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View Diary: Dr. Sheik Umar Khan, Sierra Leone's top Ebola doctor, contracts virus after treating 100 patients (53 comments)

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  •  Correction" (2+ / 0-)
    Recommended by:
    Betty Pinson, drmah
    It is easier to send large palettes of lab coats, than trained health care workers and experts willing to put them on and treat patents."

    Humor Alert! No statement from this UID is intended to be true, including this one. Intended for recreational purposes only. Unauthorized interpretations may lead to unexpected results. This waiver void where prohibited. Artistic License - 420420

    by HoundDog on Wed Jul 23, 2014 at 03:43:59 PM PDT

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    •  Just teaching basic hand washing to nurses working (3+ / 0-)
      Recommended by:
      HoundDog, MichaelNY, cai

      in the hospital in Freetown proved to be a challenge for UMC Medical team.

      •  And even more tragically sad, just yesterday I was (2+ / 0-)
        Recommended by:
        drmah, ER Doc

        reading a report about on station in a remote part of Liberia where the hospital did not even having any containers of chlorinated water so one could wash there hands.

        One can train new staff about how wise it is to wash ones hands but if the hospital is so damn poor that they can not afford a jug of Clorox, or have the staff to walking a few miles to the nearest stream and carry jugs of water back on their shoulders to dump into the washing barrel what is one to do?

        Some of these hospitals are basically large camping tents with a few folding chairs, tables and cots in them.

        For some reason, one thing they seem to have in great abundance are big rolls of that neon orange corrigated plastic police line roll out fencing that is held up by sticks.

        What makes a collection of tents an official Ebola hospital is putting up a perimeter of this orange fencing material around it six feet out, which is meant to keep family members and unprotected haalthers far enough away from any place Ebola infected patients are that in case they cough up sputum, or bleed out, the risk of accidental infection is reduced.

        From photographs I've seen, what makes a "super deluxe hospital" is the addition of cots, folding chairs, and a few tables some of which will contain containers of clorinated water, a dressing tent for protective suits.

        Doctors or nurses go into the patient tents to check in and care from them and then dictate case notes out the window to an assistant who is not in a protective suit but often sitting on a litle stool outside the six foot orange perimeter tape, with a cliipboard so he or she can record the patient notes.

        Surprisingly, the pics I've seen usually how patients hydrating with a canned soda, or pitcher of water which looks clean. So I think these are part of the WHO aid supplies that are delivered in by truck.

        The ones I saw did not appear to have electricity, running waters, toilets or sewage. So I image there must be an outhouse, or some kind of sguat bowl. Not paved floors but what I think may have been the compacted red soil and dirt common to the region.

        So before we could make use of air conditioners we'd have to enclose tents to less of an open air set up. Some  seem to just have top covers and three sides.

        So the first upgrade in heat management, if we had portable solar generators would probably be electric fans which can make a big different in stultifying heat.    

        Humor Alert! No statement from this UID is intended to be true, including this one. Intended for recreational purposes only. Unauthorized interpretations may lead to unexpected results. This waiver void where prohibited. Artistic License - 420420

        by HoundDog on Wed Jul 23, 2014 at 07:03:20 PM PDT

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        •  New UMC Hospital in capital city of Freetown only (2+ / 0-)
          Recommended by:
          HoundDog, ER Doc

          had running water provided from the city supply three days a week.  Thanks to American donations they now have storage tanks and water purification capacity to hold them over until they can refill from the city supply.  This is the Capital City, State of the Art (however meager that is) Hospital, but is 1000 times better than water and sanitation facilities out in the Bush country.  

          •  Thanks for this great example of how such a small (1+ / 0-)
            Recommended by:
            drmah

            amount of generous aid can make such a major improvement to guality of life.

            I was just looking at pictures of a treatment tent in a rural region, which consisted of an open air tent with three fulll side made of roll up plastic, a cot, and a few white 5 gallon buckets of what I'm assuming is chlorinated water and an IV drip pole.

            No electricity or light bulbs ,or even lanterns, a dirt floor.

            And this a where the really lucky people are. Some others have been run out of their villages and are hiding in the Bush until they die alone of exposure, dehydration, starvation or animal attacks.

            How sad.  

            Humor Alert! No statement from this UID is intended to be true, including this one. Intended for recreational purposes only. Unauthorized interpretations may lead to unexpected results. This waiver void where prohibited. Artistic License - 420420

            by HoundDog on Wed Jul 23, 2014 at 08:08:52 PM PDT

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