Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Wow. How an he can talk about this? That is the biggest HIPPAA violation.

My impression of this hospital continues to deteriorate.

It is not a violation if they got permission from the patients or families of patients

Anonymous wrote:Hard to tell. They are both so similar.

One is medically contagious, the other is culturally contagious.

One is in Africa, the other is in the Middle East.

In both, women dealing with it should wear gloves.

Both lead to horrible deaths and leave chaos in their wake.

Both are difficult to contain.

We know how to contain one, but it will be a long, hard slog.

The other we have no idea how to contain, but our floundering will be a long hard slog.

You can help fight one by donating to Medicins Sans Frontieres. There is nothing you personally can do to help fight the other.

Anonymous wrote:

Anonymous wrote:Great news! Spanish nurse Teresa Romero, declared Ebola-free:

http://www.cnn.com/2014/10/19/health/ebola-crisis/index.html

That is wonderful! Does anyone know if she was diagnosed early (like Nina Pham etc) or late (like Duncan). I am trying to figure out how much correlation there seems to be between early diagnosis and survival.

Anonymous wrote:

Anonymous wrote:Great news! Spanish nurse Teresa Romero, declared Ebola-free:

http://www.cnn.com/2014/10/19/health/ebola-crisis/index.html

That is wonderful! Does anyone know if she was diagnosed early (like Nina Pham etc) or late (like Duncan). I am trying to figure out how much correlation there seems to be between early diagnosis and survival.

Anonymous wrote:Great news! Spanish nurse Teresa Romero, declared Ebola-free:

http://www.cnn.com/2014/10/19/health/ebola-crisis/index.html

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Wow. How an he can talk about this? That is the biggest HIPPAA violation.

My impression of this hospital continues to deteriorate.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Wow. How an he can talk about this? That is the biggest HIPPAA violation.

My impression of this hospital continues to deteriorate.

It is not a violation if they got permission from the patients or families of patients

Duncan doesn't have any family here. I doubt that the doctor had permission. If I were the attorney for the hospital, I would be having kittens about now.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Wow. How an he can talk about this? That is the biggest HIPPAA violation.

My impression of this hospital continues to deteriorate.

It is not a violation if they got permission from the patients or families of patients

Duncan doesn't have any family here. I doubt that the doctor had permission. If I were the attorney for the hospital, I would be having kittens about now.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Wow. How an he can talk about this? That is the biggest HIPPAA violation.

My impression of this hospital continues to deteriorate.

It is not a violation if they got permission from the patients or families of patients

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Dumb interview. The interviewer was an idiot!

NP. The interview questions were dumb but it was interesting hearing from the doctor.

Question for those with more medical knowledge than I have: the doctor mentions that one of the survivors donating convalescent serum Type O blood and the other has Type A. I thought that O is a universal donor type, so wouldn't that be an option even if a patient doesn't have that blood type?

Plasma is the opposite of packed red cells in terms of donor types. It has something to do with the fact that the plasma is where the antibodies are, while the blood cells are where the antigens are.

So, while O- is the universal donor for blood cells, AB+is the universal donor for plasma.

Blood types O and A are more common than AB or B, especially among white people and Hispanics, so it's not surprising that Brantley, who has A and can donate to anyone with O or A has matched so many patients. Unfortunately Duncan must have had AB or B blood.

If it was my family member, I would have paid to have plasma from a type B survivor in Liberia flown to the USA.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Dumb interview. The interviewer was an idiot!

NP. The interview questions were dumb but it was interesting hearing from the doctor.

Question for those with more medical knowledge than I have: the doctor mentions that one of the survivors donating convalescent serum Type O blood and the other has Type A. I thought that O is a universal donor type, so wouldn't that be an option even if a patient doesn't have that blood type?

Plasma is the opposite of packed red cells in terms of donor types. It has something to do with the fact that the plasma is where the antibodies are, while the blood cells are where the antigens are.

So, while O- is the universal donor for blood cells, AB+is the universal donor for plasma.

Blood types O and A are more common than AB or B, especially among white people and Hispanics, so it's not surprising that Brantley, who has A and can donate to anyone with O or A has matched so many patients. Unfortunately Duncan must have had AB or B blood.

If it was my family member, I would have paid to have plasma from a type B survivor in Liberia flown to the USA.

Sounds great in theory but how exactly would you locate someone like this and arrange for the transfer in time to do any good?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:FYI, a really great and informative interview with one of the doctors who treated Thomas Duncan in Dallas:

http://www.wfaa.com/story/news/health/2014/10/18/texas-health-presbyterian-doctor-talks-about-ebola-response/17483917/

Dumb interview. The interviewer was an idiot!

NP. The interview questions were dumb but it was interesting hearing from the doctor.

Question for those with more medical knowledge than I have: the doctor mentions that one of the survivors donating convalescent serum Type O blood and the other has Type A. I thought that O is a universal donor type, so wouldn't that be an option even if a patient doesn't have that blood type?

Plasma is the opposite of packed red cells in terms of donor types. It has something to do with the fact that the plasma is where the antibodies are, while the blood cells are where the antigens are.

So, while O- is the universal donor for blood cells, AB+is the universal donor for plasma.

Blood types O and A are more common than AB or B, especially among white people and Hispanics, so it's not surprising that Brantley, who has A and can donate to anyone with O or A has matched so many patients. Unfortunately Duncan must have had AB or B blood.

If it was my family member, I would have paid to have plasma from a type B survivor in Liberia flown to the USA.

Yeah, I don't think Duncan's family had that kind of money.

Beyond the money, it's just not as easy logistically as you make it sound. Ebola is hitting the rural parts of Liberia much much harder than the cities, so if there are Type B survivors they are in villages somewhere. It's hard to track down who they are; it's not like you can just tweet it out or even take out a newspaper ad and expect them to see it; most are so poor they don't even have that kind of access to news. If they somehow see/hear about it, it's a huge chance that they just know they got better -- they may have no clue about blood types. And even if you ID a survivor with the right blood type, say through drs. w/o borders -- it is logistically a huge challenge to have the blood drawn and flown all the way here quick enough. Unless you've got the US military or some kind of medical transport team helping out, how do you guarantee that it gets on the first flights out of there and goes directly to Dallas with the appropriate refrigeration etc.!? Easier said than done.