Ebola - A perspective you might need to hear. | |
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Anonymous Coward User ID: 35992722 United States 08/06/2014 04:08 PM Report Abusive Post Report Copyright Violation | And again, all of this is based on traditional field triage methods. putting people in groups, and bringing the most serious cases in first. For a hospital, that means respiratory distress, and chest pain, period. I you are at that stage with Ebola, you won't even make it into the hospital. You would come in with a headache, fever, or sore throat, none of which are an emergency. Quoting: Anonymous Coward 35282601 DING DING DING This. This is what non-healthcare people don't seem to get, and it's the reason this virus is so damn scary to us. Yes, Ebola can and often does lead to a horrific death like something out of a gore-porn film. But it starts with a headache and some aching. You have a headache and ache? Ok, you either are just achy and have a headache, or you have one of a million viruses. The first on that list isn't likely to be Ebola, so until a full-blown pandemic is in effect you will not be treated like you have Ebola. My hospital went big. When they built their newest tower they put an iso room on each floor. Because of the expense of keeping those rooms inspected and the infrequency of their use as iso rooms (I think we've put ours in negative pressure twice, positive once in the two years I've been there), they have taken the expensive air exchanging systems for all but two of those offline. They're now just used as regular rooms with a little neato panel outside the door and a few extra vents in the room. No one is scared of Ebola because it is killing less than a thousand people over in Africa. People are scared of Ebola because it is *infecting* thousands of people, and those people are living long enough to travel around, and THEN killing them. Yeah, Africa doesn't have a lot going for it in sanitation or healthcare but guess what? We have slums in our little westernized world too. I know, we're not supposed to acknowledge that. But that's where it would start, and from there who knows. People living right next to those slums are often your servers, cooks, baggers, stockers... No one, not one single country, is equipped to handle this if it goes wide, and if you think otherwise you are a fool. |
Anonymous Coward User ID: 61139769 United States 08/06/2014 04:08 PM Report Abusive Post Report Copyright Violation | What has had me interested is that fact this has made the leap from forested to urban environment and is currently running outside of season.. Like the plague has a season you normally find ebola outbreaks within it's seasons (most typically dry conditions at the end of rainy season) with it seemingly breaking out of these known constraints the question is does it have the legs for further adaptations. I really hope not, but it worth noting each time it breaks free of known constraints.. Quoting: Anonymous Coward 61272265 Good point. |
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Anonymous Coward User ID: 61056835 United States 08/06/2014 04:09 PM Report Abusive Post Report Copyright Violation | maybe op needs to get a clue about the first strain of ebola to been found on this planet was admited later on to be man made research on Bovine Spongiform encelophatis...Mad cow disease. Quoting: Blitz the storm-striker The WHO and the CDC are statistic gathering services and we are just test subjects. Ebola zaire strain which was first to go out of control after the infamous Philadelphia hotel incident with what was called the "legionaire disease"..which turned out to be of the SAME PROTEIN CHAIN!!! Also Hiv and sars are based of the same protein chain as of Ebola... This Oil based sickness is coming and they planned it since 2001! That sounds bezerk. Ebola seems to be about the worst nightmare imaginable, was it created that way? Thread: DAFUQ ...Scientist Working on Gov’t Ebola Drug Joked about Culling Population with GMO Virus ... |
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Anonymous Coward User ID: 12781064 United States 08/06/2014 04:13 PM Report Abusive Post Report Copyright Violation | maybe op needs to get a clue about the first strain of ebola to been found on this planet was admited later on to be man made research on Bovine Spongiform encelophatis...Mad cow disease. Quoting: Blitz the storm-striker The WHO and the CDC are statistic gathering services and we are just test subjects. Ebola zaire strain which was first to go out of control after the infamous Philadelphia hotel incident with what was called the "legionaire disease"..which turned out to be of the SAME PROTEIN CHAIN!!! Also Hiv and sars are based of the same protein chain as of Ebola... This Oil based sickness is coming and they planned it since 2001! U tel us? |
freiwild User ID: 61094981 Germany 08/06/2014 04:14 PM Report Abusive Post Report Copyright Violation | Check this article to get the whole picture of the ebola false flag hoax: [link to 2012thebigpicture.wordpress.com] "One starts with the inflated Ebola numbers in Africa, the involvement of Soros and Gates in a bioweapons lab linked to the deaths, the curious involvement of Tulane University infamous for weaponizing the polio vaccine, and the story begins …." |
Anonymous Coward (OP) User ID: 35282601 United States 08/06/2014 04:14 PM Report Abusive Post Report Copyright Violation | Epic thread OP. Quoting: Anonymous Coward 9908226 Question: If this strain of the virus has evolved with a lessor mortality rate, does the weakened condition of the host present a "target rich" environment that more deadly strains of any number of other viri? If yes, doesn't it mean even the common cold could be deadly to the recovering infected?i Yes that is very possible, secondary infections are not at all uncommon with any virus. Although it's not the presence of another virus usually. In my experience thats usually the time that bacteria makes a move and starts to make you septic. You body makes every effort to rid the virus that it becomes so weak that you body cannot fight off bad bacteria already living in your body. A good example of this is C-Diff, or MRSA. You have it right now, all of us do. MRSA is on your skin, and C-diff is in your intestine. But because you are healthy it is essentially inert. The reason these things break out in hospitals is because when a patient presents with an infection viral or bacterial, the treatment often times results in a diminished immunity to other things. The end result is c-diff or MRSA finally gains the upper hand, and a patient who presented with something else, ends up fighting off something worse. |
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Morr2Life User ID: 45019094 United States 08/06/2014 04:18 PM Report Abusive Post Report Copyright Violation | And a thank you to OP! So tired of hearing about ebola in the number-tard, religi-tard, prophecy type of way. Well if you add today's date to the number Pi you get ebola! JC is back on earth! WTF?! Knowing nothing about medical practices outside of the paperwork, I just spent 2 minutes reading your post and *feel* at least a little bit more educated. Ebola or not, good stuff to know. Thanks! |
Anonymous Coward User ID: 44550379 United States 08/06/2014 04:18 PM Report Abusive Post Report Copyright Violation | And your area of expertise is? This ebola strain is different and the medical community is scared My expertise is GLP and years and years of doom hype that didnt come. Just a few weeks ago it was ww3 with mh17. we will be ok. My point exactly. By the first week of October of this year the ebola doom theme will be forgotten and replaced by another doom theme. |
Anonymous Coward User ID: 9002120 United States 08/06/2014 04:19 PM Report Abusive Post Report Copyright Violation | And again, all of this is based on traditional field triage methods. putting people in groups, and bringing the most serious cases in first. For a hospital, that means respiratory distress, and chest pain, period. I you are at that stage with Ebola, you won't even make it into the hospital. You would come in with a headache, fever, or sore throat, none of which are an emergency. Quoting: Anonymous Coward 35282601 DING DING DING This. This is what non-healthcare people don't seem to get, and it's the reason this virus is so damn scary to us. Yes, Ebola can and often does lead to a horrific death like something out of a gore-porn film. But it starts with a headache and some aching. You have a headache and ache? Ok, you either are just achy and have a headache, or you have one of a million viruses. The first on that list isn't likely to be Ebola, so until a full-blown pandemic is in effect you will not be treated like you have Ebola. My hospital went big. When they built their newest tower they put an iso room on each floor. Because of the expense of keeping those rooms inspected and the infrequency of their use as iso rooms (I think we've put ours in negative pressure twice, positive once in the two years I've been there), they have taken the expensive air exchanging systems for all but two of those offline. They're now just used as regular rooms with a little neato panel outside the door and a few extra vents in the room. No one is scared of Ebola because it is killing less than a thousand people over in Africa. People are scared of Ebola because it is *infecting* thousands of people, and those people are living long enough to travel around, and THEN killing them. Yeah, Africa doesn't have a lot going for it in sanitation or healthcare but guess what? We have slums in our little westernized world too. I know, we're not supposed to acknowledge that. But that's where it would start, and from there who knows. People living right next to those slums are often your servers, cooks, baggers, stockers... No one, not one single country, is equipped to handle this if it goes wide, and if you think otherwise you are a fool. same way with Sarcoma at the health food store in front of me, at the checkout i saw a Sodomist with Sarcoma starting on his upper back leading into his neck, and i had previously seen him handling the fresh produce. Think of the poop under their fingernails, when you see them at the grocery store. |
Anonymous Coward User ID: 44550379 United States 08/06/2014 04:21 PM Report Abusive Post Report Copyright Violation | And your area of expertise is? This ebola strain is different and the medical community is scared My expertise is GLP and years and years of doom hype that didnt come. Just a few weeks ago it was ww3 with mh17. we will be ok. My point exactly. By the first week of October of this year the ebola doom theme will be forgotten and replaced by another doom theme. Actually well before that time imo but certainly by then. |
Anonymous Coward User ID: 51160787 Germany 08/06/2014 04:23 PM Report Abusive Post Report Copyright Violation | Guys listen, this shit is scary. I get it, ok? I do. The human population of this world has always been kept in check by viruses, or some other method of sheer destruction. The Flu, Polio, Smallpox, you name it, these things have a purpose in nature. They keep populations under control. Quoting: Aravoth 35282601 Since the dawn of the industrial age we began to outsmart them all. We Vaccinate against the flu, we all but eradicated Polio in this country. We had beaten our enemies into near submission, and as a result, the worlds population has exploded. But our Genius is beginning to catch up with us. Anti-biotic resistant bacteria is on the rise, the flu is devising new ways to counter attack our defenses. And Ebola, well, lets just say it's doing what all viruses do. It's trying to survive, it's trying to find a way to use our own immune system against us. Think about this for a minute... The Flu infects you, your body goes into defensive mode, realizing that it must expel the invader. So your own body fills your lungs with mucus and fluid, which forces you to cough. This is the real genius of the flu. It actually depends on your immune response to spread itself. And it doesn't have much time to do it either. Because your body begins to increase it's own temperature. Yes, having a fever is an immune response, not caused by the flu, rather it is literally your body attempting to make you so hot that the protein coat protecting the flu virus breaks down, allowing your white cells to attack. This is what all viruses do. ALL of them. They find a way to exploit your natural immune responses to propagate themselves. Ebola.... once just a hemorrhagic fever on steroids, now is a bona-fide menace. I work in a hospital laboratory at a major hospital in a major Metro Area. My wife works clinical micro for the same company. I'm very well versed in just about everything a STAT lab in a hospital can, and does do. My wife on the other hand, actually majored in micro, with emphasis on virology. So I wanted you all to know a few things about this outbreak that became apparent to us as it began to spread. #1. Something has changed. This virus used to have a much shorter incubation period. And it would kill within a week. The mortality rate was much higher once upon a time. However, this is not the case anymore. Based on the sheer number of infected, the virus it seems, may have found a way to transmit itself easier. Typically when a virus "evolves" it gains in one area, while giving ground in another. It makes sense to me that Ebola gave up alot of it's lethality, for the ability to spread itself easier, and incubate much, much longer. #2. Africa is a mess. There is no way to tell how many are infected. Once upon a time Ebola would strike a village and wipe everyone out, and that was it. It would kill so fast that it could not spread out of the hotzone. Because of what I said above that is not the case anymore. On a continent where borders still mean very little to the native population, it is a scary mix. Even if the CDC or the WHO wanted to get accurate numbers, it would be hopeless due to the unknown number or people that distrust western medicine, refuse to get help, or wander around from village to village. The infrastructure simply does not have the same capabilities we do in the west. #3. Even in the United States, out of all the various hospitals I have worked at, there is no hope of containing anything like this. One of the largest hospitals I worked at only had two reverse flow isolation rooms. TWO, let that sink in for a minute. If this thing goes as bad as some think it will, we are, quite literally, screwed. Patients only show up to the hospital when they go symptomatic. So by the time they get there, they've already infected their entire family, their work group, and anyone they got within a few feet of on the way to the hospital. When they get there the ER nurses would treat it either like Flu, or Sepsis. But the whole time the patient is infecting all of them. And all of them, in turn, begin to infect everyone else in the exact same way. If this is as virulent as the WHO thinks it might be, by the time people realize what is going on, there will be more sick people than there would be beds available at every hospital in the US combined. #4. Testing blood for anything is not as simple as looking under a microscope. And hospital labs are not set up for exotic virology. We run basic Chemistries, Cardiac enzymes, blood counts, sed rates, drug levels, bacterial cultures, all the basic hands on shit. The kind of things that old people usually present for, blood loss, infection, and cardiac events. Anything exotic gets sent out. Sometimes to the State lab, most of the time specimens get sent across the country to Quest Diagnostics, or to other organizations actually set up for it. Your average city hospital is pitifully, laughably, not ready for anything of this nature. Sure, running a CBC can tell if you are dehydrated, it can tell of you are loosing blood, it can tell if you are fighting "something" off. It just can't tell what. A sed rate can determine if you have excess inflammation, but it can't tell you why. A Lactic Acid level can indicate Sepsis, but it can't tell you from what. The point is, at the early stages of an outbreak, people will get treated for run of the mill things. Because nothing a hospital can test immediately will be able to tell anyone that you are carrying the most deadly hemorrhagic fever currently known. Honestly, if a person came into a busy ER with a fever, the triage nurse would put them in the waiting room until a non urgent room opened up in the back. They simply have no way to know who is carrying what. I'm not saying we're all gonna die. This thing could fizzle out. And everything could be fine. What I am trying to illustrate here is that just because a lab exists in a hospital, does not mean that it can tell you everything. There are triage algorithms that work for everyday field medicine, but nothing for an outbreak. Thinking that living in a developed nation will curb the spread is ridiculous. If anything, it makes it worse. Our commute, our workplaces, our homes, our methods of entertainment, all of those things that we love so much about living in the the west, are the things that viruses depend on to spread. If this virus truly has found a way to transmit easier, the healthcare system would be completely overloaded with something they simply can not handle. Anyway, I'm not trying to scare anyone, I just hope people can be realistic about the capabilities of hospital containment, hospital laboratory testing, and the fact that the healthcare system, in ANY country, could not handle a massive outbreak. So don't expect miracles from front line hospital staff, we don't have the tools, and we certainly do not have the manpower. Ask anyone in the medical field how much overtime they could work if they felt like it, don't even get me started on how thinly stretched people in the industry are. Though I suppose if this does turn into something, that will become apparent very, very fast. Good luck, don't freak out, wash your hands, be prepared, hug your kids. That is all. I don't fear because we all have Obamacare! Once more the Congress can overrule any natural biological condition or event. Just look what they did with Gay Marriage! And the Supreme Court will hold up the ruling!! With Obamacare and the court system, we can defeat biology! EVERYTHING BEING DONE is to institute internationalist minority rule of a resource rich majority. You will be declared undesirable and sent to camps to be worked to death. Internationalists always do this. They are thieves and need to thieves. Slave labour camps are communist inventions, Hitler just copied them some time 20 or so years later. They will declare any and all opposition null and void and declare it a capital offense. This is their pattern, minority control of others. |
pray_Italy User ID: 23443268 Italy 08/06/2014 04:24 PM Report Abusive Post Report Copyright Violation | |
Anonymous Coward User ID: 48071715 Canada 08/06/2014 04:24 PM Report Abusive Post Report Copyright Violation | |
USCG Popeye User ID: 59301167 United States 08/06/2014 04:28 PM Report Abusive Post Report Copyright Violation | "I used to work in a hospital, something is different about this Ebola" Quoting: Anonymous Coward 61032671 Of course, because we have so much experience with this virus... More lying fear mongering I didn't "used" to, I do. I'm an ex-Fireman/HAZWOPER/Incident Commander. I'm telling you, first responders, EMT, ambulance crews, are going to be out to lunch once the calls start coming in. We can't handle infectious, NBC, bio-calls every time the pager goes off. Every hypochondriac is going to overload the emergency systems before an outbreak even gets here. By the time it does, crews will be exhausted, understaffed, under supplied and prime vector sources themselves. |
Anonymous Coward User ID: 61252436 Hong Kong 08/06/2014 04:30 PM Report Abusive Post Report Copyright Violation | I'm more interested in what OP didn't say so as to ascertain their motivations for this post. What does it actually accomplish other than spreading panic? How can it possibly help anyone reading it ? It induces an emotional response without offering any guidance. Fear porn plain and simple. OP is a Fear Shill. Quoting: Anonymous Coward 56222621 what was the purpose in going to school so you could learn to type that horseshit? |
Anonymous Coward User ID: 1725612 Canada 08/06/2014 04:30 PM Report Abusive Post Report Copyright Violation | |
Anonymous Coward User ID: 58347534 United States 08/06/2014 04:30 PM Report Abusive Post Report Copyright Violation | I'm surprised nobody has brought up the fact of the quarantine list was recently changed by Executive Order to include Ebola and says something about anyone displaying flu-like symptoms will be quarantined. OP you talk about triage and how it works, but I bet those practices will be drastically changed if things do get bad... given that O used his mighty pen regarding this. |
Chrewman User ID: 42528566 United States 08/06/2014 04:31 PM Report Abusive Post Report Copyright Violation | My Ebola Custom Smile isn't approved yet. So dats all I got till it is. I can predict with 100% certainty, we're all going to die. Weeeeeeeeeeeeeeeeeeee Last Edited by Chrewman on 08/06/2014 04:33 PM |
Anonymous Coward User ID: 61252436 Hong Kong 08/06/2014 04:32 PM Report Abusive Post Report Copyright Violation | |
Anonymous Coward User ID: 60249311 United States 08/06/2014 04:32 PM Report Abusive Post Report Copyright Violation | Do you really think that if there was an Ebola outbreak that hospital will simply let someone with a fever and other such symptoms wait in the emergency room, and then wait for lab results to come back from the other side of the country? I don't think so. |
Anonymous Coward User ID: 61252436 Hong Kong 08/06/2014 04:33 PM Report Abusive Post Report Copyright Violation | |
Anonymous Coward User ID: 61175810 United Kingdom 08/06/2014 04:34 PM Report Abusive Post Report Copyright Violation | Guys listen, this shit is scary. I get it, ok? I do. The human population of this world has always been kept in check by viruses, or some other method of sheer destruction. The Flu, Polio, Smallpox, you name it, these things have a purpose in nature. They keep populations under control. Quoting: Aravoth 35282601 Since the dawn of the industrial age we began to outsmart them all. We Vaccinate against the flu, we all but eradicated Polio in this country. We had beaten our enemies into near submission, and as a result, the worlds population has exploded. But our Genius is beginning to catch up with us. Anti-biotic resistant bacteria is on the rise, the flu is devising new ways to counter attack our defenses. And Ebola, well, lets just say it's doing what all viruses do. It's trying to survive, it's trying to find a way to use our own immune system against us. Think about this for a minute... The Flu infects you, your body goes into defensive mode, realizing that it must expel the invader. So your own body fills your lungs with mucus and fluid, which forces you to cough. This is the real genius of the flu. It actually depends on your immune response to spread itself. And it doesn't have much time to do it either. Because your body begins to increase it's own temperature. Yes, having a fever is an immune response, not caused by the flu, rather it is literally your body attempting to make you so hot that the protein coat protecting the flu virus breaks down, allowing your white cells to attack. This is what all viruses do. ALL of them. They find a way to exploit your natural immune responses to propagate themselves. Ebola.... once just a hemorrhagic fever on steroids, now is a bona-fide menace. I work in a hospital laboratory at a major hospital in a major Metro Area. My wife works clinical micro for the same company. I'm very well versed in just about everything a STAT lab in a hospital can, and does do. My wife on the other hand, actually majored in micro, with emphasis on virology. So I wanted you all to know a few things about this outbreak that became apparent to us as it began to spread. #1. Something has changed. This virus used to have a much shorter incubation period. And it would kill within a week. The mortality rate was much higher once upon a time. However, this is not the case anymore. Based on the sheer number of infected, the virus it seems, may have found a way to transmit itself easier. Typically when a virus "evolves" it gains in one area, while giving ground in another. It makes sense to me that Ebola gave up alot of it's lethality, for the ability to spread itself easier, and incubate much, much longer. #2. Africa is a mess. There is no way to tell how many are infected. Once upon a time Ebola would strike a village and wipe everyone out, and that was it. It would kill so fast that it could not spread out of the hotzone. Because of what I said above that is not the case anymore. On a continent where borders still mean very little to the native population, it is a scary mix. Even if the CDC or the WHO wanted to get accurate numbers, it would be hopeless due to the unknown number or people that distrust western medicine, refuse to get help, or wander around from village to village. The infrastructure simply does not have the same capabilities we do in the west. #3. Even in the United States, out of all the various hospitals I have worked at, there is no hope of containing anything like this. One of the largest hospitals I worked at only had two reverse flow isolation rooms. TWO, let that sink in for a minute. If this thing goes as bad as some think it will, we are, quite literally, screwed. Patients only show up to the hospital when they go symptomatic. So by the time they get there, they've already infected their entire family, their work group, and anyone they got within a few feet of on the way to the hospital. When they get there the ER nurses would treat it either like Flu, or Sepsis. But the whole time the patient is infecting all of them. And all of them, in turn, begin to infect everyone else in the exact same way. If this is as virulent as the WHO thinks it might be, by the time people realize what is going on, there will be more sick people than there would be beds available at every hospital in the US combined. #4. Testing blood for anything is not as simple as looking under a microscope. And hospital labs are not set up for exotic virology. We run basic Chemistries, Cardiac enzymes, blood counts, sed rates, drug levels, bacterial cultures, all the basic hands on shit. The kind of things that old people usually present for, blood loss, infection, and cardiac events. Anything exotic gets sent out. Sometimes to the State lab, most of the time specimens get sent across the country to Quest Diagnostics, or to other organizations actually set up for it. Your average city hospital is pitifully, laughably, not ready for anything of this nature. Sure, running a CBC can tell if you are dehydrated, it can tell of you are loosing blood, it can tell if you are fighting "something" off. It just can't tell what. A sed rate can determine if you have excess inflammation, but it can't tell you why. A Lactic Acid level can indicate Sepsis, but it can't tell you from what. The point is, at the early stages of an outbreak, people will get treated for run of the mill things. Because nothing a hospital can test immediately will be able to tell anyone that you are carrying the most deadly hemorrhagic fever currently known. Honestly, if a person came into a busy ER with a fever, the triage nurse would put them in the waiting room until a non urgent room opened up in the back. They simply have no way to know who is carrying what. I'm not saying we're all gonna die. This thing could fizzle out. And everything could be fine. What I am trying to illustrate here is that just because a lab exists in a hospital, does not mean that it can tell you everything. There are triage algorithms that work for everyday field medicine, but nothing for an outbreak. Thinking that living in a developed nation will curb the spread is ridiculous. If anything, it makes it worse. Our commute, our workplaces, our homes, our methods of entertainment, all of those things that we love so much about living in the the west, are the things that viruses depend on to spread. If this virus truly has found a way to transmit easier, the healthcare system would be completely overloaded with something they simply can not handle. Anyway, I'm not trying to scare anyone, I just hope people can be realistic about the capabilities of hospital containment, hospital laboratory testing, and the fact that the healthcare system, in ANY country, could not handle a massive outbreak. So don't expect miracles from front line hospital staff, we don't have the tools, and we certainly do not have the manpower. Ask anyone in the medical field how much overtime they could work if they felt like it, don't even get me started on how thinly stretched people in the industry are. Though I suppose if this does turn into something, that will become apparent very, very fast. Good luck, don't freak out, wash your hands, be prepared, hug your kids. That is all. |