In the News
- Ebola patient flew on jet: Why?
- Obama cancels travel – again
- Ebola hearing today: “We made mistakes”
- Hospital: More emergency dept problems
- Obama: Push out info “as aggressively as possible”
- Pols weigh in (natch)
- Panic! Don’t panic!
- A mission name! “Operation Inherent Resolve”
- There are still no WMD in Iraq
- Iran: Deal or no deal?
- Wall Street: The party is over
- Feminist games critic cancels speech: Massacre threat
- “She is going to die screaming”
Ebola Patient Flew on Jet. Why?
• It was revealed Wednesday that a second nurse who had cared for Ebola patient Thomas Duncan at a Dallas hospital tested positive for the disease. Amber Joy Vinson, 29, had traveled on a commercial flight the day before she showed symptoms (NYT, CNN, CBS, TRNS, Fox, TRNS, WaPo, Reuters, me)
• Vinson should not have traveled on a commercial flight, the director of the Centers for Disease Control said, after learning that she was a passenger on Frontier Airlines Flight 1143 on Monday, flying from Cleveland to Dallas-Fort Worth
• Frieden said the CDC guidance is for “controlled movement.” That can include “a charter plane; that can include a car; but it does not include public transport.”
• But hours after the director, Dr Tom Frieden, made that statement, one official said that Vinson had indeed called the CDC several times before boarding the plane but was allowed to fly because her temperature was 99.5 and not 100.4 which is the cutoff under guidelines. The CDC asked all 132 passengers on the flight to call a CDC hotline
• A federal health official – anonymous – said that it was thought that Vinson’s protective gear would have kept her safe and because her temperature was only mildly elevated, she fell into a category not covered by CDC guidelines. “I don’t think we actually said she could fly, but they didn’t tell her she couldn’t fly … I really think this one is on us.” (yup)
Obama Cancels Travel – Again
• President Obama Wednesday night changed his travel plans for a second day, canceling trips to Rhode Island and New York City which were scheduled for today so he could stay at the WH to oversee the govt’s response (more below). Vinson was moved Wednesday to Emory University Hospital in Atlanta
• Officials at Kent State University, where Vinson studied nursing and her mother and two other relatives work, asked the three family members to stay off campus for three weeks “out of an abundance of caution.” Frontier said it had put the pilots and four flights attendants on Flight 1143 on paid leave
• Obama directed his aides to monitor the spread of Ebola in the U.S. “in a much more aggressive away” but said Americans should remain confident of the govt’s ability to prevent a widespread outbreak. He promised that a review of the two Dallas cases would discover how they became infected
• The Frontier jet that carried Vinson on Monday made five flights the next day, according to Flightaware.com. Frontier said it grounded the plane as soon as it was notified, about 1 am Wednesday, about the Ebola patient – so a discrepancy there
Nurses Had Extensive Contact With Duncan
• Frieden said the critical period at Presbyterian Hospital was the first three days of Duncan’s care before his Ebola infection was confirmed and before the CDC team arrived in Dallas – 28, 29 and 30 Sept
• Both nurses Nina Pham and Amber Vinson had extensive contact with Duncan at that time, and both had interacted with him while he was producing a large amount of fluids from projectile vomiting and diarrhea. Officials were focusing on their use of personal protective equipment
• “We noticed, for example, that some health care workers were putting on three or four layers of protective equipment,” Frieden said. “But in fact by putting on more layers of gloves or other protective clothing, it becomes much harder to put them on and much harder to take them off and the risk of contamination during the process get much higher.”
• Vinson’s trip to Ohio last weekend was to plan her wedding with her mother. She was doing her bridal shopping and going to the bridal stores with her mother
Ebola Hearing Today: “We Made Mistakes”
• A transcript of testimony by Dr Daniel Varga, chief clinical officer of the Dallas hospital’s parent chain, Texas Health Resources, is expected to be presented at noon today before the House Energy and Commerce Committee’s Subcommittee on Oversight and Investigations (popcorn, large drink, appropriate clothing) (Yahoo, Politico, me)
• Varga can’t attend the hearing. “Unfortunately, in our initial treatment of Mr Duncan, despite our best intentions and a highly skilled medical team, we made mistakes,” testimony reads. “We did not correctly diagnose his symptoms as those of Ebola. We are deeply sorry.” Friday, the hospital hired global PR firm Burson-Marsteller to help tell its side
• “In our effort to communicate to the public quickly and transparently, we inadvertently provided some information that was inaccurate and had to be corrected. No doubt that was unsettling to a community that was already concerned and confused, and we have learned from that experience as well.” Testimony doesn’t say what the “inaccurate” info was…
• Varga praises the two nurses, doesn’t know how they were exposed. He goes on to say they’ve instituted a number of fixes, including an Ebola “refresher course” (implying staff already knew, which they say they didn’t) for emergency dept staffers
• Others expected to testify include Dr Anthony Fauci, head of the National Institute for Allergy and Infectious Diseases. Wednesday, Fauci said, “What happened there, regardless of the reason, is not acceptable,” and Dr Tom Frieden, director of the CDC – who’s being called on to resign by a few Republicans
Hospital: More Emergency Dept Problems
• In Medicare’s most recent ratings, although Texas Presbyterian scored well on surgery, obstetrics and cardiac and stroke care, the hospital did less well, below state and national averages, on assessments of its emergency department – where Duncan first went and was sent home on his first visit
• It took an average of 52 minutes for an emergency patient to be seen by a doctor or nurse, twice the state and national averages. Court records reveal several recent cases of bad outcomes in the emergency room – including failure to diagnose TB and sending the patient home with antibiotics (similar to Duncan)
• Separately, Dr Daniel Varga, the hospital’s chief clinical officer, said in an interview Wednesday that a nurse had not asked Duncan about his travel history until two hours after he arrived in the emergency room. The nurse noted he had come from West Africa, but didn’t communicate that to the doctor who re-interviewed Duncan 10 minutes later
• The doctor somehow came away with different info, that Duncan was a local resident. Dr Varga said he didn’t know how that had happened
• The appalling Dr Keith Ablow, member of the Fox News medical A-Team, said Obama won’t protect Americans from Ebola because “his affinities are with them
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