https://www.youtube.com/watch?v=uA3jiXpPDB8

Sunday, October 19, 2014

The worst disease since the Plague

  Dtoler
 


"So a few months ago the country was enthralled with the idea of a few patients, infected with the Ebola virus, coming to the United States. Up until this point, we had been safe from Ebola due to the fact that bats can’t fly over the Atlantic. Some people were completely indifferent, while others had seen Outbreak one too many times. Most were a healthy mix, somewhere in between, but what bothered me the most was both the lack of education and the poor information that was spreading more virulently than the virus could ever hope to.
First, I want to stress that I am a nurse, not a virologist, and hopefully throughout my post you will see that I am not pretending to be one. I have a Bachelor’s in Nursing and am currently a graduate student. I have worked extensively with Infectious Disease Specialists. I have been exposed to almost every infectious disease known to the modern world. I have taken courses in Biology, Microbiology, Anatomy, Physiology, Pathophysiology, Advanced Pathophysiology, Pharmacology, and an assortment of others. However, I am not and will not pretend to be an expert, just an experienced professional. When it comes to an epidemic of any sort, my first focus is on the patient, protecting and healing them, my second focus is on protecting the community. I don’t care about which strain does what, or what we can do with in lab. As a nurse, I concern myself with the current patient and future possible patients. I feel the first thing we should examine is Ebola itself. It is foreign to the US, both literally and figuratively. What it does to people and how it harmonizes with nature are both things that most westerners have little concept of. It is a virus, not a bacteria. This means that it is not its own organism. It is actually much smaller and basic than you can imagine. It is nothing more than a few pieces of DNA/RNA and some proteins. No cell wall, no cytoplasm, no metabolic functions. This is both their advantage and their downfall. Viruses require a host. For this example I will use the HIV virus. HIV gets into the human body and invades the host’s white blood cells, T4 cells to be exact but I won’t get that involved. The proteins help get the virus into the cell and those few small sequences of DNA/RNA write themselves into the host DNA/RNA. Now instead of the white blood cell attacking invaders, it is nothing more than an HIV factory. All of its metabolic functions are redirected at producing more of the virus, which pours out of the white blood cell like a sieve until eventually the host cell dies. This is why HIV infected patients have poor immune systems. The virus re-writes the DNA of the host cells. This is not something we can stop. New viruses are pouring out of the white blood cells at a rate of millions a day. We cannot filter them out. We cannot “kill” a little chunk of DNA and we don’t know enough about the human genome to correct the DNA sequences. This is why a lot of viral infections like HIV, Herpes, and Hepatitis are life long infections. HIV invades the white blood cells, Herpes invade the nerve roots, and Hepatitis invades the liver.
Now that we have a better grasp of viruses, we will focus on Ebola a bit more. In tropical Africa, Ebola naturally lives in bats. It is nice to the bats and doesn’t cause them many issues. It is rumored that there are many viruses humans carry our entire lives and have no idea because they show zero symptoms. Therefore, they have never been studied. If this sounds crazy, just remember that it was in recent years the we discovered there was a virus behind cervical cancer. A virus that men can carry and spread without ever knowing they have it. Where the problem arises is that in tropical Africa, people like to eat bats. Sometimes they get infected with Ebola and it spreads. This process is called Zoonosis and can be true of bacteria or viruses. Racoons carry Rabies, Armadillos carry Leprosy, Birds carry the Flu, Bats carry Ebola.
When I said Westerners don’t really understand Ebola, the primary aspect that I am talking about is the patient. We don’t ever see what Ebola does. Our media is too censored, we hear how many died, and see people in haz-mat suits. Speaking of suits, we’ve all seen the pictures. Rubber gloves are adequate for AIDS and hepatitis, a simple mask (N95) stops Tuberculosis, but this requires space suits, just keep that in mind when you think its no big deal. So here is what happens when you catch Ebola, I figure you’re getting bored with reading right about now, so I’ll spice it up. First the virus gets into your system, I’ll elaborate on that later. Then, it hangs out for a few days, even up to 21, growing, multiplying at a rate of millions a day, and guess what, you’re infectious. Now at this point it would pretty much require a straight blood to blood interaction so the only real threat here is for IV drug users who share needles. Just like with the flu or hand foot and mouth disease, you can be spreading it to others before you show a symptom*(apparently not many see the *, so please read the elaboration at the bottom). Remember, nurse mind set, protect the community. At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm can turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.
The biggest part of the discussion is how Ebola is spread. I will say two things on the topic, no, it is not airborne, and yes, basic hygiene plays a HUGE factor. But while on the topic of whether it is or is not airborne, the definition of an airborne contagion is one that can freely float in the air, survive lengths of time, and infect someone else. VERY few things fit in this category, most have been eradicated, Small Pox, Tuberculosis, Measles. Things that are also NOT airborne, are the flu and the cold. For the flu, you have to come into direct contact with the patients body fluids. How then, do you explain why people catch it and have no idea how. Well for one, people can spread it before they show symptoms, just like Ebola, and one other HUGE factor…droplets….let that word really sink in. The virus may not be airborne, but the droplets are. I’m going to digress for a second and get back to HIV and Hepatitis, while I let droplets dwell in your mind. Everyone knows that HIV and Hepatitis are spread by blood contact, and sexual fluids, I don’t mean a drop of blood on the skin, or even a mucous membrane, it has to get INSIDE of you. This is why only gloves are required. HIV and Hepatitis are not found in urine, stool (Some forms of hepatitis are, but you have to eat the stool to get infected) saliva, sweat, tears, or mucous. This is where some viruses are different. The flu gets into your mucous and other secretions, Ebola tends to stay in the blood, but remember, every one of your bodily fluids are full of blood now. So a person with the flu sneezes, and now millions of little droplets (remember those guys?) shoot out of their nose at nearly mach 1, all across the room, same for a cough, all it takes is a little microscopic droplet to land in your eye, nose, mouth, or the unlikely scenario of an open wound, and you’ve now been infected, because you came in CONTACT with their bodily fluids. I see the word contact thrown around a lot, but most people think of mass amounts of contact with blood, but what they don’t realize is that contact also includes microscopic mucous and saliva droplets, each one chock full of Ebola. Bacteria can survive for long periods of time without a host because they are their own organism. They can feed on just about anything and be happy. Viruses lifespan without a host is much shorter. Their goal is to infect, replicate, and spread, if they cant replicate, they die. Measles only lives 2 hours. But Ebola, depending on what data you look at, can survive for several days.
So with all this information, lets have some role play, so that you can see exactly what this means, to a nurse, in the real world. Imagine it as a cheesy PSA or lifetime movie. You go to see your doctor because its that time of year, you need some blood drawn and refills of your blood pressure med. You sit patiently in the waiting room, thumbing a magazine while your 2-year-old plays with her toys. Like all two year olds, she touches everything, and everything goes in her mouth, toys, pens, her own fingers. She is a 22 lb drool factory and you love her to pieces. You see the doctor, get your goodies, and go home. A week later your angel starts vomiting blood and within 3 days she dies because her heart raced so fast it finally gave up while trying to maintain a blood pressure. Her eyes are blood red and demonic, her skin falls off in sheets. What you don’t know is that 3 days before your visit, someone thought they had the flu. It is October you see and they sneezed while thumbing through that very same magazine you thumbed through. The same thumb you grabbed her pacifier out of your purse with in the waiting room. The people caring for Ebola patients wear space suits, and burn the bodies, yet it still spreads. Here in America, we have much better protocols, and much better hygiene. So if it spreads, it will be contained much better. Still, it spreads prior to symptoms and survives will outside the body, just like the flu. Despite vaccines and good hand washing, thousands still get the flu every year. But while the flu kills 1-2% of its victims, Ebola kills 50% on a good day, and spreads the same way. So please, do not write it off as hype. It is a real thing and it is here.
The case in Dallas has been confirmed. The patient had contact with five children and adolescents prior to admission. Those five kids attend four of the largest schools in Dallas. One sneeze and we could already have thousands of people, who don’t know it yet, infected.
Thank you for reading. Please feel free to comment.
Symptoms* I have had a lot of comments in regards to this. I picked my words carefully, but I never imagined getting thousands of views an hour, or my article getting picked apart, but I will try to elaborate now. I said spread, the virus, I did not say you were contagious. What I meant by this, was the summation of two concepts. To fully explain everything I could write a book, but this is meant to be short and sweet. The first concept is that of a fomite. We have established that the virus can survive for an unspecified amount of time outside the host, and we have established that sneezing/coughing is a perfectly logical method of transmission. So if patient A is infectious/contagious, they sneeze on patient B, but then patient B goes home and picks up their sisters 1 6 month old, who rubs his face, and licks all over your shoulder, he could very well have just orally consumed large quantities of the virus, therefore become patient C. Patient B never got sick, the virus never entered their system, yet they are responsible for spreading the virus to someone else. This is why the 5 exposed kids are so important, there may only be a 2% chance or whatever that they’ll get sick, but if they went to school, and each rubbed up against  500 kids in the hallways, you now have 2500 exposed kids, 50 of which will statistically become infected, 25 of which will probably die. No I do not have a source for the 2%, that is just an EXAMPLE number used to represent the relatively low likelihood of contracting the virus if exposed, granted the R0 factor of R2 is correct. Remember, heal the patient, PROTECT the community. The second concept of this is defining “symptom”. Lets assume it means anything other than your baseline condition. That means the first signs of being contagious, are also the more mild symptoms, sneezy, achy, nausea, flu-like symptoms. So who is going to wake up, feel a little under the weather, and think, crap, I have Ebola, better get quarantined, no, THAT’S how you start fear mongering and mass panic. Again, flu season is upon us, the initial stages of Ebola are like the flu, and its human nature to be in denial, so many people, if infected, would hope its just the flu and wait it out, they are not showing symptoms indicative of Ebola, but they ARE symptomatic of something, and therefore, by the CDC definition, would be contagious. Its also normal procedure for people to be symptomatic BEFORE seeking medical care, so technically, everyone will be contagious, BEFORE knowing they have Ebola. But like I said before, I omitted this lengthy explanation because I didn’t feel it was necessary for the point of the article.
ADDENDUM: Sadly, I feel the need to point out that the title of this blog is “Ebola, A Nurse’s Perspective”, not “A Nurse’s Guide to Surviving the Apocalypse”, or “How to Become an Ebola Expert in 15 minutes”.  It could just as well be “Hamburgers, A Chef’s Perspective” and no one would be hounding me over grammar, a misplaced comma, or wanting citations as to why I say it should be on the grill 5 minutes per side of 7 minutes per side. The point is those things are irrelevant to the goal of the article, this is MY perspective (a particular attitude toward or way of regarding something; a point of view.) I don’t have to prove anything, the point of my article is to take what the uneducated (in a medical sense) journalists say, what the talking heads on TV say, and then let you know what the people say who are on the front lines. That’s like discrediting your grandads account of what happened when he stormed Normandy beach, because its not what your history teacher told you. Have I experienced Ebola first hand? Nope, have I experienced a WHOLE lot of other things that the majority of the population has not? You bet your ass I have, and I felt the need to take the time to hopefully help other people out a little. So please keep that in mind, I’m not perfect, but my experiences are my experiences, and I wanted to share them with you, to let you inside the head of a nurse for a minute."

Sunday, October 12, 2014

This was posted to my facebook page....

"I received this in an email today.
Read on for a little history about the Barbery Pirates.
Here is a little history. Including how the term ‘Leatherneck’ came to be .
. .

Most Americans are unaware of the fact that over two hundred years ago, the United States had declared war on Islam, and Thomas Jefferson led the charge!
At the height of the eighteenth century, Muslim pirates were the terror of the Mediterranean and a large area of the North Atlantic. They attacked every ship in sight, and held the crews for exorbitant ransoms. Those taken hostage were subjected to barbaric treatment and wrote heart breaking letters home, begging their government and
family members to pay whatever their Mohammedan captors demanded.
These extortionists of the high seas represented the Islamic nations of Tripoli, Tunis, Morocco, and Algiers – collectively referred to as the Barbary Coast – and presented a dangerous and unprovoked threat to the new American Republic.
Before the Revolutionary War, U.S. merchant ships had
been under the protection of Great Britain. When the U.S. declared its independence and entered into war, the ships of the United States were protected by France. However, once the war was won, America had to protect its own fleets. Thus, the birth of the U.S. Navy.
Beginning in1784, seventeen years before he would become president, Thomas Jefferson became America’s Minister to France. That same year, the U.S. Congress sought to appease its Muslim adversaries by following in
the footsteps of European nations who paid bribes to the Barbary States, rather than engaging them in war.
In July of 1785, Algerian pirates captured American ships, and the Dey of Algiers demanded an unheard-of ransom of $60,000. It was a plain and simple case of extortion, and Thomas Jefferson was vehemently opposed to any further
payments. Instead, he proposed to Congress the formation of a coalition of allied nations who together could force the Islamic states into peace. A disinterested Congress decided to pay the ransom.
In 1786, Thomas Jefferson and John Adams met with Tripoli’s ambassador to Great Britain to ask by what right his nation attacked American ships and enslaved American citizens, and why Muslims held so much hostility towards
America, a nation with which they had no previous contacts.
The two future presidents reported that Ambassador Sidi Haji Abdul Rahman Adja had answered that Islam "was founded on the Laws of their Prophet, that it was written in their Quran, that all nations who should not have
acknowledged their authority were sinners, that it was their right and duty to make war upon them wherever they could be found, and to make slaves of all they could take as Prisoners, and that every Musselman (Muslim) who should be slain in Battlewas sure to go to Paradise."
Despite of this stunning admission ofpremeditated
violence on non-Muslim nations, as well as the objections of many notable American leaders, including George Washington, who warned that caving in was both wrong and would only further embolden the enemy, for the following fifteen years, the American government paid the Muslims millions of dollars for the safe passage of American ships or the return of American hostages. The payments in ransom and tribute amounted to
over twenty percent of the United States government annual revenues in 1800.
Jefferson was disgusted. Shortly after his being sworn in as the third President of the United States in 1801, the Pasha of Tripoli sent him a note demanding the immediate payment of $225,000 plus $25,000 a year for every year forthcoming. That changed everything. Jefferson let the Pasha know, in no uncertain terms, what he could do with his demand. The Pasha responded by cutting down the flagpole at the American consulate and declared war on the United States. Tunis, Morocco, and Algiers immediately followed suit. Jefferson, until now, had been against America raising a naval force for anything beyond coastal defense, but having watched his nation be cowed by Islamic thuggery for long enough, decided that is was
finally time to meet force with force.
He dispatched a squadron of frigates to the Mediterranean and taught the Muslim nations of the Barbary Coast a lesson he hoped they would never forget. Congress
authorized Jefferson to empower U.S. ships to seize all vessels and goods of the Pasha of Tripoli and to “cause to be done all other acts of precaution or hostility as the state of war would justify”.
When Algiers and Tunis, who were both accustomed to American cowardice and acquiescence, saw the newly independent United States had both the will and the might to strike back, they quickly abandoned their allegiance to
Tripoli. The war with Tripoli lasted for four more
years, and raged up again in 1815. The bravery of the U.S. Marine Corps in these wars led to the line “to the shores of Tripoli” in the Marine Hymn, They would forever be known as “leathernecks” for the leather collars of their uniforms, designed to prevent their heads from being cut off by the Muslim scimitars when boarding enemy ships.
Islam, and what its Barbary followers justified
doing in the name of their prophet and their god, disturbed Jefferson quite deeply. America had a tradition of religious tolerance, the fact that Jefferson, himself, had co-authored the Virginia Statute for Religious Freedom, but fundamentalist Islam was like no other religion
the world had ever seen. A religion based on supremacism, whose holy book not only condoned but mandated violence against unbelievers was unacceptable to him. His greatest fear was that someday this
brand of Islam would return and pose an even greater threat to the United States.
This should bother every American. That the Islams have brought about women-only classes and swimming times at taxpayer-funded universities and public pools; that Christians, Jews, and Hindus have been banned from serving on juries where Muslim defendants are being judged, Piggy banks and Porky Pig tissue dispensers
have been banned from workplaces because they offend Islamist sensibilities. Ice cream has been discontinued at certain Burger King locations because the picture on the wrapper looks similar to the Arabic script for Allah, public schools are pulling pork from their menus, on and on in the news papers….It’s death by a thousand cuts, or inch-by-inch as some refer to it, and most Americans
have no idea that this battle is being waged every day across America. By not fighting back, by allowing groups to obfuscate what is really happening, andnot insisting that the Islamists adapt to our own culture, the United States is cutting its own throat with a politically correct knife, and helping to further the Islamists agenda.

Sadly, it appears thattoday’s America would rather be "politically correct" than victorious.
Any doubts, just Google Thomas Jefferson vs the Muslim World"

Friday, October 10, 2014

Is it Huxley or Orwell.

We were keeping our eye on 1984. When the year came and the prophecy didn't, thoughtful Americans sang softly in praise of themselves. The roots of liberal demo...cracy had held. Wherever else the terror had happened, we, at least, had not been visited by Orwellian nightmares.
But we had forgotten that alongside Orwell's dark vision, there was another - slightly older, slightly less well known, equally chilling: Aldous Huxley's Brave New World. Contrary to common belief even among the educated, Huxley and Orwell did not prophesy the same thing. Orwell warns that we will be overcome by an externally imposed oppression. But in Huxley's vision, no Big Brother is required to deprive people of their autonomy, maturity and history. As he saw it, people will come to love their oppression, to adore the technologies that undo their capacities to think.
What Orwell feared were those who would ban books. What Huxley feared was that there would be no reason to ban a book, for there would be no one who wanted to read one. Orwell feared those who would deprive us of information. Huxley feared those who would give us so much that we would be reduced to passivity and egoism. Orwell feared that the truth would be concealed from us. Huxley feared the truth would be drowned in a sea of irrelevance. Orwell feared we would become a captive culture. Huxley feared we would become a trivial culture, preoccupied with some equivalent of the feelies, the orgy porgy, and the centrifugal bumblepuppy. As Huxley remarked in Brave New World Revisited, the civil libertarians and rationalists who are ever on the alert to oppose tyranny "failed to take into account man's almost infinite appetite for distractions." In 1984, Orwell added, people are controlled by inflicting pain. In Brave New World, they are controlled by inflicting pleasure. In short, Orwell feared that what we fear will ruin us. Huxley feared that what we desire will ruin us. ~ Neil Postman
We cannot buy wine, tobacco, or salt without paying the tax. And a part of the tax that we pay is given by law — in privileges and subsidies — to men who are richer than we are. Others use the law to raise the prices of bread, meat, iron, or cloth. Thus, since everyone else uses the law for his own profit, we also would like to use the law for our own profit.
Frederic Bastiat's

Tuesday, October 7, 2014

Obama not qualified for presidential office....

Suzanne Daughtry Atwell AP – WASHINGTON D.C. In a move certain to fuel the debate over Obama’s qualifications for the presidency, the group “Americans for Freedom of Information” has Released copies of President Obama’s college transcripts from Occidental College … Released today, the transcript school indicates that Obama, under the name Barry Soetoro, received financial aid as a foreign student from Indonesia as an undergraduate. The transcript was released by Occidental College in compliance with a court order in a suit brought by the group in the Superior Court of California. The transcript shows that Obama (Soetoro) applied for financial aid and was awarded a fellowship for foreign students from the Fulbright Foundation Scholarship program. To qualify, for the scholarship, a student must claim foreign citizenship. This document would seem to provide the smoking gun that many of Obama’s detractors have been seeking. Along with the evidence that he was first born in Kenya and there is no record of him ever applying for US citizenship, this is looking pretty grim. The news has created a firestorm at the White House as the release casts increasing doubt about Obama’s legitimacy and qualification to serve as President article titled, “Obama Eligibility Questioned,” leading some to speculate that the story may overshadow economic issues on Obama’s first official visit to the U.K. In a related matter, under growing pressure from several groups, Justice Antonin Scalia announced that the Supreme Court agreed on Tuesday to hear arguments concerning Obama’s legal eligibility to serve as President in a case brought by Leo Donofrio of New Jersey . This lawsuit claims Obama’s dual c itizenship disqualified him from serving as president.. Donofrio’s case is just one of 18 suits brought by citizens demanding proof of Obama’s citizenship or qualification to serve as president.

Sunday, October 5, 2014

A message of destruction and resurrection


From Ronald Cody Erkkila;
Throughout history; whenever there is about to be a changeover in monetary dominance, there was great turmoil or major war.... The world is once again in that place.... By all note of foreign unrest; we the United States of America are being blamed. We are that beast that must be overcome to them.... I know that after posting huge numbers of articles spelling out those perceptions I must say; that since we ...live in a world of perceptions now, and not reality, and due to logistical capabilities we are going to be invaded...No sooner than Sept 13th 2015.... Simply because of perceptions.... Simply because of the people's ignorance....
Many Christians pray and because of their faith; are simply ignoring world events, and willfully chastising wrongfully, people they think are chicken little's.... But I have found support for this catastrophe in the bible, and in historical record going back as far as Israel and Babylon.
I believe we are the glorious land; spoken of in the book of Daniel, that land of pork eaters, and that land of fat ones...
Since I believe that we are that land of destiny spoken of in the bible that none of your prayers will bear fruit if they be for forbearance of God's wrath;
except that the word of God be fulfilled.... Believe though that as much devastation as the world may lay upon this land; and as many people that may be killed, and taken away into slavery, that this land will endure, and to that end; I encourage you all to pray, that we being given fair warning from God through signs and wonders; and from the mouths of many wise people; that it behooves us to prepare for this coming battle to ward off pestilence and starvation to be an encouragement to one another remembering that by belief in God, and by his Son, has already given this nation victory. and that it is to the liberty that God has declared to us, and that in the end of this matter, we will again glorify His name; having been purged from our unrighteousness.
In our losses; we might never forget that it was our hubris and pride that brought our down fall, and upon proper atonement of our sins; those of not being watchful against the demons of chaos and hell. Yet will God give unto us the gift of humility that he may raise us up as a land to be counted with the lambs....forever.
Though I am a base man and am not worthy; I have been given this as a message from God to give to whom so ever would hear it.