[Music]
this is the front gate of the facility
and so this is where things sort of
start you take patients that either walk
in or that are brought in by ambulance
people that are you know at the end of
end of the disease course that are dying
or dead families whole families that
come in all of that we see it here some
of the children that are negative that
are waiting for a place you go after
they’ve been released we have about 60
beds available right now we have
somewhere on the order of 40 or so
patients 40 to 50 and so if you imagine
you’re going to round on 40 or 50
patients and you’re going to do that in
an hour and a half you get about a
minute and a half to expiration so these
are our decontaminated decontamination
stations
what they’ve done is they basically
piped chlorinated water throughout the
facility so what you can see is that we
have spigots all throughout the facility
where you need to get one zero five
percent bleed or 0.5% bleed this
environment I consider it be an
extremely safe environment this is all
predictable for me you know I know
what’s going on with myself in there I
know what I feel very comfortable and
safe with the processes of coming out of
there we have about a forty percent
survival rate forty percent is pretty
decent for what’s out there you’re going
to be under physical and emotional
stress the physical stress being in the
PP doing the work the emotional stress
associated with the nature of the
patients that we see we had a mom come
in
was pregnant and she was bleeding and
what we know about women that have Ebola
is that it would be rare for them to
have a viable baby
we delivered her her baby she had a lot
of bleeding and she didn’t make it the
baby didn’t make it days like that they
come they’re not infrequent what I’m
used to doing is addressing an
individual patient and doing everything
I can to give that person the greatest
chance of living I can’t do that here
it’s a different mentality obviously the
world has not seen Ebola outbreaks of
this magnitude before certainly the
first time that I’ve been working with
Ebola I’ve worked in other two
resource-poor settings
working with infectious diseases plague
in Madagascar and done some work in Peru
but you know none of that really
compares to what’s going on here with
people
need to be able to reduce the stigma
associated with this disease because
even people that are cured or negative
the home in our review rejected from
their community we get them back a lot
of work to be done getting the people
that are sick and nine out of their
homes we need to get them out of the
community we need to have outreach to be
able to get them into facilities like
this and then we need to be able to
build up from the base so that we can
address the things that are contributing
to mortality building up so that we’re
able to provide that level of care for
the folks that are here for the greatest
number of people and getting this thing
under control
[Music]
this is the front gate of the facility
and so this is where things sort of
start you take patients that either walk
in or that are brought in by ambulance
people that are you know at the end of
end of the disease course that are dying
or dead families whole families that
come in all of that we see it here some
of the children that are negative that
are waiting for a place you go after
they’ve been released we have about 60
beds available right now we have
somewhere on the order of 40 or so
patients 40 to 50 and so if you imagine
you’re going to round on 40 or 50
patients and you’re going to do that in
an hour and a half you get about a
minute and a half to expiration so these
are our decontaminated decontamination
stations
what they’ve done is they basically
piped chlorinated water throughout the
facility so what you can see is that we
have spigots all throughout the facility
where you need to get one zero five
percent bleed or 0.5% bleed this
environment I consider it be an
extremely safe environment this is all
predictable for me you know I know
what’s going on with myself in there I
know what I feel very comfortable and
safe with the processes of coming out of
there we have about a forty percent
survival rate forty percent is pretty
decent for what’s out there you’re going
to be under physical and emotional
stress the physical stress being in the
PP doing the work the emotional stress
associated with the nature of the
patients that we see we had a mom come
in
was pregnant and she was bleeding and
what we know about women that have Ebola
is that it would be rare for them to
have a viable baby
we delivered her her baby she had a lot
of bleeding and she didn’t make it the
baby didn’t make it days like that they
come they’re not infrequent what I’m
used to doing is addressing an
individual patient and doing everything
I can to give that person the greatest
chance of living I can’t do that here
it’s a different mentality obviously the
world has not seen Ebola outbreaks of
this magnitude before certainly the
first time that I’ve been working with
Ebola I’ve worked in other two
resource-poor settings
working with infectious diseases plague
in Madagascar and done some work in Peru
but you know none of that really
compares to what’s going on here with
people
need to be able to reduce the stigma
associated with this disease because
even people that are cured or negative
the home in our review rejected from
their community we get them back a lot
of work to be done getting the people
that are sick and nine out of their
homes we need to get them out of the
community we need to have outreach to be
able to get them into facilities like
this and then we need to be able to
build up from the base so that we can
address the things that are contributing
to mortality building up so that we’re
able to provide that level of care for
the folks that are here for the greatest
number of people and getting this thing
under control
[Music]
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