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Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

I know that I have personally been to any number of regular doc visits where they clearly didn't read a word the nurse put in, I had to repeat everything.

As a HCW, I can tell you that doesn't necessarily mean the physician didn't read it. One of the reasons that is done is that some patients only tell the real reason for the visit to the physician, after having told the other HCW's something completely different.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

As a HCW, I can tell you that doesn't necessarily mean the physician didn't read it. One of the reasons that is done is that some patients only tell the real reason for the visit to the physician, after having told the other HCW's something completely different.

Utterly fair and a good point. I think I meant basics to a level that really aren't on that level, but I can see how many things would be better off asked twice or more.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

IMO, discussions of ethnic/immigrant community dynamics in disease control are both important and a thing to be trod upon very thoughtfully, with care.

As far as I'm concerned, accusations of racism are not UnAmerican. Freedom of speech is not the same thing as freedom from criticism, and neither really applies on an internet forum.

That said, I think that careful discussion of how things can play out among different communities can be worthwhile. Depends on how it's approached.

To be honest, I'm personally more worried about people avoiding care because they are either functionally uninsured or convinced that they can tough out this "bug," especially given that most low-pay jobs don't have sick leave. "Go to the doctor" vs "pay the rent" means most people will opt to pay the rent until they're very, very sick. That's true for immigrant communities and everybody else.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

It sounds like America has just as many problems dealing with ebola as Africa does, albeit very different ones. I hope to god this is a damp squib and they contain it fast.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

"UnAmerican" probably is not the best choice of words because it tends to evoke, in some people's minds, the image of rightwing extremism. So let's use the word "evil". Charging someone with racism in an effort to denigrate a point they have made is evil. It is accusing them of holding repugnant beliefs or feelings and of arguing their points purely on the basis of those beliefs or feelings. It completely undercuts what they are trying to say based on an assumption you are making about them, without knowing them at all. Not unlike being branded a "communist" in an earlier time.

I agree with you that discussion of how things play out in different communities is very relevant, and is not racism. To quote one of my favorite historical figures, we must strive to judge people by the content of their character not by the color of their skin. Note that MLK did not say we should not judge people. He said we should use the right criteria for judging them. Race is biological and has nothing to do with character. Culture, on the other hand, does have a hand in shaping character.

Right now this seems so far off topic that maybe it shouldn't be in this thread. BUT if there's an ebola pandemic then sadly we will face hard questions about what constitutes moral behavior. I've thought about this a bit. If my child were to have ebola and the health official came to my door and said "She must go into a quarantine hospital and you must stop all contact with her", what would I do? I could not leave her, so if it came down to stopping all contact so that *I* could survive, or staying with her and probably dying myself, my decision would be unequivocal. Would I go out shopping? Heck no, I'd quarantine myself too. But ... if things get bad then health officials and neighbors and others might feel my choice was not acceptable. Things could get dicey. Let's hope things don't go that far in the U.S. Keeping in mind that only one plane flight away, there are a lot of people for whom things HAVE gone that far. :(

Well, look, I don't know if this is the best place for the conversation, but it certainly has struck me as a relevant topic repeatedly throughout this entire outbreak. There are people here screaming about the borders (which is usually loaded with meaning about our southern border.) There are assumptions about Africa's ability to deal with this, and assumptions about how much better we will do -- some of that is fair, but some of it strikes me as full of "American exceptionalism." There are tons of people -- not on this board, so much, but on social media in general -- who have expanded this from being about three to _iffily_ four or five countries in West Africa, to being about the entire continent of Africa, and then -- you'll see it if you look, I'm afraid -- to being about Black people generally.

This is a careful topic.

I don't agree with you that it's evil to call out racism when you see it. Please do understand that I am the sort of person who prefers very much to give people absolutely huge amounts of space to clarify their point. But there is also actually racism, and it shouldn't be humored. I personally generally try to ask people clarifying questions, because sometimes, there is an honest point in there that ultimately isn't racist. But please also understand that _sometimes there isn't one_. Sometimes, it actually is just racist.

I agree that it shuts down conversation to call somebody out there, but there are sorts of conversation that do need to be either shut down or guided to whatever the actual little kernel of a point is that might be there.

Whatever the point is, if there is one, it's never actually about race, by the way. There can be community issues or cultural issues that are important to understand to some depth when you're dealing with diseases spreading, just on a practical level. Different groups of people have different gut concerns and different ways of communicating sometimes, that's what diverse communities do. But awareness of that is not the same thing as broad-brushing huge groups of people based on identifiable racial features, or even necessarily based on ethnicity or nation of origin.

If some of us are occasionally really on guard on this front, I suggest you take a look at social media. It's not an unreasonable reaction, there is a lot of flat racism out there. This is a level of conversation that has to be had very carefully and thoughtfully, with a lot of willingness to be criticized. It's hugely important, but if it can't be done carefully, I'd personally rather it go unsaid here -- the damage that can be done in public health through sketchy, questionably-racist things is huge.

Criticism on your framing or phrasing is not the same thing as calling you a terrible human being, either. We all have a lot to learn, when it comes to these intersections.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

It sounds like America has just as many problems dealing with ebola as Africa does, albeit very different ones. I hope to god this is a damp squib and they contain it fast.

I couldn't agree more. What I've seen so far has not been confidence-inspiring, to be honest, but in a completely different way than the things that have been issues so far in West Africa. I hope very, very much that we don't just find a uniquely American way to encourage this thing getting any kind of foothold anywhere.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

<TABLE style="MARGIN: 11px 17px; FONT-SIZE: 9pt" class=collapse><TBODY style="FONT-SIZE: 9pt"><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 9pt" class=collapse>News Releases


</TD></TR><TR style="FONT-SIZE: 9pt"><TD style="FONT-SIZE: 11px" class="collapse content"><STYLE style="FONT-SIZE: 11px" type=text/css>@import url(module.css); font.metadetailtitle { font-size: 13pt; font-style: normal; font-family: Arial; font-weight: bold; color: black } </STYLE><TABLE style="FONT-SIZE: 11px" class=metadetail><TBODY style="FONT-SIZE: 11px"><TR style="FONT-SIZE: 11px" class=metadetail><TD style="FONT-SIZE: 12px" class=metadetail>Ebola Update, Oct. 8, 10:12 a.m. CDT
10/08/2014

It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 a.m.

Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle.

Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time.

http://www.texashealth.org/body.cfm?id=1629&action=detail&ref=1875

</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

I felt as though this was inevitable, given how long it was before he received definitive care. But I'm very sorry to hear it nonetheless. Think I will not be reading some of the more extreme blogs and Facebook pages for a few days--don't feel like dealing with the cruel remarks and accusations. :(
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

I felt as though this was inevitable, given how long it was before he received definitive care. But I'm very sorry to hear it nonetheless. Think I will not be reading some of the more extreme blogs and Facebook pages for a few days--don't feel like dealing with the cruel remarks and accusations. :(

I figured it was highly likely yesterday, it sounded like he was in some level of organ failure.

RIP and many condolences to his family and friends. I wish he had gotten better treatment early, and I hope that his last days were spent insulated from the unfair cruelty that I saw aimed at him from some parts of the public and media.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died

I wonder when people will wake up and realise that there is one common enemy and that's the virus! Threatening all of us, black white green orange or purple people, one species.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died

http://www.liberianobserver.com/news/%E2%80%98we-knew-duncan-would-die%E2%80%99
?We Knew Duncan Would Die?
-Many Tell Daily Observer

Thu, 10/09/2014 - 01:10 admin
By: Omari Jackson

News of the death of Ebola victim in the United States, Liberian Thomas Eric Duncan, did not surprise a cross section of Liberians interviewed by the Daily Observer yesterday.

?I knew he was not going to make it,? said a money changer on Benson Street, minutes after Texas Presbyterian Health officials announced his death...
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died

I wonder when people will wake up and realise that there is one common enemy and that's the virus! Threatening all of us, black white green orange or purple people, one species.

Amen, ming. Watching the blame fly in this has been awful. Not totally unexpected, but awful.

What I hope comes out the other end, though I doubt it, is a broader understanding that massive health catastrophes anywhere are everybody's problem. Global health is truly global, especially in a time when global travel is accessible, common, and sits right at the base of the whole world's economy.

If we fail to respond to huge health concerns elsewhere based of the fundamental ethics of letting people simply suffer and die in poorer parts of the world, maybe we now have a reason to succeed to respond based on our own safety. I'd have preferred the former, but I'll take the latter if it's all we've got.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas - Died

Ming you forgot spotted, I have freckles lol. But you are absolutely right all kidding aside. Each step of the way it appears we are a day late to the party and we haven't brought enough gifts.
 
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