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53 Comments
- Astroseksy, on 04/12/2009, -0/+27It doesn't help that residency programs pretty much force the doctor to be there the maximum 80 hours per week.
- dagamer34, on 04/12/2009, -0/+26This really could happen anywhere. And the treatment for active TB is 18-month course of 3 drugs, which states declare you hazardous enough that they will personally come to where you live/work to administer the drugs because it's cheaper that way in the long run.
However, I really wouldn't go around blaming the resident. Unless there was a sign that said "TB patient: wear mask and gloves" and she ignored that, she could have been treating a patient who just happened to have TB and not even know it. - Bainemo, on 04/12/2009, -1/+22Residency is among the worst ways to properly train somebody there is. Sleep deprivation and training you to hate your job and everybody associated with it are liable to make ***** like this happen.
- nobelief, on 04/12/2009, -0/+18please don't let it be John Dorian
- bubbaliscious, on 04/12/2009, -0/+16Lots of drama, little fact.
>95% of people who are infected with TB resolve it will little to no symptoms. Only 5% are symptomatic and need 6 months of treatment.
The resident probably got if from a patient. Couple of times a year, a patient I've evaluated is discovered to have TB and I am contacted 2 months later to see if I became infected. I bring this risk home to my wife and children. Include this with the needle poke from a patient with hepatitis C who's mother tells me he has HIV. Tell that to your wife and plan on no sex for 6 months. A little reality for DIGG. - deepcut, on 04/12/2009, -0/+16Infectious patients also put their doctors at risk. But it's a risk all caring doctors, residents and all healthcare workers take. While many of them might have been exposed, the doctor-in-training is obviously the victim here.
- inactive, on 04/12/2009, -2/+12b.s. accusatory misleading article
- Trey9128, on 04/12/2009, -0/+9Pretty much all health care providers get tested for TB every 12 months. It sounds like this resident came down with TB since her last screening. TB is not that easy to transmit, so hopefully she didn't infect anyone else.
- midbc, on 04/12/2009, -0/+9 TB or not TB that is the question
- BrewBeau, on 04/12/2009, -0/+9Neither. The medical-care provider got tested and, in the 12 months between screenings, got infected with TB. Once they started showing symptoms, they got diagnosed. There was no foul play here.
- peteyb1313, on 04/12/2009, -0/+9if i new where you lived i would come to your house and spray paint porn URL's all over it
- weejp101, on 04/12/2009, -2/+10That's a bit harsh mate
- BrewBeau, on 04/12/2009, -0/+8That's exactly what happened. There was no malpractice or anybody at fault in this case. And it wasn't a drug-resistant TB strain. So, it shouldn't be that big of a deal, as long as people who have been in contact are smart enough to get tested.
- Astroseksy, on 04/12/2009, -1/+8A hospital is the most dangerous place you can be, because you never come out the same as you came in.
- Trichomonas, on 04/12/2009, -1/+8The hell. "make ***** like this happen"...Residency training didn't make this happen. She didn't INTENTIONALLY get TB and try to give it to people. The article specifically mentions that the bacterium that cause TB can stay in your body for years before symptoms start to appear. Also, she's probably forced to get TB testing every year by the hospital so there was no malpractice.
- adcheung, on 04/12/2009, -0/+7I find this title very misleading.
- digga1301, on 04/12/2009, -2/+8Yeah you're right. Most doctors actually care about their patients, unlike House.
- weister42, on 04/12/2009, -1/+4I would be pissed if I went into the hospital and came out sicker than before.
- DifferentAngle, on 04/12/2009, -2/+5i doubt you could get in
- xyllar, on 04/12/2009, -0/+3Actually I was kind of hoping it was. Then it would have turned out that this was all a hilarious misunderstanding, which would teach him a valuable lesson about practicing medicine after some wise but snarky advice from Dr. Cox.
Instead of, you know, actual people potentially dying. - KingGorilla, on 04/12/2009, -0/+3That's usually what i want to happen
- HoldEmRules, on 04/12/2009, -0/+2How about the fact that patients infect healthcare workers all the time with everything from the common cold to TB, hepatitis, HIV through needlesticks and coughing.
Looks like this resident got the disease from another patient but of course the whole article is about how he/she MAY have infected others. The resident is the real victim but the media almost villainizes her. - drvcr, on 04/12/2009, -0/+2Haha true that.
Even if you did, it's sad that you would base your decision to attend on something like this. - bobbi21, on 04/13/2009, -0/+2actually it's around 6-9 months.
http://www.aafp.org/afp/20051201/2225.html
But yeah, the article says she might have gotten it while she was working at an HIV clinic in Botswana. Unless she was particularly negligent, I don't think we can blame someone who would actually take time to go to Africa and help out HIV patients. - DrDigg, on 04/13/2009, -0/+1I got needle stuck by a nurse. Not much you can do about that.
- SammyJr, on 04/12/2009, -0/+1Google "MRSA circumcision" and the thought of doing that to your future kids will never cross your mind again.
- DaNuKaSAN, on 04/12/2009, -2/+3someone shouldn't have put the samples next to the pickle jar in the fridge...
- bobbi21, on 04/13/2009, -0/+1called having chronic diseases.
Hospitals are full of germs though. Not a good place to be if you can avoid it. Always a risks vs benefits thing. - inactive, on 04/12/2009, -2/+3Thousands die yearly from MRSA, outside of medical journals: not a peep. Someone may have gotten a TB infection, now that's a story. Just seems strange to me that this is news, while the average person doesn't even know what MRSA is.
- MizuhoChan, on 04/12/2009, -0/+1I don't care.
- bobbi21, on 04/13/2009, -0/+1Actually there's a fair amount on MRSA nowendays. Ppl like stories about things that can destroy the world. Getting pretty popular the whole "super bug" stuff.
- MacBandit, on 04/13/2009, -0/+1It is true. Doctors have a practice never a profession.
- StankInTheBank, on 04/13/2009, -0/+1You're doing it wrong.
- bobbi21, on 04/13/2009, -0/+1I don't think 95% actually resolve it. I think it's more like 95% never have symptoms from it. They still have it latent in their body. Normally doesn't do anything unless you're immunocompromised with HIV or something. But like you said, in that 5% it can become symptomatic at some time.
Everyone in the developed world needs treatment regardless of whether you're symptomatic since they're actually trying to eradicate it in those countries. Doubt it'll work well unless you start screening the entire population (or even at risk populations) and forcing them to take 6-9 months of medication for something they won't get sick from 95% of the time. Often has pretty bad (although temporary) side effects too.
We can at least keep it under control though. In developing countries most of the population has tb, keeping it at the low rate the states has does seem worth it. - MacBandit, on 04/13/2009, -0/+1If you do a bit of reading you will find that Hospitals are actually dirtier then most peoples homes when it comes to contagious diseases. There is no way around it though because that is the business they are in and there is no way to disinfect every surface. Also Hospitals contain most of the antibiotic resistant bacteria that you will find. A recent study I was reading said that a doctors cell phone is actually one of the dirtiest things in the hospital because it's rarely disinfected and when tested they found several strains of antibiotic resistant bacteria on cell phones carried by employees in the hospital.
- MacBandit, on 04/13/2009, -0/+1If you do a Medical Malpractice search you will find that every year in the USA over 90,000 people die from mistakes caused by doctors.
http://www.wrslaw.com/wrs.practice02.html - GFKSpot, on 04/12/2009, -1/+1So glad you, a completely unbiased person, was able to identify the cause of all this. I really cannot understand how people can still think like this. Must be a product of your time. Glad it has come and gone.
- bshock, on 04/12/2009, -1/+1It's "an unusual case of a medical-care provider putting patients' health at risk" in terms of the specific method. Statistically speaking, doctors are the Number Two threat to your health, right behind automobiles.
- JuniorMint2, on 04/12/2009, -0/+0that's a very true statement, a hospital is like any other building, you can't get rid of everything bad in it, but they may be a little better than some places
- inactive, on 04/12/2009, -3/+3What the hell is with the TB breakouts? Down here (coincidentally by Northwestern State University of Louisiana) someone with TB at a Mexican restaurant cooked food and gave it to a lot of people.
- bobbi21, on 04/13/2009, -1/+1actually tb has risen with the appearance of HIV. before ppl were infected but didn't know about it. If you have AIDS your immune system is down enough so that the TB will become symptomatic.
TB is actually spread more from legal immigrants from countries that have most of their population infected with latent TB. Mexico is not one of them. They have maybe double the rate of TB that's in the US. While it's thousands of times higher in some countries of africa and asia
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5001a1. ...
Of course this might just make you hate africans and asians more.. sigh. I just present the facts. Can't control ppls hatred - bluepdx, on 04/13/2009, -1/+1I remember not too long ago, in the 1980's, barely anyone had cell phones, and they were huge. Funny how cell phone usage has risen as has the number of illegal immigrants.
Oh, wait. That's inane. - zoom1928, on 04/12/2009, -5/+2Happens more often than not. How do you think the medical cartel creates so many repeat customers?
- inactive, on 04/12/2009, -6/+2I remember a time not to long ago, the 1980s, when TB was unheard of. Funny how TB has risen as has the number of illegal immigrants.
- SmartestDigger, on 04/12/2009, -5/+1Probably Aisha Suleiman or some ethnic name likely originating from some Islamic turd world $hithole country. We can fairly safely assume as much since you damn well know that if her name were something like Sarah Worthington it would appear in the first sentence.
If she had blonde hair and blue eyes, her picture would be alongside the article.
Come on, you know how the MSM works now, don't you? - CogitatorX, on 04/12/2009, -9/+4but it's true. Real life is a hell of a lot different than ER & House.
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