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tv   Sunday Housecall  FOX News  October 19, 2014 9:30am-10:01am PDT

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. and it's time now for "sunday house call." i'm eric shawn. >> and i'm arthel neville. welcome now is dr. david samadi. >> and as always dr. marc siegel, professor of medicine at langone medical center. he's not in the studio today. he's joining us live from las vegas where he's giving a talk at gathering of the american academy of dermatology. dr. siegel, dr. samadi, welcome, as always. >> good to be here. >> good to see both of you, doctors. we're awaiting a major announcement from the cdc on
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ebola. the agency is set to issue clearer guidelines about the way doctors, nurse and other health care providers should protect themselves when it comes to getting contact with infected patients, specifically when it comes to their protective gear. dr. samadi, i want to start with you, and i want you to talk to us about the importance of a uniform standard of guidelines for all hospitals. >> this is going to play a huge role because cdc so far has been sending a lot of mixed messages, great institution, but when it came to this disease a lot of statements went out which was not appropriate. every hospital in america can take care of this virus. now we're finding out that our nurses and doctors are not really prepared for this. the whole concept about what to wear. right now the guidelines are that you would wear a pair of gloves. you would wear the gown. you want to make sure that you wear a mask, et cetera, but these guidelines are very flexible. every hospital would do what they locally thinks makes sense for them. no real strict criteria, and we're hoping that using these guidelines we'll have a real
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standard, so the good news here after all the stuff that has happened is that cdc is working with american nurses association and american hospital association to say, guys, let's bring our act together and make a standard. what are we going to wear, what is the personal gear that the nurses have to work, et cetera, and hopefully we won't be blaming any of the nurses, et cetera. also, when it comes to the temperature and how as far as quarantine the number of days and what to do. if you've been exposed to any of these patients, directly or indirectly, stay out of public scene for 21 days, no discussion about it. so we're hoping that these guidelines will hopefully put everyone at ease and all this fear and panic will disappear. that's what we need from cdc today. >> it's amazing. you talk about the ebola savrmt marc, i want to ask you about this. you're a doctor. the ebola czar is a government official. he's not an md. if he was an md. would there be a standard of medical care that he would have to follow if he were a
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infectious it is expedisease ex that not the case by having a government bureaucrat? >> that would be a help. it is dismaying for some of us in the medical community to see another politician on top of the situation where there's been maybe too much politics. that's an issue. maybe he can help coordinate services but we already have sylvia burwell, head of hhs, not up front the way previous hhs secretaries have been. so i am concerned about too much politics, and i agree completely with david's statement about mixed messages here, that we need a unified front to decrease fear. that's how fear works. if we have leaders that we can look to who say, look, this is the way it's going to be and this is what we're going to do, and to david's point about contact tracing. you know, back in the plague times, eric, in the 14th century, there was a rule that if you took care of a patient with plague, they put you on holiday for a fortnight, 40 days and 40 nights where you couldn't
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see anybody. well, we're busy flying our people around on planes after they take care of ebola patients, and also to david's point, there isn't a uniformity of equipment. a lot of these nurses, and they are, you know, we have the greatest health care system in the world here, and our nurses are not at fault here. they don't know how many pairs of gloves to wear. >> you're right, the nurses are not at fault, and they have been crying out for help as well. finally, it looks like they are going to get this help in the form of the cdc guidelines that we're waiting for. dr. samadi, bringing you back into the conversation here, i want to talk to you and ask you about the importance of the instruction in terms of administering those guidelines to the health care workers. >> arthel, i think this is an extremely important point you're bringing up because, you know, when it comes, for example, to hepatitis or hiv, someone gets a needle stick in the operating room or some lab tech will get needle stick. we have protocol and guidelines that everyone would follow. you basically go in and you register, you get your blood
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test, et cetera. when it comes to this, there's a lot of confusion out there. people don't really know what to do. is it just a contact isolation the way we're taking care of them, or is it going to be totally different? to your point, the instructions that are coming down from cdc now, for example, you need to have a buddy system. let's say you and i are going to take care of the patient. i'm going to watch exactly how you put your gown on and take your gown off and if you bring your hands up near your face, which i don't think it's a good idea, i will make a time-out. arthel, you need to move out. there's a space before that isolation room, for example, where we would be changing our gowns, and also the gowns are going to be one piece from head to toe. no more taping, no more like looking for your neck or not, and so i think one of the things that happened with this nurse is that because these patients, they get this projectile vomiting and diarrhea, some may have gotten to her neck, et cetera and that's probably how
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she got this. >> you feel when they give the instructions for the new guidelines -- >> if it comes through the pipeline and it's not just on some website, if the hospitals will get together and follow, but ultimately you know what i've said we should do. we should have real ebola treatment centers in every state where specialized infectious disease doctors and nurses are running the show. >> let me ask marc a quick question. thomas duncan's girlfriend is coming out of quarantine, passing that 21-day period. she apparently doesn't have any symptoms. isn't that good news? >> sure that's good news. 21 days is not proven by a pretty good benchmark, and i also think, by the way, eric, that we need patients that actually have ebola to go into places like nebraska or atlanta where it's tried and true. you know what? you can have all the guys lines in the world, but if nurses and doctors aren't used to treating ebola patients, because with ebloo you get a lot of secretions when you're very sick, so no matter how much you're gowned up you can get it.
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when you're the sickest that's when you can get it the easiest. that's why health care workers get it. >> that's a good sign. this is a very difficult to get, and once we get it it's extremely infectous. the fact that none have come up with a positive virus and contamination, that's a great news, and we need it. >> something for all of us to keep in mind. meanwhile, amber vinson, the second dallas nurse with ebola, created a lot of concern when she boarded that flight from cleveland to texas. coming up, dr. siegel will give us a look inside the plane that she flew on and show you what they are doing to make sure it's safe. out for a bike ride. i didn't think i'd have a heart attack. but i did. i'm mike, and i'm very much alive. now my doctor bayer aspirin regimen to help prevent another heart attack.
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we're back with "sunday housecall." the ebola-stricken nurse amber vinson flew from visiting her family and fiance in cleveland and back to dallas in that frontier jet airliner. dr. marc siegel got a look inside the plane and the efforts now to make sure it's safe. >> with us is the ceo of frontier airlines to walk us through what the flight was like for her, where she sat and what she experienced. >> pleasure to meet you. come on aboard. let me show you around. >> amber vinson came on to the plane here. >> sure. >> show me where she sat. >> nobody observed her having any problem walking to her seat. >> nothing unusual noted. she sat in this seat here in the aisle. i'll sit in it. >> do you have any qualms sitting in her seat? >> absolutely not. it's perfectly safe. >> was anyone sitting next to her? >> no one seated in the middle seat? >> any complaints of her feeling
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poorly during the flight? >> no one observed that there were any symptoms or signs of an illness with her or any other passenger on the flight. >> those other passengers on the plane, dr. siegel, that plane kept flying for two days so they had to notify some 800 passengers, and i understand they may be on voluntary quarantine. can you talk about that. >> absolutely. and, you know, they are not flying that plane right now with any passengers on it, though they have been cleared, arthel, by the faa and the cdc, but they are just not ready to do it. getting the carpeting replaced and the seat she sat in replace, and the chances of someone getting it on that plane, again, even though she was reporting to us that they told us she was taking tylenol and suppressing a fever, she's not at sickest that you would have with ebola, but it just shows you, you know, what's going to happen here and the catastrophe that's going to happen if we keep not isolating people. but i also want to tell you about a fear factor, because when i walked on that plane, and
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our producer walked on that plane, we were frightened. here we are. we're going on the ebola plane, you know, but when the ceo sat there in the seat where she sat, and i sat next to him for 20 minutes interviewing him, i felt calm, and after that i was less afraid. i think that there's a certain desensitization that goes on that we have to somehow figure out to get the american public to go through because i've been getting asked for days. are you okay? maybe you're sick. you were on that plane. >> it's a good point that you make and we certainly don't want to spread fear and panic. hey, he's ceo. he's got to make sure that everybody is okay with flying on frontier airlines. >> you know, there's also a lot of misconceptions, we're constantly told, yes, it's only spread through direct contact with body fluid such as vomit. >> vom i had, blood. >> such as blood, such as mucus and this sort of thing, but at the same time the virus does, we're told, live on doorknobs or countertops for some time, but there has been no confirmed case
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of any contamination from a surface to a person. >> that's so true, and we don't want people to panic. number one, i would say, marc, next time you're afraid or have anxiety, definitely call me and as a result of being in that plane we'll put you in voluntary 21-day quarantine in your office. so if you panic, call me. i think, eric, going back to your point, you know, there's no case of any airborne virus transmission. we don't want people to panic and worry about the airborne. but we also learned a lot about this. every one of these cases, by the way, there's so much message out there that we need to learn. if you use fever as a screening tool, we just saw that fever absolutely failed, and it's not a good screening tool. she went in with 99.5 and came out with 11.2, both of them are under the screen radar, and can you just take tylenol to your point last week and absolutely go undetected. >> that's the big question at the airports, someone has it, takes tylenol in africa or suppresses their fever and pops
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more pill on the plane, can still have fever. >> that's one of the reasons why i don't think fever is like the best screening tool, even though it's the most common symptoms. that's why they picked it. the other thing, tells you about the confidence cdc has in public. if someone is a direct contact with mr. duncan and took care of him and the nurses are, you know, exposed to vomiting and diarrhea and everything else, don't let them go in public planes, don't let them go on cruises. when you do these kinds of things, people start having fear so it's not us in the media talking about this causing fear. they need to perform. they need to run a tight ship to make sure that people are not afraid, and i think -- i want to also compliment the khceo of frontier. he's changed all the carpets and bleached everything. we need forward thinking, visionary people and react decisively. i think that will go very well. >> and, of course, that idea was to sort of rid so many of the
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fears that americans do have, and they can continue in the meantime about the way ebola is spread, and this is some of the medical experts claim that the deadly virus could go airborne. we're going to talk about that a little bit more but just how true is that, the doctors will give us the facts on that one when we come back. want to know how hard it can be... ...to breathe with copd? it can feel like this. copd includes chronic bronchitis and emphysema. spiriva is a once-daily inhaled... ...copd maintenance treatment... ...that helps open my airways for a full 24 hours. you know, spiriva helps me breathe easier. spiriva handihaler tiotropium bromide inhalation powder does not replace rescue inhalers for sudden symptoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you take, even eye drops. stop taking spiriva and seek immediate medical help if your breathing suddenly worsens, your throat or tongue swells,...
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s. it turns out our own resteven we published with our collaborators demonstrates ebola has the inherent capacity to enter lung tissue, human lung tissue from the airway side just as influenza does. so it cannot be ruled out that
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it can acquire the capacity to go in to the lung from the airway side. >> that was dr. david sanders, professor of biology science at purdue university telling "fox & friends" earlier this week there's enough evidence to suggest that the ebola virus could one day go airborne but just how real of a possibility is that? doctor, as ewell know, the cdc is saying that ebola is not spread through the air like the flu. do you agree >> yes, i agree with cdc and i don't really -- i don't think the likelihood of this becoming airborne is extremely low. anything can happen. could always be some mutation in the future. but the likelihood of that being airborne or in the future changes to that is extremely low. so, this could be just a scientific data that they did but i don't necessarily buy it. also depends on where this passenger is in spectrum of the disease. as you know, the symptoms go from two days to 21 days.
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is it in the first two days where the viral volume is low compared to when you're in day nine or day ten? all of those are factors. for example in this particular nurse she was getting symptomatic. if she's up in the plane and some rare instance she coughs and so those droplets will land on someone's food or door knob or she goes to the bathroom has vomiting and diarrhea. you can come up with so many scenarios. >> the cdc says it's in mucous. if you sneeze and droplets get in your ice -- >> you have to be close, in close contact with that person, right >> sure. but the bottom line -- it's not you just sneeze. it won't travel far. we don't want people to be afraid. you have to have some abrasion in our skin. you have to have an opening. these nurses in spain where for
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example she got this she had contamination of the glove , touched the eyes and ears. i think the likelihood of this is extremely low. mark, what do you think? >> david, i think you just calmed a lot of people because i think people didn't understand what airborne was and i think you just explained it extremely well. airborne means hitching a ride on respiratory droplets. david sanders who i lectured with, he looks at ebola in the lab and says okay it's in some lung tissue. but that doesn't mean it's going to change how it's transmitted. viruses do not tend to do that so it's extremely rare. i absolutely agree with the way you described that. >> basically, doctor when the cdc says it isn't mucous in droplets they said it could be spread, really that's hard? >> because, eric, if you have it in mucous and you're really sick and i don't think really, really sick people are traveling on buses and planes.
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but if you're sick and somebody is on top of you and get the secretions on top them and gets in through a cut or through the mouth or nose it's possible. not the most often way it's transmitted. >> the only thing i would add to this, as we're preparing our doctors and nurses maybe we should be thinking about some of the flying crews and pilots in case there's some sort of an accident in the plane, whether some sort of body fluid, are they trained to really take care of this, isolate some of the people to the front of the plane and isolate that area until the plane lands. these are things we should be thinking with cdc and not have oops moment. you don't want another mistake. that's when you lose your public trust. forward thinking is the way to go. >> coming up, you heard about this, officials in spain have been threatening to put down the dog of the nurse who has ebola. is there a risk to our pets? doctors weigh in on that next. you owned your car for four years.
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out for a bike ride. i didn't think i'd have a heart attack. but i did. i'm mike, and i'm very much alive. now my doctor recommends a bayer aspirin regimen to help prevent another heart attack. be sure to talk to your doctor before you begin an aspirin regimen. concerns over ebola don't end with humans. growing number of people want to know if pets can catch or spread the virus. in spain they are talking about putting down the pet the dog of the nurse there.
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the nursing dallas her little dog bentley is doing okay. playing and fetching and doing okay. can pets get it? >> we're really glad to hear bently is doing okay. here's the issue. dogs have been found to carry it in areas where there's been a lot of ebola in africa but never been shown to transmit it. the concern is with fruit bats and monkeys and apes. it isn't enough of it here in the united states right now for that to be a concern. if bats ever get a hold it and carrying it they can fly to it different areas. that's not something we need to be concerned about right now. again, studies haven't proven that dogs don't transmit it but there hasn't been a case of that. >> that's reassuring. >> i read that pets were incapable of carrying the virus. >> yes. not only here but the dogs and cats in africa they haven't been carrying this virus and the likelihood of them being a
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carrier to other people is extremely low. the host of this virus is obviously fruit bats and then fruit bats secretion get to monkeys and apes and because they eat a lot of bush meat over there that's where the serious of protein is for a lot of these people that's how it comes to the human and then from human-to-human. that's how this virus has originated. this virus, obviously, is going through a lot of mutations. we should watch it very carefully. we'll talk more about some banning of flights. that's a very good discussion as to whether we should slow down the flights or not. with cdc coming on board with new guidelines we hope we tighten up the message out there and get doctors, hospitals, nurses and everyone on board. the best way to really take care of this disease is isolate like any other infection whether surgical or medical. isolate it and go after it aggressively and no more mixed messages. >> david, great point about eating the fruit bats and the meat over in west africa.
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as far as if we can get more consistent message the way david is saying then maybe we won't have to ban flights except possibly temporarily. you brought up a great point on that. >> that does it for us. >> thank you for watching here on the fox news channel. i heard jody. is it hannah. foreinsic experts are testing t see whether a body found is hannah graham missing for over a month. good news for hundred of people aboard a cruise ship that had a health care worker who handled a patient in dallas. political leaders speaking out today trying to calm fears about the virus while criticizing the mistakes in dealing with ebola in america. we'll talk with texas lieutenant governor and ask our political panel has the government oversold its ability to control ebola. >> don't

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