Newt
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First Ebola case diagnosed in the United States - CDC
- Thread starter boozeman
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I have family in Paris. Tell them hello.
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Works for me. Then we will just kick the Mexicans ass and get our independence back.We should just dig a big ass moat all around Tejas and give 'em back to Mexico.
SKOL VIKINGS!!
jsmith6919
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jsmith6919
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BipolarFuk
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Ebola is actually named after the Ebola river so she's not completely wrong
jsmith6919
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Hospital reverses explanation for fumbling Ebola case
By REESE DUNKLIN, MILES MOFFEIT and STEVE THOMPSON Staff Writers
Published: 03 October 2014 11:54 PM
Updated: 04 October 2014 08:33 AM
A week after releasing a Liberian man with Ebola from its emergency room, officials at Texas Health Presbyterian Hospital have yet to address key aspects of what went wrong.
The hospital at first blamed a flaw in its electronic records system for miscommunication, but late Friday said that wasn’t the case after all. It also pointed out the patient, Thomas Eric Duncan, did not disclose important information.
Yet many experts say all of that sidesteps a basic question: Why didn’t the doctor responsible for the man’s treatment consider his travel history before deciding to release him from the hospital?
Two days after his release, Duncan returned in an ambulance.
“Obviously, they thought he had an infectious disease because they erroneously gave him antibiotics,” said Dr. Amesh Adalja, an infectious diseases physician who is also board-certified in emergency medicine at the University of Pittsburgh Medical Center.
“If you’re thinking about an infectious disease, travel history is an essential component of making that diagnosis,” Adalja said. “It’s something that is drilled into medical students, but people cut corners in busy emergency departments.”
Presbyterian’s handling of the Duncan case has physicians and hospitals across the country assessing their own protocols to detect possible Ebola patients.
But some experts say important questions remain unanswered.
In a written statement late Thursday, hospital officials said they had “thoroughly reviewed the chain of events” and “in the interest of transparency” released some details with the Ebola-stricken man’s permission.
Duncan arrived at the emergency department late at night on Sept. 25, the statement said, “with a temperature of 100.1F, abdominal pain for two days, a sharp headache, and decreased urination.”
Asked whether he had nausea, vomiting or diarrhea, Duncan said he didn’t, the statement said. “When Mr. Duncan was asked if he had been around anyone who had been ill, he said that he had not.”
Duncan had in fact recently helped rush an Ebola-stricken woman to a care center in Liberia.
At Presbyterian, a nurse asked Duncan if he had traveled outside the U.S. in the past four weeks, the hospital said.
Duncan “said that he had been in Africa,” the statement said. “The nurse entered that information in the nursing workflow of the electronic health record.”
A written statement Thursday said hospital officials identified and corrected “a flaw in the way the physician and nursing portions of our electronic health records (EHR) interacted in this specific case.”
That statement implied, without directly saying it, that the flaw left the doctor uninformed about Duncan’s travel history.
In Friday’s statement, though, the hospital said, “The patient’s travel history was documented and available to the full care team in the electronic health record.”
“There was no flaw in the EHR in the way the physician and nursing portions interacted related to this event,” the statement said.
Earlier this week, a hospital official said Duncan was prescribed an antibiotic, but Thursday’s and Friday’s statements did not repeat this.
Dr. Ashish Jha, a Harvard University professor and a practicing general internist, said Presbyterian administrators’ explanations left him with questions about the hospital’s preparation, particularly after months of admonitions about Ebola from the Centers for Disease Control and Prevention.
Jha and other experts said a physician, regardless of information a nurse collected, should have asked about travel. That’s a “standard physician question,” he said.
“What was the system in place to make sure that happened reliably?” Jha said. “If you’re relying on individual humans to never make mistakes, that means you don’t really have a system.”
On Friday, Presbyterian spokesman Wendell Watson would not give answers to a series of detailed questions beyond whether a doctor had in fact treated Duncan. “Of course, a doctor treated him,” Watson said.
He would not say whether the doctor asked and knew about Duncan’s travel, and what instructions the hospital gave staff for screening potential Ebola patients. The hospital has not named any of Duncan’s care providers.
“A failure by a hospital to be open about what went wrong in a major medical case such as this does a major disservice to everyone else in the health-care industry,” said Paul Levy, a former Boston hospital CEO and national analyst on patient safety and hospital transparency.
Staff writer Daniel Lathrop contributed to this report.
Did hospital follow CDC advice?
The Centers for Disease Control and Prevention warned caregivers Aug. 1 to watch for patients with certain symptoms who recently traveled in one of the West African nations with Ebola outbreaks. Here are some questions from the CDC checklist sent to hospitals for evaluating patients and determining whether they should be isolated along with what Texas Health Presbyterian Hospital Dallas says were Thomas Eric Duncan’s responses when examined at the emergency room on Sept. 25.
CDC questions for patients Patient’s answers at hospital
Does patient have fever
(subjective or over 101.5)? Temperature of 100.1.
Does patient have compatible
EVD symptoms such as
headache, weakness, muscle
pain, vomiting, diarrhea,
abdominal pain or hemorrhage? Abdominal pain for two days, a sharp headache, and decreased urination. Answered no to nausea, vomiting or diarrhea.
Has the patient traveled to
an Ebola-affected area in the
21 days before illness onset? Had been “in Africa.”
By REESE DUNKLIN, MILES MOFFEIT and STEVE THOMPSON Staff Writers
Published: 03 October 2014 11:54 PM
Updated: 04 October 2014 08:33 AM
A week after releasing a Liberian man with Ebola from its emergency room, officials at Texas Health Presbyterian Hospital have yet to address key aspects of what went wrong.
The hospital at first blamed a flaw in its electronic records system for miscommunication, but late Friday said that wasn’t the case after all. It also pointed out the patient, Thomas Eric Duncan, did not disclose important information.
Yet many experts say all of that sidesteps a basic question: Why didn’t the doctor responsible for the man’s treatment consider his travel history before deciding to release him from the hospital?
Two days after his release, Duncan returned in an ambulance.
“Obviously, they thought he had an infectious disease because they erroneously gave him antibiotics,” said Dr. Amesh Adalja, an infectious diseases physician who is also board-certified in emergency medicine at the University of Pittsburgh Medical Center.
“If you’re thinking about an infectious disease, travel history is an essential component of making that diagnosis,” Adalja said. “It’s something that is drilled into medical students, but people cut corners in busy emergency departments.”
Presbyterian’s handling of the Duncan case has physicians and hospitals across the country assessing their own protocols to detect possible Ebola patients.
But some experts say important questions remain unanswered.
In a written statement late Thursday, hospital officials said they had “thoroughly reviewed the chain of events” and “in the interest of transparency” released some details with the Ebola-stricken man’s permission.
Duncan arrived at the emergency department late at night on Sept. 25, the statement said, “with a temperature of 100.1F, abdominal pain for two days, a sharp headache, and decreased urination.”
Asked whether he had nausea, vomiting or diarrhea, Duncan said he didn’t, the statement said. “When Mr. Duncan was asked if he had been around anyone who had been ill, he said that he had not.”
Duncan had in fact recently helped rush an Ebola-stricken woman to a care center in Liberia.
At Presbyterian, a nurse asked Duncan if he had traveled outside the U.S. in the past four weeks, the hospital said.
Duncan “said that he had been in Africa,” the statement said. “The nurse entered that information in the nursing workflow of the electronic health record.”
A written statement Thursday said hospital officials identified and corrected “a flaw in the way the physician and nursing portions of our electronic health records (EHR) interacted in this specific case.”
That statement implied, without directly saying it, that the flaw left the doctor uninformed about Duncan’s travel history.
In Friday’s statement, though, the hospital said, “The patient’s travel history was documented and available to the full care team in the electronic health record.”
“There was no flaw in the EHR in the way the physician and nursing portions interacted related to this event,” the statement said.
Earlier this week, a hospital official said Duncan was prescribed an antibiotic, but Thursday’s and Friday’s statements did not repeat this.
Dr. Ashish Jha, a Harvard University professor and a practicing general internist, said Presbyterian administrators’ explanations left him with questions about the hospital’s preparation, particularly after months of admonitions about Ebola from the Centers for Disease Control and Prevention.
Jha and other experts said a physician, regardless of information a nurse collected, should have asked about travel. That’s a “standard physician question,” he said.
“What was the system in place to make sure that happened reliably?” Jha said. “If you’re relying on individual humans to never make mistakes, that means you don’t really have a system.”
On Friday, Presbyterian spokesman Wendell Watson would not give answers to a series of detailed questions beyond whether a doctor had in fact treated Duncan. “Of course, a doctor treated him,” Watson said.
He would not say whether the doctor asked and knew about Duncan’s travel, and what instructions the hospital gave staff for screening potential Ebola patients. The hospital has not named any of Duncan’s care providers.
“A failure by a hospital to be open about what went wrong in a major medical case such as this does a major disservice to everyone else in the health-care industry,” said Paul Levy, a former Boston hospital CEO and national analyst on patient safety and hospital transparency.
Staff writer Daniel Lathrop contributed to this report.
Did hospital follow CDC advice?
The Centers for Disease Control and Prevention warned caregivers Aug. 1 to watch for patients with certain symptoms who recently traveled in one of the West African nations with Ebola outbreaks. Here are some questions from the CDC checklist sent to hospitals for evaluating patients and determining whether they should be isolated along with what Texas Health Presbyterian Hospital Dallas says were Thomas Eric Duncan’s responses when examined at the emergency room on Sept. 25.
CDC questions for patients Patient’s answers at hospital
Does patient have fever
(subjective or over 101.5)? Temperature of 100.1.
Does patient have compatible
EVD symptoms such as
headache, weakness, muscle
pain, vomiting, diarrhea,
abdominal pain or hemorrhage? Abdominal pain for two days, a sharp headache, and decreased urination. Answered no to nausea, vomiting or diarrhea.
Has the patient traveled to
an Ebola-affected area in the
21 days before illness onset? Had been “in Africa.”
Last edited:
Carp
DCC 4Life
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Probably some money grubbing Jew.
L.T. Fan
I'm Easy If You Are
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You have a bipo infection.
dallen
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Settle down Irish
townsend
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News gets all so much money from fear mongering. Any kind of potential disaster is afoot people will search and obsess and leave the channel on CNN. A word as scary as Ebola will keep housewifes and doomsday preppers locked in for a while.
jsmith6919
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and some idiots on twitter have been saying it's racism because the gubmint didn't want to waste the experimental treatment on a black man
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Why does this not surprise me? Good lord.and some idiots on twitter have been saying it's racism because the gubmint didn't want to waste the experimental treatment on a black man