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.

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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.

Texas Health Presbyterian Hospital Lied About Ebola Patient

Texas Health Presbyterian Hospital has apparently been caught in a lie regarding their explanation yesterday about why Ebola patient Thomas Duncan was sent home.

Officials there initially placed the responsibility on missing Duncan’s recent stay in Liberia on a faulty electronic medical records system. They maintained that the patient’s time in Liberia was recorded but that it was not in the physician notes section of the electronic health record.

The hospital then spun an untruthful tale about taking immediate steps to change the “glitch” in the electronic chart to rectify the problem

However, now the Hospital is acknowledging that the recorded information was available to both physicians and nurses and that the issue was not a poorly designed electronic medical records system.

For shame on the Hospital staff for trying to cover up really abysmal care that likely will cause innocent people to lose their lives.

The ER physician who omitted taking a travel history should be fired. The Hospital adminstrator told tried to cover up the Hospital’s culpability should be fired also.

Father of Ebola Stricken NBC Cameraman is Prominent Intensive Care Physician

The father of NBC cameraman Ashoka Mukpo, who has been recently stricken with Ebola virus disease, is one of the most prominent intensive care physicians in the United States.

Dr. Mitchell Levy is the director of medical intensive care unit at Rhode Island University Hospital and nationally known for his work in the patient safety area.

Dr. Levy reported today in a television interview that his son will be transferred to the University of Nebraska, one of the four most specialized treatment centers in the country for patients with Ebola and other contagious and infectious diseases.

Certainly, having a father involved who is highly skilled in taking care of critically ill patients and treating cardiac and renal failure can only increase the chances for recovery.

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