There’s always a risk of infection

Texas Health Presbyterian nurses walk arm in arm on their way to a press conference defending the hospital outside Texas Health Presbyterian Hospital in Dallas on Monday, October 20, 2014. The first Ebola patient diagnosed in the United States, Thomas Eric Duncan was treated at this hospital. (Vernon Bryant/The Dallas Morning News)

Don’t point fingers at Presby

I’m a registered nurse, native of Dallas and now living in northeast Tennessee.

I recently visited my home city, and I have been asked about the “terror” supposedly being experienced by Dallasites regarding the recent Ebola events.

I saw no terror-stricken people at all in Dallas. I talked to friends concerned for those stricken or being watched for symptoms.

They are upset about how this episode impacts the fine reputation of Texas Health Presbyterian Hospital Dallas. Hospitals must evaluate and treat those who arrive at their doors.

The presenting symptoms of the man from Liberia are symptoms of other common viruses. Like other U.S. health care facilities, Presbyterian observes “universal precautions.”

If this patient had presented at any hospital other than the four Ebola-trained facilities, the scenario would have been the same. Other hospitals may say they would have done better, but they are really relieved they weren’t put to that test. Ebola is new to U.S. shores.

There seems to be a lot of finger-pointing and rumor, which needs to stop. Let’s take care of those stricken, protect caregivers and fix the national health care community that failed to provide information/education to caregivers.

My mom was an OB nurse, I was a newborn and junior volunteer at Baylor. I know Presbyterian’s excellent reputation and care.

My thoughts and prayers are with victims and caregivers who face fears resulting from exposure and the knowledge that Presbyterian may not recover from this incident.

Jeanne Terrell Alexander, Kingsport, Tenn.

Laundry workers’ exposure

I’m worried! For 23 years I worked at Texas Scottish Rite Hospital in the position of director of laundry and linen services.

It was me and my staff who handled all the contaminated linens coming from isolation cases. Rarely did we receive a batch that had been bagged and sealed correctly.

Even more problematic was the unceasing flow of sharp objects coming into the laundry.

I wrote untold dozens of incident reports detailing these breaches, but it seemed nobody cared if the mere laundry workers’ lives and safety were being jeopardized.

I believe the only way to stop Ebola is to secure our borders, including the southern one. Hospitals may easily and unknowingly spread the infection.

Larry Johnson, Mesquite

Nephew’s anger misplaced

I read this column exclusive to The News with dismay and disbelief. I am saddened by the loss of his uncle, Thomas Duncan, but find it ironic that he demonizes Presbyterian Hospital with incompetence and insensitivity when it mounted an incredible effort to save him and spent most likely more than a million dollars on care that will never be paid.

I am a retired physician who cared for some of the first patients with HIV in the ’80s in Dallas. It was a plague.

There was much fear and misunderstanding. Very little was known.

Those of us who chose to treat them did so at our own risk, although it turned out that was low.

I can attest to the fact that things in emergency rooms all across this country fall through the cracks every hour of every day.

Fortunately, most of them do not result in deaths. This was ONE exception.

To his nephew, I would ask what level of care would he have received if he had remained in Liberia?

Robert Henderson, Dallas/ Turtle Creek

Ebola is a big deal

Re: “Taking Ebola seriously — CDC’s clinical response to virus worrisome, Heather Wilhelm writes,” Friday Viewpoints.

Having followed the Ebola matter perhaps closer than most, I was a bit puzzled and taken aback to read in Ms. Wilhelm’s recent Dallas Morning News op-ed her attribution to the CDC, the White House and other officials the statement “Don’t panic; it’s no big deal.”

In all my reading and, since this article, Google searches, blog searches, congressional hearings on C-SPAN, and governmental agency searches, I failed to encounter the statement “Don’t panic; it’s no big deal,” or even “It’s no big deal.”

It’s always helpful if one knows someone’s agenda in order to determine their motivation. If what the author asserts is true, it borders on criminal activity. If it is not true, she has built and demolished the biggest, most self-serving straw horse I’ve ever encountered in my 80 years.

I would be grateful if Ms. Wilhelm would send just one citation not to me, but to The News, which citation supports her contention that anyone engaged in trying to manage this tragic situation has said or implied, “It’s no big deal.”

In the milieu we live in today, truth telling is more important than ever before — and that’s a big deal!

Rodney Pirtle, Farmers Branch

Another Ebola case stirs emotions and fear

nurse transported

An American Medical Response ambulance leaves Texas Health Presbyterian Hospital with an escort at 3:46pm on Wednesday, October 15, 2014. The driver was wearing protective clothing and they were transporting one of the Ebola patients. (David Woo/The Dallas Morning News)

Heroes, not villains

Re: “Ebola and my uncle — Hospital treated Duncan ignorantly, indecently, says Josephus Weeks,” Wednesday Viewpoints.

The family of Thomas Eric Duncan, the first Ebola death in the United States, is claiming that the quality of medical care Mr. Duncan received in treating his infection was suboptimal because he was black. African black members of the Texas community are saying that because of his accent, he was treated differently.

And to add fuel to the fire, the Rev. Jesse Jackson, who had gone to Dallas in his crusade to fight social injustice, suspects that the hospital’s initial failure to treat Duncan as a potential Ebola victim was the result of his race and financial situation.

How absurd.

Does Mr. Jackson actually think that as intelligent, compassionate and caring as they are, that any medical staff would risk having a lethal infection spread to their neighbors, family, and friends?

To think that the hospital in Texas spent millions to save this man and not one individual from the black community or Mr. Duncan’s family or Mr. Jesse Jackson had the decency to say thank you is an atrocity.

Personally, I would like to thank the medical personnel of Texas Health Presbyterian Hospital Dallas for risking their lives and being there for Mr. Duncan.

Stan Sujka, MD, FACS, Orlando, Florida

 

Learning instead of blaming

As I read the response from Mr. Duncan’s family to his death I get a feeling of sadness and frustration.

The truth is that he would have very likely died had he stayed in Liberia, so for them to say he could have been saved is simply unknown.

I understand they are grieving. They are also saying it’s not true that he came in contact with an infected pregnant woman in Monrovia, but there are witnesses that say he did.

Mr. Duncan had the opportunity to die with dignity; care was never denied in a foreign country in which Ebola had never been treated.

If he had been in Liberia he would very possibly have died by himself in the small room he rented. Instead he had the chance to see his family one more time.

Very different than current Liberians.

Did he die in vain? Absolutely not.

Because of him we are learning from experience how to respond to Ebola as a public health issue. There’s nothing better than experience to learn.

Now if and when Ebola shows itself around the country, we will be better prepared to deal with it, resulting in lives being saved.

My condolences to his family.

Lorena Tolle, Dallas

 

Step up Ebola screening

Re: “Airport fever checks give Obama breathing room on Ebola,” Sunday news story.

I believe the measures implemented this week to screen arriving airline passengers whose trips originated in West Africa are insufficient to protect the U.S. from further cases of infection.

Proper containment requires screening the passengers departing the outbreak areas in West Africa. I think potential disease carriers must be grounded at once.

After an infected person mixes with others on a second or third leg of an air itinerary, containment is lost. This, to me, is common sense.

Since U.S. airlines do not fly directly to West Africa, other countries, the U.N. and the World Health Organization should implement the needed screening procedures.

The U.S. government must use its power and influence to assure the other sovereign entities and world organizations do the right things, immediately.

The slow implementation of measures to screen air travelers mimics the poor early response to SARS, which also was spread internationally by air travel.

We heaped blame on China for pretending no problem existed before belatedly acting. We know Ebola is a problem.

If our government is not applying around-the-clock pressure on the countries and international organizations whose actions are required to contain the disease, I believe our leaders will share the responsibility for future unnecessary deaths.

Tim Daniel, Irving

 

Funding crucial to health

Re: “CDC changes care guidelines — Revisions acknowledge that previous procedures lacking,” Tuesday news story.

The News reported that the second case of Ebola virus was the consequence of a breach in protocol — protocols set forth by the CDC.

This is troubling but timely as advocates in Washington work to demonstrate the importance of public health services and systems to our indolent Congress.

Many people, including our legislators, do not realize the degree of safety and security our public health infrastructure provides us, nor do they realize how crucial scientific research and funding are to combating disease.

As a nation we should call attention to any possible funding cuts. Increasing the funding is crucial to preserving our health care systems.

As a nation, we cannot wait for Ebola or any other disease to demonstrate that our money has been incorrectly and irresponsibly allocated.

Danielle Robbio, Washington, D.C.

 

Protect hospital workers

Re: “2nd case rattles Dallas — Presbyterian nurse tests positive; others who treated first patient to be monitored; Health officials cite breach of protective procedures,” Monday news story.

You can’t protect patients if you first don’t protect the very people who are on the front lines of this potential health care crisis: the nurses and doctors who work in the ER.

The CDC must make sure that hands-on training policies and procedures are in place and implemented with strict and rigid monitoring of every hospital’s department of infectious disease.

The brave nurses and doctors who are literally risking their lives to care for anyone infected with the Ebola virus deserve and must receive inclusive and ongoing training as more is known about this killer of a disease.

I don’t believe anything less should be accepted by the general public, anyone who is currently a patient in a hospital and the health care workers in these hospitals, especially the emergency department.

We owe this to the courageous nurses at Presbyterian Hospital-Dallas and all other health care workers who take such great personal risk to aid the sick and suffering.

God bless them.

Ed Sircy, Coppell

 

Accusations undeserved

Re: “Let’s try truth with 2nd case of Ebola,” by Jacquielynn Floyd, Monday Metro column.

Thanks to Jacquielynn Floyd for her column.

It was a timely, thoughtful and succinct analysis of an impression that Presbyterian somehow dropped the ball in this Ebola situation.

Presbyterian is well-known as a highly rated hospital that doesn’t deserve such a description. I encourage others to read her column and dispel such notions.

Toni Clem, Paris

Show appreciation for health care workers

Holly Waller, LRN, removes protective gear Tuesday, Oct. 14, 2014, at Lenoir Memorial Hospital in Kinston, N.C. All hospital staff take protective measures to keep staff and patients safe, as more attention is focused on diseases like Ebola. (AP Photo/Daily Free Press, Janet S. Carter )

Let’s praise, not blame

CDC Director Tom Frieden appeared on CNN to confirm the first known case of Ebola infection contracted in the United States and said, “At some point there was a breach in protocol, and that breach resulted in this infection.” Shortly thereafter, Dr. Anthony Fauci of the NIH echoed Frieden’s sentiments by stating that Doctors Without Borders “almost never get an [Ebola] infection because of the very strict protocols. Sometimes people are human. They have inadvertent breaches, and that’s very likely what happened.”

I find it curious and disconcerting that neither Dr. Rick Sacra nor Dr. Kent Brantley, American physicians who generously cared for Ebola patients in Liberia, was blamed for contracting Ebola. Both of these physicians presumably breached protocol. And yet both infected physicians were greeted as heroes for risking their lives to help those in need.

How is the nurse at Presbyterian Dallas any less of a hero? She knowingly risked her life to help save a man with a highly communicable, deadly disease. What kind of message are we sending to health care workers?

“Inadvertent breaches” of protocol are a reality in medicine. During my five years of surgical residency at Parkland Hospital, I was stuck by contaminated needles on dozens of occasions. Obviously they were inadvertent. Some of these patients undoubtedly were HIV positive or had Hepatitis B or C. I feel very fortunate to have never contracted these diseases. But if I ever do, I hope that I can expect sympathy, rather than blame.

There will be more health care workers exposed, more “breaches in protocol,” and more infections among physicians and nurses. Let’s stop blaming them and instead treat them with the gratitude and dignity that they deserve.

Dr. Ronald M. Friedman, director,
West Plano Plastic Surgery Center,

former chief of plastic surgery,
Parkland Memorial Hospital

 

Bureaucratic bungling

Smugness and arrogance (or translate that as confident ignorance) led to our current situation, with the CDC at the helm of giving inadequate advice and leadership, protocols or no protocols.

This is how bureaucracy earns its deserved reputation for mediocre function and hapless performance.

A lot of public money is spent on the CDC, but let a crisis arise and things go wrong.

From a political standpoint and knowledge base, I believe Sen. Rand Paul appeared more in command of his facts than the CDC chief or President Barack Obama. I’m saying that as a loyal Democrat.

James Beare, Austin

Honor health workers

Let’s honor those heroes and heroines whom I believe are seldom honored for their work. Doctors are of course very important in the care of Ebola patients, but those at most risk for contagion are the nurses who handle the diarrhea, vomit and urine, start IVs, handle perspiration-soaked linens, etc., 24 hours a day.

Others at risk are the phlebotomists, respiratory therapists and those who handle all contaminated trash. Let’s honor these selfless professionals.

Nancy M. Park, R.N. M.S.N., Richardson

Journalists, be responsible

Re: “Let’s try truth with 2nd case of Ebola,” by Jacquielynn Floyd, Monday Metro column.

I rarely agree with Ms. Floyd’s columns. However, she hit the nail on the head in her column on Monday. We do deserve the truth about Ebola.

However, I believe we also deserve truth about ISIS, CDC, border control and Ferguson, Mo., just to start the list. We rarely get truth from the mainline news: NBC, ABC, CBS and some newspapers and magazines feed us what they want us to believe.

I believe there is more to the Ebola story and to all the other stories that make up our headlines.

So, newscasters, reporters and editors, “let’s try truth” and do responsible journalism for the sake of our country and for the sake of other innocent victims such as nurse Nina Pham.

Dianna Gabbard, McKinney

There’s still life left after 75

Life, death: a radical approach

Re: “Longevity comes up short — 75 years is plenty: Ezekiel Emanuel challenges those who think a long life at any cost is the American way,” Sunday Points.

I found it somewhat ironic that on the day Emanuel’s controversial essay appeared in your paper there were 43 obituaries. Of those 43, 20 of the deceased people were in their 80s and 90s, well past his age of demarcation of 75.

This would seem to say that it is not that uncommon to have many good years after 75. That said, the most pressing concern of folks as they grow older, and I count myself in that group, involves loss of independence, becoming a burden to family, and little or no quality of life.

A radical approach, one that will never be adopted, would be to give everyone a little black pill when they reach a predetermined age, say 50, to be put away for some undetermined future time. It would have an unlimited shelf life. When, hopefully many, many years down the line, a person reaches the point that the concerns enumerated above have become reality, the pill could be retrieved. We should all have the right to pass from this life with dignity and at a time of our own choosing.

Fred Neary, Far North Dallas

 

Live long and enjoy

If your life is sitting on your sofa, drinking beer and watching TV, fine, maybe you want to go ahead and die.

But I’m 80 and I still mow my own yard, fix the roof, read, walk 2 miles a day and enjoy sex.

I have slowed down recently due to my fourth Agent Orange attack from my Vietnam Expeditionary Force days, which has left only 50 percent of my lungs usable.

I say, live till you die and enjoy it!

Ronald Griffey, Farmers Branch

Dallas nurse contracts Ebola

nina

This 2010 photo provided by tcu360.com, the yearbook of Texas Christian University, shows Nina Pham, 26, who became the first person to contract the disease within the United States. Records show that Pham and other health care workers wore protective gear, including gowns, gloves, masks and face shields and sometimes full-body suits when caring for Thomas Eric Duncan. (AP Photo/Courtesy of tcu360.com)

Citywide debacle

Re: “2nd case rattles Dallas — Presbyterian nurse tests positive; others who treated first patient to be monitored; Concern, not panic, for case close to home,” Monday news story.

Presbyterian has been my hospital since I moved here in 1971. I actually have an appointment there on Oct. 23, but I am debating whether to go or not.

Already no ambulances can arrive there. Has anyone thought about the fact that after the newly infected nurse removed her protective coverings, who did she come in contact with?

Did she wander down to the cafeteria or go visit other nurse friends?

And if I hear the word “protocol” one more time I am going to scream! That, to me, is a word used to describe how you behave if you are having dinner with the Queen of England.

Right now the only bright star in this citywide debacle is that the nurse’s dog is being cared for and hasn’t been put to sleep.

Mary Weir, White Rock/East Dallas

 

An obvious solution

As a nurse who has worked with patients in isolation before, I can see one big problem in controlling the spread in your community. People who are already infected and are showing symptoms are walking into an unprepared emergency room.

It is obvious to me that the infected person should remain at home, call the EMTs, and explain that he or she has been exposed to Ebola and is now having symptoms.

Then, the EMTs can arrive in protective gear and can then notify the hospital emergency department to be prepared.

This would cut down on the time the infected person might be in the ER waiting room exposing people by touching surfaces, handling pens while signing documents, permission slips and using the bathroom.

Janet Vigil, Albuquerque, N.M.

 

Take care of home first

Re: “‘Our people are dying’ — U.S. aid arrives; pleas heard at World Bank meeting; toll could hit $32.6 billion,” Friday news story.

We are concerned about containing Ebola in a hospital on high alert in Dallas, so why in the world are we sending our troops to Liberia?

I don’t believe this is noble, just stupid. I would not want anyone in my family going there. Shame on our politicians!

Sharon Protzmann, Dallas

Clay Jenkins will get my vote

Re: “Jenkins’ high profile attracts praise, scorn — Some see political motives in his efforts,” Friday news story.

As a lifelong Republican voter, I must admit that County Judge Clay Jenkins is a statesman worthy of emulation.

His willingness to become personally involved in a number of important issues such as mosquito spraying, the plight of unaccompanied migrant children and, most recently, the well-being of a Dallas family terrorized by Ebola is the type of servant leadership more politicians should aspire to.

Actions are always more meaningful than words, especially when it involves political and personal risk.

The judge and I are former neighbors and I remember quite vividly encountering him early one wintry morning as he was lying sprawled out on the sidewalk in front of his home. He had slipped on the ice and broken his leg in several places.

As we waited for the ambulance, he seemed more interested in what my day would entail than what his current predicament would for his.

If his name is on my ballot come Election Day, he’ll surely receive my vote.

Jack Vaughn, Dallas/Greenway Parks

Old-fashioned values might be better

Re: “Reducing teen pregnancy rates,” by Terry Goltz Greenberg, Saturday Letters.

This letter about giving teens free long-term contraception sure sounds like a good idea, until a teen comes home with the symptoms of HPV, gonorrhea, syphilis, HIV, chlamydia or one of the dozens of other sexually transmitted diseases.

Some are curable, some are not.

Then old-fashioned waiting until marriage to have sex suddenly seems like a better idea.

Mary Ann Brame,
Dallas/Hollywood Heights

Mourning Ebola victim

I am devastated beyond words … for his family, for his medical team, for our community. We were all pulling for him. Rest in peace, Thomas Eric Duncan.

Ann Marron Clark, University Park

On the front lines of Ebola crisis

ebola vigil

Mamie Mangoe, a friend of the Duncan family, wipes a tear away during a memorial service for Ebola victim Thomas Eric Duncan, on Wednesday Oct. 8, 2014 at at Wilshire Baptist Church in Dallas, TX. Duncan died Wednesday morning at Texas Health Presbyterian Hospital of Dallas (AP Photo/The Dallas Morning News, Nathan Hunsinger)

 

Price comments out of line

I am physician at Texas Health Presbyterian Hospital Dallas. I am outraged and take offense to the comments John Wiley Price made stating we are a “boutique hospital” not serving the surrounding community.

Physicians have taken an oath to first do no harm. In that, we treat the patient first and think about payment later, much different than any other business in our capitalist society.

My partners nor I have asked if an Emergency Department patient has insurance before treating them. It is an afterthought. I have never been told by the hospital how to treat a patient, insured or uninsured.

I treat all my patients the same, giving them the same care I would want for myself and my family.

Before running off at the mouth, I challenge JWP and others to do their research on the number of uninsured patients seen at THD and how much is spent on language lines used to communicate with our neighboring “Ellis Island.”

We, the physicians and staff, put our own lives/families on the back burner to arrive early and stay late with patients, regardless of insurance.

We do it because we choose to, not expecting any rewards, albeit, not expecting to get insulted for it either.

Sheila Chhutani, Dallas

@scrobotdoc

 

Hospital deserves better

People love scapegoats, but it’s time to stop piling on Texas Health Presbyterian. Mr. Duncan was not “turned away,” as Jesse Jackson said. He was admitted, questioned and given an expensive test by the hospital.

He erred in failing to disclose what he surely knew was a close connection with an Ebola patient. Had he done so, he would have been admitted immediately.

Mistakes were made during his initial visit by the staff and by the patient, but that happens at all hospitals.

This is a fine hospital and Mr. Duncan received professional and compassionate care that ended up costing the hospital hundreds of thousands of dollars.

Mary Scarborough, Irving

Comfort Liberians

I couldn’t help but notice that Jesse Jackson was in Dallas this week. Allegedly he was here to comfort the family and check on the treatment of the person with the Ebola virus.

To best serve humanity, I suggest that Mr. Jackson travel to Liberia to comfort all those affected by the Ebola virus.

Terri McCuistion, Forney

Are you serious?

You have got to be kidding!

Someone lies to officials to come into our country with a serious illness; exposes untold people to Ebola; we hospitalize him, clean their house and then sanitize it, have to place a guard on the door so they don’t wander off; and after all of these thousands of dollars, they weren’t treated fairly?

This is a case of, “Yeah, but what have you done for me lately?”

Jan Gares, Waxahachie

Liberia needs more help

My church held a memorial service for Thomas Eric Duncan. Eric came to the U.S. to marry a member of my church.

Back in Liberia’s capital, nine of Eric’s neighbors are dead or are dying. If Eric’s brother needed treatment there’s a chance a hospital wouldn’t even have a bed for him.

Eric lived in a state with a crumbling health care system. Before the epidemic, Liberia had 50 doctors for 4 million people. One in 5 children don’t live till their fifth birthday — mostly due to limited clean water.

The returns to public health investment are huge — in a globalized world it just makes economic sense. Yet our contribution is staggeringly small. Last year the U.S. spent the equivalent of 3 percent of our military defense budget on foreign aid globally. We spent less than two-tenths of 1 percent of our GDP.

Eric’s death reminds us how connected we are. He died trying to save the life of a fellow Liberian. It wasn’t because she had Ebola, it was because she was a fellow human being. If we want to honor his memory, shouldn’t we try to save the lives of Liberians too?

Joan Gass, Dallas

 

Hindsight is 20-20

Re: “Early missteps costly — Quicker action might have saved Ebola patient, says Tod Robberson,” Thursday Viewpoints and “Ebola case raises questions,” by Virginia Campbell, Thursday Letters.

I am sad for Mr. Duncan and his family. At the same time, it is easy to be a Monday morning former member of the Texas Board of Nurse Examiners, or a bleeding heart liberal like Mr. Robberson.

The truth is, Mr. Duncan knowingly got on a plane from the hot zone of Ebola. I believe he had to at least suspect he had been in contact with the virus, but lied about it on the form.

Why was he not taken or driven to Parkland, where they are prepared for a potential pandemic? Parkland is a county, not for-profit hospital.

Call me callous, but until the race merchants like John Wiley Price and Jesse Jackson, and county judges like Clay Jenkins get out of the way, and let cooler, more logical people sort this out, this stupid name calling and second-guessing will only get worse.

Political correctness in the face of a potential epidemic is insane, but not surprising. That is the world we live in.

To damn the good folks at Presbyterian Hospital is irresponsible, but also not surprising.

John Rice, Richardson

Enough of blame game

Tom Duncan is dead. He died of Ebola. The death rate from where he came is close to 50 percent. Thus he had only half a chance to live.

Jackson and Price said he died because he was black. That is ridiculous.

Secondly, they said he died because of no health coverage. Foreign visitors do not get health care. That is also ridiculous.

Maybe Obama can fix this with an executive order and maybe this is his fundamental change of America!

It is sad that Tom Duncan died. Maybe if he had not lied on his departure form he would have received care many days earlier and he would be alive today, but chances are he would not.

That is the sad truth and the race merchants, instead of trying to blame others for his death, should be quiet and go away.

Medical treatments are not always successful, as in this case, but should be attempted as soon as one suspects Ebola exposure.

RIP, Tom Duncan.

Jay Helt, Frisco

Witness to poor care

Eight weeks ago, my general surgeon husband passed away in Texas Health Presbyterian Hospital Dallas, the same facility where Thomas Eric Duncan became the first victim to die of Ebola on U.S. soil.

Though completely different circumstances, as a 27-year veteran in the health care industry myself, I was able to witness firsthand, a laundry list of missteps and poor care.

It ran the gamut, from no visitation from the contracted attending physician who has been in practice a whopping six years or less, to not honoring the “DNR” do not resuscitate orders, etc., etc.

For these reasons I found it interesting that the usual cast of characters, Jesse Jackson and John Wiley Price, quickly attributed Mr. Duncan’s poor treatment to the race card.

Clearly, unlike those of us in the health care industry, they are operating under the misperception that all hospital systems are staffed and capable to offer equivalent standards of consistent, high-quality care, irrespective of who you are

Celina Burns, Dallas

Wild claims vs. facts and figures on Obamacare

I am new to Dallas, but it seems that the there are contrasting views on a given subject of public concern. I believe this column certainly qualifies as a concern to most everybody.

Grace-Marie Turner of the Galen Institute wrote of the higher costs and that virtually everyone will pay higher premiums on Obamacare, and backed her assertions with facts and figures.

Dean Baker, a macroeconomist and co-founder of the Center for Economic Policy and Research, wrote a far different column. From the headline to the last paragraph, he attacks Republicans and promotes the Democratic legislation called the Affordable Care Act.

Baker makes wild claims that I believe are his opinions. He claims that the ACA will not lead to rationing of services, socialized medicine and death panels. I believe it’s too early to tell.

Employers are hiring part-time employees rather than full-time in spite of his conclusion. Republicans feel the ACA is a disaster just waiting to happen, and how does he conclude that Medicare will save over $1 trillion in the next decade?

He somehow projects job growth of $2.5 million a year and the ACA is only a few months old. Finally, he says adding 5 million people to Medicaid is a success.

Hank Schichtle, McKinney 

Stop Ebola at its source

It seems there has been a tendency to blame Texas Health Presbyterian of Dallas for the Ebola outbreak, but I think the blame belongs at a higher level.

I believe our government has not protected us by not stopping people from devastated, disease-infested areas from traveling into this country.

Javier T. Ramirez, Kessler area, Dallas 

County officials missed a red flag

I hate to see Texas Health Presbyterian criticized for how it handled the first Ebola case in the United States. Someone made a mistake in not admitting the Ebola patient, but that should not make the hospital a terrible place.

My family and I have gone to Presbyterian in the main hospital, outpatient and emergency room for 25 years. We have been totally satisfied over the years. The hospital has very dedicated staff. They have a very clean hospital and hand sanitizers are everywhere.

Steve Blow got a jab in when he said that because the patient was a person of color and had no insurance he was probably shuffled off to the side.

According to The News, the area between Presbyterian and Northwest Highway has a vast majority of immigrants from the areas of Africa that have Ebola. I believe that should have been a red flag to the county health departments that there was a good possibility Ebola cases would show up.

Bob McIver, Garland

Lesson from London, circa 1985

I believe anyone traveling into the U.S. from infected areas that has any illness should be subject to isolation. In my own personal experience: Arriving in London from Kenya in 1985, I had a headache and stiff neck. I sought out a pharmacy and was asked where I had come in from.

Within 15 minutes I was loaded on an ambulance and taken to Coppetts Wood tropical disease hospital in North London and held for two days to see if any illness developed.

None did — it was total isolation, no drugs given.

My protests gave way to admiration. They were taking effective action, not waiting for me to develop a fever or other symptom of an infectious disease. In fact it was a headache and minor whiplash from bouncing over rough roads in Kenya, not an onset of Lassa fever, similar to Ebola.

David Kellogg, Dallas

Painkiller rules: a world of hurt

Re: “ Painkiller rules tightened — Step to prevent abuse will also put a burden on legitimate patients,” Monday news story.

Once again, abuse by a few results in regulations that negatively impact the many. The story states, “For some patients who are legitimately using hydrocodone … this will be more challenging for them.”

Boy, they’re not kidding. I am so angry that my 55-year-old sister, who has lived with juvenile rheumatoid arthritis her entire life, has yet one more difficulty to deal with. A small amount of hydrocodone enables my sister to continue working full-time as a rad tech. As anyone in health care knows, you can’t just take off to go to a doctor appointment.

But now she has to do this once a month. What about the co-pays? Yes, she might be able to find a doctor she can see on Saturdays or evenings, but why should she have to?

I am not denying that hydrocodone is probably overprescribed and the cause of much heartache for those addicted and their families. But, really, DEA, did you even think about people like my sister who experience consistent pain?

I hope they come to their senses and create a way to exempt legitimate users like my sister and thousands of others from this regulation.

Lori Millner, Dallas/Oak Lawn 

Health care: Seek the truth

Re: “Grading Obamacare — GOP’s dire predictions haven’t panned out, Dean Baker says,” Tuesday Viewpoints.

Baker must not be reading any of the news sources that the rest of the U.S. is reading. A number of the stats he claims the Republicans cited as a result of Obamacare are actually coming to fruition.

We see Wal-Mart moving workers to part-time positions and more insurance premium costs increasing, as well as increases in Medicaid enrollments due to the high costs of plans offered under the Affordable Care Act. He even states that some of the horror stories touted by the Republicans have actually come true.

This is a perfect example of how the truth gets distorted because a person states that their opinion is in fact the truth and the people who are uneducated about the facts believe that person’s statements are the truth.

It is hard to teach people that just because a person says they are telling the truth, that it is often just their opinion of the situation. They can even state false information that people will believe is the actual truth.

It seems to me that many in our our society have lost the ability to filter information and use their own judgment about what is and isn’t the truth.

Sam Courtney, Carrollton 

End-of-life documents

Re: “Sharing critical choices — Learn your loved one’s end-of-life wishes while you can,” Saturday Business story.

I’m a primary care physician (internal medicine and pediatrics — board-certified in both fields) in Fort Worth and I sit on two ethics committees.

This story only tells part of the story. The assertion that a physician’s directive is the “only document that gives the patient’s family advocate a voice” may be true with regard to the services a lawyer can provide, but there are other and better vehicles.

One alternative is the Medical Orders for Scope of Treatment document. This document, when completed correctly, provides more useful information about what the patient wants.

It is legally valid in Texas and does not require a lawyer to complete.

At North Texas Respecting Choices, we promote a conversation process between the patient, loved ones and a trained facilitator that results in the completion of this document. A similar process is also in place at Baylor and Cook Children’s, among others.

Also misrepresented is the important role hospital ethics committees play. It’s disingenuous to say they don’t seriously consider surrogate input. Their focus, in my experience, is on the compassionate care of the patient.

What they do not do is bow to the demands of a surrogate who insists that an actively dying patient be kept alive by artificial means, even if it requires futile and arguably unethical procedures to do so.

Stuart Pickell, Fort Worth