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Old 10-26-2014, 09:59 AM   #1
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85% of all problems (ie Ebola)

A nurse working for Doctors without Borders is restrained for seven hours without being told why. After almost a day of airplane food, and then no food and water in Newark Airport, she is given junk food - one Granola bar. Obviously she is hot under the collar. Even prisoners get bread and water. At least prisioners know why they are there. After four hours of this, an adult, whose knowledge is that of a child, takes her temperature. Without any training. Claims the nurse has an elevated temperature. Now panic sets in with more adults who can only act like children due to management that is clearly incompetent.

More panic. After seven hours of doing nothing (not even calling a doctor) they rush her at high speed to a hospital in a convoy of eight police cars with flashing lights and screaming sirens. No problem. They waited for politicians to make a decision.

A doctor takes her temperature. 98 degrees. No fever. Lab tests confirm no Ebola virus. Makes no difference. An adult who was incompetent due to management's training created a bogus number. All facts from responsible sources said something completely different. But management is doing what any business school graduate would do. More panic. She is still in quarantine.

Adults acting like children have created virtually all domestic Ebola problems - both real and fictional. With hype of fear of a disease that, well, worry more about lightning or a shark attack.

Ebola is hype and fear due to so many adults who entertain their childhood brain rather than use the prefrontal cortex. Ebola is a potential problem similar to nuclear war and asteroids that will destroy the earth. We know how to avert an epidemic. But even management in Texas Presbyterian Hospital acted like children trained by business schools.

We know, without doubt, that 85% of all problems are directly traceable to top management. Doctors - and not business school graduates trained in hospital administration - should manage health care facilities. Texas Presbyterian Hospital only demonstrates what everyone should have learned from the Challenger, Chernobyl, and other less publicized disasters.

In Texas, nurses spent hours searching the internet to learn how to treat a Liberian with Ebola. Because hospital management was clearly doing what W Edward Deming said is taught in business schools. Or what George Jr did as president. Or what Governor Corbett of Pennsylvania did when, as Attorney General, he had Sandusky on tape soliciting children for sex. Management's job is attitude and knowledge. How the work gets done. The job is far more important than spin or politics. Training does not happen when costs controls and management appearance are more important.

In Texas, overalls that left exposed backside skin were used because that was only what was available in West Africa. Eventually, staff figured out that even full face shields (not available in Africa) were necessary. It took time for health care workers to do their jobs, treat other patients, and do internet searches. Hospital management had no idea how to discover what was necessary and what guidelines said. It was too medical for management.

An Ebola infected Liberian lay in their Emergency Room hallway suffering from dehydration, diarrhea, and fever while doctors treated adjacent patients. He lay there untreated near other patients for seven hours. Same management trained staff had sent him home with a fever days earlier due to lack of information – that management is suppose to provide. Same management trained staff used West Africa protection (where necessary supplies and facilities do not exist). Staff did what they learned on the internet because management had no idea how to learn something medically new. Even CDC guidelines were too medical for Texas Presbyterian management.

How dumb (business school trained) was Texas Presbyterian management? Ebola cultures were sent to labs via pneumatic tubes. Eventually, hospital staff - starved for useful information - began using too many layers of protection. No standard protection existed. Nobody had a partner so that mistakes could be averted. Hospital staff did exactly what one would expect when management does not come from where the work gets done.

Hype and fear takes hold. Both infected nurses in Texas were removed from incompetent Texas Presbyterian by the CDC. Meanwhile, a state dominated by extremist politicians is not even reviewing competency and licenses of this hospital. Doing so might be politically incorrect or embarrassing.

Ebola is understood by learning from Fukishima, Three Mile Island, Katrina, and how Corbett, et al all but blamed Joe Paterno for Sandusky’s pedophilia. Disasters are mostly due to management that is incompetent - that is promoted or trained using concepts taught in those schools. And not by people who know what is more important: how the work gets done.

In each case, panic and fear is traceable to management so extremist dumb as to 1) not train their people, 2) did not know how to avert problems, 3) could not understand what employees kept saying was needed, 4) could not learn something new, and 5) who did not know management's #1 job is providing attitude and knowledge.

Management that use feelings rather than grasp facts using intelligence is a classic example of adults who are still children. They are the major reason Ebola is a threat to any of us.

She worked for Doctors without Borders. They so hated such good people as to not even feed her. I would not be surprised if she was denied bathroom privileges - due to fear and ignorance created by management in Newark. Ebola spread because management in Texas did what any adult who is still a child would do. Nothing. Leaving people, who do the work, to fend for themselves.

Fear business school trained management - not Ebola. Ebola is a threat due to so many incompetent managers who are experts at cost controls and spin. And who do not know how the work gets done. They could not even train her in how to take body temperature.

Last edited by tw; 10-26-2014 at 10:13 AM.
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Old 10-26-2014, 10:51 AM   #2
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There was a tourist who got violently ill on a tour bus in Arlington last week. It caused a scare when it was learned she had just come from one of the Ebola countries in West Africa. So she was taken by ambulance by Arlington paramedics to the Arlington general hospital where an administrator refused to allow her to enter the building, even though they had radioed ahead and been directed to that hospital. The administrator reportedly didn't want the hospital to become known as an Ebola hospital. So after what was reported to be a very heated exchange in the parking lot, the Arlington paramedics drove her to Fairfax hospital, where she later tested negative for Ebola.

This hasn't received much news coverage at all, because it was a false alarm, but I think it's disgraceful and makes me question the preparedness of my community's health care system. Arlington general has since made a statement that they are prepared for Ebola patients and will accept them.
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Old 10-26-2014, 11:58 AM   #3
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When Ebola first hit the news they showed video of medical people of some sort donning and removing the disposable gear, while the announcer praised the training the CDC was giving everyone.

I went through similar exercises, with the same disposable gear, in order to get certification to work in Commonwealth Edison's nuclear power plants. It struck me that every single person in that video would have failed the tests I took. Maybe they felt they could be sloppy because it was just training, but I wondered if they could do it right if they had to.
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Old 10-26-2014, 01:42 PM   #4
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Originally Posted by xoxoxoBruce View Post
... Maybe they felt they could be sloppy because it was just training, but I wondered if they could do it right if they had to.
No. There's an old saying: Practice makes perfect. That's long been considered obsolete by professional trainers who've found that people will make the same mistakes they made in training when put in a real situation. Professional trainers have their own saying: Perfect practice makes perfect. Unfortunately, it costs too much in man-hours, even when equipment and supplies are available, to keep people at that level of proficiency.

The federal government earmarks funds for that level of sustainment training with most of it going to the military and some going to civilian special response teams. The government's strategy for the civilian population is to maintain just enough proficient people to contain a few small pockets of a high mortality disease. After disease spread exceeds the threshold of their capability, remaining infected civilians will be transferred to treatment colonies run by the military.

The expertise in this area lies within the military. The methods of instruction I used and protocols I taught in the Special Operations medical community exceeds the standards the CDC has. Theirs lack critical performance measures. Even those among them that know this; however, dare not say anything to the public for fear of retaliation by bureaucrats ... they like having their jobs. They also know that in civilian health care 85% of physicians and 95% of nurses routinely working in isolation environments for more than a month will become complacent and make crucial mistakes; yet, they won't rotate other staff into those positions because of training costs.

@glatt - There's at least one thing worse than a hospital that won't accept Ebola patients: that's a hospital that does and allows the disease to spread.
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Old 10-26-2014, 07:10 PM   #5
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CEO of Texas Presbyterian is Jim Berg who holds a master's degree in hospital and healthcare administration from Saint Louis University, where he also received a bachelor's in management sciences, magna cum laude.

Other hospitals to be concern with because they hire business school graduates rather than people who come from where the work gets done:
Methodist Hospitals system in the Chicago
Mercy Hospital in Iowa

President of Texas Presbyterian is Stan Morton who holds a bachelor's degree from Stephen F. Austin State University and a master of business administration degree from Tulane University.

Other hospitals to be concern with because they hire business school garduates rather than people who come from where the work gets done:
Las Colinas Medical Center and Jo Ellen Smith Medical Center in New Orleans

This should get glatt's attention ... he was chief executive officer at Medical Center of Arlington, People die when the top boss does not know how the work gets done.

It probably would have been worse had not little people done more than expected.

Last edited by tw; 10-26-2014 at 07:19 PM.
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Old 10-26-2014, 10:20 PM   #6
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I have had multiple dealings with Texas Presbyterian. They have been a shitty hospital for going on 50 years now. More training won't help in this case. They make critical health mistakes all. the. time.
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Old 10-27-2014, 04:48 PM   #7
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Originally Posted by sexobon View Post
Um... yikes
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Old 12-22-2016, 08:14 PM   #8
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Lancet is reporting today that the Ebola vaccine works 100%.

Large scale trials haven't been done yet to get government approval, but 300,000 doses of the vaccine are being prepared for the next emergency.
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