tv Face the Nation CBS October 19, 2014 8:30am-9:01am PDT
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were in his words insufficient. have they been fixed now with this new set of guidelines to your satisfaction? >> let me explain. i know it gets confusion. the guidelines that were on the cdc were who guidelines that worked well for many, many years in approaching patients who have ebola in the african setting. which is in a much less well developed setting. not the care. now when you have patients here we do things that are much more aggressive with patients intubation. so the explore level is different particularly you are
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keeping patient as live because you have the capability. those guidelines had aspects about it that we are going to improve on. for example, the guidelines did have exposure of skin in the sense you had a mask but there was skin that was exposed and hair exposed. that is the thing that now in our setting of care we want to make sure that that is no longer the case. that you have essentially everything covered. when he says he does not know. yes, that is true. we don't know. but we know they were in a situation where there was clearly an identifiable potential for how they got infected >> schieffer: that is the part as a layman that bothers me of the all this time has passed and they what he says they don't have a clue. >> well, again -- schieffer: that is my word. there is no definite. you can't say that she definitely got infected here. she went from a less stringent
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to a more stringent protocol. she was not only on the original protocol as soon as they found out that this person was positive by the lab test, then they switched over to a much more stringent protocol. he is right. you don't know if she is infected here or in the more stringent protocol. but common sense will tell you that it's much more likely that you get infected with skin exposed as opposed to not skin exposed >> schieffer: is an ebola czar, ron klain who had been a chief of staff to vice-president gore and later to vice-president biden to take charge of this, is that going to help? >> well, it's going to be coordination. it's going to be ebola response coordinator. we do not call him a czar. it is the ebola response coordinator. and right now since you have multiple agencies working well together that coordination has
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been handled extremely well by lisa monica and by susan rice. but they have important day jobs too. what you need is a coordination and ron will be doing that on a full-time basis >> schieffer: you don't see this as something that should have a healthcare professional in charge? >> not necessarily. there are health officials, myself, the cdc and others you don't need to be a healthcare person. you need to be somebody who is a good organizer and his experience is extraordinary. he has been chief of staff to a couple of vice-presidents and has a lot of experience >> schieffer: let me ask you this: a lot of republicans and now some democrats are demanding a travel ban on people coming from liberia. you are a health professional. does that help? is that a good idea? would it make a difference? >> well, first of all we certainly know the people who think about that and suggest it are people of good faith who feel that that is going to help.
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and we feel that there are some downsides that could be counterproductive. that if you do a ban that you then lose the direct control of knowing exactly who is coming over so you will be able to track them. that's one of the disadvantages. but it isn't like they are completely wrong and don't know what they are talking about. because it is a reasonable thing to propose. we happen to think that the downside is properly more than what the upside is. >> we wish you the best. this is a tough one. thank you for joining us. we are going to turn now to our cbs news chief medical correspondent dr. jon lapook who is working intern's hours. he is on the job all the time here lately. dr. lapook bring us up to speed. it looks like these are going to be more stringent guidelines. what do we need to be doing that we are not doing? what have we done that works?
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and what didn't work? >> well, i think the biggest point here is he is saying we have to be thinking on our feet. if the protocols did not work the way they were then we have to change them. and i spoke to one of my colleagues in nyu medical center where i am a professor and he said it's about the nitty-gritty. in the emergency room and up in the hospital thinking about protocols there are things they did not used to think about. there is a green and yellow and red zone. the red zone is where the patient is actually is. and they are think being moving the door for example to put to give you more space in the red zone so when were youth in you are able to take off your equipment and put it in bins before going into the yellow room. things like that that we weren't doing before. he is talking about having a buddy system there. about having drills all the time and about communication. so as they have gone through the drills at least at nyu they are finding out we didn't do this
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and realize this was supposed to be there or this person was supposed to be notified and one by one they are trying to get rid of the natural mistakes that people could make because we are not used to dealing with this >> schieffer: let me ask you. the lab worker from texas presbyterian that went on a cruise and they had to the cruise ship could not get in and mexico would not let them into a port. they come back to galveston as we understand it. do you have any information on that particular patient? >> i spoke to the cdc a couple minutes ago and i was told the patient is feeling fine no symptoms. we have been saying and told over and over again that you cannot be infectious until you are symptomatic. there is not a big risk there. >> dr. jon lapook thank you. and we will be coming back to you if you stand by later in the
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broadcast. we want to go now to a panel of experts who represent the people on the frontlines, america's doctors, hospitals and nurses. dr. robert wah is a president of the american medical association, richard umbdenstock is the president and c.e.o. of the american hospital association, and in minneapolis we are joined by jean ross the copresident of the national nurses united. and ms. ross i want to start with you. your organization is the largest in the country. and last week you had some scathing criticism of the outrageous handling as you called it of ebola at the texas health presbyterian hospital. they have apologized and admitted that mistakes were made. do you accept that? and where do we go from here on this?
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>> an apology is nice but a corporate c.e.o. apology does not save lives. where we go is to listen to us which we have been begging for since the get go. once you've got the evidence that we were correct that people are not prepared, nurses are not prepare federal we say we are not we are not. it unfortunately has been born out with the threats to the health and safety of the rn's and other workers. one thing we have done is write a letter to president obama asking that he set a uniform national standard that all hospitals must comply with in this system we have in this country. and we have a petition on-line at national nurses united.org that we wish everybody would sign electronically to let him know that the public is solidly behind us in this >> schieffer: just review for us, if you will, some of the things that you say went wrong
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at texas presbyterian and what do you think needs to be done here? >> well, in this country, because of the system we have we don't have a national system, it's piecemeal it's fragmented so each hospital is going to do according to i believe cdc guidelines what they want to do. now, they choose normally in this country the hospitals choose to like adapting to the equipment et cetera that they already have and they are always looking at the bottom line. so what we want and need is similar to what you find at emory in nebraska, nebraska has become the gold standard for us. so that particular type of equipment hazmat suit and masks and the buddy system where we can watch each other don and dock and make sure the seams are taped that kind of thing and then allow our professional
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judgment which tells you we should not be caring for more than one patient if we have an ebola patient. and minimally two per patient and then more if necessary. but you got to take into account that the nurses will tell you how much they can handle. so we have been asking for the proper equipment. we have been insisting on the staffing that is what the petition is about. that is what we expect to save lives. >> schieffer: all right. thank you so much. we are going to turn to dr. robert wah and mr. richard umbdenstock. dr. robert wah as a doctor the nurse makes serious charges. and i must say that the hospital takes something of a different slant on some of the things she has said. is she right? >> well, i think we all want to be as protected as possible in our work. and i think that is what she is expressing. and she is also expressing the need for preparation. and i think we are doing a great deal of preparation in this
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country. we have dealt with infectious diseases many, many times before. the aids epidemic and the other sars epidemic we had. we know how to deal with contagious diseases and i think we are responding in appropriate ways to do that. there are always opportunities to improve on that. but i think we have a great deal of experience in this country and we are using that to prepare ourselves. i think right now is a time for preparation not panic. and i think we are doing that today. >> schieffer: mr. richard umbdenstock? >> absolutely. every hospital wants to protect its patients and its workers. there's no question about that. we want to have the right equipment and we want to have the right protocols and we want to be practicing those protocols and improving them all the time. filling in where we find the gaps as mentioned earlier. every opportunity to improve is a nugget. and we have to use it. but, there's no question that there's no hospital in this country that wants to endanger any employees and certainly not
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patients. >> schieffer: do we have to have more stringent guidelines? we are hold you heard dr. fauci maybe within the hour we will get new guidelines from the cdc. the people at texas presbyterian said they did not reach any protocol they followed the protocols yet they cannot say how the nurses became infected? >> as dr. fauci said the protocols have been changing and we have been retraining to the new protocols. we are anxious for this next set of guidelines and hoping to have them before this. we understand that cdc wants to vet them and make sure they are right before they come out but we are anxious to have them so we know exactly the next level to which we are expected to perform >> schieffer: doctor we were not prepared for this? as we found out the first patient that shows up at a hospital they sent him home. nobody would do something like
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that on purpose. but the hospitals weren't really prepared and they didn't know what to expect, did they? >> well, you know, i think that as i said, i think we have a great body of experience with infectious diseases. and there obviously are looking backwards ways we would have done things differently. i cannot speak to the specifics of the texas hospital i was not there. i don't know the details of that. but there are good guidelines in place that have been vetted and have been reviewed by experts and we believe are in place to help us diagnose who has the virus, make sure we isolate them appropriately and protect them. the workers and the other patients. and it is a dynamic situation we have to recognize that. this is not something that we can always anticipate every possible aspect of it. and we have to be dynamic in our
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response and learn from each other and make sure -- >> schieffer: do you two have confidence in the centers for disease control and prevention? >> yes. we work closely with them. we understand that they are operating in realtime with this as well. they are the nation's expert. they are frankly the expert to which the world turns. but as dr. wah says you don't know what you don't know until you are into a battle and then you have to react quickly. and that is what we are trying to do. we are trying to learn, share and then act anew in a constant learning cycle. >> schieffer: doctor? i agree. i have every confidence in the cdc and this is also a team effort and we've reached out and we released a memo friday of the american medical association and the american hospital association and the american nurses association because this is a team effort it cannot be done by one entity. and we are standing together to fight this battle. >> schieffer: ms. ross do you have confidence in the cdc?
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>> yes, and no. and i beg to differ a little bit from what was just said. yes, you cannot anticipate every possibility. but the nurses and other workers did anticipate what they needed before these errors occurred. we had been saying for months we realize what it takes. we recognize. we work with doctors with borders. we know what is required. we know that the knowledge, the equipment what is not being given to us, we have put up with this before. unfortunately in this country, we have a profit-driven healthcare system. and you cannot put a price on nurses and other healthcare workers' life when it comes to the bottom line that is what the hospitals think about. you have guidelines to follow. they knew what kind of equipment was required even with the lesser protocols, our hospitals did not have that. the nurses overwhelmingly told
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us this in the surveys. we are not ready. so some of this could have been anticipated and should have. >> schieffer: all right. i thank all three of you for being with us on this very serious and difficult topic. we will be back in a minute to talk about the politics o politf we will be back in a minute to talk about the politics o politf ebola.
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>> schieffer: the appointment of long time democratic political operative ron klain to be the country's new ebola czar they don't call him that they call him the person in charge of coordinating, has not gotten much praise from republicans. one person who heard testimony from the cdc congress woman marsha blackburn joins us now from nashville. the republicans wanted a czar appointed and the president appointed one and now you don't like him. why is that? >> well, bob, i think what we
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were hopeful was that we were going to have someone who had the experience not only from the medical community but in emergency response that would be out there and help walk not only our nation but the entire globe through this process. you know, general onore or senator bill frist would have been a much more appropriate type of appointee to address this. i don't know ron klain's emergency response experience. maybe the bush-gore recount qualified in that. and i think talking to constituents so many people have said we didn't want somebody to give a spin. we want somebody to give us the facts. and that is what they were hopeful for >> schieffer: let me ask you this: republicans people in congress have been critical of the president, and, yet, the congress can't break the
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gridlock long enough to confirm a surgeon general which is supposed to be the top health office in the country. i know that's what the confirmation process takes place in the senate. you are a member of the house. but give me your thoughts on that? >> you know, i think what you have in the house is bipartisan frustration with harry reid and the senate. we have 387 house passed bills and 98% bipartisan, 298 of those bills veto-proof and they are sitting on harry reid's desk and we find it frustrating because the senate has not been able to get the work done. we wish they would come back and do that it would help the country and get things passed that need to be passed. >> schieffer: congresswoman thank you for giving us your side. we will be back in a minute with personal thoughts.
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>> schieffer: beyond the immediate danger posed by ebola, what the situation has exposed should not go unremarked. because to the list of institutions once held in high regard but which have lately come up short, the veterans administration, the irs, yes, the secret service, we now must add the centers for disease control. it's been an all too familiar story. first the calm assurances that all is well. then the press releases saying nothing. finally, the grudging admission mistakes were made. the administration seemed as caught off guard as the rest of us and scrambled to catch up. congress which has done nothing
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for years literally and can't break the partisan deadlock long enough to confirm a surgeon general played to form. they launched into a bitter blame game. all this as the chairman of the federal reserve expressed concern the rich are getting richer and the poor, poorer which could mean new problems on the economic front. i don't know where all this goes. what i do know is that our once proud shining city on a hill is becoming just a town where nothing works. once we figure out what to do about ebola, maybe we should focus on what to do about that. back in a minute.
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streetline has looked at the problem of parking, which has not been looked at for the last 30, 40 years. we wanted to rethink that whole industry, so we go and put out these sensors in each parking spot and then there's a mesh network that takes this information, sends it over the internet so you can go find exactly where those open parking spots are. the collaboration with citi was important for providing us the necessary financing; allow this small start up to go provide a service to municipalities. citi has been an incredible source of advice, how to engage with municipalities, how to structure deals, and as we think about internationally citi is there every step of the way. so the end result is you reduce congestion, you reduce pollution and you provide a service to merchants, and that certainly is huge.
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