Ebola round 2

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skjl47 said:
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My guess is that the doctor in Sierra Leone was taking the extra precautions when infected?

Lastly; I have of late been watching the behavior of the people while out and about. It seems most people are not changing behavior with regard to protecting themselves from infectious agents. I did see a man in Kroger yesterday wearing a full face mask.
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No, he most likely was not using appropriate protection. He was treating a "prominent banker" for problems with his organs. At that time the banker had not been diagnosed with Ebola. It was later discovered that the banker had Ebola. The surgeon that was brought to the USA who died from Ebola was not treating known Ebola patients either, and the last I read, they did not know how he was exposed. So the questions remain if they are not adequately screening all patients for Ebola, or if Ebola is presenting in different ways from the high fever, vomiting, diarrhea that everybody knows about. It is a terrible tragedy to lose gifted professionals this way in a country that didn't have enough doctors to begin with. And I don't believe I am fear mongering or paranoid for asking these questions.

As far as protecting ourselves from infectious agents, I recently had surgery on my finger, and one of the pre-op questions was whether I had ever had MRSA. I had to do special washings with Chlorhexidine Gluconate before the surgery, etc. A few days after my surgery, the therapist took the surgical dressing off and was going to touch my finger with unwashed, ungloved hands. I had to ask her to put gloves on. It was unbelieveable that she was going to touch my finger with unwashed hands.
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Every person has to take a proactive stance in protecting themselves, even against health professionals who may not be up to speed on infection control/disease transmission. You cannot assume that health care professionals are following infection control protocol....look at the HIV outbreak in Cambodia possibly due to contaminated needles. BTW, I decided it was worth driving 4+ hours round trip for my 3 times a week hand therapy at another hand clinic.

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Hello pacu mom; You continue to provide concrete examples of poor practice among health care professionals. Good to know you are being proactive and speaking up for your health.

I was not aware about how the Sierra Leone doctor was infected. It somewhat suprises me that any health care worker in that country would not be using better protocols even if they think they are treating something other than Ebola.

Good luck with you recovery. By the way be prepared to protect yourself during therapy. During therapy after a knee sugery I found it necessary to put the brakes on some of the things they wanted me to do.
 
ballinouttacntrol said:
You sir have some great ideas. About the only aspect of Ebola that remains interesting (to me) is the transmission. How people who should know better keep getting it. Why random people don't seem to get it but those with extended exposure supposedly using extreme measures of precautions are regularly getting it? It makes me feel quite safe and sound knowing unless my entire community breaks out im probably fine. That's why this fear and hysteria is amusing. All these people who have flown back, been out in the general public, visited loved ones etc etc. how poorly we understand the illness, how poorly equipped you guys say we are, how clueless health officials supposedly are, etc etc. all these months later, zero outbreak. Why is that?


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Hello eddie; I understand your point of view, I just do not agree with it. Many thousands of people have been infected. I do not contend they were merely random infections, but were a part of a general population in a community.

That many health care workers have been infected seems very significant to me. As you say, they supposedly know better. That people with the knowledge and some level of protective equipment are falling ill seems a big deal.

Our outbreaks in the USA have not spread like those in Africa. My take is that the health care workers here did not do everything wrong even thou many errors were widely reported. Maybe a bit of good luck was involved? I still contend, based on personal observations, that the behavior of both health care workers and others in my community can lead to transmission of a virus such as Ebola.

You have your reasons for feeling "quite safe" and I am taking extra precautions to help me feel safer.

Look at pacu mom's recent post for a concrete example.
 
If they are relying on questions to screen for Ebola, I can see how things could be. If I was a rich banker with a kidney problem and wanted the best doctor in the country to treat me, or needed surgery and was seeking care from the best surgeon in the country, perhaps I might conveniently forget that a housemaid's mother had died a few weeks ago...or something like that. Some people will be less than truthful to get what they want.

I read a Nigerian doctor's account of her surviving Ebola in Nigeria. She contracted it from that American Liberian who lied his way into Nigeria. It was a horrific account, with her being placed in awful conditions after being diagnosed. The country was not prepared for Ebola. She did survive, however, and was luckier than one of her mentors who died. None of those countries have the facilities that we have in the USA to treat Ebola. We are so fortunate.
 
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