General Discussion

Barack_America

(28,876 posts)

35. Absolutely.

Sat Oct 4, 2014, 11:04 PM

Oct 2014

I was thinking of the amount of waste a simple C diff patient generates and trying to extrapolate that for Ebola. Imagine just intubating him, do you really get that X-ray for tube placement? "Okay, everybody ungown and exit for the film....now everybody re-gown and come back...we'll just leave the machines in here for the daily imaging."

Honestly, if I was making the call, I'd probably stick the ID fellows in there with him and let the others treat remotely. This is all lab values anyway. As much as I believe in the physical exam, I'd take someone else's word on breath sounds here.

You're right, I forgot cards!! May his trops stay low! If they did get consulted, cards would probably just say, "demand ischemia" and hang up the phone. Ain't no way they're taking this guy to the cath lab!

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Duncan is now on a ventilator [View all] magical thyme Oct 2014 OP

I haven't heard anything about the special new drub they used on the two envangelists. MohRokTah Oct 2014 #1

they ran out of Zmapp. magical thyme Oct 2014 #2

I bet Zmapp suddenly shows up for the NBC camera man. n/t JimDandy Oct 2014 #6

I'll take that bet. They didn't have it for Dr. Sacra. It won't be available for several months. nt magical thyme Oct 2014 #7

I am such a cynic any more due to JimDandy Oct 2014 #8

You can not produce ZMapp from dried tobacco. LisaL Oct 2014 #11

Thank you! n/t JimDandy Oct 2014 #12

Sacra was given a different experimental drug. LisaL Oct 2014 #9

I'd forgotten about that. The link says there's still a very short supply. magical thyme Oct 2014 #15

Well, he didn't lie and he acted responsibly, isolating himself and self-reporting. pnwmom Oct 2014 #28

Yes, let's withhold medicine from everyone who lies JimDandy Oct 2014 #31

I don't think they'll withhold medicine from anyone unless they don't have it. pnwmom Oct 2014 #32

Best health is a better criteria than who did or didn't lie. n/t JimDandy Oct 2014 #37

Hmm CNN now saying Zmapp can be made available to Mr Duncan JimDandy Oct 2014 #13

I wonder where that came from. As of yesterday, there was none available magical thyme Oct 2014 #16

I don't know where it came from. And that was a very oddly JimDandy Oct 2014 #19

ok, here is a link to CNN. They don't specify Zmapp but just experimental treatments in general magical thyme Oct 2014 #20

Apparently none left. longship Oct 2014 #3

His organs need maximum oxygen, due to the nature of the disease process and TwilightGardener Oct 2014 #4

I'm guessing the clotting preceeds or is the front end to the hemorrhagic phase magical thyme Oct 2014 #5

I'm guessing it's more similiar to the type of thing that happens with certain types TwilightGardener Oct 2014 #10

I just remember reading a description in the last week or two that reminded me of DIC, with magical thyme Oct 2014 #14

From what I've gathered, it is an overly done immune response, followed by DIC clotting, uppityperson Oct 2014 #23

Sounds plausible to me. TwilightGardener Oct 2014 #27

I should've been a researcher. Would love to read a full pathophys write up. Hmmm. for later viewing uppityperson Oct 2014 #29

So immune response (cytokines) plus direct damage to endothelium is what causes TwilightGardener Oct 2014 #34

Some people think I am weird but I like to find out about things, find it interesting uppityperson Oct 2014 #40

Plus precise control of his acid-base. Barack_America Oct 2014 #21

Yep, blow off more CO2, or less, as needed. It must be hard to manage this guy-- TwilightGardener Oct 2014 #22

In full isolation setup. uppityperson Oct 2014 #24

Hot, cumbersome, takes twenty minutes to do something that usually takes 5, and TwilightGardener Oct 2014 #25

I'm surprised they ever classified him as "serious condition" Barack_America Oct 2014 #26

If they're lucky, no neurology or cardiology, I guess! With the combined critical care and huge TwilightGardener Oct 2014 #30

Absolutely. Barack_America Oct 2014 #35

If he has a brain bleed, due to the disease or heparin, does he go to CT? MRI? TwilightGardener Oct 2014 #36

Hopefully those folks they're quarantining stay clear. Barack_America Oct 2014 #39

I wonder why they didn't have him in ICU from the beginning? Is that a problem pnwmom Oct 2014 #33

They probably have an ICU set-up, wherever he is, but just didn't declare him critical TwilightGardener Oct 2014 #38

I thought I read that they were out of Zmapp and that duncan would not be getting any. notadmblnd Oct 2014 #17

I just provided a link stating that. The article is dated yesterday and based on everything I've magical thyme Oct 2014 #18

I think he's on the way out customerserviceguy Oct 2014 #41

time will tell. they will give him full support. late in the disease, even though there is massive magical thyme Oct 2014 #42

Any guesses as to how much this all costs? customerserviceguy Oct 2014 #43

not a clue. magical thyme Oct 2014 #44

It's a good question customerserviceguy Oct 2014 #45

there are significant costs to be had with banning travel as well. magical thyme Oct 2014 #46

Then someone needs to explain them customerserviceguy Oct 2014 #47