-
FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
-
We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.
US - Texas: Mr. Duncan - Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
- Thread starter Ray
- Start date
Treyfish
Moderator
Re: Dallas ebola patient has died
Re: Dallas ebola patient has died
Hospital officials in Tx confirming death of Dallas <s>#</s>ebola patient Thomas Duncan at 7:51 this morning.
Re: Dallas ebola patient has died
Hospital officials in Tx confirming death of Dallas <s>#</s>ebola patient Thomas Duncan at 7:51 this morning.
Treyfish
Moderator
Re: Dallas ebola patient has died
Re: Dallas ebola patient has died
Ebola patient in Dallas dies
CNBC.com staff | @CNBC
<time class="datestamp" itemprop="datePublished" datetime="2014-10-08T11:14:21-0400">7 Mins Ago</time>Breaking News
4
COMMENTSJoin the Discussion
Source: Josephus Weeks
Thomas Eric Duncan circa 2005
Thomas Eric Duncan, the first known person to develop Ebola in the United States, has died in Texas Health Presbyterian Hospital in Dallas, according to Texas Health Resources.
"It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 am. Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle. Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time," the Texas Health Resources statement said.:tiphat:http://www.cnbc.com/id/102070648
Re: Dallas ebola patient has died
Ebola patient in Dallas dies
CNBC.com staff | @CNBC
<time class="datestamp" itemprop="datePublished" datetime="2014-10-08T11:14:21-0400">7 Mins Ago</time>Breaking News
4
COMMENTSJoin the Discussion
Thomas Eric Duncan circa 2005
Thomas Eric Duncan, the first known person to develop Ebola in the United States, has died in Texas Health Presbyterian Hospital in Dallas, according to Texas Health Resources.
"It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 am. Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle. Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time," the Texas Health Resources statement said.:tiphat:http://www.cnbc.com/id/102070648
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia
<TABLE style="MARGIN: 11px 17px; FONT-SIZE: 9pt" class=collapse><TBODY style="FONT-SIZE: 9pt"><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 9pt" class=collapse>News Releases
</TD></TR><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 11px" class="collapse content"><STYLE style="FONT-SIZE: 11px" type=text/css>@import url(module.css); font.metadetailtitle { font-size: 13pt; font-style: normal; font-family: Arial; font-weight: bold; color: black } </STYLE><TABLE style="FONT-SIZE: 11px" class=metadetail><TBODY style="FONT-SIZE: 11px"><TR style="FONT-SIZE: 11px" class=metadetail><TD style="FONT-SIZE: 12px" class=metadetail>Ebola Update, Oct. 8, 10:12 a.m. CDT
10/08/2014
It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 a.m.
Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle.
Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time.
http://www.texashealth.org/body.cfm?id=1629&action=detail&ref=1875
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia
<TABLE style="MARGIN: 11px 17px; FONT-SIZE: 9pt" class=collapse><TBODY style="FONT-SIZE: 9pt"><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 9pt" class=collapse>News Releases
</TD></TR><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 11px" class="collapse content"><STYLE style="FONT-SIZE: 11px" type=text/css>@import url(module.css); font.metadetailtitle { font-size: 13pt; font-style: normal; font-family: Arial; font-weight: bold; color: black } </STYLE><TABLE style="FONT-SIZE: 11px" class=metadetail><TBODY style="FONT-SIZE: 11px"><TR style="FONT-SIZE: 11px" class=metadetail><TD style="FONT-SIZE: 12px" class=metadetail>Ebola Update, Oct. 8, 10:12 a.m. CDT
10/08/2014
It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 a.m.
Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle.
Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time.
http://www.texashealth.org/body.cfm?id=1629&action=detail&ref=1875
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Statement from Dallas County Judge Clay Jenkins
For Immediate Release
October 8 2014
?My thoughts are with the family and friends of Thomas Eric Duncan at this time, especially his fianc?e Louise, their son Karsiah and all those who loved him. We are also thinking of the dedicated hospital staff who assisted Mr. Duncan daily while he fought this terrible disease. We offer prayers of comfort and peace to everyone impacted by his passing.?
...
http://www.dallascounty.org/department/comcrt/jenkins/media/100814_CJ_Statement.pdf
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Statement from Dallas County Judge Clay Jenkins
For Immediate Release
October 8 2014
?My thoughts are with the family and friends of Thomas Eric Duncan at this time, especially his fianc?e Louise, their son Karsiah and all those who loved him. We are also thinking of the dedicated hospital staff who assisted Mr. Duncan daily while he fought this terrible disease. We offer prayers of comfort and peace to everyone impacted by his passing.?
...
http://www.dallascounty.org/department/comcrt/jenkins/media/100814_CJ_Statement.pdf
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I don't know if it would have helped if he'd been admitted sooner. The virus has got to run its course. So it would depend a little bit on how sick he was when he was admitted, but since he wasn't admitted in extremis there would have been plenty of time to do what needed to be done to prevent multi system organ failure, which is the final common pathway of many different illnesses and traumatic injuries.
The only thing we will never know, of course, is if it would have helped to give him the experimental antiviral drug sooner. Of course, it's not even known if it's effective at all.
I expect there will be much finger-pointing and accusations that he wasn't cared for well because he was at a community hospital, was African, poor, or black or whatever. I'm sure the twitterverse is already heating up. But the fact of the matter is that Ebola is usually fatal.
Multisystem organ failure is dealt with by hospitals of this size on a daily basis. The fact that it was caused by Ebola is really not that relevant to the actual care of the patient, except for the infection precautions and the antiviral medications, of course. It really comes down to treating lab values in an effort to normalize them until the patient can heal himself. So I think Texas Presbyterian was just as good a place as any to care for him.
Ebola is a killer disease, and this should make us all feel very humble that even first world medicine can't save all patients.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I don't know if it would have helped if he'd been admitted sooner. The virus has got to run its course. So it would depend a little bit on how sick he was when he was admitted, but since he wasn't admitted in extremis there would have been plenty of time to do what needed to be done to prevent multi system organ failure, which is the final common pathway of many different illnesses and traumatic injuries.
The only thing we will never know, of course, is if it would have helped to give him the experimental antiviral drug sooner. Of course, it's not even known if it's effective at all.
I expect there will be much finger-pointing and accusations that he wasn't cared for well because he was at a community hospital, was African, poor, or black or whatever. I'm sure the twitterverse is already heating up. But the fact of the matter is that Ebola is usually fatal.
Multisystem organ failure is dealt with by hospitals of this size on a daily basis. The fact that it was caused by Ebola is really not that relevant to the actual care of the patient, except for the infection precautions and the antiviral medications, of course. It really comes down to treating lab values in an effort to normalize them until the patient can heal himself. So I think Texas Presbyterian was just as good a place as any to care for him.
Ebola is a killer disease, and this should make us all feel very humble that even first world medicine can't save all patients.
sharon sanders
Editor-in-Chief & President
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Commissioner Dr. David Lakey Statement About Texas Ebola Patient
October 8, 2014
?The past week has been an enormous test of our health system, but for one family it has been far more personal. Today they lost a dear member of their family. They have our sincere condolences, and we are keeping them in our thoughts. The doctors, nurses and staff at Presbyterian provided excellent and compassionate care, but Ebola is a disease that attacks the body in many ways. We?ll continue every effort to contain the spread of the virus and protect people from this threat.?
Dr. David Lakey, Commissioner, Texas Department of State Health Services
Last updated October 08, 2014
http://www.dshs.state.tx.us/news/releases/20141008.aspx
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Commissioner Dr. David Lakey Statement About Texas Ebola Patient
October 8, 2014
?The past week has been an enormous test of our health system, but for one family it has been far more personal. Today they lost a dear member of their family. They have our sincere condolences, and we are keeping them in our thoughts. The doctors, nurses and staff at Presbyterian provided excellent and compassionate care, but Ebola is a disease that attacks the body in many ways. We?ll continue every effort to contain the spread of the virus and protect people from this threat.?
Dr. David Lakey, Commissioner, Texas Department of State Health Services
Last updated October 08, 2014
http://www.dshs.state.tx.us/news/releases/20141008.aspx
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
<IFRAME height=315 src="//www.youtube.com/embed/p-U2-qJnTng" frameBorder=0 width=420 allowfullscreen></IFRAME>
Mayor Rawlings Pays Tribute to Fallen Ebola Patient
Dallas City Hall
Published on Oct 8, 2014
Ebola Update 10-8-14 Patient Died
http://www.youtube.com/watch?v=p-U2-qJnTng&feature=youtu.be
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
<IFRAME height=315 src="//www.youtube.com/embed/p-U2-qJnTng" frameBorder=0 width=420 allowfullscreen></IFRAME>
Mayor Rawlings Pays Tribute to Fallen Ebola Patient
Dallas City Hall
Published on Oct 8, 2014
Ebola Update 10-8-14 Patient Died
http://www.youtube.com/watch?v=p-U2-qJnTng&feature=youtu.be
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
This article has a detailed description of how Mr. Duncan's remains are to be handled: Patient Remains Still Infectious.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
This article has a detailed description of how Mr. Duncan's remains are to be handled: Patient Remains Still Infectious.
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
CDC - Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries - August 25, 2014
http://www.flutrackers.com/forum/showthread.php?t=226942
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
CDC - Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries - August 25, 2014
http://www.flutrackers.com/forum/showthread.php?t=226942
sharon sanders
Editor-in-Chief & President
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
hat tip Michael Coston
Subject: Fw: DSHS News Release: State Officials Follow Federal Guidance After Ebola Death
Date: Oct 8, 2014 2:58 PM
From: Department of State Health Services
Sent: Wednesday, October 08, 2014 2:50 PM
To: Avian Flu Diary
Subject: DSHS News Release: State Officials Follow Federal Guidance After Ebola Death
Texas Department of State Health Services
NEWS RELEASE
Oct. 8, 2014
State Officials Follow Federal Guidance After Ebola Death
State health officials are following strict guidelines outlined by the U.S. Centers for Disease Control and Prevention in handling the body of a man who died earlier today after developing Ebola.
Thomas Eric Duncan died this this morning at Texas Health Presbyterian Hospital in Dallas. He was the first person diagnosed with Ebola in the United States.
"This is a difficult time for the family, and our thoughts are with them," said Dr. David Lakey, Texas health commissioner. "We will continue to treat Mr. Duncan with dignity and respect, and we're taking great care to make sure there is no additional risk that others could be infected."
The CDC has developed detailed instructions for handling a body infected with Ebola. The guidelines recommend careful preparation of the body before movement, including enclosing it in two bags and disinfecting the bags. After this process, the body can be transported without the need for protective gear for a driver or others who are near the body but don't handle the remains.
After that careful preparation, the body will be cremated. CDC guidelines say remains infected with Ebola can be cremated or "buried promptly in a hermetically sealed casket."
Dr. Lakey offered his personal condolences to the family and explained the reasons why the state recommended cremation. The family agreed.
The cremation process will kill any virus in the body so the remains can be returned to the family. No protective gear is needed to handle the remains after cremation.
CDC guidelines for health care workers, including those for handling human remains, are available at www.cdc.gov/vhf/ebola/hcp/index.html .
State and local officials are continuing to monitor 48 people who came into contact with the Dallas patient before he was isolated. None of those individuals has shown any symptoms of Ebola.
Ebola is spread through direct contact with blood, secretions or other bodily fluids or exposure to contaminated objects, such as needles. Ebola is not contagious until symptoms appear, which can occur two to 21 days after exposure.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
hat tip Michael Coston
Subject: Fw: DSHS News Release: State Officials Follow Federal Guidance After Ebola Death
Date: Oct 8, 2014 2:58 PM
From: Department of State Health Services
Sent: Wednesday, October 08, 2014 2:50 PM
To: Avian Flu Diary
Subject: DSHS News Release: State Officials Follow Federal Guidance After Ebola Death
Texas Department of State Health Services
NEWS RELEASE
Oct. 8, 2014
State Officials Follow Federal Guidance After Ebola Death
State health officials are following strict guidelines outlined by the U.S. Centers for Disease Control and Prevention in handling the body of a man who died earlier today after developing Ebola.
Thomas Eric Duncan died this this morning at Texas Health Presbyterian Hospital in Dallas. He was the first person diagnosed with Ebola in the United States.
"This is a difficult time for the family, and our thoughts are with them," said Dr. David Lakey, Texas health commissioner. "We will continue to treat Mr. Duncan with dignity and respect, and we're taking great care to make sure there is no additional risk that others could be infected."
The CDC has developed detailed instructions for handling a body infected with Ebola. The guidelines recommend careful preparation of the body before movement, including enclosing it in two bags and disinfecting the bags. After this process, the body can be transported without the need for protective gear for a driver or others who are near the body but don't handle the remains.
After that careful preparation, the body will be cremated. CDC guidelines say remains infected with Ebola can be cremated or "buried promptly in a hermetically sealed casket."
Dr. Lakey offered his personal condolences to the family and explained the reasons why the state recommended cremation. The family agreed.
The cremation process will kill any virus in the body so the remains can be returned to the family. No protective gear is needed to handle the remains after cremation.
CDC guidelines for health care workers, including those for handling human remains, are available at www.cdc.gov/vhf/ebola/hcp/index.html .
State and local officials are continuing to monitor 48 people who came into contact with the Dallas patient before he was isolated. None of those individuals has shown any symptoms of Ebola.
Ebola is spread through direct contact with blood, secretions or other bodily fluids or exposure to contaminated objects, such as needles. Ebola is not contagious until symptoms appear, which can occur two to 21 days after exposure.
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
News Releases
Ebola Update, Oct. 9, 3:01 p.m. CDT
10/09/2014
Statement Regarding Mr. Thomas Eric Duncan
DALLAS ? Yesterday morning at 7:51 a.m. CDT, Mr. Thomas Eric Duncan died after a courageous battle with Ebola. Mr. Duncan?s family has experienced a personal and profound loss, and we share their grief.
Ebola is an insidious disease that attacks the body in multiple ways. Last Saturday, Oct. 4, Mr. Duncan?s condition changed from serious to critical and remained critical, as reported in our daily patient updates. Wednesday morning, Oct. 8, his condition deteriorated. In spite of the intensive care he was receiving, his heart stopped. Early in his hospital stay, Mr. Duncan had expressed his wishes to his attending physician that the care team should not perform chest compressions, defibrillation or cardioversion to prolong his life.
Mr. Duncan?s physicians treated him with the most appropriate and available medical interventions, including the investigative antiviral drug Brincidofovir. After consulting with experts across the country, the CDC, and the FDA, the investigative drug was administered as soon as his physicians determined that his condition warranted it, and as soon as it could be obtained. Mr. Duncan was the first Ebola patient to receive this drug.
The drug ZMapp was not administered to Mr Duncan because it was not available. According to the CDC and the drug manufacturer, it has not been available since August 12, 2014.
Mr. Duncan did not receive the same type of serum transfusion as the patient in Nebraska because his blood type was not compatible with the serum donors.
A team of more than 50 people cared for him in a professional and compassionate manner. An entire 24-bed intensive care unit was secured and dedicated to Mr. Duncan?s care. The treatment area remains sealed and is being aggressively decontaminated.
In addition, we?d like to correct some misconceptions that have been reported about Mr. Duncan?s first visit. Our care team provided Mr. Duncan with the same high level of attention and care that would be given any patient, regardless of nationality or ability to pay for care. In this case that included a four-hour evaluation and numerous tests. We have a long history of treating a multicultural community in this area.
The nurses, doctors, and team who cared for him, as well as the entire Texas Health Presbyterian Hospital Dallas community, grieve the loss of Mr. Duncan.
http://texashealth.org/news-alert.cfm?id=1629&action=detail&ref=1879
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
News Releases
Ebola Update, Oct. 9, 3:01 p.m. CDT
10/09/2014
Statement Regarding Mr. Thomas Eric Duncan
DALLAS ? Yesterday morning at 7:51 a.m. CDT, Mr. Thomas Eric Duncan died after a courageous battle with Ebola. Mr. Duncan?s family has experienced a personal and profound loss, and we share their grief.
Ebola is an insidious disease that attacks the body in multiple ways. Last Saturday, Oct. 4, Mr. Duncan?s condition changed from serious to critical and remained critical, as reported in our daily patient updates. Wednesday morning, Oct. 8, his condition deteriorated. In spite of the intensive care he was receiving, his heart stopped. Early in his hospital stay, Mr. Duncan had expressed his wishes to his attending physician that the care team should not perform chest compressions, defibrillation or cardioversion to prolong his life.
Mr. Duncan?s physicians treated him with the most appropriate and available medical interventions, including the investigative antiviral drug Brincidofovir. After consulting with experts across the country, the CDC, and the FDA, the investigative drug was administered as soon as his physicians determined that his condition warranted it, and as soon as it could be obtained. Mr. Duncan was the first Ebola patient to receive this drug.
The drug ZMapp was not administered to Mr Duncan because it was not available. According to the CDC and the drug manufacturer, it has not been available since August 12, 2014.
Mr. Duncan did not receive the same type of serum transfusion as the patient in Nebraska because his blood type was not compatible with the serum donors.
A team of more than 50 people cared for him in a professional and compassionate manner. An entire 24-bed intensive care unit was secured and dedicated to Mr. Duncan?s care. The treatment area remains sealed and is being aggressively decontaminated.
In addition, we?d like to correct some misconceptions that have been reported about Mr. Duncan?s first visit. Our care team provided Mr. Duncan with the same high level of attention and care that would be given any patient, regardless of nationality or ability to pay for care. In this case that included a four-hour evaluation and numerous tests. We have a long history of treating a multicultural community in this area.
The nurses, doctors, and team who cared for him, as well as the entire Texas Health Presbyterian Hospital Dallas community, grieve the loss of Mr. Duncan.
http://texashealth.org/news-alert.cfm?id=1629&action=detail&ref=1879
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Okay, so this article is a few days old, and the source can be "tabloidy" but if it's true, it confuses me.
The CDC gave Youngor Jallah, who cared for Duncan while symptomatic, the go ahead to return to work as a nursing assistant before the 21 day window. Yet they force the psych patient into custody and his potential exposure was riding in the ambulance. I get that he was a flight risk but still, am I missing something?
http://www.dailymail.co.uk/news/article-2782694/Ebola-victim-s-stepdaughter-took-hospital-vomiting-wildly-given-clear-return-work-nursing-assitant.html
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Okay, so this article is a few days old, and the source can be "tabloidy" but if it's true, it confuses me.
The CDC gave Youngor Jallah, who cared for Duncan while symptomatic, the go ahead to return to work as a nursing assistant before the 21 day window. Yet they force the psych patient into custody and his potential exposure was riding in the ambulance. I get that he was a flight risk but still, am I missing something?
http://www.dailymail.co.uk/news/article-2782694/Ebola-victim-s-stepdaughter-took-hospital-vomiting-wildly-given-clear-return-work-nursing-assitant.html
Pathfinder
Editor, Senior Moderator
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Ebola Patient's temperature spiked to 103 degrees
By EMILY SCHMALL, HOLBROOK MOHR and NOMAAN MERCHANT
Associated Press
October 10, 2014 12:10 PM
DALLAS (AP) ? Thomas Eric Duncan?s temperature spiked to 103 degrees during the hours of his initial visit to an emergency room ? a fever that was flagged with an exclamation point in the hospital?s record-keeping system, his medical records show.
...
http://www.boston.com/health/2014/1...egree-fever/hLlfqbCRLCGbQwH2VF8h5H/story.html
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Ebola Patient's temperature spiked to 103 degrees
By EMILY SCHMALL, HOLBROOK MOHR and NOMAAN MERCHANT
Associated Press
October 10, 2014 12:10 PM
DALLAS (AP) ? Thomas Eric Duncan?s temperature spiked to 103 degrees during the hours of his initial visit to an emergency room ? a fever that was flagged with an exclamation point in the hospital?s record-keeping system, his medical records show.
...
http://www.boston.com/health/2014/1...egree-fever/hLlfqbCRLCGbQwH2VF8h5H/story.html
Chicagogal
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
http://www.nbcnews.com/health/healt...an-family-first-ebola-death-us-speaks-n223201
Live press conference going on right now - spokesperson for Louise Troh.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
http://www.nbcnews.com/health/healt...an-family-first-ebola-death-us-speaks-n223201
Live press conference going on right now - spokesperson for Louise Troh.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I'm not an ER doctor but don't know under what circumstances a patient with a charted temp. of 103 could be sent home. Even if it were a bacterial infection (as evidently they thought it was) wouldn't they want to see it come down & stay down? This is what observational beds are for.
The curious thing is that they did some pretty in-depth testing (CT scan, etc) so they did evaluate him, but I literally would like to know, what were they thinking? If there is a diagnosis that Ebola could be confused with, it would be nice to disseminate that information. I have not seen anywhere where there is an actual diagnosis.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I'm not an ER doctor but don't know under what circumstances a patient with a charted temp. of 103 could be sent home. Even if it were a bacterial infection (as evidently they thought it was) wouldn't they want to see it come down & stay down? This is what observational beds are for.
The curious thing is that they did some pretty in-depth testing (CT scan, etc) so they did evaluate him, but I literally would like to know, what were they thinking? If there is a diagnosis that Ebola could be confused with, it would be nice to disseminate that information. I have not seen anywhere where there is an actual diagnosis.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I'm wondering if they mistook him for meningitis, thus the antibiotics. Two people have already died as suspect Ebola cases ex-West Africa (one in Canada and one in Saudi Arabia) who actually had bacterial meningitis.
But why in the world would you discharge a suspected bacterial meningitis case, even in a foreigner with no medical insurance?
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I'm wondering if they mistook him for meningitis, thus the antibiotics. Two people have already died as suspect Ebola cases ex-West Africa (one in Canada and one in Saudi Arabia) who actually had bacterial meningitis.
But why in the world would you discharge a suspected bacterial meningitis case, even in a foreigner with no medical insurance?
Nika
Well-known member
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Makes one wonder how many other patients receive similar "care". Shouldnt be too difficult to query the records and then analyze against demographics and treating HCWs.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Makes one wonder how many other patients receive similar "care". Shouldnt be too difficult to query the records and then analyze against demographics and treating HCWs.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I don't think the insurance entered into it. After all, they did some pretty pricey tests plus it's a nonprofit hospital, they expect to give charity care- actually they are legally required to. I looked it up, and the system reported $783 million in community benefit/charity care to the gov't in 2012. All the ER docs I have ever known are not a mercenary bunch, they are there for the excitement and the limited hours. Besides, they are paid on a contract, not per patient, so it wouldn't matter to them anyway. I can tell you in my hospital, which is very similar, the ER docs would just leave the whole payment issue up to the billing department. They just don't care.
Regarding meningitis, that patient would be admitted. No way he'd be sent home. The doctor entered "no fever or chills" which is something you say about the patient's history, not from the actual data entered in the chart while he's there. Did the doctor not see the recorded temperature, either? I just don't know.
What's also curious to me is Mr. Duncan's family releasing the records to the media. I honestly have not ever seen that before, I hope it doesn't affect their chances if they decide to file a lawsuit against the hospital.
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased
I don't think the insurance entered into it. After all, they did some pretty pricey tests plus it's a nonprofit hospital, they expect to give charity care- actually they are legally required to. I looked it up, and the system reported $783 million in community benefit/charity care to the gov't in 2012. All the ER docs I have ever known are not a mercenary bunch, they are there for the excitement and the limited hours. Besides, they are paid on a contract, not per patient, so it wouldn't matter to them anyway. I can tell you in my hospital, which is very similar, the ER docs would just leave the whole payment issue up to the billing department. They just don't care.
Regarding meningitis, that patient would be admitted. No way he'd be sent home. The doctor entered "no fever or chills" which is something you say about the patient's history, not from the actual data entered in the chart while he's there. Did the doctor not see the recorded temperature, either? I just don't know.
What's also curious to me is Mr. Duncan's family releasing the records to the media. I honestly have not ever seen that before, I hope it doesn't affect their chances if they decide to file a lawsuit against the hospital.