CDC: Ebola confirmed in Dallas patient
A patient in a Dallas hospital has been confirmed to have the Ebola virus, News 8 has learned.Read on wfaa.& #8203;com
From WFAA:
In a statement issued Tuesday night, Texas Health Presbyterian Hospital Dallas said the patient was admitted based on symptoms and "recent travel history."
The hospital, located at Greenville Avenue and Walnut Hill Lane in northeast Dallas, said it's complying with all recommendations from the Centers for Disease Control and the Texas Department of Health to ensure the safety of other patients and medical staff.
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Yes. Let's immediately shut down the country's borders.
Yes, because it's extremely easy just to seal off an entire country.
LOL - Fluffy continues to entertain!
unless this is a quote from centuries ago and the native americans, it makes no sense.
the bad news it the fence won't be build between texas and mexico but between texas and the US.
People in Austin can get a waiver.
Smarter people than I have written some great pieces on why Ebola, in it's current form, does not have the capacity to cause epidemics like we have seen in Africa in the US. The Fear-mongering is gonna be unbearable.
And our medical staff isn't likely to run at the first sight of this?
Low-hanging fruit...
That's gotta be horseshit, right? My understanding was that Ebola killed people too quickly for such a spread, even in a disaster of a place like Liberia.
I've seen pts with possible multidrug resistant TB become, in no uncertain terms, prisoners of the hospital. They are quarantined and police are placed outside their room if it is thought that they are a flight risk. I have no doubt this patient is under STRICT surveillance and quarantine.
Not to mention we already had Ebola in the US. The doc survived and no one else was infected.
A lot of people are going to panic and a lot of people are going to say a lot of stupid stuff out of fear.
How many people did he sicken between then. Did he goto the grocery store? Gym? Mall?
How bad could it get? Ohh, the questions..
How many people did he sicken between then. Did he goto the grocery store? Gym? Mall?
How bad could it get? Ohh, the questions..
Unless he threw up on people or had unprotected sex in the grocery aisle I think we'll be okay...
You need to watch more Brad Pitt zombie movies.
"Not to mention we already had Ebola in the US. The doc survived and no one else was infected."
The doc who survived was flown here in a specially, CDC designed, small aircraft in which all occupants and the hospital to which he was admitted had prepared extensively in advance for one contagious person, who was given costly, intensive care quite soon after diagnosis was made.
This is quite a world apart from Ebola infected persons arriving in the US on commercial airliners/other common carriers and mingle in airports where neither the infected person nor the persons potentially exposed to the virus have a clue that he is infected.
Idiots
I thought you were better than this. I stand corrected.
Did you sound the alarm anywhere else besides BBI?
I'd worry about lab workers more than anyone. CDC is all over the place on guidelines; in some cases it says use BSL 3 but for many things they say BSL2 is ok. That's pretty much bench top. In truth few places are set up to do bulk testing under BSL3. But even with lab workers, we're talking very remote likelihood of infection.
The important points are no aerosol spread and no infectivity prior to being symptomatic. So the fellow air passengers are safe. Anything else is hysteria more than anything.
Of course the caveat, as it always is in life, is that it's not transmitted by aerosol until it is. There's no infective before symptoms, until,there is,
That's gotta be horseshit, right? My understanding was that Ebola killed people too quickly for such a spread, even in a disaster of a place like Liberia.
The Mathematics of Ebola Trigger Stark Warnings: Act Now or Regret It - ( New Window )
blood or body fluids (including but not limited to urine, saliva, feces, vomit, and semen) of a person who is sick with Ebola
objects (like needles and syringes) that have been contaminated with the virus
infected animals
Ebola is not spread through the air or by water, or in general, food. However, in Africa, Ebola may be spread as a result of handling bushmeat (wild animals hunted for food) and contact with infected bats.
Healthcare providers caring for Ebola patients and the family and friends in close contact with Ebola patients are at the highest risk of getting sick because they may come in contact with infected blood or body fluids of sick patients.
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borders open
Yes. Let's immediately shut down the country's borders.
Holy fuck. Lettuce would be $15/head.
I'm already pissed at the price of turkey and chicken.
Also I love the in it's current form statement in that article it basically opens the door for the writer to say well I said in it's current form I mean who knew a virus of all things would change over time I mean that's crazy right
The majority of the annoying posts on this thread have come from kicker and co. Congrats kicker... you're so much better than anyone who gives a shit. Kudos.
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On the 24 he was sick. Then waited 4 days before he reached isolation.
How many people did he sicken between then. Did he goto the grocery store? Gym? Mall?
How bad could it get? Ohh, the questions..
Unless he threw up on people or had unprotected sex in the grocery aisle I think we'll be okay...
Don't knock the whole grocery aisle thing until you try it.
damn in Africa, everyone is sweating.
Good thing Winter is coming.
Fuck.
Hey, I have a bacterial gut infection called C. Difficile. Maybe I should wipe my ass with my hand and then stick my fingers down your motherfucking throat. Would you like that? Then stop fucking sneezing and coughing in my direction.
But I digress
Hey, I have a bacterial gut infection called C. Difficile. Maybe I should wipe my ass with my hand and then stick my fingers down your motherfucking throat. Would you like that? Then stop fucking sneezing and coughing in my direction.
But I digress
I totes sneezed on you in that bar that time while you were talking to the WWE bouncer guy.
On purpose.
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Even so, you don't know how pissed off I get when I'm on the subway and some schmuck coughs or sneezes without covering his/her mouth. You asshole.
Hey, I have a bacterial gut infection called C. Difficile. Maybe I should wipe my ass with my hand and then stick my fingers down your motherfucking throat. Would you like that? Then stop fucking sneezing and coughing in my direction.
But I digress
I totes sneezed on you in that bar that time while you were talking to the WWE bouncer guy.
On purpose.
Haha, why do you think I wanted nothing to do with the Boilermaker you bought me? A dirty shot glass in my beer? NO. THANK YOU.
Obviously dont have sex with people potentially infected with Ebola.
Obviously dont have sex with people potentially infected with Ebola.
Alright, guys:
Would you rather fuck an ebola-infected Kate Upton or a normal thumbs Megan Fox?
The only question is will it be millions dead...or billions? Extinction is nigh.
You didn't listen.
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spit or sweat on you.
Obviously dont have sex with people potentially infected with Ebola.
Alright, guys:
Would you rather fuck an ebola-infected Kate Upton or a normal thumbs Megan Fox?
Yeah, with Megan's thumb.
No Ebola in the US
Roger gets his international expansion
Romo can go to Cabo whenever he wants.
The chance of this type of mutation is small, but the amount of people infected in this outbreak far exceeds any previous outbreak.
The horror.
People in Austin can get a waiver.
So says a shift manager, whatever the fuck that is.
The horror.
Hehe yeah, I figured something in this vein was coming. Hope this thread has made you feel better about yourself and your ironclad grip on the world , kicker. Your self-esteem must be marvelous.
To those that say it's a crazy, easy to spread epidemic, look how it's not spreading like the flu.
What we are dealing with is something in between. Yet it's almost a certain death sentence. So people have the right to worry. Yet , "full on panic" is unwarranted.
Anak, why don't you look up the percent of people that die from the disease. You're talking about 2 people that got the full support of the US goverent. You won't get that.
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What about the doctors and medical workers that were in Africa and were transported to the US for treatment? They seem to be doing alright
Anak, why don't you look up the percent of people that die from the disease. You're talking about 2 people that got the full support of the US goverent. You won't get that.
50%. Fair enough, but you have to think that that number will drop given our healthcare system compared to that of the West Africa countries.
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In comment 11892707 Anakim said:
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What about the doctors and medical workers that were in Africa and were transported to the US for treatment? They seem to be doing alright
Anak, why don't you look up the percent of people that die from the disease. You're talking about 2 people that got the full support of the US goverent. You won't get that.
50%. Fair enough, but you have to think that that number will drop given our healthcare system compared to that of the West Africa countries.
True. We will have a much better rate of survival than most. Still, it's something id rather not come in contact with. And it's spreading at a pace that's got the CDC's attention. That's all I'm saying.
There are enough differences between here and Africa, many of them cultural and many economic, to believe that if someone did come here with it the spread would be restricted. This current case being an example. I don't think there's enough time to have a large amount of people infected. You go. From not contagious and mobile to contagious but incapacitated pretty quickly. We seek medical treatment quickly and are aware of travel history. We don't generally eat bush meat.
Otoh, the disease is severe. I don't think that 50 % number is correct. I think it's much higher, although the numbers would obviously be skewed because of the paucity of cases in developed worlds with our medical care. The two earlier Americans could be outliers because of quality of medical care, but otoh they also received an experimental drug that is not available in any great amount. Which caused them to recover?
You finish one off in about an hour, don't ya? I'd say you're ok to continue buying. For now.
And, how many on the plane now have it? How would you like to have been on that plane or been the person sitting next to him/her?
And, how many on the plane now have it? How would you like to have been on that plane or been the person sitting next to him/her?
That's a pretty easy answer. The number of people on the plane who now have it is exactly zero (unless they got it independently). The answer to the second part is that I would not have liked to have been the person sitting next to him. However, I recognize that my response is a reflexive emotional one as opposed to a a reflective rational one.
This
HUH?
Talk about nonsense.
How can it be ruled out that this guy wasn't infected on the flight?
How can it be ruled out that this guy wasn't infected on the flight?
That's an interesting question. So you're suggesting that someone else on the flight may have infected him? If so, then we have a bigger problem than initially thought.
How can it be ruled out that this guy wasn't infected on the flight?
He was infected, not contagious, with the timing of the onset of symptoms. Also you cannot contact through airborne contact per all reports I've heard.
How can it be ruled out that this guy wasn't infected on the flight?
Highly unlikely but it can't yet.
And while people shouldnt freak out the reality is any deadly infectious disease should be taken seriously. Due to the many safeguards in place outr health workers here in the US are much safer and highly unlikely to be at the risk level of those who have gone over to Africa to help.
The fact that I'm in hospitals and Dialysis centers all day for work and see blood often makes me a bit more Leary than most to just brush this off.
The reality is AIDS still has about 50,000 new cases per year and this virus will spread. Not nearly if ever to that level, but Like AIDS to a statistically small specific community.
Viruses and bacteria do mutate at times so let's not totally dismiss this. I'd also be lothe to totally trust the government on anything as a general rule.
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It states the incubation period for ebola is 2 - 21 days.
How can it be ruled out that this guy wasn't infected on the flight?
Highly unlikely but it can't yet.
And while people shouldnt freak out the reality is any deadly infectious disease should be taken seriously. Due to the many safeguards in place outr health workers here in the US are much safer and highly unlikely to be at the risk level of those who have gone over to Africa to help.
The fact that I'm in hospitals and Dialysis centers all day for work and see blood often makes me a bit more Leary than most to just brush this off.
The reality is AIDS still has about 50,000 new cases per year and this virus will spread. Not nearly if ever to that level, but Like AIDS to a statistically small specific community.
Viruses and bacteria do mutate at times so let's not totally dismiss this. I'd also be lothe to totally trust the government on anything as a general rule.
The CDC director speaking to the media sounded very confident the flight wasn't an issue. I figure that might be because there is only one sick person at this point. Maybe they would expect more infections by now, or they just don't want to alarm people.
On a side note the TSA agents in charge of pat downs and checking people must be freaking out. The fun times of grabbing tits and balls might soon be over.
Sounds like something someone with Ebola would say...
Cam is fuuuuuuuuuuuuuuuuuuuuuuuuuuuuucked.
Why. Every time I'm patted down, defibrillator, the wear gloves. That's basically all the protection they need to prevent contamination.
What kind of honeymoon is that?
-Osi
Sounds awful.
- Cam and Davisian
While you're gone, Fluffy will be busy sealing our borders. Goodbye forever, good doctor.
With you chance of dying of Ebola infection at 50/50 in the US, I can just assume that the rate is far higher in Africa. Definitely stay away from feces.
They have been identified and are being monitored for symptoms, he said.
I suspect we'll here of a number of people soon.
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So was this a recent decision? No sense of adventure
A nurse asked about the travel as part of a triage checklist and was told about it. “Regretfully, that information was not fully communicated throughout the full teams. As a result, the full import of that information wasn’t factored into the full decision making,” Texas hospital official Mark Lester said....
"His whole family was screaming. He got outside and he was throwing up all over the place," resident Mesud Osmanovic, 21, said on Wednesday, describing the chaotic scene before the man was admitted to Texas Health Presbyterian Hospital on Sunday where he is in serious condition....
Just wonderful
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He'd walk into the hospital in the morning and find patients on the floor in pools of vomit, blood, and stool. They had fallen out of their beds during the night, and they were delirious. "What should happen is that a nursing staff or sanitation officer would come and decontaminate the area," he said. "But when you don't have that support, obviously it gets more dangerous." So the disease spreads.
Make that 80.
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That they know of....
Make that 80. Link - ( New Window )
If you read the article, they are being monitored. That doesn't mean they were exposed to anything.
Remember, it's not airborne transmittable.
This is the exact reason that it won't spread.
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That they know of....
Make that 80. Link - ( New Window )
None of the 80 has been quarantined, Neroes said. However, Dallas County health officials have ordered four close relatives of the patient, Thomas Eric Duncan, to stay home and not have any visitors until at least October 19.
Quite often, extraneous material like that becomes ignored, and for good reason in most of the cases.
I was pointing out that, to make it through the stream of patients and provide adequate care, a lot of information given by the patients is tossed aside (or given nothing more than a cursory thought). Most of the times, it's for good reasons (which, again, why I said "most").
Plus, it's a hospital administrator making that message. It's about as boilerplate as it gets.
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“Regretfully, that information was not fully communicated throughout the full teams. As a result, the full import of that information wasn’t factored into the full decision making,” Texas hospital official Mark Lester said....
Yeah, they should have caught it, but understand why that information was lost in the diagnoses/treatment chain.
Yes, widespread contagion won't happen here, because of the procedures in place.
That says nothing about individual cases. Any theory that espouse that something can be stopped with 0 cases is espoused by someone who's not operating with a full deck.
That's a very large jump to "he told people he was taking care of people with Ebola". That's routinely on the checklist of ER personnel to help provide others with info.
Wait...he was working with Ebola patients? I haven't really followed the specifics of this case, so I wasn't aware that he was working with Ebola patients in Africa.
That goes against the grain of what's been reported, historically and currently. People fear the diagnosis, people fear the community reaction to their diagnosis, people act as if they don't have it, and people generally try to avoid divulging that information.
For fuck's sake, only until recently has telling other people about HIV infections become more mainstream.
We don't know who was taking the history. Could have been some medical student doing their clinical. With the ignorance of geography today, Sierra Leone could have been a town in ND.
Someone said the EMS personnel. I haven't seen a report that this patient was transported by EMS.
I assumed it was a POV (privately owned vehicle) transport.
That goes against the grain of what's been reported, historically and currently. People fear the diagnosis, people fear the community reaction to their diagnosis, people act as if they don't have it, and people generally try to avoid divulging that information.
For fuck's sake, only until recently has telling other people about HIV infections become more mainstream.
Yeah...for the majority it has always been that people underplay their illness/sickness, especially if you were aware of the stigma associated with a certain disease.
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about the possibility of he having contracted it and likely didn't casually say he has returned from Africa like it was from a vacation, but would have told them he had been working with sick Ebola patients.
Wait...he was working with Ebola patients? I haven't really followed the specifics of this case, so I wasn't aware that he was working with Ebola patients in Africa.
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In comment 11895121 steve in ky said:
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about the possibility of he having contracted it and likely didn't casually say he has returned from Africa like it was from a vacation, but would have told them he had been working with sick Ebola patients.
Wait...he was working with Ebola patients? I haven't really followed the specifics of this case, so I wasn't aware that he was working with Ebola patients in Africa.
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The New York Times said that Duncan, in his mid-40s, helped transport a pregnant woman suffering from Ebola to a hospital in Liberia, where she was turned away for lack of space. Duncan helped bring the woman back to her family's home and carried her into the house, where she later died, the newspaper reported.
Thanks, steve. I wouldn't necessarily go so far as to say he was "working" with them (that makes it sound like he was in the midst of numerous Ebola infected patients) as much as he was in direct contact with someone with the disease. Either case, he definitely put himself in grave risk during his visit.
That goes against the grain of what's been reported, historically and currently. People fear the diagnosis, people fear the community reaction to their diagnosis, people act as if they don't have it, and people generally try to avoid divulging that information.
For fuck's sake, only until recently has telling other people about HIV infections become more mainstream.
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In comment 11895135 RC02XX said:
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In comment 11895121 steve in ky said:
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about the possibility of he having contracted it and likely didn't casually say he has returned from Africa like it was from a vacation, but would have told them he had been working with sick Ebola patients.
Wait...he was working with Ebola patients? I haven't really followed the specifics of this case, so I wasn't aware that he was working with Ebola patients in Africa.
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The New York Times said that Duncan, in his mid-40s, helped transport a pregnant woman suffering from Ebola to a hospital in Liberia, where she was turned away for lack of space. Duncan helped bring the woman back to her family's home and carried her into the house, where she later died, the newspaper reported.
Thanks, steve. I wouldn't necessarily go so far as to say he was "working" with them (that makes it sound like he was in the midst of numerous Ebola infected patients) as much as he was in direct contact with someone with the disease. Either case, he definitely put himself in grave risk during his visit.
Transporting, working, helping, however you choose to describe it I find it impossible to believe he would choose to skip that part of the story when telling the ER staff he was in Africa.
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now tell medical professionals about their diagnosis?
That goes against the grain of what's been reported, historically and currently. People fear the diagnosis, people fear the community reaction to their diagnosis, people act as if they don't have it, and people generally try to avoid divulging that information.
For fuck's sake, only until recently has telling other people about HIV infections become more mainstream.
In what world would someone having just returned from helping dying Ebola patients in Africa who gets sick enough to go to the hospital not mention that fact along with having been there?
The world that we live in?
What's the staple of the medical profession? People are hesitant to go to the doctors and divulge very personal information that could be a death sentence. People wait too long and give far too little.
Happens with: HIV, STD's, Ebola, etc.
Most people are not forthcoming about their medical history. He's coming from an area where people are killing others if they say "Ebola". And the fact that the newspaper article wouldn't mention this explicitly, when they have the "gotcha" moment of this century?
Yeah. He's likely not in the very small minority of being the few who report everything.
And this goes back to what kicker stated in his 10:37 post. Also, did the guy know that the pregnant woman was suffering from Ebola and died from it? I think a lot of speculation is being made on what his rationale was, etc.
Who said apologize? It was an ER goof. An incomplete history is not an unusual occurrence for a number of reasons.
We, the general public, will never see a complete crib sheet because of HIPAA.
Hell, it took the RYAN WHITE law before medical facilities were permitted to notify first responders that they had been in contact with an infectious disease patient.
Oh please. Where did I absolve the ER in this? If you want to be critical of an argument, at least don't distort it because you don't like that it goes against yours.
People are so ready to criticize with rudimentary understandings of an incredibly complex and dynamic environment.
So, what, you're ready to ascribe singular fault to the ER, and yet then believe in the fact that this person, coming from W. Africa and seeing what happens when you declare you have Ebola, openly expressed his direct contact with the disease?
OK.
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My wife works in the ER of a major hospital in NJ. She believes that there is something very fishy going on with this Texas hospital situation and the drips and drabs of details we are receiving.
Weeks ago, a patient showed up to the ER of her hospital with flu like symptoms. As is the custom -- ALWAYS -- they took the patient's travel history. He responded that he had just flown in from Liberia days earlier. News of African Ebola outbreaks had been around for weeks. So, immediately, they contacted the CDC for further instructions because the potential for an Ebola case automatically comes within the scope of the CDC's authority. The CDC's directive? Treat the patient for flu and send him home. After explicit requests for authority to conduct a test for Ebola, the CDC rejected them, saying that the person was "low risk." No further explanation. Of course, the doctor and the rest of the staff documented the hell out of this case, and sent him on his way.
We have not heard much from the Texas hospital. I cannot fathom that they did not -- as is patently obvious to all of us armchair medical professions -- contact the CDC immediately upon seeing that an African visitor with flu-like symptoms just flew in from Liberia. Every ER professional is hyper aware of Ebola and the likelihood that a patient with it will show up on their doorstep. Also, there's no way that someone in the ER did not know (or care to find out) whether Sierra Leone was in West Africa or that West Africa has been an Ebola hotbed for weeks/months. What the real story is here, I do not know, but something does not add up.
But we will just have to agree to disagree, this is going in circles.
On September 24, four days after he arrived in Dallas from Liberia, Duncan started feeling symptoms. That day is significant because that's when he started being contagious.
Late the following night, he went to Texas Health Presbyterian Hospital Dallas with a low-grade fever and abdominal pain, the hospital said.
Duncan told a nurse he had been in Africa.
But "regretfully, that information was not fully communicated throughout the full team," said Dr. Mark Lester, executive vice president of Texas Health Resources. Duncan was sent home with painkillers and antibiotics, only to return in worse condition on September 28. That's when he was isolated.
"It was a mistake. They dropped the ball," Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said of the miscommunication at the hospital.
"You don't want to pile on them, but hopefully this will never happen again. ... The CDC has been vigorously emphasizing the need for a travel history."
Gupta said this mishap doesn't make sense.
"A nurse did ask the question, and he did respond that he was in Liberia, and that wasn't transmitted to people who were in charge of his care," he said. "There's no excuse for this." And one of Duncan's friends said he was the one who contacted the Centers for Disease Control and Prevention with concerns that the hospital wasn't moving quickly enough after Duncan's second hospital visit.
But the hospital said the patient's condition "did not warrant admission" last week.
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Haven't seen a response yet that disputes that.
You know then, with privacy laws, we will never be able to do more than speculate.
How many thousands of in-service hours have been spent on infectious disease intake protocol?
Talk between medical professionals and between general public will occur on different levels.
What a clusterfuck.
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The article states that she was suffering from it. I assume that the Times didn't immediately track down and find out who this unknown dead pregnant woman was and then also uncover that she had Ebola after the fact that he is now sick. It is much more likely he conveyed that information to someone and who the reporter got it from. Him not having any idea at all and it was only The Times piecing this together only days after it is reported he is sick is only plausible if you are looking for ways to apologize for the ER's goof.
Oh please. Where did I absolve the ER in this? If you want to be critical of an argument, at least don't distort it because you don't like that it goes against yours.
People are so ready to criticize with rudimentary understandings of an incredibly complex and dynamic environment.
So, what, you're ready to ascribe singular fault to the ER, and yet then believe in the fact that this person, coming from W. Africa and seeing what happens when you declare you have Ebola, openly expressed his direct contact with the disease?
OK.
I am not the one distorting things, Where did I say you absolved them of anything. I did accuse you of being apologetic, which you were.
adjective: apologetic
regretfully acknowledging or excusing an offense or failure.
I'll break it down simply why you distorted my words (since I wasn't being apologetic, nor excusing their failure).
I never excused them. Instead, I pointed out the significant folly in posing a mono-causal explanation as a failure by the ER. I pointed out that, quite often, extraneous information will be discarded if it's not deemed relevant to the diagnosis. And that this is often good in "most cases".
Now, what part of that isn't clear? The fact that I'm allowing for this to be a fuck up, since it didn't work in this case? Or the fact that this diagnosis strategy is useful because it allows for timely and quick responses to patients in need?
In case it wasn't clear, you can go back and re-read my 10:21. If that's being apologetic, perhaps you used the wrong definition?
Where, precisely, am I excusing a failure? If pointing out why these methods are used is excusing a failure, then perhaps a new word needs to be created.
This is just getting silly. I pointed out that I think they goofed whether you agree with me or take exception to that is fine. Whether I think it sounds like you were making excuses for the ER staff in doing so is irrelevant and should be equally fine. It's not that big a deal.
Believe it or not, you can use synonyms.
You chose to be facetious, and I simply countered you didn't understand what I was saying, even though it's right there...
Or explicit recommendations that certain indicators (Africa, or recent traveler) should have more extensive documentation histories by a hospital.
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Liberia and other countries, it seems, are fighting to avoid becoming a huge quarantine zone. The consequences for northwest African economies is already dire. They don't need cowards like him to make it worse.
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The likelihood of him surviving this in the US is far greater than in Liberia.
This won't be the only instance either.
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it is worst in the nation