Patient in New York City Tests Positive for Ebola
Source: New York Times
A doctor in New York City who recently returned from treating Ebola patients in Guinea tested positive for the Ebola virus Thursday, becoming the citys first diagnosed case.
The doctor, Craig Spencer, was rushed to Bellevue Hospital on Thursday and placed in isolation while health care workers spread out across the city to trace anyone he might have come into contact with in recent days. A further test will be conducted by the federal Centers for Disease Control to confirm the initial test.
While officials have said they expected isolated cases of the disease to arrive in New York eventually, and had been preparing for this moment for months, the first case highlighted the challenges surrounding containment of the virus, especially in a crowded metropolis.
Even as the authorities worked to confirm that Mr. Spencer was infected with Ebola, it emerged that he traveled from Manhattan to Brooklyn on the subway on Wednesday night, when he went to a bowling alley and then took a taxi home.
Read more: http://www.nytimes.com/2014/10/24/nyregion/craig-spencer-is-tested-for-ebola-virus-at-bellevue-hospital-in-new-york-city.html?hp&action=click&pgtype=Homepage&version=LedeSum&module=first-column-region®ion=top-news&WT.nav=top-news&_r=0
TwilightGardener
(46,416 posts)enough
(13,256 posts)TwilightGardener
(46,416 posts)shopping and errands for him, self-quarantined. Instead, he went fucking bowling. Was that really necessary?
uppityperson
(115,677 posts)Heather MC
(8,084 posts)uppityperson
(115,677 posts)denem
(11,045 posts)When I read bowling alley
I immediately thought of the 1997 AIDS terror ad.
Throckmorton
(3,579 posts)But it is still not the Times Square of my misspent youth.
markpkessinger
(8,392 posts). . . but didn't develop a fever until Thursday morning, when he immediately contacted officials. "Feeling sluggish" could be anything, and might not even have been recognized as a symptom. A person can only transmit the virus when he or she is displaying symptoms, so it is highly unlikely this doctor transmitted the virus to anyone else.
TwilightGardener
(46,416 posts)But there was the chance that nausea/vomiting could have occurred suddenly, while he was out and about on Wednesday.
johnfunk
(6,113 posts)Sorry. Could not resist.
grasswire
(50,130 posts)flamingdem
(39,313 posts)What train did he take last night.. Oh well I eata slice n fuggetaboutit.
Renew Deal
(81,855 posts)LovingA2andMI
(7,006 posts)As instead of going in "self-isolation" after clear contact with Ebola patients, there definitely seems to be a large urge to jump on a plane or train instead being ALONE in a Automobile.
hrmjustin
(71,265 posts)HereSince1628
(36,063 posts)I need a life-line!
NAME THE PREPATENT PERIOD OF EBOLA!
No I mean I really I think I need a life-line!!!!
JimDandy
(7,318 posts)WilliamPitt
(58,179 posts)Oh, man...
ZombieHorde
(29,047 posts)Thanks.
flamingdem
(39,313 posts)Are rather concerned. The protocol seems lax if a fever can come on that fast.
RKP5637
(67,104 posts)flamingdem
(39,313 posts)I don't think they know the necessary answers.
RKP5637
(67,104 posts)be a lot of false indicators IMO flooding resources.
flamingdem
(39,313 posts)Every hypochondriac is feeling sweaty now.
LovingA2andMI
(7,006 posts)for my Daughter last night at a large midwest hospital took seven hours before she was seen, with at least twelve folks wearing a mask in the ER. Yep, this flu season will be interesting indeed.
flamingdem
(39,313 posts)I guess women don't always know when a heart problem happens, better safe than sorry.
LovingA2andMI
(7,006 posts)She's doing fine now but will be following up with her primary care physician, because Mom said so .
Lochloosa
(16,063 posts)Voice for Peace
(13,141 posts)and why people who were exposed to someone in early
stages rarely contract it.
As I recall:
The virus does not invade the lungs and replicate there,
which is generally how 'airborne' viruses are spread, in
miniscule droplets that we expel when we speak, breathe,
cough. Flu, measles, etc.
The ebola virus invades the immune system, those specialized
cells, and replicates there. Not much if any virus in the lungs
or other organs until the final days when everything has
broken down and the blood is full of virus, everything is.
I'm sure there may be exceptions but this article was very
reassuring and I wish I could find it again.
RKP5637
(67,104 posts)Voice for Peace
(13,141 posts)RKP5637
(67,104 posts)magical thyme
(14,881 posts)I'm hoping that some idiot reporter or graphic designer just grabbed an generic image for how viruses enter our systems and added in the word Ebola, which is most likely the case.
I've read some other things today that really bother me about this whole epidemic. Apparently we have a bioweapons research lab located in the same city in Guinea where the outbreak started.
And apparently we have something like 4 accidents/day at our various facilities, which recently led Obama to put a temporary moratorium on this supposedly defensive research.
Voice for Peace
(13,141 posts)magical thyme
(14,881 posts)it does look suspicious. Especially considering the safety record.
Voice for Peace
(13,141 posts)needing an outbreak to test their product and bypass FDA
magical thyme
(14,881 posts)it would only take one sociopath...
Voice for Peace
(13,141 posts)DeadEyeDyck
(1,504 posts)Voice for Peace
(13,141 posts)Voice for Peace
(13,141 posts)but just as likely your hopeful theory, as the world is full
of idiot reporters who do those things probably four times
a day too. Bored reporters at the mercy of their idiocy.
magical thyme
(14,881 posts)up you nose. While with projectile vomit that would be possible, it is pretty unlikely. So I'm leaning toward an idiot reporter.
magical thyme
(14,881 posts)the contagiousness.
However, it also is dependent on the immune system of the exposed person.
That is what concerns me about potentially exposed people not self-quarantining. They are assuming everybody they come in contact with is immunocompetent. But an oncology patient who's recently had chemo could have their immune system knocked for a loop. Just had one walk into our urgent care center with a white count of 1.7 (<=2.0 is critical).
RKP5637
(67,104 posts)pnwmom
(108,976 posts)magical thyme
(14,881 posts)flamingdem
(39,313 posts)He was doing wishful thinking? Bad for the contacts, some will lose three weeks.
magical thyme
(14,881 posts)as soon as I read that, I figured the results were in.
Yo_Mama
(8,303 posts)I don't think he had no fever until this morning and then it jumped to 103. I think he was out and didn't pay attention.
I hope the guy makes it, but this is the case we hoped never to have.
After this monitoring protocols are going to be jacked up again. A very bad day for NYC. Hopefully everything will work out, but they are going to have to go all out to ensure that they get there.
flamingdem
(39,313 posts)Looks like humans are not truly able to self monitor - the urge to go out is too strong and people deny malaise when there's fun to be had.
LovingA2andMI
(7,006 posts)The People that you think would know not to do --- i.e. HEALTH CARE WORKERS -- seem to not know or not care what to do at all. I.E. - Stop getting in situations of PUBLIC TRANSPORTATION while or after you treated on a one to one basis, a patient with Ebola. Amber Vinson -- ER Nurse who should've know better than to get on a darn plane and now this Doctor who thought it was a good idea to hop a BUSY NYC Subway instead of spending 21 days in "self-isolation".
If this mess spreads to the general public, Lawd help us....
flamingdem
(39,313 posts)Maybe if they're willing to treat ebola patients they're risk takers - example I would not work with ebola patients and I would hole up if infectious with even a cold!
LovingA2andMI
(7,006 posts)Probably. The problem is these Doctors and Nurses should know better one would think. Or...maybe, just maybe they are risk taking with everyone else lives including their own.
lapislzi
(5,762 posts)Many of the doctors I've worked with were the absolute worst about taking care of themselves. It was often a case of "do as I say, not as I do." One of the finest doctors I ever knew (long time ago) smoked like a chimney, but would snatch the smoke out of your mouth and stamp on it.
One of my nursing friends used to say they'd take bets when a child with a burst appendix presented in the ER--that it was a doctor's kid. She was proud of her winnings.
snagglepuss
(12,704 posts)understand that managing possible panic is as important as managing the disease. How much better it would be if the story today was that doctor who isolated himself as a precaution has now been diagnosed with the disease.
Voice for Peace
(13,141 posts)That's one way people might overlook early symptoms.
Yo_Mama
(8,303 posts)Well, it's inexplicable, but real.
Voice for Peace
(13,141 posts)If I were a Doctor Without Borders coming back to the
USA after weeks or months with ebola, I might party hard.
(Well, I wouldn't personally, but I might if I were much
younger.) Just a couple of careless days and you could
overlook early symptoms.
I think we all have a deep respect for them and their work;
I hope the person survives and everyone learns.
markpkessinger
(8,392 posts)TwilightGardener
(46,416 posts)they said, "Sure. Take as many modes of public transport as possible, and make sure to rent your shoes and bowling ball."
LisaL
(44,973 posts)LovingA2andMI
(7,006 posts)And the worst part, this could be in the probability of being on the side of truth, considering the CDC's prior actions in these matters.
PADemD
(4,482 posts)tomm2thumbs
(13,297 posts)I had to laugh at that one
MissB
(15,805 posts)DeadLetterOffice
(1,352 posts)appalachiablue
(41,127 posts)PeoViejo
(2,178 posts)Are we having fun yet?
Travelman
(708 posts)Bowling shoes.
defacto7
(13,485 posts)n/t
Travelman
(708 posts)...bowling shoes are already pretty skeevy as it stands.
Yeesh. I've given myself a third-degree case of the willies now....
WhiteAndNerdy
(365 posts)PADemD
(4,482 posts)TwilightGardener
(46,416 posts)Last edited Thu Oct 23, 2014, 11:19 PM - Edit history (1)
ball/thumb suction is broken.
NJCher
(35,658 posts)President Cool.
Cher
LeftInTX
(25,258 posts)Ebowling - when you combine ebola with bowling
LovingA2andMI
(7,006 posts)Ebowling shoes.....
calimary
(81,220 posts)That's quite literally a sick joke (so to speak), isn't it!
840high
(17,196 posts)Travelman
(708 posts)DeadLetterOffice
(1,352 posts)It never happened. The vaccine sat on a shelf. Only now is it undergoing the most basic safety tests in humans with nearly 5,000 people dead from Ebola and an epidemic raging out of control in West Africa.
Its development stalled in part because Ebola is rare, and until now, outbreaks had infected only a few hundred people at a time. But experts also acknowledge that the lack of follow-up on such a promising candidate reflects a broader failure to produce medicines and vaccines for diseases that afflict poor countries. Most drug companies have resisted spending the enormous sums needed to develop products useful mostly to countries with little ability to pay.
http://www.nytimes.com/2014/10/24/health/without-lucrative-market-potential-ebola-vaccine-was-shelved-for-years.html
lunasun
(21,646 posts)LovingA2andMI
(7,006 posts)Working out at the moment...while Trained Doctors and Nurses jump at the opportunity to hop on public transportation directly or not to far after treating patients with Ebola.
jtuck004
(15,882 posts)Can't have that.
AngryAmish
(25,704 posts)Lay in a bunch of food and Netflix.
Nooooop, this asshole had to go to the denseest city in America.
He wanted to be a hero. Big man, you. You might have killed your girlfriend and a bunch of other people.
Jerk.
brooklynite
(94,502 posts)AngryAmish
(25,704 posts)I have visited NYC sevetal times. One thing I did notice was the many people there.
Would it not be safer to be away from people, especually since you might have a very deadly infectious disease?
NJCher
(35,658 posts)You have a thinking error going here.
Your first error is in thinking that a highly educated person in the medical field might have common sense, and what's more (error 2), might be altruistic, which is when such a person might actually think about how their actions affect other people.
This is a far-fetched proposition, indeed.
How long have you been here on Planet Earth? Couple weeks?
I will assume so. Now, just to bring you up to date on how things work here on Planet Earth, or at least the USA, we have a profit-oriented system. This tends to attract people who are interested in $$$$$, not their fellow human beings.
I did so enjoy your line of thought, however, but it's just not the way things work in the most fiercely capitalistic and individualistic country in the world.
Cher
DeadLetterOffice
(1,352 posts)You do realize this doctor was exposed while volunteering his time to take care of very sick people that most of the world doesn't give a shit about.
NJCher
(35,658 posts)He doesn't realize there's an additional step, and that is making sure you don't come home and spread the virus around your own city.
How hard is that to understand?
Cher
CullenBohannon
(64 posts)840high
(17,196 posts)in N.Y. and was associated with Presbyterian Hospital.
Yo_Mama
(8,303 posts)rainbow4321
(9,974 posts)He and his stuff have been alllllll over the place. Online article reported about his clothes and also that the bowling alley has been closed.
heaven05
(18,124 posts)Last edited Thu Oct 23, 2014, 10:21 PM - Edit history (1)
and still dripping. And spreading.
AverageJoe90
(10,745 posts)Response to AverageJoe90 (Reply #46)
Post removed
CullenBohannon
(64 posts)This "doctor" wasn't very smart..........
LovingA2andMI
(7,006 posts)No matter how much he wanted to "hang out" on day eight post contact with Ebola Patients in West Africa....he should have STAY THE HECK HOME on Self-Isolation. Now, who knows who is infected yet. Remember, we have another 21 days to find out IF any NYCers in contact with Mr. Doctor hanging out at the Bowling Alley while taking the A, 1, L Trains and a Uber car, plus dropping his clothes off at the CLEANERS -- has really infected anyone else.
You know, to the rest of New York City's innocent residents and all....
jonjensen
(168 posts)democrat candidates are being blasted with republicans "vote republican or die from ebola!" how long can democratic candidates hold out against travel ban? cdc head didn't help by telling republican congressman that travel ban would hurt west africa's fragile economies. It looks bad for democratic candidates.
LovingA2andMI
(7,006 posts)As some of the language in the post is highly questionable, however.....excuse moi as I clearly point out the obvious:
WHERE ARE THE REPUBLICANS SCREAMING FROM ROOFTOPS -- coming back off of the Vacation-Getting P.A.I.D. while doing really NOTHING Recess since the end of August (Mind You) --- for their fellow Federal Elected GOPer Co-Horts nationwide to come back to D.C. and deal with this Ebola Outbreak?
Oh, yeah.....it's not happening at all...
So CEASE and DESIST the Obama blame game. We have a Republican Speaker of the House that's too busy getting a updated spray tan than taking five minutes to deal with Ebola in the USA.
Skittles
(153,150 posts)HereSince1628
(36,063 posts)How horrible would that be?
and just to ad insult to infection...he goes from a returning hero, a humanity loving volunteer, to an imagined and despised vector sick with an illness that kills half the people it infects.
I can't imagine the emotional roller coaster of that...while waiting for the symptoms to rise to full crisis.
flamingdem
(39,313 posts)If not people will freak out - it was great Duncan's family are okay, was it lucky?
HereSince1628
(36,063 posts)I was thinking about the behavior of close friends when we were out bowling.
Way to many hands going between bags of snacks and mouths to not be creeped out.
LisaL
(44,973 posts)Vast majority develop symptoms within 21 days. So it hasn't been anywhere near 21 days for him.
HereSince1628
(36,063 posts)Average is a measure of central tendency the middle is associated with 50%
95% who get it get within 21 days...
98 % who get ill do so within 42 days
A person can pick whatever they want as a reference for their thinking, but average is also associated with the concept of what is typical. Thinking around the arithmetic mean and +/- 1 stdev is a common way of thinking...I'd suggest more common that thinking in terms of a 95% or 98% confidence interval.
I understand the nature of the reported variability, but I think I'll be keeping my thinking around 'average', thank-you.
Man from Pickens
(1,713 posts)What is with these people that they think nothing of exposing others to the risk of highly fatal diseases?
Makes me think that it is the "me first and only" attitude that is so prevalent in this country which is the disease that weakens our collective immune system. All these people should have known not to travel and not to take the chance that they might infect others. None of them have shown any signs of remorse for their actions.
This is the real sickness in this country. Nobody gives a shit about anybody but me, myself, and I.
flamingdem
(39,313 posts)Willing to work with the very sick. My sense is that they follow protocol more than common sense and protocol needs to be tightened.
Man from Pickens
(1,713 posts)the Hippocratic Oath is the very basis of medical ethics - "First, do no harm."
None of them have the slightest excuse to have taken any risk with other peoples' health. That is criminal negligence in my book.
deurbano
(2,894 posts)before developing a fever... and this guy reported feeling sluggish before developing a fever. So, maybe those developing the protocols need to consider these somewhat vague symptoms as more concerning-- more like red flags-- than they seem to have been previously regarded. (I mean for people so directly at risk.)
flamingdem
(39,313 posts)Plus they need to have a more sensitive test.
LisaL
(44,973 posts)Seem like they start feeling not well couple of days before fever develops.
gwheezie
(3,580 posts)the people taking care of Ebola patients only think of themselves!
TwilightGardener
(46,416 posts)vacations and trips, they're not exactly swimming in vacation days and probably didn't foresee that taking care of Duncan would result in having to cancel, get no refund, lose a lot of money, and disappoint family. Remember that they didn't seek to care for Duncan, he came to them and they didn't want to refuse to care for him, certainly. Doctors, however, especially the ones that CHOSE to treat ebola patients, should be expected to set an example. But regardless, of course, they all should have been warned to lay low for a few weeks.
NJCher
(35,658 posts)Cher
LiberalArkie
(15,713 posts)they did not get a simple flu vaccine. And that crap does mutate.
DeadLetterOffice
(1,352 posts)uppityperson
(115,677 posts)janlyn
(735 posts)is moving back home from Manhattan on the 31st. Now I have a legitimate reason for not socializing with him! Whoohoo!! Thanks Ebola!
deutsey
(20,166 posts)but this press conference with NYC leaders and doctors seems to be demonstrating the big difference between the hands-on NYC approach vs. the laissez faire approach in Texas.
I'll say this again, though: if the world community had come together to contain Ebola when it first broke out months ago, none of this wouldn't even be an issue now.
But...austerity!
The invisible hand of the market is failing us (has been for some time, actually). We need real hands working together to build up social structures that benefit everyone's quality of life, not just a few greedy fuckheads' bottom line.
Reter
(2,188 posts)Especially where it's an epidemic. Stay here and help or don't come back. This didn't have to happen.
LeftInTX
(25,258 posts)raven mad
(4,940 posts)But, oh, my GAWD ..................
DallasNE
(7,402 posts)Should have been smart enough to put himself in self-isolation for sure. Kind of a case of a hero turning into a goat. They need to stay in Africa for about 21 days before departing elsewhere on public transportation. Indeed, he should have admitted himself into isolation on Tuesday for 3-4 days to see if it passed or not. People need to be smarter about this.
NJCher
(35,658 posts)Cher
LovingA2andMI
(7,006 posts)"They need to stay in Africa for about 21 days before departing elsewhere on public transportation."
One would think, this is not that hard to do. Either way, thank you for saying the OBVIOUS and too bad these so-called "health-care" workers can't figure this one out on their own.
Stay away from Public Transportation, PERIOD for 21 days if you are exposed to an Ebola patient!
santroy79
(193 posts)should be locked up until they are cleared. Letting these people come back and just walk the streets is a joke. What the hell is wrong with this country?
The guy is walking the streets of NYC!!!! are you freaking serious???
adigal
(7,581 posts)I'm stocking up by buying canned food every time I go to the grocery store before there's panic. The worst case is I have a lot of canned food. And I'm NOT an alarmist.
TomCADem
(17,387 posts)Your proposed quarantine would have missed him, particularly in light of the European layover.
http://www.nytimes.com/2014/10/24/nyregion/craig-spencer-is-tested-for-ebola-virus-at-bellevue-hospital-in-new-york-city.html?_r=0