relevant. That consistency may serve as a teachable moment for some.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Given my recent experiences in the ER, including one with a 103.1 fever back in July, I KNEW they were going to send the first Ebola patient home, undiagnosed. It's a standing joke at my house. ER's no longer focus on diagnosis, they get the patient stable enough to crawl out of there. Two years ago, the BILLING CLERK was the first one in to see me, and she also did my vital signs!! I would like to think that this won't happen again, but it will.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Given my recent experiences in the ER, including one with a 103.1 fever back in July, I KNEW they were going to send the first Ebola patient home, undiagnosed. It's a standing joke at my house. ER's no longer focus on diagnosis, they get the patient stable enough to crawl out of there. Two years ago, the BILLING CLERK was the first one in to see me, and she also did my vital signs!! I would like to think that this won't happen again, but it will.
MHSC
Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
An example of how the symptoms are so similar to the flu that they can be mistaken or HCW complacency thinking it won't/can't come here? Could be either or both.
Bottom line is he slipped through the cracks of one of the supposedly most prepared countries in the world and had four days to infect others. I'm not the least bit surprised, like I said we are not prepared.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
An example of how the symptoms are so similar to the flu that they can be mistaken or HCW complacency thinking it won't/can't come here? Could be either or both.
Bottom line is he slipped through the cracks of one of the supposedly most prepared countries in the world and had four days to infect others. I'm not the least bit surprised, like I said we are not prepared.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
It will likely trigger a cascade of discussion/debate about who provides health care.
The reason I ask - if it doesn't matter why wouldn't he answer. The answer provided was already determined before the question was even asked.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
It will likely trigger a cascade of discussion/debate about who provides health care.
The reason I ask - if it doesn't matter why wouldn't he answer. The answer provided was already determined before the question was even asked.
JimO
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly my concern, not just in countries that do not currently have ebola outbreaks, but in West Africa as well. I wonder how many people are contracting ebola while waiting with other ebola patients for their test results.
I pray that none of the HCWs that were in contact with this patient were infected, but this doesn't sound a whole lot different than the Sawyer case in Lagos, in terms of symptomatic contact with HCWs prior to diagnosis.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly my concern, not just in countries that do not currently have ebola outbreaks, but in West Africa as well. I wonder how many people are contracting ebola while waiting with other ebola patients for their test results.
I pray that none of the HCWs that were in contact with this patient were infected, but this doesn't sound a whole lot different than the Sawyer case in Lagos, in terms of symptomatic contact with HCWs prior to diagnosis.
MHSC
Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly and US citizenship does not mean a certain nationality, i.e. racism or discussions concerning certain groups of people. But it does tell us where they have been living. If they are a Liberian, chances are they were living in Liberia. If they are a US citizen they may have only been visiting Liberia, to name one reason. It is relevant or they wouldn't be hiding it. There is no hysteria here, we are looking for clues that may be important pieces of the whole picture.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Exactly and US citizenship does not mean a certain nationality, i.e. racism or discussions concerning certain groups of people. But it does tell us where they have been living. If they are a Liberian, chances are they were living in Liberia. If they are a US citizen they may have only been visiting Liberia, to name one reason. It is relevant or they wouldn't be hiding it. There is no hysteria here, we are looking for clues that may be important pieces of the whole picture.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
The ironic thing, was I, the patient, wore a mask, when I went into the ER and they seemed utterly unconcerned that I would give them what I had. I told them if they were in my body, they would be a lot more concerned about getting what I had. I still don't know what I had, but I was on doxycycline for an EM Rash, probably Lyme at the time. I suspect some co-infection but they didn't want to test me. :/
That said, they did not ask me if I traveled any place, nor if I had exposure to farm animals, which I do. At my age 103.1 fever is awfully high. I only had nausea, vomiting and chills, and severe muscle aches. My fever came down and I was loaded with pain meds and sent on my way.
Two years ago, it took TWO visits to get diagnosed with pneumonia and it ended up requiring two different antibiotics. Sigh. I am an RN, so I am not ripping on medical people...I am saying the 'targeted exam' model doesn't work.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
The ironic thing, was I, the patient, wore a mask, when I went into the ER and they seemed utterly unconcerned that I would give them what I had. I told them if they were in my body, they would be a lot more concerned about getting what I had. I still don't know what I had, but I was on doxycycline for an EM Rash, probably Lyme at the time. I suspect some co-infection but they didn't want to test me. :/
That said, they did not ask me if I traveled any place, nor if I had exposure to farm animals, which I do. At my age 103.1 fever is awfully high. I only had nausea, vomiting and chills, and severe muscle aches. My fever came down and I was loaded with pain meds and sent on my way.
Two years ago, it took TWO visits to get diagnosed with pneumonia and it ended up requiring two different antibiotics. Sigh. I am an RN, so I am not ripping on medical people...I am saying the 'targeted exam' model doesn't work.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
The way it was worded, I got the impression he was a Liberian.
If it's true that only symptomatic people can spread it, then this guy almost had to know he had been exposed. What better place to come for treatment than the US?
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
The way it was worded, I got the impression he was a Liberian.
If it's true that only symptomatic people can spread it, then this guy almost had to know he had been exposed. What better place to come for treatment than the US?
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
From early stories it sounded as though Sawyer was grotesquely inadequate in conducting himself with respects to those who were trying to treat him.
With this individual, do we know if he was transported by ambulance or did he walk thru the front door. Because the CDC saying "handful of contacts" would quickly be exhausted as soon as the individual walked thru the hospital door and sat down in the waiting area. Extend this to:
- the individual who initially took information
- the nurse who took him to the room
- the first doctor on staff to examine
- the first doctor who likely discussed with other doctors
- those who were originally in disbelief and continued to consult
- family contacts (or those he was visiting)
- the first doctor he saw and then was sent home
- the transportation to and from the first visit
....
A handful is easily exhausted, even if I'm 1/2 wrong.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
From early stories it sounded as though Sawyer was grotesquely inadequate in conducting himself with respects to those who were trying to treat him.
With this individual, do we know if he was transported by ambulance or did he walk thru the front door. Because the CDC saying "handful of contacts" would quickly be exhausted as soon as the individual walked thru the hospital door and sat down in the waiting area. Extend this to:
- the individual who initially took information
- the nurse who took him to the room
- the first doctor on staff to examine
- the first doctor who likely discussed with other doctors
- those who were originally in disbelief and continued to consult
- family contacts (or those he was visiting)
- the first doctor he saw and then was sent home
- the transportation to and from the first visit
....
A handful is easily exhausted, even if I'm 1/2 wrong.
MHSC
Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
True, I was wondering if he could have been on an extended vacation and may have stopped off in Liberia and continued on to the US. He could be from any country in the world. Though I can't imagine Liberia being a tourist destination at the moment. He must be somewhat wealthy to travel to the US.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
True, I was wondering if he could have been on an extended vacation and may have stopped off in Liberia and continued on to the US. He could be from any country in the world. Though I can't imagine Liberia being a tourist destination at the moment. He must be somewhat wealthy to travel to the US.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Very good point! I say he knows and since not a US citizen, he is not telling either. So the US is going for pay for this? I just am so sad that our country has gone down the wrong path. I understand freedom for all, but this is way too much. Plus we have the Enterovirus too, that is very scary as well. Sad times and as many have said on this site. We are not ready for anything of this magnitude.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Very good point! I say he knows and since not a US citizen, he is not telling either. So the US is going for pay for this? I just am so sad that our country has gone down the wrong path. I understand freedom for all, but this is way too much. Plus we have the Enterovirus too, that is very scary as well. Sad times and as many have said on this site. We are not ready for anything of this magnitude.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Sawyer did just about as badly as possible. He urinated on doctors, and attempted to break out of the hospital. This man is unlikely to do either thing, both because of the superior health care setting, and because he is now likely unconscious (that's why they can't ask him about his exposure history in Liberia). Nigeria ultimately had 4 generations of cases.
I think Dallas will do better than Lagos, but I think there may be some secondary transmission.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Sawyer did just about as badly as possible. He urinated on doctors, and attempted to break out of the hospital. This man is unlikely to do either thing, both because of the superior health care setting, and because he is now likely unconscious (that's why they can't ask him about his exposure history in Liberia). Nigeria ultimately had 4 generations of cases.
I think Dallas will do better than Lagos, but I think there may be some secondary transmission.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Other contacts could be those in the waiting room and those that may have used rest rooms, or followed him in touching door handles. Not one time, but TWICE.
I am sure they will track down most if not all the cases, but, letting this guy go the first time is inexcusable.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Other contacts could be those in the waiting room and those that may have used rest rooms, or followed him in touching door handles. Not one time, but TWICE.
I am sure they will track down most if not all the cases, but, letting this guy go the first time is inexcusable.
Laidback Al
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Racism, fearmongering, etc. is not needed or even relevant. As far as I know the Ebola virus doesn't distinguish its victims by the color of his or her skin or the nationality of the sickened individual.
Speculation about the motives of this individual is uncalled for until we have more information.
Re: US - Texas: Patient tests positive for Ebola in Dallas - travel history to Liberia
Racism, fearmongering, etc. is not needed or even relevant. As far as I know the Ebola virus doesn't distinguish its victims by the color of his or her skin or the nationality of the sickened individual.
Speculation about the motives of this individual is uncalled for until we have more information.