Nurses

SCCU

Terry – blonde, initially tough, but now like. Helped with Delvecchio

Jen – short, has 3 year old daughter, talks about how she moves patients along

Tim – night nurse, kids me about my pants

Erin- short, thin blonde, new nurse

Kyle – good looking, medium build, wants CRNA school.

Sandy – peppy, smiles alot, short, long black hair, sometimes is charge.

ER

Sharon – often works charge, short, blonde hair.

Joe – big tall guy who works alot of trauma

Frank – shorter, burly guy who works charge alot

Adrienne – tall thin blond lady who smokes and is now nurse manager oldtimer

Jim – slight, sandy hair, works trauma alot, sometimes see in hallway.

7 Center

Manny – short, dark hair with dark Buddy Holly glasses

OR

Art – short, round Russian guy

Loretta – short Fillipino lady

Dee dee – nice blond tech

Monica – old timer, use to run OR’s, now circulating

Iris – oldtimer, now charge, hid Murray’s ring.

SICU

Belinda – southern accent, sat with me in CVIR

Chuck (tall) oldtimer

Chuck (round) oldtimer

Tina – short Fillipino lady oldtimer

Bridget – short, dark hair, Irish looking oldtime

Dave – short hair oldtimer

Bill – thin guy who I saw in the parking lot who gave me a hug oldtimer

Kelly – oldtimer,short nurse, talked about opti/sailing

Della – new nurse, black, short, helped me put in IJ shiley

Darlene – heavy, short hair, nurse manager

Lisa – blonde, old-time nurse, has a little bit of midwest accent

MCCU

Esther – shirt fillipino lady, been nurse for 27 years, had DT patient together

Jen – heavyset, Irish looking, longer hair.

Tammy – short filipino, page boy, slight accent

Margaret – short dark hair, a little bit pinched in face, works nights, told me about cardiologist always seeing his patients.

Megan – shortish, kinda pretty, page boy blonde/reddish hair.

Mary – a little bit older, very plain looking, pageboy dirty blond hair.

Lee – heavy set blonde guy – had Brennan together on all nighter.

How I Would Treat Myself for Ebola at Home

Health officials in Sierra Leone are admitting defeat in the fight against Ebola and are trying to set up self-treat kits for patients to use at home because of the lack of hospital beds to care for the ill.

This sad development started me thinking about what I would do if I was stuck in a place with Ebola and could not receive care from a physician or in a hospital.

***Please note that any one who thinks there might be even a tiny chance that they have Ebola should present immediately to a hospital for definitive care.***

***The information below is not medical advice or recommended treatment on how to treat Ebola and should not be used as such. Treatment for a suspected or known Ebola virus infection MUST be carried out under the care of the appropriate health authorities and by a licensed physician.***

The information listed below is purely an academic exercise for my personal professional growth as a critical care physician and serves solely as a template around which to organize my current reading on the Ebola infection.

Continue reading "How I Would Treat Myself for Ebola at Home">

Ebola Patient Ashoka Mukpo To Receive Blood Transfusion

Ebola patient Ashoka Mukpo is to receive a blood transfusion from previous Ebola patient Dr. Kent Brantly the University of Nebraska Medical Center has announced.

In an incredible stroke of luck, Brantly is of the same blood type as Mukpo and was traveling in the Omaha area when contacted about donating blood. Brantly’s serum contains antibodies against the Ebola virus that physicians think might be helpful in fighting Mukpo’s infection.

Mukpo is also receiving supportive care and receiving an experimental antiviral drug from Chimerix.

This is the second blood donation Dr. Brantly has provided. His convalescent serum was given to Ebola patient Dr. Richard Sacra.

Dr. Sacra was discharged from the hospital several weeks ago without suffering the end stage disease such as cardiac, kidney, or liver failure.

Dr. Angela Hewlett of the Biocontainment Unit at the Nebraska Medical Center expressed thanks to Dr. Brantly.

“We are incredibly grateful that Dr. Brantly would take the time to do this, no once, but twice.”

Epidemiologist Calls for Ebola Travel Restrictions

Epidemiologist David Dausey is calling for restrictions to be placed on residents of West Africa ability to travel to the United States.

Dausey, a Yale-trained disease expert, is arguing that the disparity between care levels available in West Africa and the United States will understandably encourage well-to-do Africans who suspect they have contracted Ebola virus disease to lie about their exposure history and travel to the US for world class care that will be paid for by the United States government.

He refutes the argument being promulgated by the Obama Administration that restricting commercial travel will cause a delay in getting supplies and aid to the affected African areas by suggesting the United States military is more than capable logistically to handle the task.

To date only one known case of a traveler who likely surmised that he was infected with subsequent travel to the States has been reported. Thomas Duncan is receiving intensive care and an experimental drug at a Dallas hospital and his family has been moved and lodged at government expense.

Podiatrist Charged with Medicare Fraud

Philadelphia podiatrist Dr. Aileen Gong has been indicted on charges that she fraudulently billed Medicare over $480,000 for procedures that she never performed.

Gong, who practices in the Chinatown section of Philadelphia, was allegedly out of Philadelphia during the times she claimed she performed the procedures.

Spanish Nurse Infectious for Five Days Before Seeking Care

According to Ana Matos, a top health official in Spain, the nurse who contracted Ebola virus disease delayed seeking medical care for 5 days after she first developed symptoms.

The Spanish nurse, who is married, developed a fever on September 30 but did not seek medical care until October 5.

Fever, along with nausea and vomiting is considered an early symptom of the disease. Later symptoms include cardiac, renal, and liver failure and hemorrhage from the skin, eyes, mouth, and rectum.

Spanish Nurse Gets Ebola from Patient

A Spanish nurse has contracted Ebola virus disease from a patient she cared for after he was transferred from West Africa for care.

The nurse, whose identity was not being released, was part of the team that took care of Manuel Garcia Viejo, a 69 year old priest who contracted Ebola in Sierra Leone and was medically evacuated to Spain for treatment. The patient died on September 25.

Spanish authorities say the recent contacts of the nurse, who reportedly presented with a fever, are being traced. The nurse presented to Alcorcon Hospital in the Madrid suburbs for treatment and was immediately placed in isolation.

Viejo was the second missionary priest from Spain to contract and die of Ebola virus disease. Miguel Pajares died after being given ZMAPP in a Madrid hospital. He was 75.

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