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Ilsa

(61,694 posts)
Wed Oct 15, 2014, 06:51 PM Oct 2014

Amber Vinson (nurse #2) called the CDC before she flew... she reported

Last edited Wed Oct 15, 2014, 07:33 PM - Edit history (2)

her low-grade fever to the CDC. The told her it was okay to fly, that her temp wasn't out of the ordinary (over 100.4).

CBS News just reported this on the evening news. In fact, they said she called the CDC more than once to ask about her low grade fever.


On edit: see Reply #14 (elehhhhna) for the link and details.

148 replies = new reply since forum marked as read
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Amber Vinson (nurse #2) called the CDC before she flew... she reported (Original Post) Ilsa Oct 2014 OP
Please provide a link as soon as it is available? Thanks. Raine1967 Oct 2014 #1
It was part of the story on the Evening News. Ilsa Oct 2014 #8
link from cbs-dfw elehhhhna Oct 2014 #14
THANKS! EVERYONE-- HERE'S ^^^ THE LINK! ^^^^ nt Ilsa Oct 2014 #20
Thank you! Raine1967 Oct 2014 #107
Well if it was outside their criteria for worrying, then it was and that's that. kestrel91316 Oct 2014 #2
Oh dear lord. LisaL Oct 2014 #25
But of course, SHE had to be kicked around first. Daemonaquila Oct 2014 #37
Not-so-covert attacks on the working class. Totally predictable in neo-fascist KingCharlemagne Oct 2014 #91
Yes, don't blame the HCW if they don't want to care for these patients after this. Yo_Mama Oct 2014 #71
Frieden's got to go. Like yesterday. What a putz! KingCharlemagne Oct 2014 #92
Inability to get story straight is also in line with the most advanced scientific thinking. Crunchy Frog Oct 2014 #106
You might want to read more carefully. Ms. Toad Oct 2014 #41
Well, maybe if you believe that dumbcat Oct 2014 #54
Typical CYA bureaucrat, quick to blame the low-level ordinary working person rather than KingCharlemagne Oct 2014 #94
Thanks for the facts, Ilsa. elleng Oct 2014 #3
We are doomed. One giant fuck up after another. AngryAmish Oct 2014 #4
The only person that may lose their job Texasgal Oct 2014 #83
If this is confirmed then this is a direct CDC failure. It could get nasty for the administration, kelly1mm Oct 2014 #5
Thanks, Obama. nt Cali_Democrat Oct 2014 #9
This message was self-deleted by its author ann--- Oct 2014 #129
none of the Dallas hospital's workers were put in any quarantine TorchTheWitch Oct 2014 #145
This message was self-deleted by its author ann--- Oct 2014 #146
even if they were told to self-monitor TorchTheWitch Oct 2014 #148
Officer Barbrady must have taken her call. nt valerief Oct 2014 #6
Wondering if this will be confirmed. KittyWampus Oct 2014 #7
If true, WTF?!?!?!?! nt boston bean Oct 2014 #10
Republicans are calling for the Head of the CDC to resign Turbineguy Oct 2014 #11
They'll probably call for the Surgeon General they won't approve to resign next. nt valerief Oct 2014 #17
LOL...Oh, wait. You are probably right. n/t jtuck004 Oct 2014 #44
Heckuva job, Frieden! ecstatic Oct 2014 #74
Message auto-removed Name removed Oct 2014 #12
Huh?????? valerief Oct 2014 #18
Message auto-removed Name removed Oct 2014 #21
Your name is overkill funny. nt valerief Oct 2014 #22
In a kind of "Methinks thou dost protest" sort of way. LOL! n/t cherokeeprogressive Oct 2014 #24
Did she tell them who she was Control-Z Oct 2014 #13
The CBS tangential report about her calling Ilsa Oct 2014 #19
This message was self-deleted by its author ann--- Oct 2014 #130
This was a sick young woman asking for help Ilsa Oct 2014 #136
This message was self-deleted by its author ann--- Oct 2014 #137
So this woman's story is black and white for you. nt Ilsa Oct 2014 #138
Why would she call CDC otherwise? LisaL Oct 2014 #27
I don't. I think I explained clearly Control-Z Oct 2014 #47
CDC has been getting many calls from idiots with no reason to believe they would have ebola JI7 Oct 2014 #48
Thank you, J17. (nt) Control-Z Oct 2014 #70
I would think that someone under voluntary isolation would have a specific CDC rep.'s contact info, ecstatic Oct 2014 #76
Memorize and follow the dogmatic protocol or understand the concepts HereSince1628 Oct 2014 #15
People with early ebola spike high fevers Warpy Oct 2014 #16
So you're saying that symptoms absolutely never begin with low grade fever? Crunchy Frog Oct 2014 #33
Ever notice that sentences that begin with "so" Warpy Oct 2014 #34
So you are saying that Strawmen will be the most popular toy this Christmas season? FSogol Oct 2014 #39
I was not trying to create a strawman, I was trying to get clarification. Crunchy Frog Oct 2014 #40
Virtually every utterance starts with "So." Only idiom comparable Eleanors38 Oct 2014 #49
Black/white thinking, no, they don't. Often perhaps, but not always. So, how are you doing? uppityperson Oct 2014 #58
A woman who had been a nurse in South Africa said nurses tending to ebola patients were snagglepuss Oct 2014 #43
Exactly, and it might have to be just that Draconian Warpy Oct 2014 #50
Not in the report i saw. the nurse was decontaminated at Ilsa Oct 2014 #62
The nurse I am referring to worked in South Africa. snagglepuss Oct 2014 #67
In terms of concern about transmission - ANY fever, following contact with a known Ebola patient Ms. Toad Oct 2014 #51
I think we will probably get there Warpy Oct 2014 #56
How contagious are patients with mild symptoms? Drahthaardogs Oct 2014 #85
We won't actually know for 19 more days Ms. Toad Oct 2014 #105
Yes, the CDC criteria never made sense from the beginning. Yo_Mama Oct 2014 #73
What about someone like me Aerows Oct 2014 #52
Mine is 100.8 today Warpy Oct 2014 #79
I'm just making the point Aerows Oct 2014 #80
CNN was just reporting that nurse Pham's Ilsa Oct 2014 #69
They know so little at this stage Warpy Oct 2014 #77
What about all the health care workers who have gotten sick Crunchy Frog Oct 2014 #109
Nine in Africa, six are dead Warpy Oct 2014 #119
According to this article, over 400 health care workers have contracted Ebola Crunchy Frog Oct 2014 #121
Symptoms do vary, KMOD Oct 2014 #123
She was planning her wedding. The CDC told her it was OK to fly. She did due KingCharlemagne Oct 2014 #98
"Excuse me Ms. Vinson, you say you were directly involved in Mr. Duncan's treatment? Okay..." cherokeeprogressive Oct 2014 #23
I routinely run fevers as high as 101 Warpy Oct 2014 #31
Low grade fevers in people DIRECTLY involved in treating Ebola patients isn't a different cherokeeprogressive Oct 2014 #35
I definitely feel ill when I get to 99. Puzzledtraveller Oct 2014 #45
Minus your direct contact with an Ebola patient, this post is meaningless. n/t cherokeeprogressive Oct 2014 #81
It is to say that everyone reacts to a fever differently. Puzzledtraveller Oct 2014 #100
I have no problems with your flying with a fever. I have MAJOR problems with her flying with one. cherokeeprogressive Oct 2014 #104
Me too. My temp is usually below 98. If I get above 99, I definitely feel feverish. Crunchy Frog Oct 2014 #108
But you haven't been treating any Ebola patients. LisaL Oct 2014 #38
What you said! Puzzledtraveller Oct 2014 #42
My main gripe is she should have been traveling at all in the first place dbackjon Oct 2014 #46
From what has been reported, CDC approved her trip. LisaL Oct 2014 #111
THANK YOU Skittles Oct 2014 #55
No clue. I'm betting though, that you have an idea about what might fix 'em. n/t cherokeeprogressive Oct 2014 #96
Too bad you don't work the phones at CDC nt ctaylors6 Oct 2014 #59
I agree with you. In_The_Wind Oct 2014 #131
Another commendable move Crunchy Frog Oct 2014 #26
Their director claimed just now she shouldn't have been flying at all. LisaL Oct 2014 #28
lack of communication between Freiden and his employees apparently. nt magical thyme Oct 2014 #84
CDC seems to be clueless. LisaL Oct 2014 #110
I get the sense they are winging this entire thing magical thyme Oct 2014 #112
Well, they are winging it very badly. LisaL Oct 2014 #114
you won't get any argument from me on that. magical thyme Oct 2014 #120
This message was self-deleted by its author ann--- Oct 2014 #29
How could they tell her to get on the plane? LisaL Oct 2014 #30
This message was self-deleted by its author ann--- Oct 2014 #32
Well, take it with msm. LisaL Oct 2014 #36
MSM is now saying the CDC gave her no guidance. Ilsa Oct 2014 #60
CDC gave her no guidance? LisaL Oct 2014 #61
That sounds remarkably like lawyer speak Fumesucker Oct 2014 #75
This message was self-deleted by its author ann--- Oct 2014 #66
Wow, just wow. She displayed due diligence by calling the CDC and you'd still have her fined? My KingCharlemagne Oct 2014 #101
This message was self-deleted by its author ann--- Oct 2014 #126
If I have to outline the long-standing alliances between Democrats and labor in this country, then KingCharlemagne Oct 2014 #139
Do you think it's possible that Ilsa Oct 2014 #124
This message was self-deleted by its author ann--- Oct 2014 #125
so troubling. n/t KMOD Oct 2014 #122
I agree Evergreen Emerald Oct 2014 #133
This message was self-deleted by its author ann--- Oct 2014 #134
This message was self-deleted by its author ann--- Oct 2014 #135
Dr. Sanjay Gupta reporting the same on Anderson Cooper 360 amandabeech Oct 2014 #53
I just heard that. Even rewound the dvr to hear it again. Ilsa Oct 2014 #57
Yes, but I do give her credit for calling. amandabeech Oct 2014 #63
me too. She's young and needed help with a Ilsa Oct 2014 #65
Good! No more blame the nurse. She was safe to fly. morningfog Oct 2014 #64
Nope. According to doctors SHE and the CDC screwed up.. she was NOT safe to fly davidn3600 Oct 2014 #72
I think it should be clear at this point... Spider Jerusalem Oct 2014 #68
The whole ebola issue is one big cluster MissDeeds Oct 2014 #78
Well, well..well. Texasgal Oct 2014 #82
I'm still waiting for somebody to explain why biosuits are deemed necessary at BSL-4 hospitals magical thyme Oct 2014 #86
Apparently CDC guidelines are Texasgal Oct 2014 #90
which is exactly what I've been saying for quite some time now...nt magical thyme Oct 2014 #93
Oh well according to some here we need to Texasgal Oct 2014 #95
I'm a med lab tech, so potentially have something at stake here magical thyme Oct 2014 #97
I'm a surgical nurse. Texasgal Oct 2014 #99
my lab manager got training today magical thyme Oct 2014 #102
I'm with you. I'm simply appalled at some of the blatant anti-worker comments KingCharlemagne Oct 2014 #103
Welcome to DU Fumesucker Oct 2014 #113
Thank you for the welcome. Those anti-nurse folks should stop to remember what happened KingCharlemagne Oct 2014 #116
Why she went to Cleveland? willing dwarf Oct 2014 #87
She was planning her wedding Texasgal Oct 2014 #88
She Rebl Oct 2014 #89
Thanks! willing dwarf Oct 2014 #142
This message was self-deleted by its author ann--- Oct 2014 #147
Why did she think she was "special"? SoCalDem Oct 2014 #115
Because CDC told her it's o'key for her to fly? LisaL Oct 2014 #117
So the fact the CDC was consulted multiple times and by all accounts KingCharlemagne Oct 2014 #118
"due diligence"... seriously? A wedding is more important than maybe infecting own your family? TerrapinFlyer Oct 2014 #132
There were no travel restrictions on any HCW at the time, nor was there any KingCharlemagne Oct 2014 #140
It not anti-worker attitude, it's common sense TerrapinFlyer Oct 2014 #141
Oh, it most certainly is an anti-worker attitude. Who else is going to care for KingCharlemagne Oct 2014 #143
This message was self-deleted by its author ann--- Oct 2014 #128
This why sequestered jurors are "guarded" SoCalDem Oct 2014 #144
This message was self-deleted by its author ann--- Oct 2014 #127

Ilsa

(61,694 posts)
8. It was part of the story on the Evening News.
Wed Oct 15, 2014, 07:02 PM
Oct 2014

I'm not finding this detail anywhere else. You might have to view the program when it becomes available online. I suspect the media doesn't want this screw-up to be well-known. They'd rather blame the nurse.

 

elehhhhna

(32,076 posts)
14. link from cbs-dfw
Wed Oct 15, 2014, 07:11 PM
Oct 2014

CBS News Medical Correspondent Dr. John LaPook reports that Vinson called the CDC several times before boarding the plane concerned about her fever and was told she was OK to board.

Vinson first reported a fever to the hospital on Tuesday (Oct. 14) and was isolated within 90 minutes, according to officials. She did not exhibit symptoms while on the Monday flight, according to crew members. However, the CDC says passenger notification is needed as an “extra level of safety” due to the proximity in time between the flight and the first reported symptoms.

And about the plane - However, according to Flighttracker, the plane was used for five additional flights on Tuesday before it was removed from service. Those flights include a return flight to Cleveland, Cleveland to Fort Lauderdale–Hollywood International Airport (FLL), FLL to Cleveland, Cleveland to Hartsfield–Jackson Atlanta International Airport (ATL), and ATL to Cleveland.

http://dfw.cbslocal.com/2014/10/15/ebola-patient-traveled-day-before-diagnosis/

 

kestrel91316

(51,666 posts)
2. Well if it was outside their criteria for worrying, then it was and that's that.
Wed Oct 15, 2014, 06:54 PM
Oct 2014

I am happy to hear she stayed in touch and went with their advice.

Not comforting to the other passengers, though.

LisaL

(44,973 posts)
25. Oh dear lord.
Wed Oct 15, 2014, 07:32 PM
Oct 2014

CDC director was just claiming she shouldn't have been flying at all.
Now we find out she called CDC, told them she had a fever, and they said she is fine to fly.
Yes, CDC is wonderful.

 

Daemonaquila

(1,712 posts)
37. But of course, SHE had to be kicked around first.
Wed Oct 15, 2014, 07:44 PM
Oct 2014

After all, why not just assume that a competent health professional broke the rules, versus doing her due diligence with the agency?

 

KingCharlemagne

(7,908 posts)
91. Not-so-covert attacks on the working class. Totally predictable in neo-fascist
Wed Oct 15, 2014, 09:52 PM
Oct 2014

America. Totally disgusting and pathetic too. Nurses have too much class to go on strike over this, but may I say on their behalf "Fuck this shit!"

Yo_Mama

(8,303 posts)
71. Yes, don't blame the HCW if they don't want to care for these patients after this.
Wed Oct 15, 2014, 08:34 PM
Oct 2014

It's one thing to get killed doing your job. It's another to get officially abused for the privilege of getting killed doing your job.

Guy needs to resign. That's enough of this.

Also it was terrible medical advice if she did have Ebola, but WTF, she's only a nurse. Not important.

Crunchy Frog

(26,579 posts)
106. Inability to get story straight is also in line with the most advanced scientific thinking.
Wed Oct 15, 2014, 10:44 PM
Oct 2014

You Luddite.

Ms. Toad

(34,062 posts)
41. You might want to read more carefully.
Wed Oct 15, 2014, 07:52 PM
Oct 2014
“Although she (Vinson) did not report any symptoms and she did not meet the fever threshold of 100.4, she did report at that time she took her temperature and found it to be 99.5,” said CDC Director Tom Frieden. Her temperature coupled with the fact that she had been exposed to the virus should have prevented her from getting on the plane, he said.


In other words (1) it was NOT outside their criteria and (2) whoever she spoke to on the phone screwed up.

dumbcat

(2,120 posts)
54. Well, maybe if you believe that
Wed Oct 15, 2014, 08:09 PM
Oct 2014

CDC Director Tom Frieden has any idea of what he is talking about. I'm not impressed with his credibility so far.

 

KingCharlemagne

(7,908 posts)
94. Typical CYA bureaucrat, quick to blame the low-level ordinary working person rather than
Wed Oct 15, 2014, 09:58 PM
Oct 2014

do the honorable thing and resign.

kelly1mm

(4,732 posts)
5. If this is confirmed then this is a direct CDC failure. It could get nasty for the administration,
Wed Oct 15, 2014, 07:01 PM
Oct 2014

especially if anyone she was in contact with on the plane gets ebola.

Response to kelly1mm (Reply #5)

TorchTheWitch

(11,065 posts)
145. none of the Dallas hospital's workers were put in any quarantine
Thu Oct 16, 2014, 05:15 PM
Oct 2014

The CDC decided that they didn't need to be since they believed that their PPE protocols were so perfect when they were woefully inadequate. When the CDC says they didn't need to be under any sort of quarantine that's who is listened to. This is once again a CDC fuck up.

Response to TorchTheWitch (Reply #145)

TorchTheWitch

(11,065 posts)
148. even if they were told to self-monitor
Thu Oct 16, 2014, 05:39 PM
Oct 2014

they were not under any instruction to not live as normal INCLUDING continuing to work at the hospital with other patients. This is a chief complaint concerning the CDC fuck ups, the worst of which was allowing Mr. Duncan to be treated in a regular hospital that they KNEW did not have BSL-4 standards or staff and with a CDC PPE protocol that was not up to a BSL-4 standard and not even a BSL-3 standard when there was no earthly reason for it.

It's OBVIOUS that Mr. Duncan should have been sent to one of the four specialized hospitals with the infrastructure, equipment and experienced staff to deal with it just as every American infected in Africa was sent to. And because of the CDC fucking up believing that any hospital could safely care for a BSL-4 infected patient two and possibly more health care workers are/may be infected. That is a CDC fuck up which have been numerous.

When the CDC - THE resource in this country for all things concerning infectious disease - tells you to only self-monitor and to otherwise live your life as normal including going to work and servicing other patients, that's what you do. And all while the CDC have quarantined other people with far less dangerous exposure to Ebola because the CDC relied for too heavily on the their own inadequate PPE protocol.

Pretending the CDC has been perfect is flat out ridiculous especially at this point. Doing it for absurd political reasons is disgusting.

Done with you.





Response to Ilsa (Original post)

Response to valerief (Reply #18)

Control-Z

(15,682 posts)
13. Did she tell them who she was
Wed Oct 15, 2014, 07:10 PM
Oct 2014

when she called, I wonder. I imagine they are being flooded with calls about fevers and symptoms by a lot of people with no real need to worry.

Ilsa

(61,694 posts)
19. The CBS tangential report about her calling
Wed Oct 15, 2014, 07:16 PM
Oct 2014

the CDC did not go into detail about how she identified herself.

But if CBS reporting is correct, it extends the CDC's failures so much further than we could imagine.

Response to Ilsa (Reply #19)

Ilsa

(61,694 posts)
136. This was a sick young woman asking for help
Thu Oct 16, 2014, 09:57 AM
Oct 2014

In making a decision. Illness and the other stresses of life can affect people and their judgment differently. She asked for advice because she didn't know what to do. Some people default to the path of least resistance to minimize their own stress. You can't doubt that the denial of youth ("this can't happen to me&quot could have played a part in her thinking as well.

I'm not going to condemn a sick person's judgment over the experts at the CDC, no more than i would let a hospitalized sick patient take complete detailed control of administering their own medications and other care.

The hospital and CDC should have told all contact personnel to stay off public transportation for 3 weeks.

Response to Ilsa (Reply #136)

Control-Z

(15,682 posts)
47. I don't. I think I explained clearly
Wed Oct 15, 2014, 07:58 PM
Oct 2014

in my response that I thought there were probably calls from people who have no reason to think they have Ebola. You know, hypochondriacs and hair-on-fire types.

I think you knew that but it was fun to act all scoldy and denegrating, wasn't it?

JI7

(89,247 posts)
48. CDC has been getting many calls from idiots with no reason to believe they would have ebola
Wed Oct 15, 2014, 08:01 PM
Oct 2014

but think they do

ecstatic

(32,682 posts)
76. I would think that someone under voluntary isolation would have a specific CDC rep.'s contact info,
Wed Oct 15, 2014, 08:39 PM
Oct 2014

with a direct phone number, otherwise, the result is still the same: incompetence.

HereSince1628

(36,063 posts)
15. Memorize and follow the dogmatic protocol or understand the concepts
Wed Oct 15, 2014, 07:12 PM
Oct 2014

that it is addressing??

What's the balance?
I'm sorry but this is something of cusp of a fulcrum that healthcare must grok if it is to deal with the less known and unknown.

Warpy

(111,245 posts)
16. People with early ebola spike high fevers
Wed Oct 15, 2014, 07:13 PM
Oct 2014

not low grade stuff that can be attributed to a host of other things.

Our own line for calling the doc and infection control was 101.5.

OK, I'm not as mad at her as I was earlier. Still, traveling should have been the last thing she should have done.

They need to quarantine health care workers who have taken care of end stage Ebola patients on full pay, enforcing the quarantine when necessary, until they have the equipment and facilities that are necessary to deal with this monster.

Crunchy Frog

(26,579 posts)
33. So you're saying that symptoms absolutely never begin with low grade fever?
Wed Oct 15, 2014, 07:40 PM
Oct 2014

I'd like to see a link to that info, and not from the official CDC guidelines.

I would personally think that any symptoms at all in someone who's had close contact with an Ebola patient should trigger some sort of response and certainly rule out air travel.

Whatever happened to the concept of erring on the side of caution?

Warpy

(111,245 posts)
34. Ever notice that sentences that begin with "so"
Wed Oct 15, 2014, 07:42 PM
Oct 2014

always contain a straw man? Now you built him, take him out and play with him.

Crunchy Frog

(26,579 posts)
40. I was not trying to create a strawman, I was trying to get clarification.
Wed Oct 15, 2014, 07:52 PM
Oct 2014

I'll just assume then, that you don't have any evidence to back up your claim. I don't accept snark as evidence.

 

Eleanors38

(18,318 posts)
49. Virtually every utterance starts with "So." Only idiom comparable
Wed Oct 15, 2014, 08:02 PM
Oct 2014

is the disappearance of "problem" to be replaced by "issue." Even "Like,.........." pales in significance.

snagglepuss

(12,704 posts)
43. A woman who had been a nurse in South Africa said nurses tending to ebola patients were
Wed Oct 15, 2014, 07:53 PM
Oct 2014

required to stay in the hospital 24/7. Draconian but they must have arrived at that procotol from experince.

Warpy

(111,245 posts)
50. Exactly, and it might have to be just that Draconian
Wed Oct 15, 2014, 08:03 PM
Oct 2014

with the nurses leaving the decontamination area for meals and sleep at the hospital but away from other patients.

We can still contain this but it's going to cost and shit states like Texas are not going to be happy with the bills it runs up.

Ilsa

(61,694 posts)
62. Not in the report i saw. the nurse was decontaminated at
Wed Oct 15, 2014, 08:16 PM
Oct 2014

Hospital, then she took another shower after getting home before touching her children.

Ms. Toad

(34,062 posts)
51. In terms of concern about transmission - ANY fever, following contact with a known Ebola patient
Wed Oct 15, 2014, 08:04 PM
Oct 2014

within the 21 days should be treated as Ebola until proven otherwise. The consequences of not doing so are tremendous if the fever increases a few hours later. They are now tracking 132 additional patients. an unknown number of people she had contact with in the airport, extraordinary cleaning measures for a substantial portion of the airport and plane - all of which would have been saved had her low grade fever been treated as presumed to be Ebola until proven otherwise. And - if anyone from the airport or flight becomes infected, the damage is exponential.

Yet the largest study of the current outbreak found that in nearly 13% of "confirmed and probable" cases in Liberia, Sierra Leone, Guinea and elsewhere, those infected did not have fevers.


http://www.latimes.com/nation/la-na-1012-ebola-fever-20141012-story.html#page=1

Warpy

(111,245 posts)
56. I think we will probably get there
Wed Oct 15, 2014, 08:10 PM
Oct 2014

but an asymptomatic low grade temperature still posed negligible risk to other passengers.

Yeah, she was stupid to get on a plane. It wasn't dangerously stupid--this time.

Yo_Mama

(8,303 posts)
73. Yes, the CDC criteria never made sense from the beginning.
Wed Oct 15, 2014, 08:36 PM
Oct 2014

Thank you for posting the link with the factual info.

 

Aerows

(39,961 posts)
52. What about someone like me
Wed Oct 15, 2014, 08:04 PM
Oct 2014

that naturally has a higher body temperature due to metabolism? 99.1 is normal for me. 97.5 is normal for my sister. She could have a fever and you wouldn't know it. I don't have a fever, and you would think I did.

Warpy

(111,245 posts)
79. Mine is 100.8 today
Wed Oct 15, 2014, 09:00 PM
Oct 2014

because of an alphabet soup of autoimmune diseases.

I don't think the EEbola will jump up and bite me from 800 miles away, even if it is a neighboring state.

Ilsa

(61,694 posts)
69. CNN was just reporting that nurse Pham's
Wed Oct 15, 2014, 08:28 PM
Oct 2014

fever was gradual like this one, not an early spike. Sounds like symptoms are varying with a possible minor mutation?

Warpy

(111,245 posts)
77. They know so little at this stage
Wed Oct 15, 2014, 08:43 PM
Oct 2014

because they only locate people with ebola in Africa by sending out teams to pick up any people they find who are deathly ill with some sort of intestinal complaint. Some ill people hide in the bush whenever a WHO or DWB van pulls into the village because they think the hospital is killing people, not the disease. It's a wretched business in Africa and will be tough to contain.

The prodromal period, where the patient is infected but not yet contagious, might start with a low grade fever as the immune system notices the invader and starts to mount a defense. I'm sure they're investigating that possibility, especially since health care workers here are very conscious of such things and do report them instead of hiding them.

The high fever appears when the other symptoms appear and that's when the patient becomes contagious. This is how the cases present in Africa.

These first cases are how the CDC is going to learn more about this monster.

Crunchy Frog

(26,579 posts)
109. What about all the health care workers who have gotten sick
Wed Oct 15, 2014, 11:10 PM
Oct 2014

while they were closely monitoring themselves?

It's simply not true that the only samples we have are of critically ill ignorant people hiding out in the bush.

 

KMOD

(7,906 posts)
123. Symptoms do vary,
Thu Oct 16, 2014, 12:29 AM
Oct 2014

much like the common cold or flu here, some people get hit really hard and other don't.

Viruses are unpredictable.

There have been cases in West Africa where people test positive for Ebola, yet don't get very ill. Other's die.

We do not know as much as we think.

 

KingCharlemagne

(7,908 posts)
98. She was planning her wedding. The CDC told her it was OK to fly. She did due
Wed Oct 15, 2014, 10:03 PM
Oct 2014

diligence; the CDC did not do due diligence. You sure you're directing your anger in the right direction?

 

cherokeeprogressive

(24,853 posts)
23. "Excuse me Ms. Vinson, you say you were directly involved in Mr. Duncan's treatment? Okay..."
Wed Oct 15, 2014, 07:29 PM
Oct 2014

"Here's what you do: SEPARATE YOURSELF FROM EVERY PERSON AROUND YOU UNTIL WE GET THERE. DO. NOT. GET. ON. A. PLANE. AM I CLEAR? PLEASE ANSWER ME... AM I CLEAR?"

Instead we get "Eh, it's probably alright. No worries. Happy flying!"

Directly involved in treating an Ebola patient.

Fever.

NO FUCKING FLYING.

Is there something about that most people would consider an overreaction? Hello? Err on the side of safety?

Warpy

(111,245 posts)
31. I routinely run fevers as high as 101
Wed Oct 15, 2014, 07:39 PM
Oct 2014

just from autoimmune stuff. You can run fevers with sunburn, dehydration, overexertion.

Low grade fevers by themselves are not a cause for concern.

 

cherokeeprogressive

(24,853 posts)
35. Low grade fevers in people DIRECTLY involved in treating Ebola patients isn't a different
Wed Oct 15, 2014, 07:42 PM
Oct 2014

consideration?

I would add that in order to get to 101, my fever would first have to be 100. What's the possibility that someone whose temp is on the way up, but not at a critical stage YET, gets past the gate and onto an airplane?

Puzzledtraveller

(5,937 posts)
45. I definitely feel ill when I get to 99.
Wed Oct 15, 2014, 07:54 PM
Oct 2014

I run average 97.6, so 99 and I'm thinking I want to stay home. 100 and I'm bed ridden.

Puzzledtraveller

(5,937 posts)
100. It is to say that everyone reacts to a fever differently.
Wed Oct 15, 2014, 10:07 PM
Oct 2014

If I had a temp of 99 I would have felt to ill to travel, maybe the nurse felt fine. It is relevant if people ask why did she fly with a fever.

 

cherokeeprogressive

(24,853 posts)
104. I have no problems with your flying with a fever. I have MAJOR problems with her flying with one.
Wed Oct 15, 2014, 10:25 PM
Oct 2014

Need I tell you why, once more?

I'm going to be as clear as I possibly can... At this point in the game, when everything we've been told by our government about Ebola has either been backtracked, amended, contradicted, or has turned out to be flat wrong from the get-go I don't give a damn if she has a fever of 99. freaking ONE. She had DIRECT CONTACT WITH A MAN WHO IS NOW DEAD FROM EBOLA. You get that, right? Because the nature of your responses leaves me almost expecting you at any moment to post "Holy shit, this nurse attended to that guy Duncan who died from Ebola? HELL NO she shouldn't have been flying with ANYTHING BUT a normal temperature."

I would add that it's entirely possible that she could have talked to the CDC person on the phone while she had a temp of 99.5, and then TWO HOURS LATER had a temp of 102.

I really don't know what else to say to you.

Crunchy Frog

(26,579 posts)
108. Me too. My temp is usually below 98. If I get above 99, I definitely feel feverish.
Wed Oct 15, 2014, 11:02 PM
Oct 2014

And generally have other symptoms indicative of some sort of illness.

In any event, it sounds like her temp was significantly higher than her own normal baseline temp, or else she wouldn't have expressed concern.

LisaL

(44,973 posts)
38. But you haven't been treating any Ebola patients.
Wed Oct 15, 2014, 07:46 PM
Oct 2014

She shouldn't have been flying at all, let alone with the fever.

LisaL

(44,973 posts)
111. From what has been reported, CDC approved her trip.
Wed Oct 15, 2014, 11:16 PM
Oct 2014

Then allowed her to fly back even though she told them she had a fever.
What were they thinking?

In_The_Wind

(72,300 posts)
131. I agree with you.
Thu Oct 16, 2014, 09:11 AM
Oct 2014
If you have had contact with Ebola in any manner ... stay off of planes and all forms of public transportation for 42 days.

LisaL

(44,973 posts)
28. Their director claimed just now she shouldn't have been flying at all.
Wed Oct 15, 2014, 07:37 PM
Oct 2014

Yet when she told CDC she had a fever, they said it was fine for her to board.
I don't know what's wrong with them, but something clearly is.

LisaL

(44,973 posts)
110. CDC seems to be clueless.
Wed Oct 15, 2014, 11:15 PM
Oct 2014

They knew this nurse was at risk of Ebola.
How could they allow her to fly, especially after she developed fever?
This level of incompetence is mind boggling.

 

magical thyme

(14,881 posts)
112. I get the sense they are winging this entire thing
Wed Oct 15, 2014, 11:24 PM
Oct 2014

a reasonable plan would have been to get a single patient into a facility set up to treat Ebola.

if we end up with more than 1 or 2 patients, a reasonable plan would be to not try to equip every effing hospital in the country on the off chance that they admit an Ebola patient, but to set up a regional "go-to" hospital and give their staff special training and full biohazard gear, not only for their protection but also to ensure appropriate treatment.

a reasonable plan would *not* be to advise visitors from impacted countries to go to their local ED or urgent care center if they show symptoms, but to go to the regional center prepared to deal with it.

LisaL

(44,973 posts)
114. Well, they are winging it very badly.
Wed Oct 15, 2014, 11:40 PM
Oct 2014

If this nurse asked me if she could fly, I would tell her "hell no."
But CDC can't figure it out, apparently, even though their director says Duncan's contacts were not supposed to have been flying.

 

magical thyme

(14,881 posts)
120. you won't get any argument from me on that.
Wed Oct 15, 2014, 11:48 PM
Oct 2014

I couldn't believe that. But then, I can't believe anything that's been going on.

I expected a clusterfuck with the first patient. I never in my dreams anticipated this much of a series of nonstop clusterfucks.

It truly boggles my mind. I think it also reflects how incredibly out of touch with reality the so-called elite are.

Response to Ilsa (Original post)

Response to LisaL (Reply #30)

Ilsa

(61,694 posts)
60. MSM is now saying the CDC gave her no guidance.
Wed Oct 15, 2014, 08:14 PM
Oct 2014

She should have known better, and the CDC should have told her firmly not to fly.

LisaL

(44,973 posts)
61. CDC gave her no guidance?
Wed Oct 15, 2014, 08:16 PM
Oct 2014

What are they there for if not give guidance?
Their director told us none of the contacts should have been flying.
Why didn't CDC tell that to the nurse?

Response to Ilsa (Reply #60)

 

KingCharlemagne

(7,908 posts)
101. Wow, just wow. She displayed due diligence by calling the CDC and you'd still have her fined? My
Wed Oct 15, 2014, 10:09 PM
Oct 2014

God, is this 'Democratic Underground' or some strange anti-worker mutation thereof? I've now heard it all.

Response to KingCharlemagne (Reply #101)

 

KingCharlemagne

(7,908 posts)
139. If I have to outline the long-standing alliances between Democrats and labor in this country, then
Thu Oct 16, 2014, 10:58 AM
Oct 2014

there's really no point in further discussions.

It has EVERYTHING to do with being anti-worker, your refusal to look in the mirror notwithstanding. At the time she flew, the CDC was saying that only transmission of bodily fluids could infect others. She went the extra step and called the CDC and got advice that matched those guidelines at the time.

So now Ms. Vinson's problem is that she wasn't a 'smart person'?

I think I've said enough.

Ilsa

(61,694 posts)
124. Do you think it's possible that
Thu Oct 16, 2014, 05:45 AM
Oct 2014

as she is getting sick, her judgment is not on track? Granted, she wasn't delirious, but she's young, and unwell, and we all have different mental breaking points. Maybe even denial is an issue here. She was deferring to the judgment of others, not trusting her own.

Response to Ilsa (Reply #124)

Evergreen Emerald

(13,069 posts)
133. I agree
Thu Oct 16, 2014, 09:16 AM
Oct 2014

She should have known better. She was exposed to Ebola. Her coworker contracted it. She had a fever. She was reckless to travel. Why wasn't she quarantined?

Response to Evergreen Emerald (Reply #133)

Response to Evergreen Emerald (Reply #133)

 

amandabeech

(9,893 posts)
53. Dr. Sanjay Gupta reporting the same on Anderson Cooper 360
Wed Oct 15, 2014, 08:08 PM
Oct 2014

now @ 8:06.

Sounds like a screw up at the CDC.

Dr. Gupta also says that the 99.5 fever would cause her to be pulled over if she were attempting to board a plane in Liberia.

Dr. Gupta says that Nurse Vinson moved to Emory Univ. hospital in Atlanta from Dallas because of a threat of Dallas hospital personnel refusing to report for work.

 

amandabeech

(9,893 posts)
63. Yes, but I do give her credit for calling.
Wed Oct 15, 2014, 08:18 PM
Oct 2014

She should not have traveled until the 21 day incubation period was over.

 

morningfog

(18,115 posts)
64. Good! No more blame the nurse. She was safe to fly.
Wed Oct 15, 2014, 08:18 PM
Oct 2014

All good. She's isolated now and getting treatment.

 

Spider Jerusalem

(21,786 posts)
68. I think it should be clear at this point...
Wed Oct 15, 2014, 08:27 PM
Oct 2014

that the guidelines for fever in potential Ebola cases are much too high, especially where there's been a known exposure.

 

MissDeeds

(7,499 posts)
78. The whole ebola issue is one big cluster
Wed Oct 15, 2014, 08:55 PM
Oct 2014

No one seems to be in charge or ahead of the game. The lapses are rampant. They say it is not transmitted except by direct contact with bodily fluid, yet we see hazmat teams spraying the sidewalks and yard of the nurse infected in Texas. I am not an alarmist or going into bunker mode, but this thing has the potential to escalate and become a widespread problem if the powers that be don't get their act together and freaking get a handle on it. Each and every outbreak has started with a single case. The way this thing has been handled is totally unacceptable. Totally unacceptable.

Texasgal

(17,045 posts)
82. Well, well..well.
Wed Oct 15, 2014, 09:20 PM
Oct 2014

I'm shocked. NOT.

The CDC has screwed up this case from the beginning! All the posts dumping on the nurse and medical staff and even suggesting that they should be put the death under the death penalty for endangering the public... Guess what? The CDC has screwed this whole thing up beyond repair! I hope those hard working nurses do not die or anyone else because of the dumb-asses at the top!

Thank you CDC. I have NO confidence in you what-so-ever!

 

magical thyme

(14,881 posts)
86. I'm still waiting for somebody to explain why biosuits are deemed necessary at BSL-4 hospitals
Wed Oct 15, 2014, 09:32 PM
Oct 2014

where the staff is trained and drilled for years.

But droplet precautions with tape wound around your neck (and how the motherfuck are you supposed to get tape off without contaminating your now abraded neck, pray tell?!?) are considered sufficient for a regular hospital nurse that has never seen or been prepared for any BSL-4 pathogen before?!?!

And why, when Emory found itself buried under hazardous waste with their first ever patient, they brought in large trash containers from Home Depot to store it on site until they were able to get rid of it. And yet the CDC somehow didn't learn from that and warn this hospital to be prepared for massive amounts of hazardous waste?!?!

Thank god the main hospital that my lab chain is affiliated with is following WHO protocol because it's more stringent than CDC's and also ignoring CDC's guidelines for PPEs. They had a scare 2 days ago...they have complete body suits with hoods, face shields, personal respirators under their hoods, etc.

Texasgal

(17,045 posts)
90. Apparently CDC guidelines are
Wed Oct 15, 2014, 09:47 PM
Oct 2014

NOT correct! I feel sorry for the hospital and the HCW's. They had no idea how to deal with this and the CDC is giving them shitty information!

Texasgal

(17,045 posts)
95. Oh well according to some here we need to
Wed Oct 15, 2014, 09:59 PM
Oct 2014

execute her for putting the public in danger! UGH!!!!!

I hear you. I appreciate your awareness.

 

magical thyme

(14,881 posts)
97. I'm a med lab tech, so potentially have something at stake here
Wed Oct 15, 2014, 10:02 PM
Oct 2014

I've been tracking this since last winter. I was sure it was Ebola back when WHO was calling it some mysterious hemorrhagic disease.

Texasgal

(17,045 posts)
99. I'm a surgical nurse.
Wed Oct 15, 2014, 10:06 PM
Oct 2014

I understand. We just went through CDC training a few weeks ago. We got another e-mail that we are to go through another training session on Monday.

I work for an Opthalmic surgery center so we are not completely on the front lines but we are still in a center that deals with pathology.

 

magical thyme

(14,881 posts)
102. my lab manager got training today
Wed Oct 15, 2014, 10:11 PM
Oct 2014

we'll get it from her.

I expect based on what I've read that we're following WHO guidelines -- more stringent than CDC's.

I'm in a small hospital on the Maine coast, so we get a lot of international travelers although thank goodness the tourist season will be over within a couple weeks, as soon as the leaves drop. We work very closely with our ED, but they are quick to ship patients to the big hospital to our south.

Hopefully there will be a vaccine ready by the time the tourists come back next summer.

 

KingCharlemagne

(7,908 posts)
103. I'm with you. I'm simply appalled at some of the blatant anti-worker comments
Wed Oct 15, 2014, 10:15 PM
Oct 2014

in this thread.

Let's see if the nurse is going to be executed when she called the CDC and received clearance to fly, then um what should be the sentence for the yokel at the CDC to whom she spoke? And what should be the sentence for the director of the CDC?

Nurses have way more class (npi) than I do, but allow me to say on their behalf: "FUCK THIS SHIT."

Fumesucker

(45,851 posts)
113. Welcome to DU
Wed Oct 15, 2014, 11:37 PM
Oct 2014

We aren't all anti-worker so stick around..



I've been a bit surprised at the hate for the nurses, there are several people who seem to have lost their minds over this Ebola issue, people I had respect for until very recently.

 

KingCharlemagne

(7,908 posts)
116. Thank you for the welcome. Those anti-nurse folks should stop to remember what happened
Wed Oct 15, 2014, 11:42 PM
Oct 2014

to Schwarze-Nazi's political fortunes when he took on California's nurses. Hint: they died a very public, very stillborn death. (Couldn't have happened to a nicer prick, but that's by-the-by for our purposes here.)

willing dwarf

(1,089 posts)
87. Why she went to Cleveland?
Wed Oct 15, 2014, 09:39 PM
Oct 2014

I haven't heard why Ms. Vinson went to Cleveland, but I suspect that she went in search of a job. The Presbyterian Hospital in Dallas sounds horrible. I hope she survives this dread disease, and I hope she finds a better place to work.

willing dwarf

(1,089 posts)
142. Thanks!
Thu Oct 16, 2014, 01:21 PM
Oct 2014

I certainly hope she survives this horror, has a wonderful wedding and moves away from that hospital!

Response to Rebl (Reply #89)

SoCalDem

(103,856 posts)
115. Why did she think she was "special"?
Wed Oct 15, 2014, 11:40 PM
Oct 2014

and that is would be okay to expose her family/friends/fiance' to a possibly deadly disease?

That shows a serious disregard for the basic safety rules..

and may prevent her from ever being hired again as a nurse...anywhere...any time..

isolation (voluntary or mandatory) is:


isolation
[ahy-suh-ley-shuh n, is-uh-]

Synonyms
Examples
Word Origin

noun
1.
an act or instance of isolating.
2.
the state of being isolated.
3.
the complete separation from others of a person suffering from contagious or infectious disease; quarantine.


Any hospital that receives an ebola patient must now provide rooms to the exposed people, pay to feed them, and continue their employment pay so they can stay current on bills....and they should also be reimbursed for any non-refundable travel arrangements that might be tempting them to tempt fate. Not many people can afford to lose money on those things, and may just go ahead and travel, hoping they are negative..
 

KingCharlemagne

(7,908 posts)
118. So the fact the CDC was consulted multiple times and by all accounts
Wed Oct 15, 2014, 11:44 PM
Oct 2014

cleared her for travel on each occasion has no bearing on this rush to judgment?

She showed way more due diligence than the head of the CDC or the head of Texas Presbyterian.

 

TerrapinFlyer

(277 posts)
132. "due diligence"... seriously? A wedding is more important than maybe infecting own your family?
Thu Oct 16, 2014, 09:13 AM
Oct 2014

She is a nurse.. what part of that job qualification means you "make a call" about your health.

Any professional in the medical field will know you can't diagnose health issues over the phone... or over the internet!

Did it occur that maybe she should have played it "safe" and went to a doctor to get checked, considering Ebola can kill you? Or was the wedding planning more important?

At some point, each person has to take responsibility for their own actions. Say you were cleared to go by someone on the phone.. really?

 

KingCharlemagne

(7,908 posts)
140. There were no travel restrictions on any HCW at the time, nor was there any
Thu Oct 16, 2014, 11:01 AM
Oct 2014

requirement that she call the CDC. That's why it's due diligence. She was self-monitoring, noticed a low-grade fever and called the CDC to double check.

Your anti-worker attitude is really telling.

 

TerrapinFlyer

(277 posts)
141. It not anti-worker attitude, it's common sense
Thu Oct 16, 2014, 01:16 PM
Oct 2014

She TREATED an ebola patient. Then got a fever. You don't think that maybe she FORGOT she treated a patient.. that DIED.

What part of the connection did you, and the nurse, forget to make.

 

KingCharlemagne

(7,908 posts)
143. Oh, it most certainly is an anti-worker attitude. Who else is going to care for
Thu Oct 16, 2014, 01:35 PM
Oct 2014

patients, the head of the hospital, the director of the CDC?

The CDC cleared her to fly using the protocols in place at the time. But you won't blame them will you?

Shame on you.

Response to SoCalDem (Reply #115)

SoCalDem

(103,856 posts)
144. This why sequestered jurors are "guarded"
Thu Oct 16, 2014, 04:47 PM
Oct 2014

people get cabin fever and start rationalizing why a short trip here or there will be okay

Response to Ilsa (Original post)

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