Starvin Larry

Titanic sinking; Captain concerned.

If only I’d said this already. Oh, wait, I did say all this yesterday. So we’ve established that the AP and UN are only about a day behind me. Guess I’m slipping.

KAMPALA, Uganda (AP) — Authorities are having trouble figuring out how many more people are getting Ebola in Liberia and Sierra Leone and where the hot spots are in those countries, harming efforts to get control of the raging, deadly outbreak, said  Anthony Banbury, the U.N.’s top Ebola official in West Africa said Tuesday. “The challenge is good information, because information helps tell us where the disease is, how it’s spreading and where we need to target our resources,” Banbury said by phone from the Ghanaian capital of Accra, where the U.N. Mission for Ebola Emergency Response, or UNMEER, is based. Health experts say the key to stopping Ebola is breaking the chain of transmission by tracing and isolating those who have had contact with Ebola patients or victims. Health care workers can’t do that if they don’t know where new cases are emerging.

http://raconteurreport.blogspot.com/2014/10/titanic-sinking-captain-concerned.html

Kids, Don’t Try This At Home!

{h/t to Doc Grouch for the source material for this one.}

NEJM has just published a clinical case study of the course of treatment provided to a man sent to Germany with fulminant Ebola virus infection.

1) It’s exhaustive, and fascinating.
2) If you’re any medical clinician interested, or likely to see/treat Ebola in any context, go there now and read it.
3) If you’re non-medical but a quick study, it’s still worthwhile.
4) If you’re not either, it will be worse than trying to follow Chinese opera.

I have gotten, and still see on the Internet (I see those links to my site, and I visit them from time to time, so I see you people out there!) folks who still cling to the doomed fantasy that they’re going to stock up on supplies, and care for family/friends/fellow tribesmen, out of love, humanity, or simply pigheaded ignorance of the futility of the gesture. Allow me to lovingly smash that foolish dumbshittery to bitsy pieces with my 18# surgical steel sledgehammer of reality, just one more time. Remember, I yell because I care.

http://raconteurreport.blogspot.com/2014/10/kids-dont-try-this-at-home.html

Princess MiMi Crybaby About To Get Second Spanking

A nurse who treated Ebola patients in West Africa before being briefly and controversially quarantined in New Jersey could be the focus of a new battle over state health policy as she returns to her home state of Maine.

Word to your mother, MiMi: Maine isn’t Joisy. That governor doesn’t sound like you’re getting his lunch money, and is about to jump on your stupid ass with both feet. And this time, it sounds like they won’t send a spokeshole, they’ll send armed deputies, and your ass will be nailed inside the damn house.
STFU and take your medicine, or your next quarantine may well be the new isolation bed in the county lockup.
State nursing licensure boards tend to view those sorts of legal entanglements as the sort of thing that has a direct bearing on your ongoing fitness and suitably for “the continued practice of nursing”, in a professionally influential way.
Dumbass.

http://raconteurreport.blogspot.com/2014/10/princess-mimi-crybaby-about-to-get.html

Read.

Learn.

Train.

Do More PT !

The egotistical,self centered whiny acts like a 4 year old bitch of a nurse who complained about being placed in isolation when she informed customs workers she was returning from W. Africa now claims “her civil rights” were violated,and is suing everyone who was mean to her.

YOUR rights? What about MY rights?

Shes a freakin’ nurse for God’s sake-she knows damn well how deadly Ebola is,and that people who have used ALL the correct PPE  have STILL GOT EBOLA.

She knows damn well that protocol is isolation and monitoring for fever for at least 21 days.

She’s whining about HER rights?

Fuck her rights-she has NO RIGHTS when coming here from the Ebola hot zone-NONE-she gets the exact same treatment anyone coming from the hot zone gets-being a nurse does NOT grant special rights. She has no right to infect others with Ebola-no right whatsoever.

Maybe she will get a judge that’s not a Obamazombie,or other far left loon,one who actually got passing grades in middle school biology class who knows what the dangers of whiny bitch transmitting the virus to others are.

Whiny bitch nurse and Ebola nurse #2 who possibly infected NE Ohio are self-centered the whole world revolves around me types who need to have pointed out to them that that is exactly what their behavior has shown the world they are…because they are both too self-absorbed to see that one for themselves.

From the leader of the land of rainbows and unicorns…

“Anyone who has heard the nurse explain her situation in her proud, passionate, intelligent voice, knows that what happened to her is inappropriate,” said de Blasio.

The Obama admin chimed in with similar fertilizer.

More from whiny bitch…

“Hickox, who was helping treat patients in hard-hit Sierra Leone before her return to the United States, has been isolated outside the main hospital building.

She has only been allowed to wear paper scrubs, and the tent is equipped with just a hospital bed, a non-flush chemical toilet and no shower.”

“I feel like my basic human rights have been violated,” she told CNN’s “State of the Union” show, insisting she was not contagious because she has shown no symptoms and tested negative for the disease.

“To put me in prison… is just inhumane.”

– ‘Haphazard’ -“

Prison? She thinks that’s what prison is like?!

Maybe she should spend a few months in prison for filing such an idiotic lawsuit-then she would have something to whine about…

Read.

Learn.

Train.

Do More PT !

New Jersey, US

Originally Posted @ Raconteur Report-http://raconteurreport.blogspot.com/2014/10/six-degrees-of-ebola-for-geographically.html

Six Degrees Of Ebola – For The Geographically Challenged

As one hilarious wisecracker posted elsewhere yesterday when I added that Mali had gotten on the Ebola Scoreboard, “Oh God! Not Mali!!! {runs to Wikipedia}

Which is fair, funny in a 7000-miles-from-me way, and a reasonable observation.
Fair enough; not everyone liked maps since they were little kids.

The problem is this:
When Ebola was (more-or-less) contained in one country, it was “just another small potatoes Ebola outbreak” in equatorial Africa. Quick flare, bodies, and poof! it’s over.
But instead, it travelled by bus and taxi to the densely populated slums of the capitol, and crossed two (and later three, out of six) of the neighboring borders. And then proceeded to those densely crowded capitol’s slums, and we’ve been off to the races trying to catch it – and abysmally failing – every day since then. That’s precisely why it’s now A Big Thing.

And now it’s gotten to Mali (pop. 16M+). Nearly as many people in one country as there are in the other three combine. Carried there by a two-year-old, and her loving idiot grandmother, on public busses, straight to the capitol of Mali (Bamako, pop. 1.8M), and its teeming slums.

Clever people will notice a pattern.
(And arguably, most of Africa is a teeming slum.)And with Mali doubling down on teh Stoopid, it bears noting that it shares borders with four additional countries not previously at risk, and the president of that landlocked nation has officially announced that they won’t be closing their borders at all.In more obvious terms, this is like deciding, in the midst of a forest gloriously aflame, to build your house out of gasoline cans, and pointing fireworks at your neighbors’ houses as well.
And then storing kegs of gunpowder inside that house.

We aren’t losing to Ebola because we don’t know how to stop an epidemic.

We’re losing because no one is willing to do it.
It’s too hard.
Too politically unpopular.
Too inhumane to those trapped in the Hot Zone.
Simply too damned mean.
And the “leaders” around the world, top to bottom, are simply too craven and too stupid to take the most obvious and basic epidemiologic steps to contain the spread.

So instead, we’re going to kill the entire world. With kindness.
And wish on a unicorn, and think of butterflies and puppies, while we pray for miracles.

What’s desperately and unpalatably called for is some tough love.

But everyone involved is too squeamish to come out and do what necessity demands, and instead, they’re all diddling themselves, and will continue to do so, until nothing, not even the most draconian measures, will then avail.

And for the perennial pollyanas, who’re sure that the outbreak in Mali won’t spread, and the case in NYC won’t spread: That’s what they said when it was just in Guinea. And when it was just in Guinea, Liberia, and Sierra Leone. And when it was just in Dallas.
Nota bene, dumbasses, that it’s come to the U.S. twice already, skipping over 87 intermediate stops, because international jet travel, and clever government inattention, incompetence, hubris, and childish magical thinking.
It’s a free country: wait for it to personally bite you in the ass at your own peril.
I promise to laugh at your plight from afar, come the day.

I say yet again:

Y.O.Y.O. – You’re On Your Own.

Make appropriate personal preparations, while you yet have the time and wherewithal.
When things go to shit everywhere, as they continue to do like a Chinese water torture, drip by drop, that option will not exist for you, or for anyone else.

Time to top off all of your supplies people. Make sure you have enough food,water,ammo,a means of filtering and disinfecting water-as in bleach and/or pool shock-plenty of medical supplies,including some PPE in case you have to be anywhere near anyone infected with Ebola. read up on donning/doffing said PPE-that’s been covered by a lot of bloggers,those who know what they are talking about posted links to Medecines sans Frontieres/Doctors Without Borders protocols and procedures-I posted it,WRSA posted it,Raconteur Report posted it-go to the link,read up on the stuff-just in case.

Your best bet should Ebola explode in the U.S. is to get as far away from the cities as you can-if you have to stay in a city-be prepared to stay at home for up to 6 months-possibly longer.

As Aesop said-“Y.O.Y.O. – You’re On Your Own.

Make appropriate personal preparations, while you yet have the time and wherewithal.
When things go to shit everywhere, as they continue to do like a Chinese water torture, drip by drop, that option will not exist for you, or for anyone else.”

I would do so now-not next week,not when there’s more cases of Ebola here. Once there’s a lot of cases here-people will panic,and grocery stores will be emptied-there will be no food for you to stock up on at that point.

We’ve all been warned-anyone not ready for this shit who had the means to prepare for it deserves to get Ebola.

If you have neighbors who want to stock up,but do not have the funds for whatever reason-help them out-buy them a couple bags of rice and some dried beans every time you go to the grocery store,give them whatever you can afford to give them-they do not deserve to die due to government incompetence.

Imagine that-the “enhanced screening” did NOT work-something anyone with a functional brain has been pointing out for weeks.

NEW YORK (Reuters) – The doctor who has been diagnosed with Ebola in New York City arrived at John F. Kennedy International airport on Oct. 17 and went through the ramped-up screening for travelers from the worst-hit West African countries, officials said on Thursday.

The U.S. Centers for Disease Control (CDC) said the patient, who had worked with Ebola patients in Guinea, “participated in the enhanced screening for all returning travelers from these countries” on his arrival at JFK.

http://news.yahoo.com/doctor-now-ebola-went-enhanced-screening-jfk-airport-025736336.html

Here’s Your Front Line Of Defense

“So now, the most respected medical journal in the UK has published the projection that more will certainly come. We got Duncan when there were 6000 Ebola patients in total. WHO expects that soon we’ll be looking at 10,000 a week. You decide what that’s going to do about whether or not people will try to get out.

The Lancet study takes into account international flight restrictions that were in place to the three countries at the Ebola epicenter as of Sept. 1. Those restrictions led to a 51% drop in passengers for Guinea, 66% for Liberia and 85% for Sierra Leone.
After accounting for that level of decreased travel, the authors’ model projects that 2.8 passengers infected with Ebola would depart the three countries via commercial flights, on average, every month.
The projection by Dr. Khan and his colleagues suggests that about two-thirds of these travelers are expected to fly to low/ lower-middle income countries. This could pose a problem because poorer countries have fewer resources to identify and track infected people.

The risk to European countries or the U.S. is considerably less. The research concludes that for every case exported to the U.S., there will be about eight cases exported to the U.K. and France combined.

Three Duncans a month, who could (and will) land in Cairo, Kinshasa, London, Brussels, Paris, Rome…and the US.
Just ducky!
But don’t worry, our government officials know how important it is to protect us, which is why we’re depending on the truthfulness of passengers, and the dedication and literacy of Third World middle school dropouts to keep the next Duncan off of your commuter train, out of the ER you take your kid to, and out of that ghetto apartment with 20-50 sketchy folks who may not run straight to the doctor when they get a fever, headache, or tummy ache.
So those guys are ON THAT CASE!:”

http://raconteurreport.blogspot.com/2014/10/heres-your-front-line-of-defense.html

No Longer Operative

From the old Clinton admin line, when the cover stories were changing hourly, today’s title.

And now, health care workers learn what pilots have long known:
Safety rules are written in blood, usually by people who were following the OLD safety rules.
Or, as the philosophical among us have put it:
“The early bird gets the worm, but the second mouse gets the cheese.”

http://raconteurreport.blogspot.com/2014/10/no-longer-operative.html

Experts say Ebola might be quietly inoculating a significant portion of the population—people who are exposed to the virus but never succumb to it or show symptoms of infection.

If those individuals have acquired an immunity to Ebola, the strategies for the intervention and treatment of the disease need to be reconsidered, according to the letter published online yesterday in The Lancet.

“We might not have to wait until we have a vaccine to use immune individuals to reduce the spread of disease.”

“If infection without disease protects people from future Ebola infections and illness, the epidemic should decline sooner than currently predicted and affect a smaller number of people,” says Juliet Pulliam, one of the letter’s authors and an assistant professor of biology at the University of Florida and its Emerging Pathogens Institute.

http://www.futurity.org/ebola-virus-immunity-783442/

The authors, led by postdoctoral fellow Steve Bellan at the University of Texas at Austin, looked at studies done in the aftermath of an outbreak.

Back on September 9th, I posted a WTF exec. order…

Note that this one adds to prior list from 2003 and 2005…why would .gov be adding reasons to quarantine citizens?

What is it they are afraid of?

A WTF Executive Order

http://www.whitehouse.gov/the-press-office/2014/07/31/executive-order-revised-list-quarantinable-communicable-diseases

http://www.gpo.gov/fdsys/granule/USCODE-2010-title42/USCODE-2010-title42-chap6A-subchapII-partG-sec264

After infecting two nurses (SO FAR!), exposing 74+ other workers, as well as countless patients, visitors, the greater Dallas community, and now two planeloads of airline passengers and crew plus the Greater Cleveland Area to Ebola, and amid revelations of massive incompetence at every level, THP Dallas is being removed from the picture regarding care for Ebola patients.

Amber Vinson was moved to the Emory Hospital Infectious Disease unit yesterday, and today, Nina Pham is expected to be moved to the NIH’s BL4 unit in the immediate future.
From Aesop…

“Hopefully, removing THP from the picture after both anonymous and open whistleblower revelations that they were an unmitigated clown show in this response, from the initial moment Thomas Duncan first crossed their ER doorstep, will preclude any further displays of assclownery on their part, and save the equally incompetent and unprepared health officials in Dallas a notable amount of flesh on their well-mangled asses.

All this leaves now is the open question of how many more among the hundreds exposed since late September, including 70+ THP staff members, will yet be added to the lengthening roster of US Ebola patients, but at least someone in charge somewhere can recognize naked incompetence when he sees it, and is willing to break the chain of stupid that’s been paying off hourly, like a broken slot machine.”

http://raconteurreport.blogspot.com/2014/10/yer-out.html