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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsAmber 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.
Raine1967
(11,589 posts)Ilsa
(61,694 posts)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)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 LauderdaleHollywood International Airport (FLL), FLL to Cleveland, Cleveland to HartsfieldJackson Atlanta International Airport (ATL), and ATL to Cleveland.
http://dfw.cbslocal.com/2014/10/15/ebola-patient-traveled-day-before-diagnosis/
Ilsa
(61,694 posts)Raine1967
(11,589 posts)kestrel91316
(51,666 posts)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)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)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)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)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.
KingCharlemagne
(7,908 posts)Crunchy Frog
(26,579 posts)You Luddite.
Ms. Toad
(34,062 posts)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)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)do the honorable thing and resign.
elleng
(130,865 posts)AngryAmish
(25,704 posts)And, of course, no one will lose their job.
Texasgal
(17,045 posts)Is Amber if she dies.
kelly1mm
(4,732 posts)especially if anyone she was in contact with on the plane gets ebola.
Cali_Democrat
(30,439 posts)Response to kelly1mm (Reply #5)
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TorchTheWitch
(11,065 posts)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)
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TorchTheWitch
(11,065 posts)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.
valerief
(53,235 posts)KittyWampus
(55,894 posts)boston bean
(36,221 posts)Turbineguy
(37,319 posts)That suggests he's doing a good job.
valerief
(53,235 posts)jtuck004
(15,882 posts)ecstatic
(32,682 posts)The repubs hate him, so he must be great!
Response to Ilsa (Original post)
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valerief
(53,235 posts)BTW, you have a really funny name.
Response to valerief (Reply #18)
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valerief
(53,235 posts)cherokeeprogressive
(24,853 posts)Control-Z
(15,682 posts)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)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)
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Ilsa
(61,694 posts)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" 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)
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Ilsa
(61,694 posts)LisaL
(44,973 posts)Do you call CDC if you have low grade fever?
Control-Z
(15,682 posts)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)but think they do
Control-Z
(15,682 posts)ecstatic
(32,682 posts)with a direct phone number, otherwise, the result is still the same: incompetence.
HereSince1628
(36,063 posts)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)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)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)always contain a straw man? Now you built him, take him out and play with him.
FSogol
(45,476 posts)Crunchy Frog
(26,579 posts)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)is the disappearance of "problem" to be replaced by "issue." Even "Like,.........." pales in significance.
uppityperson
(115,677 posts)See?
snagglepuss
(12,704 posts)required to stay in the hospital 24/7. Draconian but they must have arrived at that procotol from experince.
Warpy
(111,245 posts)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)Hospital, then she took another shower after getting home before touching her children.
snagglepuss
(12,704 posts)Ms. Toad
(34,062 posts)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.
http://www.latimes.com/nation/la-na-1012-ebola-fever-20141012-story.html#page=1
Warpy
(111,245 posts)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.
Drahthaardogs
(6,843 posts)Is there sufficient viral load for transmission?
Ms. Toad
(34,062 posts)whether it was dangerously stupid or not.
Yo_Mama
(8,303 posts)Thank you for posting the link with the factual info.
Aerows
(39,961 posts)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)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.
Aerows
(39,961 posts)that body temperature varies widely.
Ilsa
(61,694 posts)fever was gradual like this one, not an early spike. Sounds like symptoms are varying with a possible minor mutation?
Warpy
(111,245 posts)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)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.
Warpy
(111,245 posts)and two here.
Oh, yeah, huge sample.
Crunchy Frog
(26,579 posts)KMOD
(7,906 posts)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)diligence; the CDC did not do due diligence. You sure you're directing your anger in the right direction?
cherokeeprogressive
(24,853 posts)"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)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)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)I run average 97.6, so 99 and I'm thinking I want to stay home. 100 and I'm bed ridden.
cherokeeprogressive
(24,853 posts)Puzzledtraveller
(5,937 posts)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)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)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)She shouldn't have been flying at all, let alone with the fever.
Puzzledtraveller
(5,937 posts)dbackjon
(6,578 posts)None of them should be.
LisaL
(44,973 posts)Then allowed her to fly back even though she told them she had a fever.
What were they thinking?
Skittles
(153,147 posts)WTF is wrong with people?
cherokeeprogressive
(24,853 posts)ctaylors6
(693 posts)In_The_Wind
(72,300 posts)Crunchy Frog
(26,579 posts)from our extremely competent CDC. This certainly renews my confidence.
LisaL
(44,973 posts)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.
magical thyme
(14,881 posts)LisaL
(44,973 posts)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)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)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)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)
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LisaL
(44,973 posts)Response to LisaL (Reply #30)
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LisaL
(44,973 posts)Because that's what they are reporting.
Ilsa
(61,694 posts)She should have known better, and the CDC should have told her firmly not to fly.
LisaL
(44,973 posts)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?
Fumesucker
(45,851 posts)Gave her no guidance?
WTF does that even mean?
Response to Ilsa (Reply #60)
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KingCharlemagne
(7,908 posts)God, is this 'Democratic Underground' or some strange anti-worker mutation thereof? I've now heard it all.
Response to KingCharlemagne (Reply #101)
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KingCharlemagne
(7,908 posts)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)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)
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KMOD
(7,906 posts)Evergreen Emerald
(13,069 posts)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)
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Response to Evergreen Emerald (Reply #133)
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amandabeech
(9,893 posts)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.
Ilsa
(61,694 posts)CDC screwed up, but so did she.
amandabeech
(9,893 posts)She should not have traveled until the 21 day incubation period was over.
Ilsa
(61,694 posts)"Judgment call".
morningfog
(18,115 posts)All good. She's isolated now and getting treatment.
davidn3600
(6,342 posts)Spider Jerusalem
(21,786 posts)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)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)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)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)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!
magical thyme
(14,881 posts)Texasgal
(17,045 posts)execute her for putting the public in danger! UGH!!!!!
I hear you. I appreciate your awareness.
magical thyme
(14,881 posts)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)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)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)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)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)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)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.
Texasgal
(17,045 posts)her parents live there.
There was no searching for a job! Jezuz!
Went to plan her wedding is what I heard.
willing dwarf
(1,089 posts)I certainly hope she survives this horror, has a wonderful wedding and moves away from that hospital!
Response to Rebl (Reply #89)
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SoCalDem
(103,856 posts)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..
LisaL
(44,973 posts)KingCharlemagne
(7,908 posts)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)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)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)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)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)
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SoCalDem
(103,856 posts)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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