what do you think of these nurses complaining about being quarinteened
~ I think that mandatory confined quarantine of healthcare workers who have cared for patients in Africa is ridiculous, and it's going to hurt the cause. It already has deterred a lot of doctors from volunteering to help. It's pretty much known that if somebody isn't having symptoms, they can't spread the virus in public. There might be a window of opportunity to spread the virus to a lover, but if they want to be stupid enough to take that chance that's their option. As long as the healthcare workers vow to stay away from public places (and they should be compensated by whatever outreach organization they are working for) and as long as they agree to report their temperature twice a day, and do what is prudent, to protect the public, they should be able to be at home, or go for a bike ride, or a walk as long as they are not having symptoms. Even when Ebola patients begin to have fever... the virus is so scant in their blood that the first test usually comes back negative. That's why they always say "the preliminary testing has come back negative." it is usually not confirmed until several days AFTER a fever begins, and the second test is done. Evidence supports that the virus does not put itself out into the environment until the patient is very ill and begins to exhibit the vomiting and the diarrhea that usually begins a few days after the fever, fatigue, severe headache, and body aches.
Thomas Eric Duncan was severely ill, and died in Texas. NOBODY he came into contact with became ill except for the two nurses who were taking care of him and handling his soiled clothing and bed sheets. (to me, this is very reassuring) At the point of death the virus is literally all over the environment around the patient. That is where the danger zone is. Now.... if he had started vomiting on a plane, that's a WHOLE different story. But to do so, he would've probably had a fever at the airport prior to boarding. From what I've read, the virus presents with a sudden onset of Severe headache, and body aches prior to fever sometimes, but usually the vomiting and diarrhea begin a few days later. I didn't know that. If the virus began with sudden onset of vomiting and diarrhea, I'd be all over HOME quarantine and not going anywhere.
So to punish healthcare workers by locking them in a room for 21 days is unthinkable in my mind. Even though that doctor in New York went to the bowling alley, and rode a subway, NOBODY caught Ebola from him. As soon as he came down with a fever, he DID isolate himself and he notified the proper people. I've always said that I'm not worried about the healthcare workers who are returning, because they're pretty good at recognizing symptoms and letting someone know. They ALL have done this. If they insist on locking up healthcare workers from Africa, what happens to healthcare workers who have to take care of Ebola patients in the U.S.? The ones working in the Bio Containment units aren't being quarantined. NO healthcare worker in the U.S. is going to agree to take care of an Ebola patient if they know that they will be quarantined from the start of the patient's care until twenty one days after that patient either dies or gets better. That could be months away from their families! I'm going to have to train to wear that ebola gear, a lot of us are going to have to go to classes, so apparently our nation is preparing for more cases to come. If I find out that it's going to mean a mandatory quarantine away from my life.... I'm not doing it. After New York and New Jersey passed that mandatory quarantine law, there was a mass call out of Nurses at the hospital where that doctor was being treated. NOBODY wanted to take care of him.
If my hospital requires mandatory quarantine, they are admitting that they do not have faith in the protective gear that they give us. Therefore I have the right to refuse that assignment. And I will.
I'm not one bit worried about Doctors or nurses who treat Ebola patients. I know they all have sense enough to recognize symptoms and seek treatment. I've always said the REAL Danger is in the huge influx of citizens from those three countries in West Africa fleeing here for better healthcare. MANY people can't get treatment over there for OTHER illnesses. We've had African women coming over here to have babies in OUR hospital because they can't get care in Africa. Many doctors in West Africa refuse to do C-sections for fear of catching Ebola. Pregnant women are dying in Africa because they can't get care when regular complications occur.
THEREIN lies an open door for an outbreak.
A pregnant woman coming into our E.R. who is bleeding is immediately rushed upstairs to Labor and Delivery.... they do not stop to take a travel history, because an unborn life is at stake. It's treated as a life threatening trauma. A placental abruption presents the same way as a woman who is losing her baby due to Ebola infection. This is exactly how Thomas Eric Duncan got infected, it's how the doctor who was treated in Nebraska got infected, it's exactly how Patrick Sawyer (the American National from Liberia) ended up carrying the virus to Nigeria... his sister died of what he thought was a miscarriage, so he told the doctor in Nigeria that he hadn't been exposed to Ebola.
If a pregnant woman was rushed from the E.R. to Labor and Delivery, bleeding heavily, they would go into full trauma mode, and ask questions later. THESE are the scenarios that need to be talked about, and prepared for. But the only thing the CDC is focusing on is the Ebola patient who comes into the ER with classic Ebola symptoms.
I think most Emergency rooms by now are WELL equipped to deal with the Walk-in Ebola patient.
However, The trauma of a pregnant woman presenting as an abruption.... that's a disaster waiting to happen. It's a lot of blood, a lot of people and a lot of chaos, lots of dirty linen, gloves, lab work.... and nobody might know she's infected for a few days.
Luckily there ARE mandatory temp. checks and all sorts of laws for ALL of those citizens who enter our country. There are hundreds of people right now in our nation who are being monitored for symptoms after arriving here from Africa. I just hope that the system doesn't fail us.