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NFT: Possible Ebola Patient in NYC

The Colonel : 10/23/2014 4:01 pm
If anyone cares at this point.
Link - ( New Window )
.  
Del Shofner : 10/23/2014 4:05 pm : link
"A 33-year-old Doctors Without Borders physician who treated Ebola patients in Guinea and returned to New York City 10 days ago was rushed in an ambulance with police escorts from his Harlem home to Bellevue Hospital on Thursday, sources said.

Craig Spencer was suffering from Ebola-like symptoms — a 103-degree fever and nausea, sources said."

I appreciate what the doctors and others go through to treat Ebola patients in Africa. But it does seem as though some kind of 21-day waiting period would make sense after you do that type of work, before you return to an otherwise Ebola-free area.
Early reports say doctor did exactly what he was supposed to  
bxgiants4 : 10/23/2014 4:06 pm : link
Self quarantined himself and fdny hazmat teams were sent in.
RE: Early reports say doctor did exactly what he was supposed to  
Del Shofner : 10/23/2014 4:08 pm : link
In comment 11937336 bxgiants4 said:
Quote:
Self quarantined himself and fdny hazmat teams were sent in.


OK then. Unfortunate and hope it's not Ebola or that they can treat it if it is.
Sorry but it's time to let these relief workers  
LauderdaleMatty : 10/23/2014 4:09 pm : link
Sit in quarantine for about 2 months before they can come back into the States. Just the way it has to be.
RE: Sorry but it's time to let these relief workers  
njm : 10/23/2014 4:12 pm : link
In comment 11937340 LauderdaleMatty said:
Quote:
Sit in quarantine for about 2 months before they can come back into the States. Just the way it has to be.


Why more than 21 days?
I was in the Emergency Room last night  
Tbone2741 : 10/23/2014 4:12 pm : link
to see my girlfriend who was being treated after a car accident. There was a Police Officer in the Lobby who made me and everyone else answer questions before I could enter the waiting room. This is no joke
Makes sense  
Headhunter : 10/23/2014 4:13 pm : link
Donate your time to helping people for free and get a thank you by saying stay out of Murica for 2 months
Pretty clear  
natefit : 10/23/2014 4:15 pm : link
that from time to time well equipped hospitals are going to receive Drs etc who put their lives at risk to save others in W. Africa. They will be treated appropriately made well and released when symptom free.
Reports are that he was self quarantined in his apartment  
bxgiants4 : 10/23/2014 4:19 pm : link
Since he was back. Spiked a fever today

Sounds like he followed all procedures.
RE: Makes sense  
MookGiants : 10/23/2014 4:19 pm : link
In comment 11937344 Headhunter said:
Quote:
Donate your time to helping people for free and get a thank you by saying stay out of Murica for 2 months


No reason to do it for 2 months, but I think its in the best interests of all involved, including the person who was over in W.Africa, to go into quarantine for 21 days before returning.
I hope it turns out to be nothing  
Rob in NYC : 10/23/2014 4:19 pm : link
Very brave individual to go where he did and try to help save lives. God bless and good health, soon.
Probably  
MookGiants : 10/23/2014 4:22 pm : link
not feasible but it seems like Emory hospital in Atlanta has done a terrific job treating the ebola patients so far, maybe they can send all of them there as soon as they are diagnosed. Money wise that's probably not realistic but they have successfully treated more than a few patients now with no one at the hospital getting Ebola
Those medical people have my respect and admiration  
Headhunter : 10/23/2014 4:22 pm : link
I wouldn't have the balls to do what they do if I had the skills. Those folks are heroes in my eyes
RE: Makes sense  
Bill L : 10/23/2014 4:24 pm : link
In comment 11937344 Headhunter said:
Quote:
Donate your time to helping people for free and get a thank you by saying stay out of Murica for 2 months


I'm sure, given what they do and their expertise and experience, that they would understand whatever measures were put in place to keep people safe.

The 2-month time frame is overkill based upon what we know. However, reading the literature the 21 day time point seems correct but there is a caveat. The mean incubation period is about 11 days. The 21 days is the 95% percent limit for onset of symptoms...meaning 5 out of 100 people will show symptoms after 21 days. Not a big deal in the US, but maybe worrisome in terms of travel here if the number becomes large enough (probably not very likely).

One number I found very interesting, and troubling, is that the average interval between onset of symptoms and hospitalization is 5 days. Well, that's Africa and not the US, you say, with the attendant blah, blah, blah caveats...but when the study pulled out the hospital workers and looked just at them, the interval just for them, it was no different. That should reflect a population that is better educated, more aware of modern culture/traditions, and more aware of the virus. So, for them to also wait for 5 days before going to the hospital is scary because it likely reflects normal human behavior.

What it does do, IMO, is highlight the need to constantly monitor, get tested, limit external contacts after coming in contact with an infected patient or his tissues.

To clarify, at least according to one report, he did not quarantine  
Mad Mike : 10/23/2014 4:25 pm : link
himself since coming back. He was, reportedly, out bowling last night in brooklyn.
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I have to ask someone about self-monitoring  
Bill L : 10/23/2014 4:26 pm : link
because if it were me, I'm not waiting until I get a fever. I think I would be knocking on someone's door every hour and during commercials to get bled and tested by something less arbitrary.
RE: To clarify, at least according to one report, he did not quarantine  
Bill L : 10/23/2014 4:27 pm : link
In comment 11937364 Mad Mike said:
Quote:
himself since coming back. He was, reportedly, out bowling last night in brooklyn. link - ( New Window )


That's not really a problem...they spray that disinfectant stuff in the shoes.
Eh  
Sammo284 : 10/23/2014 4:31 pm : link
He may have caught something at the bowling alley.

Let's wait and see but there is a possibility.
Ebola pandemic crisis is so last week  
Ben in Tampa : 10/23/2014 4:41 pm : link
Hope this Dr. gets well soon. (As 99% of the cases have so far in the US). The folks going over to West Africa are heroes, and they are doing work that not many are signing up for.
RE: Makes sense  
LauderdaleMatty : 10/23/2014 4:41 pm : link
In comment 11937344 Headhunter said:
Quote:
Donate your time to helping people for free and get a thank you by saying stay out of Murica for 2 months


If you go into a zone and treat symptomatic Ebola patients? Better yet they stay at your house. Hopefully the stupid isn't as contagious Nice to know you will always be the same. Dont change.
CNN claims that he didn't do what he was suppose to do:  
ZogZerg : 10/23/2014 4:46 pm : link
Quote:

Investigators are taking the case seriously because it appears the doctor didn't quarantine himself following his return, the official said.

The official said the doctor was out in public. Authorities are possibly going to quarantine his girlfriend, with whom he was spending time since his return from Africa.

RE: RE: Makes sense  
LauderdaleMatty : 10/23/2014 4:47 pm : link
In comment 11937351 MookGiants said:
Quote:
In comment 11937344 Headhunter said:


Quote:


Donate your time to helping people for free and get a thank you by saying stay out of Murica for 2 months



No reason to do it for 2 months, but I think its in the best interests of all involved, including the person who was over in W.Africa, to go into quarantine for 21 days before returning.


Is 21 days really enough? Spoke w an infectious disease guy. They are t totally sure of incubation. I assume 21 days is enough but the responsibility of the governemt is to protect us in this case. Though I'm sure these MDs are a bit more responsible than the guy Dallas the sheer cost that one patient has cost the system is staggering.

I pray no one gets sick but at this point we need to think about everyone's best interest.
God Bless  
MookGiants : 10/23/2014 4:49 pm : link
him for going over there and doing tremendous work. I hope he either doesn't have it or gets treated successfully if he does, but there's no excuse for him going out in public. He knows the seriousness of this virus, otherwise why would he have gone over to W.Africa to treat it. Stay in quarantine for the benefit of everyone else in the public. He's a doctor, he above all should know this.

This is why we have to do mandatory quarantines before they are allowed to re-enter the US, because even doctors can't be trusted to quarantine themselves for the 21 days
As BillL mentioned, 21 days is the 95%  
kickerpa16 : 10/23/2014 4:58 pm : link
confidence interval.

There is a small subset of patients that won't show symptoms for up to 40 days.

Listen, mandatory quarantines are fine in practice.  
kickerpa16 : 10/23/2014 5:00 pm : link
But we can't shut off the pipeline of doctors going over there. Or even create minor disincentives for that.
RE: Sorry but it's time to let these relief workers  
Ira : 10/23/2014 5:00 pm : link
In comment 11937340 LauderdaleMatty said:
Quote:
Sit in quarantine for about 2 months before they can come back into the States. Just the way it has to be.


Or have a special place set up where they can stay for three weeks before getting released.
New ebola serum  
Ira : 10/23/2014 5:12 pm : link
called Zmapp is experimental. It has antibodies from ebola survivors that boost a person's ability to fight off the disease.
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Uh. ZMapp has been used in previous survivors.  
kickerpa16 : 10/23/2014 5:13 pm : link
They ran out of the limited supplies they had at least a month ago.
On the one hand, the guy is a hero  
Essex : 10/23/2014 5:33 pm : link
For having the guts to help Ebola patients. On the other hand, he is a dope for going out in public without self quarantining himself. You can be a hero and an idiot at the same time.

Also, I have tremendous respect for people going to West Africa to help, but if you want to do that, why would you be so cavalier when you return and possibly harm people here.
Apparently  
Sammo284 : 10/23/2014 5:43 pm : link
He was symptomatic Wednesday and was feeling sluggish for several days. They need to make sure they trace quickly and decon his entire apartment.
hmm  
giantfanboy : 10/23/2014 6:16 pm : link
has anyone notice that other than the two nurses who were knee deep in patient zero's vomit diarrhea and blood
noone else who came in contact with patient zero has gotten ebola yet
No one said he quarantined himself since he got back.  
manh george : 10/23/2014 6:33 pm : link
Ebola is only contagious when an individual becomes symptomatic. The clear inference is thus that from the second he felt symptoms, he avoided contact with others and called in hazmat teams. He thus did not put anyone at risk.

Quarantining every volunteer who goes to help in West Africa when they return has an excellent chance of making the global problem worse, and thus our problem worse. If you create strong disincentives to volunteer, then fewer professionals are likely to be willing to give their time and risk their health to try to reduce the epidemic.

If that occurs, then the odds of the epidemic expanding its borders goes up. It's lousy public policy, and isn't even remotely a good idea until such time as we see even a single example of a volunteer coming back and putting others at risk, which this individual apparently did not do.
Manh  
Sammo284 : 10/23/2014 6:48 pm : link
He apparently was feeling sick Wednesday night and went bowling.

You can be contagious when you have a low grade fever. He also apparently took and Uber trip to go there.
Zmapp does not contain antibodies from survivors  
Bill L : 10/23/2014 6:52 pm : link
It's a combination of antibodies made by mice that have been humanized (the essential parts are mouse but the overall body of the antibody has human pieces grafted onto it so that it helps prevent it from causing the patient to reject it (not really but close enough explanation). The genes that make those antibodies are then produced in high quantities in tobacco plants (grown in Kentucky to save farms killed by anti-smoking campaigns). It's s fascinating process really. Anyway, they're producing more but the process takes time.

As a stopgap, I did read that some patients have received antibodies from the plasma of dr. Whoever the first survivor.

But that's not Zmaop
well. my guess is that bowling ally is f*cked.  
sb2003 : 10/23/2014 7:15 pm : link
Just like that Ohio bridal shop. Anyone up for a game of eboling?
Confirmed Ebola  
glowrider : 10/23/2014 8:42 pm : link
.
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This guy  
rocco8112 : 10/23/2014 8:57 pm : link
is a doctor.

He would not have the common sense to stay away from public places if he felt at all ill?

Unreal, I am sure it will be easy to contact trace everyone he was with.
Awful outcome for a brave man  
Rob in NYC : 10/23/2014 9:04 pm : link
Praying that he pulls through.
Brave  
Sammo284 : 10/23/2014 9:21 pm : link
But perhaps equally as arrogant if he violated his self quarantine as is being reported. Hence why mandatory quarantines with amenities should be the next implementation step.

RE: Brave  
rocco8112 : 10/23/2014 9:27 pm : link
In comment 11937788 Sammo284 said:
Quote:
But perhaps equally as arrogant if he violated his self quarantine as is being reported. Hence why mandatory quarantines with amenities should be the next implementation step.


This
Yeah, so far it's been the medical community  
buford : 10/23/2014 9:32 pm : link
that has failed. Sending the first Ebola patient home, not having protective equipment for the nurses, not containing the people who were in contact with the patient. The CDC has screwed up multiple times. Now a nurse and a doctor who should know better may have infected others. Oh, and let's not forget the doctor who went out to a restaurant when she was supposedly on voluntary quarantine. Seems like the weak link is people.
Buford  
Sammo284 : 10/23/2014 9:38 pm : link
It's one of the strongest arguments for mandatory measures. People are often their own worst enemies and threats to other people.
The weak link for very thing is people  
Bill L : 10/23/2014 9:41 pm : link
People are inherently stupid, selfish, and will inevitably make the wrong choices and do the wrong thing.

That said, the likelihood that this will be anything dangerous is really really low
Everything  
Bill L : 10/23/2014 9:41 pm : link
.
Yeah, I feel like I spend most of my time dummy  
buford : 10/23/2014 9:59 pm : link
proofing things for other people or checking up on them. People suck.
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