to operation safely, as well as some luck. that's all for this edition of caught on camera. sucker punched caught off guard. this commuter thinks that commuter is talking too loudly on her cell phone, so she takes matters into her own hands. >> who knows how far the escalation would have been gotten with a gun. >> a patron goes from impatience to out of control. >> i thought the lady lost her mind. >> a convenience store break-in on four wheels forces the young clerk to run for his life. >> i hear a loud choice coming from my right, turned and saw the car. a guy walks into a bar with a chain saw.

>> crazy goose. >> i've seen crazy animals before, but this goose was up there on the top level. caught on camera, blind sided. a commuter's nightmare that will make you think twice about talking on your cell phone in public. october 14th, 2010, pennsylvania. just a few miles outside of philadelphia, the 69th street bus terminal is a busy hub for people coming and going into the city. as captured by the bus outward looking security camera, this man waits at the terminal with his two sons. >> it's always packed. always a lot of things going on down there, elspecially at rush hour. >> footage shows him and his

sons boarding a philadelphia public transit bus. a few steps behind them is a young woman with cell phone in hand and she's about to start talking, loudly. >> how loud was she? on a scale of 1 to 10, probably a 7.5, close to an 8. >> he isn't bothered by the girl's chatter, but an older woman sitting next to her is annoy annoyed. >> she wasn't too happy with the lady's tone and how loud she was. she immediately got up and moved. she did say something, ain't nobody wants to hear your conversation, as she walked away, and sat in another seat. >> the security camera has no audio, but you see the young woman continuing to talk on her cell phone as the older woman goes on a rant. her anger seems only to be building. the verbal exchange between the two woman intensifies.

>> from then on, it escalated. the young lady chose to chime in, talking to her friend saying, this lady don't know i beat grandmas up. >> the talker doesn't know the woman is armed and that her rage is about to boil over. security footage shows the man also talking on his cell phone, busy with his other conversation. he's unaware the hituatisituati heating up. >> i didn't think anything crazy was going to happen. you see it all the time, people are mad or annoyed at someone and say, can you keep your conversation down? i didn't think it would have went to where it went to. >> he doesn't pay much attention to t to the talk until the older lady says something disturbing. >> i'll put a bullet in your mouth. i thought, okay, what will happen next? i thought it was going to come

to blows. >> at that moment, the angry passenger charges to the front of the bus which still hasn't moved. what started as a battle of words turning into a pushing and shoving match between the women. it's about to get worse. >> out of the corner of my eye, i happen to see her with the gun. much to my surprise. i didn't think it was going to happen, this lady pulling out a gun. >> incredibly, the young woman, the cell phone talker, seems unphased by the woman. >> she has no back down. he was still in the lady's face, like she didn't have a pistol. >> the talker may be undaunted, but other passengers aren't nearly as calm. seeing a gun being waved within feet of their children. somehow, he keeps his cool. >> didn't have time for emotions. just saw the gun and, all right, can't let this go down. it can't happen.

my kids are here. i don't know what's going to happen if the gun would go off if she decides to shoot it. >> he springs into action. he places his hands on the woman's arm and trying to get her to lower the weapon. >> i don't recall what i said to her. i know i said something about my kids being on the bus. she said she wasn't going to shoot. you don't have to worry about your kids. i don't know what the response was to that. he doesn't know that, but the bus driver called 911. in the meantime, he knows he has to do something, so he plants himself between the two feuding women. he's so focused on the situation, he doesn't even notice his two young sons running off the motionless bus amid the chaos. >> i didn't know they had disappeared at the time because i was dealing with the situation. i didn't even know where they were at at that moment. >> it takes coaxing, but he convincing the pistol-wielding woman to get off the bus. >> she decided to get off the

bus. >> police are waiting nearby and take the woman into custody when she steps off the bus. he is reunited with his sons. >> we in the department felt very, very lucky that this good samaritan, who took it upon himself to intercede, probably stopped a potential tragedy from occurring. >> michael, superintendent of the police department, oversees the investigation. >> once you look at the tape, you see there is about 30 people on that bus at any given time. there's certainly several young children. who knows how far that escalation would have gotten with an angry person somewhat out of control with a loaded gun. >> the gun-wielding woman is a 58-year-old. police determine she doesn't have a permit for the fully loaded pistol she's packing. >> when she got here to the police station, she was distraught.

i mean, here's a woman, 58 years old, had no prior criminal record. apparently had a job. this tysituation does not fit io her persona. something pushed her buttons. >> she served six months in county jail, pleading to terroristic threats. as for the good samaritan, he has no regrets about stepping in that day. >> i guess it would have been ugly. i don't know what would have occurred, whether she would have been shot. >> who would have expected to end up in a dramatic situation when setting foot on a public bus? certainly not this man, but he learned from the experience. the main nugget of wisdom, let's call it cell phone etiquette. >> i will not pull out my cell phone and talk in front of anyone. not at all.

have to wait until later to make the phone call. coming up, a man gets booted from a british pub and returns with a vengeance and a chain saw when caught on camera continues. with ink plus from chase. like 50,000 bonus points when i spent $5,000 in the first 3 months after i opened my account. and i earn 5 times the rewards on internet, phone services and at office supply stores. with ink plus i can choose how to redeem my points. travel, gift cards, even cash back. and my rewards points won't expire. so you can make owning a business even more rewarding. ink from chase. so you can. breather. you can't breathe through your nose, suddenly, you're a mouth breather. a mouth breather! well, put on a breathe right strip and shut your mouth.

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a chain saw wielding man is on a rampage, attacking everyone who gets too close. >> you can clearly tell that everyone is really shocked when he walks up. >> this night of terror takes place in august 2011 in england, about four hours north of london. locals want to drink a beer, shoot pool and have a chat, many turn to this pub. >> the pub is a busy pub, particularly on the weekend. there's a lot of people, young, single males tend to go to the pool table area. there's more seating for

couples. a lot of people know each other. >> on this friday night, the regulars have no idea a man is about to threaten their local hang out and force them into a fight for their lives. a security camera mounted outside the pub captures an eerily quiet scene. look at the man at the top of the screen. >> he was coming with a chain saw. he approached the entrance of the pub, where people were standing outside smoking. he moved the chain saw towards them before entering into the bar. >> once inside, the man menacingly waves the chain saw. ♪ psome jump out of their chair and look around, turn around to see what's happening. you can tell that everyone is shocked.

he walks up and pushes it towards a few people. it was a case of whoever was there got it. >> the pub goers don't put up with the man's antics for long. they fight back, throwing furniture at him. >> he starts threatening people. somebody picks up a bar stool and throws it at him. another does, too. by this time, he's turned around and fends the chair off using the chair saw. >> despite the combined effort of the locals, the man cuts through each object thrown his way. things take a more horrifying turn for a patron named adrienne prior. >> there was nowhere for people to go. he was in the middle. mr. pryor was at the edge of that. he put his arm up basically in a

reflex movement to protect his face, and the chain saw went forward and his arm went off. it appears to be minimal contact, but the weapon was so serious that it caused a nasty injury. the wound went down to the bone. >> then the disturbed man decides to leave the pub. once he's back out on the street, someone calls the police. the pub's patrons aren't about to let him get away. they decide to take the law into their own hands. >> if you were the people, they picked up the schools and chased him outside. >> the security camera captures a lone patron trying to stop the attacker with a beer barrel. >> the guy throws it at him and he deflects it with the chain saw. does it again and he deflects it. >> several more customers follow suit and go after the attacker. the patron then picks up the

barrel a third time and delivers a blow, finally taking him down for the count. it's hard to see what happens in the melee, because the video is blurry, but soon, it's about a dozen against one. >> at this point, some of the other locals have taken it upon themselves by using the bar furniture. they hit him. and he's detained until the police arrive. >> the attacker is a 24-year-old. he's badly injured. instead of being taken to jail, he's taken to the hospital. >> he ended up at the hospital for about a week. i think he had a fractured rib and punctured lung. >> it isn't until police begin interviewing witnesses that they start to piece together what sparked the violence. all pubs in england have a no smoking policy. this man refused to put out his cigarette. to avoid trouble, his friends

tried to force him out. >> he didn't want to leave and was escorted off the premise by his friends, which he didn't take well to. >> he is so angry, he goes home, grabs the chain saw and returns to the bar to take revenge on his friends. they're long gone. police say it isn't only alcohol that fuels his rage and irrational behavior. >> i think in the interim of going to the pub, he had taken some drugs. we don't know what they were. >> in a strange turn of events, for months, he refuses to at mitt he's the chain saw wielding man in the horrifying video. >> we asked him about that. is this your chain saw? no, i haven't got a chain saw. absolute denial to absolutely everything. every evidence we put to him, absolute denial. it was the most bizarre thing i've taken on with somebody, when it was obvious it was him. to turn around and deny it was quite unbelievable. >> in another twist, when he

goes to court in november 2011, he pleads guilty to possession of an expensive weapon, causing grievance bodily harm and causing a fight. he's sentenced to three years in jail. victims are still traumatized after living through the night of terror, but he's counting his blessings that more people weren't injured or even killed. >> it's a strong, powerful thing. it can cut limbs off, cut somebody in half and cause damage. it was myrrh racki myrrh rack -. coming up, football fans get a surprise tackle from an unexpected guest. >> customers were panicking. and brown sugar for that scratch made taste.

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it's scary. little bit in my eye. [ michelle ] underneath the kitchen table, underneath my work desk, we've got enough to knit a sweater. [ doorbell rings ] zach, what is that? the swiffer sweeper. the swiffer dusters. it's some sort of magic cloth that sucks in all the dog hair. it's quick and easy. pretty amazing that it picked it all up. i would totally take on another dog. [ kevin ] really? ♪ a deer crashes through the door of a georgia convenient store, smashing into an

unsuspecting 11-year-old girl. >> i thought a car hit me. s >> the incident is captured on store security cameras. february 26th, 2012, a quiet sunday afternoon in georgia. an hour outside atlanta. it's about 4:30 when kim makes a pit stop to pick up drinks at the local store. >> that's where we shop for gas and candy or anything of that nature. it's very convenient, and the people there are very nice. >> the kids run into the neighborhood store while their dad waits in the store. >> i was working this register here, and samantha and her brother were paying here. >> i went to go buy gatorade. i was looking at the clerk. >> as the kids come out, samantha is a few steps behind her brother when she gets the surprise of her life.

with lightning speed, a deer blasts through the door and crashes into the 11-year-old. >> we were about to walk out of the store, and that's when it all happened. i think it was really crazy. >> i heard the boom, the glass scatter and this little girl screaming. customers were running behind the counter. i saw something running around. i was, like, what is it, a dog? they were, like, no, it's a deer. >> the video shows samantha slammed into a shelf. >> there was probably a point where i blacked out. >> samantha's father, waiting in the car, hears the loud crash but is unaware a 125-pound deer has just tackled his daughter. >> when i heard the crash and looked over and saw my son running out and didn't see my daughter come out, that's kind of when the parent switch turns

on. the look of fear in his face, i knew something had happened to my daughter. immediately, i told sebastian to get in the car and i'll come get you. i was shocked when i saw the deer and blood on her clothes. i didn't know if she was cut or not. i needed to assess her injuries. >> samantha is not badly injured. the blood on her shirt is not her own. it's from the wounded animal. the deer is still running around and frightened. it's next stop is anybody's guess. >> i could hear stuff knocking over and the deer tearing stuff up. it's just going up and down the aisles, just scrambling to try to get back out. >> i was hearing chip bags fall, noises of the drinks and screaming, yelling. >> within ten minutes, paramedics, police and animal control arrive at the quick check.

animal control keeps the deer in one section of the store while an emt attends to samantha in another. she's taken to a hospital where she's treated for a concussion and bruised leg. >> i'm just seeing it over and overs and again. >> a second earlier, her little brother would have taken the blow straight to the face. even samantha would have taken a different path out of the store, and she could have possibly hit her head on the little stand. we're going to hold on to the kids a little tighter when we're out. just very, very thankful it turned out. >> the deer isn't as lucky. animal control decides to put it down on location. while this might seem like an unfortunate ending for the deer, john bowers, with the georgia department of natural resources, says it's in the animal's best interest. >> in that case, the deer

crashed through the glass door, there could be significant injuries, especially to the head and neck. that stress, deer don't adapt well to and will typically die from stress-induced trauma later on. leave that up to the judgment of the protefessionals dealing wit it. >> it isn't every day a deer comes crashing through an establishment, but happens more than you might think. three months before this incident, about 30 miles away in georgia, there was another deer break in. it's sunday, november 6th, 2011. football fans are gathered in the popular restaurant to watch their beloved atlanta falcons play the indianapolis colts. what the fans don't know is they better get their defense on because an unexpected opponent is about to deliver them a surprising tackle. >> the restaurant was very busy due to the fact the falcons were

playing that day. i was speaking with a guest when the deer came through the window. it was chaotic. customers and guests were screaming, and starting to panic a little bit. >> a deer careens through the restaurant, knocking over tables and chairs. >> you're seeing some of the people actually get up on top of booths and try to scatter and get away. the server you see in the video actually is fleeing from the building as well, and opening the door for the deer to get out. the deer exited through the patio door and crashed into tables and jumped over the fence. >> incidents like this are a reminder, the deer were here first. >> they were living there before the housing and development came in. they're still living there now. these deer are moving through their environment, which in this case, does has been to be the suburban setting. something probably startles him, in most cases. they're trying to get away from

that, and they're oblivious to windows or doors. it inadvertently run into those or crash through them. >> deer aren't attracting to anything in particular when bursting into the establishments, although the bar manager has a theory of why this deer visited the restaurant on this day. >> we have the best wings in town. >> he doesn't have time to stay and dine with us, no. coming up, a clerk runs for his life when one of his customers makes an entrance on four wheels when caught on camera blindsided continues. could something that small make an impact on something as big as your retirement? i don't think so. well if you start putting that towards your retirement every week and let it grow over time, for twenty to thirty years, that retirement challenge might not seem so big after all.

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touch down in omaha, nebraska. he will be taken to nebraska medical center. he will be the third ebola patient treated at that facility, the tenth overall in the united states. we'll bring you that story live right here as the doctor arrives when it happens on msnbc. we'll have that for you. back to caught on camera for now. unfortunately, convenient stores can sometimes wibe targe. not usually like this. >> i turn and then there's a car coming at me. >> in the dog days of the summer of 2011, it's 16-year-old's last day at his temp job, helping out in his father's 7/11 in aurora, colorado. the high school junior is about to get a back to school send off he'll never forget. >> i remember one of the

customers getting a movie in the machine and a slurpy. i was talking with the guy, and he was paying. then i hear a loud noise from my right. it sounded like the movie "transformers." it sounded like a transformer was in our store. then i turned and saw the car. >> a 1986 buick regal bulldozes through the front door, crashing into aisles of snacks and sodas, settling at the slurpy machine, inches away from the young clerk. >> the car was about three feet away from me. the guy with the slurpy, i was scared he was getting hurt. it looks like the donut bar crushed him. i was calling him out. he ran away, like after it happened. >> the driver is a 17-year-old girl with a bunch of friends crowded in the car. the video clearly shows a couple of them want nothing to do with this messy situation.

two men get out of the backseat, casually surveyed the damage and then slink away. >> i started looking at who was in the car, and i noticed five or sixteen agers in the car. i saw a couple of the passengers run away from the incident. >> when firefighters and police arrive, they can't believe the damage to the store or what they see on surveillance tapes. >> i've never seen anything like this. the glass was down, signs were hanging, and the car was actually inside the store. the wheels were still spinning at the end of the video, which gave us the conclusion that the driver was pressing on the gas and not the brakes. we don't know why the passengers ran. >> the 17-year-old doesn't have a valid driver's license or proof of insurance. she's excited for careless driving. luckily, the thousands of dollars worth of damage to the store is covered by insurance,

and no one is injured. the store is back up and running within a week, and despite the scare, sammy still helps out there every once in a while. >> there you go. >> over time, he's managed to find humor in the incident that gives drive-through a new meaning. >> i watch it when i want a laugh. one of my friends pretends he's on a steering wheel and runs into me. stuff like that. in orlando, florida, another convenient store takes a different kind of hit. >> i was going through and he came around the corner. i was thinking, what's going to happen because this guy is ten times bigger than me. i must have blacked out or something. >> at a convenient store, a clerk shows no fear, taking on a thief twice her size. >> it's november 13th, 2011, and the entire incident is captured by several store security

cameras. the clerk, a petite mother of four, arrives at work at the crack of dawn to prep the store. >> i come in at 5:00 in the morning. i set up and get ready to get everything for the day. i wait for customers and clean up and make coffee. >> it's pretty quiet for the first hour. when people start trickling in, one of her customers stands out. not in a good way. >> he came in and he was looking all around the store. he was acting like he was cold. then he came up to the register and asked me for a pack of newports. then he was still looking around the store. >> when it's time for him to pay, there's a problem. >> he's like starting to grab on his pockets and then he was like, i forgot my wallet. i'll be back. then he left out of the store. >> she keeps an eye on the man

with a nagging feeling, there's something not quite right with this early bird. the man gets into his car and stays inside for several minutes. >> he stayed in his car, which was kind of weird to me. >> inside the store, the clerk carries on as usual, grabbing an early morning snack of white cheddar popcorn. she's suspicious of the man, but as long as he's in his car outside, she doesn't feel in danger. but he's about to make his move. >> he came, and he was, like, i'll take the pack of newports. when i went to ring him up, he was, like, don't give me no problems. just give me the pack and your register. >> he has a sweater wrapped around his hand, claiming it's concealing a gun. this 105 pound clerk decides to challenge him. >> i was, like, no, are you crazy? get out of here, or i'm going to

call the cops. he wouldn't leave. i have my cell phone in my sweater pocket and try to get it out. i was trying to call the cops. he called me the "b" word and telling him me to give him the money. >> she had a serious problem on her hands, but so does this would-be bandit. his pants are falling. perhaps it's that distraction that makes him vulnerable to what happens next. she refuses to open the register. he decides to try for himself. ending up on the wrong side of a beat down from a clerk half his size. >> i started struggling with him over the register. he was trying to get it open. he couldn't get it open. he kept pushing me off. i kept coming back on, and he kept pushing me off. i was, like, i'm not going to get anywhere pushing him. he knocks my glasses off. >> although the store owner recommends she air on a side of

safety and give the money, she continues swinging. she's focused on not giving it up. he rips the register off the counter, grabs cigarettes and heads for the exit. >> ended up ripping off the register and trying to grab packs of cigarettes, which were falling, too. by the time, i grabbed the store phone and dialed 911. >> with the phone in hand, she runs to the door, determined to catch the robber who is a few steps behind her with newports flying to the floor and his pants still sagging. he's greeted by her, waiting at the exit. >> i grab him by the back of this neck, his shirt. i ran to the car he was driving. i was trying to get the license

plates. at the same time, i'm trying to remember the license plate. then he started driving off, and i guess i was chasing him after that. >> the clerk tries her best, but the thief manages to get away with a $900 register and $300 in cash. but no cigarettes. this isn't the first thing he's taken. the car he's driving is also stolen property. the man police believe to be the robber does not evade them for long. one month after the incident, he's arrested in an unrelated case in florida. he pleads guilty to fleeing and attempting to elude law enforcement in that case and sentenced to three years in county prison. in this case, he's charged with burglary of a structure and robbery. he pleads no contest and sentenced to five and a half years behind bars. who would think this clerk could put up such a fight? not even her herself. >> being a mother and thinking

about my kids and what could have happened, that was risky. i probably won't do it again. coming up, a liquor store clerk is stunned when an angry customer stiff-arms shelf after shelf of booze. what sent the woman over the edge? when caught on camera blindsided continues. the setting is perfect. you know what? plenty of guys have this issue, not just getting an erection, but keeping it. well, viagra helps guys with ed get and keep an erection. and you only take it when you need it. good to know, right? if ed is stopping what you started... ask you doctor about viagra. [ male announcer ] ask your doctor if your heart is healthy enough for sex. do not take viagra if you take nitrates for chest pain; it may cause an unsafe drop in blood pressure. side effects include headache, flushing, upset stomach and abnormal vision.

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an evening visit to a liquor store ends with the place turned upside down. it leads to a heated case of she said-she said. >> coming into my store. now it's the you and y'all. >> it all goes down february

23rd, 2011, in new york, about an hour north of new york city. this liquor store sits in a busy shopping center between of two of the most frequented roads. it's 6:30 in the evening. sara is working her regular shift when surveillance cameras capture this woman coming through the door. >> i was a frequent patron. i was on my break from work. i called the cab and went to the store. i was under the impression i was in the store by myself. i'm counting my money, looking around, and there's no clerk. >> separated by several aisles, the women are unaware they're standing in the same room, just yards apart. >> i was here, and there was a person in the back, corner. i didn't see her come in. >> with each second ticking by

and the taxi meter running, she become s more anxious. she openly admits she was drinking, even though she was on a break from work at a local restaurant. >> i have a cab, she's charging. i start to bang on the table. i was under the influence. >> she hears the clerk's voice and realizes she had been in the rear of the store. she walks down the aisle and approaches the clerk who is chatting with another customer. >> it's hard to know what transpired over the next several minutes because the camera has no audio. the store owner's dog jumps on the woman, who continues talking. >> she came to ask me and said, she wanted me to help her. i was with somebody else. i told her, she was here first, and i have to help the other person. she asked the other person if she can get help first, and the

other person said she needed help, too. >> she remembers asking her if she can cut the line, and she said the customer had no problem with it. it's at this point that something rubs her the wrong way. >> as she turns and directs her attention to the customer, they always coming in here expecting, that got me. i had to walk out. i said, what are you talking about? she said, you always come into my store. >> now it's you and y'all. as much as you want me out of your store, can you help me so i can get out of here? >> she is offended by the comment, which she believes is discriminatory. the clerk denies even making it. >> she said i said you people, but i never said that. i'm from africa, so i wouldn't say that. >> mothe woman who admits she w under the influence is furious. on her way out, she makes an impulsive decision to do damage. as she walks down the aisle, she

sticks her arm out and sweeps every bottle she touches off the shelf. the clerk is blindsided. >> first, i was, like, when she walked, like it happens when people break bottles, but the breaking kept going. i turned around, and i didn't believe it. >> i was halfway down the aisle before i started to mash it up. the rest is on camcamera. >> it was like everywhere, breaking bottles, liquor. >> she stiff arms numerous bottles, leaving $1600 worth of liquor across the floor. >> she runs to the door in time to see the woman get in the cab still waiting out front. she jots down the license plate number and calls the police. >> the police received a 911 call from a frantic, i guess it was the clerk, at the liquor

store, stating a lady had just come in and was displeased with the clerk because she wouldn't wait on her right away. >> harry is public information officer for the police department, which handled the call. >> i think she was more upset than scared. upset that all she has to account for all the broken bottles was nothing. >> the clerk gives the police the number of the taxi, but she's written it down incorrectly. their only lead is to watch the security footage, but that offers no view of the license plate. then a couple days after the incident, the clerk coincidentally turns up a lead of her own. >> she was at the palace center and observed the cab that looked like the one that was at the store. the number she had given the police was one number off. she talked to the cabdriver and the driver said, yes, i drove her to another liquor store and then dropped her off.

>> the taxi driver said he drove her. we went there and they said she worked here but she was off that day. we called the police again, and the police came in and took the information. >> what seems like an open and shut case turns out to be much more challenges. she doesn't show up for work the next day, so police can't question her and can't locate a home address for her. another dead end. hi, richard lui. we're following breaking news out of nebraska where a doctor infected with ebola is arriving back from west africa right now. the plane carrying dr. martin salia just landing at the airfield in oak ha. this is a picture of the lane. the doctor will be taken to nebraska medical center. he will be the third patient treated there for ebola. the tenth of all to be treated in this country, in the united states. dr. salia was working in

leone. he told his wife back in maryland that he had a headache and fever. his wife said salia had two negative tests for ebola but then a third test came back positive. the couple has two children, a 12-year-old and 20-year-old. the doctor travels frequently between the united states and his native sierra leone. he is a citizen of sierra leone but a permanent u.s. resident. he was there working with a hospital that was treating ebola patients and of course as we all have become unfortunately familiar with, the volunteers that have gone to the very heart of the ebola-stricken areas, sierra leone, guinea and libe a liberia, it has been a very difficult time for them. there's been over 570 local health care workers that have been affected in those areas. and more than half of them dying after being infected with ebola. online with us right now as we watch his plane, dr. martin

salia's plane, now taxi, there is an ambulance close by. he will then take what is estimated to be a ten-minute trip to the hospital there in omaha, nebraska, and the biocontainment unit, one of four across the country that have been designated to treat patients. again, this is the tenth ebola patient in the united states. there is the ambulance that i was talking about going on to the tarmac. we will see then dr. martin salia -- what has been said from hospital officials is that he is critically ill, possibly sicker than the first patients successfully treated in the united states. that was coming from the hospital in omaha, nebraska, in a statement, that he is critically ill and possibly sicker than the first patients successfully treat ed in the u.. dr. natalie azar from nyu is

with us on the phone right now. doctor, critically ill and not, as they were sayi ining -- poss sicker than those earlier. in terms of information, they're going to get him on the ground and determine what state of health he's in. what would you surmise from what you've heard and been looking at so far? >> yes, so far. basically, what i've gathered is that he began to feel sick or began to have symptoms on november 6th. that's roughly nine days ago now. this is kind of the time in the natural course, natural history of the disease, where people sort of slowly start to get symptoms. they get worse and worse. he's kind of reaching that peak time where his symptoms are going to be at their worst. not knowing a ining all the det his care up to now, we're assuming that from the time he tested positive, which i believe was on november 10th, that he

was at least getting the most aggressive supportive care in sierra leone, meaning electrolytes and blood pressure control and stabilization and whatnot. as far as we know, he hasn't received any what we call convalescent serum, the plasma from survivors, nor that's he received any experimental antiviral. i'm sure the expectation is that he will be receiving that once he arrives in the u.s. >> dr. azar, as you and i are watching these live pictures in omaha, the ambulance pulling up on the far side of the airplane that's arrived and dr. salia coming from freetown. they put up the stairs. he will then come down. what dow expect to see here? would it be what we've seen in the past, where the parent woti would be in some sort of suit? dr. azar, are you still with us? it looks like dr. azar we lost

her, we'll try to get her back on line in just a little bit and get her perspective on what we expect to be happening not only now but over the coming hours and days. but as she was reflecting, at this time, based on what we understand the diagnosis of ebola to be, just a handful of days ago, that the symptoms at this point in the arc of that sickness of this disease, that he would be experiencing heightened symptoms, which would be consistent with what the hospital out of omaha has told us so far. and, again, the area that he was treating in sierra leone, his home country, it has killed over 5,000 people, over 5,100 individuals passing away because of ebola in those three countries, sierra leone, guinea and liberia, in west africa. just a little bit about salia

himself. it has been said by his colleagues he was one of the best trained surgeons of his country of sierra leone and he had been working as a general surgeon at united hospital in freetown, sierra low i don't know -- leone, but that hospital not an ebola treatment unit but based on the numbers, the exposure he would have was probably just part and parcel to him being there and why he went there. dr. azar, i was just commenting as we're watching the video where the ambulance has moved to the other side of the plane, it doesn't look like we can see much through the windows here, they have pulled up also the stairs. as he comes out, should we expect to see him in one of those suits, special suits, we've seen patients in before? >> i anticipate that we will.

it will be interesting to see if he can actually deplane himself as some of the other patients have or if he is, as they've described, too ill. and on a stretcher. but i imagine he'll be in a protective suit, yes. >> it looks like the ambulance is moving away from the aircraft. again, dr. salia, coming from freetown, sierra leone. we were unable to determine from this angle if he was able to de-plane on his own, what does that tell you? >> it tells me that, as i anticipated from the descriptions we've been getting, that he is probably sicker than some of the other patients. remember, he's well into week two of the illness, presumably -- i don't know how much you guys heard before i got cut off -- without having plasma from survivors or experimental antivirals yet e.'s probably just been getting supportive care, hopefully aggressive live. but remember that the patient whs who were infected, those other

eight patients who survived in the united states, they were able to receive the antivirals and the more aggressive care very -- much earlier on in their illnesses than he is. >> dr. azar -- >> remembering also that the vast majority of people who survive this illness in west africa don't have access to any of those specialized treatments. so you still can survive this illness without that. so i wish him the best. again, we're probably going to need a good 24 hours for the doctors there to evaluate and assess him and see what his status really is. >> just before i ask you this question, i want to describe what we're seeing on the screen right now. it looks like the ambulance, which has moved now to the near side of the plane, and the stairs have been deployed, that we may see perhaps dr. salia now leaving the plane from this side. we were unable to see what happened on the other, although they did have some sort of flat

bed truck and a small ladder on the other side. we were unsure of what was happening. but the doors are still open at the back of the ambulance as, again, we wait to see whether this ambulance moves on to the hospital in the biocontainment unit itself. what will they be looking for once they get him it to the unit? what will they be measuring? what would be essential here? >> so basically the first thing they're going to do is assess his vital signs and specifically we're talking about what his temperature is, what his blood pressure is, what his heart rate is, what his respiratory rate is. those are very, very basic hemodynamic parameters that tell us a lot about how well or unwell a patient is. after that, they're going to immediately have to start drawing blood on his to see what his kidney function, liver function, coagulation function looks like and they will probably begin to immediately begin to rehydrate him, assuming he's lost a lot through diarrhea and vomiting to this point. >> we're showing some video,

dr. azar, a file of that biocontainment unit. there's only four in the country that have been designated. we're also seeing several individuals coming down from the plane. and we assume that it is the plane that came from freetown, sierra leone, may have made a stop or two. we don't know that for sure. but that biocontainment unit, as we're looking at some of the equipment that they have there, this particular location in omaha, nebraska, this is their third patient. >> yes. >> how would this differ from the others or not at all? >> no. i mean, i think the four that we always mention, missouri and maryland and emery and the one in omaha are all the highest containment levels in the united states. and we've talked about this before. they are mostly created for those respiratory path generajg owe generals so you have double doors and health care workers and doctors who are taking care of those patients wear suits

with their own oxygen supply, et cetera. but we've already seen, et cetera, remember, the experience at bellevue in new york city. we can treat a patient without all that elaborate setup. really for a disease like ebola, it's really the contact precaution the most important thing. all the other things would be bonuses. but there's something special about omaha compared to the other three facilities in the united states. arguably he could have been brought to another well-prepared hospital in this country. it didn't need to be one of those four. but clearly they're ready and willing and able to take care of these patients. we should utilize their benevolence in any event. >> and have been successful, as we have said, in eight of the nine cases so far. just to recap, dr. azar, please stay with us. top of the hour here. it is 4:00 p.m. eastern. we have just