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Posted: 10/3/2014 11:19:46 PM EDT
[#1]
No idea. But I do know that I've heard reports of 90+ rooms being dedicated for ebola outbreak in my AO by the big two local to me hospitals.
Posted Via AR15.Com Mobile |
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Posted: 10/3/2014 11:21:38 PM EDT
[#2]
I've worked in hospitals for the last 20ish years. There is no "average" hospital.
I work in a 24-bed ICU. I'd estimate we could handle about 6 Ebola cases. It's just a "this is what I think" number and I have no data or reasoning I can share to back it up. |
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Posted: 10/3/2014 11:23:54 PM EDT
[#3]
But what if Yellowstone blows, and we never get to find that answer?
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Posted: 10/3/2014 11:24:58 PM EDT
[#4]
87.
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Posted: 10/3/2014 11:25:15 PM EDT
[#5]
Quote HistoryQuoted:
But what if Yellowstone blows, and we never get to find that answer? Well Fuck.... 
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Posted: 10/3/2014 11:25:51 PM EDT
[#6]
Quote HistoryQuoted:
87. Always. |
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Posted: 10/3/2014 11:27:41 PM EDT
[#7]
We'll see...
TC |
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Posted: 10/3/2014 11:30:47 PM EDT
[#8]
Quote HistoryQuoted:
Always. Quote HistoryQuoted:
Quoted:
87. Always. Came to say this. |
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Posted: 10/3/2014 11:30:59 PM EDT
[#9]
87.
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Posted: 10/3/2014 11:31:13 PM EDT
[#10]
I don't know, but I'll tell ya, plenty of people will die from stuff unrelated to ebola from fear of going to the hospital if we have an outbreak.
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Posted: 10/3/2014 11:36:45 PM EDT
[#11]
Depends on the number of icu beds, but probably between 10 (small) to 100 (large) hospital.
After that, it's pretty much just a bed and IV fluids hanging. |
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Posted: 10/3/2014 11:38:44 PM EDT
[#12]
Our hospitals are over extended on a regular basis as it is. Any kind of outbreak or fear of one would completely fuck us. We are the largest tourist destination in the country and an MCI on par with a fully loaded plane crash would cripple our system.
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Posted: 10/3/2014 11:39:43 PM EDT
[#13]
2...
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Posted: 10/3/2014 11:41:21 PM EDT
[#14]
It is a valid question, but I do not think it matters. Here is why.
This is all predicated on there not being a real time flu test. I do not know if there is or not. Maybe somebody can answer that. If there is, I am going to buy their stock ASAP. If we get secondary and tertiary cases and If the case infection rate is that of West Africa, it will take several months to become endemic in multiple cities. At that point in time we will be smack dab in the middle of flu season. 2 things will happen. People with ebola will assume they have the flu and not go to doctors or hospitals and will infect many more people and People with flu will go to hospitals thinking they may have ebola. The hospitals will not have the space to isolate everyone with symptoms and people with ebola will not get isolated until well into the disease. This will likely overwhelm the ERs and the test results will take much longer due to back log. At this point the healthcare system could collapse trying to treat and test everyone that presents with flu /ebola symptoms. TLDR. It isn't how many actual ebola patients hospitals can handle, it will be the shear number of people that have the same initial symptoms due to flu that will overwhelm healthcare, because hospitals will not be able to tell the difference quickly enough. Unless there is a rapid real time flu test. Is there? ETA: Fixed most of it I think. I don't have a proper keyboard, just an iPotato. 
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Posted: 10/3/2014 11:48:50 PM EDT
[#15]
Apparently....
ONE.
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Posted: 10/3/2014 11:53:21 PM EDT
[#16]
Not many. "Average" is very subjective.
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Posted: 10/3/2014 11:57:38 PM EDT
[#17]
Quote HistoryQuoted:
It is a valid question, but I do not think it matters. Here is why. And this is all predicated on there not geing a real time flu test. I do not know if there is or not. Maybe somebody can answer that. If there is, I am going to buy their stock ASAP. If we get secondary and tertiary cases and If the case infection rate is that of west africa, it will take several months to become endemic in multiple cities. At that point in time we will be smack dab in the middle of flu season. 2 things will happen. Either people with ebola will assume they have the flu and not go to doctors or hospitals and will infect many more people and people with flu will go to hospitals thinking they may have ebola. The hospitals will jot have the space to isolate everyone with synptoms and people with ebola will not get isolated until well into the disease. This will likely overwhelm the ERs and the tests results will take much longer due to back log. At this point the healthcare system could collapse trying to treat and test everyone that presents with flu /ebola symptoms. TLDR. It isn't how many actual ebola patients hospitals can handle, it will be the shear numbers of people that have the same initial symptoms due to flu that will overwhelm heakthcare, because hospitaks will not be able to tell the difference quickly enough. Unless there is a rapid real time flu test. Is there? Yes, if it is Ebola, you have a good shot of dying. If it is the Flu, you may die, but most likely will die when you get older. Or, you could get any number of other nasty fucking things like cancer. Or, the volcano at Yellowstone blows up, or ISIS detonates a few dirty bombs and you die of radiation sickness. But the bottom line, EVERYONE IS FUCKED! YOU WILL ALL DIE! I will even bet a team membership on it, no one will live forever. 
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Posted: 10/4/2014 12:00:46 AM EDT
[#18]
Quote HistoryQuoted:
I've worked in hospitals for the last 20ish years. There is no "average" hospital. I work in a 24-bed ICU. I'd estimate we could handle about 6 Ebola cases. It's just a "this is what I think" number and I have no data or reasoning I can share to back it up. If it really is not airborne, then you could probably fill each bed with an Ebola patient, but you would have to be conservative in your nurse to patient ratio. Contact precautions would have to be followed to a T. |
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Posted: 10/4/2014 12:13:24 AM EDT
[#19]
the senior scientist at USAMRIID who was called to the office at
four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. |
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Posted: 10/4/2014 12:22:14 AM EDT
[#20]
Quote HistoryQuoted:
the senior scientist at USAMRIID who was called to the office at four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. So Ebola was already in the US in 1989? Interesting. |
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Posted: 10/4/2014 12:24:58 AM EDT
[#21]
A survey of nurses around the US found that most had no idea what their hospital's plan was, that most believed they had inadaquate amounts of protective gear, and that most hospitals lack or had few overpressure rooms within their facilities.
This may get ugly. |
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Posted: 10/4/2014 12:27:39 AM EDT
[#22]
Quote HistoryQuoted:
If it really is not airborne, then you could probably fill each bed with an Ebola patient, but you would have to be conservative in your nurse to patient ratio. Contact precautions would have to be followed to a T. Quote HistoryQuoted:
Quoted:
I've worked in hospitals for the last 20ish years. There is no "average" hospital. I work in a 24-bed ICU. I'd estimate we could handle about 6 Ebola cases. It's just a "this is what I think" number and I have no data or reasoning I can share to back it up. If it really is not airborne, then you could probably fill each bed with an Ebola patient, but you would have to be conservative in your nurse to patient ratio. Contact precautions would have to be followed to a T. Well, we currently have a bunch of nosocomial C Diff so obviously contact precautions are not being followed. It stems from understaffing. You know how 90% of arfcom is completely retarded about Ebola? Well, about 50% of nurses would be the same way. We'd have more understaffing, limiting our ability to care for Ebola patients. In an ideal world, you can put an Ebola patient in a room and slap an contact isolation sign outside. In the real world, it doesn't work like that. |
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Posted: 10/4/2014 12:31:50 AM EDT
[#23]
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Posted: 10/4/2014 12:40:31 AM EDT
[#24]
Quote HistoryQuoted:
the senior scientist at USAMRIID who was called to the office at four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. So, to credential what I'm about to say, I was stationed at Ft. Detrick (USAMRID) from 2002 - 2004 and dated one of the 5 scientists on the Ebola project. Her desk was right next to the guy suspected of sending out Anthrax. I am now a senior consultant for the largest healthcare corporation in America. Look at the Fortune 100, and look for the only healthcare company in the top 10...that's where I sit now. Short answer to the original question. Our healthcare system can handle a LOT. But that means we are in a bad place, and almost any resemblance of what our hospitals look like today would be gone. Generally a hospital is certified to care for a certain number of patients. But every hospital backs off that number when staffing for day to day activities, generally about 50%. And actual utilization of facility services generally hover around 50% of what day to day staffing can handle. So, if we are in a shit hit the fan scenerio and we are calling out all the stops...all physicians are on duty, all nurses, all techs, etc. A hospital can generally handle between 3-400% more capacity than they would on a normal 'busy' day. This would not be a pretty scenerio. Care given would be the primary concern. You wouldn't see full documentation, charts, etc...billing would be suspended, it would be a completely new world. So the real question is...how long could we keep that level of care going? A month? Six weeks? I wouldn't bet on anything longer than 2 months at most. And could we squash your hypothetical outbreak in that amount of time... |
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Posted: 10/4/2014 12:41:08 AM EDT
[#25]
Quote HistoryQuoted:
We'll see... TC |
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Posted: 10/4/2014 12:42:38 AM EDT
[#26]
Quote HistoryQuoted:
Yes, if it is Ebola, you have a good shot of dying. If it is the Flu, you may die, but most likely will die when you get older. Or, you could get any number of other nasty fucking things like cancer. Or, the volcano at Yellowstone blows up, or ISIS detonates a few dirty bombs and you die of radiation sickness. But the bottom line, EVERYONE IS FUCKED! YOU WILL ALL DIE! I will even bet a team membership on it, no one will live forever.
Quote HistoryQuoted:
Quoted:
It is a valid question, but I do not think it matters. Here is why. And this is all predicated on there not geing a real time flu test. I do not know if there is or not. Maybe somebody can answer that. If there is, I am going to buy their stock ASAP. If we get secondary and tertiary cases and If the case infection rate is that of west africa, it will take several months to become endemic in multiple cities. At that point in time we will be smack dab in the middle of flu season. 2 things will happen. Either people with ebola will assume they have the flu and not go to doctors or hospitals and will infect many more people and people with flu will go to hospitals thinking they may have ebola. The hospitals will jot have the space to isolate everyone with synptoms and people with ebola will not get isolated until well into the disease. This will likely overwhelm the ERs and the tests results will take much longer due to back log. At this point the healthcare system could collapse trying to treat and test everyone that presents with flu /ebola symptoms. TLDR. It isn't how many actual ebola patients hospitals can handle, it will be the shear numbers of people that have the same initial symptoms due to flu that will overwhelm heakthcare, because hospitaks will not be able to tell the difference quickly enough. Unless there is a rapid real time flu test. Is there? Yes, if it is Ebola, you have a good shot of dying. If it is the Flu, you may die, but most likely will die when you get older. Or, you could get any number of other nasty fucking things like cancer. Or, the volcano at Yellowstone blows up, or ISIS detonates a few dirty bombs and you die of radiation sickness. But the bottom line, EVERYONE IS FUCKED! YOU WILL ALL DIE! I will even bet a team membership on it, no one will live forever.
what does that have to do with my post? |
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Posted: 10/4/2014 12:45:32 AM EDT
[#27]
Quote HistoryQuoted:
So Ebola was already in the US in 1989? Interesting. Quote HistoryQuoted:
Quoted:
the senior scientist at USAMRIID who was called to the office at four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. So Ebola was already in the US in 1989? Interesting. Ebola Reston. Different strain and causes no sickness in humans, only monkeys. The BearSlayer was on the team that cleaned it up. |
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Posted: 10/4/2014 12:51:57 AM EDT
[#28]
Quote HistoryQuoted:
Well Fuck.... Quote HistoryQuoted:
Quoted:
But what if Yellowstone blows, and we never get to find that answer? Well Fuck.... Or if the polar ice caps melt and we all drown. Or global warming roasts us! 
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Posted: 10/4/2014 12:58:04 AM EDT
[#29]
About 1
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Posted: 10/4/2014 12:58:27 AM EDT
[#30]
An additional concern would be how many healthcare and support workers would be AWOL. I'm a FF/PM and there is a point that I would stop going to work and get my family to our remote bug out location.
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Posted: 10/4/2014 12:59:51 AM EDT
[#31]
Quote HistoryQuoted: It is a valid question, but I do not think it matters. Here is why. And this is all predicated on there not geing a real time flu test. I do not know if there is or not. Maybe somebody can answer that. If there is, I am going to buy their stock ASAP. If we get secondary and tertiary cases and If the case infection rate is that of west africa, it will take several months to become endemic in multiple cities. At that point in time we will be smack dab in the middle of flu season. 2 things will happen. Either people with ebola will assume they have the flu and not go to doctors or hospitals and will infect many more people and people with flu will go to hospitals thinking they may have ebola. The hospitals will jot have the space to isolate everyone with synptoms and people with ebola will not get isolated until well into the disease. This will likely overwhelm the ERs and the tests results will take much longer due to back log. At this point the healthcare system could collapse trying to treat and test everyone that presents with flu /ebola symptoms. TLDR. It isn't how many actual ebola patients hospitals can handle, it will be the shear numbers of people that have the same initial symptoms due to flu that will overwhelm heakthcare, because hospitaks will not be able to tell the difference quickly enough. Unless there is a rapid real time flu test. Is there? Would you please do us the valuable favor of repeating this treatise with a proper keyboard?
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Posted: 10/4/2014 1:00:03 AM EDT
[#32]
Quote HistoryQuoted:
No idea. But I do know that I've heard reports of 90+ rooms being dedicated for ebola outbreak in my AO by the big two local to me hospitals. Posted Via AR15.Com Mobile It's been quoted by numerous sources that the hospital that had the first Ebola patient and has the NBC guy on the way is the largest in the nation with 10 beds. |
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Posted: 10/4/2014 1:10:14 AM EDT
[#33]
Dyezak: So, if we are in a shit hit the fan scenerio and we are calling out all the stops...all physicians are on duty, all nurses, all techs, etc. A hospital can generally handle between 3-400% more capacity than they would on a normal 'busy' day. This would not be a pretty scenerio. Care given would be the primary concern. You wouldn't see full documentation, charts, etc...billing would be suspended, it would be a completely new world. So the real question is...how long could we keep that level of care going? A month? Six weeks? I wouldn't bet on anything longer than 2 months at most. And could we squash your hypothetical outbreak in that amount of time..."
At that level of hospital 'utilization' most people will avoid hospitals 'like the plague'... There will be in short order millions of infected, going without care, dying at home, in the streets, or in makeshift quarantine sites. It will get ugly. Middle ages, medieval ugly. Except with rifles.
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Posted: 10/4/2014 1:15:06 AM EDT
[#34]
Somewhere between zero and one
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Posted: 10/4/2014 1:15:53 AM EDT
[#35]
I can tell you what the Doctor who treated the last guy at the Nebraska Med center said....and that was that they could not handle any more than 3. They have ten bed in containment areas, but do to the amount of care needed and dirty linen and equipment used and Yaya Yaya yata. He said no more than 3 and 3 would already be exhausting them. So multiply that by a couple for calling in workers for OT and we would still be fucked...
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Posted: 10/4/2014 1:17:03 AM EDT
[#36]
Quote HistoryQuoted:
I can tell you what the Doctor who treated the last guy at the Nebraska Med center said....and that was that they could not handle any more than 3. They have ten bed in containment areas, but do to the amount of care needed and dirty linen and equipment used and Yaya Yaya yata. He said no more than 3 and 3 would already be exhausting them. So multiply that by a couple for calling in workers for OT and we would still be fucked... Damn.
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Posted: 10/4/2014 1:35:57 AM EDT
[#37]
Quote HistoryQuoted:
So, to credential what I'm about to say, I was stationed at Ft. Detrick (USAMRID) from 2002 - 2004 and dated one of the 5 scientists on the Ebola project. Her desk was right next to the guy suspected of sending out Anthrax. I am now a senior consultant for the largest healthcare corporation in America. Look at the Fortune 100, and look for the only healthcare company in the top 10...that's where I sit now. Short answer to the original question. Our healthcare system can handle a LOT. But that means we are in a bad place, and almost any resemblance of what our hospitals look like today would be gone. Generally a hospital is certified to care for a certain number of patients. But every hospital backs off that number when staffing for day to day activities, generally about 50%. And actual utilization of facility services generally hover around 50% of what day to day staffing can handle. So, if we are in a shit hit the fan scenerio and we are calling out all the stops...all physicians are on duty, all nurses, all techs, etc. A hospital can generally handle between 3-400% more capacity than they would on a normal 'busy' day. This would not be a pretty scenerio. Care given would be the primary concern. You wouldn't see full documentation, charts, etc...billing would be suspended, it would be a completely new world. So the real question is...how long could we keep that level of care going? A month? Six weeks? I wouldn't bet on anything longer than 2 months at most. And could we squash your hypothetical outbreak in that amount of time... Quote HistoryQuoted:
Quoted:
the senior scientist at USAMRIID who was called to the office at four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. So, to credential what I'm about to say, I was stationed at Ft. Detrick (USAMRID) from 2002 - 2004 and dated one of the 5 scientists on the Ebola project. Her desk was right next to the guy suspected of sending out Anthrax. I am now a senior consultant for the largest healthcare corporation in America. Look at the Fortune 100, and look for the only healthcare company in the top 10...that's where I sit now. Short answer to the original question. Our healthcare system can handle a LOT. But that means we are in a bad place, and almost any resemblance of what our hospitals look like today would be gone. Generally a hospital is certified to care for a certain number of patients. But every hospital backs off that number when staffing for day to day activities, generally about 50%. And actual utilization of facility services generally hover around 50% of what day to day staffing can handle. So, if we are in a shit hit the fan scenerio and we are calling out all the stops...all physicians are on duty, all nurses, all techs, etc. A hospital can generally handle between 3-400% more capacity than they would on a normal 'busy' day. This would not be a pretty scenerio. Care given would be the primary concern. You wouldn't see full documentation, charts, etc...billing would be suspended, it would be a completely new world. So the real question is...how long could we keep that level of care going? A month? Six weeks? I wouldn't bet on anything longer than 2 months at most. And could we squash your hypothetical outbreak in that amount of time... I wonder who would pay for the hospitals' costs? Hospitals, in fact anything medical related, as you know is incredibly expensive. Throw an ebola outbreak into the mix and the costs increase geometrically. |
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Posted: 10/4/2014 1:45:47 AM EDT
[#38]
probably depends a little on how many people are still going to work at the hospital if it gets that bad
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Posted: 10/4/2014 1:53:43 AM EDT
[#39]
Now you know why FEMA bought all of those coffins.
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Posted: 10/4/2014 2:03:24 AM EDT
[#40]
Quote HistoryQuoted: Ebola Reston. Different strain and causes no sickness in humans, only monkeys. The BearSlayer was on the team that cleaned it up. Quote HistoryQuoted: Quoted: Quoted: the senior scientist at USAMRIID who was called to the office at four in the morning on October 16th, 2001, when the Daschle letter full of anthrax was being analyzed at the Institute, is the co-discoverer and namer of the Ebola Reston virus, the only type of Ebola that has ever been seen in the Western Hemisphere. There are now five identified species of Ebola. The hottest of them, Ebola Zaire, kills up to ninety-five percent of its infected victims, and there is no cure for it. Jahrling discovered the Ebola Reston virus in 1989, during an outbreak of Ebola in Reston, Virginia, a suburb of Washington, D.C. Before he knew what the virus was, he inadvertently inhaled a whiff of it from a small flask. Tom Geisbert, the USAMRIID microscopist whom Jahrling would later ask to examine the Daschle anthax, also took a whiff. The two scientists tested their blood every day for a while after that, but they never became sick. They are the official codiscoverers of Ebola Reston, and they have continued to collaborate on research into Ebola. Peter Jahrling also discovered that an antiviral drug called ribaviran can be used successfully to cure people who are infected with Lassa, the Level 4 virus that turns people into bleeders. In the nineteen nineties, as the presence of biological weapons in Russia and other countries became more obvious and more alarming, Peter Jahrling expanded his interests beyond Ebola and began to study smallpox. So Ebola was already in the US in 1989? Interesting. Ebola Reston. Different strain and causes no sickness in humans, only monkeys. The BearSlayer was on the team that cleaned it up. I was also at Yerkes for a short stint during the Reston trials. Although that definately seemed to be the case, There was still a vocal minority who were doubtful of those findings at the time of the original trials and it appears now that there may in fact be more to the Reston strain than was originally concluded. Although nearly all unconfirmed, Reports have slowly been trickling in, that are once again raising questions about what exactly the pathogenicity actually is in humans. |
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Posted: 10/4/2014 2:06:12 AM EDT
[#41]
Quote HistoryQuoted:
I wonder who would pay for the hospitals' costs? Hospitals, in fact anything medical related, as you know is incredibly expensive. Throw an ebola outbreak into the mix and the costs increase geometrically. The revenue cycle would work as well as the documentation allowed. At the beginning you would still have sufficient time to gather the required documentation to bill individual insurances. However as the outbreak ramped up documentation would decline and payment for services would suffer. You'd have the majority of the burden initially absorbed by the individual facilities. Then as things cooled down you'd probably see lump reimbursement from the state and federal disaster relief funds. It would definately be a CFO's worst nightmare. |
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Posted: 10/4/2014 2:07:31 AM EDT
[#42]
Quote HistoryQuoted: probably depends a little on how many people are still going to work at the hospital if it gets that bad everybody who is needed will show up. I have zero doubts in that regard. ETA: Sorry, I thought the question was asking about willingness to go to work to treat A possible ebola patient, not the shtf type scenario that was actually being asked about |
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Posted: 10/4/2014 2:14:50 AM EDT
[#43]
I was informed by someone with tons of paramedic/hazmat/crazies experience that the hospital that received and treated that doctor in Omaha has a capacity of 20 for that type of care... In other words, get your hazmat suits boys, we're proper screwed...
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Posted: 10/4/2014 2:20:46 AM EDT
[#44]
Quote HistoryQuoted: The revenue cycle would work as well as the documentation allowed. At the beginning you would still have sufficient time to gather the required documentation to bill individual insurances. However as the outbreak ramped up documentation would decline and payment for services would suffer. You'd have the majority of the burden initially absorbed by the individual facilities. Then as things cooled down you'd probably see lump reimbursement from the state and federal disaster relief funds. It would definately be a CFO's worst nightmare. Quote HistoryQuoted: Quoted: I wonder who would pay for the hospitals' costs? Hospitals, in fact anything medical related, as you know is incredibly expensive. Throw an ebola outbreak into the mix and the costs increase geometrically. The revenue cycle would work as well as the documentation allowed. At the beginning you would still have sufficient time to gather the required documentation to bill individual insurances. However as the outbreak ramped up documentation would decline and payment for services would suffer. You'd have the majority of the burden initially absorbed by the individual facilities. Then as things cooled down you'd probably see lump reimbursement from the state and federal disaster relief funds. It would definately be a CFO's worst nightmare. Its actually all surprisingly well laid out for anyone who cares to look at it. The Finance section actually makes up one quarter of the 4 primary sections that form up under Unified Command/Incident Command response. Im to lazy to type it all out but they are surprisingly thorough. |
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Posted: 10/4/2014 2:30:03 AM EDT
[#45]
Quote HistoryQuoted: I was informed by someone with tons of paramedic/hazmat/crazies experience that the hospital that received and treated that doctor in Omaha has a capacity of 20 for that type of care... In other words, get your hazmat suits boys, we're proper screwed... I can tell you from first hand experience working on Clifton road in Atlanta that even that number is a pipe dream. |
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Posted: 10/4/2014 2:55:02 AM EDT
[#46]
Quote HistoryQuoted:
Its actually all surprisingly well laid out for anyone who cares to look at it. The Finance section actually makes up one quarter of the 4 primary sections that form up under Unified Command/Incident Command response. Im to lazy to type it all out but they are surprisingly thorough. Quote HistoryQuoted:
Quoted:
Quoted:
I wonder who would pay for the hospitals' costs? Hospitals, in fact anything medical related, as you know is incredibly expensive. Throw an ebola outbreak into the mix and the costs increase geometrically. The revenue cycle would work as well as the documentation allowed. At the beginning you would still have sufficient time to gather the required documentation to bill individual insurances. However as the outbreak ramped up documentation would decline and payment for services would suffer. You'd have the majority of the burden initially absorbed by the individual facilities. Then as things cooled down you'd probably see lump reimbursement from the state and federal disaster relief funds. It would definately be a CFO's worst nightmare. Its actually all surprisingly well laid out for anyone who cares to look at it. The Finance section actually makes up one quarter of the 4 primary sections that form up under Unified Command/Incident Command response. Im to lazy to type it all out but they are surprisingly thorough. I am eagerly awaiting your next post where you point me to where I can look. 
I really wonder how long the hospitals can go before they get any sort of payment or reimbursement. Hospitals are already strapped for cash in many cases, I see it every day because I'm in medical service/sales and used to work at one. How long could they absorb the costs, especially costs for treating fucking ebola, before they have they implode? I'm curious about what pwr2al4 referenced as that would probably answer a lot of my questions. |
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Posted: 10/4/2014 3:03:47 AM EDT
[#47]
Quote HistoryQuoted:
I am eagerly awaiting your next post where you point me to where I can look.
I really wonder how long the hospitals can go before they get any sort of payment or reimbursement. Hospitals are already strapped for cash in many cases, I see it every day because I'm in medical service/sales and used to work at one. How long could they absorb the costs, especially costs for treating fucking ebola, before they have they implode? I'm curious about what pwr2al4 referenced as that would probably answer a lot of my questions. Quote HistoryQuoted:
Quoted:
Quoted:
Quoted:
I wonder who would pay for the hospitals' costs? Hospitals, in fact anything medical related, as you know is incredibly expensive. Throw an ebola outbreak into the mix and the costs increase geometrically. The revenue cycle would work as well as the documentation allowed. At the beginning you would still have sufficient time to gather the required documentation to bill individual insurances. However as the outbreak ramped up documentation would decline and payment for services would suffer. You'd have the majority of the burden initially absorbed by the individual facilities. Then as things cooled down you'd probably see lump reimbursement from the state and federal disaster relief funds. It would definately be a CFO's worst nightmare. Its actually all surprisingly well laid out for anyone who cares to look at it. The Finance section actually makes up one quarter of the 4 primary sections that form up under Unified Command/Incident Command response. Im to lazy to type it all out but they are surprisingly thorough. I am eagerly awaiting your next post where you point me to where I can look.
I really wonder how long the hospitals can go before they get any sort of payment or reimbursement. Hospitals are already strapped for cash in many cases, I see it every day because I'm in medical service/sales and used to work at one. How long could they absorb the costs, especially costs for treating fucking ebola, before they have they implode? I'm curious about what pwr2al4 referenced as that would probably answer a lot of my questions. Check this out http://emilms.fema.gov/IS100hcb/index.htm |
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Posted: 10/4/2014 3:26:18 AM EDT
[#48]
I bet that even just 1 would screw up most hospitals. Most housekeeping departments wouldn't know what to do with that level of hazmat even if they could find staff that would be willing to even go near the room where an infected patient has been. And heaven help the hospital that doesn't have their own incinerator onsite.
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Posted: 10/4/2014 3:58:50 AM EDT
[#49]
Quote HistoryQuoted:
I bet that even just 1 would screw up most hospitals. Most housekeeping departments wouldn't know what to do with that level of hazmat even if they could find staff that would be willing to even go near the room where an infected patient has been. And heaven help the hospital that doesn't have their own incinerator onsite. A cop was killed here for the first time in over 50 years. The hospital they took him to had its emergency department shut down to new patients for hours. If one gun shot victim a regular occurrence here, can shut down a large hospital emergency department for half a day what would a couple ebola patients showing up do? |
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Posted: 10/4/2014 4:03:00 AM EDT
[#50]
Quote HistoryQuoted:
I bet that even just 1 would screw up most hospitals. Most housekeeping departments wouldn't know what to do with that level of hazmat even if they could find staff that would be willing to even go near the room where an infected patient has been. And heaven help the hospital that doesn't have their own incinerator onsite. The hospital I worked at would be pretty well screwed. Hazmat is shipped out for incineration. Off the top of my head, there are 3 isolation pods and a decon suite in the ED and whatever they can neg pressure in the ICU. About it. I wonder if the usual decon stuff works on ebola. I figure if stuff will kill cdif and then you hit the room with virex II afterwards, I'd hope it was toast. Then again bsl-4 viruses are a bastard. Realistically, 3-5 patients at most and they'd be fucked. Some days, I miss my old job until I remember all the crap I was exposed to. Hell, PPD other than gloves/masks/face shields was in a secure room that I'd need security to unlock. Only ever saw it once, and I doubt most employees even knew it was there. To be brutally honest, if it became a pandemic we're fucked. Thankfully, ebola isn't (currently) transmittable through the air so contact precautions are all that is needed. Would love to see the emails floating around the hospital about it though. (for the record, I was patient facing admin/clerical) |
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